Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-
Gastritis with
Hepatomegaly with
Nicotine poisoning effects from Shisha
smoking.
Nicotinic acid causes skin pallor from expedited ageing changes from Nicotinic acid.
Epigastric pain is from Gastritis induced from Nicotine in Shisha smoking.
Ones a day Shisha-smoking for 1 hr session-is equal to 100 cigarretes smoked over few days.And chronic long term smoking has caused these side-effects from Shisha/ or hooka smoking.
IBS accompanied is from Nicotine effects with increased bowel irritability, from increased nicotine blood levels.
Other causes needs to be verified before any further treatment is planned.
Remedy-for this
GERD and IBS
After Consults with Chest Physician and GI physician specialist and assessment of your case,follow suggestions-to deal with this case accordingly.
Stop Shisha smoking,
High Carbo/ high protein diet/ Vit B12 and
Folic Acid / Vit E/ Vit D3 and Calcium with Zincovit-multivits,to recoup GI mucosal stability,
avoid spicy diet,Yoghurt / butter milks x 2 /day, Vegan diet, more fluids intake would revive you in few months time.
Possibility of accmpanied IBS from protozoal / bacterial infections besides Nicotine high levels, needs to be kept in mind in treating your case.
Hope this would help you to plan further of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS