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Bile puking and regarding liver disfunction
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Digestive Health
Question #13474
5 days ago
47

Bile puking and regarding liver disfunction - #13474

Danait

Hello, I have been sick for over two years with every morning my day begins by puking foam and bile even though my stomach is empty.and whenever I eat something my body releases intensified heat and I sweat a lot. So for example if I eat my morning breakfast and I had a simple cake in the middle of the day, by evening I burp a lot like uncontrollable and my body urges me to puke out everything and when that happens I only puke my bile first and I have gone to three hospitals and both gave me a report saying my liver is slightly irritated and it will go away, so please help me with whatever you can. Any opinions and advice is very helpful

Age: 26
Danubabi47@gmail.com
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
5 days ago
5

Investigation: 1) LFT 2) Urea breath test

RX 1) tab pan d 1 tab before breakfast for 14 days 2) Syrup Sucral 1 tablespoon after meal for 21 days 3) Tab darolac 1 tab after lunch for 14 days

807 answered questions
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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
5 days ago
5

Hello Danait By evaluations through your history it seems that your liver enzymes boost up after - Avoid eating sweets Avoid eating junk food Avoid eating oily food Drink plenty of water Starting doing some physical exercise and reduce weight if you are overweight.

I recommend you some treatment - Rx - 1) capsule pantop dsr - 1 tab before breakfast for 14 days 2) Syrup Sucral 1 tablespoon after meal for 21 days 3) Tab darolac 1 tab after lunch for 14 days

Investigation - 1) LFT 2) Urea breath test

Reached out me after going through these investigations as report me as soon as possible. Or for better evaluation visit Hepatologist and gastroenterologist.

Thank you

Thank you

81 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
5 days ago
5

Hello dear See after careful evaluation it seems liver dysfunction that can be either fatty liver or infection Before prescribing any medication,i would like to suggest some tests for confirmation Please get them done for better clarification Lft Rft Shot Sgpt Ggt Albumin globulin ratio Crp Esr Serum ferritin Serum bilirubin Please share the result with gastroenterologist or hematologist for better clarity Please donot take any medication without consulting the concerned physician Hopefully you recover soon Regards

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Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
5 days ago
5

Hi Dear Danait, With this history it looks more of Gallbladder, pancreas and Liver issues Kindly donot ignore it Kindly visit a nearby Gastroenterologist Needed to do a CECT ABDOMEN Liver function test Avoid addictions if any Avoid fatty feeds Get yourself evaluated you will need IV Fluids Take care

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It sounds like your symptoms are quite distressing, and given the nature of your situation, it’s important to consider a few potential explanations. The persistent vomiting of bile, especially in the morning, can be indicative of several conditions. One possibility is a dysfunction in the digestive tract, such as gastritis, peptic ulcers, or gastroesophageal reflux disease (GERD), where stomach acid and bile might backflow into the esophagus when your stomach is empty. Another possibility could be an issue related to your gallbladder, such as gallstones, or bile duct problems, which could be leading to bile reflux. Since you mentioned that your liver is slightly irritated, it might be worth considering the possibility of conditions like non-alcoholic fatty liver disease, which can sometimes correlate with digestive symptoms.

I recommend following up on a few practical steps. Firstly, it would be helpful to maintain a food and symptom diary to identify any patterns or triggers associated with your meals that worsen symptoms. Avoid foods and beverages that can irritate your digestive tract, such as spicy, fatty, or highly acidic items. Eating smaller, more frequent meals instead of larger ones can sometimes help reduce the occurrence of bile vomiting. Moreover, propping up your head when sleeping or resting could prevent the backflow of stomach contents. Over-the-counter medications like antacids or PPIs (proton pump inhibitors) might offer some relief from acid reflux, but it’s crucial to discuss their use with a healthcare provider, given your symptoms and diagnosis. If symptoms persist or worsen, considering an evaluation by a gastroenterologist might be beneficial to explore these digestive issues more deeply, possibly through endoscopic examinations or imaging studies. Tests investigating helicobacter pylori infection could also be worthwhile, as this bacterium is linked to chronic gastritis and ulcers. Lastly, given the duration and intensity of your symptoms, it’s important to advocate for yourself in healthcare settings to ensure your concerns are taken seriously and further investigated if previous interventions haven’t provided relief or answers.

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