hello thank you for trusting HCM dear primary lymphangectasia treated with dietary, pharmaceutical,and behaviour modifications.No role for surgery is evident for patients with primary intestinal lymphangiectasia; however, multiple causes of secondary intestinal lymphangiectasia can be addressed surgically. 1.Dietary modifications include a low-fat diet and substitution of long-chain fatty acids with medium-chain fatty acids. A logical step might be to decrease the amount of salt intake, although this has not been proven to decrease edema. Medications that may be used include over-the-counter remedies (eg, bulking agents, drugs to control diarrhea). Treatment of secondary causes of lymphangiectasia target the underlying disease. In several reports, octreotide has demonstrated efficacy in refractory cases. A case refractory to octreotide and nutritional manipulations has been successfully treated with tranexamic acid. (This patient presented with refractory anemia due to continued GI blood loss.) Treatment of patients with secondary causes of intestinal lymphangiectasia involves management of the underlying disease. if symptoms not improved please consult your doctor he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask. take care