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Sunil K Sreedharan
More than a doctor he treats you as a friend, his down to earth attitude immediately puts you at ease. A thoroughly professional doctor.
Dr. Jaikish Jayaraj provides answers that are very helpful and caring. Thankyou sir
I have anal fistula for which I need to go home .I was diagnosed with it in 2016 but decided not to go for a surgery at that time because it had recurred after a surgery in 2015. Now again I have it and it hurts to sit on a 9 to 5 job so I want to go home and get it treated in homeopathy. My company requires a medical certification otherwise they won't give me leave and the doctor is not ready to give me a medical certificate without operating. I feel like dying .Please help me with this. Nobody is ready to understand.
I keep getting pain in the bottom right side of my abdomen, just above appendix, I believe. It goes off on it's own after a couple of days. Is it to do with my food?
Having some fat in your liver is legit. But, if you have too much of fat say more than 5%-10% of the organ's weight then you are at risk of getting fatty liver disease. At the onset, you can do one important thing to help your liver stop drinking. It causes fatty liver disease.
There are two main types of fatty liver disease
- Alcoholic liver disease or ALD
- Non-alcoholic fatty liver disease or NAFLD
- If you are a woman who is pregnant, you can also get the fatty liver disease.
Alcoholic Liver Disease (ALD)
- You can get ALD from drinking lots of alcohol. ALD can also present itself after a short period of heavy drinking.
- Genetics has a role to play in ALD. Genes can make you hit the bottle and increase your chances of becoming an alcoholic.
- Genes can also impact the way your body breaks down the alcohol you drink.
Other root causes of ALD are:
- Hep C doesn't cause ALD. it is one of the causes of fatty liver.
- Hep B is also a cause of fatty liver. There are certain medications which may be helpful from person to person besides lifestyle management.
- Excess iron in your body
Non-alcoholic Fatty Liver Disease (NAFLD)
The cause of NAFLD is not clear, but we know that it tends to run in families.
NAFLD is also more common in the middle-aged and the obese or, those who have high cholesterol and diabetes.
Other risk factors are:
- Certain medicines
- Viral hepatitis
- Auto-immune or inherited liver disease
- Gaining weight fast
- Acute Fatty Liver during Pregnancy
- Fat can build up in your liver when you're pregnant, causing this kind of fatty liver disease.
- It’s a serious condition as it can be risky for both you and your baby. It can cause liver or kidney failure in you and your child, both.
- Causes are unknown. But, hormones may play a role.
Symptoms of the fatty liver disease
This disease can sometimes cause no symptoms for long. But, the things to look out for are-
- Feeling tired all the time
- Loss of appetite or weight
- General weakness
- Confusion and trouble concentrating
- Your liver can become larger
- Pain in the centre or right upper part of your belly
In ALD, your symptoms get worse after bouts of heavy drinking. A fatty liver disease is diagnosed during routine exams when your doctor notices your enlarged liver. Ultrasound, blood tests to check for certain enzymes and biopsy of the liver are performed to confirm it.
- There is no specific treatment for the fatty liver disease.
- You can manage it by managing your diabetes and giving up drinking. If you have ALD and you don’t quit, you get complications like alcoholic hepatitis or cirrhosis.
- Even if you have a non-alcoholic fatty liver disease, alcohol cessation helps.
- Losing weight if you are overweight also helps to manage this disease and having a good balanced diet with exercise also shows benefits.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi, My mother has stone in her gallbladder 3-4 mm, previously the stone was of 9-10 mm but when my mother started ayurvedic and home remedies, the size of stone reduced to 3-4 mm. I want to know what should we do to completely remove these stone, without operation. She is 45 years old.
Did exercise help me to overcome the fatty liver disease grade 3 & please recommend me something through which I can quickly get recovered.
I am suffering from gastric and acidity my stomach has been swollen. I am feeling like there is a big stone inside the stomach. Feeling very uneasy. Please advise.
I have been experiencing a severe pain in my upper abdomen. Doctor said that it is a peptic ulcer. They gave me a lot medicine but it does not work. I have been taking their medicine for more then 2 yrs. Please suggest me the best medicine for it. I have a gas problem too. My stomach use to growl overnight. And fart the whole night. Please help me.
Gallbladder stones. Can they be treated without surgery. I have 12-15 detected, though silent for over 3 years now. Happened during my first pregnancy.
Gastrointestinal bleeding, as the name suggests, is characterized by bleeding in the gastrointestinal (GI) tract and its accessory organs (esophagus, stomach, colon, small intestine, rectum, and anus). The bleeding also referred to as gastrointestinal hemorrhage, is not a disease in itself. However, it may be an indication of a disease, injury or infection in the digestive tract of a person. The bleeding in the GI tract may be mild to chronic (often fatal), depending on the severity of the condition that triggers the bleeding.
