Question 1

I'm really struggling with lax lesophagitis and pangastritis for the past decade, and I've been on PPIs for about the same amount of time. The side effects are becoming a bit too much to handle. Should I think about surgery as an option, or just stick it out with the PPIs?

Accepted Answer

Surgery may be an option for you if your symptoms are not well-controlled with PPIs and if you're experiencing intolerable side effects. However, continuing with medications and making lifestyle adjustments may also improve your condition

Question 2

I'm really worried about my mom. She had typhoid a week ago and was on Levolab 500 mg for those 7 days. Her fever went away after just 3 days, which is good, but she's still feeling super weak. And now she's been having trouble going to the bathroom, like she hasnt had a bowel movement in 3 days, though her urine seems normal. Is this something we should be concerned about, or is it a normal side effect after typhoid? What can we do to help with the bowel issues?

Accepted Answer

Vertigo and Dizziness: Addressing Long-Term Symptoms and Recent Exacerbation_

I understand your concern for the individual's prolonged struggle with vertigo and dizziness. Given the current treatment regimen and recent exacerbation, here are some suggestions:

_Possible Causes of Exacerbation:_

1. _Inadequate medication dosage_: The current dosage of Stugeron and Dytor might not be sufficient to control symptoms.
2. _Medication tolerance_: Long-term use of Stugeron might lead to tolerance, reducing its effectiveness.
3. _Underlying condition progression_: The underlying condition causing vertigo and dizziness might have progressed, requiring adjustments to the treatment plan.

_Recommendations:_

1. _Consult a specialist_: Schedule an appointment with an ear, nose, and throat (ENT) specialist, a neurologist, or a vestibular specialist to reassess the condition and adjust the treatment plan.
2. _Medication adjustments_: The specialist might recommend adjusting the dosage or switching to alternative medications, such as betahistine or vestibular suppressants.
3. _Vestibular rehabilitation therapy (VRT)*: A physical therapist specializing in VRT can help the individual develop exercises to improve balance and reduce vertigo symptoms.
4. _Lifestyle modifications*: Encourage the individual to make lifestyle changes, such as:
    - Avoiding triggers like caffeine, nicotine, or certain foods
    - Maintaining a consistent sleep schedule
    - Engaging in regular exercise, like yoga or tai chi, to improve balance and reduce stress

_Monitor and Seek Immediate Medical Attention if:_

1. _Sudden worsening of symptoms_
2. _Severe vomiting or inability to keep fluids down_
3. _Double vision or difficulty speaking_
4. _Severe headache or confusion_

Question 3

I'm looking for the name of a tablet that contains papain as the main ingredient. I've been dealing with chronic constipation and bleeding for over 15 years now. Could you help me out with this?

Accepted Answer

consult doctor

I'm a bit worried about my recent blood test results. My indirect bilirubin is 1.24, direct bilirubin is 0.21, and my total bilirubin is 1.45. Should I visit a doctor for this? Is this something to be concerned about?

More Gastroenterology/GI medicine Health Queries

I'm really struggling with lax lesophagitis and pangastritis for the past decade, and I've been on PPIs for about the same amount of time. The side effects are becoming a bit too much to handle. Should I think about surgery as an option, or just stick it out with the PPIs?

I'm looking for the name of a tablet that contains papain as the main ingredient. I've been dealing with chronic constipation and bleeding for over 15 years now. Could you help me out with this?

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