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Respected sir
Attached herewith please find the USG report for your reference.
The patient has been suffering from diarrhea accompanied by upper abdomen pain for the last 4 days.
Medicine taken
Metrogyle 400
Drotin A
Pantocid DSR
Vitazyme
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The USG report shows minimal ascitis,free fluid in POD n Splenomegaly. Please mention if the patient is having any fever episode. Drotin A, PANTOP DSR can be continued if the pain is severe n uncontrollable.
Next Steps
Please do some blood tests such as CBC,ESR,LFT,KFT,Routine Urine Microscopy.
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Ultrasound report shows minimal ascitis (fluid accumulates in abdomen) and splenomegaly.
Need further details about history (present complaints, known medical conditions,etc)
Reason behind all this needs to be found out by a few blood tests and detailed history taking.
Kindly consult.
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I’ve reviewed your details. The diarrhoea and upper abdominal pain along with minimal ascites and borderline splenomegaly on scan suggest that we should look for an underlying infection, liver-related issue, or inflammation in the abdomen.
Next Steps
1)Do blood tests: CBC, LFT, RFT, amylase, lipase, and stool routine/culture.
2)Check viral markers (like Hepatitis B & C) if not done recently.
3)Continue plenty of fluids and a light diet.
4)Avoid oily or spicy food.
5)Based on test results, treatment can include antibiotics, liver support, or further evaluation if needed.
Health Tips
If pain or loose stools worsen, or you notice swelling or jaundice, please review immediately.
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Start
Tab oflomac oz twice daily for 5 days
Tab meftal spas twice daily for 5 days
Tab rabmac dsr daily before breakfast and dinner
Sporlac satchet once daily with curd
Next Steps
Avoid spicy food and consume liquid as much as possibel
Health Tips
Adv
Stool test and ESR
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The USG report is inconclusive for any specific pathology. It mentions just that patient has minimal fluid in abdomen. Need more history for evaluation.
Next Steps
Adequate fluid intake.
Probiotics, curd
Consult for detailed evaluation and treatment.
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Take a glass of milk daily.
Thanks.
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Tablets which you are taking is fine
Need other investigations too
Consult me for further details
Next Steps
Cbc ,LFT, RFT
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Good Morning
The USG picture depicts an inflammatory response. I would need a detailed history and symptom description to provide a further management for this condition.
Next Steps
Please feel free to book a consultation with me via Practo or contact me on my clinic whatsapp number 967464336zero. Hope to provide adequate help for speedy recovery of the patient
Dr. Harshita Bhakat
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Take CBC,LFT, Viral markers...
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Hello,
How is she doing now? She has mild spleen enlargement. Advised to consult for a detailed evaluation. For diarrhea complaint, what she is using is enough. But do not start these medicines next time without consulting doctor as this is antibiotic and have other effects on the body. Please make sure she is drinking 2-3 litres of fluids in the day and not to get dehydrated. I can see the patient on a telecosultation if required.
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