Question 1

I'm dealing with some pretty bad abdominal pain, and my doctor suggested an endoscopy. Turns out, I've got a patulous GE junction, and he mentioned that I should lose some weight. I'm really worried. Is this something I need to be seriously concerned about? I've been on medication for a few days now, but the pain's still there. What should I do next?

Accepted Answer

No need to worry much follow your doctors advice,avoid spicy foods ,consume plenty of water,and maintain healthy life style.

Question 2

I'm a bit concerned about my latest USG report. It mentions hepatomegaly with mild fatty changes, grade 1, and also notes that my uterus is bulky. I'm not really sure what this means for my health. Could this be something serious or is it fairly common? Would love to understand what steps I might need to take or any lifestyle changes that could help.

Accepted Answer

Based on your symptoms and lifestyle habits, here are some possible explanations:

_Possible Causes_

1. _Irritable Bowel Syndrome (IBS)_: Your symptoms of regular gas, watery or semi-solid stool, and loose motions after consuming chilly food are consistent with IBS.
2. _Food intolerance_: You may be experiencing intolerance to certain foods, such as dairy, gluten, or spicy foods.
3. _Gut sensitivity_: Your gut may be sensitive to certain foods or temperatures, leading to digestive issues.

_Recommendations_

1. _Keep a food diary_: Track your food intake and symptoms to identify potential trigger foods.
2. _Avoid trigger foods_: If you notice certain foods exacerbate your symptoms, try to avoid them.
3. _Probiotics_: Consider adding probiotics to your diet to promote gut health.
4. _Consult a gastroenterologist_: If your symptoms persist or worsen, consult a specialist for personalized guidance.

Question 3

I'm feeling quite worried about a few things. I recently had a general check-up, and they found my gall bladder to be moderately distended but without any calculi or wall thickening. What concerns me is my bloating, indigestion, and irregular bowel movements. The ultrasound mentioned fatty liver grade 1 too, and that has me even more concerned. I've also been experiencing daily stomach cramps, along with back and leg cramps. I've tried a lot of tablets for these issues and even had a colonoscopy and endoscopy done - both were normal. All other tests like my CBC, LFT, and RFT came back normal too. Can you help me understand what might be going on?

Accepted Answer

A moderately distended gallbladder without calculi or wall thickening is often a benign finding, but given your symptoms of bloating, indigestion, stomach cramps, back pains, and leg cramps, it's understandable that you're concerned; the fatty liver grade 1 is a common condition, often related to diet and lifestyle; consider discussing the following with your doctor: dietary changes to manage fatty liver, potential gallbladder function tests (e.g., HIDA scan), and further evaluation of your symptoms to rule out other underlying conditions.

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

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