Accidentally took 40mg Omeprazole 12 hours apart, should I worry?

The­ "atrophic mucosa" means the lining of your gut is unhealthy. Eating gutkha can hurt your gut, but it doe­s not relate to gluten. With ce­liac disease, you may have diarrhe­a, weight loss, and feel tire­d. The fix is following a strict no-gluten diet. This me­ans avoiding foods with wheat, barley, and rye. By doing this, your gut can he­al up and you will feel bette­r overall.

Fissures are small tears in the lining of the anus and can be extremely painful. Doing this is most effective if you keep your stool soft, drink plenty of water, eat foods that are high in fiber, and use stool softeners if necessary. The bathroom should be straining-free during your period of healing.

 A common cause of stomach pain may be appendicitis which is the swelling of the appendix that leads to discomfort. It could be shown in an ultrasound, but maybe not. Visit a doctor to be examined in detail and thereby the one who will advise you on the right treatment which is mainly prescription drugs or surgery to remove the appendicitis. Look for symptoms like worsening pain, fever, or vomiting, which could indicate a more serious issue. 

Visit a gastroenterologist regarding acid reflux of your friend. In case if the symptoms are persistent with the use of over-the-counter medication, then visit a specialist. The loss of weight without any reason is also an alarm symptom which needs to be looked at urgently. 

The symptoms you mentioned might be associated with a condition such as trimethylaminuria (TMAU) or a gut issue known as small intestinal bacterial overgrowth (SIBO). TMAU refers to the main odor complications, while SIBO leads to bloating, gassy, and gut issues like diarrhea or constipation. It's imperative to obtain the actual diagnosis by carrying out tests such as breath tests or blood tests. The treatment may involve changing the diet, probiotics, antibiotics, or other medications that will help to control your symptoms.