Gastroenterology

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Jam block feeling

My father, (79 yrs), has been experiencing a persistent “block” or “jam” feeling between his upper abdomen and lower chest, mostly after lunch and an afternoon nap. The discomfort is not associated with chest pain, sweating, or fatigue, and it gradually subsides with time or distraction.His cardiac and respiratory evaluations — ECG, 2D Echo (EF 58%, no RWMA), Chest X-ray, BNP — are all normal. Endoscopy showed gastric erythema and erosions, RUT negative. Over the past two months, he has tried several gastric and motility medicines:Voltapraz 20, Razo-L, Omez DSR   Sucral-O, Mucaine Gel   Acogut (Lupin), Bloatpill   Ganaton (Itopride). Despite these treatments and lifestyle changes (light diet, sitting upright for 2–3 hrs post-lunch), the “block/jam” feeling continues to appear almost daily after meals.Kindly advise whether this could be due to reflux-related diaphragm pressure or something else ? (a photo with a red marked line showing the area where this discomfort happening)
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Does Government hospitals have

Does Government hospitals have Urea Breath Test for H. pylori infection? Hi, I wanted to know if government hospitals in Mumbai provide the Urea Breath Test for H. pylori infection. Is it available there or mostly not? Thanks.
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Gerd problem...

I have to take ppi everyday otherwise there is heartburn for 4 years...food coming up through esophagus...
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IBS M AND EXCESSIVE FARTING

Hi doc I have extremely excessive farting problem and also I think I had ibs m Could u please suggest me probiotics to cure farting aswell as ibs m
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Routine blood checkup

I recently did a routine blood checkup.. Attached are images..it shows increased bilirubin levels and eosinophils. I have grade 2 fatty liver also. I was also taking medicines for my allergies. Please give some inputs on this...
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Appendicitis surgery

My husband has his appendix surgery yesterday as he was having mild pain for past two days on the right side. After the doctors took ct they sd acute appendicitis and removed. After the surgery the doc sd we found some mucus gel around that area we have sent it for biopsy and can be told only after the reports. Is this alarming? Please advise on this doctors. Attaching specimen for your reference
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High bilirubin

I had gallbladder laparoscopic surgery on 19th september 2025. After that I was having pain on mid rib and bilirubin( total, direct and indirect) and all liver enzymes were increased. Indirect was more than direct. Dr suspected retained stone but on mrcp it was clear and bilirubin started going down and liver enzymes also. Since last one month was taking udbest 300, bilirubin was normal but yesterday repeat test indirect bilirubin is high again. Also I am on strict oil free , less spicy home food diet. Having2-3 litres of water everyday with coconut water, buttermilk. reports are attached. Please suggest.
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Flare up or normal in remission?

Detected crhon colitis 1 month ago  with occasional loose stool with mucus and blood now 10 days continuous loose stool but no mucus and blood but frequency is 2 times . That means inflammation is active again or is it normal in remission in crhon disease? Currently taking azoran 5 mg with wysolene 15 mg. Dr said it is normal in remission.
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Having severe indigestion issue

3 weeks back this problem started , back before I was eating raw paneer and refrigerated foods more often , then after some days I began to feel little off balance like symptoms , Then exactly 3 weeks before after taking dinner , I went to bed and woke up 30 min later with sweat and great discomfort, immediately took rantac 150 and sometimes later there was stool passing and then symptoms going off slowly, but after that day I started having severe indigestion along with vomiting for 3-4 days , plalpitations like pounding , cant able to sleep because of pounding , constipation, black brownish stool , brain fog , discomfort, excessive burping after eating , no appetite for whole day , bad breath after eating something sweet , Then after taking some local doctor visits they offered gastric medications but nothing worked, same sypmtoms coming again and again , now I am confused if its a bacterial issue or gastric issue , I am fed up by this problem, please help
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Sticky and burning stool with gut issues

It all starts with feeling of incomplete bowel movement, bloating like a balloon and fullness even after having bowel movement. Never remember to have well formed poop as per bristol chart. Stools were thin, sticky and not well formed. They are of 5/6 acc to bristol stool chart every day-sticky and mushy. I will have burning sensation and irritation in anal region after bowel movement every day. My breathing would not be smooth its kind of difficult with this bloating and heavy feeling and gives palpitations if severe. After having breakfast how much healthy it may be i get burning sensation in stomach. This gets worse after lunch with pains. Its severlely affecting my performance. Always feels some kind of pressure in head and brain fogginess. . Getting tired and exhausted easily. Passing of gas seems to alleivate somewhat but rarely passing these days. But not able to do so too. for more than 10 yrs i have been dealing with these. How to get well formed poop.
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