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Talk to Internal Medicine on Gastrointestinal

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Asking for Self, Male, 23 years old, Karachi

For over 3 months, -Feeling nausea (persistent since 3 months), bubbling sounds in the stomach (usually after eating), sometimes bubbling feeling in the throat. - Spotted red spots in stool (3-4 in one movement) - Squeezing sensation in upper-middle abdomen after eating. - Have anxiety (GAD) (it's a lot better than before) -weight down from 60 to 57kg. -VitaminD deficient (took supplements) -Feel like food isn't digesting properly -Sedentary lifestyle since a few months

It gets fine for a week but these symptoms come back again. What could be the cause?

Internal Medicine Specialist in Karachi - Dr. Jetender

Dr. Jetender - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi

review-stars

23 Positive Reviews

In young male there may be multiple reason most of them benign so keep calm. I want little more Hx if you can add,

Internal Medicine Specialist in Karachi - Dr. Jetender
Dr. Jetender - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi | Book Appointment

review-stars 23 Positive Reviews

For now avoid over spicy and fatty things, plenty of water, drink milk.
If it is unavoidable then you can use
Syp.Gaviscon 2tsf after every meal

4 years ago

Member

Post Owner


What is Hx? Can you please elaborate?

4 years ago

Internal Medicine Specialist in Karachi - Dr. Jetender
Dr. Jetender - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi | Book Appointment

review-stars 23 Positive Reviews

Need little but more history, like repeat episodes of sorethroat, vomit, constipationor diahrea, hx of fever??

4 years ago

Member

Post Owner


It has been happening from over 3 months. No episode of fever, constipation or vomiting just extreme nausea whether I eat or not. Rare episodes of diaherra like for a week buts it's fine now. Stool varies a lot from being mushy to normal.
I am drinking enough water. Can you please review the report it say fat gobules+ what does that mean?

4 years ago

Internal Medicine Specialist in Karachi - Dr. Jetender
Dr. Jetender - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi | Book Appointment

review-stars 23 Positive Reviews

Ok. Follow the instructions as I mentioned earlier and if things not getting better in next 3 days then follow up in Gastroenterologist clinical for endoscopy. Tcz

4 years ago

Member

Post Owner


Is endoscopy needed since there are no symptoms other than nausea?

4 years ago

Internal Medicine Specialist in Karachi - Dr. Jetender
Dr. Jetender - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi | Book Appointment

review-stars 23 Positive Reviews

No not for now, use these medicine, but go for CBC then follow with report, if symptoms persist then yes we may go for endoscopy

4 years ago

Internal Medicine Specialist in Karachi - Dr. Vinita

Dr. Vinita - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi

This all could be associated with Anxiety and depression.
drink plenty of fluids. at least 10 glasses a day.
Avoid constipation as it could be one of reason for blood in stool.
Avoid junk food
Exercise daily, 30 mins walk.
hope it will work.

Member

Post Owner


I was diagnosed with GAD but I've pretty much overcomed it. I am drinking enough water.
I was guessing it was blood but the report shows no blood signs. But the nausea is persistent. I try to exercise but this nausea gets in the way.
Should i go for abdomen scan or something?

4 years ago

Internal Medicine Specialist in Karachi - Dr. Vinita
Dr. Vinita - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi | Book Appointment


I don't think there is need of any scan at the moment. Get CBC and Liver function test done. Will Recommend US abdomen if LFTS derranged. Avoid sedentary life style, try to stay active.

4 years ago

Internal Medicine Specialist in Karachi - Dr. Vinita
Dr. Vinita - Internal Medicine Specialist

MBBS, FCPS (Internal Medicine) | Karachi | Book Appointment


For persistent Nausea take Tab Itopride 50mg twice a day for 1 week. Get these tests done, will review after that.
take care.

4 years ago

Member

Post Owner


Thank you. I'll follow the aforementioned guideline

4 years ago

Internal Medicine Specialist in Faisalabad - Dr. Niaz Ahmad Qadri

Must get your upper G I Endoscopy n biopsy if necessary.

Member

Post Owner


Is it necessary since there is no fever or vomiting? Just nausea

4 years ago

Internal Medicine Specialist in Faisalabad - Dr. Sehrish Naz

i have read your history n sypmtoms.ur reports are fine.no blood in stools.most of the times these symptoms are anxiety related.avoid taking spicy n junk foods,dont take tea more than one cup.take plenty of fluids.sleep well.take tab ganaton od 150mg once a day half hour before meal.cap nexum 40 mg once a day half hour before breakfast for 1 week.i want to have ur test serum TSH, n cbc.then consult me after 1 week.if symptoms dont resolve then endoscopy should be done

Member

Post Owner


I am not taking any junk food since past 2 months. Drinking enough water too. Sure, I'll follow this guide and get back to you?
Is endoscopy really needed, this is worrying me

4 years ago

Member

Post Owner


I'll follow these guidelines thank you. Since I have anxiety issues, can you please tell me if there is anything to worry?

