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Dr. Jammi Venkataramanayya

Gastroenterologist, Chennai

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Dr. Jammi Venkataramanayya Gastroenterologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Jammi Venkataramanayya
Dr. Jammi Venkataramanayya is an experienced Gastroenterologist in Royapettah, Chennai. You can meet Dr. Jammi Venkataramanayya personally at Jammi's Livercure Clinic in Royapettah, Chennai. You can book an instant appointment online with Dr. Jammi Venkataramanayya on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 37 years of experience on Lybrate.com. You can find Gastroenterologists online in Chennai 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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Jammi's Livercure Clinic

No.121, Royapettah High Road, Mylapore. Landmark: Near Yellow Pages, ChennaiChennai Get Directions
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DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Hyderabad
Gastroesophageal reflux disease, or gerd, is a digestive disorder that affects the lower esophageal sphincter (les), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by gerd. Doctors believe that some people suffer from gerd due to a condition called hiatal hernia. In most cases, heartburn can be relieved through diet and lifestyle changes; however, some people may require medication or surgery.
What is gastroesophageal reflux?

Gastroesophageal refers to the stomach and esophagus. Reflux means to flow back or return. Therefore, gastroesophageal reflux is the return of the stomach's contents back up into the esophagus.
In normal digestion, the lower esophageal sphincter (les) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus.

Gastroesophageal reflux occurs when the les is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus.
The severity of gerd depends on les dysfunction as well as the type and amount of fluid brought up from the stomach and the neutralizing effect of saliva.

What is the role of hiatial hernia in gerd?

Some doctors believe a hiatal hernia may weaken the les and increase the risk for gastroesophageal reflux. Hiatal hernia occurs when the upper part of the stomach moves up into the chest through a small opening. Many people with a hiatal hernia will not have problems with heartburn or reflux. But having a hiatal hernia may allow stomach contents to reflux more easily into the esophagus.
Coughing, vomiting, straining, or sudden physical exertion can cause increased pressure in the abdomen resulting in hiatal hernia. Obesity and pregnancy also contribute to this condition. Many otherwise healthy people age 50 and over have a small hiatal hernia. Although considered a condition of middle age, hiatal hernias affect people of all ages.

Hiatal hernias usually do not require treatment. However, treatment may be necessary if the hernia is in danger of becoming strangulated (twisted in a way that cuts off blood supply, called a paraesophageal hernia) or is complicated by severe gerd or esophagitis (inflammation of the esophagus). The doctor may perform surgery to reduce the size of the hernia or to prevent strangulation.

What other factors contribute to gerd?

Dietary and lifestyle choices may contribute to gerd. Certain foods and beverages, including chocolate, peppermint, fried or fatty foods, coffee, or alcoholic beverages, may trigger reflux and heartburn. Studies show that cigarette smoking relaxes the les. Obesity and pregnancy can also play a role in gerd symptoms.

What are the symptoms of heartburn?

Heartburn, also called acid indigestion, is the most common symptom of gerd and usually feels like a burning chest pain beginning behind the breastbone and moving upward to the neck and throat. Many people say it feels like food is coming back into the mouth leaving an acid or bitter taste.

The burning, pressure, or pain of heartburn can last as long as 2 hours and is often worse after eating. Lying down or bending over can also result in heartburn. Many people obtain relief by standing upright or by taking an antacid that clears acid out of the esophagus.

Heartburn pain can be mistaken for the pain associated with heart disease or a heart attack, but there are differences. Exercise may aggravate pain resulting from heart disease, and rest may relieve the pain. Heartburn pain is less likely to be associated with physical activity.

How common is heartburn and gerd?

More than 60 million adults experience heartburn at least once a month, and more than 15 million adults suffer daily from heartburn. Many pregnant women experience daily heartburn. Recent studies show that gerd in infants and children is more common than previously recognized and may produce recurrent vomiting, coughing, and other respiratory problems.

What is the treatment for gerd?

We recommend lifestyle and dietary changes for most people needing treatment for gerd. Treatment aims at decreasing the amount of reflux or reducing damage to the lining of the esophagus from refluxed materials.
Avoiding foods and beverages that can weaken the les is often recommended. These foods include chocolate, peppermint, fatty foods, coffee, and alcoholic beverages. Foods and beverages that can irritate a damaged esophageal lining, such as citrus fruits and juices, tomato products, and pepper, should also be avoided if they cause symptoms.

Decreasing the size of portions at mealtime may also help control symptoms. Eating meals at least 2 to 3 hours before bedtime may lessen reflux by allowing the acid in the stomach to decrease and the stomach to empty partially. In addition, being overweight often worsens symptoms. Many overweight people find relief when they lose weight.

Cigarette smoking weakens the les. Stopping smoking is important to reduce gerd symptoms.

