bph gr i 
choledocholithiasis č dialted cbd
cholelithiasis 
a 65 years old male diabetic patient, complaining with pain abdo. č nausea č vomiting, breathlessness, cough č high fever and chest pain at left mcl region. 
patient is also complaining, difficulty in urination č burning during urination. 
o/e
bp 90/ 60mmhg
pulse 96bpm
spo2 86%
cvs s1 & s2 p
chest b/l rounchi +++
abdo. soft
b/s nf
lft value increased 6.2mg/ dl
rbs increased 486mg/ dl
temp. 102° f

conservative managements are going on , wait 
for control the levels of lft and glucose level, then plan for cholecystectomy. 

any better suggest then mention here plz.
nice
management...sir
and
 nicely. discussed. in. details...
 ....by. the. respected. seniors...
 thanks. a. lot...... sir
Hello. Diabetes comes with multiple issues but all are controllable and treatable. Pain is mostly caused by diabetic neuropathy. Feet are to be taken care as much as a face. Stict diabetes control and life style modification are the key to control diabetes related problems. Feel free to consult to get in details. havingdiabetes makes you more at ris to get infections, including lung infections which can make copd worse. that sounds rough, i am sorry you aren't feeling well. my advice is just go to a different hospital to get a different view on your situation. please don't hold off on it, this problem really needs to be taken care of. dear sham park<br>cholesterol medication can cause abnormal liver functions - one is usually worried when the count is 2-3 times higher than normal. i would just monitor this to see that the levels stay stable and change or stop medication if it constantly increases. if you indeed do have mh then you should have been treated in a hospital setting. not only can it cause a deadly increase in muscle metabolism, but it also can increase heart rate. i would recommend against any stimulant like caffeine right now. make sure with your doctor that you have mh. mh is a medical emergency! Cholesterol is related to thyroid function with low thyroid function hypothyroidism giving high cholesterol and those with hyperfunction hyperthyrodism giving lowed cholesterol values.   

The TSH is elevated and abnormal indicating that free T4 and free T3 should be measured and if abnormally low and symptoms suggestive of hypothyroidism present then meds can be started. If they are still normal then the condition is called subclinical hypothyroidism.   

  

As to the bilirubin, I would repeat the bilirubin in a non-fasting state. Some people with Gilberts syndrome have elevations in total bilirubin and normal direct bilirubins upon fasting which aggravated the total bilirubin. I would also look at your CBC closely for indications of a hemolytic anemia which would also account for indirect bilirubinemia (total bilirubin) such as what happens with certain medications or conditions.   

  

The AST/ALT, you don't give the upper limit of normal and so generally the values are referenced with regards to how how many times normal they are out. Those are low level abnormalities that can be due to many causes including medications, alcohol, fatty liver, chronic hepatitis and other possibilities. Low levels are usually repeated several weeks later to see if they are still there after looking at things that may contribute to the liver elevations.   

  

All of this must be taken within a clinical context. That means that lab values can be be understood without a valid clinical history and physical. You state known and so the comments above are general in nature and would defer to the doctor for a clearer picture and understanding pertaining to your case. get your thyroid hormone levels tested. if the tsh is low, you will need a thyroid uptake and scan. discuss this with your treating doctor. see more... stress unquestionably plays a very significant role in spastic colon and similar conditions. whether you still need to be takign zoloft depends on why he put you on it, and what his diagnopsis was. maybe he should be asked to review the situation and the treatment plan. cbt style counselling to let you handle streses better may be more useful swelling is one of the symptoms of superficial phlebitis. the area is often very tender to touch, warm and red. it is best to have the acute inflammation treated and then explore your options for definitive treatment. see more... lily<br><br>thank you for visiting health24.com.<br><br>i recommend that you make an appointment with a cardiologist, to rule ischemic heart disease. you should also have a chest x-ray, a mammogram and an ultrasound of your breast done, to exclude any underlying causes.<br><br>kind regards<br><br><br><br><br>dr anrich burger