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Suggest Treatment For Abdominal Discomfort And Dry Lips
Question: Stomach problem. Blood stood. Infection in private part. Dry lips. Always feel hot. Afraid of wind/fan. Recent nose bleeding for no reason and having some kind of blu now.
Brief Answer:
Results of tests you did so far are required for a more specific help....
Detailed Answer:
Hi Khuongphan,
I have gone through your medical history carefully and understood your concerns. The first thing I want to ask is to review all the tests you did so far, so I can ask to go for further tests.
1. What concerns me from your medical history is the stomach bleeding you had. That is indicative for ulcer.
I highly recommend to run upper endoscopy with biopsy and H.pylori tests advised. If it is confirmed, long term therapy is recommended and not just one course of medicines.
If ulcer or H.pylori infection is confirmed, combination therapy with antibiotics (amoxycillin and metronidazole), PPIs (esomeprazole or omeprazole), antacids and ranitidine are advised.
2. The presence of blood in stool should be further evaluated and other tests are needed included:
- fecal occult blood test
- sigmoidoscopy
- fecal stool analysis
- examination of stool for ova/parasites
- culture of feces
3. Infection of private part should be further evaluated and correctly treated with antibiotics or antifungals depending on the pathology. Digital examination of the anus together with sigmoidoscopy/colonoscopy/anoscopy to evaluate changes there.
I need to know if there is discharge coming from your private part (anus)? Have you noted any lump there (hemorrhoids)? Have you been having problems with constipation recently?
4. Dry lips are related to being dehydrated. Taking into account the place you liver (Saigon), I can say they hot weather is causing dehydration. Drink plenty of water with electrolytes replacement salts.
5. Nose bleeding could be related to anemia or problems with nostril blood vessels. Long-term use of nasal decongestants is also causing nose bleeding.
Looking forward to have the requested tests results in.
Dr.Albana
Results of tests you did so far are required for a more specific help....
Detailed Answer:
Hi Khuongphan,
I have gone through your medical history carefully and understood your concerns. The first thing I want to ask is to review all the tests you did so far, so I can ask to go for further tests.
1. What concerns me from your medical history is the stomach bleeding you had. That is indicative for ulcer.
I highly recommend to run upper endoscopy with biopsy and H.pylori tests advised. If it is confirmed, long term therapy is recommended and not just one course of medicines.
If ulcer or H.pylori infection is confirmed, combination therapy with antibiotics (amoxycillin and metronidazole), PPIs (esomeprazole or omeprazole), antacids and ranitidine are advised.
2. The presence of blood in stool should be further evaluated and other tests are needed included:
- fecal occult blood test
- sigmoidoscopy
- fecal stool analysis
- examination of stool for ova/parasites
- culture of feces
3. Infection of private part should be further evaluated and correctly treated with antibiotics or antifungals depending on the pathology. Digital examination of the anus together with sigmoidoscopy/colonoscopy/anoscopy to evaluate changes there.
I need to know if there is discharge coming from your private part (anus)? Have you noted any lump there (hemorrhoids)? Have you been having problems with constipation recently?
4. Dry lips are related to being dehydrated. Taking into account the place you liver (Saigon), I can say they hot weather is causing dehydration. Drink plenty of water with electrolytes replacement salts.
5. Nose bleeding could be related to anemia or problems with nostril blood vessels. Long-term use of nasal decongestants is also causing nose bleeding.
Looking forward to have the requested tests results in.
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr. Albana. I will upload some test I have here in my phone. I can't sleep now and it's 3AM here. My heart is palpilating like hell for nothing.
1. Yes I did it. I did 3 upper endoscopies and 1 rectal endoscopy. The only thing that they told me is that I have some "scattered red inflammation" for 1st time and "stomatch congestive" for 2nd time. I did H.pylori test too and it's negative. Then I did 3rd upper endoscopy test after 2 months of treatment, this time I can't see the result myself but the doctor said that "it's okay". I did my rectal endoscopy when I found blood in my stood. The result is "anal fissure". Then they asked if I have constipation, I did have some that's why I said yes. But then I tried to eat many fiber as possible and I haven't constipation for months but still had blood in my stood. The worst time is the day when I ate some chicken at KFC then the toilet is red. Everytime I had blood in my stood I have the same symtoms: very dry lips, some time my lips skin bleed,very hot and heavy breath odor, some tooth pain, heart palpilation and high blood pressure(14).
2.Yellowish feces, with short dark fiber in the stools. Bright red blood, splashed flashed the toilet and have in the stools and drip to the water. But I feel that my stomatch is better after bowel movement of that blood.
3. 2 inside groin rash, itching and better when applying antifungals but doesn't disappear and it's 3 months since that.
4. I tried to drink as much water I can, I drink about 3 litres per day here now. But it doesn't solve the problem. My breath is always very hot and I think that's why I make dry lips.
5. Right before the nose bleeding I use eye drops because my eyes was so itchy. It's "V. rohto cool" eye drops. I wonder if it can be the cause?
Some more strange things that I had in recent 6 months:
- Sometimes I find leg bone pain.
- Hairloss.
- Toenails grow strange. Thicker, more textured, well-arched.
- Acne growing on my back and chest. My skin in the back and chest in that position becomes rough.
- Eye dark circles even when sleeping enough
- I lost 2 of my tooth in last 6 months.
I masturbate a lot since I was 14( now I'm 23). From 1 time per 1 or 2 days to 3 times per day. Does it cause any bad effect to my health? Should I stop it? I can't resist to it.