Elevating the head of the bed on 6-inch blocks or sleeping on a specially designed wedge reduces heartburn by allowing gravity to minimize reflux of stomach contents into the esophagus. Do not use pillows to prop yourself up; that only increases pressure on the stomach.
Along with lifestyle and diet changes, doctor may recommend over-the-counter or prescription treatments.

Antacids can help neutralize acid in the esophagus and stomach and stop heartburn. Many people find that nonprescription antacids provide temporary or partial relief. An antacid combined with a foaming agent helps some people. These compounds are believed to form a foam barrier on top of the stomach that prevents acid reflux from occurring.

Long-term use of antacids, however, can result in side effects, including diarrhea, altered calciummetabolism (a change in the way the body breaks down and uses calcium), and buildup of magnesium in the body. Too much magnesium can be serious for patients with kidney disease. If antacids are needed for more than 2 weeks, a doctor should be consulted.

For chronic reflux and heartburn, the doctor may recommend medications to
Reduce acid in the stomach. These medicines include h2 blockers, which inhibit acid secretion in the stomach.

What if heartburn or gerd symptoms persist?

People with severe, chronic esophageal reflux or with symptoms not relieved by the treatments described above may need more complete diagnostic evaluation. Doctors use a variety of tests and procedures to examine a patient with chronic heartburn.

An upper gi series may be performed during the early phase of testing. This test is a special x-ray that shows the esophagus, stomach, and duodenum (the upper part of the small intestine). While an upper gi series provides limited information about possible reflux, it is used to help rule out other diagnoses, such as peptic ulcers.

Endoscopy is an important procedure for individuals with chronic gerd. By placing a small lighted tube with a tiny video camera on the end (endoscope) into the esophagus, the doctor may see inflammation or irritation of the tissue lining the esophagus (esophagitis). If the findings of the endoscopy are abnormal or questionable, biopsy (removing a small sample of tissue) from the lining of the esophagus may be helpful.

Esophageal manometric and impedance studies -- pressure measurements of the esophagus -- occasionally help identify low pressure in the les or abnormalities in esophageal muscle contraction.

For patients in whom diagnosis is difficult, doctors may measure the acid levels inside the esophagus through ph testing. Testing ph monitors the acidity level of the esophagus and symptoms during meals, activity, and sleep. Newer techniques of long-term ph monitoring are improving diagnostic capability in this area.

Does gerd require surgery?

A small number of people with gerd may need surgery because of severe reflux and poor response to medical treatment. However, surgery should not be considered until all other measures have been tried. Fundoplication is a surgical procedure that increases pressure in the lower esophagus. Endoscopic procedures that involve making the les function better or using electrodes to promote scarring of the les are newer options in treatment.

What are the complications of long-term gerd?

Sometimes gerd results in serious complications. Esophagitis can occur as a result of too much stomach acid in the esophagus. Esophagitis may cause esophageal bleeding or ulcers. In addition, a narrowing or stricture of the esophagus may occur from chronic scarring. Some people develop a condition known as barrett's esophagus. This condition can increase the risk of esophageal cancer.

Although gerd can limit daily activities and productivity, it is rarely life-threatening. With an understanding of the causes and proper treatment, most people will find relief.
28 people found this helpful

Hi I am 33 year male height 5-8 weight 68 kg, I have mild bleeding in stool since 2007 & after a colonoscopy & biopsy done few days back I had been diagnosed with ulcerative colitis. Kindly let me know what is, how harmful is this disease, is it completely curable. Please help.

MD - Pathology
General Physician, Amritsar
Ulcerative colitis is a disease of autoimmune origin which affects colon and rectum. It shows remissions and relapses during its course. Sometimes it passes in remission on its own but usually requires medication, in the form of steroids or immunosuppressant drugs. Rarely in severe cases colon and rectum is removed and disease doesn't recur in gut though extra intestinal manifestations continue take treatment if you pass more than 4 stools in a day take supplements so that you do not develop anaemia and other vitamin deficiencies as your disease is long standing now, get colonoscopy done every year for early detection of cancer.
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My father aged 74 have chronic IBS all test like LFT/colonoscopy is normal. Have pl advise some medicine to taken at night for clear motion and in disturbed sleep due to abdomen bloating.

