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Bharathiraja Superspeciality Hospital & Research Centre

Gastroenterologist Clinic

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, Chennai Chennai
1 Doctor
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Bharathiraja Superspeciality Hospital & Research Centre Gastroenterologist Clinic No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, Chennai Chennai
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Bharathiraja Superspeciality Hospital & Research Centre
Bharathiraja Superspeciality Hospital & Research Centre is known for housing experienced Gastroenterologists. Dr. M R. Alagappan, a well-reputed Gastroenterologist, practices in Chennai. Visit this medical health centre for Gastroenterologists recommended by 52 patients.

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MON-SAT
07:00 PM - 09:00 PM

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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, Chennai
T.Nagar Chennai, Tamil Nadu
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Dr. M R. Alagappan

Gastroenterologist
Available today
07:00 PM - 09:00 PM
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Gastrointestinal Bleeding - How It Can Be Treated?

MBBS, DNB - Internal Medicine, DNB - Gastroenterology
Gastroenterologist, Delhi
Gastrointestinal Bleeding - How It Can Be Treated?

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.

Symptoms:
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.

Treatment:

  • 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).

I am 22 years old. I am suffering from gas and bloating problem. But these days I started to drink ajwain warm water. After drinking ajwsin water I feel good .I don't feel any gas and bloating and flatulence. But please tell me sir .ajwain water is good fo health .I drink 1cup daily .Please tell me how much ajwain should I consume .please sir.

MBBS, Health & Family Welfare Management
General Physician, Delhi
I am 22 years old. I am suffering from gas and bloating problem. But these days I started to drink ajwain warm water....
Dear Ms. lybrate-user, No doubt Ajwain is beneficial for stomach problems. But once you are free from symptoms, stop consumption, because excess of everything is bad. Thanks.
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What is piles and anal fissure? What is consequent of anal fissure? Chronic anal fissure causes or convert anal cancer? Please give me suggestion.

FMAS, MS
General Surgeon, Gandhinagar
What is piles and anal fissure? What is consequent of anal fissure? Chronic anal fissure causes or convert anal cance...
Resepcted lybrate-user, Hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Piles are the swollen and inflammed veins of the anus and rectum giving rise to - discomfort during or after stool - pain - constipation - occasional bleeding - prolapse of the tissue outside anus. Fissure is cut in the skin of external anal opening which give rise to - burning, pain,itching after defecation - constipation - occasional bleeding per rectum. Any of them is not responsible for anal cancer. Hope this will clear your query. Welcome for any further guidance. Regards.
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Dear doctor I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. When stool is hard then my anus finishing point occur swelling and pain and not smoothly delivered stool. I want to know better advice about anal fissure and piles.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Dear doctor
I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. Whe...
Dear user chronic constipation is the main cause for fissure in ano. The more constipation the more pain. Avoid constipation n you Hv to Tk few medication to get rid of it. For more details consult me. Thnx.
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I have a problem in bowel movement. Stools are hard and dry. Comes out in pieces. Difficult to eliminate. Feel uncomfortable full despite not eating for hours. Feel bloated and gassy. Feel like going again but can't. While elimination unpleasant sound bombards. Quite embarrassing. This constipation problem is since one month after I shifted to Aurangabad.

B.A.M.S, MD - Ayurveda
Ayurveda, Ajmer
I have a problem in bowel movement. Stools are hard and dry. Comes out in pieces. Difficult to eliminate. Feel uncomf...
Hello Lybrate user your digestion is totally disturbed. To improve your digestion take light and easily digestible food like daliya khichdi salad soups etc. Avoid fatty and spicy foods, sweets, maida besan etc. Don't skip any meal. Take plenty of water. Take isabgol husk at night. Start yoga, exercise ,and morning walk.
2 people found this helpful
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Hello doctor I don't know what happened to me I visited gynaecologist she said nothing to worried actually I had bleeding from my mouth while coughing nd as well as blood in stool in regular intervals. My bp is alws below 100 nd I feel very tried nd weak. Period blood count is also low my age ia 28 now please do help me out need to consult any other doctor.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Hello doctor I don't know what happened to me I visited gynaecologist she said nothing to worried actually I had blee...
Consult a dentist c if the source of blood from Mouth is teeth get the tt consult a gastroenterologist for blood with stools.
2 people found this helpful
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I am getting too much of Flatulence in stomach with dear please suggest any medicines I am taking sompraz I but it is not ok.

