Question 1

I've been having chest pain every day and even though my ECG was normal and I've done HRCT, chest ultrasound, and endoscopy, everything came back normal. But the pain and even a pain in my left hand just wont go away, and its not in a fixed spot. Sometimes I get shortness of breath too. A bunch of doctors have told me it might be GERD. Could you help me figure out what's going on and how to get better?

Accepted Answer

It sounds like you may be experiencing symptoms of GERD (Gastroesophageal Reflux Disease). To help manage your symptoms, you can try taking a proton pump inhibitor like Esomeprazole (brand name: Nexium) 40mg once daily before breakfast for at least 4-8 weeks. Additionally, you can take antacids like Ranitidine (brand name: Zantac) 150mg twice daily before meals and at bedtime for quick relief of symptoms. It's also important to avoid trigger foods like spicy, fatty, or acidic foods, and to eat smaller, more frequent meals. If your symptoms persist, you may need further evaluation by a gastroenterologist.

Question 2

I'm a bit worried after my recent full body checkup. The results showed I have Hepatomegaly with Grade 2 fatty liver. My doctor gave me some medicines to help treat it. But when I looked online, I found posts saying it's best to stop taking medicines since they can harm the liver. I'm confused about whether to trust the medication or follow the advice I saw online. Any guidance would be really appreciated.

Accepted Answer

If you are a drinker, stop any and all alcohol consumption immediately. Grade 2 fatty liver is reversible through commonly used medication and lifestyle changes. There are liver protective drugs like UDCA which should be started under the supervision of a specialist.

Question 3

I'm having some issues with my stomach that have been bothering me for about a year now. Lately, I've noticed that I'm having trouble when it comes to going to the washroom. It's been happening every morning and then again in the afternoon. It's really inconvenient and causing me a lot of discomfort. Could there be an underlying issue here, and what can I do to address this?

Accepted Answer

It sounds like you're dealing with persistent digestive issues, and it's understandably causing you a lot of discomfort, especially with the frequent trips to the washroom. It might be helpful to consult a doctor to get a clearer diagnosis and explore treatment options to ease your symptoms.

I have several gallstones with the largest one around 5-6mm. Is there any medication that can help dissolve them? I'm really hoping to avoid surgery if possible. What options do I have?

Small gallstones may dissolve with ursodeoxycholic acid over time, but response varies. Regular monitoring is essential if avoiding surgery.

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