Dr. Arbab Muhammad Kashif Khan
Medical Gastroenterology
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Patient's Query
Hi doctor,
The patient is 33 years old, who is 5.5 feet tall and whose weight is 132 lbs. She had been admitted for stomach pain. She has ascites in the stomach, and it was removed, and more ascites are still there in the stomach. She has chest pain, and the full left part of the body is painful. The food pipe is painful, and she has a burning sensation. The CT scan of her whole abdomen was also done.
Hi,
Welcome to icliniq.com.
Your main problem is ascites, which are leading towards gastro-esophageal reflux. But the cause of ascites here could not be known. The most typical cause of ascites is cirrhosis (due to alcohol, hepatitis B, and C), but the liver is normal on ultrasound. There are also some other causes of ascites.
We have to do work up for ascites. Please do the following investigation as early as possible and answer a few of my questions.
1. Do you have a history of alcohol intake. If yes, then how much in a week?
2. Since when you have developed this problem?
3. Have you lost any weight in the last six months. If yes, then how much?
4. Do you have any history of viral hepatitis?
5. Do you have any tuberculosis patients in close contact?
6. Do you have any history of pregnancy in recent days?
7. Do you have any history of deep vein thrombosis?
Investigations to be done
Treatment plan
Regarding follow up
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Medical Gastroenterology
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