Dr.Pankaj Chaudhary

Dr.Pankaj Chaudhary Dr. Pankaj Chaudhary is a highly experienced and skilled Diabetes & Gastro specialist in Silchar, Assam.

He is known for his compassionate care and dedication to his patients.

Medicines Must ContinueTake all prescribed medications precisely on schedule (Aspirin, Clopidogrel/Ticagrelor, Statin, B...
19/11/2025

Medicines Must Continue
Take all prescribed medications precisely on schedule (Aspirin, Clopidogrel/Ticagrelor, Statin, Beta-blocker, ACE inhibitor—as directed by your physician).
Do not omit even a single dose.
Never discontinue blood thinners without consulting your doctor.

08/11/2025

🩺 Case Study: Hepatic Encephalopathy in a Diabetic Patient

Patient Profile

Name: Mr. Ramesh Kumar

Age: 58 years

S*x: Male

Occupation: Retired government employee

Marital Status: Married

Date of Admission: 02.11.2025

Diagnosis: Hepatic Encephalopathy secondary to Chronic Liver Disease (CLD) with Type 2 Diabetes Mellitus

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History of Present Illness

The patient was brought to the emergency department with complaints of:

Altered level of consciousness for 2 days

Confusion, disorientation, and irritability

Slurred speech and disturbed sleep

Episodes of hand tremors and drowsiness

Decreased appetite and generalized weakness

No history of fever, vomiting, or seizures.

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Past Medical History

Chronic Liver Disease: Diagnosed 3 years ago (Alcohol-related cirrhosis)

Diabetes Mellitus Type 2: Diagnosed 10 years ago; on oral hypoglycemics (Metformin 500 mg BD, Glimepiride 1 mg OD)

Hypertension: Known case for 8 years, on Amlodipine 5 mg OD

No known allergies

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Personal History

Diet: Non-vegetarian, high protein restricted diet as per physician advice

Appetite: Poor

Sleep: Disturbed

Bowel & Bladder: Irregular bowel habits, occasional constipation

Addictions: Alcohol consumption for 20 years; stopped 2 years ago

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Physical Examination

Parameter Finding

General Appearance Drowsy, ill-looking
Vitals BP: 130/80 mmHg, HR: 92/min, RR: 20/min, Temp: 98°F
Jaundice Present
Clubbing Absent
Asterixis (flapping tremor) Present
Abdomen Distended, palpable liver edge, mild ascites
Neurological exam Drowsy, oriented to person only, no focal deficit

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Investigations

Test Result Normal Range

Hb 11.2 g/dl 12–16 g/dl
Random Blood Sugar 180 mg/dl 70–140 mg/dl
Serum Ammonia ↑ 120 µmol/L 15–45 µmol/L
SGOT/SGPT 95 / 102 IU/L

18/08/2025

Celebrating my 6th year on Facebook. Thank you for your continuing support. I could never have made it without you. 🙏🤗🎉

17/08/2025

if your lipid profile is normal, a heart attack is still possible. Cholesterol and triglycerides are important risk factors, but they’re not the only ones. Many people with normal lipid levels can develop heart disease due to other risks.

👉 Some other major risk factors for heart attack:

High blood pressure (Hypertension)

Diabetes or prediabetes

Smoking / To***co use

Family history of heart disease (genetics)

Obesity & lack of exercise

High stress levels

Unhealthy diet (high in salt, sugar, trans fats)

Age (risk increases after 40, especially in men, and after menopause in women)

Inflammation (CRP high, autoimmune diseases, etc.)

⚠️ Important:

A normal lipid profile lowers risk but does not eliminate it.

Some people have normal cholesterol but still develop blockages due to small dense LDL particles, high inflammation, or diabetes-related vessel damage.

Heart attacks can also occur if a plaque suddenly ruptures or if a blood clot blocks flow.
Everyone Products

✅ What you can do:

Keep BP, sugar, weight in check.

Regular exercise (30 min daily).

Balanced diet (more fruits, vegetables, less fried/junk food).

Avoid smoking/alcohol excess.

Manage stress & sleep.

If strong family history → get ECG, Echo, Stress Test, or CT Coronary Angiography for early detection.

Address

House No 11 Lane No 14 Second Link Road
Silchar
788006

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