Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. You will find Gastroenterologists with more than 25 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.
Book Clinic Appointment with Dr. Tejesawi Guddi
Submit a review for Dr. Tejesawi GuddiYour feedback matters!
From last 10 days daily at hole night I am facing gas problem in stomach and at this time my stomach doing pain when moving or sleeping on bed This problem occur only night sleeping time to awake time, after 1-2 hours in night means if I go on bed 11 pm then from 12-1 am pain start till awale please help me what can I do and Suggest best remedies.
Hello I am Nikhil I am 21 years old from the past few months I have problem with my digestion system in past few months back I have a problem of gas after using a tablet named rabicer dsr it controlled I stopped using it again from past 3 days I am suffering from gas I am getting pain near left side of chest I mean near heart. Even acidity problem. My stomach is feeling heavy it increased in size I am not eating any junk food. Everyday I have a problem with this while eating food after I am getting gas and saliva out of my mouth. I need solutions for it to get rid of it hoping a reply.
The medical community has not yet determined the cause for Irritable Bowel Syndrome. A combination of treatments may help a sufferer cope with the symptoms; however given the diverse symptoms of IBS sufferers; diarrhea, constipation, pain, bloating, etc, and it's chronic nature, none of these treatments at present will ultimately cure IBS.
IBS is a non-life threatening illness. It does not progress or increase your risk of developing Inflammatory Bowel Disease or Cancer. Treatment focuses on the relief of symptoms so you can live your life as normally as possible.
There is much anecdotal information on the internet as to what may relieve IBS symptoms. We recommend that before starting any new dietary, medical food or over the counter (OTC) remedy, that you consult with your physian. Physician's rely on risk and benefit decisions based on reproducible research data when they suggest a treatment for someone suffering from IBS.
Based on your physician's diagnosis after the appropriate medical tests, treatment, in our opinion, may be different for those suffering from mild, moderate or severe symptoms; however, they may be summarized as follows.
Mild: manage stress and make changes to your diet and lifestyle
Moderate: As per Mild + fiber supplements, over-the-counter (OTC), anticholinergic, or like, medications.
Severe: As per Moderate + tricyclic or SSRI antidepressants, or 5-HT3 or 5-HT4 or Chloride channel activator or guanylate cyclase-C (GC-C) agonist medication.
Your physician may recommend one or more or none of these treatments. See your physician for all recommendations for treatment. It is very important to follow-up with your physician. Refer to the medication page for an overview of medications for IBS.
Role of stress and visceral hypersensitivity
Role of diet
Prescription Medical Food
Specific Treatments Now and the Future:
Cognitive Behavioral Therapy (CBT) and Hypnosis: There is research evidence that IBS symptoms respond favorably to other therapeutic approaches such as cognitive behavioral therapy (CBT) and hypnosis. As IBS is a chronic condition, with an ongoing fluctuating course, these treatments may help the individual to develop skills for managing the condition over the long haul. Many people with IBS also have a co-existing anxiety or depressive disorder, the symptoms of which also benefit from these types of treatments.
Probiotics: Probiotics (good bacteria) which contain the strain bifidobacterium infantis 35624 have been shown to relieve abdominal pain, bloating, urgency, constipation or diarrhea. Align and VSL#3 are marketed over-the-counter (OTC) with this strain.
5-HT3 antagonist: Lotronex (alosetron), is used for the control of pain and diarrhea associated with IBS in women (IBS-D). It was removed from the market at the recommendation of the United States FDA in Nov. 2000 and re-introduced in June 2002.
5-HT4 receptor agonist: These medications help relieve the symptoms of constipation and pain associated with IBS and constipation (IBS-C), and chronic idiopathic constipation in women. Zelnorm/Zelmac (tegaserod) was approved by the FDA in the United States. Effective April 2, 2008 Zelnorm is only available to patients in the U.S. Under emergency situations.
Chloride channel activator: These medications help relieve the symptoms of constipation and pain. Amitiza (lubiprostone) was approved by the FDA in the United States for IBS with constipation and chronic idiopathic constipation.
Guanylate cyclase-C (GC-C) agonist: These medications help relieve the symptons of constipation and abdominal pain. Linzess (linaclotide) was approved by the FDA in the United States for IBS with constipation and chronic idiopathic constipation.
Antibiotics: There is some research evidence suggesting that IBS symptoms may be caused in part by an abnormal growth of bacteria in the small intestine, referred to as Small Intestinal Bacterial Overgrowth (SIBO). A specific regiment of antibiotics, namely Rifaximin (xifaxan), have been investigated to treat this condition.
Prescription Medical Food: These products are regulated by the FDA under the Orphan Drug Act and are meant to be used under physician supervision. One prescription medical food is indicated for the clinical dietary management of IBS-D under physician supervision as part of ongoing medical care for a specific condition or disease. Some patients due to chronic conditions, diseases or specific drug therapies have an impaired ability to ingest, digest, absorb, or metabolize food and certain nutrients. This medical food product is prescribed to help people manage their bowel problem.
I am 23 now working in a MNC. I used to have stomach gases whole day. This is from my childhood. Actually my mother is also having the same problem. What can I do to get rid of this? Please help.
My latrine is so hard and if I go 4 do it .it didn't come I have to go for 3 or 4 times what is the reason behind this.
I am 64 years young retired banking professional working as consultant now with a private organisation. I have fatty lever with inflammation. Presently my digestive system is okay, however, I have persistent constipation with mild Piles problems, I am diabetic.
I want to ask that if any person feel that in their stomach having a problem what he should that. Actually I feel a problem in stomach. When I eat then my stomach having heavy and making a gas in my stomach.
Meri wife ko 45 day pehle baby hua hai sir ab use anal fissure ho gaya hai daily after toilet use 6 se 7 hours pain rehta hai please suggest koi medicine for healing and pain relief Thanks.
I am auric acid patient. Can I eat? Turnip, spinach, cauliflower, cabbage, potato, tomato, onion, bean, capsicum, brinjal, carrot, reddish. Please reply which I can eat or not.
What is the difference between elf and lft test ELF- Enhanced Liver Fibrosis LFT- Liver Function Test.
Dear sir I am 40 years men since last 3 months problem in fissures and burning pain after stool, need to solution only homeopathy and ayurvedics.
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. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.