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Q&A

Answered by Dr. Ambalathu Veettil Hussain Shihaz

How do I manage watery stools, gas, and abdominal pain?

Hello, Welcome to icliniq.com. I understand your concern. Based on the limited information provided, a possible diagnosis is irritable bowel syndrome (IBS). This condition is also known as a disorder of gut-brain interaction. The symptoms may be triggered or worsened by certain types of food or psychological stress, including stress at the workplace or at home.

May 3, 2026

I have excess gas production with pinchy pain and altered bowel movements. Can this be IBS?

Hello, Welcome to icliniq.com. Thank you for providing a detailed history. There are a few details I would have appreciated. Have you lost weight during any of the periods? Does your weight keep swinging from gain to loss? Any history of iron deficiency anemia in the past? Have you ever been advised to keep or kept a food diary to identify probable food culprits? Any history of lactose intolerance? Have you ever tested for Celiac disease- any serum antibodies or duodenal biopsies? Have you ever had a CT (computed tomography) scan or MRI (magnetic resonance imaging) of the abdomen or fecal elastase test done in the past? Do you consume alcohol, if so what would be the volume in a week (and what type of alcohol)? Any association of alcohol with symptoms? Have you ever had hydrogen (glucose or lactulose) breath test or duodenal aspirate for culture? Are the symptoms associated with any diarrhea? If I could have the details for the above, I would much appreciate and would help me to provide a comprehensive opinion..

April 27, 2026

Is a tiny nodule in the cardia suggestive of cancer?

Hi, Welcome to icliniq.com. I have gone through your query in detail. The endoscopy has shown a healing ulcer and is showing healing as well as a small hiatus hernia. There is a very tiny nodule in the cardia (proximal part of the stomach), which has been biopsied. These tiny nodules are usually innocuous, but as a routine approach, it is biopsied to rule out any kind of early changes, if any.

December 21, 2025

What are the strategies for managing frequent belching?

Hello, Welcome to icliniq.com. I understand your concern. I have gone through your query in detail. I would like a few more details about your belching. Do you have reflux symptoms (sour after taste, recently consumed food coming back to the throat on belching, or heartburn) or any vomiting? How are you opening your bowels? Have you had an endoscopy (EGD)? Is it usually that you have a feeling that you need to belch to ease the discomfort in your tummy? Belching is usually a behavioral issue and can be controlled by behavioral training.

October 31, 2025

Even after giving up alcohol, my GGT levels are high. Why?

Hello, Welcome to icliniq.com. There are a few questions regarding your health and lifestyle that would help in finding the answers to your query. 1. Have you had any jaundice recently or ever? 2. How long have you been taking alcohol? 3.

June 20, 2024

What is treatment for IBS-D with high blastocystis hominis?

Hi, Welcome to icliniq.com. Blastocystis hominis does not usually require treatment unless there is a co-pathogen (they were none found in your stool study) or if the individual is immunosuppressed. The other issue is your SCFA (short-chain fatty acid) and but the rate are a bit on the lower side. How was your IBS-D (irritable bowel syndrome with diarrhea) diagnosed? Was it after a colonoscopy, and checking celiac disease antigen as well as stool calprotectin level?.

June 19, 2024

Piles with blood, now lump outside anus. Meds?

Hello, Welcome to icliniq.com. I have gone through your issue. It does not confirm that you have piles but, it could be most probably piles. Is it painful when it bleeds or not painful? Is the blood coated on stools or does it drip down, or blood mixed with stools and mucus? Do you have constipation or hard to pass stools? Was there bleeding after an episode of constipation or passage of hard stools? Is the lump outside the anus painful? Have you been previously diagnosed with piles? The best thing to do is get it examined by a gastroenterologist to confirm the diagnosis. I would suggest you some laxative for some time if you do not have loose stools.

June 4, 2024

Is cholecystectomy necessary before planning pregnancy?

Hello,Welcome to icliniq.com.I have gone through your case and reports (attachment removed to protect patient identity). This looks like a symptomatic uncomplicated gallbladder stones. Even though you say that the symptoms have not been typical of biliary colic but the repeated episodes of pain, need for parenteral analgesics, and no other attributable cause leads to consider gallbladder stones as the cause for your pain.Without surgery, there is 50 % chance of recurrent pain episodes per year, 2 % chance of biliary complications per year, and 30 % will have no further pain if there was only one episode of biliary pain previously.

May 10, 2024

What does acute cholecystitis with multiple cysts indicate?

Hello, Welcome to icliniq.com. A 16 cm cyst is a bit large cyst. A few more details about your condition would be quite informative. Have you ever had any pain in the abdomen or jaundice in the past? Any contact with sheep, any pet dog? Kindly inform what was the management for acute cholecystitis, was cholecystectomy done or just managed with antibiotics and other medicines? If it is possible to upload the images or reports of the ultrasound and MRI, it would be really helpful to give a comprehensive opinion..

May 10, 2024

What is causing hiatal hernia with chest pain?

Hi, Welcome to icliniq.com. I have gone through the reports of your endoscopy (attachment removed to protect patient identity), as per the endoscopy you do not have any evidence of cancer. Have you received the reports of biopsy? If so, please forward it. The medications you have taken are appropriate..

January 17, 2024

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