B.A.M.S, MD (Ayu.) Kayachikitsa
Ayurveda,
I am getting too much of Flatulence in stomach with dear please suggest any medicines I am taking sompraz I but it is...
Thanks for contacting with your health concern 1. As you are overweight thus do let me know about your thyroid and cholesterol level and about your lifestyle? Thanks for contacting with your health concern: 2. If flatulence persists for more than 2 weeks, kindly see a doctor to eliminate any underlying health issue and its management. 3. Lifestyle changes are more important than medicine: i. Avoid gas-forming food: beans, onions, fast food, dairy products, refined sugars, carbonated drinks, undue stress, alcohol, caffeine, and take vitamin E & omega 3 fatty acid capsules, fiber-rich diet and later shift to alternative medicine and finally look for medications ii. Take Cucumbers, Green beans, Sweet potatoes, Avocados, Vinegars [all types], Garlic, ripe tomatoes, lemon juice in the morning with hot water, apples, berries, papaya, pear. Vegetable juices - Beet and cucumber are especially helpful, Avoid all fruit juices except organic grape juice and organic apple: fresh, self-juiced is best [dilute with water before drinking].High fiber [fresh fruits and vegetables] and low-fat diet [skimmed milk], hing, old brown rice, barley, horse gram, moong dal, ginger, green leafy vegetables, oil massage, boiled water, 4. If after following dietary regime you still have gas trouble, investigate for. Stool [for amoebiasis, giardiasis,tapeworm].Hb% [for anemia].Ultrasonography [for gallbladder].Sigmoidoscopy & gastroscopy [if indicated] 4. Abdominal exercises are very useful for chronic flatulence and chronic constipation. Eating a less than demanded by appetite is very important. 5. If you are interested in buying medicines for the same, do let me know so that I can courier you the same.
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She is suffering from anal fissure since few weeks. Please advice with proper medication. It is painful.

DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Gastroenterologist, Delhi
Firstly you should be examined by general Surgeon. Frequently and-rectal condition are misdiagnosed. Treatment for anal fissure include sitz bath with Betadine at least three times a day, apply a local ointment for relaxation of sphincter e.g. Diltiazem. Use a stool softeners.**For complete evaluation and treatment, Kindly visit the doctor in person with all available reports. *This is just an preliminary opinion not to be used for medico-legal purpose.
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My anus linings get itchy at nights, after applying some coconut oil, it soothes, It sometimes happens at daytimes as well. Is it an initial symptoms of piles?

FMAS, MS
General Surgeon, Gandhinagar
My anus linings get itchy at nights, after applying some coconut oil, it soothes,
It sometimes happens at daytimes as...
Hello dear Mihir , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * This is not sign of early piles , it indicates dryness of peri anal skin or possible warms infestation . Hope this will help you for sure . Regards dear take care .
1 person found this helpful
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Irritable Bowel Syndrome - Know The Symptoms!

MBBS,MD, DM
Gastroenterologist, Kolkata
Irritable Bowel Syndrome - Know The Symptoms!

Irritable bowel syndrome is a disorder, which generally affects the colon (large intestine). It usually show symptoms like abdominal pain, cramping, bloating, diarrhea, gas and constipation. IBS is a long term condition. It can result in sudden mood swings, depression and thus holds you back from living your life to the fullest. IBS can be controlled by managing lifestyle, stress and managing your diet. Medication and counseling could also be required to manage IBS.

Symptoms of IBS:

  1. Immense cramping and pain.
  2. A feeling that your belly is bloated all the time
  3. Severe gas
  4. Alternating and sudden bouts of constipation and diarrhea.
  5. Presence of mucus in the feces.

When should you consult a doctor for IBS?

IBS is not a chronic disorder and can be controlled by home remedies. It may also require medical treatment if the symptoms become acute and persist for too long. If you experience certain symptoms like rectal bleeding, weight loss and heavy abdominal pain that might increase at night, you may be at a risk for colon cancer. If such symptoms persist, you should visit a doctor as soon as possible.

Causes of IBS:

  1. Foods: Most people are susceptible to IBS if they consume foods like spices, fats, fruits, cabbage, beans, broccoli, cauliflower, carbonated beverage, milk or alcohol. These foods irritate the lining of the stomach and trigger IBS. However, the trigger may vary from person to person.
  2. Stress: Signs and symptoms of IBS can also increase if you are very stressed out. Stress makes your muscles too worked up and this may result in IBS. However, you should know that stress aggravates or triggers the symptoms but doesn’t cause IBS.
  3. Hormones: Women are more likely to develop IBS. Fluctuations in the hormonal cycle can trigger IBS. This usually occurs around or during menstruation.
  4. Other illnesses - Sometimes illness such as gastroenteritis (infectious diarrhea) or bacterial overgrowth in the intestines can trigger symptoms of IBS.
  5. Age: You will be more likely to develop IBS if you are 45 years of age or above.
  6. Hereditary: People having a family history of IBS are more susceptible to develop IBS.
  7. Mental problems: Depression, personality disorder, anxiety and a history of sexual abuse can also trigger symptoms of IBS.
4 people found this helpful

I have gastric problem .i suffer gastric ulcer 2 years ago then I treat it. Now I have problem to digest and pain and gastric.

