Question 1

I've been on these PPI meds for over a year now - dexlansoprazole 60mg daily, esomeprazole 40mg daily, and levosulpiride 75mg daily - but I'm still dealing with acid reflux, esophagitis, and gastritis. What are the long-term side effects of staying on PPIs this long? Is it safe to keep taking them beyond a year? Are there any surgical options that could help cure this instead? I can share my endoscopy report if needed.

Accepted Answer

Long-term PPI use is generally safe but may cause low magnesium, B12 deficiency, and gut flora changes. Surgery (like Nissen) may help if you're not responding. Share endoscopy for detailed advice.

Question 2

I've been having a really rough time with a high fever, vomiting, loose stools, terrible stomach ache, and I'm finding it hard to breathe. It's been going on for three days now. Should I be worried or see someone about this?

Accepted Answer

You can take a tab. pantakind once or twice a day half an hour before food for 3 days.
Tab. Sporolac-ds thrice a day after food for 5 days.
Drink plenty of fluids.
Consult a general physician in person for further evaluation and management.

Question 3

I'm really worried because an ultrasound has shown that I have a 6mm gallbladder stone, and there's also an infection. I've been having really bad pain in my abdomen and feeling nauseous all the time. What do you think I should do about it? Is this something I need to urgently take care of, or are there ways to manage this without surgery?

Accepted Answer

I understand your concern, and I'm here to provide you with some reassurance and guidance.

_Masturbation and Penis Size_

Masturbation, in itself, does not cause a decrease in penis size or width. However, frequent and aggressive masturbation can lead to:

1. _Desensitization_: Reduced sensitivity due to over-stimulation.
2. _Inflammation_: Mild inflammation or irritation, which can cause temporary swelling or changes in penis size.

_Thinning and Shortening of the Penis_

The thinning and shortening you've observed could be due to various factors, such as:

1. _Normal fluctuations_: Penis size can vary due to factors like temperature, arousal, and overall health.
2. _Erectile dysfunction_: Infrequent or inconsistent erections can cause the penis to appear smaller.
3. _Peyronie's disease_: A condition characterized by the formation of scar tissue, leading to curvature or shortening of the penis.
4. _Other medical conditions_: Certain conditions, such as diabetes, high blood pressure, or hormone imbalances, can affect penis size.

_What to Do_

To alleviate your concerns:

1. _Consult a doctor_: Schedule an appointment with a urologist or a primary care physician to discuss your concerns and rule out any underlying medical conditions.
2. _Reduce masturbation frequency_: Try to reduce your masturbation frequency to 2-3 times a week to give your penis time to recover.
3. _Practice gentle masturbation techniques_: Avoid aggressive or rough handling of your penis during masturbation.
4. _Maintain a healthy lifestyle_: Focus on a balanced diet, regular exercise, and stress management to promote overall health and well-being.

my husband has a 2 cm gallbladder stone with multiple calculi and had jaundice but his bilirubin levels are better now can the stones be treated with medicines or does he need surgery

More Gastroenterology/GI medicine Health Queries

I've been having a really rough time with a high fever, vomiting, loose stools, terrible stomach ache, and I'm finding it hard to breathe. It's been going on for three days now. Should I be worried or see someone about this?

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