Gastroenterology

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Light coloured/ dark brown stools

10 days back, I have light coloured stool and I took LFT on same day. Now for last 2 days, my stool colour is in dark brown without any medication. Please check and let me know if it is normal. I had history of fatty liver for last 3 years. 2 years back, my fibroscan result were normal but grade 2 fatty liver
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LSM 13.8 Liver

44 yrs Male with BMI 34 I am diabetic and having fatty liver. Today my fibroscan indicates that LSM is 13.8 and CAP score is 291. My LFT results are normal. Can you advise if this can be reversed or contained?
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Joints pain

For the last 8 years , I have been feeling that whenever I take any tablet of ppi group, muccain gel , sucramal, cremafin, I feel severe joints pain and burning feet , From 2021 to 2024 I was continuously consulting rhumetolgoist , all blood test and radiological test are quite normal, at lest consulted with 5- 6 top rhumetolgoist ,they all denied possibility of arthritis, When I feel constipated I feel epigastric pain no burning, nexprol l better work to me but after taking one week knee joints , feets and finger pain and hip pain occurs , now taking vonozopram 20 mg but not so effective
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Suffering from semi loose stool and ...

Hi doctor I'm 21 year old and since 1 year I've unusual bowel . Sometimes for some days I feel relax and suddenly I get loose motion, for many days semi loose. And moreover in daytime i always feel i need to defecate, or a feeling/sensation of passing gas stool , it irritates me a lot and making me mentally disturbed. Is this something serious? I always have anal fissure or internal piles or what I'm not sure of .
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Slightly elevated bilrubin

Is this normal Where i see slightly elevated bilrubin values and also hematocrit Have high triglycerides of 250 which i will start working on it
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REQUEST TO ELABORATE REPORT

Respected Doctors, kindly check the attached report of mine. i was given sarolitazar 4 mg in june 2025 for 40 days n my CAP scroe got down from 343 to 238 and k value from 5.6 to 4.5. also my lipids were suddenly corrected at that time. now it is my current report, pls provide your advice. is medicine necessary for this report.
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IRRITATION IN THE ANAL REGION

GOOD MORNING SIR. IM 45 YEARS OLD SUFFERING FROM CHRONIC CONSTIPATION DUE TO THIS I HAD ANAL FISSURE WHICH WAS CONFIRMED BY PROCTOSCOPY.NOW MY FISSURE HAS IMPROVED AS THERE IS NO PAIN N BLEEDING BUT AFTER MOTION I FEEL IRRITATION IN MY RECTUM AREA.RIGHT NOW IM USING FIDONAL CREAM N DAFFLON 1000MG BUT IT HAS NO USE.PLZ HELP ME OUT WITH GOOD MEDICINES.
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Hernia treatment at 90yrs

Is it advisable to go for Haitel hernia surgery at 90 when he is bed ridden because of other problems
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Esophageal varices

I am contacting regarding my father. He is diagnosed with esophageal varices because of which esophageal banding has been done. Is there any way to cure it.? He is also having diabetes and pressure problem. What are the best possible ways to cure it.?
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Sigmoid volvolus-

Grossly dilated sigmoid colon with inverted appearance Fluid–air levels within sigmoid loop Displacement of sigmoid to right side of abdomen Loss of haustrations in sigmoid Dilated rectum and proximal descending colon with air-fluid levels Collapsed distal colon from mid-descending to cecum given in ct scan Bird beak configuration implied at descending-sigmoid junction Mass effect over adjacent small bowel loops Mesenteric fat stranding and mild free fluid (ascites) in abdomen/pelvis Mild bowel wall edema seen (suggestive of early ischemia or venous congestion) Small gastroesophageal hiatus hernia with edematous thickening Small epigastric hernia (2.5 x 5.0 cm) with fat + few small bowel loops Gall bladder distended, no calculi Generalised anascara Low albumin 2.2 Give suggestion for surgery as very risky for her Diffuse liver hypoattenuation (possible perfusion-related or fatty changes) No pneumoperitoneum or perforation Both kidneys, pancreas, spleen, adrenals normal
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