Gastroenterology

I was having acidity so I have taken PAN D for 15 days however and I had a good relief. After stopping the same for the past 5 days again I'm having on and off acidity. Pleas advise

I started mounjaro 5 mg then jumped to 7.5 and then again came back to 5mg. Now its been 3 months on mounjaro with no side effects and hunger came back rapidly and already gained back 3 kgs after losing 15kgs in total. Can i take 10 mg directly and skip 7.5 mg.

My mother always has UTI markers, intermittent joint pain, swelling/ water retention in case of normal salt intake (only rock salt in moderation suits her). She has multiple lipomas and hypertension since years. Her ESR, HsCRP, homocysteine are persistently very high. Please suggest next steps.

Hi, I have Pcos and I train at the gym and also do Pilates. But my weight doesn't go down. Even if does it stays the same on the scale. I have experienced rapid weight loss but it increases again. I manage my appetite and do physical activity. I am thinking about getting extra help just get the boast and reduce the right amount of weight. But I don't want to take GLP 1 for a longer period of time. I need advice if I do one month of it. Will it help me? If I continue with gym and Pilates?

My free t4 was 0.85 and on refrence range it was written normal 0.88 and my tsh was 1.1 ans I had weight gain problem is my thyroid normal

Can I take Ozempic for weight loss as I don't have Time to join a gym or follow a strict diet plan due to work.

My father (57M) and mother(57F) have been taking Kayam tablets daily for over a year for constipation and are now completely dependent on them and cannot pass stool without them. Kayam contains 50% Senna and Mulethi (Licorice) which I understand can cause electrolyte imbalance and bowel dependency with long term use. My father had an abdominal USG done recently which also incidentally found a 4.2mm kidney stone in the left kidney (no hydronephrosis). He exercises daily and has no chest pain, palpitations or other symptoms. Looking for guidance from a gastroenterologist on: • Safe tapering plan to wean off Kayam • Whether Isabgol or Lactulose can help during transition • What blood tests should be done given this history • Whether the kidney stone needs treatment or just monitoring I am willing to follow up with additional appointments as well. Thanks!

Hi, my mom is around 60 years old and she has a trouble pooping for years, she has to have tea in the morning, and takes 30/40 mins for her to stool properly. Why can't she normally excrete like have warm water and done for dusted? She has to sit for a long duration and sometime go twice.

Facing mild right lower abdominal pain from 3-4days. Having no proper sleep sometimes, waking up at 3am midnight. Pls suggest

Hello Doctors, I am asking for a friend Male, Age: 31. Today, for the first time, he noticed darker red blood mixed throughout the stool during a bowel movement. It was not just on the surface or on the tissue. There is no pain. In recent times he was facing gastric issues and little pain in the heart region. He has no prior history of this. Could you please advise on how urgent this is and what the next diagnostic steps should be? Thank you.