Laparoscopic Cholecystectomy Treatment

Health Q&A
B12, Vitamin D Deficiency & Fatigue

I am a 30-year-old male with persistent fatigue and low energy. My recent blood tests show Vitamin B12 <148 pg/mL and Vitamin D 11.8 ng/mL. Hb is 15.1 g/dL and CBC is otherwise normal. Thyroid, HbA1c, kidney function and most liver parameters are normal. I am vegetarian. Please advise on the appropriate treatment for these deficiencies, including whether oral B12 or injections are preferable, dosage and duration. Also, should I get any further tests to identify the cause of the severe B12 deficiency or investigate my fatigue? I can share the complete blood report.

Vitamin d deficiency

Hi, My Vitamin D level was 28 (insufficient), doctor prescribed 60,000 IU weekly for 8 weeks. After taking 3 doses, I noticed my heart rate goes above 100 bpm for 2-3 days after each dose. Should I stop this and switch to a lower daily dose instead? Please advise. Thanks

Spicy food

I have taken spicy food in a get together. Now belly is burning. Can you suggest anything to get relief. Should I take antacid like Rantac ? Will that help

Vitamin D supplement

My 25-OH vitamin D is 6.1 ng/mL and calcium is 10.1 mg/dL. Is Vitamin D3 60,000 IU once weekly for a month appropriate measure to take ?

Dry cough with throat itching

My wife has been suffering from dry cough with frequent throat itching problem. At night problem increases, but all through the day. Kindly prescribe medicine

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You just had an ultrasound for something unrelated — maybe stomach bloating, or a routine check-up — and the report says "gallstones." Your first thought is probably: Do I need surgery now?Here's the good news: for most people, the answer is no. Not every gallstone needs an operation. But ...

The Diabetic Foot: A Comprehensive Guide to Complications, Management, and Prevention

Introduction:--The "diabetic foot" refers to the range of foot complications experienced by individuals with diabetes mellitus, a global health concern affecting millions of people. These complications arise primarily from prolonged high blood sugar, which damages the nerves (diabetic ...

Necrotizing Fasciitis

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Charcot Foot

Charcot foot (also called Charcot arthropathy or Charcot neuropathy) is a serious complication of diabetes-related nerve damage (neuropathy) that primarily affects the feet and ankles.  It is characterized by the progressive weakening of bones, joints, and soft tissues in the foot. ...

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Dr. Abhilash N - General Surgeon
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