Is there any Dr at PDF?

[T-123456]

I am having extreme constipation since years. I tried many Drs for this but It never got cured and I don't have much time to keep visiting drs for days due to my work. Stool is dark, hard and smells like shit (it shit already) haha..



Trust me every dr seems to be same the way he wants me to leave his cabin asap. And then working for a pvt firm in Pakistan doesn't allow you that much freedom to keep visiting. That's my own fault too

Im not a doctor but your symptoms show that there is something wrong with your stomach or intestines,you should ask for an endoscopy.

 

[ziaulislam]

Karachi. I'll get seriously now. This is getting much weird for me since tremors are increasing along with stomach/liver pain. My serum ALT in LFT was higher. Bharwanna suggested a good Dr in Karachi. Will visit him.



I understand that. Will do it now. Looks like I will have to stop being nice much. It can only be cured if I explain my situation properly.

again the problem is LFTs are non specific, they mean nothing in isolation , its reactive responsive to so many things, but if your LFTS are high, do a full hepatits screen, if they are in 1000s you likely have hepatitis if not than you will need further autoimmune disease history and screening, basic cancer history and screening, a colonscopy etc

honestly, without a proper history i dont know what to look for

see someone in teaching hospital, i think you should see a general medicine specialist first, because we have no idea what is going on ..you dont see specialist for symptoms, you see them for complex diseases management

 

[Big Tank]

Im not a doctor but your symptoms show that there is something wrong with your stomach or intestines,you should ask for an endoscopy.

Will visit a concerned specialist properly now. Let's see what he recommends.

again the problem is LFTs are non specific, they mean nothing in isolation , its reactive responsive to so many things, but if your LFTS are high, do a full hepatits screen, if they are in 1000s you likely have hepatitis if not than you will need further autoimmune disease history and screening, basic cancer history and screening, a colonscopy etc

honestly, without a proper history i dont know what to look for

see someone in teaching hospital, i think you should see a general medicine specialist first, because we have no idea what is going on ..you dont see specialist for symptoms, you see them for complex diseases management

I see. You mean I should begin with a physician who will further recommend accordingly?

 

[Ace of Spades]

I see. You mean I should begin with a physician who will further recommend accordingly?

Medicine specialist, not GP

 

[Big Tank]

Medicine specialist, not GP

Noted. Thanks a lot for helping out.

 

[ziaulislam]

Medicine specialist, not GP

in my opinion there should be no GP, its good for NIH like British system but not for public and private driven Pakistan system

in USA there are no GPs

every one has to do minimum of 3 years training

reality is our health system is so bad that it cant get worse but public doesnt know that so doctors are spared and politicians as well as they can buy ticket and go to dubai in minutes

 

[Big Tank]

in my opinion there should be no GP, its good for NIH like British system but not for public and private driven Pakistan system

in USA there are no GPs

every one has to do minimum of 3 years training

reality is our health system is so bad that it cant get worse but public doesnt know that so doctors are spared and politicians as well as they can buy ticket and go to dubai in minutes

So how does basic consultation works in US or UK if there are no GP?

 

[Ace of Spades]

Noted. Thanks a lot for helping out.

Karachi.

No worries, may Allah give you health. Aga Khan University Hospital doctors must be good, though have never been to Karachi's hospitals. I would recommend it since it have good reputation in medical circles.

in my opinion there should be no GP, its good for NIH like British system but not for public and private driven Pakistan system

in USA there are no GPs

every one has to do minimum of 3 years training

reality is our health system is so bad that it cant get worse but public doesnt know that so doctors are spared and politicians as well as they can buy ticket and go to dubai in minutes

I agree, the system is really bad and expensive for common people and end up in OPDs and with GPs; which are overly flooded by patients and of course what do you expect for the outcome. Most of them don't do screening tests since they know it's not insured and people cannot afford screening tests from quality labs. And they are treated mostly without proper screening. This case is classic example, they haven't done thyroid function test, ignored weight loss and increased ALT levels. In OPDs house officers are mostly on duty which themselves are not very well trained. Health care system is dilemma in Pakistan and sad part is that there is no priority in making it better.

 

[Big Tank]

No worries, may Allah give you health. Aga Khan University Hospital doctors must be good, though have never been to Karachi's hospitals. I would recommend it since it have good reputation in medical circles.



I agree, the system is really bad and expensive for common people and end up in OPDs and with GPs; which are overly flooded by patients and of course what do you expect for the outcome. Most of them don't do screening tests since they know it's not insured and people cannot afford screening tests from quality labs. And they are treated mostly without proper screening. This case is classic example, they haven't done thyroid function test, ignored weight loss and increased ALT levels. In OPDs house officers are mostly on duty which themselves are not very well trained. Health care system is dilemma in Pakistan and sad part is that there is no priority in making it better.

yes I will go for Aga Khan since it accepts my medical coverage. I've been visiting Drs since I was a kid because I remember having trouble in bowel movements the day I got into senses. Just for the knowledge, I had premature birth and medical specialists saved my life through excessive antibiotics according to my parents.

 

[ziaulislam]

So how does basic consultation works in US or UK if there are no GP?

in USA you have 1. family phsycians who have 3 years of less intenisve traiing but can can see everyone from child to adult

than you have internal medicine who are medicine specialist, so they are able to treat most patients and consult in right place

than you have nurse practitioner who see the simplest stuff, they are simply traied nurses


in UK you have GPs just like Pakistan but because they have NHS, which is an integrate systems and the do have medicine specilaists as well

but out training is very poor in medical school and now worse in house job too

 

[Ace of Spades]

yes I will go for Aga Khan

Try making an appointment with professor rather than a trainee. Give him full history, i would recommend writing down all the things you want to mention so you don't skip any. Bring along your medical records. For stool; i don't wanna make a diagnosis, it can be an issue in it's singularity but can be a symptom of some condition. Since you LFT is not normal it's better to rule things out first.

 

[Big Tank]

Try making an appointment with professor rather than a trainee. Give him full history, i would recommend writing down all the things you want to mention so you don't skip any. Bring along your medical records. For stool; i don't wanna make a diagnosis, it can be an issue in it's singularity but can be a symptom of some condition. Since you LFT is not normal it's better to rule things out first.

I would write it down yes. Since I forget most of the details to mention at that time. It will make great help :d

 

[halupridol]

@halupridol

@S.U.R.B.

Bhai log he needs your help.

No free consultations,,,uske liye hamari sarkar ne bridge course wale rakh liye hai
Hope u r doing fine,,surb is nowhere to be found nowadays.
Baki log,apne differential diagnossis se bacche ko darana band karo.
N tank if u feel unwell,u shud go n consult a doctor in real life,,not here.
Contact @Emmie ,,doctor saab is also frm karachi.he will sort ur troubles.

 

[The Diplomat]

So how does basic consultation works in US or UK if there are no GP?

We have GPs in the UK. For example I had very bad and flaired up eczema about 2 years ago and I went to my local GP and she referred me to a dermatologist at a hospital.

If you want to go to hospital for basic stuff in the UK, you usually have to get referred by your GP.

@Mini Tank hopefully it’s nothing, I wish I could offer advice but I can’t. May Allah bring you peace. Get well soon my friend.

 

[Big Tank]

We have GPs in the UK. For example I had very bad and flaired up eczema about 2 years ago and I went to my local GP and she referred me to a dermatologist at a hospital.

If you want to go to hospital for basic stuff in the UK, you usually have to get referred by your GP.

@Mini Tank hopefully it’s nothing, I wish I could offer advice but I can’t. May Allah bring you peace. Get well soon my friend.

Thank you for your kind prayers brother.