Gastroenterology

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Fissure Problem

My wife suffered fissure from last 2 month.. We used stool softners, Tablet which given by local doctors.. But still fissure present.. Surgery is required or not.. How mutch time fissure take to heal
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Request for advise

Respected Doctors, Kindly find attached herewith report of my USG, it is to inform that i am having IgG and IgG positive for typhoid even after treatment of Azithromycin and cefixim...also i am having mild burning type sensation in the left side of naval area. feeling bloated also. kindly elaborate my report and advise me accordingly. thank you 🙏
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LOW CHOLESTEROL DIET CHART

Hello Sir/Mam, Suggest me a healthy diet chart according to the attached report. Thank you for your consideration.
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Black Stool

I am having black dry stool from 5 days and having gas trouble..Please say is this any serious problem ?
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Chronic constipation

I'm daily constipated dnt know why? that's why I also have piles problem...I'm taking lots of veggies and fruits and 3 lit water per day still daily my initial part of stool is becoming hard ... previously was on duphalac for 6 months but after that it is not effective any more...now I'm taking cremaffin plus for 2 months 10 ml after lunch and 10 ml after dinner... initially it worked and I felt good but now it's not effective like before... what's the wrong with me??? Should I increase the dose of cremaffin plus?? I can't speak Hindi and nt good in english so I can't consult in practo...I can only speak Bengali can anyone help me pls🙏
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RIGHT SIDE ABDOMEN PAIN BELOW RIGHT RIB

Had a sudden pain on the right side lower abdomen 6 months before and severity was very high.Immediately consulted Dr and had ultrasound,CT SCAN and blood tests, and almost all reports were normal except showing Grade1  fatty liver.Some Dr's said it's Muscle Spasm as all reports are normal.Gave medicine for same but no releif.Consulted multiple Dr's but still it pains at same place.Repeated blood tests after 3 months and got high level enzymes level.Again did ANA ASMA HAV HEV tests all were negative.Also little swelling on right side lower back.Abdomen pain still continues with low intensity but when touched that particular place with hand it pains severely. Please advise
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Weak nails, pain in back, hairfall

Hi, Last 6 months I have seen that my nails have become brittle easy to break and chip off, pain in the back which comes and goes, hairfall has increased. My lft is normal and urine routine is normal. I have fatty liver grade 2, can that be cause if so any test i can do confirm
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Reduced sense of smell (hyposmia)

I was diagnosed with H Pylori after my doctor confirmed with endoscopy. So he gave me PPI for 14 days and after my 14th day I cured my H Pylori infection and realised my sense of smell was reduced by 50% . My doctor told it will come back but it's been 2 months still it's not come back . I'm really worried . Is it related to any brain related issues. Please help.
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Stomach pain on daily basis

My daughter's stomach pain started a month ago. She initially felt better after taking Cyclopam syrup, but the pain returned. We took her to our PD, who provided treatment and advised an abdominal sonography. sonography report showed 3mm kidney stones on both sides. We then consulted a kidney specialist who prescribed treatment after which she felt better. However after a few days, the pain returned consistently located in the center above her belly button as it was from day one. We revisited the kidney specialist, but he ruled out kidney stones is not cause and advised us to consult a pediatrician. We then took her to a different pediatrician who provided treatment and suggested observation. Also he said chances of stomach ulcers less likely. He advised continuing treatment for a week and monitoring the situation. Currently she plays normally but during pain episodes, she cries intensely. These episodes occur daily basis. What should we do next? Please Help.
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Psychiatric head pressure and gut

29. Male. 5'6". 74 kg. Currently on paliperidone 100 mg monthly injections since June 2024, aripiprazole 5 mg daily. I have been having symptoms like apathy, anhedonia, brain fog, irritability, impulsivity. I also get head pressure that occurs with these psychiatric problems. I don't remember how long I have been experiencing these symptoms, but possibly it would be 3-4 years In January 2024 in last year I ate chinese noodles wraps, milkshake as evening snack and walked daily for a month. At last day of this routine I had resolution of these symptoms one evening. This effect lasted 2 hours before complaints returned. Can chinese food spices cause gut bacteria to heal and effect psychiatric and physical symptoms? Is gut health related to psychiatric problems in any way? Can SIBO cause this symptoms? Can post acute COVID-19 syndrome cause this symptoms?
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