Male | 29
आईबीएस और आंत दर्द को प्रबंधित करने के लिए विशेषज्ञ रणनीतियाँ
नमस्ते सर, कृपया मुझे भ्रम और निराशा से बाहर निकालने में मदद करें। यह मेरा क्लिनिकल सारांश है - रोहन, एक 29 वर्षीय पुरुष, पिछले 3 महीनों से भाटा के लक्षणों और गंभीर पेट दर्द की मुख्य शिकायतों के साथ पेश आया। कभी-कभी दस्त। जांच करने पर, उसके महत्वपूर्ण लक्षण स्थिर थे। गैस्ट्रोस्कोपी और कोलोनोस्कोपी सहित नैदानिक प्रक्रियाएं की गईं, जिससे डुओडनल अल्सर, पैन गैस्ट्रिटिस और लिम्फोसाइटिक कोलाइटिस के पैथोलॉजिकल निष्कर्षों का निदान हुआ। उपचार के दृष्टिकोण में स्थिति को प्रबंधित करने के लिए दवाओं का प्रशासन शामिल था, जैसा कि नुस्खे में बताया गया है। प्रगति की निगरानी करने और तदनुसार उपचार व्यवस्था को समायोजित करने के लिए नियमित अनुवर्ती यात्राओं की सिफारिश की गई थी। ढाई महीने के उपचार के बाद, महत्वपूर्ण सुधार देखा गया, पेट दर्द की कोई शिकायत नहीं हुई और रोगी की समग्र भलाई में सुधार हुआ है। नतीजतन, दवाओं की खुराक कम कर दी गई है। लक्षणों का पूर्ण समाधान सुनिश्चित करने और पुनरावृत्ति को रोकने के लिए निरंतर निगरानी और निर्धारित उपचार योजना का पालन आवश्यक है। आठ महीने पहले मेरी यही हालत थी. अभी मैं आंत की समस्या के कारण बहुत निराश हूं। आठ महीने तक इलाज और सख्त डाइट लेने के बाद भी दर्द हो रहा है। मेरा लगभग 8 किलो वजन कम हो गया। मैं दूसरी राय के लिए गया, मेरे डॉक्टर ने मुझे बताया कि आपके अल्सर पूरी तरह से ठीक हो गए हैं। और लिम्फोसाइटिक कोलाइटिस का गलत निदान किया गया था। अब यह एक आईबीएस है जो दर्द का कारण बनता है न कि कोलाइटिस। उन्होंने मुझे एमिक्साइड एच (क्लोरोडिज़ैपोक्साइड + एमिट्रिप्टिलीन) के साथ लिब्राक्स (क्लिनिडियम + क्लोरोबेंजोडाइऑक्साइड) निर्धारित किया। जब भी मेरी आंत में दर्द होने लगता है तो मैं इसे ले लेता हूं और दर्द गायब हो जाता है। मैं इस बारे में बहुत उलझन में हूं। पेट दर्द चला जाता है और वापस आ जाता है। करीब एक साल पहले यह समस्या शुरू हुई है. और दर्द से निपटने के लिए बस उपरोक्त दवाएं लें यहां एक और बात जोड़ने लायक है कि कुछ साल पहले मुझे जीएडी (सामान्यीकृत चिंता विकार) का पता चला था। मैं मनोचिकित्सक द्वारा निर्धारित एस्सिटालोप्राम (लेक्साप्रो 10 मिलीग्राम) ले रहा था। लेकिन मेरे गैस्ट्रोएंटेरोलॉजिस्ट ने मुझे लेक्साप्रो का उपयोग बंद करने के लिए कहा क्योंकि इससे अल्सर हो सकता है। क्या आप लोग इस बीमारी और उस पर काबू पाने के तरीकों को सही ढंग से समझने में मेरी मदद कर सकते हैं।
सर्जिकल गैस्ट्रोएंटेरोलॉजिस्ट
Answered on 23rd May '24
ऐसा लगता है कि यह बीमारी बिना किसी डायग्नोस्टिक समस्या के आप तक पहुंच गई है और यह आईबीएस निकली है।
आपके लक्षणों के प्रबंधन और राहत के प्रावधान से जुड़े डॉक्टर आपको दवा दे रहे हैं जिसमें लिब्राक्स (क्लिनिडियमक्लोरोबेंजोडाइऑक्साइड) और एमिक्साइड एच (क्लोरोबेंजोडाइऑक्साइड एमिट्रिप्टिलाइन) शामिल हैं। इस विशेष प्रकार की दवा ने आपको दर्द से राहत दिलाने में ऐसे प्रभावी ढंग से काम किया जैसे इसका कोई अस्तित्व ही नहीं था।
इस बात पर ज़ोर देना ज़रूरी है कि IBS दीर्घकालिक हो सकता है और संभवतः दीर्घकालिक चिकित्सा की आवश्यकता होगी। आपके डॉक्टर ने आपको सलाह दी है कि दिए गए निर्देशों का पालन करें और आपको जो भी दवाएं दी गई हैं, उन्हें निर्देशानुसार लें। के साथ करीबी मुलाक़ातेंgastroenterologistप्रगति प्राप्त करने और आपके डॉक्टर द्वारा उपचार को नियंत्रित करने के लिए महत्वपूर्ण हैं।
यदि आपको शुरुआती वर्षों में जीएडी था, तो आपको जीवनशैली में कुछ बदलाव करने की ज़रूरत है क्योंकि यह आपके पेट के स्वास्थ्य को प्रभावित कर सकता है। एक ओर, लेक्साप्रो की वापसी से आंतों में अल्सर हो गया क्योंकि आपके गैस्ट्रोएंटेरोलॉजिस्ट ने मुझे इसका उपयोग बंद करने का निर्देश दिया था, लेकिन दूसरी ओर, अल्सर को रोकने के लिए यह आवश्यक था।
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Questions & Answers on "Gastroenterologyy" (1116)
Depression anxiety aur poor sleep b12 deficiency maitre headache also more stomach problems
Male | 17
