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 *History* She is known case of Hypothyroidism on 75mcg L thyroxine *Investigations* Usg W/A revealed GB Sludge with GB wall thickening *Management* 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
See this content immediately after install