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Digestion issue
Doctor, I get burps even if I'm drinking water, or eating any small food or anything. All this is happening since a month. I'd get stools daily but 2-3 times or someday constipation. Sometimes a lil cramp at right upper side of abdomen. Idk if it's muscle stretch or strain or what since I was going to gym too for weight loss. I checked my ultrasound it had fatty liver changes grade 1-2 rest was normal, to confirm this I went for fibroscan it showed no fatty liver CAP value was 174 kpa 3.3..I was experiencing hairfall last month more so I tested for my iron, b12 were borderline low. I took iron and b12 supplements and tested after a month, b12 and iron didn't increase. Now my b12 is 155, iron 43 and hb 11.5... I visited my nearby gastroenterologist he just gave me esomeprazole and domperidone tablets, psyllium husk and i dont know why why he gave anti depressant. And started b12 injections. He also checked for celiac disease, the report was negative. What should I do please help
Answers (18)
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Nothing dangerous is showing in your reports - celiac negative, CAP 174 means only minimal fat in the liver, so this is functional dyspepsia with an irritable bowel pattern. Burping even on water is swallowed air plus a slow stomach, and the right upper cramp is usually gas or a gym strain, not the liver. The low-dose antidepressant is being used as a gut nerve modulator, which is correct treatment, so please do not stop it. The unfinished bit is your iron - iron 43, Hb 11.5 and hair fall despite tablets means poor absorption, worsened by taking esomeprazole with it; get ferritin done, take iron at bedtime on an empty stomach with a vitamin C tablet, and continue the B12 shots. Small frequent meals, no fizzy drinks, no meal skipping. Red flags for immediate review: vomiting blood, black stools, difficulty swallowing, or losing weight without trying. Book me on Practo and I will restructure the medicines and iron plan for you.
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Let's break down ur problems parts wise
Firstly it seems like u have irritable bowel kind of pathology so there are mixed episodes of loose stools and constipation
2ndly grade 1 or two is not a serious issue as it is reversible
3rdly sometimes due to generalised anxiety disorder our gut health gets affected so possibly that's why he/she gave antidepressants
Stay healthy and blessed
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Symptoms suggest GERD/functional dyspepsia with altered bowel habits. Low B12, iron and Hb 11.5 should also be addressed separately.
Next Steps
Continue the prescribed treatment. B12 injections can be useful when oral supplementation has not corrected the deficiency. Iron deficiency should be evaluated for dietary deficiency and menstrual/GI blood loss.
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The persistent burping, constipation/loose stools and upper abdominal discomfort can occur with functional dyspepsia or IBS type symptoms, reflux, dietary factors or excessive air swallowing, but the diagnosis should be made after reviewing the examination and investigations.
Next Steps
If you need a proper treatment plan, you can consult with me on Practo or WA Business- 77 two 604 six 121,. I’ll discuss your symptoms in detail and guide you regarding the next step.
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Your symptoms and the low B12, iron and hemoglobin need to be looked at together. The burping and bowel changes may be related to your digestive system, but it is difficult to say the exact reason without reviewing your complete history and reports. The negative celiac test is reassuring. Please consult me with all your recent blood reports, ultrasound/FibroScan reports and the medicines you are currently taking, so I can review everything together and guide you properly.
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