It seems like you might be experiencing symptoms related to depression, anxiety, poor sleep, B12 deficiency, headaches, and stomach problems. I would recommend consulting with a psychiatrist to address your mental health concerns and a gastroenterologist to investigate and manage your stomach issues. They can provide proper assessment and treatment tailored to your needs.
Answered on 23rd May '24
Dr. Samrat Jankar
My ALT test result was 347iu but apart from feeling extremely tired, not being able to sleep and constipation. My doctor didn’t seem worried and says he’ll repeat test in a month.
Female | 64
An ALT test checks your liver's enzyme level. A reading of 347iu could mean liver troubles. Extreme fatigue, insomnia, and constipation might signal liver issues. Your doctor wants another test next month to see if levels change. Meanwhile, eat healthy foods, avoid alcohol, and rest well. Follow up with your doctor about your liver health status.
Answered on 4th Sept '24
Dr. Samrat Jankar
I have been pooping for about 2 weeks, yellow and sludge like stool. As soon as I eat, I feel the urge to poop. This started after I ate canned food from the store which was spicy. I previously know my stomach does not allow for spicy food without negative reaction, but this feels extreme. I had iron deficiency before, I took tablets and it normalised. My scalp hair growth has slowed, losing weight. I have not added a lot of vegetables to my diet.
Male | 27
You possibly have gastritis, an inflamed stomach lining. Eating spicy or canned foods worsens it. Yellow, sludge-like stools signal this condition. Frequent urges to poop after meals are common symptoms. Iron deficiency may be linked to it as well. Try cutting spicy foods, eating more veggies, and drinking lots of water. Consult a gastroenterologist if issues persist.
Answered on 16th Aug '24
Dr. Samrat Jankar
Hello sir, I am from Kanpur, male age of 39. I was recently diagnosed with gastroesophageal junction cancer. Please help us to find a good hospital at an affordable cost.
Answered on 23rd May '24
Dr. Ramesh Baipalli
I feel vomit and stomachache when eating Bp low an shiver at night Weakness Loss appetite
Male | 21
You might have a stomach bug. Feeling nauseous, abdominal pain, low blood pressure, night chills, fatigue, or lack of appetite indicate this. A virus likely causes it. Rest, stay hydrated, eat plain foods like toast or crackers to settle your stomach. If no improvement in a few days, seek medical help.
Answered on 25th July '24
Dr. Samrat Jankar
I have constant gas every night in my belly for the last 3 years and recently my gas has been stuck beside my belly button.
Female | 36
Your belly feels gassy, right around the navel. That bloated sensation stings. Gas frequently results from meals being improperly digested. Rapid eating, chewing gum, carbonated beverages - these worsen it. Slow down while eating, avoid gas-causing foods, and hydrate well. If issues persist, consulting a gastroenterologist provides expert guidance.
Answered on 24th July '24
Dr. Samrat Jankar
Hello, here rupa and my problem is im suffering from GERD problem how to rid from this problem ,and how many time does it take to control my acidity. What is the medicine?
Female | 30
You have GERD, where stomach acid goes back into the food pipe and causes discomfort. Symptoms of GERD include heartburn, chest pain, and a sore throat. To reduce the intensity you may use smaller quantities of food. Antacids or proton pump inhibitors also affect stomach acids, so when needed, these medications are advised to be taken. Determining the right course of action may be lengthy and difficult for you. But with your commitment and those new lifestyle changes, you may feel many improvements.
