Gastroenterology

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Anal fistula and anal fissure surgery

I have recurrent anal fissure for 5 years and 2 month before i diagonised with fistula also...5 days before i did fistulomtomy for simple fistula ( 1.5cm tract )  and fissure surgery done  combined . What is healing time ? After bowel movement i feel pain and normal time it was managable pain ( no bleeding ) its normal ? . What i can do for post operation other than sitz bath for quick healing i apply sucro ano by surgeon advice ?
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Gallstones problem

Does gallstones get removed via medicine if it does not create any pain and its is  size 4-6 mm in multiple .kindly suggest if there is any solution without cholecystectomy
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Fatty Liver Progression

How much time does fatty liver grade 2 take to progress into liver inflammation & fibrosis in a person who have diabetes & hypertension with 1 year a bottle of daily beer consumption?Started complete abstinence from alcohol & tight control of diabetes & hypertension from now on
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Suffering From External Piles

I Hand a small Pea sized Lump outside Of my Anus. that Gets triggered By Spicy Food causing Burning Sensation and pain For 2 days. I usually Lift Heavy Weights And Before I got this I'm  on a protien diet and generally Consume Very Less Fiber and water and that Causing Constipation and straining . I'm using proctosedyl bd rectal cream And pilex tablets Form past 2 Days all symptoms got disappeared But the size is not shrinking. Can Refere the above Image the mositure is due to the proctosedyl bd rectal cream
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Frequent stool

I have taken antibiotics for urine infection 1 year ago , then I am going to bathroom 4-5 times a day, stool not forming properly, sometimes undigested food particles in stool, I have loss some weight when all this started and now I am not able to weight gain all reports are normal,my tongue had thick white coating on tongue i am suspecting it is "SIFO" anyone please help
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Regarding stomach pain

Will these medicine cure my caceum problem. I have negative typhoid and tb report. Recently went to a govt hospital and got these . I hope these works.
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Stomach issue

Hi Doctor, 1. i daily feels like my stomach is full heavy and tight and at the same time feels heaviness near anal area like if someone pressed my stomach then i will pass stool. 2. Twice or thrice in a year generally when i am outside my home i get frequent hiccups which last for 2-3 days and even not stop after drinking water. It feels like a vaccum is created in stomach which wants so much air to breathe to fill the gap. 3. Whenever i am outside on a trip with my family i get frequent loose motions which happens with so much noise. At that time stomach shrinks after passing gas but after 5-10min coming from bathroom i again feel stomach full and tightness. 4. If i eat ghee also i feel like my stomach is feeling heavy. I tried to summarize whole issue related with my stomach overall. Now main question is what checkup should i go with to confirm and solve this issue? I don't have any past disease record or any ongoing medication. Attaching my cbc report done 2 months ago
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Liver Inflammation & Early Fibrosis

Does liver inflammation & early stage liver fibrosis (F1 - F2) due to grade 2 non alcoholic fatty liver disease & alcohol consumption heal or completely normalises by itself by fully abstaining from alcohol?Have diabetes & high bp. Will saroglitazar help in the process?
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Liver Inflammation Or Fibrosis?

I have been diagnosed with grade 2 non alcoholic fatty liver disease in 2023,have diabetes & high bp.Diabetes used to remain mostly under control but bp fluctuates.My LFT report came absolutely normal which was done 1 year 1 month ago.Consumed a bottle of beer daily for the last 12 months.Taking saroglitazar 4 mg daily.What damages does alcohol have likely  done to my liver?However,there are no symptoms till now.Could it cause inflammation or fibrosis?Can the damages caused to my liver due to daily beer intake for the last 12 months be fully reversed by abstaining completely from alcohol from now on?
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Liver fibroscan

Fibroscan reading cap 319 Lsm is 4kpa What is this and how to correct these values? What should be the diet?
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