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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gall Bladder Removal Done, Have Bloating, Flatulence, Severe Pain In Lower Abdomen. Steps To Avoid Inconvenience In Travel?

Some four months ago while visiting US my wife was diagnosed as having Non Alcoholic Fatty Lever problem consequent upon Real Time B-Mode Ultrasonography ( Fatty Infiltration of the liver Grade I---Remaining report says-Normal appearing Common Duct, Pancreas , Spleen Peritoneal Cavity , Both Kidneys, Bladder, Uterus, Endometrial Cavity) and prescribed Tablet Udiliv-300 mg 1 bid x 1 month, Tablet Lafudac -1 od x 1 month and Tablet Vizylac 1 od x 1 month. She also had Gall Bladder removed some 17 years ago due to cysts . She has been alright for the entire stay here, so far. We are scheduled to fly to India on coming Wednes day. Some 2-3 days ago she developed bloating- flatulence and pain in the right side lower abdomen which subsided after taking Lafutidine 10mg last evening. Long treatment and follow up from India will not possible if treatment started in US. What steps/ medicines can be taken to avoid inconvenience in travel and for next 2-3 days till check up in India.
Mon, 25 Nov 2013
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Internal Medicine Specialist 's  Response
Dear Sir.
Since your wife has been diagnosed with NAFLD and She had undergone gall bladder removal.
So, the only way to prevent dyspesia is avoidance of fatty food and oil.
I know you already know this, but like all doctors I am saying the same because that is the only way out.
She can continue on Udiliv as it has shown to be beneficial in NAFLD.
She can also take Pantoprazole and domperidome combination if dyspesia is lot troubling.
Other thing is that you should be aware of the fact that NAFLD can progress to liver cirrhosis.
I am not saying that It always progress, but it can.
So, its always advised to be in regular follow up with your doctor.
Stay Healthy
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Gall Bladder Removal Done, Have Bloating, Flatulence, Severe Pain In Lower Abdomen. Steps To Avoid Inconvenience In Travel?

Dear Sir. Since your wife has been diagnosed with NAFLD and She had undergone gall bladder removal. So, the only way to prevent dyspesia is avoidance of fatty food and oil. I know you already know this, but like all doctors I am saying the same because that is the only way out. She can continue on Udiliv as it has shown to be beneficial in NAFLD. She can also take Pantoprazole and domperidome combination if dyspesia is lot troubling. Other thing is that you should be aware of the fact that NAFLD can progress to liver cirrhosis. I am not saying that It always progress, but it can. So, its always advised to be in regular follow up with your doctor. Stay Healthy