Gastroenterology

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Mirizzi syndrome, Choledocholithiasis

MRCP done Report- Gallbladder is distended, multiple calculi are noted within the lumen. Largest calculus measures 2.0 CM. Mild diffuse wall thickening is noted. There is evidence of mid CBD calculus noted measuring approximately 2.1 CM. Dilated proximal CBD and mid to moderate IHBRD is seen. The calculus is mainly at the junction of the cystic duct with the CBD ( MIRIZZI SYNDROME) Impression- Acute calculus cholecystitis. Choledocholithiasis ( mirizzi syndrome) with dilated CBD and mild to moderate IHBRD. Mild hepatomegaly Pancreas and peri pancreatic fat planes are normal. ERCP done- Impression- Choledocholithiasis/Cholangitis ERCP CBD Stenting. Jaundice is coming down slowing, presently the billubrin is 10. Please guide us for the way forward, what type of surgery is preferred, need guidance for a good surgeon to perform.
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H pylori positive in test

Can you please guide the treatment as h pylori positive in test , any suggestions for her what to avoid in food and drinks and medication
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Blood donation

I have Gilbert syndrome disease, can I donate my blood? Is there a chance of someone getting an infection from my blood? B+ Which test will help me get to know my blood is normal or is there any kind of infection.
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Chronic constipation

Age: 18 Symptoms Duration: Constipation, anemia, and other symptoms for 8-9 years Symptoms: 1. Chronic Constipation: I have been experiencing severe constipation for the past 8-9 years. Every morning, I attempt to have a bowel movement, but it requires a lot of effort and straining. Despite the effort, only a small amount of stool is passed, and I never feel fully relieved. This process repeats multiple times throughout the day, with only small amounts coming out each time. Recently, I’ve felt like my lower abdomen or rectal area is completely blocked. 2. Associated Symptoms: Headaches, especially after trying to have a bowel movement. Bloated sensation in the stomach, which feels uncomfortable throughout the day. Persistent fatigue and weakness, likely exacerbated by the constipation and anemia. 3. Anemia: I have had anemia for 8-9 years, which contributes to low energy and poor concentration and also experiencing pica disorder and notice sone marks on my skin
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Digestive problem

I have problem with my stomach since last one month Feeling not better ; joint pain, indigestion, dry skin, gas problem, bitter smell stool etc.
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Rectal discharge

I had transparent anal discharge while passing stool. It was transparent and rubbery like jelly but rough. My anal part is feeling itchy since last week. Also I am sleeping for more than 7 hours since last week. Usually I only sleep for 6.5 hours
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Gastric problem

I am feeling jam in my chest area and feeling gastric please recommend medicine for gas and gud digestion
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Brain fog, acidity etc

Hi, i sometimes have brain fog, red hands and also gas issues. Also in the night sometimes i can feel blood travel to my mouth when i lie down after food or I can feel palpitations in my stomach when i lie down after eating food. Or so.. My ultrasound of stomach and abdomen are ok and also lft, kft etc. Any other checks i can get done? Or anything else it could be?
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Gastroenterology

Hello sir, My SGPT Level 155 and SGOT 87, I need help with whichever Medicine can reduce my SGPT Level, I use the last 5 days udlive and vitamin E but not reduce my Level.
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Wants to talk to Dr Irfan sir but unable

To connect ,his medicine really done a great work in my body and I am much better than previous kindly want to talk
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