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Doctor Q&A for Dr. Nayan Shah

A 31-year-old member asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
Yes: Severe gastroenteritis can cause sudden loss of fluid and electrolytes.I had seen it with cholera but other infection can cause severe diarrhea. Yes, it can cause hypovolemic shock.
A 39-year-old member asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
Drink proper liquid: You should always carry enough liquid with you. You have more risk of loosing electrolytes along with fluid in your sweat as you work outside.Consider drinking electrolyte solution like gatorade. Average person should drink 6-8 glasses/day but you may need 8-10 glasses if working outside.
A 42-year-old member asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
Not that bad but not: Borderline elevation of liver enzymes can occur from several possibilities. If it is only slightly elevated, one should not be too nervous about it but should not ignore either.Best approach should be to repeat. If it is still elevated, one should consult a specialist.
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A 34-year-old member asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
Lower blood pressure: Dehydration lowers blood pressure which can give symptoms of weakness, dizziness and passing out.You may feel thirsty and disoriented. Initially, kidney respond by lowering urine output but it can lead to kidney failure if not corrected.
A 43-year-old member asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
Probably no.: Liver problem usually decrease platelet count but causes prolonged clotting or bleeding time.Elevated platelets and clotting time could suggest some kind of blood disorder.
A 40-year-old member asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
About 10-20 minutes: It may take about 10-20 minutes for it to start working.
A 25-year-old female asked:
Dr. Nayan Shah
Gastroenterology 68 years experience
This could be reflux: It is possible that she is having reflux of food and acid during the night and can cause cough in the morning.Symptoms may get worse due to diabetes.Certainly she may have some lung issues that can cause cough.
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