Gastroenterology

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Ibs diarrehea

Reccurunt stomach infection Ibs from 25 years mangag with rifaximin Currently on tryptomer 10 and trifluperazine and chlordiazpoxide tablets at night only half tabs both
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Obesity treatment

Sir/Madam Please provide an appointment with Dr S A Mallick, for my obesity treatment, only video consultation, please fixed an appointment Thanks
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Unable to lose fat

Hello, I was a slim person till the age of 15-16. After that i started gaining weight. By the time college ended, I weighed 78 kg. After that i started eating little. According to the calorie counter, i would eat somewhere around 1k every day. I used to walk somewhere between 10-15k. I lost 26 kg in less than a year. I was now around 53-54 kg. With fat I also lost a lot of muscles. My arms looked like that of an old person. Within a couple of years I started gaining weight again even with home food (which meant little oil, no junk, sugar only on occasions). Later, i moved to Bengaluru and started eating junk food. And all the weight came back. From 66 kg, i went to 86 kg (in 2.5 yrs). I have been trying to eat healthy (1500-1600 kcal) and walk (7-9k) since Jan and in two months, my weight has gone down by 1 kg only (85 kg). That too i am not sure because sometimes it increases up to 85.5 kg. Please help me I am really frustrated. I also need to get pregnant soon given my age.
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Constipation,gas , bloating

“Last 6 months I have been suffering from this problem.” “Main problem: difficulty in passing stool, has to strain a lot.” “Sometimes stool does not pass properly; there is gas and abdominal pain.”not clear bowel movement. “At times there is bloating, indigestion, and discomfort.” “Treatment has been taken, but the problem is not completely cured.take doexercise,3 lit water ,fiber intake 20 gram.isabgul daily,bt no result.
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Constipation

“How much quantity of stool per day is considered normal?”i pass very little stool.pls give clear idea.
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Grade 2 Hiatus hernia

I am suffering  from grade 2 Hiatus hernia since 2 month. Light pain throughout day and heavy pain after meal. I am taking Drotin A and Pantoprazole. But , these medicines not too much effective. What is tha permanent solution of hiatus hernia.
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Obesity treatment

Hello i am 45 year old suffuring from obesity my weight is 95 kg and my heifht is 4 feet 11 inch i have recently started to exercise and i am looking to get wegovy or generic wegovy which specaility doctor should i consult for it and i am also hyper tensive
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Fluoxetine 40mg daily

Hello dr My doctor prescribed Fluoxetine 20 mg once daily in the morning after breakfast, Propranolol 40 mg twice daily, and Clonazepam 0.25 mg at night for OCD and health anxiety. After 10 days, my doctor advised increasing Fluoxetine to 40 mg daily, and I have started taking 40 mg once daily. However, I am currently taking Propranolol 40 mg only once daily instead of twice. I want to confirm if this is okay and whether increasing Fluoxetine to 40 mg can cause any side effects or long-term effects on the liver or kidneys.
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Chest pain  and palpitations

I am a 20 year old male, I had on and off palpitations for 1.5 years, around the same time I had a peculiar HTN which was only shown in home at doctors office it was normal, I had 20 ecg( 2 ordered by doctor, 3 in emergency rooms, rest 15 done by me just after having the episodes) all were either normal or sinus tachycardia, two echo Doppler all normal, 24 holter monitor with 5 SVE. My lipid (ldl 95,hdl 48, Tg 78, Tc 157), my cbc was normal, lft was normal my two time trop t test in normal, I went to CMC where 4 medicine doctor, 4 cardiologist, 3 endocrinologist saw me no one found anything wrong but still every day I have chest pain and palpitations randomly I am fear of death 24/7 because I don't know at this point what doctor or medical line to see.. I am 122 kg before I was 129kg, I am on 1.25mg of BISOPROLOL and 2.5mg of Amlodipine , my bp is on avg (106/65).. I don't know what to do I feel weight cause me a heart issue causing death.
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Weight Loss Resistance

I am a 28-year-old with Thyroid and a BMI of 32.0. I have been taking 50mcg of Thyroxine for one month, and my TSH is shigh at 10.5 mIU/L, and my HbA1c is 6.0%. Despite being physically active with swimming and recently started gyming, I am experiencing complete weight loss resistance and a high Visceral Fat level of 18. My biggest struggle right now is that I feel I have absolutely no control over my hunger; I experience intense 'food noise' and the urge to binge even immediately after eating full meals. I recently completed my Vitamin D treatment, but my metabolism feels completely stalled. I would like to know if my thyroid dose needs to be increased and if I am a candidate for Mounjaro (Tirzepatide) to help manage this uncontrollable hunger ?? I really want to lose weight as I'm out of energy and all day I feel inactive and sleepy
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