Gastroenterology
Unable to pass gas from anus area
I underwent Fissurectomy, Hemorrhoidectomy, Sphincterotomy, High-end Fistulectomy, and I&D of a perianal abscess on October 28 last year. For the past 6 months, during my recovery, I’ve been experiencing a sensation that gas is not passing sufficiently through my rectum, which causes significant discomfort. 1.My endoscopy and colonoscopy results are normal, and I have tried itopride,acotiode,cintriapride and various drugs prescribed from leading gastroenterologist in Kolkata including Dr Ashokananda Konar, Dr U.C. Ghosal Sir. 2. Recently I have found type 3 dyssynergia with abnormal balloon test in anorectal manometry 3. I have been hearing growling sound from stomach and feeling gas all time even I eat or not left lower abdomen quardex.4. I have the cyst in right kidney. Urologist has told that there is no problem since it's not increasing much. Will it be considered as a problem and I am little bit desparate and all the test are normal. want to find out the root cause?
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Weak lower esophageal sphincter
I always have throat irritation,white tongue. And when I visited ENT and Dentistst they checked thoroughly and ruled out any throat and oral issue but ent asked me to do upper gi endoscopy and came with lax cardia (Weak lower esophageal sphincter) and antral gastritis (I did hpylori stool antigen test for this and it came negative).is there anyway to fix lower esophageal sphincter. I think it's causing all these issues.
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Recommendation fr Hiatal Hernia H Pylori
I have been diagnosed with Esophagatis Grade D with hiatal hernia of 4 cm after endoscopy and biopsy revealed H Pylori infection. I have been put on a medicine course with 2000mg per day Amoxicillin plus Vonefi and Sucrafil.
I have been advised to get fundoplication surgery done.
I have 2 questions: Is surgery necessary? Is it okay to take Vibact Probiotic in the middle of the day to counter the heavy antibiotics dosage?
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Upper abdomen discomfort
I have been experiencing a persistent dull discomfort on the left side of my upper abdomen, just below the ribs, since around early September.
The pain is not sharp, but feels like a constant pressure or heaviness, as if something is inside on that side.
The discomfort becomes more noticeable when I sit for a long time, bend forward, or stay in one posture.
Doctor suspected Costochondritis and Gilbert’s syndrome.
Investigations:
• USG Abdomen: Liver mildly enlarged (15.3 cm); early fatty change in pancreas
• LFT: SGOT 21.8, SGPT 23.1 (normal)
• Bilirubin: Total 2.1 (Direct 0.37, Indirect 1.73)
• Amylase/Lipase: Normal
• Lipid Profile: TC 182, LDL 116.9 (mild ↑), HDL 45
• TSH: 5.89 (mild ↑)
• Vitamin D: 19 ng/ml (low)
• HbA1c: 4.9%
• Kidney, CBC, Urine: Normal
Alcohol: Occasional(monthly now once/twice or even no)
Smoking: occasional
Current meds: Shelcal HD, Lumia 60K, Evion
Suggest what more to do now and what it might be?
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Urea breath test for h pylori
Can this test done while taking ppi or h2 blocker and probiotics
It suppresses H. pylori activity, not by killing it, but by making it dormant
So even if the bacteria is still there, it may not produce enough urease → breath test reads negative.
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Chest pain with not having Regular Food
Sir/Mam this is to inform u that My niece who is Student for 02 Months ago She relocated from her Narive place to Town Area after a week Problem started to her Chest Pain Not feeling Hungry/ Bleeding from Nose on regular basis .
Yesterday Night she Fell Unconcious due to weaknesses.
Please Suggest what to Do...
Best Regards
Raju Bahadur
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Perianal abcess with antibiotics
I had small perianal abcess two times once in jan and once in Feb ,both time it cleared with just antibiotics within 3-4 days ,and now I don't have any issues since 10 months.did it not turn into a fistula,i didn't have any drainage done on my abcess it drained on its own both times ?
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Scared seeing the blood
I have been experiencing constipation on and off since 2021 and usually pass stools once every 3 days. I did not take it seriously earlier which is my blunder mistake .
A few days ago, I noticed blood in my stool on two occasions. The first time it was bright red and mixed with stool, and the second time there was less blood. I do not have other symptoms like abdominal pain or loose motions.
This has made me anxious and worried about serious causes such as colon cancer. I would like to know the possible reasons, how to distinguish them, and what tests may be needed. Please also advise on managing chronic constipation.
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Piles problem
Hello I have piles around anus from last 5 months I don't have any pain but I have constipation problem . So please advise me for cure from piles.
Thanks
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Ultrasound
Just did ultrasound for abdomen n pelvis it showed liver normal size but mildly altered echo texture and lft is normal previously I was daigonised with chronic liver disease
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