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Dr. Arulprakash Sarangapani

MBBS, DM - Gastroenterology

Gastroenterologist, chennai

17 Years Experience  ·  500 at clinic
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Dr. Arulprakash Sarangapani MBBS, DM - Gastroenterology Gastroenterologist, chennai
17 Years Experience  ·  500 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Arulprakash Sarangapani
Dr. Arulprakash Sarangapani is an experienced Gastroenterologist in Vadapalani, Chennai. He has been a successful Gastroenterologist for the last 17 years. He has done MBBS, DM - Gastroenterology . You can meet Dr. Arulprakash Sarangapani personally at SIMS Hospitals in Vadapalani, Chennai. Save your time and book an appointment online with Dr. Arulprakash Sarangapani on Lybrate.com.

Lybrate.com has a number of highly qualified Gastroenterologists in India. You will find Gastroenterologists with more than 38 years of experience on Lybrate.com. Find the best Gastroenterologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - IRT PERUNDURAI MEDICAL COLLEGE - 2000
DM - Gastroenterology - KILPAUK MEDICAL COLLEGE - 2009
Languages spoken
English

Location

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SIMS Hospitals

Vadapalanichennai Get Directions
500 at clinic
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My father is 70 years old blind person. He has acute acidity everything or any thing that he eats causes acidity. What can be reason and pls suggest remedies.

BAMS
Ayurveda, Bangalore
My father is 70 years old blind person. He has acute acidity everything or any thing that he eats causes acidity.
Wha...
Hi, Inadequate sleep, untimely intake of food, intake of very hot and spicy food, mental worries and tensions, excessive usage of pain killers and antibiotics are all causes of acidity. Take cap. Stomotone 1-1-1 after food for 2-3 weeks and Himcocid syrup 2tsf 3 times daily before food to control burning sensation in the stomach and chest Take. Madiphala Rasayana 2tsf 3 times a day to stop vomitting. Avoid hot and spicy food. Eat small quantities frequently. Drink plenty of water. Never miss your breakfast. Avoid excess intake of coffee and tea.
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Hi Im 26yr old working in night shift and my food time is not correct, I will have 2 times food only. Some time night dinner and some snacks in midnight only. I have gastritis from past 3 years and I have piles (no bleeding)(type of muscular growth) from past 6 years, Problem:- I feel I release excess gas than normal from anal way. Is this normal or need to get treat, as I have piles it makes more sound when I relaxed and excess gas will move, its embarising in office and very difficult to controls as abdomen pain. I have not taken any treatment for my piles problem, and I have lost my weight from 75 to 65kg from past 8 months (i started night shift job from 8 months).

MBBS
General Physician, Cuttack
Hi Im 26yr old working in night shift and my food time is not correct, I will have 2 times food only. Some time night...
Your symptoms may be related to piles 1.Apply proctosedyl ointment 2-3 times daily before and after passing stool. 2.Sit in a bath tub containing warm water for some time twice daily (sitz bath). 3.Take two tea spoonful lof softovac/Naturolax powder with a glass of warm water in the evening .4.Take fiber containing diet, plenty of green leafy vegetables and fruits .5 If no relief consult doctor 6. Take one tablet of pan 40 in the morning before breakfast 7. Consult for further advice
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I have a problem in my stomach when I have anything that can not be digested properly give the solution.

MS - General Surgery, MBBS
General Surgeon, Delhi
I have a problem in my stomach when I have anything that can not be digested properly give the solution.
Avoid outside food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help. 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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Sir I am 20 year old male ,please tell me the reason of formation of gases in stomach and how can I overcome that.

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
Sir I am 20 year old male ,please tell me the reason of formation of gases in stomach and how can I overcome that.
there are several reasons for gastritis and flatuence of stomach junk food eating late night skipping meals skipping breakfast irregular dietary habits eating food rich in fats and carbs improper dietary habits avoiding fruits mental stress tension anxiety overthinking obesity family history genetic factors.......... piles constipation irritable bowel syndrome ameobiasis these are some of the pathological reasons for flatulency.................
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I am 21 years old male I got a cut near ass hole while shitting. So its bleeding and paining like any thing. What should I do now to control that pain and bleeding? Replay please this will help me. Thanks.

FMAS, MS - General Surgery, MBBS
General Surgeon, Ahmedabad
I am 21 years old male I got a cut near ass hole while shitting. So its bleeding and paining like any thing. What sho...
Sit in tub of warm water 3 times a day take plenty of oral liquids. Take more of salads in your diet. If more bleeding ,see a surgeon for -drug treatment.
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Helo, I had periods this month only for 2 days and very little in amount and I feel my lower abdomen heavy and pressurized and little pain on sides and in centre. I had tested pregnancy in urine but comes -ve. Then after that tested for blood test s beta hcg its range comes out 5.3.

MS - General Surgery, MBBS
General Surgeon, Delhi
Helo, I had periods this month only for 2 days and very little in amount and I feel my lower abdomen heavy and pressu...
Once your pregnancy test is negative, the cause of pain in abdomen may be infection only. You should get your urine checked as this is the most common cause in ladies. Contact doctor.
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Mai penis erection Or jaldi discharge hone se pareshan hun. So please mujhe perfect treatment guide kare.

