Dr. Anil Maheshwari

Complications of post-gastrectomy syndrome include anemia as a result of vitamin b12 or iron malabsorption and osteoporosis. These problems generally occur months or even years after gastric surgery. Vitamin b12 malabsorption occurs when a protein known as intrinsic factor is either not produced by the stomach (this is a condition called pernicious anemia) or when the proximal stomach is resected (the portion of the stomach that produces intrinsic factor). In either case, that absence of intrinsic factor leads to the poor absorption of vitamin b12. Under normal circumstances intrinsic factor binds to vitamin b12 and assists with the absorption of this vitamin in the lower portion of the small bowel. When vitamin b12 is poorly absorbed, anemia and, in some cases, poor nerve function can occur. This generally does not happen for several years because vitamin b12 is stored in large amounts in the liver. Iron deficiency anemia develops because removal of the stomach often leads to a marked decrease in the production of gastric acid. This acid is necessary to convert dietary iron to a form that is more readily absorbed in the duodenum. Anemia usually does not occur for a few years after gastric surgery because iron is stored in moderately large amounts in the bone marrow, where red blood cells are produced. Osteoporosis develops as a result of poor calcium absorption, another problem that occurs after gastric surgery.

do u daily pass urine or stool,it is normal, in same way our testis stores the semen like (water tank), if u do not discharge u r semen either by masturbation or sex it is bound to overflow, which is normal, if some one would tell u don't pass urine or stool for 5 days will u be able to control, it will come out, same applies to semen

Hello Manju, it might be due to sun exposure , post inflammatory hyperpigmentation. It may not be always suggestive of fatty liver may be freckles or Melasma. Use a good sunscreen and can go for USG abdomen to rule out fatty liver.

its due to digestion problem, drink warm water,take dinner early , healthy food, avoid overeating,drinking lot of water & sleeping immediate after taking food , oily,fast,spicy,bakery ,deep fried food,junk food,outside food ,water,chilled water,cold drinks.

Yes it can. Pain due to pancreatitis or colitis can be felt at the back or in lower abdomen. But before concluding on the above statement, I would suggest get a detailed symptom evaluation for a gastrosurgeon / gastroenterologist.

Follow these best tips to get relief from stomach problem- *take 10 gms powder of carom seeds (ajwain, 10 gm powder of cumin (jeera), 10 gm of rock salt. Mix them well and take 1/2 teaspoon (3-5 gm) of mixture daily after meal. *take 1/2 teaspoon of black pepper (kali mirch), 1/ 2 tea spoon of jeera (cumin), 2-3 slice of ginger. Boil it in one glass of water for 2-3 minutes. Drink 5-10 teaspoons (15-20 ml) in morning and evening. * take 1 tea spoon of liv-52 syrup daily one time. * walk for atleast 15-20 minutes daily and avoid long duration continuos sitting. * avoid taking nonveg at night & in day time after taking food, do not sleep in day.

It is because of indigestion and I will suggest you to avoid spicy food in your diet and avoid peanuts and potatoes and for few days eat only curd rice or khichdi.

Piles may be the reason of bleeding. You should get your proctoscopy done under local anaesthetic jelly to confirm the diagnosis. If piles or anal fissure is there then surgery is the option.

Respected lybrate-user hi it seems much indigestion jyada tikha tala hua avoid kare liquids hari sabzi mung papaya kela dahi jyada lijiye smoking karte he to bandh kijiye thoda 15-20 min mor ya eve walk sr. Bhi fayda hoga khane ke baad turant letna nahi he baad me problem he to consult kar sakte he thanks regards.

It occurs due to extra deposition of LDL cholesterol in the liver tissue and we can control it by exercise and low fat content in your diet

Do yoga And avoid protein diet Like. Paneer, dal ,milk, nonveg And Consult me for full diet chart.

Ms. I have gone through your whole problem. It is some times difficult to eradicate worm infestation when you have worm in one family the whole family is to be given anti worm treat. I suggest you to keep good hygiene don't wear cloths till your skin is completely dry after bath apply some moisturiser or even coconut oil to prevent itching. If needed then use your clobestrol ointment. Improve your eating habits take lot of green veg, fruits lot of water and avoid fast food. I think you will improve.

Its something some people do have/observe/feel so. Its related to your problem in your nervous system. Do visit a doctor if you have any other ailments such as - loss of sleep/depression/too much anger/htn, etc.

take aciloc 150 mg 2 times a day for 2 weeks. do ecg, x ray chest pa . inform report. consult physician.

Avoid tea/coffee alcohol, smoking spicy food. Life style changes and food habbits can solve your problem easily. Chew your food properly. Avoid outside food. Walk about 3-5 kms daily. There should be gap of 2 hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headed side. Get your gastro endoscopy done. Tab nexpro-l 1 tab empty stomachconsult doctor. Edi.

Hello lybrate-user best medicine is too avoid oily food. Apko acidity ho rahi hai. Ayurvedic medicine 1. Soothshekahar rasa 2 tablet before lunch and dinner 2. Kamdudha vati 2 tablet before lunch and dinner 3. Avipathikar choorna sote samay lijiye for 10 days.

No once the curd is in the stomach it will be digested by gastric juice. It is more comfortable to drink tea or coffee after some time later

Clearly you avoid or cut down oily food as it is not generally healthy . Digestive enzyme Aristozyme is good tonic for stomach

Dear lybrate-user, 1. Maintain Timely food 2. Sleep Well 3. Avoid constipation by taking more fruits and Greens, Vegetables 4. Minimum Physical exercises required 5.Home Remedy - 100 ml water + 2 gm Cumin / Jeera - Boil for 2 minutes, filter and take it in warm condition 7-10 glasses a day, it helps 6. Please visit a near by Ayurveda physician, Get a personalized diet plan based on your prakriti.

In ulceritis there is also bleeeding per rectum which may or may not be mixed with stool do a stool examination.