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What Do These Following Lab Reports Indicate?
Question: My brother (XXXX)(25) years old , since two month until now feeling so bad , doctors diagnosed gastroesophageal reflux disease :
His Symptoms : Morning vomiting and gets worse after breakfast , if does not eat for long period he feels burning in the chest and upper part of Stomach, Losing weight , loosing appetite , increase of saliva more than normal , Morning Swelling , stomach gases to much.
The plan of treatment has no progressed effect on him , as his body losing day by day, in time he can not eat or drink a little of water even . We Need effective paln of treatment.
we made different analysis , Here is copy (Sorry bad photos , as much I could )
His Symptoms : Morning vomiting and gets worse after breakfast , if does not eat for long period he feels burning in the chest and upper part of Stomach, Losing weight , loosing appetite , increase of saliva more than normal , Morning Swelling , stomach gases to much.
The plan of treatment has no progressed effect on him , as his body losing day by day, in time he can not eat or drink a little of water even . We Need effective paln of treatment.
we made different analysis , Here is copy (Sorry bad photos , as much I could )
Brief Answer:
Take ilaprazole along with levosulpiride
Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
I appreciate your concerns regarding your brother.
I have gone through all the reports you have uploaded.
Endoscopy examination is clearly suggestive of reflux oesophagitis with patulous lower oesophageal sphimcter. Due to patuous sphincter the symptoms in him is severe and leading to vomittig, burning sensation, loss of weight and apetite and increase of saliva.
For this I will suggest following which I found very useful in my patients with reflux oesophagitis.
1.Avoid fatty and spicy meals and citrus fruits
2. Don’t lie down soon after meals for at least two hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If he is overweight or obese do weight reduction with dieting and exercise
Among medications:
1.Take ilaprazole which is a proton pump inhibitor, it is most efficacious and with minimal side effects presently available along with a prokinetic agent like levosulpiride before breakfast
2. For more better results ask him to take tablet famotidine after dinner
3. If in between symptoms ocurr then may take antacid containing oxetacaine which is a local anaesthetic like mucaine gel
One more thing stool examination is showing presence of giardia lambia, for which take ornidazole for 7 days
Usg abdomen suggestive of liver hemangioma which is a benign condition so there is nothing to worry about that
I hope I have answered your query and this will help him. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
Take ilaprazole along with levosulpiride
Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
I appreciate your concerns regarding your brother.
I have gone through all the reports you have uploaded.
Endoscopy examination is clearly suggestive of reflux oesophagitis with patulous lower oesophageal sphimcter. Due to patuous sphincter the symptoms in him is severe and leading to vomittig, burning sensation, loss of weight and apetite and increase of saliva.
For this I will suggest following which I found very useful in my patients with reflux oesophagitis.
1.Avoid fatty and spicy meals and citrus fruits
2. Don’t lie down soon after meals for at least two hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If he is overweight or obese do weight reduction with dieting and exercise
Among medications:
1.Take ilaprazole which is a proton pump inhibitor, it is most efficacious and with minimal side effects presently available along with a prokinetic agent like levosulpiride before breakfast
2. For more better results ask him to take tablet famotidine after dinner
3. If in between symptoms ocurr then may take antacid containing oxetacaine which is a local anaesthetic like mucaine gel
One more thing stool examination is showing presence of giardia lambia, for which take ornidazole for 7 days
Usg abdomen suggestive of liver hemangioma which is a benign condition so there is nothing to worry about that
I hope I have answered your query and this will help him. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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