- male
- 40 Years
- 14/08/2025
my endoscopy showed lax cardia and grade A reflux can lifestyle changes help tighten the lower esophageal sphincter naturally without needing surgery

More Gastroenterology/GI medicine Health Queries
View allI've been experiencing this sharp, needle-like pain on the right side of my stomach, and it's kind of weird. It comes and goes, sometimes just for a few seconds but can last up to three minutes. Do you have any idea why this might be happening?
Yes there is cure for that visit Psychiatrist for appropriate management
Answered by 1 Apollo Doctors
I'm really worried about my husband. He's 30 years old, with a height of 5.4 ft and weighs 64 kg. We stay in Germany, and he's been having a rough time with his health lately, especially with frequent gastric issues. His cholesterol levels have been all over the place. The first test showed a triglycerides level of 701, and even though it went down to 516 on the second test after three months, it's still pretty high, right? His HDL is at 21 and LDL at 46, with a Lipase of 46 UI and TSH at 1.22 microUml. Are these numbers something we should be concerned about? What could be causing these gastric problems? We really need some guidance on what steps to take next.
Based on the information provided, your husband's high triglyceride levels and low HDL cholesterol levels may be contributing to his gastric issues. To help manage his triglyceride levels, he can take Atorvastatin 20mg once daily. Additionally, to improve his HDL levels, he can take Niacin 500mg once daily. For his gastric issues, he can take Omeprazole 20mg once daily before breakfast. It is also important for him to follow a healthy diet low in saturated fats and sugars, and to engage in regular physical activity to improve his overall lipid profile and gastric health.
Answered by 1 Apollo Doctors
I'm really struggling with anal fissures because of constipation for over a year now, and I've been in a lot of pain. I tried seeing a gynecologist, and they gave me some meds for five days, but nothing's changed. I'm usually on a routine in the morning with bowel movements, but it's been painful for so long. I've switched up my diet to include more fiber and fluids, but I still feel the pain. The only relief I get is from using Cremaffin Plus syrup at night and nifecaine cream around bowel movements, but if I miss the syrup even for a night, the pain is unbearable the next day. We're thinking about having kids, but I'm concerned if these medications might affect conception. How long can I keep using the syrup without any long-term effects? Is there a solid solution for my situation, and what can I expect if there's a treatment?
It sounds like you're experiencing chronic pain due to an anal fissure, which can be aggravated by constipation. Despite your efforts with diet and medications, if the pain persists, it might be worth seeking a second opinion, as other treatments like topical nitrates or botox injections could help. Regarding conception, Cremaffin Plus and nifecaine cream are generally safe for short-term use, but it's advisable to discuss them with your doctor during the planning phase. Treatment duration and improvement vary, but typically, with proper management, healing can occur in a few weeks to months.
Answered by 1 Apollo Doctors
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.




