What is the recommended treatment for abdominal pain in women?

Hi,

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Thank you for your consultation.

I have reviewed your sister's case in detail. There are two issues,

1) Stomach related.

2) Liver-related.

First, I will talk about the stomach. I have reviewed the endoscopy report (attachment removed to protect the patient's identity), her esophagus and duodenum are fine, but there are gastritis or erosions and gastric polyps in the stomach. Gastritis or erosions are very common and can be medically treated with PPIs (proton pump inhibitors) and anti H.pylori treatment if RUT (rapid urease test) comes out to be positive, which you can follow if it is still less than 24 hours. Now coming to the main point, gastric polyps: this is something which is important and concerning in this endoscopy. They did not mention the size of the largest polyp or take a biopsy of any polyp to check for any metaplasia, dysplasia, or malignancy. They have suggested going for a polypectomy, and they will likely send a sample for histopathological examination as well. She should be on good PPIs (proton pump inhibitors) and things must be cleared related to her H.pylori status. We cannot leave gastric polyps as it is. So regarding time, one can wait for a few weeks, but this is something that should be done; you cannot leave it for months, especially when histopathology is not available yet.

Now coming to the second issue, her liver, 6.2 kpa, is not very bad considering her age of 60 years, but she should be evaluated for common liver problems like checking for hepatitis B and C (HBsAg and Anti-HCV) if not done yet. Sorry to ask, but is there any alcohol consumption or not? The last possibility can be fatty liver in her case. Considering her body weight and height, she will likely fall in the overweight category as per BMI (body mass index). So related to liver, nothing to worry about at the moment, just complete her workup. But yes, regarding her stomach, you should keep an eye on this thing. I hope this answer will help you out. Wishing her very good health.