Gastrointestinal Bleeding Treatment

Health Q&A
GERD , Sliding hiatal hernia

I have been suffering from GERD for approximately 10 years. My symptoms have been persistent and significantly affect my daily life. I experience severe heartburn and a constant sensation of breathlessness, even with minimal physical activity such as walking or slight body movements. The breathing difficulty is one of my most concerning symptoms. I did endoscopy 4 times so far , did 24h ph test and esophageal Manometry as well my demeester score is 17 and Acid exposure time is 4.2% and Manometry is normal I have tried multiple treatments over the years, including (PPIs, PCABs), and low-dose amitriptyline, but none have provided lasting or significant relief. Despite ongoing treatment, my symptoms continue to worsen or remain unchanged, and my quality of life is severely impacted. I would like to understand whether surgical options such as anti-reflux surgery could be effective in my case, and what evaluations or tests would be required to determine if I am a suitable candidate.

ECONORM PROBIOTIC

Is ECONORM probiotic taken before or after food ? I'm suffering from IBS with occasional loose motions and right rib pain below arm pit .

Worm infection

Plz suggest treatment for pinworm infection,I take Albendazole 2week , weekly but less improvement also urge  morning recurrent stool pass no diarrhea

Extreme stomach pain

I am a 37 year old female constant stomach pain on lower abdomen but sometimes the pain shift to any part of my stomach. nothing detected in ultrasound..whom should I consult now? gastroenterologist or neurologist ?

Need review as Symptoms not improving

NOV-upper middle abdominal pain, got relief by Pantacid DSR. DEC-as doc said did some tests.SGPT 90,SGOT 43,BILIRUBIN 1.6; tsh,creatinine,urea,fbs,HBa1AC,lipid,Na-k test all clear and usg abd also clear. JAN-SGPT 150,SGOT 50,BILIRUBIN 1.6,EOSINOPHIL 12% FEB-SGPT 88,SGOT 38,BILIRUBIN 1.3,EOSINOPHIL 4% MARCH-SGPT 63,SGOT 41,BILIRUBIN 1.4,EOSINOPHIL 7%;esr,chest xray and ecg normal,Hep b & c clear[loss of appetite,weight loss,chest pressure on both side,recurrent pain in shoulder,heel,finger joint,back of throat in december but in january somewhat disappear but throat pain back in march,Stomach irritation,rare pain in left lower and upper abdomen,fatigue,nausea,borborygmi,feel sick more from morning to evening,in February end few blanching pin red rash under feet now disappear and rare lower abdomen/bladder pain this time,stool ok,no fever]WHY DOCTORS IGNORING EOSINOPHIL up and down even after pointing it out. Lifestyle is  balanced, no alcohol or smoking in life, eat less oily home food.

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Doctors
Dr. Gregory D Gibbons - Internal Medicine
Dr. Gregory D Gibbons Internal Medicine (Residency, Medical School, Medical degree, DO, Doctorate Of Medicine, Fellowship in Gastroenterology, Residency in Internal Medicine, Class of 1979) 47 years experience Ohio Gastroenterology Group Inc
Columbus 43202, COLUMBUS
Dr. Jeffrey S Sams - Internal Medicine
Dr. Jeffrey S Sams Internal Medicine (Medical School, Medical Education, Fellowship in Gastroenterology, Residency in Internal Medicine, Class of 1978) 48 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Hayat  Mousa - Pediatrician
Dr. Hayat Mousa Pediatrician (Medical School, Residency - ID, Fellowship 2, Fellowship in pediatric gastroenterology, hepatology, and nutrition, MD, Pediatric Residency, Physician Leadership Academy, Faculty Leadership Institute) 33 years experience Ohio State Harding Hospital
Fifth by Northwest, COLUMBUS
Dr. David Andrew Sabol - Internal Medicine
Dr. David Andrew Sabol Internal Medicine (Medical School, Fellowship, Internship, Medical Education, Fellowship in Gastroenterology, Residency in Internal Medicine) 28 years experience Central Ohio Endoscopy Center
Glen Echo, COLUMBUS
Dr. Ryan S D Carvalho - Pediatrician
Dr. Ryan S D Carvalho Pediatrician (Medical School, Medical Education) 27 years experience Pediatric Academic Association
Columbus 43205, COLUMBUS