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Treatment of Acidity
Treatment of Abdominal Pain
Treatment of Jaundice
Treatment of Ulcer
Treatment of Blood in Stools
Treatment Of Alcoholic Liver Disease
Treatment of Peptic Ulcers
Treatment of Gastric Trouble
Treatment of GERD
Treatment of Irritable Bowel Syndrome
Treatment of Hepatitis B Infection
Treatment of Digestive Disorders
Treatment of Burning Sensation in Stomach
Treatment of Stomach Cramps
Treatment of Liver Disease
Treatment of Chronic Pancreatitis
Treatment of Gastritis
Treatment of Ulcerative Colitis
Treatment of Amoebiasis
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Patient Review Highlights
I had been suffering from piles for last 10 yrs and took herbal medications and allopathic treatment from various doctors but it used to stop for some time and then again bleed. I feared If I was having cancer then my friend who was treated by Dr Himanshu asked me to visit him once and thank God I did.. He told me to undergo latest stapled hemorrhoidectomy and it has been 8 and half months my problem is completely gone :) I have not been so healthy in past 10yrs.. Thank you Dr Himanshu and team..
Dr Himanshu rightly diagnosed my problem and treated my problem which other doctors in the city could not even diagnose and I am happy with his treatment my pain is gone forever.. God bless Dr Himanshu
Excellent doctor with good hold on his subject..
My mother had cancer of gallbladder for which i was asked to go to Delhi but then i found that Dr Himanshu does operations for this cancer. I consulted him and found out that he is a very intelligent and simple person. My mother had to go operation for the cancer which lasted 4 hours and a portion of her liver was removed. It is magical that my mother recovered fully and is a cancer survivor. The expenses at the hospital were nominal as compared to the rates in Delhi. Long live Dr. Himanshu and his team we are thankful to u
good experience with doctor... gud behavior
Great experience..... doctor
In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.
This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient’s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.
The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.
Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of ‘gate’ that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.
Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the ‘gates’ of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor’s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels.
In case you have a concern or query you can always consult an expert & get answers to your questions!
It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the esophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.
The causes of upper gastrointestinal bleeding are as follows:
Esophageal causes (gastrorrhagia):
- Esophageal varices
- Esophageal cancer
- Esophageal ulcers
- Mallory-Weiss tear
- Duodenal causes
- Duodenal ulcer
- Vascular malformation, including aorto-enteric fistulae
- Hematobilia or bleeding from the biliary tree
- Hemosuccus pancreaticus or bleeding from the pancreatic duct
- Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:
- Hematemesis - Vomiting of blood
- Melena - Blood in the stool
- Hematochezia - Passage of fresh blood through the anus, usually in or with stools
- Syncope - Loss of consciousness (fainting)
- Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
- Dyspepsia – IndigestionEpigastric painHeartburnDiffuse abdominal pain
- Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discoloration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more
If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:
- Orthostatic blood pressure
- Complete blood count with differential counts
- Hemoglobin level
- Type and crossmatch blood
- Basic metabolic profile, BUN,
- Coagulation profile
- Serum calcium
- Serum gastrin
- Chest radiography
- Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:
- Airway management and fluid resuscitation using either intravenous fluids and or blood
- Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
- Surgical intervention
- Treating the consequences (like anemia) that the bleeding may have caused
- Precautions are taken to prevent rebleeding
In case you have a concern or query you can always consult an expert & get answers to your questions!
When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.
Symptoms of gastrointestinal perforation (GP) usually include
1. Serious stomach pain
Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:
2. Passing less gas, urine or stools
3. Breathing difficulties
4. Fast heartbeats
Certain diseases can cause Gastro-intestinal perforation, such as:
2. Diverticulitis (A type of digestive disorder)
3. Stomach ulcer
5. Gallbladder infection
6. Inflammatory bowel diseases (inflammation in the small intestine and the colon)
7. Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
8. Gastrointestinal tract cancer
Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:
1. Blunt abdominal trauma
2. Gunshot or knife wound to the abdomen
3. Abdominal surgery
4. Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
5. Ingestion of caustic substances or foreign objects
Other than these, drinking alcohol, smoking and bowel injuries (caused by colonoscopy or endoscopy) can lead to GP as well.
Treatment options available
This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.
The complications include:
2. Sepsis (Critical and fatal bacterial infection)
3. Belly ulcers
4. Wound infection
5. Bowel infarction (impaired supply of blood to the bowels)
6. Permanent colostomy or ileostomy
In case you have a concern or query you can always consult an expert & get answers to your questions!