4 years ago

Internal Medicine Specialist in Faisalabad - Dr. Sehrish Naz

no need to worry.as these symptoms are mostly anxiety related.these can be resolved by proper healthy diet n lifestyle.endoscooy can be done if these symptoms persist even after medication to rule out other cause.

4 years ago

Internal Medicine Specialist in Islamabad - Dr. Nargis Tasleem

Dr. Nargis Tasleem - Internal Medicine Specialist

MBBS, FCPS (Medicine), MCPS (Medicine) | Islamabad

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30 Positive Reviews

I've read your history and symptoms.U needs to get some life style modifications.regular walk,regular sleep,proper water intake,regular meal times and avoid spicy ,junk,packed foods.take one glass of water before every meal.take tablet Ganaton 50mg half hour before meals morning evening..take desktop 60mg before breakfast.both for 14days.take tablet fasigyn 500mg morning evening for 7days after meals.avoid constipation.get dry injeer n put it in small amount of water after washing it overnight.N chew it in morning ,drink water in which it was soaked.same practice for morning n use the soaked injeer in evening.before meal.follow up after 14 days.

Member

Post Owner


I'll follow these guidelines thank you. Since I have anxiety issues, can you please tell me if there is anything to worry?

4 years ago

Internal Medicine Specialist in Islamabad - Dr. Nargis Tasleem
Dr. Nargis Tasleem - Internal Medicine Specialist

MBBS, FCPS (Medicine), MCPS (Medicine) | Islamabad | Book Appointment

review-stars 30 Positive Reviews

For anxiety I would like to some organic cause .Plz get your tests for TSH,free T4 done.

4 years ago

Internal Medicine Specialist in Islamabad - Dr. Nargis Tasleem
Dr. Nargis Tasleem - Internal Medicine Specialist

MBBS, FCPS (Medicine), MCPS (Medicine) | Islamabad | Book Appointment

review-stars 30 Positive Reviews

Plus complete blood picture.n for how long u are facing this anxiety issue.sleep is fine or disturbed.n appetite???

4 years ago

Member of Marham-Forum

Patient endoscopy to see any issues with stomach to rule out peptic ulcer or any other issues

Member of Marham-Forum

It looks like more of an IBS (Irritable bowel syndrome). I need to get further history regarding your bowel habits like constipation or diarrhea. People with IBS are more sensitive and that is the reason it is accompanied by anxiety.So I want you to provide with more history and any test reports that you have carried out. It is a completely treatable disease but would linger on for years if you do not take care of it
Regards

Internal Medicine Specialist in Lahore - Dr. Sana Shuja

Dr. Sana Shuja - Internal Medicine Specialist

MBBS, MRCP (UK) | Lahore

review-stars

29 Positive Reviews

I have thoroughly reviewed your reports. it's really difficult to cope up with all this. and it's understandable as well. The cause may be related to your anxiety to some extent as well. kindly modify your lifestyle.thats very important and has is one of the counter stone management. avoid spicy citrus food ,junk food,beverages like coffee tea specially empty stomach carbonated drinks, kindly avoid fried fatty foods.as the OCCUlt blood in stool is negative so you don't need to worry about the red spots in stool. those were probably because you may had passed hard stool.drink atleast 8 to 10 glasses of water to avoid passage of any hard stool . specially before every meal..
add brisk walk for 30 min in your daily routine.
also start tablet ganaton 150 mg for once aday 20 min before breakfast .plus capsule
rabixin 20 mg 30 min before breakfast .
also take syrup eplazyme . 1 tablespoon after every meal.
kindly also avoid eating meals too fastly .
and kindly let me know. stay home stay safe and take care.

Internal Medicine Specialist in Karachi - Dr. Faiza Samad

Dr. Faiza Samad - Internal Medicine Specialist

MBBS, MCPS, FCPS (Internal Medicine) | Karachi

You are suffering from anxiety ???? take tab motilium before meals the lockdown will IA soon be over

Internal Medicine Specialist in Rawalpindi - Dr. Brig R Muhammad Asif

Dr. Brig R Muhammad Asif - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Rawalpindi

review-stars

320 Positive Reviews

cap Risek 40mg once daily
syrup pelton v 1tsf three times a day

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