Gastroenterology

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Quitting ppi

I want to quit omez d I want to do so by reducing the dose but since its a capsule form I don't know how to do it. Please suggest something
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Feeling bump in the exactly middle chest

Feeling a bulge exactly middle bone of the chest at the lower end is it a normal bone or anything else ??
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Tuberculosis medication SGOT high

Hi doctor my dad is taking tuberculosis medication for past one week and doctor suggested a cbc, lft,kft . In that sgot is 112. Can you please assist how can we cure this and he is too weak . No appetite .
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Not digesting night food

Food not digesting that I ate at nights. It feels discomfort around my stomach and near my kidneys even when I take carrot and capsicum if I have not had a walk after dinner. It's happening very frequently. I don't know why it's happening, Please suggest what I should do?
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Liver heptic cystwith high billirubin

Heptic cyst 2.5cm in liver with high billirubin 2.5 in which 0 .3 direct billirubin and 2.2 indirect billirubin last 3months
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Excessive gas and vertigo

My father is law is having excessive gas, bloating and after that he complains of vertigo. He is having trouble walking also due to vertigo. Attached is his endoscopy report. Please suggest for diagnosis.
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Esophageal varices

My father is suffering from cld .Endoscopy test on July 2023 show my father has esophageal varices of gradeIII*2 and a  evl done in July 2023.currently he is on carvedilol 3.125 twice from last 5 months .is it ok. moreover he has no history of vomit blood till date.
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Serum Globulin is 4.04 & SGPT is 36.41

Dear Doctor, My spouse got an Annual Health Check up, she is 24 years old, in LFT report the Serum Globulin is 4.04 & SGPT is 36.41. Serum ALB/Globulin Ratio is 0.98. Rest all parameters are with in normal reference range. Is this something serious? Kindly advise.
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Lower Abdomen Pain

I had a hemorrhoid last month but during a bowel movement, I had to strain a lot with soft stools. Since then, my lower abdomen is aching now and then, intermittently. I stopped alcohol 3 weeks ago and eating less spicy. My blood result is all normal except low iron. My urine test and stool test came normal. CT abdomen was also normal. Attached the report. I started an iron tablet around the same time but stopped taking it fearing if that's the cause. I'm trying to find out what I should do and avoid for lower abdomen pricking.
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Bleeding in stool for last one week

Last year I was diagnosed with internal ulcers in both upper and collon area with multiple erosion. For last one week there's Frank blood fall in stool.Blood falls at the end I don't feel any constipation. Internally I feel gas
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