Question 1

Can I dissolve gallbladder stones with medication or do I need surgery to just remove the stones without taking out the whole gallbladder

Accepted Answer

While medications can sometimes help dissolve small, cholesterol-based gallstones, they are not a primary treatment and often require long-term use. Surgery, specifically laparoscopic cholecystectomy (removal of the gallbladder), is usually the preferred treatment for symptomatic gallstones, as it's effective and the gallbladder is not essential for life. Removing the gallbladder is a common and safe procedure, and you can live without it

Question 2

I've been experiencing really bad stomach pain lately so I went to see a gastroenterologist. They prescribed me LMX 500 and Rabesec 20 for a 5-day course. It's been 3 days now, and I'm still struggling with heavy gas and now a sharp pain in my back. Should I consult my doctor again right away, or is there something I can try at home to help with this? Any advice would be appreciated.

Accepted Answer

Delayed menstruation can be concerning.

Given your symptoms, such as lower abdominal pain and backache, it's possible that your period is imminent.

Consider taking a pregnancy test to rule out pregnancy as a cause for the delay.

If the test is negative, consult a gynecologist for further evaluation.

They may perform an ultrasound or other tests to determine the cause of the delay.

In the meantime, track your symptoms and maintain a menstrual calendar to help your doctor diagnose the issue.

Question 3

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.

I'm a bit worried about my health because I recently got my test results back. My SGOT level is 52, SGPT is 117, and my total cholesterol is at 219. Could you let me know if these numbers mean I need to start any treatment?

sgpt level is to high consult physician

More Gastroenterology/GI medicine Health Queries

Can I dissolve gallbladder stones with medication or do I need surgery to just remove the stones without taking out the whole gallbladder

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.

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