Gastroenterology

I am 65 , have bloating and constipation, more problem is constipation, need to put pressure to obtain motion and my stool is thin and pencil like, I drink lot of water and eat fruits and vegetables Please advise a treatment for now as I will consult later

I had nissen fundoplication 3 years back , now i have started going to jogging and moderate running, is it safe dr , I am scared of the wrap will come undone or damaged, my weight is 63 and symptoms free

I had excess gas and flatulence, intially doctor suggested sucralfate but symptoms not subsidies so i visited different doctor usg abdominal normal, no vomit, no stool issue, blood report normal and stool antigen for h pylori negative so he given me pan injection and mucaine gel.. symptoms starts to subsides but my doubt is can i take mucaine gel after using sucralfate for some days .

In 71 yrs female with early stage compensated liver cirhosis, asymptomatic, no alcohol use, prediabetes, hypertension. LFTs, IgG are moderately elevated. ANA+. No ascites/jaundice. Biopsy not done. ?AIH?PBC How often repeat blood tests (LFT, RFT, PTINR,CBC)  are advisable? Is every 3 months compulsory? Also can cirrhosis cause increase d-dimer?

Hi , My 3.5yrs boy has recurrent throat ulcers (4 times) Everytime dr gave some antacids and antibiotics. It's gets heal after medication..but after 2-3months it happens again..his throat ulcers again shows.. Whenever he eats some citrus fruits or tomato ketchup,he gets throat ulcers right after that. What should I do ? As he is very small ..so much medications are not good for him. Please suggest some permanent solution for acid reflux so that throat ulcers don't come back??

I have severe acne problem for past 5 years..July 2024 I was diagnosed with endometriosis stage 3 with my rectum sticking to uterus..so I was asked to do a colonoscopy and the result showed I had chronic colitis or inflammation inside my intestine ...and right after colonoscopy I stopped getting pimples...just like that it stopped...I was also taking dienogest for endometriosis before the surgery...and I had my surgery in dec 2024..they put a mirenal coil to stop my periods .....and then stopped taking dienogest by Feb 2025...now from June 2025onwards im getting acne..like painful pimples...are my Insides ok? Should I again do a colonoscopy?

Sir patient is having severe constipation and chronic history of constipation since 2016 now after one month of constipation episodes patient started vomit and after that usg done Please suggest cause of minimal ascites in this case And long segment thickening Lft kft albumin and hb is normal Pl advice Usg is attached pl find

71 years, early cirrhosis, asymptomatic. Dr said ?AIH , ?PBC, or metabolic. Has prediabetes, hypertension. Osteoarthritis.  CHILD A.  Meld 8.  Fibrosis scan CAP mean 188, 31 kpa. ANA+. High IgG.  Liver enzymes were elevated earlier but after 2 months and changed to healthy diet repeat liver enzymes were less elevated. No ascites/jaundice. Mild pedal edema. 1) Is it absolutely necessary or worthwhile to do biopsy or endoscopy considering her age to rule out cause? 2) If autoimmune suspected and is not ready to take steroids as side effects are more serious, then is biopsy still required? 3) LFT r better than earlier. Does it mean she can get better? Is repeat ANA , IgG to b done?

PRESENTED WITH C/O SYNCOPE WITH NAUSEA AND FOLLOWED BY VOMITING, NOT ASSOCIATED WITIH.

Hello doctor, I got both an ultrasound and a CT scan done. Ultrasound says: - Appendix is 5 mm - Appendicolith (stone) of 11 mm seen in the lumen CT scan says: - Appendix measures 5.6 mm - No appendicolith seen - No fat stranding or inflammation Currently, I have no fever, no vomiting, and no constant pain — just occasional mild pain in the lower right abdomen. I'm confused: 1. Do I really have an appendicolith or was the ultrasound wrong? 2. Is any treatment or surgery required now? 3. Can this condition stay stable without surgery if I have no major symptoms?