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Suggest Treatment For Acid Reflux, Gas, Fatty Liver And Fatty Pancreas
Question: In January I had some problem with my right ear which felt like blocked. I went to an ent and he afetr doing an endoscopy said that I am having enlarged tonsil specifically the right one and gave me Azithrol for 6 days and told me to gargle for 15 days. After 7-8 days I have the same issue so went to a different doctor he said my tonsil is ok and suggested XYZAL-A along with to continue garle and moist vapour with Solvin. After doing that initially I was fine but I felt a new thing like pin like sensation in throat. So I went to the old doctor and he gave me Pantazium-D and said i am fine it is from acid reflux. He suggested and MRI of neck which I did and is normal. On 15th March I had severe acid and gas problem and went to see an GP who said all my problems are from gas and prescribed Pan-40 twice daily and Neopride 3daily 1hr before food and Pan MPS 15ml daily. From that Day till today I am having the same medicine only changed pan40 to pan d for 5 days due to unavailability but from tommorow I am back in pan 40. I still have the problem after 15 days. What shall I do? I did USG of upper abdomen and found fatty liver and fatty pancreas. Please suggest
Brief Answer:
Please give details
Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history and concerns; that you are suffering for the last 3 months. Started as blockage of the right ear - consulted an ENT who talked and treated about right tonsil - Another Doctor with another opinion and treatment - Started with pin like thing in the throat - First Doctor gave you Pantzium - D - MRI of the neck normal - Developed severe acid and gas problems on March 15 and GP gave you Pan- 40, Neopride and Pan MPS - you still have the problem started on March 15 - USG shows fatty liver and pancreas. - Wants to what should be done next.
You mean to say you still have the similar Acid and gas problems.
Please give details of the symptoms you have at the moment like:
- Is there any nausea, vomiting, loose stools or constipation, bloating of the abdomen?
- How is the problem with ear and the pin sensation in the throat?
- Is there any burning in the chest?
I would advise you the following:
-Since there is no relief, it is better to undergo an Upper GI Endoscopy to see the exact problem.
-Pan- PMS to be take 15 ml every 3 hourly interval and particularly when you are on empty stomach.
- Continue Pan 40.
- Add Ranitidine 150 mg twice daily.
- Soft bland diet.
- No tea or tobacco products if you take.
- Stress and anxiety do add to the problems a lot and keep away from it.
- Small frequent meals, early dinner and 8 hours sound sleep.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
Please give details
Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history and concerns; that you are suffering for the last 3 months. Started as blockage of the right ear - consulted an ENT who talked and treated about right tonsil - Another Doctor with another opinion and treatment - Started with pin like thing in the throat - First Doctor gave you Pantzium - D - MRI of the neck normal - Developed severe acid and gas problems on March 15 and GP gave you Pan- 40, Neopride and Pan MPS - you still have the problem started on March 15 - USG shows fatty liver and pancreas. - Wants to what should be done next.
You mean to say you still have the similar Acid and gas problems.
Please give details of the symptoms you have at the moment like:
- Is there any nausea, vomiting, loose stools or constipation, bloating of the abdomen?
- How is the problem with ear and the pin sensation in the throat?
- Is there any burning in the chest?
I would advise you the following:
-Since there is no relief, it is better to undergo an Upper GI Endoscopy to see the exact problem.
-Pan- PMS to be take 15 ml every 3 hourly interval and particularly when you are on empty stomach.
- Continue Pan 40.
- Add Ranitidine 150 mg twice daily.
- Soft bland diet.
- No tea or tobacco products if you take.
- Stress and anxiety do add to the problems a lot and keep away from it.
- Small frequent meals, early dinner and 8 hours sound sleep.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
- Is there any nausea, vomiting, loose stools or constipation, bloating of the abdomen?
There is no nausea or vomiting. From Today I am experiencing loose tools and on initially around 15th march I had loose stools. Bloating is there in abdomen. and generally after the gas is released i feel relieved.
- How is the problem with ear and the pin sensation in the throat?
Problem with ear is normal and that pin sensation is still there but irregularly
- Is there any burning in the chest?
No.
From 25th March to 31st March I used Pan-D instead of Pan-40 twice daily before food at night and in empty stomach early in morning. Once from tommorow I started using Pan-40 I am facing this loose stool issue.
Is there any issue as I used Pan-D with Neopride.
There is no nausea or vomiting. From Today I am experiencing loose tools and on initially around 15th march I had loose stools. Bloating is there in abdomen. and generally after the gas is released i feel relieved.
- How is the problem with ear and the pin sensation in the throat?
Problem with ear is normal and that pin sensation is still there but irregularly
- Is there any burning in the chest?
No.
From 25th March to 31st March I used Pan-D instead of Pan-40 twice daily before food at night and in empty stomach early in morning. Once from tommorow I started using Pan-40 I am facing this loose stool issue.
Is there any issue as I used Pan-D with Neopride.
Brief Answer:
May be a part of Gastroenteritis.
Detailed Answer:
Thanks you so much for a good feedback.(Today I am experiencing loose tools and on initially around 15th march I had loose stools. Bloating is there in abdomen. and generally after the gas is released i feel relieved.)
If you have associated loose motions it is possible that there may be Gastroenteritis and needs evaluation and treatment by a Doctor so that all the problems will be solved.
Please consult you Doctor and get treated for loose motions.
May be a part of Gastroenteritis.
Detailed Answer:
Thanks you so much for a good feedback.(Today I am experiencing loose tools and on initially around 15th march I had loose stools. Bloating is there in abdomen. and generally after the gas is released i feel relieved.)
If you have associated loose motions it is possible that there may be Gastroenteritis and needs evaluation and treatment by a Doctor so that all the problems will be solved.
Please consult you Doctor and get treated for loose motions.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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