BAMS, MD, Panchakrma
Ayurveda, Nashik
Mai penis erection Or jaldi discharge hone se pareshan hun.
So please mujhe perfect treatment guide kare.
Hi, I had gone through your question and understand your concerns, Premature ejaculation is one of the most common sexual dysfunction in men Count number of strokes if it is less than 45 plus minus 15. Means (30 to 60) Then seek medical advice. If satisfied ok otherwise consult. We have sex wellness package for you.
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Since 4 days I am getting discomfort while sitting or lying down in bed due to pain in anal rectum. Swelling is there and lot of pain. I am talking pain killers to reduce the pain. It seems hemorrhoids but bleeding is not there. I used an ointment Piles Cure but it didn't work. Pain and swelling still there. Please suggest.

BHMS
Homeopath,
Since 4 days I am getting discomfort while sitting or lying down in bed due to pain in anal rectum. Swelling is there...
Dear lybrate user, you should take the following medications as directed:- 1) 5 drops of homoeopathic sulphur 200 once in a week. 2) 5 drops of homoeopathic aesculus hip 30 at early morning daily before brushing teeth 3) 5 drops of homoeopathic podophyllum 30 before going to bath daily. 4) 5 drops of homoeopathic hamamelis 30, just one hour before dinner daily.
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I have diabetic, BP and Cholesterol for 6 years, (reg. Medicine taking) however more than 10 years having Gastric issue, after long time freq. Having big belly and stomach blotting. Please suggest for relief.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
I have diabetic, BP and Cholesterol for 6 years, (reg. Medicine taking) however more than 10 years having Gastric iss...
Dear user sometimes use of medicine leads to bloating. Mainly due to malabsorbtion of food. That means your Agni is not functioning properly. Start taking powder triphala, one spoon soaked in Luke warm water over night n Hv it nxt morning after filtering it. U can consult me for more details.
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I have problem with stomach bloating, passing gas, feeling pressure in stomach, alwaying feeling full and one more thing every morning I fart while sleeping without my control, I don't know why it's happening, Note:while passing stool, am getting mucus My stomach getting bigger, especially when I sleep.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore Rural
I have problem with stomach bloating, passing gas, feeling pressure in stomach, alwaying feeling full and one more th...
Drink plenty of water(little warm)in a day.eat fibrous food(spinach,methi etc).avoid junk food,deep fried ,spicy food and tea,coffee in excess.use asfoetida(hing) ,ajwain in cooking.hingvadi vati is also available (patanjali).walk 30 minutes everyday and take proper sleep.
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I have pain in stomach? I have a gas problem? What are the home remedy for cure of my gas problem?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Bhavnagar
I have pain in stomach? I have a gas problem? What are the home remedy for cure of my gas problem?
Hello lybrate-user this is one type of indigestion do as follow: * take ajvayan & jeera 1 tsp each after each meal * take ginger & turmeric before food * take hot water * quantity is much important, assume 4 part of your appetite & take food only 3 part of it * avoid day sleep, stress, night awaking * start excersice.
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What should be the food for 2 and 1/2 years old in case of diarrhea. Also, can boiled potato with a pinch of salt can be given?

MD pediatrician, MBBS
Pediatrician, Gurgaon
Ensure that you give her lots of liquids, ors and more of curd and rice based diet. You can give her boiled potato with salt.
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Can I use liv. 52 for non alcoholic grade 1 fatty liver. One doctor suggested me to use liv. 52 of Himalaya Another doctor suggested me to use tab livapt Please help me which is good.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Can I use liv. 52 for non alcoholic grade 1 fatty liver.
One doctor suggested me to use liv. 52 of Himalaya Another d...
Fatty liver can be only corrected by proper diet and exercise. But, you can take these preparations too.
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When I go latrine my stomach is not going to fully clean. What the reason behind it?

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
When I go latrine my stomach is not going to fully clean.
What the reason behind it?
You could experiment and keep a record of what you eat and how you feel afterwards. Simpler foods are easier to keep'track' of for this purpose. With patience and methodically trying different foods that are readily available, if it is the type of food affecting you, this may be a helpful approach. However, you may have a major intestinal disease such as gluten sensitivity (which means: all foods containing wheat products are likely to lead to intestinal upset). There are other'sensitivities' it's not just gluten that is a possible culprit (but it is a very common one). And really, these sorts of issues should be discussed with your doctor (as delay in proper diagnosis and treatment could lead to major damage to your intestinal system).
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I have a stone in my gall Bladder? I have taken apple juice and olive oil be good no result are found how may I remove stone?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
Apple juice and olive oil are just not there to remove gall stones, one should use proper medicines first to break stones in small piecess and then it should be removed from gall bladder. Not in original form it can cause severe pain and may end up letting you being on operation table. Gall bladder gets diseased due to an unhealthy diet and lifestyle. This leads to an imbalance of the acid-alkali balance in the body which causes the cholesterol to precipitate in the gall bladder leading to stone formation. Over time, these may get infected and lead to an acute inflammation, pain, fever etc. A stone may move ahead into a narrow passage or the duct and get stuck leading to severe agony. The safest and way that should be used to remove gall stones is removing it naturally, not just remove gall stones from gall bladder but also remove the cause of gall stones.
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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 had fissure problems and piles for last 3 month it was been cleared no bedding in last 15 -20 days but got it last night. I am totally confused what to do as I talked with one doctor at afternoon he told me I have piles. So what to do know go for operation or again medicine which I had for last 2 month. Please help.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi don't get confused first of all try to analyse why it again happened after control from medicines is it due to hard stool or change of food habits if yes then it's your fault & you have to take care of that in all future period & if not then means surgery may be necessary. Currently you may continue medicines & then decide with time it's not emergency at all for surgery dear thanks regards.
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