Gastroenterology

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Lower chest pain localized and reflux

Hi for last for 4 weeks i am having localised lower chest pain and reflux even after taking medicines its not going away
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Lower left rib pain

I have pain in my lower left rib for the last 10 months. Sometimes the pain is in the front side of the rib, and sometimes on the left side. The pain is bearable and not continuous. It mostly starts in the evening. I go for motion 2 to 3 times a day. What might be the issue? And which specialist doctor should I consult?
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High GGT In LFT

I Have GGT 750 ALT 159 AST 63 In Lft.ultra sound shows fatty liver grade second .i am worried Kindly Give Me Suggest what will i do.i am fell arms legs cramps. Since last 3 month i take herbal medicine happy knight
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Severe acidity and acid reflux

I am 30 (female), and a teacher( long sitting hours), and suffering from severe acidity and acid reflux. The problem has been significant after covid treatment mainly antibiotics. Now every 2-3 months sometimes even more frequentlyo severe gas and acidity has become part of my life. I try to balance my diet but it gets triggered by other things as well like a change in routine, lack of sleep or change of place. If it is persistent for 1 week then I feel a sensation like something has stuck in my throat. Please suggest a reliable management like tabs or antiacids and how to reduce its frequency. Please include if I can  use probiotics and which food to avoid. Thank you.
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IBS or something else ?

Hi Dr, I wanted to enquire about my recent issue. I was having for the last 3 weeks. It started after I went on a high protein diet. I am a vegetarian so I included a lot of dairy products and due to some injury I also had to take naproxen so I attributed my symptoms to these two. I went to a gastroenterologist and he prescribe me symbulardi and Rifagut which I took for two weeks. I am better now. I’m not having loose tools like before but my stool type is fluctuating between being constipated and type 5-6. I will be booking an appointment with a local doctor here, but I just wanted to understand what this could be. I also had test with CRP,CBC and electrolyte which was all normal and only my ESR was raised at 30. During last week I was in goa and had pretty much everything without any major issues. Please advise what this could be. My appointment is on Monday and I am getting anxious.
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About the reports information what to do

Kimdly pls describe about the disease whatbit is and whom to refer for the treatment we are worried is this a serious condition?
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Constipation

Hi doctors I am suffering from severe constipation and I feel Incomplete bowl movement issue kindly help me
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Hemorrhoids from last 14 years

I have had non bleeding external hemorrhoids for the last 14 years. It comes every 2-3 years and heals by itself within a week or so. This time, it's been almost 2 months but isn't fully gone. Earlier it was bleeding as well from an ulcer present on the canal (diagnosed in Sigmoidoscopy), finally it has stopped bleeding from 5-6 days as my doctor also said external swelling is improved. I have tried everything including 2 times sitz bath, Dafflon 500 (2 weeks) plus Sitcom LD course recommended by the doctor. Even the constipation is improved as I take peg fiber in night including Papaya and fruits throughout the day and early morning by 7 everything gets cleared. But I have severe swelling and pain starts from 9 am and gets peak at around 12.30-1 in the afternoon which gets relieved by farts by 2.30 pm everyday. I like to understand the reason behind it. I have tried going to the bathroom as well a second time but I don't put any pressure and there's no poop, only farts.
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Drops in SGPT

I was having high triglycerides 280, SGPT 126 and SGOT 58 last year, have taken Serogletazir tablet 3 months and did a test this year. Now SGPT drops to 72, SGOT 36 and Tryglyceride is 200. Does that mean my liver is improving? I am eating biryani and cold drink sometimes? Stopped alcohol in 2021, no smoking. Started exercise as well. When the SGPT will come down under 50?
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How to take isabgol

Hi , I am taking isabgol from last 4 months due to problem related to piles and SRUS , i am taking the isabgol dry then drinking the warm water , is this the right way to take it ? please help
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