Gastroenterology

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Pain in anus while walking , sitting

How does the video call work for a gastroenteologist. I have pain in anus. How will the diagnosis happen. Shouldn't a in person appointment be better ?
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Liver problem raised sgpt

My liver enzyme sgpt-90. Sgot-58. Birubin total- 2.36. My cholestrol level 215. Triglycerides level 225. Please give suggestion. I drink beer 4 times a week. My bp is 150/100.
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Having trouble with weight

Hello Eceryone I am a 27-year-old female struggling with weight loss. My current weight is around 75 kg and height is 163 cm. Even when I follow a strict diet, avoid sugar/outside food, and try to maintain a calorie deficit, I find it very difficult to lose weight and regain easily. I have hypothyroidism and I’m concerned there may be underlying hormonal issues like PCOS/PCOD or insulin resistance affecting my weight. I also struggle with cravings and appetite control. Could you please advise what tests I should do (thyroid levels, hormones, insulin etc.) and whether treatment options like GLP-1 medications (semaglutide/tirzepatide) would be appropriate and safe for my case?
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Obesity Issue

BP / cholestrol / thyroid / OCD since many years and on continuous medication . Weight has increased to 118 kg with height to 5 ft 6 inch . How to reduce weight ? What to do
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I want to consider GLP-1

I'm 27F, 5 feet tall, 73kgs, so classify as obese. I was diagnosed with PCOD when I was 14 years old but haven't done any significant tests recently to confirm it. I have tried to lose weight in every way possible but I always have failed. So I want to consider GLP1s. I have done a little research myself but I want to do this with a specialist doctor who can monitor and prescribe. And I want to do it on video consultations. Any help would be appreciated, thank you
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Blood in vomit

Hello, good morning. For almost five years, I've had heartburn and indigestion problems. I've taken all kinds of tests—two endoscopies, pH monitoring, a barium swallow, etc.—but I still haven't found a solution for my problem (gastritis, EOS, mild GERD). Every day I get epigastric pain. I only feel better after I eat. Actually, my mom made me drink neem juice this morning. After I drank it, it hurt my stomach, and I vomited within a minute. It wasn't forceful, just one throw-up, but I saw a blood streak in it, which scared me. I don't know what to do now. Any suggestions, please? I'm already taking Nexium once a day.
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Gallbladder stone

I have been detected with intestinal tb and taking medicine from June 10. I also have gall stone 15mm in lumen 7mm in neck. I have my job training also. Till when can I go back to my training and for my gall bladder surgery is it necessary to get it done now or now I can delay ut for a while? I also have to do physical exercise during the training periods. So with a stone will it be harmful & or how many months after surgery i can go back to being normal ?
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Gas blotting and piles

All the time my stomach feels heavy. I suffer from constipation every day, and my digestion has been causing problems for a long time. My stomach always feels bloated and uncomfortable. It often feels hot or irritated inside, and I frequently burp after eating. My bowel movements are hard, and I have to strain during bowel movements. Recently, I was diagnosed with Grade II piles, which I believe may be related to my chronic constipation. I work as a service engineer, so eating outside is unavoidable because of my job, making it difficult to maintain a healthy diet. Please advise me on the possible cause of these symptoms and suggest the best treatment, dietary changes, and lifestyle modifications to improve my digestion, relieve constipation, reduce bloating, and help manage my piles.
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Loss of appetite

Im facing loss of appetite and nausea at times after completion of medicinal course of cold and viral fever.Could it be due to medicinal side effects?
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Stomach tightness and

Title: Upper abdominal pain and frequent stools for 1.5 years Hello Doctor, I have been experiencing upper abdominal discomfort for the past 1.5 years. My symptoms: Upper abdominal pain/tightness and occasional chest discomfort. The pain is usually not present when I lie down. I pass stools up to 3 times a day, usually formed. No significant weight loss. These symptoms have been persistent for about 18 months. Investigations done: Stool test was done about a year ago and was normal. Heart tests (ECG, TMT, and 2D Echo) were normal. . U/S sound test also done one year back. Could this be due to gastritis, GERD, IBS, or another gastrointestinal condition? What investigations would you recommend? Even though I am using medicine it is not a cure. Thank you.
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