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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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I would like to consult you regarding my brother who has

Customer Question

I would like to consult you regarding my brother who has been suffering from some sort of Gastric Motility Disorder for the last 16 years now.
Please see below the website link where all his medical reports have been uploaded http://azimart.comuf.com/medical/xrays.htm
Name: Azim Akberali
Date of birth: 19th August 1980
Height: 6 feet 2 inches
Weight before illness: 62 Kg
Current weight: 45 Kg
Hb before illness: 13.2 g/dL
Current Hb: 6 g/dL
We shall really appreciate if you can kindly go through the medical history and advise us on the way forward for his treatment.
Thank you.
Submitted: 7 months ago.
Category: Medical
Expert:  Dr. David replied 7 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 7 months ago.

in all of his reports, his doctors are saying he has gastroparesis or problems with his stomach emptying properly.

this can cause him to not absorb iron and cause low hemoglobin levels

he needs his iron levels checked including ferritin levels, serum iron levels, total iron binding capcity and % iron saturation.

I bet his iron levels are low. he may need IV iron infusions to help bring up his iron levels if his stomach can't absorb iron.

for gastroparesis, this is a difficult condition to treat. medications like Reglan (metoclopramide) can help some patients.

other patients need an implanted gastric simulator to help the stomach move food into the small bowel.

he may have to travel to another country to find surgeons who can do that surgery.