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Feeling unwell after CBD stent removal - How long will these symptoms last?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Oct 21, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Sep 23, 2024Hindi
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Respected Dr Babu, I was suffering from gall stone related issues In 2023 Aug I got admitted to a hospital emergency due to CBD blockage as a few stones had come out of GB and caused jaundice ,acute pancreatitis I was released after medication as OT could not performed I have Beta Thallasemia,no transfusion reqd In 2024 May I got admitted again as stone which CBD blocked again had to to be removed by ERCP and a CBD stent was placed inside. I was discharged and adviced to remove GB which they did in August 2024 .I was recovering very fine had joined office But after removal of CBD stent by Endoscopy by local anaesthesia 18th Sept,I am still not feeling well like tend to vomiting,no urge to eat only soups feeling weak.Lingerin pain in mid abdomen and between ribs. Doctors advice Pan D morning and for pain Pyrigesic 1000 Can you please advice how long these symptoms will persist Thanks Regards Sudipto Basu ,weak

Ans: 4-6 weeks is the recovery time
The solution is not removal of stone
It should be focussed on o issues that causes Gall stones
Why is the flow sluggish in the biliary tree
Some tips
1.Avoid oily food
2.Have really dinner by 6 pm
3.Avoid refined carbohydrates
4.Avoidanimal protein in dinner meal
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Ashit

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Consultant Physician, Internal Medicine and Critical Care Expert - Answered on May 30, 2023

Asked by Anonymous - May 27, 2023Hindi
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Hello Doctor, I am 44. I was suffering from gastric issues Somewhere in Oct 2021, i started feeling anxious and all negative thoughts. As a nature, i take good care of self. But due to this anxiouness, i was unable to sleep well or even concentrate well. I thought to consult a MD and he took my BP reading, which was in range of 142/90. He avoided started any medications and advised for lifestyle changes to alter this situation, to which i stared with certain life-style changes like, - sun-bath in morning. - walking - morning & evening - meditation - in evening. i continued this till Dec 2021 and again revisited the MD in Jan 2022, to which he advised to continued with the same routine. By March 2022, i was feeling better. Again, the same story repeated in Sep2022 and this time, with lot of gastric issues, sleep troubel and feeling of fear and anxiety and again i visited him in Nov 2022, was getting more anxious. Looking at my condition he started with beta-blocker. The condition was not very much improving and i took the blood tests on my own in Nov 2022 end, to which, Lipid profile was bit out of range, HaB1c - in pre-diabetic zone and in liver tests - SGPT was 62. I visited to the MD with report and he advised me to continue with beta- blocker and to start with the statins daily 10 mg, after dinner. I continued this for Dec 2022 with life style change with yoga and meditation routines along with walks. In Jan 2023, the tests were repeated and it was all NORMAL. The doctor advised to stop the medicines wef Jan 2023 and again advised to repeated tests in Feb 2023. In Feb 2023, all parametere were normal , but Lipid profile was again out of range. The MD again started with the same medicines from March 2023 onwards ie 1 beta - blocker in morning after break-fast and 10 mg statin after dinner. I repeated the tests in April 2023 and it was again all NORMAL. Now, the MD reduced the statin drug to 5 mg from 10 mg and continued with beta - blocker. I am leading a healthy life with yoga, meditation, diets with more fibres and less oily or say no oil deits to the extent possible. I have stopped eating any outside food and fully on home made food only now. benefits till now, - Sleep paterrn improved - Gastric issues has gone - IBS gone, - better mood My questions to you sir, - The MD is again planning to stop the medications in next visit, since all reports are normal and i feel normal. is that okay? - Again, i may develop the symptoms? - I am following a better life style - yoga, meditation, walkings, proper diets, are there chances that i would remain off medicine always? - What are the benefits and disadvantages of station and beta -blockers, if at all, i have to take it? thanks.
Ans: Beta blockers have probably been prescribed for your symptoms of anxiety but they can increase the levels of the lipids. You need to consult a psychiatrist about the best treatment for anxiety.
Ideally statins need to be taken for long because the lipid levels are bound to go up once you stop the statin. We need to decide however whether you really need a statin at your age. Do you have a family history of premature heart disease. If you do not have a family history of premature heart disease, you can probably stop statins for a few years . Can consider doing a CT Coronary calcium score

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Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 07, 2023

