Question 1

I'm 30 and have been dealing with a gastric problem for the past 6 months. My endoscopy shows acute fundal erosion, and the ultrasound points to changes in the liver, saying I have a fatty liver. I'm taking medication, but I'm not seeing any improvement. What should I do? Can you offer any suggestions or treatments?

Accepted Answer

For your gastric issue with fundal erosion, you can try taking a proton pump inhibitor like Omeprazole to reduce stomach acid and promote healing. Additionally, you can take an antacid like Maalox to help with symptoms. For your fatty liver, you can try a medication like Ursodiol to improve liver function and reduce the accumulation of fat in the liver. It is also important to make lifestyle changes such as maintaining a healthy diet, exercising regularly, and avoiding alcohol to improve your liver health. It is important to follow up with your healthcare provider regularly to monitor your progress and make any necessary adjustments to your treatment plan.

Question 2

I'm really worried about the multiple calculi in my gallbladder lumen and the largest one is 13mm. The c.b.d is 3.2mm and it's visualized up to its retro pancreatic portion. There's no obvious intraductal calculus seen. What does all this mean? Should I be concerned about the size of the calculi or its location? What are the chances these will cause complications, and what steps should I take next?

Accepted Answer

The presence of multiple gallstones is identified, but there is no blockage of the bile ducts.
If you're not experiencing symptoms, your doctor might suggest a wait-and-see approach, but if you do have symptoms or complications, surgery to remove the gallbladder may be necessary.

Question 3

I'm feeling a bit uneasy because I've had this discomfort and pain in the upper right side of my chest for the past three days. I visited a gastric specialist and he mentioned it might be due to acidity, so he prescribed Pantocid 40mg and Rifagut. I've been taking them for two days now, but the discomfort hasnt improved. Do you think I should get an X-ray to check what's going on? Any advice would be really helpful.

Accepted Answer

yes do one chest xray

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?

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

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