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Dr. Gopinath

Gastroenterologist, Bangalore

400 at clinic
Dr. Gopinath Gastroenterologist, Bangalore
400 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Gopinath
Dr. Gopinath is a renowned Gastroenterologist in Yelahanka, Bangalore. He is currently practising at Neha Prakash Hospital in Yelahanka, Bangalore. Book an appointment online with Dr. Gopinath and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Gastroenterologists in India. You will find Gastroenterologists with more than 42 years of experience on Lybrate.com. You can find Gastroenterologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Neha Prakash Hospital

#8, 6th Main Road, 5th Phase, Yelahanka New Town. Landmark: Near Miranda Nursing CollegeBangalore Get Directions
400 at clinic
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Hello sir, it's been a year I'm suffering from anal itching after bowel movement, when I wipe out I feel to scratch anal, after scratching I feel little burn, I consulted to a skin doctor before 10 months but not cured, I stay in hostel, I guess the only reason for this is long sitting at a same place, n the itching change accordingly my food, sometimes I feel more sometimes less, especially I feel itching during evening bowel movements, please help me to know whom to consult to overcome my problem thank you,

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user patil take tab bandy plus 1 at night for 2 consecutive days. Try to keep area clean & more dry by applying dermicool powder 2-3 times a day. Avoid to sit prolong period in hard surface in between take some standing position or walk. Consult then if problem dear thanks regards.
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Hello doc my baby is of five month old. From yesterday morning he is doing tight poop with lil blood sum times. What shud I do is this constipation?

MS
General Surgeon, Panipat
Hello doc my baby is of five month old. From yesterday morning he is doing tight poop with lil blood sum times. What ...
Ms. lybrate-user. It is a common problem among the kids you can simply insert a Glycerine suppository for child available in market. Do it 1-2 times a week Problem will over.
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She suffering from gas problem in few months and also feel heaviness also feel tiredness no mood for doing any work so what is this problem name. How to treat this problem?

PDDM, MHA, MBBS
General Physician, Nashik
She suffering from gas problem in few months and also feel heaviness also feel tiredness no mood for doing any work s...
Hello, Thanks for your query. Try an over-the-counter medicine containing simethicone, which helps to break down gas bubbles. You can try a process of elimination by substituting a gassy food for a non-gassy one, and see which one is giving you the most trouble. A few basic substitutions: • Rice milk for cow’s milk • Bananas, blueberries and melon for apples, peaches and plums • Gluten-free and spelt cereals and bread for wheat and rye products • Bamboo shoots, bok choy, carrot, celery, corn, eggplant, green beans, lettuce, chives, parsnip, pumpkin, and tomato for artichokes, asparagus, Brussels sprouts, broccoli, cabbage, okra, onions, and peas. I do hope that you have found something helpful and I will be glad to answer any further query. Take care
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When I am go to motion that became hard. That time anal is pain and blood comes on motion.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi avoid to go for hard stools by taking more liquids, green leafy vegetables, fiber contents, fruits, curd. Avoid all oily spicy stuffs totally. Avoid amoking if doing. Sit for sitz bath in tub filled with mixture of hot & cold water for 10-10 min mor & evening. Liquid cremaffin plus 3 teaspoonful at night for 5 days. If more pain tab esgipyrin mor & eve after meals for 3 days. Apply xylocaine (5) for 2-3 times over anal area. Consult if problem after 5 days dear thanks regards.
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Gastric Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -​

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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I am suffering from nerve weakness and feeling week. Please suggest. I have gastric and hb in border line.

MS - General Surgery, MBBS
General Surgeon, Delhi
I am suffering from nerve weakness and feeling week. Please suggest. I have gastric and hb in border line.
Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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Hello doctor my dad is suffering pain when passing urine. And some reddish liquid coming from anus .what will be the reason. And he is a patient of pontine stroke too. Reply me fast.

MS - General Surgery, MBBS
General Surgeon, Guwahati
Hello doctor my dad is suffering pain when passing urine. And some reddish liquid coming from anus .what will be the ...
Start Sitz bath after passing stool atleast twice daily. Add some stool softener like syp duphalac fifty ml at bedtime.
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I am suffering from mouth ulcers very frequently like once in a month. I will sleep only 5-6 hours per day. I am drinking minimum 3 litres of water per day but still I am facing from mouth ulcers. How to cure mouth ulcers permanently? Waiting for your reply.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Homoeopathy only can give you permanant mouth ulcer cure. Others will just palliate a while and again come back.
1 person found this helpful
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I have an ech in my stomach last few days alternatively. And I think that my digestion system is not working properly. Can you give me a suggestions to my problem.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I have an ech in my stomach last few days alternatively. And I think that my digestion system is not working properly...
Please take chestnut30/5 drops three times in a day for two weeks. Revert back with feedback after two weeks.
4 people found this helpful
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I have back pain with abdominal pain as well. All reports are saying no issue. Which is causing issue?

