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A significant amount of dense omental adhesions pack the right upper quadrant and the subhepatic space.

This extended down into the right gutter and across the midline.

This was carefully dissected along the Toldts line continuing up the posterior aspect of the right lobe of the liver.

I had recent abdominal surgery.

Could you explain what the doctor did and what caused it?

The operative procedure was adhesive partial obstruction of the duodenum and lysis of adhesions with kocher maneuver.

That was the procedure and this is what he found:

The duodenum was significantly seriously obstructive in nature.

Could you please explain the cause of this?

This was carefully dissected along the toldts line continuing up the posterior aspect of the right lobe of the liver freeing up the fossa as well.

The duodenum was also significantly adhered and angulated in the gallbladder fossa.

Could you please explain the findings of the abdominal surgery I had 3 weeks ago.

Brenda

Dear Brenda,

You may find useful information at:

Causes of omental adhesions and obstruction of the duodenum

Adhesions between viscera and the underside of the liver are usually encountered, particularly when an interval repair is performed, and these may be dense.

Obstruction of the duodenum occurs in adults and infants, each for a different set of reasons. In adults, the usual cause is a peptic ulcer.

Omental adhesions are often found during laparotomy (surgical procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity) and have no clear cause.

The duodenum is the only section of the small intestine that is somewhat adhered to the body wall.

Omentum is a fold of the peritoneum connecting the stomach and the abdominal viscera forming a protective and supportive covering.

The white line of Toldt is the lateral peritoneal reflection of the ascending and descending colon.

Kocher manoeuvre is a surgical manoeuvre to expose structures in the retroperitoneum behind the duodenum and pancreas.

On laparotomy, the gallbladder may be densely adhered to the first portion of the duodenum when the gallbladder contains a small stone and is partially collapsed.

A gastric outlet obstruction by a large gallstone may impact in the proximal duodenum.

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What could it be if I have blood in my urine?

Vernon

Dear Vernon,

We think that the response attached given to a similar question answers your question.

If not please feel free to rephrase the question

Blood in my urine

How do you treat syndesmophytes?

Because syndesmophytes grow slowly, radiographs also lack sensitivity.

The measurement of syndesmophytes using data from computed tomography scans of the lumbar spine provides computer algorithm that fully quantitates syndesmophyte volumes in three-dimension space.

This method allows precise and accurate measurement of the presence and rate of growth of syndesmophytes over time, which will permit testing of whether any treatments can slow the progression of this type of spinal arthritis.

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The following URL shows blood test results over the last 6 years of a healthy person 40 years old:

http://www.yourhealthquestion.com/answers/january_09/0105091_blood_test.shtml

Can you show me a personal blood test normal range of a person around 40?

Jaundice is the discoloration of body tissues caused by abnormally high levels of bilirubin.

Bilirubin levels greater than 3mg/dl usually produce jaundice. Once the jaundice is recognized clinically, it is important to determine whether the increased bilirubin level is prehepatic or posthepatic jaundice.

A rise in unconjugated bilirubin indicates prehepatic or hepatic jaundice and is treated medically, whereas a rise in conjugated bilirubin indicates posthepatic jaundice a condition that may require bile duct surgery or therapeutic endoscopy.

The alanine aminotransferase (ALT) test is done to:

-Identify liver disease, especially cirrhosis and hepatitis caused by alcohol, drugs, or viruses.
-Help check for liver damage.
-Find out whether jaundice was caused by a blood disorder or liver disease.

Very high levels of ALT or alanine aminotransferase may be caused by:

-Recent or severe liver damage, such as viral hepatitis.
-Lead poisoning.
-Drug reactions.
-Exposure to carbon tetrachloride.
-Decay of a large tumor (necrosis).
-Shock.

High Alkaline phosphatase (ALP) levels can show that the bile ducts are blocked.

Evidence of white blood cells or bacteria in the urine is considered abnormal and may suggest a urinary tract infection such as, bladder infection (cystitis) and infection of kidney (pyelonephritis).

