Question 1

I've been feeling a bit uneasy ever since this incident a few months back when I was eating crunchy peanut butter and it got stuck in my food pipe. I experienced chest pain for about a week after that. Though it's been three months now, I'm still feeling kind of uneasy. I sometimes notice a vibration on the lower left side of my chest and have been dealing with this back pain for a couple of weeks. Is this something I should be worried about, or could it be related to acidity? Would really appreciate any advice you might have.

Accepted Answer

Pulmonologist opinion is advised to the patient.

Question 2

I had a Nissan fundoplication 360 wrap done but the day after surgery the nurse gave me a large combiflam tablet which I swallowed whole without crushing it. Ever since then I'm experiencing reflux just like before the surgery - could that big pill have loosened my GE junction sphincter again?

Accepted Answer

Take all prescribed medicines as directed: Until you can swallow easily, take liquid medicines. If you are given pills, crush them and swallow them with liquids. But some pills can't or shouldn't be crushed.

Question 3

I've been dealing with going to the toilet 10 to 12 times a day, and sometimes it's even more than that. It's been happening for six months now. Any ideas on what might be going on or suggestions on what I should do about it?

Accepted Answer

Dog Bite Incident and Potential Infection Risk

_Assessment:_

1. _Minor wound_: The wound was small and healed quickly.
2. _Prompt wound care_: You washed the wound with Dettol liquid, reducing the risk of infection.
3. _Low-risk bite_: The dog's tooth only grazed the skin, and the wound didn't become infected.

_Precautions and recommendations:_

1. _Monitor for symptoms_: Keep an eye out for signs of infection, such as redness, swelling, increased pain, or pus.
2. _Rabies risk is low_: Given the minor nature of the wound and the fact that the dog is still alive and healthy (sleeping in the same place every day), the risk of rabies transmission is low.
3. _Tetanus shot_: If you're not up-to-date on your tetanus vaccinations, consider getting a booster shot.
4. _Consult a doctor_: Schedule a consultation with your primary care physician or an infectious disease specialist to discuss your concerns and determine if any further action is needed.

_No need for:_

1. _Post-exposure prophylaxis (PEP) for rabies_: Given the low-risk nature of the incident.
2. _Immediate antibiotic treatment_: Unless symptoms of infection develop.

Can you recommend a good probiotic tablet for me and let me know how long I should take it? My doctor suggested I take rifagut 200mg, but I forgot to ask for how many days I should be on it. Could you let me know the duration and dosage guidance?

More Gastroenterology/GI medicine Health Queries

I had a Nissan fundoplication 360 wrap done but the day after surgery the nurse gave me a large combiflam tablet which I swallowed whole without crushing it. Ever since then I'm experiencing reflux just like before the surgery - could that big pill have loosened my GE junction sphincter again?

I've been dealing with going to the toilet 10 to 12 times a day, and sometimes it's even more than that. It's been happening for six months now. Any ideas on what might be going on or suggestions on what I should do about it?

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