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Indigestion, bloating, diarrhea, weak, feel full after small meal. Have Liver Haemengioma, on Rebeprazole, Alverine. Solution ?

I am 33 years old, height is 5 ft 11 inches weight is only 48-50 kgs. Have a Liver Hamengioma (1.2 cm in 2009, now its 1.6 cm), tiny polyp in gallbladder , Gillberts Syndrome (most often serum billirubin remains higher than 1.5), Piles (no bleeding) IBS as well. Complaining for indigestion, bloating , gas, diarrhea, weak, feeling full after a small meal. Taking Rebeprazole Sodium INN 20 mg once at morning, Alverine Citrate 60 mg 1/2 X2 and Nor Flu at bed time. Recent medical report shows: 1. Hamengioma in liver increased in size 1.2 cm to 1.6 cm within 4 years. 2. Polyp in Gallbladder is still (within 4 years) in same size (tiny). 3.Anti H.Pylori IgG Positive(4.20U/ml). 3. No ulcer in Endoscopy was found, Endoscopy result was normal. 4. Stool contains Starch. 5. No growth of Salmonella and Shigella spp (stool c/s). 6. Kidneys are working good.
Asked On : Wed, 20 Feb 2013
Answers:  1 Views:  142
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Let me explain your query one by one.
With the available described symptoms, there appears to be possibility of dyspepsia with chances of gastroenteritis.
Polyp in gall bladder is a common problem and surgery is generally done when size is > 10 mm.
Although liver heamangioma size is progressively increasing but this is never associated with dyspeptic symptoms. You should keep watch on the size of liver haemangioma by frequent Ultrasound imaging.
Gilbert's syndrome is also associated with conjugated hyperbilirubinemia and never causes defined symptoms.
Rest defined investigations are in normal limits.
You should consult with internal medicine specialist and should go for thorough check up.
You should take complete antibiotic therapy along with prokinetics.
You should continue Rabeprazole along with Alverine as advised by your treating docotr.
Take care,
Dr. Mayank Bhargava
Answered: Wed, 20 Feb 2013
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