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Dr. Ravishankar H R

Gastroenterologist, Bangalore

400 at clinic
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Dr. Ravishankar H R Gastroenterologist, Bangalore
400 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ravishankar H R
Dr. Ravishankar H R is a renowned Gastroenterologist in Jayanagar, Bangalore. He is currently practising at The Bangalore Hospital in Jayanagar, Bangalore. You can book an instant appointment online with Dr. Ravishankar H R on Lybrate.com.

Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. You will find Gastroenterologists with more than 30 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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Languages spoken
English
Professional Memberships
Member In Surgical Society Of Bangalor

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The Bangalore Hospital

#202, R V road, Jayanagar 2nd Block, Basavanagudi. LandMark: Near South End CircleBangalore Get Directions
400 at clinic
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Shanthi Hospital and Research Center

307,40th Cross,8th Block, Jayanagar,Landmark: Diagonally opposite to Belagodu kalyana mantapamBangalore Get Directions
400 at clinic
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I can feel a small lump in the right side of anus jst outside. I have no blood stain in my stool. When I touch it I feel a little pain. What should be the problem.

MBBS
General Surgeon, Hubli-Dharwad
Anal pain also known as proctalgia common causes:- 1.anal fissure-An anal fissure is a small tear in the skin of the anus that can be caused by passing a large or hard poo. Symptoms of an anal fissure can include: a severe, sharp pain when doing a poo a burning or gnawing pain that lasts several hours after doing a poo rectal bleeding – you may notice a small amount of blood on the toilet paper after you wipe Anal fissures can be very painful, but many heal on their own in a few weeks. Increasing the amount of fibre in your diet, drinking plenty of fluids and taking laxatives and over-the-counter painkillers can help. If the pain persists, you may need special ointment that relaxes the ring of muscle around your anus. Occasionally, surgery may be needed to help the fissure heal. 2.Haemorrhoids (piles) Haemorrhoids (piles) are swellings containing enlarged blood vessels that are found inside or around the bottom. They're often thought to be caused by straining on the toilet as a result of prolonged constipation. In many cases, haemorrhoids don't cause symptoms. When symptoms do occur, they may include: bleeding after doing a poo an itchy bottom feeling like there's a lump in or around your anus soreness and redness around your anus anal pain, if the blood supply to the haemorrhoid becomes blocked or interrupted – for example, by a blood clot The symptoms often pass after a few days. Increasing the amount of fibre in your diet, drinking plenty of fluids and taking laxatives and over-the-counter painkillers can help. If the blood supply to the haemorrhoid has been blocked by a clot, a simple procedure can be carried out to remove the clot under local anaesthetic (where the area is numbed). 3.Anal fistulas and abscesses An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus. It's usually caused by an infection near the anus resulting in a collection of pus (an abscess). Symptoms of an anal fistula or abscess can include: a constant, throbbing pain that may be worse when you sit down skin irritation around the anus passing pus or blood when you poo swelling and redness around your anus a high temperature (fever) Your GP may prescribe antibiotics if an abscess is picked up early on. If it persists, it may need to be drained in hospital, possibly under general anaesthetic (while you're asleep). If a fistula develops, surgery will usually be needed because they rarely heal by themselves Less common causes of anal pain When to get medical advice Many common causes of anal pain will improve with simple self-care treatments, so you don't always need to see your GP. But it's a good idea to see your GP if: your pain is severe your pain doesn't improve after a few days you also experience rectal bleeding Don't feel embarrassed to see your GP – anal pain is a common problem that they're used to seeing. Your GP can try to work out what the problem is and give you treatment advice. They'll probably ask to see your bottom and may carry out a rectal examination (where they gently insert a gloved finger into your bottom) to check for any abnormalities. If the cause is not immediately obvious, they may refer you to a specialist for advice and further tests.
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A pain started just at lower right abdomen. The pain came on suddenly and is still present But its not that severe, Its last about 3 days now But its only when I walk, cough, or move. When I'm sitting or not moving there's no pain. I Haven't had much of an appetite and I'm a 20 year old male.

DHMS (Hons.)
Homeopath, Patna
Hello, you need to go for an examination for appendicitis, first. * it may be gastric pain, too in epigastric region. **homoeo-medicine** @ lycopod 30-6 pills, thrice a day. @ bryonia alb 30-6 pills, thrice a day. Report wkly. All d best.
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I m a 23 yr old girl having problem of stomach bloating. I do exercises but nothing happen to it.

