Female | 28
I am 28years old,female and I am hepB carrier. My dad has undergone liver transplant surgery due to liver cirrhosis and tumour. I checked my HBVDNA and it's quite high in level (in crores) and I have consulted a doctor and he advised me to take antiviral drugs(Tafero800mg-OD) as a preventive measures since my dad suffered from liver cancer. I have taken this medicine for more than 4month and it doesn't bring changes in Dna level counts. So I discontinued my treatment. My all blood reports as well as USG and liver fibroscan is normal but my HbvDna level is still up. My dad has been taking tab.entaliv 0.5mg and it helps my dad's level to come down drastically. Please do prescribed me the best and most effective medicine,Thank you.
Answered on 10th July '24
follow these herbal combination for complete cure :- sootshekhar ras 125 mg twice a day, pittari avleh 10 gms twice a day, after breakfast and dinner with water, send your reports initially
2 people found this helpful
Clinical Pharmacologist
Answered on 23rd May '24
• Hepatitis B carriers are persons who carry the hepatitis B virus in their blood but do not experience symptoms. Between 6% and 10% of persons infected with the virus will become carriers and will be able to infect others without knowing it.
• A considerable proportion of chronic hepatitis B (HBV) patients are in the inactive carrier state, which is characterised by normal transaminase levels, limited viral replication, and little liver necroinflammatory activity. After at least one year of frequent monitoring, a diagnosis is made, and lifelong follow-up is required to ensure that this status is maintained.
• In case there is no improvement in HBVDNA levels, consult your expert but do not stop the medication on your own.
• Drugs prescribed such as Tafero (tenofovir) acts by ceasing the production of new viruses, blocks or slows viral proliferation in human cells, and eliminates the infection and also boost the level of CD4 cells (white blood cells that fight infection) in your blood. Entaliv (entecavir) acts by inhibiting the viral replications processes like reverse transcription, DNA replication and transcription.
• Seek the advice of a hepatologist so that your treatment may be adjusted according to your specific needs and preferences.
33 people found this helpful
Gastroenterologist
Answered on 23rd May '24
Please continue taking Tab Tenofovir 300 mg once daily for at least one year, if there is no decrement in the viral load then we can change to some other medicine. Presently don't stop Tab Tenofovir 300 mg .
52 people found this helpful
Questions & Answers on "Gastroenterologyy" (1176)
I am 53 years old female, lives with Chrohn disease already taken Pentasa drug but Pentasa makes it worsened.i have abdominal pain after eating.what should I do now...
Female | 53
Abdominal pain after eating may be caused by the swelling of your intestines, which is a common symptom of Crohn's disease. You may ask your doctor to let you try a different drug that might work better for your condition. The right medication that is most effective for you and is helping with your symptoms should be found out soon. Therefore, you should not forget to tell your doctor about the other treatment possibilities.
Answered on 30th Aug '24
Dr. Samrat Jankar
Loss of Appetite, Sleeping Sickness
Female | 54
Loss of appetite can be a symptom of various conditions like gastrointestinal issues, mental health disorders, medication side effects, or infections. Get proper medical evaluation done by a GP or gastroenterologists.
Answered on 23rd May '24
Dr. Samrat Jankar
I'm feeling like my chest is too heavy from yesterday night and abdominal pain and too much headache from 5 days and I'm not getting sleep at night & legs pain and feeling irritating,,,, wanted to be alone and I'm not hungry at all from 1 week
Female | 17
Dealing with chest pressure, abdominal pain, headaches, sleep troubles, and leg pain can be tough, especially when feeling irritable. The cause might be stress, a poor diet, or lack of sleep. Listen to your body—stay hydrated, eat well, rest, and talk to someone about how you're feeling.
Answered on 19th Sept '24
Dr. Samrat Jankar
I have an episode of watery diarrhea for 5 days Stool analysis showed only mucus, with no parasites and 0-1 WBC's. I have had my last colonoscopy in September 2023, and it was clear from any lesion, inflammatory bowel disease symptoms or any other clinically significant finding. In 2020 I also had another colonoscopy with some specimens to check for microscopic colitis but the specimens were negative. I need to know what is wrong with me and what is the reason for this diarrhea. Blood test showed no Anemia (apart from my Thalassemia minor) , liver enzymes are normal, lactate dehydrogenase normal, CRP and ESR are normal. I need help . .