Urine specific gravity normal values are between 1.002 to 1.028.

I've recently joined the medical college and my father who has always been alright in even the hardest summers ....but recently....in these summers, while he was taking a homeopathic medicine for enlarged prostrate.........and the homeo doc increased the potency or something.....he got jaundice.....
Following is the report for LFT (liver function test):

Serum total bilirubin: 206---- (normal:2-17 u/l)

Serum ALT: 2394------ (normal: males-upto 42 u/l)

Serum alkaline phosphatase: 419----- (normal in adults: 132-365)

Serum albumin: 42-(normal: 35-50g/l).

Please if anyone can help to diagnose the exact problem or at least signify the type of hepatitis.

Please note that the blood cp and urine culture reports are showing everything ok, but a few wbcs (white blood cells) were detected in the urine....and the specific gravity of the urine sample was 1018.

An alanine aminotransferase (ALT) test measures the amount of this enzyme in the blood.

ALT (Alanine aminotransferase) normal range is 5 U/L to 45 U/L . U/L =Units per liter.

The ALT is an enzyme that is produced in the liver cells (hepatocytes) therefore it is more specific for liver disease than some of the other enzymes . It is generally increased in situations where there is damage to the liver cell membranes. All types of liver inflammation can cause raised ALT.

Liver inflammation can be caused by fatty infiltration (see fatty liver) some drugs/medications, alcohol, liver and bile duct disease.

Fatty liver is the collection of excessive amounts of fat inside liver cells, also called steatosis hepatitis.

It is important avoid strenuous exercise just before having an ALT test.

Very high levels of ALT may be caused by:

Recent or severe liver damage, such as viral hepatitis.
Lead poisoning.
Drug reactions.
Exposure to carbon tetrachloride.
Decay of a large tumor (necrosis).
Shock.

Mildly or moderately high ALT levels may be caused by:

Mononucleosis.
Hepatitis. The ALT level in a person with hepatitis can be 20 times the normal value.
Alcohol dependence. People who drink excessive amounts of alcohol and take acetaminophen (such as Tylenol) can have high ALT blood levels.
Mildly elevated levels of ALT may occur in people who are growing quickly, especially young children.

Slightly high levels ALT levels may be caused by:

Cirrhosis.
Liver cancer.
A heart attack.
Thyroid disease.
Polymyositis.
Severe burns.
Injury to the pancreas, kidneys, or muscles.
Vigorous exercise.
Many medicines, such as antibiotics, chemotherapy, aspirin, narcotics, and barbiturates.

ALT values >60 IU were associated with a significantly increased prevalence of antibody to hepatitis B surface antigen (anti-HB8) and antibody to hepatitis B core antigen (anti-HBC) occurring together.

Reasons you may not be able to have the test or why the results may not be helpful include:

Taking medicines. Talk with your health professional about all the prescription and nonprescription medicines you are taking. You may be instructed to stop taking your medicines for several days before the test.

Taking some herbs and natural products, such as echinacea and valerian.
Strenuous exercise, injury to a muscle, or injections into a muscle.
Recent cardiac catheterization or surgery.

The ALT test detects liver injury. ALT values are usually compared to the levels of other enzymes, such as alkaline phosphatase (ALP) and aspartate aminotransferase (AST), to help determine which form of liver disease is present.

Very high levels of ALT (more than 10 times the highest normal level) are usually due to acute hepatitis, often due to a virus infection. In acute hepatitis, ALT levels usually stay high for about 1–2 months, but can take as long as 3–6 months to come back to normal.

Heavy exercise can cause a mild elevation like yours in ALT.

My blood work gave me an ALT value of 64.
All the other values of the hepatic panel were normal.
What does it mean?

I take metoprolol tartrate 25 mg twice a day, metformin 500mg once a day for P.C.O.S. in the morning, omega 3 1000 mg twice a day, folic acid 400mcg, B-12 500 mcg, B6 200 mg, vitamin E 400i.c., multi vitamin, plus two cinnamon 1000 mg after dinner.

