apollo
  • male
  • 40 Years
  • 14/08/2025

I had an endoscopy done and attached the images. Can you suggest any medications to help tighten my LES? Is surgery the only option or are there other treatments I can try first? I'm really worried about this and not sure what to do next.

Doctor 1

Answered by 1 Apollo Doctors

kindly share report

Dr. Dhankecha Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 14/08/2025

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I've been dealing with hemorrhoids, but my last doctor said they were low grade. Lately, they've flared up a bit, and I've been feeling constantly tired and weak, sometimes even a little sick. I do feel better after a good bathroom trip, but there's no blood in my stool. Can hemorrhoids cause these kinds of symptoms, and what should I do about it? At what point do you think I should go back to the doctor for another check-up?

Incomplete bowel movements can lead to uneasiness and a sickly feeling. A consult with a general surgeon will help determine the extent of your hemorrhoids, and thereafter determine what kind of treatment will be suitable for you. You may require corticosteroid ointments with laxatives, or even surgical intervention. Lifestyle modifications which may help you include a high fibre diet, natural laxatives to help bowel movement, regular exercise to promote gastric motility, maintenance of a healthy BMI, and avoiding straining during bowel movements.

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I just got back my blood test results and Im a bit concerned. My SGOT level is at 50, SGPT is 83, and total bilirubin is 1.26. Could you give me some advice on how to lower my SGOT and SGPT levels? I'm really anxious to understand what these numbers mean and how I can improve them.

Elevated SGOT and SGPT levels can indicate liver damage or inflammation. To help lower these levels, you can take Ursodeoxycholic acid (UDCA). Additionally, you can take Silymarin. These medications can help improve liver function and reduce SGOT and SGPT levels. It is also important to avoid alcohol, maintain a healthy diet, and exercise regularly to support liver health.

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I've been having these powder-like stools and some irritation in my abdomen, and it actually happened a couple of months ago too. Could you help me figure out what's going on and how to get rid of it?

You may be experiencing symptoms of irritable bowel syndrome (IBS). To help manage your symptoms, you can try taking over-the-counter medication such as Imodium (loperamide) to help with diarrhea and Dicyclomine (Bentyl) to help with abdominal cramping. It is important to stay hydrated and maintain a healthy diet with plenty of fiber. If your symptoms persist, it is recommended to consult with a gastroenterologist for further evaluation and management.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.