I'll upload all test reports I have after submitting this comment. Thank you Dr. Albana. I can't figure out how to upload all test reports page to this site. It doesn't accept compressed file. So I upload all test report to my Google Drive here:https://drive.google.com/file/d/0B7oXIWOCA4KHQVFLdmlhUlBNcU0/view?usp=sharing
I have CT scan disk too but wonder if it's needed? :(
Please help. I lost my job because of this. I'm a freelancer at home now. I'm a web developer and I can't do anything with good result in this XXXXXXX situation. My performance is very very low now and I can't even sleep.
1. Yes I did it. I did 3 upper endoscopies and 1 rectal endoscopy. The only thing that they told me is that I have some "scattered red inflammation" for 1st time and "stomatch congestive" for 2nd time. I did H.pylori test too and it's negative. Then I did 3rd upper endoscopy test after 2 months of treatment, this time I can't see the result myself but the doctor said that "it's okay". I did my rectal endoscopy when I found blood in my stood. The result is "anal fissure". Then they asked if I have constipation, I did have some that's why I said yes. But then I tried to eat many fiber as possible and I haven't constipation for months but still had blood in my stood. The worst time is the day when I ate some chicken at KFC then the toilet is red. Everytime I had blood in my stood I have the same symtoms: very dry lips, some time my lips skin bleed,very hot and heavy breath odor, some tooth pain, heart palpilation and high blood pressure(14).
2.Yellowish feces, with short dark fiber in the stools. Bright red blood, splashed flashed the toilet and have in the stools and drip to the water. But I feel that my stomatch is better after bowel movement of that blood.
3. 2 inside groin rash, itching and better when applying antifungals but doesn't disappear and it's 3 months since that.
4. I tried to drink as much water I can, I drink about 3 litres per day here now. But it doesn't solve the problem. My breath is always very hot and I think that's why I make dry lips.
5. Right before the nose bleeding I use eye drops because my eyes was so itchy. It's "V. rohto cool" eye drops. I wonder if it can be the cause?
Some more strange things that I had in recent 6 months:
- Sometimes I find leg bone pain.
- Hairloss.
- Toenails grow strange. Thicker, more textured, well-arched.
- Acne growing on my back and chest. My skin in the back and chest in that position becomes rough.
- Eye dark circles even when sleeping enough
- I lost 2 of my tooth in last 6 months.
I masturbate a lot since I was 14( now I'm 23). From 1 time per 1 or 2 days to 3 times per day. Does it cause any bad effect to my health? Should I stop it? I can't resist to it.
I'll upload all test reports I have after submitting this comment. Thank you Dr. Albana. I can't figure out how to upload all test reports page to this site. It doesn't accept compressed file. So I upload all test report to my Google Drive here:https://drive.google.com/file/d/0B7oXIWOCA4KHQVFLdmlhUlBNcU0/view?usp=sharing
I have CT scan disk too but wonder if it's needed? :(
Please help. I lost my job because of this. I'm a freelancer at home now. I'm a web developer and I can't do anything with good result in this XXXXXXX situation. My performance is very very low now and I can't even sleep.
Brief Answer:
explained below
Detailed Answer:
Hi back,
Sorry for the late reply due to my XXXXXXX clinical overload.
Thank you for providing the requested reports. I'd be grateful if you could translate the ct-scan and ultrasound with endoscopy reports in English as unfortunately I find it difficult to understand your local language.
I. I understand you might feel bad. But from what you are reporting , I do not think to go to hospital. I advise to have some sleep /rest, take meds as prescribed and hope for betterment (I am sure you will get better)
2. The itchy rash you experience in your groin area is jock itch (fungal infection ). It is normally present in patients living in hot humid places as you.
Nothing worrisome. Just :
- keep the area well clean. Wash with warm water and soap, rinse well, dry well
- apply antifungal lotion containing terbinafin for at least 2 weeks at bedtime
3. The rest of your symptoms are related to constipation. Eating processed foods like in KFC makes your constipation worst.
Instead, try to eat more fresh foods :
- kiwi, XXXXXXX , while sometimes banana (especially unripe ) and pineapple are aggravating constipation.
- some of your local spices like ginger or curcumin can ease constipation problems. Instead others like turmeric on contrary can make it worst.
At this point, I always advise my patients to observe what improves or aggravates constipation in order to take the best things for you.
All the best!
Dr.Albana
explained below
Detailed Answer:
Hi back,
Sorry for the late reply due to my XXXXXXX clinical overload.
Thank you for providing the requested reports. I'd be grateful if you could translate the ct-scan and ultrasound with endoscopy reports in English as unfortunately I find it difficult to understand your local language.
I. I understand you might feel bad. But from what you are reporting , I do not think to go to hospital. I advise to have some sleep /rest, take meds as prescribed and hope for betterment (I am sure you will get better)
2. The itchy rash you experience in your groin area is jock itch (fungal infection ). It is normally present in patients living in hot humid places as you.
Nothing worrisome. Just :
- keep the area well clean. Wash with warm water and soap, rinse well, dry well
- apply antifungal lotion containing terbinafin for at least 2 weeks at bedtime
3. The rest of your symptoms are related to constipation. Eating processed foods like in KFC makes your constipation worst.
Instead, try to eat more fresh foods :
- kiwi, XXXXXXX , while sometimes banana (especially unripe ) and pineapple are aggravating constipation.
- some of your local spices like ginger or curcumin can ease constipation problems. Instead others like turmeric on contrary can make it worst.
At this point, I always advise my patients to observe what improves or aggravates constipation in order to take the best things for you.
All the best!
Dr.Albana
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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