Gastroenterology

Usg-shrunk rightLiverLobe, mild splenomegaly, high liver enzymes. Fibroscan cap188,31 kpa. Ana+ve. Igg 24.5. Hb 9.5. Dir.Bilirubin0.39.Normal ferritin,platelts & bloodtests (attached).  Asymptmatic No ascites/Jaundice. Has low appetite, mild pedal edema, @times 'left' abdomen pain(chronic)if passing stool twice. Frequent dry coughing. HighBP (normal@times),  Prediabetic, knee arthritis difficultWalking. Recent TSH 10. Cataract surgery. COVID once. Meds: Recently stopped TelmirideH & TenlisonM.  Started on Verilol 3.12 (betablocker), Rifaximin500, lactulose, Sitagliptin+Metformin & Thyronorm50, nutritional meds proteins. On longterm Ecosprin AV (preventive).  2021 usg-normal liver with fatty grade1 changes & 2025-shrunken liver parenchymal changes. Possible cause of cirhosis? Other tests? Is biopsy necessary, any alternative4biopsy? R above meds ok4liver? What treatment U suggest? Should she take Hep vaccine? Imp: Continue aspirin+atorvastatin 75/20? Is Endoscopy imp @present? Pls Help

Which oil is best for gallbladder stones? I have 2 stones 10mm and 4mm.please suggest 3 oils to coook food. Can u use coconut oil

Hi Dr, my mother was having right side upper abdomen pain and back from saturday . Today she got her usg upper abdomen pelvic scan and found that she has ' mild hepatomegaly with mild diffuse fatty infiltration of the liver' We had LFT and Amylase test done LFT seems normal but Amylase value is 169. Anything serious? She is having sugar and BP Can you please suggest us if anything is serious and next action for us please?

Sir I had my routine check up one month ago in  which my bilirubin was 1.78 and sgot and sgot was 25 and 24 respectively now recently I have repeated my blood test bilirubin is now 2.0 rest all parameters are normal is there any concern

From few days I am facing the frequent burping after some time of food .. I even take an antacid tablet before food at night Also I am on anxiety medication . Is this issue due to medication or should I consult a gastroenterologist .

I underwent Endoscopy there the HPylori I got Positive now I am currently taking Sompraz Kit but still my symptoms are not cured. please help me with necessary inputs and make recover Please try to understand I have been suffering a lot .Cannot eat , no hunger , loss of weight and am very sick.

I have to visit washroom after eating and it feels like acidity and vomiting sometimes. What are the ways to cure it

Two years ago, during an abdominal ultrasound, an incidental finding of a 2.7 mm gallbladder polyp was discovered. I was advised to repeat the ultrasound a year later. When I did so, the polyp measured 3.2 mm. The doctor mentioned that since the tests were conducted at different labs, this could be a machine error and that there was no need to worry. Should I consider getting another ultrasound this year? I have no symptoms or weight loss.

Hi, I have Crohn's disease and  ileal ulcer . Can I drink warm water? Will warm water make my ileal ulcer (Crohn's) worse? Please help me. Thank you

I've been having constant burping and indigestion since the last 3 months. I've had rifaximin, done endoscopy blood work everything is clear. H pylori medication taken since then no relief. I've also had pan-40, veloz d, gaviscon gel no relief I don't have any bloating only knotting feeling in lower abdomen along the gurgling and rumbling sounds and constant burping i am feeling hungry and able to digest also. Kindly advise what can be taken.