Asked by Anonymous - Jun 01, 2023Hindi
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Hello Doctor, I am 44. I prefer healthy life and all nice in terms of health, except that I was suffering from gastric issues, IBS and related issues. I had covid also in April 2021 and somewhere in Oct 2021, i started feeling anxious and all negative thoughts. In about Aug 2021, i noticed that my heartbeats is high than normal, which initially i tried to control with routine meditation. But somehow, was not feeling that well from within and mind was like getting anxious, as if , something is happening which i could not understand, what. I visited to MD - Medicine, in Oct 2021. As a process, the vitals were taken and BP reading was taken which was 145/90. The concern MD, which after going through the reading, did not tagged me as BP patient and advised me to have changes in lifestyle with yoga, walking, meditation and dietary changes. I throughly followed the advised and started feeling better from Jan 2022 onwards and it was all nice. Again from Sep 2022 onwards, i started feeling the same issues. And i visited the MD in Oct 2022. From Nov 2022, he put me on 25mg dose of beta-blocker , daily in the morning after breakfast. While, i was on beta-blocker, i was still not feeling that nice from within and i unilaterly took the decision to go for complete blood tests in Nov 2022 end. The results were, - Lipid profile - was disturbed. - Sugar : I was in pre-diabetic range. - Uric Acid : I was on borderline high. I visited the MD with the report and he add another dose of 10 mg of Statins from Dec 2022 onwards. I followed the medication along with dietary changes, yoga & meditation routine and took the tests in Jan 2023, which shows the results as under, - Lipid : Normal - Sugar: I was back to Non-Diabtic range from pre-diabetic. - uric acid - normal. And all other parameters improved too like Hemoglobin - 15 and all other paramters of cbc was normal, thyroid - normal , Liver function - normal - when certain times SGPT was bit on higher sides, but normal in this report. With this report the MD stopped the statin drug from Feb 2022 onwards and advised me to continue with beta-blocker of 12.50 mg instead of 25 mg. I followed the same routine for full Feb 2022 and again took the test in March 2023, and results were as under, - Sugar : non-diabetic - all other paramters - normal - Lipid - Not normal. So again from March 2023, the MD started with the same statin dose of 10 mg and beta- blocker of 25 mg. I took the test in April 2023 and again the reports were normal, so now, again he reduce the statin dose to half ie 5 mg and continued with the same dose of beta-blocker 25mg. My questions: 1. AT present, i follow proper diet schedule as prescribed by dietcian , have been doing meditation and yoga on regular basis. 2. Stress level is minimum. 3. I am feeling overall better. 4. BP levels are always normal 5. Gastric issues, IBS seems to have gone. 6. Sleep patern is improved. My question: a. I feel, in the next visit the MD may stop the statin. Can the lipid profile remain in normal range , when i am follwing all diet patterms , with yoga and exercise. Why the lipid profile became abnormal, previously even when i was following all routine very property ? b. Is it okay to consume beta - blocker 25mg regularly, even after doctor told me to stop statin or may stop my statin in next visit? c. Is there any way to know, to find, if i am feeling better normally or due to medicine? as i am feeling normal and unable to check, what after i stopped beta-blocker? Any other care which i should take and lead a healthy life.
Ans: Hello. These are good questions and a lot of people go through the same stages. Cholesterol levels are generally genetically determined and don't change much from dietary or lifestyle changes. It can be reduced by medications. However if it is the only risk factor for heart disease/stroke, then it need not be corrected unless it is very high, LDL> 160. On the other hand the B blocker, if it was taken only for BP, may be stopped if BP comes down and remains normal. A closer monitoring may be required for that. If BP stays normal or low on taking the medicine, reduce the medicine and recheck, if it still stays low or normal, stop and see. Take it slow.

