Question 1

My brother has grade 2 internal hemorrhoids with 3 columns and also fatty liver grade 2 with bilirubin at 2.38. He gets slight bleeding during constipation should he consider surgery for the hemorrhoids or is there another way to manage it?

Accepted Answer

Grade 2 internal hemorrhoids can often be managed with diet, hydration, and meds‚Äîsurgery if bleeding persists.

Question 2

I'm really worried because my histopathological report for a tuberculosis ultrasound-guided biopsy came back negative, but my CT scan shows I have enlarged lymph nodes and tuberculosis. I've been on anti-tuberculosis treatment for over three months, but I'm not seeing any improvement. My abdominal pain is getting worse, especially in the upper abdomen. Could it be something else? The biopsy was negative for cancer, and Buscopan injections don't relieve the pain at all. Only Tramadol helps. What could be causing such severe pain, and are there any tests that could help figure this out? Someone mentioned a capsule endoscopy - could that be useful?

Accepted Answer

Vist Gastroenterologist for appropriate management

Question 3

I'm really worried because I've just been diagnosed with a grade 2 fatty liver and my sgpt is at 70.05. I've started feeling a dull abdominal pain, and even though I've cut out oily junk food and now walk about 3-4 kms daily, I'm struggling to get a good night's sleep, probably because of stress. Lately, I've noticed that after eating cabbage sabji for dinner, I can smell cabbage in my stool the next day. Could this mean something, or am I just overthinking it? Would love to hear your thoughts.

Accepted Answer

Its great that youve made positive changes like walking and avoiding oily foods. Fatty liver can cause mild discomfort, and stress might be affecting your sleep. The cabbage smell in your stool is likely due to digestion, which is normal, but if the pain persists or worsens, I recommend consulting your doctor for further guidance. Managing stress and improving sleep quality can also help with your overall health.

Yes LFT is advised to the patient.

More Gastroenterology/GI medicine Health Queries

My brother has grade 2 internal hemorrhoids with 3 columns and also fatty liver grade 2 with bilirubin at 2.38. He gets slight bleeding during constipation should he consider surgery for the hemorrhoids or is there another way to manage it?

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