My question is does any of these medicine infer with the other one and when should I take each one?

Thank You!

Fannie

Dear Fannie,

Metoprolol tartrate may interfere with metformin (Glucophage) .

Metformin (glucophage) can decrease the absorption of vitamin B-12 and folic acid.

Metformin does not have any known interactions with vitamin D, vitamin E, fish oil, niacin, or L-cysteine.

Drugs that may interfere with metoprolol tartrate are:
• digoxin (digitalis, Lanoxin);
• clonidine (Catapres);
• ritonavir (Norvir);
• terbinafine (Lamisil);
• anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
• medicine to treat depression or mental illness, such as bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), and others;
• an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
• a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
• a heart medication such as nifedipine (Procardia, Adalat), quinidine (Quinaglute, Quinidex), propafenone (Rythmol), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem);
• medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair);
• a diuretic (water pill) such as amiloride (Midamor, Moduretic), chlorthalidone (Hygroton, Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), spironolactone (Aldactazide, Aldactone), triamterene (Dyrenium, Maxzide, Dyazide), torsemide (Demadex), and others; or
• Cold medicines, stimulant medicines, or diet pills.

There are no reported interactions between metoprolol and any vitamins

Can I take pot and fluoxetine together?
Amy

Dear Amy

A single report from NHS describes the onset of mania in a person taking fluoxetine with cannabis.

However, fluoxetine on its own may have caused this. There are no other reports of this happening with fluoxetine and cannabis, and no problems have been described between cannabis and any other SSRI.

Both SSRIs and cannabis are very widely used, and there is little evidence that people who use cannabis should normally not take SSRIs.

What happens if I don't wear glasses when I should wear them?

Bill

Dear Bill

Whether you wear your glasses or not has little or no effect on how fast your vision gets worse or how bad it ultimately becomes.

Not wearing glasses is not going to damage your eyes but it deprives you from seeing clearly.

Your uncorrected vision will not get better or worse as a result of not wearing or wearing eyeglasses.
Eyeglasses only correct your vision when you wear them.

Your vision may get better or worse over time, but eyeglasses are not the reason.

If you got a pair of glasses you better put them on in order to relax your eyes a bit.

We suggest wearing your eyeglasses when you need to.

Pain for 5 days of constant evolution at the left side of the waist it started in back now radiates to front

Anne

Dear Anne,

Possible causes of acute back pain on the left side are:

• Facet joint problems.
• Sacroiliac joint problems.
• Degeneration of inter vertebral discs.
• Referred pain. Referred pain is pain that feels far from the site of the problem, such as a gallbladder problem that can cause pain in the upper back and a heart attack that can cause pain in the left arm.

Foods containing zeaxanthin

Christopher

Dear Christopher,

Collard greens are a good source of natural zeaxanthin, providing 5.1 mg of the substance per cup. The next best leafy green source, at 1.2 mg per serving, is kale. Other leafy greens that contain measurable amounts of zeaxanthin include turnip greens and spinach.

A serving of yellow corn delivers 0.9 mg of zeaxanthin, while a serving of orange peppers deliver 1.7 mg.

Two fruit sources of zeaxanthin are persimmons, with 0.8 mg per serving, and tangerines, with just 0.2 mg per serving. Dried goji berries also contain high amounts of zeaxanthin, with claims ranging from 37.5 mg. a cup to as high as 225 mg. per cup.

I need to know how to treat parapsoriasis with natural medicine.

Victor

Dear Victor,

You can find helpful information about parapsorias at:

Is there any alternative treatment for parapsorias?

Yes, you could take it.

No multivitamin supplement contains the RDA for calcium (1,000-1,200 mg/day) because the resulting pill would be too large to swallow.

People who don’t consume the RDA for calcium from their diet will need an extra calcium supplement to make up the difference.

Could I take a Multivitamin at the same time as a Calcium/Magnesium suppliment without them negatively interferring with one another?