The tube that carries food to your stomach from your throat is called the oesophagus. When the muscular valve (lower oesophagus sphincter) in the oesophagus fails to relax and carry the food to the stomach, the condition is termed as achalasia.
Achalasia has a variety of causes, and can be difficult for your doctor to diagnose the exact cause. Some common causes of achalasia include:
1. Hereditary predispositions
2. Autoimmune disorders (The immune system erroneously destroys healthy cells in the body)
3. Nerve degeneration in the oesophagus
There other medical conditions that often lead to symptoms identical to achalasia, such as oesophageal cancer and Chagas’ disease (an infectious disease caused by a parasite).
Other symptoms of achalasia include:
The most prominent symptom of achalasia is dysphagia, which is characterised by swallowing difficulties or sensations of food stuck in the oesophagus. Dysphagia often triggers coughing and shortness of breath or choking on food.
1. Discomfort or pain in the chest
2. Weight loss
4. Intense discomfort or pain after eating
Some of the treatments include:
Most of the methods to treat achalasia focus on the lower oesophageal sphincter (LES). The treatments used can either permanently alter the sphincter’s function, or reduce symptoms.
1. Oral medications such as calcium channel blockers or nitrates are prescribed, which can relax the LES to let food pass through with more ease. Your doctor may also treat the LES with Botox.
2. For a more permanent treatment, the sphincter can be dilated or altered. In dilation, a balloon is inserted into the oesophagus and it is inflated. This will stretch out your oesophagus to improve function.
3. To alter the oesophagus, oesophagomyotomy is performed. It is a kind of surgery where minimal incisions are made to gain access to the LES, and then it is carefully altered to improve flow of food to the stomach.
Unlike dilation, which can cause complications such as tears in the oesophagus, oesophagomyotomy has a greater success rate. However, certain complications may still arise, such as:
1. Acid reflux
2. Respiratory conditions that are caused by food entering your windpipe
Any kind of injury on the surface of the skin is immediately noticed by us, but when something happens to one of our internal organs, it can take a little longer to get to your notice for example, an obstruction in the bile duct. The bile duct is a tubular structure responsible for carrying bile from the liver and gall bladder through the pancreas to the small intestine. This bile helps the digestion process and the absorption of fat.
An obstruction in the bile duct can be triggered by a number of factors.
- Inflammation of the bile ducts
- Traumatic accidents
- Bile duct or pancreatic tumors
- Hepatitis infections
- Cirrhosis or severe liver damage
- Abnormal narrowing of the bile duct
This can affect anyone, but the people who have a history of gall stones or tumors in the abdomen are at a higher risk of suffering from bile duct obstruction. Chronic pancreatitis, sudden weight loss or obesity can also increase this risk. The symptoms of biliary obstruction include light coloured stool, dark urine, pain in the upper right abdomen, nausea, vomiting and fever. Your doctor will also probably need an X-ray of the bile ducts, blood tests, a hepatobiliary iminodiacetic acid scan and ultrasonograph to confirm a diagnosis before they can start treating you for the same.
If not treated in time, bile duct blockages can lead to a dangerous buildup of bilirubin in the body and trigger a number of life threatening diseases. Treatment for biliary obstruction can be through medication or surgery with surgery being the more preferred mode of treatment. It is aimed at resolving the underlying cause of the obstruction and alleviating the blockage. Treatment for biliary obstruction can be two common forms of treatment include a cholecystectomy and ERCP. The former involves the removal of the gall bladder and is suited to obstructions caused by gallstones. The latter is a procedure to remove small stones from the bile duct or place a stent inside the duct.
There are many ways bile duct obstruction can be prevented which first and foremost includes following a healthy lifestyle. If you are overweight, exercise for at least half an hour a day to regulate your weight and reach a healthy BMI. Decrease your intake of sugar and saturated fats as both these can cause gall stones. Also, increase the amount of fibre in your diet. All the above mentioned tips will certainly help you in preventing bile duct obstruction.
Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat.
Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound.
It can occur at all ages including childhood, highest prevalence is in 40–50 year age group. Prevalence more in patient who are obese and in diabetic patients.
Types of Fatty Liver
1 Alcoholic fatty liver: This condition occurs when there is a heavy consumption of alcohol. Gastroenterologists recommend abstention from alcohol for this condition to subside. If the patient continues to consume alcohol, then liver cirrhosis may develop.
2 Non alcoholic fatty liver (NAFL): One may develop a fatty liver even if one is not an alcoholic. The liver in some cases is unable to process the fat in cells causing them to build-up on the organ.
When more than 10% of the liver is made of fat then this condition is called Non Alcoholic Fatty Liver (NAFL).
