Gastroenterology

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Fistula recuurence

I have done fistula surgery fistulatomy 1 year ago.. Now i noticed blood with soft stool.. Is it recurrence Fistula??? I am confused
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Darkening of anal region with itching

My anal region has been darkening with slight itching. I have attached the photo. Which specialist should I visit and what can be the possible reason for it?
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LFT Rreport is not normal

LFT and ultrasound report is attached. Is SGOT, SGPT and GGT is high because of fatty liver. LDL is 107, WBC is 3.79 and Platelets is 120
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Having piles and a thread like structure

Sir I hve piles and sometimes blood came ,heavy constipation also .I feel a thread like structure while claening it came when I used to go washroom . It looks yellowish and fixed .I hv attached a pic also. Pls suggest what to do
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Constipation

Is 20 ml cremaffin plus twice safe for daily longterm use?? Is there any danger side effects? otherwise this I'm daily facing hard stool problem instead of consuming lots of water and fiber..is it safe??
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Sgpt and sgot imbalance

Hello sir i am suffering from high grade fever since 6 days and due to I have done some blood test for fever like dengue malaria and typhoid and SGPT and Sgot all come negative except typhoid IGM positive and SGPT is 92 may I know what is the reason behind that why SGPT High i am not alcoholic and fatty liver HCV AND HEP B all come negative
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RIGHT LOBE INFILTRATIVE HEPATOCELLULAR

FINAL DIAGNOSIS: RIGHT LOBE INFILTRATIVE HEPATOCELLULAR CARCINOMA WITH DECOMPENSATED CHRONIC LIVER DISEASE, FOR SUPPORTIVE CARE. PORTAL HYPERTENSION WITH PORTAL VEIN THROMBOSIS. ESOPHAGEAL VARICES-EVL DONE (OUTSIDE) HISTORY: Mr. HS Shivakumar, aged 55 years, was evaluated elsewhere for complaints of pain abdomen and yellowish discoloration of eye and urine. On investigations found deranged LFT (total bilirubin-5.6, direct bilirubin-4.85). CECT abdomen and pelvis on 22.02.2025, showed Hepatomegaly with surface nodularity and caudate lobe hypertrophy- suggestive of chronic liver parenchymal disease. Few ill-defined peripherally enhancing lesions in the segments 6 and 7-probably HCC. Suggested serum AFP levels and HPE correlation. Portal vein thrombosis with heterogeneous enhancement of the segment 7. Periportal and perigastric collaterals. Minimal ascites with mild mesenteric fat stranding. Borderline splenomegaly. Cholelithiasis with mild wall thickening. Thank you.
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Acid reflux

I feel phlegm in my throat always and i have a bitter taste everyday morning and a dry throat too. I wake up with a choking in the throat everyday recently got a septoplasty done .This problem is from 4 years and now it has increased alot.Not able to understand what is the problem and whom to consult.Some say it is gerd or reflux.Have been on antacids also for a long period but to no avail.
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Adherent Gall bladder calculus

My husband having 4.7 mm adherent gall bladder calculus.3 month before 4mm .my husband having no symptoms now
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CHRONIC CONSTIPATION

MY NAME IS ABHISHEK CHAUHAN AND IM 45 YEARS OLD.IM SUFFERING FROM CHRONIC CONSTIPATION SINCE 7 YEARS.PLZ TELL ME WHICH TABLET IS SUITABLE FOR CHRONIC CONSTIPATION.,PRUEASE 2MG OR BIXIBAT 5MG.PLZ ADVICE.
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