Gastroenterology

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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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Abdominal pain and constipation

I have suffering from lower abdominal pain and constipation. My MD doctor has suggested me to a gastro doctor. The pain started since Oct but didn't have constipation that time but now i am starting to have constipation and I have consulted urologist and gynaecologist but the medicine's are not helping me. My MD doctor I must be suffering from IBS-C . Can you help me find out the problem and if it's IBS-C . Please help me out with some medicines for the pain and constipation ? And diet plan or foods to avoid.
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Anal skin tag

I have an anal skin tag since a few years but over the last 3 days it's become painful when I sit and also itchy does this require surgery ? There is no blood in stools or otherwise just painful and itching
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Moderate sludge/tiny soft calculi in GB

Hi, I got diagnosed with sludge/tiny soft calculi in gall bladder. USG says: The liver is enlarged (16.1cm). It appears bright in echotexture. No focal lesion seen. Intrahepatic biliary radicles are not dilated. Gall bladder: - It is distended. Moderate amount of sludge/ tiny soft calculi are seen in the Gall bladder lumen. The wall thickness is normal. Common bile duct is not dilated. I am non-alcoholic and not have any pain in chest or nausea. Its still in early stage, it got caught due to USG for my gerd. I have chronic GERD which caused LPR. although due to diet control my GERD is under control. I don't want to opt for surgery and want to know what are the chances that this will get cured with diet control and UDCA medicine. Thanks
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Palpitations and high Heart rate

I experienced palpitations and tiredness 3 days ago. I checked my BP and it was normal. I checked my pulse and it was elevated. I always have a high resting HR. Between 90-102. My GP said it's ok. But the HR was elevating when I stood up. Noticing this for 3 days. It rises up to 127-136 immediately after I stand up. It goes down if I stand in the same place or sit down immediately. If I start to walk, it keeps rising.  Also have palpitations while sitting walking and standing.  Went to my GP and he did EKG and he said it's ok and told me to see the hematologist. My hb is 10.9. iron 32.I have an alpha thalassemia trait.So he said that could be causing my symptoms and referred. I have not gotten any treatment for thalassemia.Diagnosed last year since I have low mch,mcv,mchc. Should I see the cardiologist to evaluate if it's any heart conditions.Since I have high HR and palpitations.Also feeling very tired throughout the day. Taking iron supplements everyday.  I am obese (103kgs).
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