Good day to you I understand your anxiousness for your husband's well being It's good that you have provided the history of past illness However given the diagnoses he has and different conditions which can cause the same set of symptoms. He will need one to one detailed consultation with history and examination and it is injurious to him for his case to be dealt via this platform which does not provide much information I hope this advice provides you the much needed insight Wishing your husband a speedy recovery 👍

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern. The symptoms you described such as right upper abdominal pain after meals, pale loose stools and existing fatty liver with gallbladder polyps suggest that the liver and gallbladder are mildly inflamed or sluggish. The SGOT and SGPT ratio being slightly altered is common in such conditions and usually reflects fatty liver related enzyme changes rather than any serious damage. ✅ Advices Avoid oily, fried and spicy food completely for the next four to six weeks. Eat small frequent meals and stop eating immediately once full. Avoid alcohol, painkillers and any unnecessary supplements. What to Monitor Worsening pain, nausea or vomiting after meals. Yellowing of eyes or dark urine which can indicate bile flow disturbance. Management Start with • Tablet Pan D once daily before breakfast for 10 days to reduce acidity and nausea. • Syrup Liv 52 one teaspoon twice daily after meals for liver support. • Continue a high fibre diet with fruits like papaya, apple and plenty of water. You can also apply a warm compress on the right side for relief if the pain is dull. When to Consult a Doctor Immediately If pain becomes severe or persistent even without eating. If stools turn very pale or clay coloured. If fever, vomiting or yellowing of skin develops. Since gallbladder polyps can occasionally change over time, a repeat ultrasound every 6 to 8 months is advised to ensure there is no growth in size. Every patient’s liver condition differs. For accurate guidance and lasting relief, it is important to review the full LFT report and ultrasound details together. 👉 You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive A personalized liver recovery plan Safe diet and medicine guidance Quick follow ups to track enzyme improvement Take care and wishing your husband good health. Best regards, Dr. Romain Rajan General Physician

Kindly consult a general surgeon and get relevant tests and scans done.

Kindly get an ultrasound done recently and visit to your surgeon doctor for further evaluation

if not relieved by medication, consult surgeon cause pain is happening becoz  gall bladder

Avoide spicy food Take pantodac dsr in morning T.udilive 300 bd for 5 day

SURGEON OPINION REQUIRED

No need to worry Start cap rabmac dsr 10 day before breakfast Cap oflamac 200 twice a day 5 days Tab livmac 150 twice daily 10 daya Plenty of fluid Walk for 30 minute and yoga

Altered adt/alt ratio with the normal liver enzymes is not an issue.His symptoms could be due to gastric issues or hepatobiliary issues.He could repeat the ultrasound scan abdomen if it's been more than a year

As he is symptomatic, will suggest an whole USG abdomen, this should make the things clearer.

Would suggest to go for USG whole abdomen to rule out any eary obstruction

No need to worry... Do some weight loss and dieting... Avoid fatty foods... Light coloured stools is warning sign... But slightly light coloured has nothing to worry...

Bilirubin levels  also in higher side, consult superspecialist like gastroenterologist

Bilirubin direct and indirect are on the higher normal side ,same is with OT/PT ratio. Nothing alarming. Grade one fatty liver can be reversed with dietary changes by avoiding fried food , light exercises and avoiding alcohol. Regarding polyp in Gall bladder which might be the cause of abdominal pain and pale stools ,you should consult a surgeon.

LFT is Normal Adv Get USG whole abdomen Than consult It might be a gall bladder issue And what about his Diet ? Or any addiction

Need more details in the blood tests and ultrasound report and review

Get USG abdomen

Hello Madam, I’ve reviewed your husband’s liver function test (LFT) report. The results are largely within normal limits. The SGOT/SGPT ratio (1.47) is slightly above the upper limit but still not worrisome by itself, especially since both enzyme values (SGOT 21.3, SGPT 14.5 U/L) are well within normal ranges. The bilirubin levels are only marginally elevated (total 1.04 mg/dL, indirect 0.83 mg/dL), which can occur due to mild fatty liver, fasting, dehydration, or Gilbert’s syndrome (a harmless condition). However, since he has fatty liver and small gallbladder polyps, the right upper abdominal discomfort after meals could be due to: • Fatty liver–related dyspepsia or mild hepatic congestion, or • Gallbladder polyps or stones irritating the gallbladder. Loose, pale stools can indicate mild bile flow disturbance. Recommended next steps: 1. Ultrasound abdomen (if not repeated in the last 6 months) — to check fatty liver grade and gallbladder status. 2. Avoid oily and heavy meals, alcohol, and fried food. 3. Maintain adequate hydration and regular exercise. 4. Liver-protective diet: include high-fiber foods, green leafy vegetables, coffee (if no contraindication), and avoid unnecessary supplements. 5. Consult a gastroenterologist if pain or pale stools persist — to evaluate bile flow and polyps further. At present, no urgent issue is seen in his LFT, but monitoring and lifestyle correction are advised.

Hey Madam, The blood investigations are ok. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.

If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

Contact personally more details required as reports looks pretty normal nothing to worry about in this report. You can contact me through practo or whatsApp me eight three six eight seven two eight one three seven

This is normal LFT.

SGOT/SGPT ratio 1.47 + pale stools = urgent evaluation needed. Ratio >1 suggests alcoholic liver disease pattern. Combined with fatty liver, GB polyps, and new symptoms (pain after meals, pale stools) indicates possible bile duct or pancreas involvement. Urgent tests: Repeat LFT + GGT/ALP, Lipase/Amylase, Ultrasound abdomen Action: See gastroenterologist THIS WEEK. Stop alcohol completely. Strict low-fat diet. Pale stools are red flag - don't delay.

Do connect and consult

Your husband reports are not worrying,it shows slight change which can be manage,gb polyp is not of main concern ,your husband showing symptoms of abdominal pain which increase on eating meal with loose stools ,it can be due to  h.pylori infection or peptic ulcer

Need some more details kindly consult

need more information kindly consult

Reports are fine. Get a USG whole abdomen and endoscopy done. It could be ulcers

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Consult online Avoid excess oily food fried items Start detox drink every day morning empty stomach Regular Walk simple exercises daily Regular checkup Call will guide you further

Use udliv 300

-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life . ....

Need few more details Kindly consult

Needs to be evaluated Do consult