Answered on 3rd July '24
Dr. Samrat Jankar
Good Afternoon, I was referred by a friend to contact you. I'm set to go to the doctor tomorrow but first want to consult a doctor online before going to my doctor. I have a quite weird symptom - Since the beginning of the year I have been having some stomach problems. I can't eat rich food, like too spicy food, Tomato Sauce and Chillies ect. The other thing Is I have been having now and then stomach cramps also like a heartburn feeling but in my stomach and then the most embarrassing symptom is my stomach growling even when I did eat it still growling. Can you please tell me what might be wrong and what medication I should take. Thank You.
Male | 19
One possibility is that you are suffering from gastrointestinal problems if you feel bothered by things like stomach pain, a heartburn-like sensation, and continuous stomach growling. This can be acute or chronic inflammation of your stomach lining, which usually the symptoms point to. Besides, it is suggested to consume food in small amounts and at short intervals, stay away from those that are spicy or acidic, and for temporary relief use over-the-counter drugs similar to Tums. Talk with a gastroenterologist for their expert advice and treatments.
Answered on 23rd July '24
Dr. Samrat Jankar
Unchanged background of scattered tree-in-bud nodularity seen most prominently in the bilateral lower lobes. Findings are likely due to sequela of low volume aspiration given mildly patulous appearance of the esophagus, concerning for esophageal dysmotility/chronic reflux. Clinical correlation and further evaluation with fluoroscopic guided esophagram may be considered. If patient's symptoms persist or worsen, consider repeat CT chest in 3 to 6 months to further evaluate. No new suspicious pulmonary nodularity or pathologic intrathoracic lymphadenopathy appreciated.
Male | 43
By analyzing the scan results, the doctors found that there are small clusters in the lungs which can be a sign of possible aspiration. This could be because of the problems with the functioning of the esophagus, which may be related to chronic reflux. To be sure, a test called an esophagram could provide more insights. If symptoms continue, another scan in a few months could help track any changes.
Answered on 11th Oct '24
Dr. Samrat Jankar
Sharp left sided abdominal pain. Directly under lower ribs. Intermittently x6mos or more. The pain is more noticeable when standing and the pain is better with pressure but immediately returns when pressure is removed
Female | 30
Experiencing pain on your left side below the ribs for over six months. Pain increases when standing, yet eases temporarily with applied pressure. Intermittent discomfort could result from spleen or colon issues. Visit a gastroenterologist for accurate diagnosis and appropriate treatment.
Answered on 23rd May '24
Dr. Samrat Jankar
Hi there, I'm currently only 19 years old and have previously had occasional heartburn. However, the past 2 weeks I have noticed i have been getting it more frequently. For example last night my heartburn kept waking me up throughout the night. but right now I'm experiencing heartburn and tingling/pins and needles in my hands
Female | 19
You might have acid reflux causing heartburn and tingling hands. Acid reflux happens when stomach acid goes up your food pipe. That causes a burning feeling, called heartburn. Tingling hands could mean irritated nerves. To help, eat smaller meals, avoid spicy foods, don't lie down after eating. See a gastroenterologist if it doesn't get better.
Answered on 23rd July '24
Dr. Samrat Jankar
Hello doctor.....my name is Shera....I am facing chronic stomach issues which might be stomach ulcers. Can you suggest some preventive measures to reduce the pain? Also, can you list the symptoms as well? test
Male | 55
The chronic problem of ulcers in the stomach might be the cause of painful problems as well as discomfort. Pain-killing can be achieved by avoiding spicy and acidic foods, quitting smoking, minimizing stress, and taking medications. To ensure a precise diagnosis and also be able to select the right treatment, it is essential to seek a gastroenterologist.
Answered on 23rd May '24
Dr. Samrat Jankar
I Got a bigger problem and need help! Prob famous of all words for you But Any medication otc or prescription taken only causes way more problems for me and I mean like heart stopping or beating bad type! Begins with burning in lower right abdomen in fake hernia area now known as lipoma after my scan! Then proceeds to my lower right area like a cigarette is being put out in area of lipoma! Then after seconds it turns into stomach pain, liver and pancreas aching all organs eventually basically begin to ache severely! Now the New symptom, when medication is taken it causes a super high blood pressure and my heart begins to start and stop and I verified this by home ekg, it just beats, then stops for secs then begins again beating and lasts hours and hours! Truly a defining moment! I do Take vitamins Daily for years and I won’t feel them at all! I screwed up and I Took some workout aminos and they set me on fire For days and days causing feet to burn and chest to have sparks shoot across it! Now tingles inside digestive system 247! But only when mutiiple amino acids are taken! Also side Note and anoyimg but I do urinate 50 times daily now with 1hr every hour at a time while trying to sleep! Had caused me Severe headaches now and lack of sleep is wearing me out! I Was up 11 days straight last month! Wish I was kidding, I have witnesses to testify?? had to be the most messed up thing I have gone thru! Blood work comes back within guidelines! No cancer and I’m truly shocked! Help, wearing thin looking to reset heart now with devices to see if it helps I am 45yrold male that is so desperate! Anyone? Help! Scans are clear except lipoma area and inflammation! Thought I had appendicitis but now with amino help it has subsided allot! Help! This is nuts!