BHMS
Homeopath, Faridabad
I m a 23 yr old girl having problem of stomach bloating. I do exercises but nothing happen to it.
Hi,Gas and acidity is the result of constipation and indigestion.Take homoeopathic medicine to get relief:-1. Gastrobin (WSG), 10 drops+ 1/2 cup of water, half an hour before meals, 3 times a day. *Lycopodium 30, 3 drops once daily in the morning for 7 days. 2. Natrum phos 6x, 4 tablets at a time, 3 times a day 10 mins. after meals. 3. Drink 10 to 12 glasses of water daily. 4. Drink two cups of coconut water daily. 5. . Avoid heavy spicy and oily food , pickles. Revert me after 7 days.
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What is the diet plan or a man of 45 years ,Non smoker having fatty liver grade III and enlarged prostrate.

PDDM, MHA, MBBS
General Physician, Nashik
What is the diet plan or a man of 45 years ,Non smoker having fatty liver grade III and enlarged prostrate.
Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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I am 26 years old male. I am suffering from swelling in anus. Doctors told me, there is a problem in anus. The problem is FISSURE in anus like that they told. My question is, 1. How to come out from this problem? 2. Which types of food should I take? 3. What is the main solution for this kind of disease? And also I am suffering from pain while sitting only other wise there is no pain at all. Pls tell me correct solution for this. Thanking You Raj.

FMAS, MS
General Surgeon, Gandhinagar
Hi 1. Avoid hard stools to come out from this problem 2. Have light diet avoid oily spicy stuffs have more green leafy vegetables liquids fiber content curd etc for better digestion 3. Along with this you continue medi prescribed by doctor & then if problem consult anytime dear thanks regards.
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After ultrasound, she found that there is stone in her gall bladder. She also came to know that her irregular periods were due to polycystic ovary. Can I know what are their causes and cure ?

MS - General Surgery
General Surgeon, Chennai
After ultrasound, she found that there is stone in her gall bladder. She also came to know that her irregular periods...
The gall stones in the bladder could be asymtomatic that is if there is no paain and was an accidental finding on ultrasound. There is no need to medicate or under go surgery. Stones in gall blader are due to food habits. Or dues to gynaecological reasons too.
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I am suffering from anal fissure and want to get operated but the question is by which method. Laser surgery or normal surgery and how much time will it take to heal the wound and return to normal life after both the surgical ways. Please answer relatively or else leave.

MBBS, MS - General Surgery, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellowship in Hepatobiliary Surgery & Liver Transplantation, International Visiting Scholar
Gastroenterologist, Hyderabad
There is no difference in the recovery time of laser vs regular surgery. The wound is a 2 mm cut which heals in 3 to 5 days. You can return to work from Next day of surgery.
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Sir, meri problam ye hai ki mujhe latrain ke saath blood aata hai aur bahut pain bhi hota hai. Ye problem last one year se hai.

MBBS
General Physician, Mumbai
It might be due to heamorrhoids and so Avoid spicy food in your diet and treat your constipation by taking syp cremaffin two tsp at night and apply lidocaine ointment and if necessary get it operated
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Sir I am having fistula since from last 3 days this happened first time in my life. I am worried about that this thing will actually curable or not please give me some advise to get rid of this problem naturally.

MS - General Surgery, MBBS
General Surgeon, Delhi
You should get the fistulogram done and get it operated. Surgery is only the cure for this problem. Consult surgeon.
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Cirrhosis Of Liver - A Complete Guide!

MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Cirrhosis Of Liver - A Complete Guide!

Cirrhosis of liver is slow and gradual replacement of normal healthy liver tissue with scar tissue which results in poor liver function and blockage of flow of blood through liver which comes from intestines. As more scar tissue replaces normal healthy liver, liver begins to fail.

What causes cirrhosis?

  1. Alcohol: Amount of alcohol which can cause liver damage varies from person to person, however those who consume alcohol for long in significant amount are more prone to develop liver damage.
  2. Hepatitis B or hepatitis C: Caused by hepatitis B and C viruses, respectively, which are acquired by contact with contaminated blood (like needlestick injury, blood transfusion, injection drug abuser), sexual contact with infected person and from mother to child during childbirth.
  3. Non-alcoholic fatty liver disease (NAFLD): Caused by presence of extra fat in liver (after excluding significant alcohol intake) which causes inflammation and scarring leading to cirrhosis. Usually seen in patients who are overweight or obese, having diabetes, high fat in blood, high blood pressure or metabolic syndrome.
  4. Drugs causing liver injury.
  5. Others: Autoimmune hepatitis (body`s own immunity acting against liver), Wilson disease (build up of copper in body), hemochromatosis (excess of iron in body), certain bile duct disorders, etc.

What are the symptoms of cirrhosis?

