Gastroenterology

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Constipation & cremaffin plus

I'm taking cremaffin plus 20 ml twice a day regular...for soften my stool.. otherwise my stool become so hard after taking lots of fiber ,water & that's why I've piles so I have to soft my stool...can I take this med daily 20 ml??is it safe?
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Gerd treatment

Dear Sir,I am suffering from Gerd, doctor as prescribed,pantoprozole 40 mg once daily.Is there any side effects,if taken for long duration.
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Anal fissure/internal hemarroids

I am patient of anal fissure and internal hemarroids from last 12-13 years. Internal hemarroids not been an issue for me. My fissure gets triggers sometimes, after doing some dietary changes it heal. Couple of times , I have face severe pain also. I checked with doctor, he said you have grade 2 internal hemarroids and chronic fissure. He suggested for a surgery. Last month My fissure got triggered couple of times with a gap of 3 weeks. I think because of straining. Daily, I am consuming 30g of fibre. Fruits ,vegetables seeds, dry fruits soaked, water also. Also, my main issue is to clear my stomach, I have to go poop 2-3 times, which is impacting my lifestyle so much. Am i suffering from IBS? How can i clear my stomach in one go? I think because of using washroom multiple times my fissure is triggering. Can you please advice
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Left abdominal pain

Hi I have left side abdominal discomfort from 1 year I have attached ct scan abdominal. Please tell me what can i do.. Thank you in advance
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High SGPT , GGPT and Uric acid value

Recent regular blood tests for LFT and  show SGOT 38 ,SGPT 77.4 ,GGPT 73.8 and Uric acid 7.40. I don't drink. Any suggestions how we can revise this.
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Weight loss

Hi, I had my gall removed because of stone and year back and i also had pcod since teenage, i have tried multiple diets but i am only gaining weight, i have bloating, acid reflux and i always crave for sugar and carbs, i also have some symptoms of insulin resistance, no matter what i try my weight keeps in reasing it is now in 3 digits, is it ok for me to go on semaglutide?
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Pslv4 side effects

I have taken pslv4 capsule as per Dr advise for gastric problem, but started back pain. What should I do now,
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Stomach bloating burping excess

From morng my stomach bloating Took pan40 . Still bloating exists. At the junction of oesophagus and stomach a pin point pain comes and stop. As soon excess burping gas is coming continuously. Then the pin point pain stopped. Bloating exists continuously. Cannot lie in bed.
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Bleeding piles without pain

Which is better option for piles/fissure? Laser surgery vs kshar Sutra? I heard that after both process pain remains for many days, Please suggest me? Which is better option to choose
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GERD issue

Can i take PAN D tablet after dinner ? Please suggest. I am feeling uncomfortable during night sleep..
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