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Lost appetite, nausea, bad acidity problem. Do my reports show anything ? - Online Doctor Chats

Date : 10-Jun-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:Good afternoon
Doctor:good afternoon
User:I want some advice from your end
Doctor:I am here to help you
User:I have just done a complete blood, liver, kidney test
User:and I have the reports with me
User:Is there by any chance I can send those to you
User:and seek your expert advice on the reports right now
Doctor:Yes, of course
Doctor:You can mail it to me at YYYY@YYYY
Doctor:With subject as Attention to Dr. Shanthi
User:just give me a minute
User:will send it right away
Doctor:Take your time
Doctor:ok, I shall wait for it
User:Hey doc...I have sent it across
Doctor:Please give me a moment while I check for it
User:will wait for your buzz
Doctor:I have got your mail
Doctor:Got the report as well
Doctor:Shall we discuss now?
Doctor:Your Iron reports are normal
Doctor:The kidney functions are normal
Doctor:with normal Blood Urea Nitrogen and Serum Creatinine
User:how about Liver
Doctor:I am just going through your cholesterol report
Doctor:Please give me a moment
User:that I guess is well under control
Doctor:Yes, you are right
Doctor:It's perfect
User:so my liver fucntion is perfect?
User:is that what you are saying?
Doctor:Yes, liver function is excellent too
Doctor:Your thyroid profile is normal too
User:then there is some serious problem
User:with myself
Doctor:Normal blood glucose
Doctor:The complete blood count including the ESR is normal too
Doctor:All your tests are normal, to conclude
User:I'll just brief why I had this test done
User:It's now over few months that I have lost my appetite
User:and also sometimes in the night if I have late dinner
User:I puke it
User:as I get realy bad acidity problem
User:also I'll be staright forward
User:I have a lot of drinks
User:alcohol I mean
Doctor:A lot is not so good for your health
Doctor:If you can cut down on the alcohol intake, it will help you to regain the appetite
Doctor:And also
Doctor:Maintain a healthy eating habit
Doctor:Sorry to interrupt you, please proceed
User:but then what is affecting my appetite
User:if all the reports are normal
Doctor:It is probable that your stomach is getting irritated by the alcohol
Doctor:Probable erosions
Doctor:That is decreasing the appetite
User:so is there any test
User:that I need to do to get concrete evidence
User:as to what is affecting it
Doctor:yes, an upper gastrointestinal endoscopy can be done to substantiate this
Doctor:Also, 24 hour PH assessment can be done
User:where can this be done?
User:and what is the procedure
Doctor:Any tertiary care centers with a skilled surgical gastroenterologist
Doctor:upper gastrointestinal endoscopy is the name
User:so does it require fasting or anything?
Doctor:Yes, it requires overnight fasting
User:anything else that you would like to highlight
Doctor:and also pre-procedure preparation
User:what is 24 hour PH assessment?
User:pls go ahead
Doctor:It is done to check the pH in the stomach
Doctor:If the acid secretion is more, pH will decrease
User:just one thought that comes to my mind
Doctor:This will cause erosion and ulcers in the stomach
Doctor:Yes please
User:could there be decrease in XXXXXXX secretion in stomach?
User:because of whch digetsion is not happening ?
Doctor:There could be increase in XXXXXXX secretion
Doctor: XXXXXXX is an acid
User:I understand
Doctor:it increases in stress, alcohol and smoking
Doctor:The increased acid will decrease the pH
Doctor:This can even dissolve the entire lining of the stomach
User:looking at the reports
User:is there anything serious at ths stage?
Doctor:Nothing is serious now
User:ok will check for the test
User:and get it done at the earliest
User:thanks a ton doc
Doctor:Meanwhile try to restrict alcohol intake and be stress free
Doctor:My pleasure
User:sure doc
User:great chatting with you
Doctor:Wish you good health
Doctor:Same here
Doctor:Take care of yourself
User:sure doc
User:you too take care
Doctor:Yes, thanks
Doctor:Bye for now
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