C/o Pain abdomen

A patient is having pain in epigastrium with pricking and burning like sensation since 7_10 days Plus there is increase frequency of urination Gave him antacids for 5 days but doesn't get relieved. Base line investigation shows deranged LFT and slight derangement of KFT.. Kindly give your opinion? Treatment and management

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Hyperlipidemia With Epigastric pain. Tab./ Cap. Antispasmodic SOS with PPI, SUSP. REFLUX FORTE /SUCRAL O 10-15 ml BDAC. Or as per age, body weight, and severity of pain. Needs Age? Body weight? Blood pressure? Diabetic status? Chest pain/Heart burn? ECG, 2D ECHO, SODIUM POTASSIUM? ELECTROLYTE BALANCE. I think change the lifestyle of patient (he /she) most essential, fat free Or oily and spicy food strictly avoid. Fresh fruits and green vegetable added with dietary supplements regularly. Needs physical activity or exercise regular advice by physical trainers.

Gross dislipidimia Hdl is low Deranged KFTS with low eGFR History is not showing hypertensive or diabetic status nor cardiac assessment is given Raised sr alkaline needs further workout as not a significant rise rest of LFTS are normal From face of it looks to be a c/o APD with dislipidimia Adv usg abdomen Ecg 2decho For further mx

Get his Usg whole abdomen and Kub done. Meanwhile start syp alkasol 2tsf bd with glass of water and continue tablet omezdsr for 1 week. Give sachet fosidal in half glass of water only tonight after emptying his bladder before going to bed

Hyperlipidemia with raised alkaline phosphatase ... may be fatty liver association may be seen... go for usg abdomen

FATTY LIVER? USG ? HYPERLIPIDEMIA T/T ANTI LIPID DRUGS

USG WHOLE ABDOMEN AND SERUM AMYLASE &LIPASE URINE ROUTINE &CBC THESE ARE REQUIRED FOR FINAL DIAGNOSIS

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