Non alcoholic steatohepatitis (NASH): When fatty liver is associated with inflammation in liver patient is said to be having Non alcoholic steatohepatitis. NASH is a more advanced stage of NAFLD, and has a higher risk of progressing to liver cirrhosis or hepatocellular carcinoma (HCC). These condition display symptoms like jaundice, vomiting, nausea, loss of appetite and abdominal pain. Blood test (LFT) shows raised enzymes level. Approx 5-8% of the Indian population has NASH. Consult a doctor if you are experiencing any of these symptoms.
During the early stages (fatty liver) of the disease, patients usually have no symptoms directly related to liver disease. However, people may experience a vague abdominal discomfort. If their liver is inflamed (NASH) then they may display symptoms of poor appetite, weight loss, pain in the abdomen and disorientation.
What causes fatty liver?
The most common cause of fatty liver is alcoholism. When the human liver is unable to metabolize fat fast enough or when there is an excess accumulation of fat on the liver cells then the liver becomes fatty. However, intake of high-fat foods may not result in a fatty liver.
2. Obesity or being overweight
3. Hyperlipidemia or the condition where there are high levels of fat in the blood
4. Genetic reasons
5. Rapid loss of weight
6. Drugs: Aspirin, steroids, tamoxifen, tetracycline etc. cause side effects which also leads to fatty liver
The full history of a patient's health can now be captured electronically using EMR (Electronic-Medical-Records). In this case, you do not have to save the records on papers and maintain them in files. Instead, they can be automatically stored using a software, so that in times of need, they can be easily accessed without any inconvenience.
What are the major benefits of EMR?
- Easy tracking: The recorded data can be easily tracked and thus the chances of data misplacement can be completely curtailed.
- Proper identification: The patients can be easily identified by tracking their records or past history. This is how due screenings and preventive measures can be conveniently tracked.
- Improved care: With the increased usage of EMR, medical care and assistance are improving like anything.
- Monitoring: Patients' health condition can be properly tracked and monitored so that certain parameters can be measured, especially blood-pressure readings and vaccinations.
Best solutions of EMR:
If you make a detailed survey, then you will come across different popular EMR models that are currently popular. Look at the features and facilities so that the best one can be chosen as per your purpose, requirement and affordability. Some of the most popular solutions for EMR are as follows:
- CareCloud: This is nothing but cloud-based software that can make accurate recordings and storage of all kinds of healthcare records so that you can access them even after a long time. In this case, storage is made in a systematic manner. Consultation records and record-keeping regulations are found in the software.
- Practice Fusion: the most improved technology for maintaining medical records is found in the software. It's easy to access and this is the main reason behind the highest popularity of the same.
- AthenaHealth: The health care providers can now get the advantage of tracking all their records in a proper manner with regular usage of this software. The most interesting part is that these providers can access the details at any point of time and from anywhere.
- Greenway: A wide range of EMR services are getting provided by these software such as storage services, maintenance services and record creation. This is why the software is treated as versatile.
- EclinicalWorks: This software has won several awards for offering accurate and perfect maintenance of different kinds of medical records, and this is why it is so popular.
Cancer, the name itself sends chills down the spine! But every time we hear someone has cancer, though we feel sorry for them, we never think it could happen to us. But even though the probability of it may not be high at all, a disease that is rare can still hit you like a bolt from the blue! This is exactly the case with anal cancer, which is a very rare form of cancer. But, since the rates of its incidence are rising, it is well worth learning a few things about it.
Who is at Risk?
While it is unlikely that a person will contract anal cancer over the course of his life, asking himself a few questions about it so as to assess the risk he or she is at makes sense. To start off, age is an important factor. If a person is somewhere between middle age and old age, there is a far greater risk of anal cancer than a person who is not.
A person can easily reduce the risk of contracting anal cancer quite dramatically by doing something which is quite simple: refraining from anal sexual activity. This goes a rather long way as it means that a person is at a much lower risk of contracting HIV or HPV. HPV is far more common and affects most adults in sexual contact with each other. That being said, it is usually the type 16 variant of HPV which is linked to anal cancer. In order to reduce the chance of this, making good use of condoms is a very good idea but this does not eliminate the risk of transmission of HPV.
Smoking a cigarette may be great for a person to obtain a little bit of mental peace, but it has a really disastrous effect on the prospects of developing anal cancer at the same time. The chemicals that the body takes in are as harmful as they affect so many body tissues. There are many reasons to quit smoking but the fact that smokers have an eight time higher risk of developing anal cancer is probably among the good ones!
If a person is suffering from low immunity, it is quite possible that he or she is at a higher risk of developing the cancer, at least on a relative basis. This is because the ability of the body to fight back is lower. A person is especially weak after an organ transplant has taken place and if a person has HIV it further increases his or her risk of developing anal cancer.
