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Q&A

Answered by Dr. Sultan Zeb Khan

What does a decrease in HBV DNA levels mean in hepatitis B?

Hi, Welcome to icliniq.com. I think you mean HBV DNA (hepatitis B virus DNA) rather than HPV (human papillomavirus). I would want to know about the ALT (Alanine Transaminase) level of the patient, as well as HBeAg (hepatitis B E Antigen) and anti-HBe (hepatitis B E antigen). After that, the exact phase of hepatitis B could be identified. I hope this helps you.

November 21, 2025

How do I manage my digestive discomfort after meals?

Hello, Welcome to icliniq.com. I would like to know if you have had any weight loss recently, used painkillers excessively, or had black-colored stool or blood with vomit? Do you have vomiting? Or a family history of any stomach cancer? If all these are negative, then you are suffering from functional dyspepsia. That can be managed by lifestyle dietary modification and medications. I hope this helps. Thank you.

October 31, 2025

Is there any serious problem in the abdominal CT scan?

Hi,Welcome to icliniq.com.According to the CT (computed tomography) scan report (attachment removed to protect patient identity), there are two problems.In the liver, there is a hemangioma, which is a benign tumor, meaning it does not cause any harm. If it increases in size, then it is resected.The other problem is with the muscles of the abdominal wall, in which a small amount of blood has accumulated, which is causing pain.

October 27, 2025

Can ultrasound detect liver fibrosis and its limitations?

Hello, Welcome to icliniq.com. I understand your concern. Ultrasound abdomen can only tell about the presence of fat. For fibrosis and quantification of fat, another imaging modality is used, called Fibroscan. It is similar to an ultrasound.

October 8, 2025

What causes sulfur burps, diarrhea, and vomiting with GERD?

Hi, Welcome to icliniq.com. Yes, you are having GERD, which is gastric esophageal reflux disease. This means the acid in your stomach, along with food, regurgitates into your food pipe, known as the esophagus. There are many causes for that, like being overweight, drinking excessive tea, coffee, or cold drinks, drinking excessive alcohol, eating chocolate or fatty food, going to bed immediately after eating, especially dinner, and certain foods, as you mentioned. First of all, you should avoid the food that causes these symptoms.

June 19, 2025

Why are there pain in lower stomach with gas and burning sensation during urination?

Hi, Welcome to icliniq.com. Please drink a lot of water for the urinary problem. Take the following medications for the stomach problem. 1. Capsule Esomeprazole 40 mg (proton pump inhibitor) once daily before breakfast for four weeks.

July 2, 2024

What causes anal issues, stomach, and muscle pain?

Hello, Welcome to icliniq.com. Please explain your symptoms in detail..

April 22, 2024

How can IBS related to SIBO be managed?

Hi, Welcome to icliniq.com. The best is to avoid eating foods that cause trouble. Secondly, for SIBO (small intestinal bacterial overgrowth), it is better to use a combination of Tetracyclines plus Metronidazole for two weeks. Effective probiotic will also help. Take the following medications: 1.

January 20, 2024

What could be wrong if a person has acidity and gas problems with any food?

Hello, Welcome to icliniq.com. Keep a food diary to look out for the culprit food. I hope you are not chewing gums frequently, which can cause swallowing of air and gas; talking while eating can also cause that. Have your dinner early, so there must be a difference of three to four hours between your dinner and going to bed. Avoid caffeine, tea, coffee, soft drinks, alcohol, and chocolates.

December 7, 2023

I am suffering from nausea inspite of having medications. Could it be hiatal hernia?

Hello, Welcome to icliniq.com. Darwesh you are suffering from functional dyspepsia, and a significant cause of it is anxiety and depression. That is the reason why you felt better with depression medications. It is a relapse and remitting disease means it will be fine for some time and may occur again for a few days. You need to retake your depression medication, or you can use the following drugs and follow-up after four weeks.

August 4, 2023

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