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Liver problems and kidney with diabetic
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Kidney & Urinary Health
Question #10381
277 days ago
563

Liver problems and kidney with diabetic - #10381

Lingarj Choudhury

My Ast is76 and ALT 97 ,any dangerous ,i have diabetic And urea serum 13.7,Bun urea nitrogenserum 6.4 Everydayi am going toilet 8times in day ,but not in night My nervous systemal Also weak,legs are swelling

Age: 37
Chronic illnesses: Diabetic
300 INR (~3.53 USD)
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
276 days ago
5

Hello dear Please be aware See as per my clinical experience you are having either complications or there is need to change medications I suggest you to please consult with your physician for medication change or adjustment Kindly avoid any new medication without consulting Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
276 days ago
5

These values suggest mild liver stress/damage, possibly Fatty Liver (NAFLD) from diabetes or medicines.

8 bowel movements/day is abnormal — may indicate:

Diabetic autonomic neuropathy

IBS or IBD

Chronic infection (gut flora imbalance)

Leg swelling + weak nerves point to:

Diabetic peripheral neuropathy

Possible protein imbalance or liver dysfunction

Visit nearest physician

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
276 days ago
5

Your liver enzymes indicate towards liver damage and inflammation while other symptoms indicate towards diabetic nephropathy

TESTS TO DO NOW:

HbA1c – Long-term sugar control Fasting & PP blood sugar Liver ultrasound – Rule out fatty liver Kidney Function Test (KFT) – Creatinine, GFR, electrolytes Urine routine & microalbumin – Check protein loss in urine Viral hepatitis B & C (if not checked)

Get these done and follow up as you are close to danger sign and needs immediate intervention

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
275 days ago
5

Your elevated AST and ALT indicate liver stress, which along with frequent stools, leg swelling, and diabetes, may suggest liver dysfunction or early signs of diabetic complications. Low urea and BUN are less concerning but should be monitored. Please consult a hepatologist and endocrinologist urgently for comprehensive evaluation and management.

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Elevated AST and ALT levels can indicate liver inflammation or damage, which could be linked to your diabetes or other factors such as fatty liver, medications, or alcohol use. Monitoring liver function is essential, as prolonged liver issues might lead to further complications. Consult your healthcare provider for further evaluation, as they might suggest additional tests or imaging to better understand the cause. Your serum urea and BUN levels seem slightly high, which could indicate your kidneys are under stress. This is not uncommon in diabetes, as it can affect kidney function over time, leading to conditions like diabetic nephropathy. Given your increased frequency of urination during the day and swollen legs, this warrants attention. Swollen legs may suggest fluid retention, possibly related to kidney issues, heart health, or even liver conditions. It’s crucial to rule out these possibilities to tailor the treatment accordingly. Your weak nervous system symptoms like nerve issues, could be related to diabetic neuropathy. Tight glucose control is essential here to avoid further nerve damage. A comprehensive review of your diabetes management might be necessary. Discussing with your doctor about lifestyle changes, diet adjustment, regular exercise, and possibly medications can improve your health. It’s prudent to address these symptoms promptly with your healthcare provider, especially ruling out any serious aspects of your condition. Immediate care is crucial if these symptoms escalate or persist.

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