Gastroenterology

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Surgery to fix lax cardia (Lose LES)

I was recently diagnosed with Lax Cardia (incompetent Lower Esophageal Sphincter) via endoscopy. My primary symptoms are constant throat irritation and regurgitation. Despite strictly following medical therapy (PPIs), diet modifications, and lifestyle changes, I have seen no significant improvement. I am now considering surgical or endoscopic interventions. Specifically, I would like to know: Are the LINX Reflux Management System or the Stretta Procedure currently available at any hospitals in Bangalore? What is the approximate cost for these procedures in the city? Based on my symptoms, would you recommend one over the other, or should I consider a traditional Nissen Fundoplication?
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Prebiotics Probiotics Supplements

Namaste Sir / Madam, I have been adviced Prebiotics Probiotics supplements for long term. Any good reasonable cost brand name Specific name which i could take for 3 months. Some brands offer very high cost . Please advice reasonble cost high potency pre pro biotics capsules or powder. Thank you
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Suggest best foods for acid reflux

Kindly suggest food to eat for acid reflux Which give health and reduce acid reflux. Kindly share the advice to reduce acid reflux.
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Insulinoma

Attached are ct scan reports of abdomen .. please explain is it cancerous ?life threatening? What is the solution for it
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Kidney and Gallbladder stones and pain

I am having pain in my stomach and back along with stones as seen in my usg report (attached). I am at a private hospital admitted which is already charging a lot of money just for painkiller injections. Pls suggest what treatment is best as they are asking to do operation
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Piles and bleeding

I have piles problem and there is bleeding in stool from last two days ...pls guide how to stop bleeding and further course of treatment
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Intramocusal andenocarcinoma on rectum

Hello Doctor. I had intramucosal adenocarcinoma of the rectum about 9 years ago, arising from a 2 × 2 cm tubulovillous adenoma, moderately differentiated, with no invasion beyond the muscularis mucosa. Only polypectomy was performed, and no further treatment was required. The report showed MSI-negative / MMR-proficient. At that time, MRI of the pelvis and a CT scan were normal, and the post-polypectomy site biopsy showed no dysplasia or malignancy. Follow-up has been done regularly: • Colonoscopy – about 10 times, all normal (last on 12 November 2025) • Whole abdomen ultrasound – about 10 times, all normal • Blood tests – about 6 times, all normal • Chest X-ray (PA view) – 4 times, all normal Kindly advise the appropriate interval for my future surveillance colonoscopy. Also, if a new polyp appears in the future, would it necessarily be malignant in my case, or would it usually be benign? If I undergo colonoscopy every year, what is the risk that a new polyp could be malignancy?
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Microscopic colitis

On esomeprazole for 12 yrs. Diarrhoea for 7 months. If I stop the ppi hiw long will it take for the Diarrhoea to stop? Diarrhoea two to three times a day. What medicine to take? Dosage and for how long? Please help.
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Reflux Issue

Sir, I have Serious Concern...sir basically normal days i don't have any issue but sometimes just burning sensation or acidic sensation and i take anaticid and uts gone... nothing but ...after Holi to till yesterday I ate lot lot things and yesterday night I just sleep ..not properly deep sleep i feel acidic things out and then choking feels ..and after 1 min normal...and it's happening two or three times in a year at night...and i always did furt...and this gastric issues from my childhood...and my sleeping pattern and Food habbit very very bad...so what I am doing sir ..i search google and found many more things and also ..sotmimes feel bloating after taking meal and some much more water and after pressure abdomen it's normally out ..and then feel better..
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Burning in bladder

I was diagnosed with UTI , and was prescribed with medicine after urine culture report now today is 6 th day of my course but still the burning is felt in abdomen and more in bladder region , pelvic pain and left and right waist pain, What can be the issue , I took 6 day medicine but not much improvement
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