Now, cutting the risk of anal cancer also involves possibly getting an HPV vaccination. The doctor is the person to talk to regarding this! When the risk of anal cancer is anyway minimal, it makes sense to cut it even further, by following a fit and healthy lifestyle. Consult an expert & get answers to your questions!
Gastroesophageal Reflux Disease (GERD) is a form of digestive disorder, which affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe. GERD incorporates the return of the contents of the stomach back to the oesophagus or food pipe. The functioning of the lower oesophageal sphincter is disrupted.
Causes: Hiatal hernia is a common cause of GERD. An unhealthy lifestyle and diet may also lead to GERD. Intake of an excess amount of chocolates, fried food, coffee or alcohol triggers the chance of a reflux. GERD also occurs in obese people and pregnant women.
Symptoms: Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning chest pain which starts from behind the breastbone and reaches up to the throat. The feeling can be defined as food coming back to the throat with a bitter, acidic taste. The burning sensation may last as long as two hours.
Other symptoms include:
- Excess saliva secretion
- Chronic conditions of sore throat
- Gum inflammation
- Tooth cavities
- Unpleasant breath
In order to diagnose GERD, several tests may be conducted . They are:
- An X-Ray of the upper part of the digestive system.
- Endoscopy to examine the inner part of the oesophagus.
- Ambulatory acid test for monitoring the amount of acid within the oesophagus.
- An oesophageal impedance test to measure substance movement inside the oesophagus.
- A person must make several changes to his daily lifestyle and diet plan for treatment of GERD.
- Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower oesophageal sphincter. Several food items irritate the damaged oesophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.
- Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD.
- One should elevate the head of the bed on which he or she sleeps on blocks measuring 6 inches. This reduces the heartburn as gravity minimizes stomach reflux to return to the oesophagus.
- Over the counter medicines can be used to cure GERD. Antacids are a good example and neutralize the acid in the oesophagus and stomach, reducing heartburn. Combining antacids with foaming agents is also effective. A foam barrier is formed over the stomach, preventing the occurrence of acid reflux.
- Medicines for reducing acid in the stomach are prescribed in cases of chronic GERD, which include H2 blockers by the likes of cimetidine, famotidine or nizatidine.
GERD is a digestive disorder, which causes disruption in digestion, as reflux from the stomach is returned to the oesophagus. Proper treatment measures should be taken. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
The diagnosis as well as management of pancreatic cystic lesions is a general problem. Nearly 1% of the patients in the chief medical centers have been observed to have pancreatic cystic lesions on cross sectional imaging. It has also been observed that a quarter of all pancreas scanned in an autopsy series contain pancreatic cysts. Earlier, these cystic lesions were regarded benign but with increasing evidence made available from the cystic lesions, they are regarded as origin of pancreatic malignancies.
Information on Asymptomatic Neoplastic Pancreatic Cysts: The most vital medical tools that are used in the diagnosis and management of pancreatic cystic lesions include the endoscopic ultrasound and cross sectional imaging. These are used to distinguish non-mucinous cysts from mucinous cysts. The identification of pancreatic cysts creates a lot of anxiety for the clinicians as well as the patients related to the probable presence of a fatal tumor. The findings of a macro cystic lesion that enclose viscous fluid loaded in CEA are helpful in the analysis of a mucinous lesion.
The most common pancreatic cysts are the non-neoplastic inflammatory pseudo cysts, and they can be detected easily by imaging. The identification of pancreatic irregularity with probable association with malignant cells is a vital source of referral for the specialist. The set of guidelines that have been proposed for the management and diagnosis of patients with asymptomatic neoplastic pancreatic cysts are based specifically on the analysis of the quality of the data. It is also designed to address the most important and frequent clinical scenarios. The diagnostic suggestions are provided based on the clinical problem as well as the risk of malignancy.
Imperative Guidelines to Follow: To achieve accurate diagnosis of asymptomatic neoplastic pancreatic cysts is indeed a great challenge. It is all the more important to find the reproducible methods that can be used to stratify threat of cancer for the patients. The main guidelines include a two year screening interval of cysts that can be of any size as well as stopping observation after 5 years, in case there is no change. The new guidelines, for the most part, recommend surgery if more than one concerning feature is confirmed on the MRI by use of endoscopic ultrasound. The new guidelines even suggest discontinuation of inspection after the surgery if no dysplasia or invasive cancer is identified. The guidelines have mainly been developed by use of Grading of Recomendations Assessment, Development and Evaluation. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.