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All of sudden I developed this gastrictrouble and didn't know what to do. I was in too much pain because of my issue, but even after consulting a number of doctors, I was not getting any relief. The friendliness of staff is the best in the Adarsha Fortis Hospital. My previous experiences were not so good, but Akshay.P.Bavikatte has completely changed my opinion as he is very helpful and humble.
dr Akshay.P.Bavikatte certainly knows the in and out of anorexia.Never once that I felt that he is getting impatient, rather he has always responded to my each and every doubt with immense patience. And healed me completely. One can find him at his clinic Adarsha Fortis Hospital in Tumkur.
No matter how critical be the situation, he is always very calm. The overall outlook of the Adarsha Fortis Hospital was very nice. During the treatment, Dr Akshay supported me a lot. Thanks to him I am much better now. I was referred by One of my colleague referred Akshay.
All of a sudden I developed this stomach pain and didn't know what to do. Dr Akshay supported me a lot. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition. I am happy that I chose to consult him.
I was going through anal pain and then I went to dr Akshay.P.Bavikatte at Adarsha Fortis Hospital in Bangalore and he diagnosed me for Anal Disorders. He gave me a required treatment for the same. I am thankful to him for making me fine again.
For my treatment of the problem of acute pancreatitis i consulted dr Akshay P. Bavikate. And went to his clinic Adarsha Fortis Hospital in Tukmur. As expected from him, he gave a great treatment and remedy to my problem. May god bless him.
I found the answers provided by the Dr. Akshay.P.Bavikatte to be well-reasoned. Thank you.
Do you often complain of pain in the abdomen? Are you suffering from indigestion frequently? It’s time then to consult your doctor immediately. You may be suffering from gallstones. Well, these are tiny stones that are formed in human gall bladder. They are made up of cholesterol, calcium deposits and substances that are found in bile secretions. Doctors often refer to gallstones as cholelithiasis. These stones are of different sizes, shapes and composition.
What causes gallstones?
Gallstones are formed when cholesterol, calcium and other substances get mixed and form stone like structures in the gall bladder. These stones are responsible for causing stomach ache, indigestion, back pain, etc. Gall bladder is capable of storing fluids. So, as these solid stones get lodged in the bladder, the organ’s functioning is interrupted, resulting in several health issues.
Who is at risk?
Gallstones are caused due to excess cholesterol, improper diet intake, sedentary lifestyle and age. It can occur in any individual. But, usually it has been found that women, individuals above 40 years of age, pregnant women, and obese individuals are at risk of developing gallstones easily.
Symptoms of gallstones are stated below:
1. Pain in the abdomen
3. Tension in the digestive system after intake of excess proteins and fats
4. Severe pain in the right side of the upper abdomen
5. Pain in shoulders, especially on the right side.
Treatment for gallstones
The fundamental treatment of gallstones is based on three principles watchful waiting, non-surgical therapy, and surgical removal of the gallbladder. The steps have been discussed below:
- Watchful waiting: Gallstones cause immense pain in the abdomen. But the good thing about them is that they don’t usually reoccur. In some cases, it has been found that they get dissolved by medication. Thus, most doctors prefer to wait and watch a little before taking surgical steps.
- Non-surgical therapy: Doctors try to dissolve the gallstones by using bile salt. This can only be done for gallstones formed by cholesterol. A drug named actigall is given as tablets to dissolve the stones. It takes months or years to get rid of the stones, depending on their size and nature. Doctors also use shock-wave therapy for treating gallstones. In this method, high-frequency sound waves are used to break the stones into tiny fragments. These pieces are later dissolved with bile salts. Doctors also undertake a method called contact dissolution to get rid of these stones by inserting a catheter tube in the abdomen of the patient. A medicine is injected into the body through this tube and the stones get vanished in few hours.Gallstones are also removed by inserting an endoscope. The process is called ERCP.
Surgical Method ( Laparoscopic Surgery)
Laparoscopic Surgery is used most commonly when no factors are present that may complicate the surgery.
How Well It Works
Laparoscopic gallbladder surgery is safe and effective. Surgery gets rid of gallstones located in the gallbladder. It does not remove stones in the common bile duct. Gallstones can form in the common bile duct years after the gallbladder is removed, although this is rare.
Laparoscopic gallbladder surgery is the best method of treating gallstones that cause symptoms, unless there is a reason that the surgery should not be done.
Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.
What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:
- Side-effect of certain medicines
- Hormonal imbalance, especially during pregnancy
- Sudden withdrawal from medication
- Any infection or other medical condition
How to deal with the UC flare-ups?
- Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
- Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
- Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
- You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis
Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.
Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.
Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.
The surgical choices are:
- Proctocolectomy and Brooke ileostomy.
- Abdominal colectomy and ilcorectal anastomosis.
- Proctocolectomy and Kock pouch.
- Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.
Stomach ulcers are sores that develop in the stomach lining and the small intestine. They tend to form when the digestive juices in the stomach start to corrode the tissues of the stomach. A stomach ulcer is usually diagnosed using an endoscope, a fiber optic tube that is inserted into the throat. This device helps in viewing and identifying the ulcer. Stomach ulcers are easily cured, but they can become severe without proper treatment.
Certain factors and behaviors can put you at higher risk for developing stomach ulcers:
- Frequent use of steroids (such as those for treating asthma)
- Hypercalcemia (overproduction of calcium)
- Family history of stomach ulcers
- Being over 50 years old
- Excessive consumption of alcohol
- Symptoms of Stomach Ulcers-
The most common symptom is a burning sensation or pain in the area between your chest and belly button. Normally, the pain will be more intense when your stomach is empty and it can last for a few minutes or several hours.
Other common symptoms include:
- Dull pain in the stomach
- Weight loss
- Not wanting to eat because of pain
- Nausea or vomiting
- Burping or acid reflux
- Heartburn (burning sensation in the chest)
- Pain improves when you eat, drink, or take antacids
- Talk to your doctor if you experience symptoms of a stomach ulcer. Even though discomfort may be mild, ulcers can worsen if they aren’t treated.
Once the disorder has been diagnosed, the treatments are prescribed. For mild ulcers, medications are prescribed depending on the cause. For example – if the cause of the ulcer is a bacterial infection, then it can be treated with antibiotics. If medications do not help, then surgery may be required.
Initially, antacids may be administered that help in reducing the pain, but this measure only provides temporary relief. The aim of ulcer treatment is to reduce the quantity of acid in the stomach and strengthen the stomach lining. If the ulcer is due to a bacterial infection, then a triple therapy is generally used to treat the ulcer.
What is triple therapy?
The triple therapy is a combination of antibiotics and a proton pump inhibitor that is used in the treatment of ulcer. If medications fail to work, then surgical treatment may be required. In case of ulcer hemorrhage, the source is identified and then treated accordingly. Surgery can also help in reducing excess acid secretion by the stomach. Avoid intake of too much iron supplements as it can cause irritation to the stomach lining. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
The term cirrhosis refers to liver scarring due to various diseases and conditions such as chronic alcoholism and hepatitis. Each time the liver gets injured, it tries to repair itself, resulting in the formation of the scar tissue. With the progression of cirrhosis, a number of tissues generate making the task of liver difficult. Since the liver is an important organ of the body due to its functionalities such as detoxification and nutrient generation, reduced function of liver poses a serious threat to the body.
Symptoms of liver cirrhosis:
Unfortunately, cirrhosis doesn’t portray any conspicuous symptoms that can be easily identified until the scarring has reached a level of threat. Some of the common signs and symptoms of this disease include fatigue, nausea, itchy skin, drowsiness, enlarged breasts, testicular atrophy, fluid in the abdomen, bleeding from the mouth, leg swelling, redness in palms etc.
Causes of liver cirrhosis:
There could be an array of reasons for the occurrence of liver cirrhosis. The major causes include an accumulation of fat in the liver, chronic alcoholism and chronic hepatitis. Some of the other reasons include cystic fibrosis, bile duct deformation, Wilson’s disease, hemochromatosis, schistosomiasis, continuous consumption of medicines such as methotrexate, a disease involving glycogen storage and Aalagille syndrome.
Complications involved in liver Cirrhosis:
- High blood pressure: Cirrhosis results in slow blood movement through the passage of the liver resulting in an increased pressure on the vein that is responsible for carrying blood from the intestine to the liver. This increases the blood pressure in the body.
- Swelling of abdomen and legs: Portal hypertension can result in accumulation of fluid in the leg and the abdomen due to the liver’s inability to producing an important protein known as the albumin.
- Spleen enlargement: Portal hypertension is responsible for changing the shape of the spleen. Decreased count of WBC and the platelets indicate towards portal hypertension and cirrhosis.
- Bleeding: Portal hypertension doesn’t let the blood flow in its normal path. It directs the blood to flow through smaller veins. The veins, in turn, swell and burst to cause a massive amount of bleeding.
Liver cirrhosis doesn’t get detected easily. It is often diagnosed with a routine blood test. Some of the lab tests that can help to identify cirrhosis include blood work to check organ function of liver and kidney. Your doctor might suggest other tests such as MRI scan, CT scan or liver biopsy.
Treatment for the underlying cause of liver cirrhosis is done to keep the disease under control. A doctor might treat you for weight loss, alcohol dependency, complications related to hepatitis, portal hypertension and hepatic encephalopathy. For advanced cases where the liver stops functioning, a doctor might suggest a patient go for a liver transplant. If you wish to discuss about any specific problem, you can consult a gastroenterologist.