Why is there a tiny nodule in cardia?
Hi doctor,
I had a gastroscopy a week back and when I asked the doctor if I had cancer she said no. On arriving home I saw on the report that there was a tiny nodule in the cardia which has been biopsied. My question is, why would she say emphatically that I do not have cancer if she has done a biopsy?
18 Jan 2024 - 1 min read
What is causing hiatal hernia with chest pain?
Hi doctor,
I just had an EGD with a biopsy and polypectomy. It showed a hiatal hernia 2 cm. I am attaching photos. The doctor took biopsies and said there was no cancer. I have had breast cancer in the past. I am having pain in my chest when I swallow, and my sternum today. Will that subside? Is it from the bleeding? And taking Pantoprazole now. Can you recommend the best pill to take for this pain? And what should I take for this problem, what should I eat? Can you assure me there is no cancer?
17 Jan 2024 - 1 min read
What is causing loud noices from stomach?
Hi doctor,
My stomach makes a lot of loud noises even though I am not hungry. I have anemia and when I started to take Ferrous sulfate, my stomach noises begin again. I remember that eventually, I started to feel pain along with it. So my doctor adviced me to stop taking the medicine for a month until my stomach calms down and start taking the tablets again. I also switched to Ferrous fumarate but that does not help. I began taking the tablets again, at first I felt pain which eventually disappeared although the noises are back again and it is getting worse. It is also bothering me because it is loud especially when I am in the middle of the lecture in the university. Please help me.
28 Dec 2023 - 1 min read
As I have gallstones, is it mandatory to undergo cholecystectomy before planning pregnancy?
Hello doctor,
I am a 34-year-old female ophthalmologist. I have a single gallstone which is 10 mm in size that was noticed incidentally in ultrasound. Is it necessary to undergo cholecystectomy before planning my second pregnancy? I had nonspecific episodes of abdominal pain in the last two years which were not typical of gallbladder pain because the pain was more located in the center and lower abdomen. But the intensity of the pain was severe and was associated with nausea, and vomiting which relieved only after taking intramuscular painkillers.
29 Nov 2023 - 1 min read
I have excess gas production with pinchy pain and altered bowel movements. Can this be IBS?
Hello doctor,
I am a 27-year-old male. My primary symptoms are large amounts of gas produced in stomach and/or intestine. I feels like stomach acid becomes carbonated, pain and pinching feeling from gas. I also have tingling, spasms or pain in pectoral, armpit, calf shoulder stiffness or aching in right arm, usually on the right side of the body. These symptoms are relieved upon belching and are likely due to pressure on the nervous system. Gas in stomach occurs simultaneously with sinus sweating, thin watery mucus. Later that mucus will dry and obstruct the nasal passage way in a dry plasticky film that must often be manually removed. Gas appears in much greater quantities in episodes, often followed by by constipation and/or diarrhea.
Medical history: I had walking pneumonia 15 years ago. After which a history of sinus headaches in childhood. I thought it to be the result dehydration, cured only by vomiting or sleep. Allergic reaction with facial swelling and butterfly rashes, compromised immune response 11 years ago, and cured by Prednisone. EKG five years ago (results normal) prompted by muscle spasms and random aforementioned pains (absence of gas at this stage) followed by upper endoscopy with biopsy and first of three tests for H pylori (negative, only abnormality was patent and malformed pylorus).
Blood tests came back normal. Calprotectin, negative (no inflammation). H Pylori, negative. Candida, negative. Ultrasound came back normal besides massive amounts of air pockets in the stomach and large intestine. Origin of the air is unknown, repeatedly presumed to be fungal or bacterial. Fecal occult blood came back positive. Two years ago, after throwing up blood. This was the only time the condition ever induced vomiting. Effective medications: Sucralfate.
PPIs appear ineffective, at least without the aid of sucralfate. Magnesium and Aluminum appears wholly ineffective even at the highest medically prescribed doses. Simethicone does not reduce the gas. Domperidone, prescribed to treat a previous, abandoned diagnosis of aerophagia, only served to increase pain and force more gas to be released rectally and orally.
Due to testing negative for candida, anti-fungals were never prescribed. Due to testing negative for calprotectin and appearing to lack inflammation, a recent diagnosis of gastroenterocolitis was abandoned. The source of the bacteria, if any, could not be determined, and thus antibiotics were never prescribed for anything more than diarrhea, however, this did appear to help.
Knowing what to test for at this stage would be invaluable towards prescribing the right antibiotic, anti-fungal, or antiviral to treat the source of this condition.
More details about the presenting complaint:
Current medications: Sucralfate is the only one that works, also taking Pantoprazole and Spazmex currently.
Past medications of the same issue: Omeprazole, Domperidone, and Simethicone.
Lab tests performed: Endoscopy, fecal occult blood, H.pylori test (biopsy and 2x fecal test) blood test, candida test, and ultrasound.
16 Oct 2023 - 1 min read
Medical Gastroenterology