Gastroenterology
Esophageal varices
I am contacting regarding my father. He is diagnosed with esophageal varices because of which esophageal banding has been done. Is there any way to cure it.? He is also having diabetes and pressure problem. What are the best possible ways to cure it.?
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Sigmoid volvolus-
Grossly dilated sigmoid colon with inverted appearance
Fluid–air levels within sigmoid loop
Displacement of sigmoid to right side of abdomen
Loss of haustrations in sigmoid
Dilated rectum and proximal descending colon with air-fluid levels
Collapsed distal colon from mid-descending to cecum given in ct scan
Bird beak configuration implied at descending-sigmoid junction
Mass effect over adjacent small bowel loops
Mesenteric fat stranding and mild free fluid (ascites) in abdomen/pelvis
Mild bowel wall edema seen (suggestive of early ischemia or venous congestion)
Small gastroesophageal hiatus hernia with edematous thickening
Small epigastric hernia (2.5 x 5.0 cm) with fat + few small bowel loops
Gall bladder distended, no calculi
Generalised anascara
Low albumin 2.2
Give suggestion for surgery as very risky for her
Diffuse liver hypoattenuation (possible perfusion-related or fatty changes)
No pneumoperitoneum or perforation
Both kidneys, pancreas, spleen, adrenals normal
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Having swollen skin around my anus
I have swollen skin around my anus ,from few weeks. It hurts some times while sitting and i can feel it while cleaning anus after passing bowl.
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ENDOCRINOLOGIST IN SURAT
SIR
I HAVE BEEN FOLLOWING WEIGHT LOOSS PLANS FROM LAST 9 YEARS
INITIALLY I HAVE UNDERGONE FOR A CONTROLLED DIET PLAN AND Controlled nearby 96 - 98 kgs
Since 3 years iam getting weight gain and Not Loosing weight by Any means
I think some Glandular Abnormalities or Hormonal Abnormalities may be active inside Body and Not allows to loose weight after a restricted Diet plan and Dietary Adviced Food Plans
I want to be treated about this
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Is this anal fissure
Im having anal dryness, cracked feeling skin, light itching and a poking feeling near anus since 2 months.
Inserting picture. I can notice 2 small bumps also near anus. It does not pain. The itching is mild but its creating discomfort and a poking feeling. No pain and no blood. Im having mild bacterial vaginitis also from same 2 months but that is settling now. The BV has almost cured. I have taken antifungal and antibiotic medicine for the vaginitis. But my anal issue is still existing. Does vaginal infections cause anal issues?
Because after the vaginitis only the anal itching started. Can a gynaecologist help with my issue, is this something serious. Do i need to consult a proctologist now or what do I need to do. Im very frustrated because though its mild, its not going completely. Can anyone prescribe me medicine if its not very serious
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Polyps in gallbladder
One of the nearby doctor suggest me USG renal. When I done it I found few tiny polyps and one large of 4×4mm in size.
Are these normal or should I go for other medicines treatment.
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No control of urine and motion
My MIL had intestinal surgery two years back, she could not have any high fiber food but now a days even simple carbs or anything , she started to getting stomach pain and urge to goto motion.
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Carvedilol 3.125 mg three times a day
Cardiologist prescribed carvedilol 3.125 mg three times a day with 8 hours gap in view of high bp.
71 years early compensated cirrhosis. Asymptomatic. Mild pedal edema occassional.
BP fluctuates mostly in 144-150/80-90 , 160/90 up. At times 130/70 & up. Normal heart rate 70-80. Currently on carvedilol 3.125 mg two times a day. Taking thyronorm for subclinical hypothyroidism, istamet for prediabetes, n multivitamins.
From hepatologist point of view, is it ok to initiate the dose three times a day??
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Maron blood in stool
I am having loss motion since monday and now from yesterday evening i am getting maron color blood stool and nothing else . Is it due to infection or anyother thing
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Feeling acidity
Hi Doctor,
I am feeling burning sensation when food is passing thorough food pipe. And food is also not digesting correctly.Could you please suggest some ways to repair gut fully.
Thank you in advance.
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