What causes the gastrointestinal bleeding?
As stated, the gastrointestinal bleeding may be indicative of some digestive tract disorder. Some of the common conditions that may trigger the bleeding include
- Tumors that are malignant in nature.
- Hemorrhoids (a painful condition where veins around the anus, as well as the lower part of the rectum, swell up)
- Peptic ulcers.
- Diverticulosis (formation of diverticula or pouches in the walls of the large intestine).
- Inflammatory bowel disorder.
- Colon polyps (a small mass of cells that develop on the inner lining of the large intestine or colon).
- There may be problems in the blood vessels (in the digestive tract).
- Anal fissures.
- Esophageal varices (the veins of the stomach or esophagus swell up due to a liver disorder, such as cirrhosis).
- Angiodysplasia (it is a minute vascular malformation that takes place in the gut).
- There may be an inflammation of the gastrointestinal lining.
The appearance of blood in the stool and vomit is one of the characteristic symptoms of the gastrointestinal bleeding. Other symptoms indicative of a bleeding include
- Weakness and fatigue.
- The stool appears black and tarry.
- A person may complain of uneasiness and shortness of breath.
- The skin appears pale. In some cases, prolonged bleeding that goes unattended may result in anemia.
- Abdominal pain.
- The stool may also appear maroon or bright red (often in the case of bleeding from the lower gastrointestinal part).
Consult a doctor at the earliest if the symptoms persist for more than a week.Timely medical assistance can help to minimize the extent of the damage.
Diagnosis and treatment:
Gastrointestinal bleeding in the colon or the stomach is easy to diagnose. However, the diagnosis of the bleeding that occurs in the small intestine may be tricky and often requires the use of advanced and sophisticated equipment. The diagnosis is often done by
- Physical examination.
- Liver function tests.
- Complete blood count.
- Endoscopy, colonoscopy, and sigmoidoscopy.
- Endoscopic injections (often diluted epinephrine) at the bleeding site provides great relief.
- To close or clamp off a bleeding blood vessel, doctors may use Endoscopic clips.
- Endoscopic intravariceal cyanoacrylate injection is used to treat varices in the stomach effectively.
- There are medications available to treat GI bleeding triggered by ulcers.
- In the case of an acute bleeding, a person may need surgery (Laparoscopy).
The quote 'a good day starts with coffee' suits a lot of people who love nothing more than a cup of coffee every morning. However, your morning tryst with a cup of coffee might not be a very healthy habit. Believe it or not, addiction to caffeine (in the form of coffee) is as harmful as addiction to any other drug. In fact, caffeine is a legal drug that slowly and gradually damages your gastrointestinal tract.
Here are the negative effects of coffee on your digestive system:
- Increases Acidity: Coffee is known to contain different kinds of oils, acids and caffeine. These compounds have an adverse impact on the digestive system. The stomach and intestinal linings can get damaged due to the over-consumption of these compounds in the form of coffee. Moreover, as you take coffee, your stomach produces more hydrochloric acid for digestion. This causes acidity and hampers the HCL levels altogether. When we take coffee regularly for years on empty stomach, our body's capacity of producing the proper amount of HCL gets hampered. Often, HCL production reduces over time. This leads to indigestion of other food items and causes flatulence and produces unwanted gases as your body is unable to break protein and fat properly.
- Ulcers and Irritable Bowel Syndrome: Doctors believe that coffee acts as an irritant for patients of Irritable Bowel Syndrome (IBS), gastritis, Crohn's disease, colitis and ulcers. Coffee is responsible for the irritation on the lining of stomach and intestine. It is also noticed that certain enzymes present in the coffee beans are also harmful to the gastrointestinal tract.
- Heartburn: Coffee is responsible for relaxing the esophageal sphincter muscle. The relaxation of this muscle hinders the process of digestion and causes acid-reflux, resulting in heartburn. It is known to have compounds that have diuretic, laxative and mineral blocking effects on the body.
- Laxative Effects: Coffee stimulates the process of peristalsis or movement of food through the gastrointestinal tract. It starts immediately after the food is swallowed by an individual. The intake of coffee catalyzes peristalsis and consequently empties the stomach even before the food is digested properly. The semi-digested food is sent to the intestine too early, causing injury to the intestine and hampering the absorption of nutrients.
- Affects Absorption Of Minerals: Caffeine reduces the ability of the stomach to absorb iron and also hinders the absorption of minerals like calcium, zinc and magnesium by the kidney. All these minerals help in digestion at different points and regulate the bowel movement.
Coffee is known to have benefits like reduction of constipation and sugar absorption. But, it also interferes with the smooth functioning of the digestive system. It has a tendency to cause stomach ache, disturb the fluid balance and the overall process of digestion. In case you have a concern or query you can always consult an expert & get answers to your questions!