BHMS
Homeopath, Pune
I have back pain with abdominal pain as well. All reports are saying no issue. Which is causing issue?
Its may due to gases take homeopathy treatment where I should take complete case of you. Take plenty of water.
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There is heaviness in my stomach all the time. And appetite is very low. My age is 28. What to do to get rid of it?

DNB (General Medicine)
General Physician, Noida
You might be having peptic ulcer disease. Take tab. Nexpro rd 40 mg before breakfast, tab. Ganaton 50 mg before lunch and dinner, tab. Pancreoflat one after meals thrice daily. For 7 days. If no relief get a ugie and usg abdomen.
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I am suffering from loose motion, mostly for one to two days every month. It happens more than 15 times per day, sometimes with pain, vomiting tendency and gas discomfort in the stomach. How I should go ahead in the treatment.

MBBS
General Physician, Mumbai
I am suffering from loose motion, mostly for one to two days every month. It happens more than 15 times per day, some...
For loosemotions drink ors solution and to stop the frequency of motions take capsule roko and Avoid spicy food in your diet and eat only curd rice or khichdi and if necessary we should take prescribed antibiotics
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I have been suffering from regular acidity problem from last one months. It lead to tightening and swelling of stomach to a great extent and some time leads to vomiting.

MBBS
General Physician, Mumbai
I have been suffering from regular acidity problem from last one months. It lead to tightening and swelling of stomac...
Can take tablet pan-D before breakfast and Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet
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My latrine was not cleared for few days. And from two days it was bleeding with latrine. What should I do? I am very feared. Please give solution.

BHMS
Homeopath, Gurgaon
My  latrine was not cleared for few days. And from two days it was bleeding with latrine. What should I do? I am very...
You have bleeding hemorrhoids due to constipation.Avoid strain at stool. Get rid of constipation. Have simple bland diet, more fibres in diet. Take warm water one hour after every meal.
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I'm suffering from digestive problem. please sir give me some subjection for problem.

DNB (General Medicine), PG A@E, Certificate in Diabetology, FICM, MBBS
General Physician, Kottayam
I'm suffering from digestive problem. please sir give me some subjection for problem.
You can try some diet modification, avoid caffene, tea, spicy and salty food and tamily diet and will see.
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I am 25 year old and I am suffering from abdominal pain at the mid and below the umbilicus region. And I take the so many painkillers and also chek up by doctor but not relief from 2 days. So please suggest me what we do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 25 year old and I am suffering from abdominal pain at the mid and below the umbilicus region. And I take the so ...
Homoeopathy has good treatment for your problem, without causing adverse effects. It requires study of your case and symptoms in detail. To start with, take homoeopathic medicine magnesia phos 200 daily in the morning and in the evening and give feedback after 4 days.
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I have stomach problem from last one month please help me. And fell gas problem. Please help me.

MBBS
General Physician, Mumbai
I have stomach problem from last one month please help me. And fell gas problem. Please help me.
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water
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My Mom is suffering from mild Acidity since 12 years. But since 5 years her Acidity has been reached to terrible. She took enough medicine but no result. She doesn't get a good sleep in night due to severe Acidity. Doctor, please suggest me what food she has to take and what to avoid? What medicine she has to take? Is there any permanent solution?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My Mom is suffering from mild Acidity since 12 years. But since 5 years her Acidity has been reached to terrible. She...
Homoeopathic treatment gastrobin (wilmar schwabe india) drink slowly 20 drops in 20 ml fresh water 3 times daily. Nux vomica 30 (dr. Reckeweg) drink 5 drops in 1 spoon fresh water at night bed time digecom syrup (wellman lab) drink 2 spoons 10 minute after meals 3 times a day do nd do notss 1. Avoid fast, spicy nd fried food 2. Avoid tea, coffe nd cold drinks 3. Try to take nutritious easy digestible home 4. No any intake of water 30 minutes before nd after meals. This is possible only if the meals r non spicy nd if you r eating slowly. 5. Eat half chapati less than your appetite. 6. My personal addition. 1 fast in a week is must (only 1 meals in the evening) in a week if you r habitually suffering from acidity problem. It will pay you in future 7. Breafast and dinner light and lunch can be heavy 8.10 minutes evening walk after dinner is a must
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