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Digestion problem
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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Your picture fits functional dyspepsia with bloating and IBS-type bowel habit, sitting on grade 1-2 fatty liver. Celiac is ruled out, so nothing sinister here. The real gap is that your B12 and iron did not rise on oral supplements - that usually means poor absorption or too low a dose, not a new disease. B12 155 and iron 43 with hair fall need proper correction, injections for B12 and if ferritin is low, an iron protocol with vitamin C. The antidepressant was likely given in a low dose as a gut nerve modulator, not for depression.
Next Steps
Get ferritin, TSH, HbA1c and a repeat CBC done. Continue the B12 injections as advised, keep the PPI short-term only, and take the psyllium at bedtime with plenty of water. Cut alcohol, fried food and late dinners, walk 40 minutes daily - fatty liver and hair fall both improve with that. Share your reports with me on a Practo consult and I will fine-tune the doses and tell you how long to stay on each. Go to a hospital if you get black stools, vomiting blood, unintended weight loss or trouble swallowing.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine.
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This combination of digestive symptoms, low B12 iron and anemia needs a proper review rather than adjusting medicines on your own.
Please book a consultation with your reports so we can assess the cause and make a clear treatment plan.
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Your symptoms are suggestive of GERD/functional dyspepsia with altered bowel habits. The low B12, iron and Hb 11.5 also need separate attention.
Next Steps
Continue the treatment prescribed by your gastroenterologist. B12 injections may be appropriate, while the cause of low iron should be assessed, including diet and menstrual/GI blood loss.
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You can consult me with your reports for a complete review and a clear next-step plan.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Need some more history from your side
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Smoking?
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Burping is generally normal. If it is more than normal times and frequent then there could be any other possible reason. I would suggest you to go to good nearby gastrointestinal specialist. It could be due to GERD too. For iron and B12 I would suggest you to get proper medication after consultation. Thank you.
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Slight constipation and disturbance in intestinal health is caused by oral tablets of iron.where is antidepressants?? You mean domperidone?? Its combined with ppi ,to good response.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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