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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
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Follow the instructions of your doctor if not relieved then visit another specialist of take private consultancy.
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It looks like you are depressed. I need to take a full history. Can you go for a video consultation.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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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.
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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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Psyllium hisk needed more water  to work and otherwise its causes burping also.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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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You can consult me with your CBC, ferritin, B12 and ultrasound/FibroScan reports for a complete review and personalized next-step plan.
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Need few more details for further evaluation. Please consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.