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Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Aug 09, 2024

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Doctor I am 61 year male retired and my gall bladder was removed in 2016 and that time i was having slight fatty liver but no pain or discomfort any where other than severe constipation . However , since than I was taking Pan D daily morning . But suddenly 1 and half year back I had severe coughing which continued till last month and local physician prescribed antibiotics and cough syrups and foracourt 200 but coughing did not go . All my chest xray and sputum test came negative . Coughing was more severe when I lie down on bed and was not able to take turn to left side as it was worst coughing that time. i was not able to sleep and severe anxiety , palpitation , dry throat , excessive sweating , all of a sudden feeling cold or hot etc were there . Then I consulted the surgeon who operated the gall bladder he asked for LFT and sonography of upper abdoman . Everything came fine including fasting sugar and HB except SGPT and SGOT levels are high SGPT 200 and SGOT 85 . After this doctor prescribed Veloz IT cap in the morning empty stomach and Obetohep 5mg after lunch both for 2 months and Reflux fort syrup for 7 days along with Anxozap 15mg. Also asked to take no fat meal , fruits , and as I am vegetarian all leafy vegetables , very low sugar and salt . I have followed sincerely and I am walking at least 6000 steps daily. I left smoking for more than 2 months now . I am non alcoholic . Since then situation has improved a bit but not fully . In these conditions it is very difficult to travel to other place as I need to go what should I do will this ever be all right and I can resume my normal food . Please suggest best possible way out .
Ans: Travel with the sensitivity to your body's inner clock.
If you are aligned with your inner biological clock and have discipline in your food, sleep and Activity, I suppose you can travel

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Latest Questions
Ramalingam

Ramalingam Kalirajan  |10924 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Dec 23, 2025

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Hi Sir, I started a SIP of 3k from 3months investing in Nipon India Small Cap fund. I started investing via \xis bank mobile app. Please suggest me if thats the safe way to do through bank app. And I am willing to start another SIP of 3k per month. Planning to do it on groww app. Please suggest some good SIP plans and guide me on how good and safe to start via groww app.
Ans: I appreciate your early step into disciplined investing.
Starting SIPs shows long-term thinking.
Beginning small builds confidence and learning.
Your willingness to ask questions is healthy.

» Your Current SIP Action Review
– You started SIP of Rs 3,000 monthly.
– SIP duration is three months.
– Investment is through a bank mobile app.

This shows good initiative.
Early habits shape future wealth.

» Understanding Your Chosen Fund Category
– The fund belongs to small-sized companies category.
– Such funds are high risk.
– Such funds give high volatility.

Returns can be uneven yearly.
Patience is very important here.

» Suitability Of Small Company Funds
– Small companies grow faster sometimes.
– They also fall harder during corrections.
– Not suitable as first-only investment.

Exposure should be limited initially.
Balance is essential.

» Starting Early
– You started without waiting for perfection.
– Many delay investing unnecessarily.
– Action matters more than perfection.

This mindset helps long-term success.

» Risk Awareness Is Necessary
– Small company funds fluctuate sharply.
– Short-term losses are common.
– Emotional control is required.

Three months is too short to judge.
Time horizon should be long.

» Minimum Suggested Time Horizon
– Such funds need at least seven years.
– Shorter periods cause disappointment.
– SIP helps reduce timing risk.

Consistency matters more than returns initially.

» Bank App As Investment Platform
– Bank apps are generally safe.
– Transactions are regulated.
– Holdings are stored with registrars.

Platform safety is not the main risk.
Investment choice matters more.

» Limitations Of Bank Apps
– Limited guidance provided.
– Product pushing is common.
– Advice is not personalised.

Banks focus on convenience.
Planning depth is usually missing.

» Bank Staff Support Limitations
– Staff change frequently.
– Knowledge levels vary.
– Long-term accountability is absent.

This affects continuity of advice.

» Safety Of Investments Versus Platform
– Funds are held in your PAN.
– Platform failure does not erase investments.
– Units remain safe with fund house.

So platform safety fear is minimal.
Decision quality matters more.

» Planning Another SIP Thought
– You want another Rs 3,000 SIP.
– Total SIP becomes Rs 6,000 monthly.

This is positive growth behaviour.
But structure needs correction.

» Platform Comparison Perspective
– You plan using another app.
– Such apps promote self investing.
– Guidance quality is limited.

Ease should not replace planning.

» Direct Platform Reality Check
– Such apps promote direct plans.
– Expense difference looks attractive.
– But hidden costs exist.

Cost is not only expense ratio.
Mistakes cost more.

» Disadvantages Of Direct Plans
– No personalised advice.
– No behaviour guidance during falls.
– No portfolio review support.

Investors act emotionally without guidance.
This hurts returns badly.

» Decision Errors In Direct Investing
– Panic selling during market falls.
– Overconfidence during rallies.
– Frequent fund switching.

These mistakes destroy compounding.
They are very common.

