Question 1

I'm really worried because I've been dealing with this acid reflux ever since I quit smoking about a month ago. Its become quite uncomfortable, and sometimes I even have trouble breathing, which gets worse when I try to exercise. Im not sure if there's any medication I could take to ease these symptoms, or if it's important that I visit a hospital right now. Any advice would be really appreciated.

Accepted Answer

Probable diagnosis is Gerd, patient is advised pan d ,orally.once daily for 14 days before food..Avoid spicy foods.

Question 2

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

Accepted Answer

Erosive Antral Gastritis_

1. _Definition_: Erosive antral gastritis is a type of gastritis characterized by inflammation and erosion of the stomach lining, specifically in the antrum (the lower part of the stomach).
2. _Causes_: Common causes include:
    - Helicobacter pylori (H. pylori) infection
    - Non-steroidal anti-inflammatory drugs (NSAIDs)
    - Excessive alcohol consumption
    - Stress
3. _Symptoms_: Common symptoms include:
    - Abdominal pain or discomfort
    - Nausea and vomiting
    - Loss of appetite
    - Weight loss
4. _Endoscopy results_: The endoscopy results confirmed erosive antral gastritis, which is a definitive diagnosis.

_Second Opinion and Concerns_

1. _Consult a gastroenterologist_: Schedule an appointment with a gastroenterologist to discuss the diagnosis, treatment options, and any concerns.
2. _Treatment and management_: The gastroenterologist will likely recommend:
    - Antibiotics to treat H. pylori infection (if present)
    - Acid-reducing medications to alleviate symptoms
    - Lifestyle modifications, such as avoiding trigger foods, managing stress, and quitting smoking (if applicable)
3. _Follow-up endoscopy_: A follow-up endoscopy may be recommended to assess the healing progress and rule out any complications.

_Reassurance and Next Steps_

1. _Reassurance_: Erosive antral gastritis is a treatable condition, and with proper management, symptoms can be alleviated.
2. _Adhere to treatment plan_: Ensure your father-in-law follows the recommended treatment plan and attends follow-up appointments.
3. _Monitor symptoms and report changes_: Encourage your father-in-law to report any changes in symptoms or concerns to the gastroenterologist.

Question 3

I've been having sudden loose motions since yesterday and tried taking Sestil AD, but it's not really working. What else can I do to get it under control? Should I be worried?

Accepted Answer

Elevated TSH (8.67) with normal T3 and T4 levels.

_General Recommendations_

1. _Dietary changes_: Focus on whole, nutrient-dense foods, including fruits, vegetables, whole grains, and lean protein sources.
2. _Iodine-rich foods_: Include iodized salt, dairy products, and seaweed in your diet to support thyroid function.
3. _Omega-3 fatty acids_: Found in walnuts, flaxseeds, and chia seeds, these healthy fats support thyroid health.
4. _Stay hydrated_: Drink plenty of water throughout the day.
5. _Regular exercise_: Continue swimming and consider adding yoga or stress-reducing activities.

_Multivitamin Recommendations_

1. _Iodine supplement_: Consider taking an iodine supplement (150-200 mcgday) after consulting your doctor.
2. _Multivitamin with selenium and zinc_: Look for a multivitamin containing selenium (50-100 mcgday) and zinc (15-20 mgday), which support thyroid function.

_Specific Multivitamin Suggestions_

1. _Thyronorm_: A thyroid-supporting multivitamin containing iodine, selenium, and zinc.
2. _Nutrilite Daily_: A multivitamin containing essential nutrients, including iodine, selenium, and zinc.

I have an external hemorrhoid that doesn't hurt much but I can feel it near my anus. What's the best way to get rid of it permanently without surgery?

More Gastroenterology/GI medicine Health Queries

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

I've been having sudden loose motions since yesterday and tried taking Sestil AD, but it's not really working. What else can I do to get it under control? Should I be worried?

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