Question 1

Is a stage 2 hiatus hernia serious enough to require surgery or are there other permanent solutions? I've been having single-sided chest pain below the epigastric area and wanted to know what this could mean

Accepted Answer

Laparoscopiv hernia repair,Nissen fundoplication is advised to the patient.

Question 2

I'm dealing with some gas that's been trapped in my chest and upper back on the left side for the past two days, and it's making my chest feel really heavy. I've been taking pantoprazole 40mg to help with the gas since then, but it's just not clearing up this heaviness in my chest. Is there any medicine you can recommend that I can take right now? I already took pantoprazole at 8:30 am and had breakfast around 9:30 am. Would really appreciate some advice on what I can do next.

Accepted Answer

Episiotomy Complication and Painful Growth

_Possible Diagnosis_

1. _Episiotomy scar tissue formation_: The painful growth might be a result of abnormal scar tissue formation.
2. _Bartholin's gland cyst or abscess_: The growth could be related to the Bartholin's gland, which is located near the vaginal opening.
3. _Vulvar vestibulitis or vulvodynia_: Chronic pain and discomfort in the vulvar region could be contributing to the painful growth.

_Recommended Actions_

1. _Consult a gynecologist or a vulvar specialist_: Schedule an appointment with a gynecologist or a vulvar specialist to evaluate the growth and determine the best course of treatment.
2. _Biopsy or imaging tests_: Your doctor may recommend a biopsy or imaging tests (e.g., ultrasound or MRI) to determine the nature of the growth.
3. _Pain management_: Your doctor can help manage your pain with medication or other interventions.

_Possible Treatment Options_

1. _Surgical removal of the growth_: Depending on the diagnosis, surgical removal of the growth might be necessary.
2. _Medications for pain and infection_: Your doctor may prescribe medications to manage pain, infection, or inflammation.
3. _Physical therapy or pelvic floor rehabilitation_: Physical therapy or pelvic floor rehabilitation might be recommended to address any underlying pelvic floor dysfunction.

_Expert Consultation_

Consider consulting a gynecologist or a vulvar specialist with expertise in managing complex vulvar conditions. Some possible resources to find a specialist include:

Question 3

I've been dealing with this issue where whenever I eat, it feels like the food gets stuck between my chest and upper stomach, even though I don't have any acidity or pain. My pulmonologist had me on some meds like rablet d and ab flo, and while they helped a bit, they didn't really fix the problem. My chest X-ray came back normal, so that's good, but I'm pretty confused about what's going on. Just spoke to a friend who's a cardiologist and he thinks it's something to do with motility and stomach stuff, so he recommended a course of ganaton total for five days. I started that today, but I'm still feeling like I need to take a deep breath every few minutes. I've also been taking steam at night. Do you think this new medication will help clear up whatever's going on? I'm a bit anxious about what's causing this and would love some advice.

Accepted Answer

It sounds like your symptoms might be related to gastric motility or reflux issues, and Ganaton Total could help by improving stomach movement and relieving any discomfort from food getting "stuck." Since you're not experiencing pain and your chest report is clear, it's good that you're already doing yoga and walking. If the discomfort persists or worsens, further investigation into motility or digestive issues might be needed.

Tab augmentin duo 625mg ,orally ,thrice daily for 5 days advised to the patient.Also syrup salbutamol 10ml thrice daily for 7 days is advised to the patient.Steam inhalation is also advised twice

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