» Lack Of Accountability In Apps
– Apps do not call you.
– Apps do not stop wrong actions.
– Responsibility lies fully on investor.

This is risky for beginners.

» Why Regular Plans Add Value
– Guidance helps discipline.
– Asset allocation stays balanced.
– Behavioural mistakes reduce.

Value is beyond commission.
Support matters during volatility.

» Role Of MFD With CFP Credential
– Certified Financial Planner gives structure.
– Advice aligns with goals.
– Long-term handholding exists.

This improves investment experience.
Returns become smoother.

» Cost Versus Value Perspective
– Direct plans save small percentage.
– Wrong decisions lose big percentages.

Net outcome matters more.
Peace of mind matters too.

» Your Current Portfolio Concentration Risk
– Only one equity category exposure exists.
– Risk is concentrated.
– Diversification is missing.

This increases volatility risk.
Balance is needed urgently.

» Importance Of Diversification
– Different funds behave differently.
– Market cycles impact unevenly.
– Balance reduces shock.

Diversification improves consistency.

» Ideal SIP Structure For Beginners
– One aggressive component.
– One stable growth component.
– One flexible allocation component.

This spreads risk evenly.
Comfort increases automatically.

» Why Avoid Multiple Apps
– Tracking becomes confusing.
– Discipline weakens.
– Reviews become difficult.

One guided platform is better.
Simplicity improves adherence.

» Data Security Perspective
– Apps are regulated.
– Data security standards exist.
– Risk is minimal.

But advice quality remains missing.

» Behaviour During Market Corrections
– Small company funds fall sharply.
– Beginners panic easily.
– SIP stoppage becomes tempting.

Guidance prevents wrong reactions.

» Emotional Support Value
– Markets test patience.
– Fear appears suddenly.
– Someone must guide.

Apps cannot replace humans here.

» Why Starting With Only Small Companies Is Risky
– Volatility is high.
– Returns are uneven.
– Confidence may break early.

Balanced start builds trust.

» Gradual Exposure Approach
– Start with core stability.
– Add aggression slowly.
– Increase risk with experience.

This improves journey comfort.

» SIP Amount Increase Strategy
– Rs 6,000 is fine initially.
– Increase annually with income growth.
– Discipline matters more than amount.

Time creates wealth here.

» Tax Awareness Brief
– Equity funds tax applies on selling.
– Long-term gains have limits.
– Short-term gains are taxed higher.

Holding longer improves efficiency.

» Avoid Frequent Changes
– Switching funds harms compounding.
– Costs increase silently.
– Discipline reduces regret.

Stick to strategy firmly.

» Monitoring Frequency
– Review once a year.
– Avoid monthly checking.
– Noise causes confusion.

Long-term vision matters.

» Avoid Social Media Influence
– Tips are often misleading.
– Past returns are highlighted.
– Risk is hidden.

Structured advice avoids traps.

» Role Of Goal Mapping
– Define why you invest.
– Time horizon matters.
– Risk choice depends on goals.

Without goals, investing feels stressful.

» Emergency Fund Reminder
– Keep emergency money separate.
– Do not mix with SIPs.
– Liquidity is essential.

This prevents SIP stoppage.

» Insurance And Protection Check
– Health cover should be adequate.
– Life cover matters if dependents exist.

Protection supports investment continuity.

» Long-Term Wealth Mindset
– Wealth grows slowly.
– Patience beats intelligence.
– Process beats prediction.

Consistency wins always.

» Common Beginner Mistakes To Avoid
– Chasing last year returns.
– Using too many apps.
– Ignoring allocation balance.

Awareness saves money.

» How A CFP Helps In SIP Planning
– Designs suitable allocation.
– Reviews yearly changes.
– Guides during volatility.

This partnership adds value.

» Confidence Building Perspective
– You already started investing.
– You are learning actively.
– Improvement is natural.

This journey will get smoother.

» Platform Safety Final View
– Bank app is safe.
– App based platforms are safe.
– Investment safety lies with fund house.

Decision quality matters more.

» Final Insights
– Starting SIP is a good step.
– Small company exposure is risky alone.
– Diversification is necessary now.
– Avoid self-direct platforms initially.
– Regular plans with CFP guidance add value.
– Consistency and discipline build wealth.

You are on the right path.
Correct structure will improve outcomes.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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