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Suggest Treatment For Severe Acid Reflux And Diarrhea

Posted on Mon, 1 Aug 2016

Question: Hi Doctor,

I have been suffering from acidity and diaarea quite often then i consultrd a doc and he prescribed a medicine with some antibiotics.It goes off and after few few days or month starts again.Doc advised me to get the ultrasound and Liver function test done.It came as Fatty Liver and in LFT it shows AST 41 and ALT 63.Is this something should i be worried or is it a life threatning?

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Are you an alcoholic?

Detailed Answer:
Thanks for asking on HealthcareMagic.

The level of liver enzymes (AST and ALT) are acceptable and I would not get quite concerned about them. Since you have fatty changes in your liver it would be a good idea to get your blood HbA1c level checked. It indicates the level of blood sugar of the last 3 months. Higher blood sugar levels are often related to fatty changes in liver. If you are a drinker, it might be a good idea to reduce or refrain from alcohol intake.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (1 hour later)

Thank you Sir.

Just a quick follow up question.

Sometimes i get upper abdominal pain and gastric.my doctor gave me a acidity tablet to take everyday for the 10 days and enzyme tablet for 5 days after lunch.after that the condition is bit reduced.

What could be the reason for my probelm sir in brief? is it something serious or something which will be cured?

Thanks.

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
GERD

Detailed Answer:
Thanks for writing back. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.

Hope that helps.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (11 hours later)

Thank you sir.Your input really helps.

Also i would like to mention, i have got the stool routine and culture and sensitivity test dont.Routine test result has come and there is nothing its all fine.I am waiting for culture test.

I will follow the instruction.

Sometimes i get anal itching and burning sensation its not regular but sometimes.Is it also because of the above problem?

Thanks,

Harish K.

Answered by Dr. Prof. Kunal Saha (2 minutes later)

Brief Answer:
More details required.

Detailed Answer:
I would still insist you to upload the report or to mention it in detail. I am looking to know the consistency, the pus cell count, the presence of undigested food particles and fat globules etc. Doing a culture of stool is useless. Stool of EVERYBODY contains bacteria. If it did not, you would not needed to bothered to wash your hands before touching food.

Talking about the anal itchiness, please mention have you ever detected worms around the anus or after being passed in stool?

I would await your response.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (8 minutes later)

Thank you Sir.

I will upload the detaill report soon.The pus cell count is 2-3.

and about the itchiness i havent found any worm around the anus in fact i have taken bendex400 tablet just before 3 months.

Answered by Dr. Prof. Kunal Saha (47 minutes later)

Brief Answer:
Try restricting wheat intake.

Detailed Answer:
Thanks for writing back. As expected, the pus cell count does not indicate presence of any infection. It is possible that you are intolerant to gluten and possibly lactose. You need to restrict intake of all wheat and wheat related products. You will find a list at: https://celiac.org/live-gluten-free/glutenfreediet/sources-of-gluten/
Try it for at least a fortnight and see if it makes a difference. Also restrict intake of daily products except for curd which can be taken.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (15 minutes later)

Thank you Sir.

Also for Stool test i gave sample in the morning empty stomach.Does the test result change if i give eevening or sometihng.This is just a curosity question.

And as you suggested i will follow the instructions.

Also ieat white rice for lunch and dinner.Is that ok if i contiune that ( ihave fatty liver) so as you said i can eat curd right.

What ABout Fish sir?

I have already stoipped eating chicken and mutton.

Thanks,

Harish K.

Answered by Dr. Prof. Kunal Saha (8 minutes later)

Brief Answer:
Questions answered sequentially

Detailed Answer:
No, the time of the day would not affect the nature of stool. It will not alter the results. About rice, it is ok to be taken. However, as already suggested, you need to get the HbA1c level checked. Curd can be taken without worries. Fish can be taken. Take sea fish twice a week. You need not stop chicken but need to reduce the amount of oil used to cook it. However, you definitely need to restrict mutton intake.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (22 hours later)

Hi Sir,

Thanks for the response.

One more thing i forgot to mention earlier, sometimes(not regular) i observe mucus in my stool but in the report it came as absent.Today i have observed in the morning but other symtoms have reduced like acidity and tiredness and all reduced.

Is this something i should be worried?

Thanks,

Harish K.

Answered by Dr. Prof. Kunal Saha (6 hours later)

Brief Answer:
Take a fiber rich diet.

Detailed Answer:
Thanks for writing back. I do not think that you need to be worried. Drink plenty of water and fluids. Take a fiber rich diet. I am sure that things would be fine.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar