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Can you please suggest medicines based on the endoscopy report?

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Patient's Query

Hi doctor,

I am a patient having a chronic liver disease with HCC. Currently, I am taking Novidat 500 mg for five days, Spasfon, Risek 500 mg for 14 days and Uroso 250 mg for 14 days. Even after taking these medicines, I still have pain in my stomach. There is no benefit. My endoscopy reports show a normal upper and middle third of esophagus. There is post banding sclerosis seen in lower third of esophagus. There is no fundal varix seen. I have abnormal, erythematosus and congested mucosa seen in the gastric body and antrum. I have a normal duodenal bulb and descending duodenum. Kindly suggest medicine.

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

From your description, HCC (hepatocellular carcinoma) causes stomach pain in you. It occurs when you have significant necrosis within the center of HCC with the presence of vascular or capsular involvement. I suggest you do a complete CT (computed tomography) scan with HCC protocol to establish the cause of pain and then you can get treatment accordingly. The pain of acidity and erythema seen on endoscopy should be controlled with risk. If the pain is not resolving, then it can occur secondary to a tumor in the liver. Share the reports of CT scan if you have done already. If the mentioned findings are shown in ultrasound, then do a CT scan abdomen with a triphasic protocol or HCC protocol. You can take capsule Tramadol 100 mg for pain. But it can cause constipation and drowsiness if it is taken excessively.

The Probable causes

You have hepatocellular carcinoma (HCC).

Treatment plan

I suggest you do a CT (computed tomography) scan with HCC (hepatocellular carcinoma) protocol. It helps to have a specific treatment plan for the management of HCC. It also helps in treating the cause of liver cirrhosis.
Medically reviewed by Dr. Sneha Kannan
Published At August 7, 2020
Reviewed At August 21, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

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