Question 1

Is it okay to keep eating soya chunks if I'm dealing with bleeding hemorrhoids? I've been having about 20g of them almost every day as my main protein source, and I'm worried it might be affecting my condition. Should I cut back or avoid them altogether?

Accepted Answer

take

Question 2

I'm really struggling with IBS, and it's been about five years now. I had a colonoscopy three years ago, but it didn't show anything. I've tried Colospa and some other medications, but nothing seems to be helping. I have diarrhea and then normal stool, but it's happening like five to six times a day. Lately, I've been experiencing a burning sensation after using the bathroom, and it lasts for an hour or two. It's really concerning, and I'm not sure what to do. Any advice?

Accepted Answer

Given your symptoms:_

1. _Episodic vertigo_: Your vertigo episodes last 3-4 seconds, triggered by changes in movement.
2. _Morning exacerbation_: Vertigo worsens in the morning, making it difficult to stand properly.

_Consider the following:_

1. _Benign Paroxysmal Positional Vertigo (BPPV)_: Your symptoms suggest BPPV, a common inner ear disorder.
2. _Inner ear problems_: Despite a normal CT scan, inner ear issues like labyrinthitis or vestibular neuritis might be contributing to your vertigo.
3. _Vitamin deficiencies_: Deficiencies in vitamins like B12 or vitamin D might exacerbate vertigo symptoms.

_Current treatment:_

1. _Vitcofol, Neurobian Forte, Stmetile, Verin 16_: These medications are often used to treat vertigo, but their effectiveness varies.

_Recommended next steps:_

1. _Consult an ENT specialist or a neurologist_: Seek a specialist's opinion to determine the underlying cause of your vertigo.
2. _Vestibular rehabilitation therapy (VRT)_: VRT can help improve balance and reduce vertigo symptoms.
3. _Consider canalith repositioning procedure (CRP)_: If diagnosed with BPPV, CRP can help alleviate symptoms.

Question 3

I've been diagnosed with an anal fissure and just got my report. Is surgery the only way to fix this or can it be treated with medication? I'm a bit worried about going under the knife if there are other options.

Accepted Answer

The majority of anal fissures do not require surgery. The most common treatment for an acute anal fissure consists of making one's stool more consistent with a diet high in fiber as well as utilizing over-the-counter fiber supplementation (totaling 25-35 grams of fiber/day).

I'm having a lot of trouble with high acid issues and it's causing me some breathing problems. I've tried taking pantoprazole and domperidone, but I'm still not feeling much better. Can you help me figure out what might be going on or what else I could do?

stop spicy food, stay hydrated

More Gastroenterology/GI medicine Health Queries

Is it okay to keep eating soya chunks if I'm dealing with bleeding hemorrhoids? I've been having about 20g of them almost every day as my main protein source, and I'm worried it might be affecting my condition. Should I cut back or avoid them altogether?

I've been diagnosed with an anal fissure and just got my report. Is surgery the only way to fix this or can it be treated with medication? I'm a bit worried about going under the knife if there are other options.

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