Male | 45
It sounds like you're dealing with a lot of pain and discomfort . . Have you talked to your doctor about alternative treatments? It's good that your blood work looks NORMAL, but it's still important to keep monitoring your symptoms. Have you tried any lifestyle changes, such as changing your DIET or reducing STRESS? It's important to keep seeking medical advice and exploring all options available to you. . . . .
Answered on 23rd May '24
Dr. Samrat Jankar
I have anal fissures, using anasol it doesn't bleed anymore but can u prescribe any oral medication
Female | 35
It is a positive step that the bleeding has stopped with Anasol, but let us find an oral medication for your anal fissures. These are the reasons which cause it when the skin around your bottom tears. It can lead to pain and bleeding when you poo. To help them heal, you can take stool softeners like psyllium husk or docusate sodium. These can cause going to the bathroom to be quicker and less painful. Besides, you should drink a lot of water too.
Answered on 4th Sept '24
Dr. Samrat Jankar
I have been having running stomach for the past 3 days and it still occuring, and I have been taking some drugs but it didn't work out , what should I do ?
Female | 24
So, if you have this situation and drugs are not helping, you might turn to think that is this caused by your diet. Some condiments, fatty, and dairy products trigger stomach pain if it is oversensitive. Stick to the plainest foods, perhaps like bread, rice, or bananas. Also, make sure to drink enough water so that your body cannot dry out and the stomach can gain pretty much. In case things are not getting improved soon, then it's time to fix an appointment with a Gastroenterologist.
Answered on 25th May '24
Dr. Samrat Jankar
Im wondering if Ulcerative Colitis can affect a man's sexual ability causing ED. Either that or is it possible for UC to cause low testosterone? Is this possible without me taking any medications?
Male | 28
A situation that inflames the colon, ulcerative colitis, can result in symptoms such as abdominal pain, diarrhea, and fatigue. Even though inflammation and stress brought on by UC do not cause directly erectile dysfunction (ED) or low testosterone; they can have an impact on sexual health. The best way forward is to treat UC effectively while also finding ways of reducing stress.
Answered on 23rd May '24
Dr. Samrat Jankar
What could be causing my abdominal pain and burning sensation, with a mild enlargement in size of my liver and spleen? I'm concerned about the possibility of a serious condition like colon cancer. Can you provide any guidance or information?
Male | 19
Mild enlargement of the liver and spleen, without any focal lesions, can have various causes and may not necessarily indicate a serious disease like colon cancer. Conditions like fatty liver disease, viral infections, inflammation, etc. can be associated with the swelling of these organs.
A proper diagnosis can only be made by a healthcare professional like a gastroenterologist after considering your complete medical history.
Answered on 23rd May '24
Dr. Samrat Jankar
Black stool with lose motions khana khate ho stool hota hai aese me kya kre
Female | 19
Black stool accompanied by loose motions is concerning. It may indicate the presence of blood within your digestive system. Potential causes include bleeding in the stomach or intestinal areas. To maintain proper hydration, ensure you consume ample amounts of water. For the time being, refrain from consuming spicy or oily foods. Seek attention from a gastroenterologist to identify the precise underlying reason and receive appropriate treatment.
Answered on 23rd May '24
Dr. Samrat Jankar
I’m a 24 year old male I started feeling unwell on April 25 by the next day I felt tired diarrhea started on Sunday morning and is still going to today. I tried over the top anti diarrhea medication and no relief. Last two nights a had chills followed by night sweats. Is there anything else I can do.
Male | 24
You have signs of being tired, having loose poop, shaking, and sweating at night. Many things can cause these signs like germs or bad food. It is key to drink lots of water and drinks with salt and minerals. Eat soft foods and rest up. If you feel worse or these signs do not go away, go see a gastroenterologist.
Answered on 23rd May '24
Dr. Samrat Jankar
Feeling like vomiting,leg pain,fever,cough and fatigue and constipation
Male | 35
You seem troubled! Nausea, leg pain, fever, cough, exhaustion, and constipation - an array of symptoms. Might be a stomach bug or viral infection. First, rest up. Drink lots of fluids. Eat light foods. If symptoms persist or worsen, seek medical advice promptly.
Answered on 4th Sept '24
Dr. Samrat Jankar
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Kidney Transplant Hospitals in India
Cosmetic And Plastic Surgery Hospitals in India
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