Dr. Ajeet Singh (Family Medicine) needs a second opinion on this medical case.
A 45 year old female had been under treatment with complaints of pain epigastrium especially after meals which last for 3 to 4 hrs ?Biliary colic
She also experienced similar episode of pain even after having guava
She is known case of Hypothyroidism on 75mcg L thyroxine
Usg W/A revealed GB Sludge with GB wall thickening
I have advised her a PPI along with UDCA therpy
Tab Udiliv 150mg BD
Cap Pantop DSR OD 30mins before breakfast
Tab Meftal Spas on SOS basis
My concerns are -
1)Is dose of UDCA 150mg BD enough for the patient? Or need to change
2) What else can be advised from pharmacological point of view?
I have also advised to get LFT done and see a surgeon if things don't resolve.
Please give your expert opinion on this case