Gastroenterology

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Severe gas in my diaphragm region

Hello Doctors! Off late I have been suffering from severe gas and bloating issue at my diaphragm region. I feel so discomfort and couldn't able to concentrate on the work. I am always burping since the time I wake up until I hit my bed to sleep. Could any one help me out
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Betaine HCL after PPI course

Can Betaine Hcl with pepsin be taken after a 10 day course of PPI +Sucral to optimize stomach acid levels? I've read some research that shows it may be effective, however I'm not sure if it can be taken for all cases of Gerd.
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Liver lesion

Had an ultrasound for kidney stone . As a result , found a grade 1 fatty liver with 19mm ×31 mm sized irregular shaped hyperechoic lesion in periportal region of Liver . As per ultrasound it might be focal steatosis or hemangioma .  What should be course of treatment ? Anything to worry ?
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For maintaining healthy liver life

Respected sir please tell me to maintain a healthy liver Health which juice and fruits are effective And can we consume raw amla everyday in an empty stomach And beetroots carrot juice after breakfast And is avacado fruits are good for health
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Bilrubin high

Every year my bilrubin count is getting  high and this time albumin and globin are slighly high. Triglycerides are high. Need to worry?. No symptom. Taking medicine Telma CT 40/6.25 and roseday 10.
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Head pressure and ADHD like symptoms aft

29. M. 5'6". 72 kg I have been having problem of head pressure and ADHD like symptoms like not interested in reading even daily newspaper because of  Difficulty understanding what I read, lack of attention, not wanting to perform any physical and mental action like visualizing, remembering what I read, revising, lethargy, poor memory this is also affecting my studies and work. I also seem to have difficulty doing daily work like spilling paste on shirt while brushing, spilling food on shirt while eating, not being careful when doing any work etc. Symptoms clear up randomly once in several months with head pressure gone and increased attention but come back after couple of minutes to hours. This seems to happen after I eat something. Can COVID syndrome cause this since it is getting cleared up once in several months. What might be causing this?
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Last 4 years bilrubin has been high

2021 total bilrubin is 1.3 2022 total bilrubin is 1.6 2023 total bilrubin is 1.8 2024 total bilrubin is 2.2 Now protein also increases. (8.7). Could you please advise. On going medicine Roseday 10 and telma ct40/6.25
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GRED treatment

Is vonoprazan (Vono 20 mg) effective for GERD? I have been diagnosed with GERD; can I take this medication?
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Gastritis pain and ppi

I was diagnosed with erosive gastritis and h pylori positive 2023 april. I was given h pylori kit for 14 days of amoxicillin and clarithomycin... after that my gastrtis pain went away for 6 months ...then again pain returned back after that i took esmoprazole 40 mg for many months now when i try to stop taking ppi i get heavy acid and stomach pain...i am unable to stop it... also due to prolonged ppi taking i think i am getting chest pains and body weakness..please help
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Gallstone and sliding hiatus hernia

I have multiple calicus largest measuring 6 mm and sliding hiatus hernia ...I have heard about muse procedure to treat sliding hiatus hernia and shockwave lithotripsy to treat gallstone ...if available where in coimbatore or tamilnadu thisbtype of latest treatment are available  and is there any non invasive surgery or any other method to treat my 2 issue without surgery?
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