Gastroenterology

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Having piles and a thread like structure

Sir I hve piles and sometimes blood came ,heavy constipation also .I feel a thread like structure while claening it came when I used to go washroom . It looks yellowish and fixed .I hv attached a pic also. Pls suggest what to do
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Constipation

Is 20 ml cremaffin plus twice safe for daily longterm use?? Is there any danger side effects? otherwise this I'm daily facing hard stool problem instead of consuming lots of water and fiber..is it safe??
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Sgpt and sgot imbalance

Hello sir i am suffering from high grade fever since 6 days and due to I have done some blood test for fever like dengue malaria and typhoid and SGPT and Sgot all come negative except typhoid IGM positive and SGPT is 92 may I know what is the reason behind that why SGPT High i am not alcoholic and fatty liver HCV AND HEP B all come negative
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RIGHT LOBE INFILTRATIVE HEPATOCELLULAR

FINAL DIAGNOSIS: RIGHT LOBE INFILTRATIVE HEPATOCELLULAR CARCINOMA WITH DECOMPENSATED CHRONIC LIVER DISEASE, FOR SUPPORTIVE CARE. PORTAL HYPERTENSION WITH PORTAL VEIN THROMBOSIS. ESOPHAGEAL VARICES-EVL DONE (OUTSIDE) HISTORY: Mr. HS Shivakumar, aged 55 years, was evaluated elsewhere for complaints of pain abdomen and yellowish discoloration of eye and urine. On investigations found deranged LFT (total bilirubin-5.6, direct bilirubin-4.85). CECT abdomen and pelvis on 22.02.2025, showed Hepatomegaly with surface nodularity and caudate lobe hypertrophy- suggestive of chronic liver parenchymal disease. Few ill-defined peripherally enhancing lesions in the segments 6 and 7-probably HCC. Suggested serum AFP levels and HPE correlation. Portal vein thrombosis with heterogeneous enhancement of the segment 7. Periportal and perigastric collaterals. Minimal ascites with mild mesenteric fat stranding. Borderline splenomegaly. Cholelithiasis with mild wall thickening. Thank you.
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Acid reflux

I feel phlegm in my throat always and i have a bitter taste everyday morning and a dry throat too. I wake up with a choking in the throat everyday recently got a septoplasty done .This problem is from 4 years and now it has increased alot.Not able to understand what is the problem and whom to consult.Some say it is gerd or reflux.Have been on antacids also for a long period but to no avail.
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Adherent Gall bladder calculus

My husband having 4.7 mm adherent gall bladder calculus.3 month before 4mm .my husband having no symptoms now
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CHRONIC CONSTIPATION

MY NAME IS ABHISHEK CHAUHAN AND IM 45 YEARS OLD.IM SUFFERING FROM CHRONIC CONSTIPATION SINCE 7 YEARS.PLZ TELL ME WHICH TABLET IS SUITABLE FOR CHRONIC CONSTIPATION.,PRUEASE 2MG OR BIXIBAT 5MG.PLZ ADVICE.
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Dilated pancreatic duct(7mm)

Hello doctor, My mother is 62 yr old diabetic for 12 yrs and had digestion issues for a long years.. earlier gerd was suspected and she was on ppi.. since two yrs she started having muscle loss but not much of weight.. Then we took a CT scan with contrast which had the following impressions: completely atrophic pancreas with fatty replacement of the pancreatic parenchyma.Dilated pancreatic duct(7mm) with large chunky calculi withing the duct in the neck/ head/uncinate region. Kindly advice the treatment plan??
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Is it Okay to take laxatives everyday?

My brother has been taking laxatives to help his bowel movement for more than 6 months, is it ok? What side affects will he have? Anything he needs to be worried about?
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Gall bladder stone

Adherent gall bladder stone 4.7 mm.dr suggest gall bladder removing surgery.any medicine for gall bladder stone
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