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Are Hemorrhoids Linked To Poor Functioning Of Liver?

Posted on Wed, 11 Dec 2013

Question: Hi Dr. Kini, You asked me how i was doing.I just had my mannometry and ph test this week.The results wil go to my gastroenterologist but the technician who performed the test confirmed that i have acid reflux going into my esophagus about 1.5-2 hours after each meal.Now we have to see if the higher dose of pills will heal my espophagitis and LPR.I am currently taking nexium in the morning and xantac after lunch and dinner.Have not seen a lot of progress but it is not getting worse and my energy levels are better.One issue that i have is you mentioned that PPI don't affect liver function.How come with my much improved lighter diet my hemorroids have flared up again.I thought hemorroids were linked to a poor functioning liver...After reading your previous comments am i bound to lose my stomach if i stay on ppi's longer? Thanks again.Look forward to your feedback but i am expecting it's still free. XXXXXXX

Answered by Dr. Dr.P.Ratnakar Kini (12 days later)

Brief Answer: Detailed answer given below Detailed Answer: Hi, Thanks for updating me. I have told you earlier that hemorrhoids are not linked to poor functioning of liver. They are linked to altered bowel habits especially constipation. As I told you PPI are quite safe and rarely causes serious side effects. I have told you earlier that headache and diarrhea are some of the common side effects of taking PPI and in elderly individuals who are on long term PPI, there may be worsening of osteoporosis. So you can safely take PPI. Let me know if I can assist you further. Regards, Dr.Ratnakar Kini

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

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

Thank you again.I don't have constipation.My symptoms are the other way around i have soft stools regularly but don't seem to get the energy that should come with food.The reason why i am surprised about the hemorroids flaring up again. I have no more questions for now. Cheers

Answered by Dr. Dr.P.Ratnakar Kini (16 hours later)

Brief Answer: Need some more information. Detailed Answer: Hi, What makes you think your hemorrhoids have flared up again? Dr.Ratnakar Kini

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

Follow up: Dr. Dr.P.Ratnakar Kini (7 hours later)

I didn't have any itching or pain since hemorroidectomy about 5 years ago but now i get it and it doesn't seem to be related to fat foods.It somwhat comes on unexpectedly as i am on a fairly lean diet.Surgeon looked at it and told me i had one small hemorroid coming back.

Answered by Dr. Dr.P.Ratnakar Kini (5 minutes later)

Brief Answer: Good bowel movements prevent worsening of piles. Detailed Answer: Hi, OK. Good bowel movements will hep to prevent worsening of hemorrhoids. Take fiber supplements if at anytime you have issues with bowel movements. Regards, Dr.Ratnakar Kini

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

Follow up: Dr. Dr.P.Ratnakar Kini (14 hours later)

Thx.I don't have issues with bowel movements or very little but i do have a history of hemorroids up until they were mostly taken out (the worst ones) five years ago.Ground flax seed works for me. What is the recipe to heal gastritis?PPI's again? Is it a waste of money to continue probiotics supplement while taking antibiotics for prostatitis?Or could that help keep a minimum of good bacteria?

Follow up: Dr. Dr.P.Ratnakar Kini (40 minutes later)

One more question please, How can we diagnose "harmful bacteria overgrowth" in the gut?Would you see that when performing endoscopy/gastroscopy?Are there solutions to that in traditional medicine or is this just a naturopathic concern? Can harmful bacteria keep the digestive system from assimilating food properly and turn it into the proper energy? Thx. XXXXXXX

Answered by Dr. Dr.P.Ratnakar Kini (2 days later)

Brief Answer: Detailed answer given below. Detailed Answer: Hi, Yes for healing of gastritis, you have to be on PPI. Regarding probiotics, I would advice you to take more yogurt which does the same action. For diagnosing harmful bacterial overgrowth, a stool test,breath test and culture of the small bowel fluid aspirated during endoscopy may be done. Antibiotics and probiotics are the treatment for it. Yes harmful bacteria affect digestion causing maldigestion/malabsorption and as a result of it various signs and sypmptoms of nutritional deficiency occurs. Let me know if I can assist you further. Regards, Dr.Ratnakar Kini

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