Gastroenterology
Blood in stool
Blood in stool without pain, and happens in winter season,
And when I am going to the toilet at the last blood drop out wit stool.
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Reply I need some help
Sgot is 204 and sgpt is74 last 5 days I drunk alcohol after 3months I have too much acidity problem and burning sensation in belly but burning sensation is gone...how I cure this and my platelets level is
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Non Alcoholic Fatty Liver Disease
14 months ago I have been diagnosed with grade 2 fatty liver disease.USG report at that time has been attached.Abnormal LFT parameters at that time for ALT (SGPT) was 42 (lab normal range <34),LDI was 79 (lab normal range 100-190).All other parameters of LFT was within normal range.
Also have diabetes,high BP,dyslipidemia & hypertriglyceridemia.All these conditions presently remain almost under good control.
Taking Lipaglyn 4 (once daily in the morning after breakfast) for both hypertriglyceridemia & fatty liver disease.
Kindly review my Liver in the USG plate & confirm whether it is in fatty liver grade 2 in actual or not.
Also confirm whether Lipaglyn 4 (once daily in the morning after breakfast) is sufficient for my condition or not.
Also confirm whether Liv 52 DS is effective in fatty liver disease or not
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Calcified granuloma of liver
Having pain from last 2 days in left side of abdomen, did ultrasound of abdomen. Report was found as
1. Multiple Caci foci seen in segment 7 and 8 in liver likely calcified granuloma
2. Cortical cyst of 14*13 mm noted in upper pole of left kidney
3. Calculus measuring 4.5 in right kidney and 5.4 in left kidney in lower pole calyx
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Mirizzi syndrome, Choledocholithiasis
MRCP done
Report- Gallbladder is distended, multiple calculi are noted within the lumen. Largest calculus measures 2.0 CM. Mild diffuse wall thickening is noted. There is evidence of mid CBD calculus noted measuring approximately 2.1 CM. Dilated proximal CBD and mid to moderate IHBRD is seen. The calculus is mainly at the junction of the cystic duct with the CBD ( MIRIZZI SYNDROME)
Impression-
Acute calculus cholecystitis.
Choledocholithiasis ( mirizzi syndrome) with dilated CBD and mild to moderate IHBRD.
Mild hepatomegaly
Pancreas and peri pancreatic fat planes are normal.
ERCP done-
Impression-
Choledocholithiasis/Cholangitis
ERCP
CBD Stenting.
Jaundice is coming down slowing, presently the billubrin is 10.
Please guide us for the way forward, what type of surgery is preferred, need guidance for a good surgeon to perform.
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H pylori positive in test
Can you please guide the treatment as h pylori positive in test , any suggestions for her what to avoid in food and drinks and medication
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Blood donation
I have Gilbert syndrome disease, can I donate my blood? Is there a chance of someone getting an infection from my blood?
B+
Which test will help me get to know my blood is normal or is there any kind of infection.
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Chronic constipation
Age: 18
Symptoms Duration: Constipation, anemia, and other symptoms for 8-9 years
Symptoms:
1. Chronic Constipation:
I have been experiencing severe constipation for the past 8-9 years.
Every morning, I attempt to have a bowel movement, but it requires a lot of effort and straining.
Despite the effort, only a small amount of stool is passed, and I never feel fully relieved.
This process repeats multiple times throughout the day, with only small amounts coming out each time.
Recently, I’ve felt like my lower abdomen or rectal area is completely blocked.
2. Associated Symptoms:
Headaches, especially after trying to have a bowel movement.
Bloated sensation in the stomach, which feels uncomfortable throughout the day.
Persistent fatigue and weakness, likely exacerbated by the constipation and anemia.
3. Anemia:
I have had anemia for 8-9 years, which contributes to low energy and poor concentration and also experiencing pica disorder and notice sone marks on my skin
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Digestive problem
I have problem with my stomach since last one month
Feeling not better ; joint pain, indigestion, dry skin, gas problem, bitter smell stool etc.
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Rectal discharge
I had transparent anal discharge while passing stool. It was transparent and rubbery like jelly but rough. My anal part is feeling itchy since last week. Also I am sleeping for more than 7 hours since last week. Usually I only sleep for 6.5 hours
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