I have acid reflux with fatty liver, constipation and hemorrhoids. Kindly advise.

Hi,

Welcome to icliniq.com.

I need few more details to help you better:

1. Have you got your cardiac evaluation done?

2. Are you getting relief on Razo (attachment removed to protect patient identity)?

3. Any thyroid or diabetes problems?

4. Any other medications you are taking?

5. Are you overweight?

Revert with the asked details for better help.

Hi,

Welcome back to icliniq.com.

You seem to be suffering from acid peptic disease. I would advise you to take a combination of Pantoprazole and Domperidone and to take anti-flatulent and anti-acidity syrup like Digene or Gelusil for symptomatic relief. Do not consume any alcohol. Alcohol is totally prohibited even if you consume alcohol in less quantities, as even small amount of alcohol can precipitate acid reflux.

I would also advice you to avoid any pain killers and take soft and bland diet. Also, a good probiotic containing Lactobacillus also helps. Yogurt is a very good natural source of probiotics and helps in settling the stomach issues very well. Papaya cleans the bowels as it acts as a good laxative and helps in fighting with the constipation.

You can discuss with your doctor to give you any anti-hemorrhoidal cream like Annovate that you have to apply in anal area.