  1. Early disease can present with nonspecific symptoms like weakness, fatigue (loss of energy), decrease wish to take food, vomiting or nausea, weight loss, etc.
  2. Advanced disease can present with fluid accumulation in legs (edema) or abdomen (ascites), facial puffiness, yellowish discoloration of eyes or urine (jaundice), redness of palm (palmer erythema), decrease urine output, small red lesions on skin, easy bleeding following trauma, blood coming out of mouth/anus/other body site, black colored feaces, mental confusion, flapping tremors of hand, etc. In men it can cause impotence, breast enlargement and shrinking of testis.

What are the complication of cirrhosis?

Portal hypertension: It is a common complication of cirrhosis which is due to increased pressure in portal vein. Portal vein is main blood vessel which carries blood to liver from stomach, intestines, spleen, gallbladder and pancreas. Because of scar formation in liver the normal flow of blood from these organs to liver is hampered. As a result of blockage of blood flow to liver there are few complications which can arise like accumulation of fluid in abdomen (ascites) and legs (edema), formation of enlarged veins (varices) in food pipe (esophagus), stomach, etc., enlargement of spleen (splenomegaly), mental confusion/altered behavior/altered sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).

  1. Increase risk of infection because of immune system dysfunction.
  2. Development of liver cancer (Hepatocellular carcinoma)
  3. Easy brusibility or bleeding following light trauma.
  4. Gall bladder stone formation
  5. Metabolic bone disease

What are the stages of cirrhosis?

  1. Compensated cirrhosis: Liver damage is damaged but no abdominal swelling (ascites), blood in vomiting or black/red color feaces (variceal bleed), altered behavior/sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).
  2. Decompensated cirrhosis: Presence of abdominal swelling (ascites), blood in vomiting or black/red color feaces (variceal bleed), altered behavior/sensorium (hepatic encephalopathy), respiratory discomfort (hepatic hydrothorax or hepato-pulmonary syndrome) or decrease urine output/rise in creatinine (hepato-renal syndrome).

How cirrhosis is diagnosed?

  1. Your doctor will take good history and do proper physical examination. If there is suspicion of cirrhosis then he will subject you to some blood test, ultrasound abdomen, fibroscan/elastography, upper GI endoscopy and if needed CT scan or MRI of abdomen or liver biopsy.

  2. Ultrasound of abdomen in cirrhosis may shows coarse liver echotexture, nodular liver surface, dilated portal vein or collateral, enlarged spleen or abdominal fluid (ascites).

How to prevent cirrhosis?

Best way to avoid development of cirrhosis from predisposing stage of liver illness is to recognize and treat early. Few advices to keep liver healthy are:

  1. Dietary modification: Eat healthy balanced diet. Avoid high calorie food or drinks, saturated fat, sugar and refined carbohydrates. Keep yourself hydrated.
  2. Lifestyle modification: Maintain healthy body weight. Avoid being overweight or obese. Aerobic exercise (like brisk walk 30-45min/day atleast 5days/week) regularly helps to lower liver fat.
  3. Avoid: Avoid use of contaminated needles, sharing of items of personal hygiene (like shaving razors, toothbrush, nail clippers, etc), use of illicit drugs, self medication with over the counter drugs or using drugs beyond doctor`s advice.
    1. Practice safe protected sex
    2. Alcohol
  4. Motivate others: to stop drinking and follow hand hygiene and doctor`s advice.
  5. Hand hygiene: Wash hand with soap and water regularly before eating, after going to toilet and after touching dirty objects.
  6. Vaccination: For hepatitis A or hepatitis B, if you are not vaccinated or not already infected or unsafe antibody titre. Transmission rate of hepatitis B from mother to child at birth can be reduced with vaccination and immunization of newborn starting within 12 hours of birth as well as by using antiviral drugs (if indicated).

Prevent others from getting infected from you if you harbor virus causing liver damage.

How to treat cirrhosis?

Treatment of cirrhosis is based on cause of cirrhosis and complication of cirrhosis. Main aim of treatment in early stage of cirrhosis is to slow the progression of cirrhosis and prevent complications development

  1. Stop alcohol, antiviral drugs for hepatitis b or hepatitis C, proper sugar level if diabetes, steroid or other medications for autoimmune hepatitis, medications to reduce copper from body in patients with Wilson's disease, etc.
  2. Drugs to lower portal pressure (beta-blocker or nitrates), drugs to remove fluid from body (diuretics), drugs to lower ammonia level for encephalopathy (lactulose and others), drugs to improve kidney function (albumin, terlipressin and others).
  3. Opt for liver ransplant, If cirrhosis is life threatening or treatment of cirrhosis complication is ineffective.
  4. Low salt high protein diet
  5. Stop alcohol intake even if you have other cause of cirrhosis.
  6. Stop smoking
  7. Avoid over the counter drugs (especially pain killers)
  8. Vaccinate if not done already or infected

    If you wish to discuss about any specific problem, you can consult a gastroenterologist.

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