Headache Acidity Mild abdominal pain right side radiated towards back

Female patient comes in opd with cimplain of Headache and acidity and flatulance Since long Taking medication from saveral hospital but symptoms reappear after stop medication Chief Complaints Headache Acidity Flatulance History History of taking thyrox 50 since 5 years Vitals Bp: 130/86 Pulse: 84 Physical Examination Conscious orianted Medium body type Investigations Mcv: 82 Lymphocyte: 46 Tryglyceride: 185 Lft and thyroid profile within normal limits Above reportd dated 05/10/2020 Usg: grade 1 fatty liver Endoscopy done three years ago and have conclusion of Hiatus hernia with esophagitis Dated 10/01/2017 Management I start Tab: thyrox 25 one bbf Syrup: cremaffin 5 ml bd Tab: vertin 8 mg bd Cap pantocid dsr before dinner Tab: liv 52 one bd If anyone wants to give more suggestion please proceed. I want healthy discussion

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Hiatus hernia is surgical case, will not respond to conservative treatment, Suggesting for sx would be choice, If not done. Esophagitis is one of complications. GERD is also commonly occurs. Proton pump inhibitors will help for the same.

Thank you doctor.
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This case may be of Cholecystitis or Cholelithiasis....Go for USG abdomen ...and send pt for Endoscopy...to rule out gastric or duodenal ulcers....give Rx accordingly...

This is a case may be of cholelithiasis,or cholecystitis...

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