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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Abdominal Pain With Semi Solid Stool. Have Chronic Gastritis, Fatty Lever And Polyp In Gall Bladder. Why Is It?

i am suffering from semi solid stool with abbominal pain in the early morning with bloating for some 20 days .Previously i paseed stool after breakfast but now whenever i wake up inthe early morning for passing urine then i get my stomach bloated & urgent need for passing stool. I am suffering from chronic gastritis, fatty liver & polyp in gall bladder. my age is 62 years
Fri, 26 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Let me know the associated symptoms along with mentioned.
Do you have acidic belching/ abdominal discomfort/ excessive flatulence/ gargling sound in abdomen?
With the available described symptoms, there appears to be possibility of functional dyspepsia.
Functional dyspepsia is a functional disorder of gastrointestinal tract and Organic disease must be ruled out.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for ultrasound imaging, serum amylase and lipase, thyroid profile, blood sugar level.
You should also go for urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.
Meanwhile, you should take proton pump inhibitors along with prokinetics for relief of your symptoms. You should also take antispasmodics.
You should avoid tomatoes, citrus fruits, tea, coffee, chocolates and oily spicy foods.
Take care,
Dr. Mayank Bhargava
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General Surgeon Dr. M Y Shareef's  Response
Hi ! From your symptoms, it seems you have got some kind of infective collitis, one of the common ones being amoebic collitis. Go for a routine stool test for ova/cyst. Many times cysts do not show up in the stool, and a course of anti ameobic drug may solve your problem, but only after consulting your family physician.
The abdominal pain along with bloating may also be due to amoebic collitis which can also give rise to chronic gastritis. Gall bladder polyp may also be the culprit for this symptom of yours, and in the age group you are in, I would suggest to get yourself to submit yourself for clinical evaluation by a general/laparoscopic surgeon, and consider for removal of your gall bladder for histopathological examination. In the mean time you can go for some prokinetic agent and a proton pump inhibitor for your symptoms.
Fatty liver is an incidental finding in many cases on ultrasound. Try to reduce your fat intake, go for more roughage and liquids, and a LFT test along with HbSAg,HCV test if advised by your physician.
I hope this helps you out. Good luck.
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

It may not have any relation to the fatty liver or gall bladder polyp...
A change in the bowel habits / on a background of chronic gastritis / at this age - is an indication for endoscopy - both upper (Oesophago Gastro Duodenoscopy) and lower (Colonoscopy)...

Take care
Wishing speedy recovery
God bless
Good luck
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Have Abdominal Pain With Semi Solid Stool. Have Chronic Gastritis, Fatty Lever And Polyp In Gall Bladder. Why Is It?

Hi, Thanks for posting your query. Let me know the associated symptoms along with mentioned. Do you have acidic belching/ abdominal discomfort/ excessive flatulence/ gargling sound in abdomen? With the available described symptoms, there appears to be possibility of functional dyspepsia. Functional dyspepsia is a functional disorder of gastrointestinal tract and Organic disease must be ruled out. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for ultrasound imaging, serum amylase and lipase, thyroid profile, blood sugar level. You should also go for urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, you should take proton pump inhibitors along with prokinetics for relief of your symptoms. You should also take antispasmodics. You should avoid tomatoes, citrus fruits, tea, coffee, chocolates and oily spicy foods. Take care, Dr. Mayank Bhargava