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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For IBS

hi , i am 25 years old male , complain of pallor skin and i had ct scan abdomen and result is mild hepatomegaly , spleen normal and kidneys too , ihad epigastric pain when only press on the umbilical area to below, my hb is 15 and cbc normal , srum iron normal , t3 and t4 normal , i made hbsag and pcr for hpatitis c and all are negative , i made endoscopy and colonscopy and all are normal and aslo made echo of abdomen and it was normal ,

i can not understand why my skin and face trun pallor although i am occasional race?

and why there is egpgastric pain when i press on my abdomen? so doctors said to me that i had nervous colon or inflammatory bowel disaease?

should i had more tests?

i do not really know anything although i am studying medicine in the 6th year ?

there is doctor said to me that i had to make ECG for the heart?should I ?

i smoke shisha one time in the day but my lung xray is normal too

thanks alot

                                                                 
Mon, 20 Jun 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-Gastritis with Hepatomegaly with Nicotine poisoning effects from Shisha smoking.
Nicotinic acid causes skin pallor from expedited ageing changes from Nicotinic acid.Epigastric pain is from Gastritis induced from Nicotine in Shisha smoking.
Ones a day Shisha-smoking for 1 hr session-is equal to 100 cigarretes smoked over few days.And chronic long term smoking has caused these side-effects from Shisha/ or hooka smoking.
IBS accompanied is from Nicotine effects with increased bowel irritability, from increased nicotine blood levels.
Other causes needs to be verified before any further treatment is planned.
Remedy-for this GERD and IBS

After Consults with Chest Physician and GI physician specialist and assessment of your case,follow suggestions-to deal with this case accordingly.
Stop Shisha smoking,
High Carbo/ high protein diet/ Vit B12 and Folic Acid / Vit E/ Vit D3 and Calcium with Zincovit-multivits,to recoup GI mucosal stability,
avoid spicy diet,Yoghurt / butter milks x 2 /day, Vegan diet, more fluids intake would revive you in few months time.
Possibility of accmpanied IBS from protozoal / bacterial infections besides Nicotine high levels, needs to be kept in mind in treating your case.
Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Treatment For IBS

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation, You seems to suffer from-Gastritis with Hepatomegaly with Nicotine poisoning effects from Shisha smoking. Nicotinic acid causes skin pallor from expedited ageing changes from Nicotinic acid.Epigastric pain is from Gastritis induced from Nicotine in Shisha smoking. Ones a day Shisha-smoking for 1 hr session-is equal to 100 cigarretes smoked over few days.And chronic long term smoking has caused these side-effects from Shisha/ or hooka smoking. IBS accompanied is from Nicotine effects with increased bowel irritability, from increased nicotine blood levels. Other causes needs to be verified before any further treatment is planned. Remedy-for this GERD and IBS After Consults with Chest Physician and GI physician specialist and assessment of your case,follow suggestions-to deal with this case accordingly. Stop Shisha smoking, High Carbo/ high protein diet/ Vit B12 and Folic Acid / Vit E/ Vit D3 and Calcium with Zincovit-multivits,to recoup GI mucosal stability, avoid spicy diet,Yoghurt / butter milks x 2 /day, Vegan diet, more fluids intake would revive you in few months time. Possibility of accmpanied IBS from protozoal / bacterial infections besides Nicotine high levels, needs to be kept in mind in treating your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS