Gastroenterology

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H pyroli - sibo

I used anti biotice multiple times for h pyroli Now I have sibo My b12 is 116 which I am taking injection s D3 16.66 taking supplemts Low on iron and ferrtint , injected IV orofer fcm 750mg How to clear this.. I had procitics and used mesalamine for 3months nd thts resolved...
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Bowl emptying

In the morning, I usually pass some normal-sized, well-formed stool easily with very little straining. After that, I sometimes feel that there is still some stool left, but further straining does not bring anything out. Occasionally, I need to pass stool once again later in the day. On some days, I also feel a mild tingling sensation around the anus if I strain while passing stool. If I strain a little more to try to empty my bowel completely, I can sometimes feel a small, soft tissue-like part coming slightly out of the anus. It goes back inside as soon as I stop straining. This only comes when I strain. There is no blood in the stool and I don't feel any pain in stomach. Is it something to worry about ?
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Increase in weight

Dear doctor I am a patient of sub clinical hypothyroidism where TSH level is high and T3,T4  is normal. I HAVE UNEXPECTED WEIGHT GAIN OF NEARLY 8 KG doctor is prescribing me thyronorm 100 mg. Is anything more I have to do to reduce the weight gain.
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Lower abdominal pain radiating to legs

I had chronic fissure & bleeding for 6 years . So I underwent kshara sutra thinking it's less painful. But the thread changing sessions went on for 2 months & even after that there was lot of pain & didn't seem like it was healing. So I underwent another fissure tissue removal surgery 4 months ago. I had followed everything doc had told. I was getting better. But I have had pain & can't manage a day without 2 sitz bath. Moreover even after following all that, I've been having a strange lower abdominal pain & further the whole lower body starts paining. More like pulling & burning .I even have the anal pain. There's no bleeding or pus. But pain.I really have no energy to undergo another surgery.This is my 5th surgery & I have other health probs too. Already lost 20kgs coz of previous surgeries.Feeling more weak now. Also want to mention that in college, i had eaten lot of slate pencils for 3 years.Is that the reason?Now i don't eat. I can't quit my job too.Please help & guide 😭 painful
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Stool with Blood

Hi , I was struggling with blood from last 2 month and then I had visited a Gastreologist and he had advised me for medicine for 7 Days are Providac Oflox-OZ Omez-D After going through 7 day treatment, stool awaz not coming with blood , so again after revisit the had advised me to take medicine for 20 more days and after that I can stop it , For 20 days medicine are like Omez d for 20 days Auro BL for 7 Days But after 4th day my stool got hard which creates a cut inside I think , and after showing to doctor he asks me to take duphalac syrup in night and sucral Uno tube for the location , Use it from last 6 days stool got softer but still have pain not much compared to hard stool time , Am I going in correct way or need to change any thing?
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Persistent Diarrohea

Hi, I am suffering from loose stools twice day since 20 days without fever no weight loss, no mucus/blood in stools Doctor advised bifilac twice a day please suggest how long it will take to recover
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Can I take Deviry 10mg for my condition

I test LFT in which (direct bilirubin 0.25) ,( indirect bilirubin 0.72), (SGPT 165),(SGOT 97) . My FBS  92.7 , PPBS 137 , HbA1c 6.0% . In lipid profile, Cholesterol 141 , triglycerides 153 , LDL 61 , HDL 50 . In KFT uric acid 7.7 . And except this all are normal . In urine microalbumin 54 , creatinine 91 , Ratio 59.34 TSH 1.91 , prolactin 15.32 AMH 4. 34 Total and free testosterone 0.71 Hb 11 Lmp 27 march for 7 days. Today 16 august. My weight 110 kg height 5'6" bp 140/80 . Done USG which is shown Bilateral ovaries with polycystic morphology.  Dr. Give me Deviry 10 mg per day for 10 days without seeing report to induce period. Can I take it safely for my My liver health condition? I want to loose weight also and cure my all body problems. Please help .
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High SGOT / SGPT ratio & A/G ratio

I recently got my liver function test and lipid profile done as i will be starting Isotretinoin as prescribed by my dermatologist. For my LFT, everything is well within the biological reference range however the SGOT/SGPT ratio is 1.6; A/G ratio is 2.0 (bio reference range was given as 0.9 - 1.8); Alkaline Phosphatease (ALP) is 43 U/L (bio reference range: 44 - 112 U/L). the individual SGOT (aspartate aminotransferase) & SGPT (alanine aminotransferase) values are 19 U/L and 12U/L respectively (well within the biological reference range). my dermatologist says I can start isotretinoin however I'm a bit worried as when i google the SGOT / SGPT ratio, it shows that i might have liver cirrhosis?? I'm just scared that if I start isotretinoin, i might damage my liver. my lipid profile is also normal only the LDL / HDL cholesterol ratio is slightly below the biological reference range that was given. it was 1.2 (reference range was 1.5 - 3.5). I'm a 23 year old female.
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Consult og

I would like your opinion regarding a possible HIV exposure that has worried me for approximately 8.5 years. Incident: I accidentally rubbed my completely naked penis, which had a small cut on it, against blood that was present on a bed. I do not know whose blood it was, whether the person had HIV, or whether the blood was fresh or old. Approximately 15 days later, I developed a cold and mouth ulcers, which increased my anxiety about HIV. Medical History Since Then: - Vitamin B12 deficiency causing burning sensations and body pains. - Mild gastric wall and gallbladder wall thickening on ultrasound. - A small lymph node in my neck that has remained in the same location without noticeable enlargement for several years. - Small groin lymph nodes that have also remained stable for years. - Multiple normal CBC blood tests. - No persistent fever, night sweats, chronic diarrhea, unexplained weight loss, or jaundice. - Instead, I have gained approximately 14 kg over these years and my appe
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Tingling and tightness in the left

I’ve had gastric and bowel issues for about a year. Recently, I’ve developed intermittent tightness on the left side of my face and sometimes my left hand, mainly during severe gas buildup, which improves after passing gas or stool. No facial drooping or speech difficulty.
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