Practising Unani Physician
Unani Specialist, Coimbatore
I have gastric problem .i suffer gastric ulcer 2 years ago then I treat it. Now I have problem to digest and pain and...
Dear lybrate-user Gastrities commonly occurs those who ate tale continuously taking foods from hotels. To avoid reduce hotel foods rrduce garam Masala items tea and coffee. Take fruit items two times. Take water. Try above style no improvement found I will give prescribe medicines
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I am 18 years old female. I am suffering from bloating since 1 month all the time in day and more at night. I reduced fat intake and spice but problem remained same.

MBBS
General Physician, Greater Noida
I am 18 years old female. I am suffering from bloating since 1 month all the time in day and more at night. I reduced...
Hi, it seems you are suffering from 1. Gastritis or hepatitis 2. Take an antacid 3-4 tsf 8 hrly 3. Get a blood investigation - liver function test done 4. Avoid fatty, oily meals 5. No fast food, no momos and samosas 6. No tea and coffee 7. Lots of water 8. Walk after meals 9. Eat less at nights 10. No soft drinks, hard drinks and no smoking recommended a private consultation.
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Hello sir I am facing the liver problems I mean I am a fully addicted to alcohol 4 months back I am getting jaundice and now I am taking alcohol again from past 3 weeks now I am getting digesting problem and feeling like vomit and I am getting very tired and getting fever some times I can not sleep without alcohol now I am afraid of cirrhosis of liver I did not test anything yet pls what I do now I need some medicine suggest and I am a psychiatric problem psychiatric doctor said I have panic disorder problem and he suggest lonazep and walbeta la 25 and nexito 10 but after I am taking that medicine I am feeling very fast heart beet and sweating and body shivering but I am feeling very afraid of cirrhosis of liver but I can not sleep without alcohol pls suggest me sir.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hello sir I am facing the liver problems I mean I am a fully addicted to alcohol 4 months back I am getting jaundice ...
Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. You have to do counselling and do tests to determine that you have cirrhosis and fully stop alcohol.
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I have mild fatty liver with gallstones of 9 mm and 7 mm. Should I get my gallbladder removed? How will this decision effect my future life please? Age: 27.

FMAS, MS
General Surgeon, Gandhinagar
I have mild fatty liver with gallstones of 9 mm and 7 mm.
Should I get my gallbladder removed? How will this decision...
Respected Zeeshan , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * Need for gall bladder removal depends upon the symptoms of the patient . If severe pain on & off , vomiting , bloating and abdominal fullness after meals , no relieve with medicines in symptoms then surgery is must . If not much pain , vomiting , other issues it is not mandatory that you have to get surgery right now only otherwise you will have serious problems . Certain precautions in diet always help to get lesser and lesser pain of gall stones as you have to always take less amount or least of oily , spicy , dairy fat , non veg , junk foods . Then that pain will be minimal or nil . Coming to decision on future life . If gets operated it is life time cure . if do not get operated have to check every 1 year size of the stone , even though no pain . If much increase in size or more symptoms in between then decide for surgery anytime . But do not panic that if you do not get operated right now then you will become serious and like that . It is not life threatening at all , there are always symptoms on very early basis before it gets life threatening , which usually does not happen with the educated people like you . Hope this clears your query . wishing you fine recovery from the same . always feel free to ask any further assistance . Regards dear take care .
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Ways To Deal With Ulcerative Colitis!

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
Ways To Deal With Ulcerative Colitis!

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:

  1. Side-effect of certain medicines
  2. Hormonal imbalance, especially during pregnancy
  3. Sudden withdrawal from medication
  4. Any infection or other medical condition

How to deal with the UC flare-ups?

  1. Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
  2. Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
  3. 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.
  4. 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:

  1. Proctocolectomy and Brooke ileostomy.
  2. Abdominal colectomy and ilcorectal anastomosis.
  3. Proctocolectomy and Kock pouch.
  4. 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.

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I am diabetic since 3 years. I have fatty liver as per my report. How to get rid of it? Also my triglycerides are high. Any natural remedy for this?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic since 3 years. I have fatty liver as per my report. How to get rid of it? Also my triglycerides are hig...
lybrate-user, Thanks for the query It is very essential to achieve a strict blood glucose control with fasting < 100 mg, PP 150 to 170 mg & HbA1c% < 6.8. Plus do regular exercise and take a healthy diet, avoid saturated fats and and maintain normal weight. There is no specific treatment for fatty liver. Even TGL can be controlled with diet and exercise. If need be Fenofibrate may be taken. Thanks.
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Sir. Ye bataye ki banana or milk khane se liver thik nhi rehta h or kharab ho jata h Aisa q?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi Rukhsar... I haven't seen any patient of liver failure because of banana and milk... Ye sab Kahi suni bate he... Imperial Bharosa nahi kar sakte..
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