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Recent Questions by Dr. Tomm

  • Today I received liver fibroscan reults that indicated CAP
    Hello,
    Today I received liver fibroscan reults that indicated CAP of 379 and 11.1 kPa. I used to drink quite a bit and did it for quite some time. My parents allowed me to drink from the time I was 14 and I am 54 now. I have not consumed alcohol since September 2019. I am overweight and have a BMI of 39 but have recently lost a few pounds and am trying to continue with the progress which is difficult because I sit at the computer quite a bit for my job.I am trying to decide whether I would have a better health outcome by entering a trial for antifibrotic medications or to focus on losing a lot of weight, including the possibility of bariatric surgery. I have a 12-year old son and really want to be here for him and be as healthy as possible for him despite the damage already done. I would appreciate any recommendations or information.

  • Can you tell me if the symptoms of a gastrointestinal tear
    Can you tell me if the symptoms of a gastrointestinal tear are constant or do they come and go, are they always severe

  • Gas discomfort, bloated stomach and extended Abdomen and
    Gas discomfort, bloated stomach and extended Abdomen and such never experienced before, Have tried five minute walk, gas relief medication and Yoga stretches. Cannot say pain per se but acute discomfort constant. Started about 2:00 am awakening me.
    JA: The Doctor can help. Just a couple quick questions before I transfer you. When did the pain start? Has it been stable or is it getting worse?
    Customer: About 2:00 am this morning. At first no pain but discomfort and a little into my back. Through the day no pain but increased discomfort and abdomen noticeably extended I would say
    JA: What type of pain is it? Is it sharp or dull, achey or stabbing?
    Customer: Neither but rather just a very evident discomfort and unable to have any bowel movement etc.
    JA: Have you also experienced any nausea, bloating, or changes in stool?
    Customer: Sense bloating and no bowel movement and I was always regular
    JA: Anything else in your medical history you think the Doctor should know?
    Customer: Well, I am 90, in encouragingly good health, working FT and 25 years ago had a triple bypass and nothing of any kind since then. The cardiologist just simply says identified as with Angina
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