Male | 44
A positive result from your last two colonoscopies, showing no inflammation or IBD, is reassuring. Mucus in your stool might be due to irritation. Diarrhea can result from various causes, including infection, certain foods, or stress. Since your test results aren't alarming, try drinking lots of fluids, sticking to a soft diet, and letting your gut rest. If the diarrhea persists, consult your doctor for medical advice.
Answered on 1st July '24
Dr. Samrat Jankar
I took esmoprazole 40mg in morning at night I took esmoprazole 40mg and domperidone for excess gas.......do I develop any problem???
Male | 37
Sometimes, taking esomeprazole and domperidone together may lead to headaches, dizziness, or abdominal discomfort. Carefully following your doctor's guidance is crucial. Inform them promptly if any new or worsening symptoms arise. Take medications precisely on schedule. Don't hesitate to contact your gastroenterologist should concerns arise.
Answered on 16th Oct '24
Dr. Samrat Jankar
Suffering from IBS - Diarrhea for a long time. Last 5/6 days having severe flatulence with stool having obnoxious smell and pain in entire abdomen. Kindly advise please. Regds, Supratim Daschoudhury, Age 55, Chemistry Faculty, Howrah. ( Currently taking Tonact Tg 10 and Cilakar T 40) . Ph no 6291 695 374
Male | 55
IBS is a disorder that affects the digestive system and can be triggered by stress, certain foods, or medications. To help manage your symptoms, consider avoiding trigger foods like spicy or fatty foods and try adding more fiber to your diet. Drinking enough water and managing stress through relaxation exercises can also be helpful. If these tips don't work, it might be helpful to talk to a gastroenterologist. They can suggest other treatment options or make changes to your current medications.
Answered on 3rd Sept '24
Dr. Samrat Jankar
I am 19 years old I have a pain in my stomach from 4 to 5 days but I have taken in medicine no I am not well I think it is happening due to not a proper meal consultant nearby medical store them given medicine but it is not well from that medicine sometime I am feeling pain in my stomach so I am afraid of getting kidney stone can you suggest me some medicine thank you
Male | 19
Since you've had stomach pain for several days, it's important to think about the different things that could be causing it. This pain may be caused by conditions such as indigestion, gastritis, or a stomach infection. Kidney stones are not usually the cause of pain in the stomach but in the lower back. Now, try to drink lots of water, eat light and easily digestible foods, and consider taking over-the-counter antacids to help with the stomach pain. If the pain doesn't go away or it gets worse, it's important to see a gastroenterologist for further checking and the right treatment.
Answered on 7th Oct '24
Dr. Samrat Jankar
Hello sir , Sir my age is 23 and I got fatty liver and ocd from 3 years when first time I got fatty liver my ultrasound report show grade 2 fatty liver and my doctor gave me proper medicine like golbi sr 450, adilip 45, zolfresh 10, ocid 20, folvite 5 , fluvox cr 300 , epilive 600 , rospitril plus 1 , clonil 75 SR . and after 6 months my treatment completed and docter advised me usg and I reversed to fatty grade 1 liver and docter stop my medication later I got fatty liver 1 and high triglycerides so doctor recheck my tests and I done with all test cbc , lft , kft , thyroid test , hba1c , lipid profile and usg and results were all kft , thyroid , hba1c are normal but elevated liver enzymes sgpt and sgot and lipid are also high and usg show fatty 1 grade and doctor re start my all medicines as same as first time medicines for six months then after 6 months my doctor advised all re test my all reports get normal except liver enzymes and grade 1 fatty liver and docter told me everything is normal so they stop my medication and advice me physically activity to do but I am little obese and doing no exercise and drink alcohol 90-120 ml a day six to seven times a month and later after just one year I got fatty