Gastroenterology

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PPI side effects

Whenever I take any medicine of ppi group ( Pantaprazole, Esmoprazol, Rabeprazol) I feel intense pain in knee joints and legs fingers, thumb etc , i have done all test related to arthritis,which are quite normal
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Abdominal pain

Severe abdominal pain and fibroids issue . Unable or unwilling to sleep because of pain and severe blood flow during periods .
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Will IBS go away?

Can IBS go away permanently with lifestyle modification? Endoscopy is normal. Symptoms are air from mouth and discomfort in stomach (sometimes). Please suggest lifestyle modifications.
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Liver function report

Sir, i recently body check up This liver function test Any problems in this report I am taking beta blockers and diuretic This report is normal
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Direct Bilirubin level is high

I have done my LFT as part of a routine health check up, all tests are within limits except Direct Bilirubin. Direct Bilirubin is 0.49 and total bilirubin is 1.18. Is this abnormal. Attached my LFT report.
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Report attached

This is my report I want to know everything is fine or I need to consult doctor? Anything serious??
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Test to rule out complications

Hi I noticed blood in my stool . Also , my stools are dark and bright coloured at the same time . My sigmoidoscopy said Grade 1 internal hemmorrhoid. Do I need to get colonoscopy or any other test done to completely rule out any other complications ? I am a fearful guy and don't want to live in fear of cancer, colitis , crohn's etc.
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Sliding hiatal hernia

Recently, I have done endoscopy and the report showed sliding hiatal hernia. Is it a worrying thing? Attaching the report.
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Food comes up

Sometimes food comes up into mouth sometime after eating to my husband. Not on a regular basis but this is bothering me.Let me know if this is serious
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Right side pain in liver

I had done liver function test and my ALP is 174 and SGPT-58.further all other parameter comes normal.what is the reason of high ALP and SGPT.plz suggest as i m very tensed.is it serious. What medicine should i take.
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