liver symptoms and I go to new doctor well renowned doctor he advised me fibroscan , lft , cbc , esr , lipid profile , thyroid test , hba1c. Reports are : hba1c - 5.8 normal Kft : normal Thyroid : normal Esr : normal CBC : little low RBC , low p.c.v , little high m.c.h , m.c.h.c Lft : bilrubin direct 0.3 indirect 0.4 , sgpt 243 , sgot 170 IU/L Lipid profile : Total cholesterol : 210 mg/dl Triglycerides : 371 mg/dl Ldl : 141 mg/dl Hdl : 38 mg/dl Vldl : 74 mg/dl Tc/hdl ratio : 5.5 Ldl/hdl ratio : 3.7 Fibroscan report : Cap(dB/m) median : 355 Iqr : 28 Iqr/median : 8% E(KPa) median : 10.0 Iqr : 2.3 Iqr/med : 23% Examination M(Liver) Number of valid measurements : 10 Number of invalid measurements : 0 Success rate : 100% Measurements all 10 : 1- CAP : 359 dB/m E : 10.2 KPa 2- CAP : 333 dB/m E : 12.8 KPa 3- CAP : 351 dB/m E : 7.6 KPa 4- CAP : 302 dB/m E : 7.1 KPa 5- CAP : 381 dB/m E : 7.8 KPa 6- CAP : 359 dB/m E : 8.9 KPa 7- CAP : 368 dB/m E : 10.7 KPa 8- CAP : 345 dB/m E : 10.2 KPa 9- CAP : 310 dB/m E : 9.8 KPa 10- Not given Clinical correlation with fibroscan data : Evidence of significantly with fibrosis of liver corresponding to liver biopsy metavir score F3 Treatment started : - Flunil 40< - ursotina 300< - cutee 400< - roseday F10- - zolfresh 10 - ocid 20 Treatment given : 1 Year After Treatment Tests : Fibroscan report : Cap(dB/m) mean : 361 E(KPa) median : 9.4 Iqr/median : 28% Examination M(Liver) Number of e- measurements : 10 Success rate : >100% Measurements all 10 : 1- E : 11 KPa 2- E : 11.5 KPa 3- E : 10.0 KPa 4- E : 10.7 KPa 5- E : 7.8 KPa 6- E : 8.5 KPa 7- E : 8.8 KPa 8- E : 11.4 KPa 9- E : 8.2 KPa 10- E : 7.5 KPa Clinical correlation with fibroscan data : Evidence of significantly steatosis with evidence of fibrosis of liver corresponding to liver biopsy metavir score F2 B.M.I : 29 CBC : normal Esr : normal Thyroid test : normal Kft : normal Uric acid : normal Lipid profile : normal Lft test : sgpt 113 sgot 70 IU/L Serum GGTP : 42 IU/L (normal) Hba1c : 6.1 % prediabeties Treatment medicines for NASH : - Ocid 20- - Flunil 60- - Zolfresh 10- - Bilypsa- - Polvite E- - Fenocor R- - My question sir : Can my fibrosis F3 to F2 can come back to F0 healthy liver after weight loss and treatment I listen that scarring is natural process to heal itself but scar never go just it get fade with treatment not permanently heal or removed is it true or not what is your advice sir
Male | 23
Nonalcoholic fatty liver disease can progress to fibrosis, which is the scaring of the liver. Healthy weight loss through diet and exercise can play a key role in the liver's health. The liver is capable of some self-repair, but the damage from serious scarring is probably not going to be reversed completely. Following your doctor's advice, taking your medication, and lifestyle changes to support your liver health are essential.
Answered on 13th Sept '24
Dr. Samrat Jankar
What is normal level of lipase
Male | 17
An individual can find the chubby substance-dissolving macromolecule in this system. It commonly breaks down between 0 to 160 units per liter when it is in a healthy person’s bloodstream. Having a high level of lipase can indicate something wrong with your pancreas. Some signs that someone has too much lipase may include pain in their stomach or feeling sick; they might also have a fever, etc.
Answered on 28th May '24
Dr. Samrat Jankar
went to the toilet for a poo and once finished there was a lot of blood in the toilet
Male | 56
In this regard, you should see a gastroenterologist for the right diagnosis and treatment. The condition can deteriorate without proper first aid.
Answered on 23rd May '24
Dr. Samrat Jankar
Potty karte samay bahut blood nikal rha hai
Male | 39
Passing blood while having a bowel movement can indicate a medical issue. If you're experiencing this, it's important to consult a doctor for examination and treatment. It could be caused by conditions like fissures, hemorrhoids, or other gastrointestinal problems.
Answered on 23rd May '24
Dr. Samrat Jankar
I got too much pain inside my left abdomen..is that due to spicy food.
Male | 29
Eating spicy food might likely be the reason behind the pain in your left abdomen, yet this pain might be caused by other reasons as well. This pain could be due to stomach problems or dysfunction of your organs. If you notice the pain is severe or lasts a long time, it's advisable to consult a gastroenterologist. In the meantime, you can try eating bland food and drinking a lot of water as a means to check if the pain subsides.
Answered on 7th Oct '24
Dr. Samrat Jankar
Had the stomach bug for a few days and that went away. Next a headache and dizziness appeared for 2 days straight and it's not going away.
Female | 18
Headache and dizziness are symptoms of many things such as dehydration stress or also the lingering effects from the bug itself. Help your body heal by making sure you drink enough water and rest. If they continue keep an eye on these symptoms and seek further advice from a Gastroenterologist if necessary.
Answered on 10th July '24
Dr. Samrat Jankar
I am an 18 year old female , who has been having loose motions , vomiting and fevers for about 1.5 weeks. I have been taking DOLO , Rablet D as prescripted by a local doctor , but they seem to have no effect on me and everytime i eat something , within 15 minutes i get vommitting or loose motions. I have not had a proper meal in days and now i am very weak and getting constant shivers
Female | 18
Your problems resemble those of a gastric infection. A proper diagnosis and treatment are the tasks of a gastroenterologistt and you should pay a visit to him.
Answered on 23rd May '24
Dr. Samrat Jankar
Stomach pain every night
Female | 20
Experiencing tummy aches each evening is difficult. Some typical causes include eating too close to bedtime, particular foods upsetting your stomach, or stress. Keeping a food log can help identify any troublesome items. Also, try relaxing activities before sleep to de-stress. However, if discomfort persists, consulting a gastroenterologist for guidance is crucial.
Answered on 1st Aug '24
Dr. Samrat Jankar
Hello. I am 23 years old and I've had heartburn for more than 3 years. Last year in April I took Dexilant 60mg for about 2 weeks and my symptoms were gone for about 2 months. However, the symptoms started coming back after that and I've been having heartburn almost every day since then. I've occasionally been using Pepcid Complete for my symptoms but I know that this isn't a permanent solution. So can you please tell me when I should be worried about heartburn and what kind of treatments are there for heartburn?
Male | 23
Seek medical attention as it could indicate an underlying issue like GERD. It can be treated with lifestyle changes, over the counter medications (antacids and H2 blockers), and prescription medications. Untreated heartburn can lead to complications, so don't delay seeking help. Consult with a gastroenterologist.
Answered on 23rd May '24
Dr. Samrat Jankar
I had a colonoscopy on Friday and I am super bloated with major cramps. I also have barely been able to use the restroom since and it hurts to touch my abdomen.
Female | 35
You're having some unpleasant sensations after your colonoscopy. After the procedure, one may feel a little bloated with cramps and experience a difficult time using the restroom. It can be attributed to the air that gets stuck in your colon or the irritation of your intestines. To relieve the discomfort, drink plenty of water, walk around gently, and eat light and easy-to-digest foods like fruits and veggies. Your body needs some time to recover, but if the pain continues or worsens, contact a gastroenterologist for more advice.
Answered on 26th Aug '24
Dr. Samrat Jankar
Stomach pain upper stomach light pain when sitting but when sleep more pin
Female | 18
You are suffering from stomach ache. Pain that is mostly up high and feels light when sitting but gets worse when you lie down can be due to acid reflux. This happens when the acid from your stomach goes back up into your food pipe. Do not put off spicy or fatty food items, eat smaller portions, and do not lie down immediately after finishing your meal. If the pain endures, the next step would be to consult a gastroenterologist.
Answered on 14th June '24
Dr. Samrat Jankar
I have stomach problems so I want to know about it and get cured soon
Male | 25
You might have some issues with your stomach and you should listen to your body carefully. Pain, bloating, nausea, or diarrhea might be signs of stomach problems. These can occur when a person eats too fast, is stressed out, or eats certain foods. To feel better, try eating slowly, avoiding spicy or greasy food, and drinking plenty of water. If they persist, consult a gastroenterologist.
Answered on 11th June '24
Dr. Samrat Jankar
Where can i have a gestrichen balon?
Female | 61
A gastric balloon can be implanted by a gastroenterologist. It is a minimally invasive procedure in which a small balloon is placed in your stomach that helps you feel fuller and thus reduces food intake.
Answered on 23rd May '24
Dr. Samrat Jankar
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