BHMS
Homeopath, Delhi
My father aged 74 have chronic IBS all test like LFT/colonoscopy is normal. Have pl advise some medicine to taken at ...
Ibs can be managed if a person gives up his/her sedentary life, take good diet. Take more probiotics as it will help and give relief. You may also go for homoeopathic treatment.
1 person found this helpful
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I have an acidity is naturally. I have treated some but no result What is the best treatment.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have an acidity is naturally. I have treated some but no result 
What is the best treatment.
1. Drink 100-500 ml of tender coconut water twice a day for relief from hyperacidity Mix equal parts of powdered fennel, licorice root, basil leaves and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (or unrefined sugar) 15 minutes before lunch and dinner. 2.Make a powdered mixture of equal parts of rock candy (or unrefined sugar), fennel, and green cardamom. Whenever you feel heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink. 3.Avoid tea, coffee, and carbonated or alcoholic beverages. 4.Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking. 5.Curd should be strictly avoided at night. 6. Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama,Shitali Pranayama and Shitkari Pranayama. 7.Drink plenty of fluids and water. 8. Avoid constipation. 9. Take 1 tsf avipattikar churna empty stomach twice a day with water/ 20 days and 2 tab soothshekhar ras twice a day 30 min after meals with little water/10 days. 10. Revert back after 10 days. Take Care.
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I'm suffering from hyper acidity I tried omaze but it's not working yesterday I had severe heart pain I thought it is heart attack the pain is so severe please some one help me out I'm suffering dis pbrlm from 4 months sleep less nights help me out.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm suffering from hyper acidity I tried omaze but it's not working yesterday I had severe heart pain I thought it is...
Stop ppi group amaze as it carries lots of side effects like multi organ failure, memory loss & disorientation - if taken like saunf over a period of time. You are only 22 & you can modify your eating habits. Less of oils & spices & more of seasonal fruits and vegetables but no juices as fiber acts like cotton which absorbs the acid. Get cardiac tests done, if normal, your anxiety will get relieved. Ecg, echo followed by stress test, blood for sugar & total lipids. You are overweight also. Reduce weight @ 5 kgs/month only by diet & exercise-take help from some learned person. Get an ultrasound of abdomen done to rule out stones. Get back here with reports for more guidance.
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I am 26 years old. I am female. I can not smell of anything .eg. Doesn't smell gas, deo,any fragrance. Please suggest remedy for this question.

International Academy of Classical Homeopathy, BHMS
Homeopath,
I am 26 years old. I am female. I can not smell of anything .eg. Doesn't smell gas, deo,any fragrance. Please suggest...
bioch 6 no 3 tabs 2tom day for19 days cal carb 12c 3tims a day for wk merc sol 12c 3tims day for 5 days spongia 6c 3tims a day for wk kalibich 200 one dose alliu cepa 3c one dose day for 12 days inform me progress
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My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see food she is 2 years old she is active very much but when ever climates changes occurs she will get ill can you suggest me how to protect my baby.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see f...
Homoeopathic medicine ECHNESIA 30 ( Dr Reckeweg) Drink 1 drop in 1 spoon fresh water twice daily for 3 months.
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Symptoms, Causes and Ayurvedic Treatment of Gallstones

B.A.M.S, MD - Ayurveda
Ayurveda, Ajmer
Symptoms, Causes and Ayurvedic Treatment of Gallstones

Gallstones are bits of solid material that may be formed in the gall bladder. The gallbladder is a little organ located under the liver. You won't not know you have them until they've block your bile duct, causing pain that will need immediate medical intervention, and even hospitalisation in some cases.They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases.

Women are more likely to develop gallstones than men. Read on to know more:

Causes: There are a number of causes for this condition, especially in women. These causes are as follows:

  1. Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy
  2. Fasting
  3. Malfunctioning of the gall bladder
  4. High cholesterol levels
  5. Gallstones may be created when there is excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body.
  6. Bilirubin: Bilirubin is a substance created when your liver wrecks old red platelets. A few conditions, like cirrhosis of the liver and certain blood issues causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones.
  7. Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape.
  8. Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such stones. The diet also has a bearing in such cases.

Symptoms:

  1. Fever
  2. A yellowish tint in your skin or eyes, which can demonstrate jaundice
  3. Sickness or retching
  4. Clay coloured stools
  5. Pain in the right upper quadrant of your stomach area
  6. Nausea
  7. Vomiting
  8. Other digestive issues

Ayurvedic Treatment:

Ayurveda is a holistic system of medicine that gets to the root cause of the disorder instead of just treating the symptoms. Ayurvedic remedies improve your overall wellbeing, in addition to treating the symptoms. The various Ayurvedic remedies for gallstones are:

  1. Diet: Following a healthy diet is one of the key measures to prevent gallstones. Eat a well-balanced diet which has plenty of fruits and vegetables; avoid eating foods that contain saturated fats. Fat rich foods such as nuts and seeds should be consumed in moderation.
  2. Exercise: Exercising regularly helps in keeping your weight in check. Cardio exercises such as swimming and running are good for your heart and overall health. Remember that obesity is a risk factor for gallbladder stones.
  3. Keep Diabetes in check: If you are diabetic, make sure your blood sugar levels are in check. High blood sugar may cause high fat levels in the blood which may result in gallstones.
  4. Limit Stress: Stress may be a direct or an indirect cause for the formation of gallstones. Hence practice relaxation techniques such as meditation to deal with stress in an effective manner.
  5. Ayurvedic Herbs: Numerous herbs known as cholagogues and choleretics have been found useful in preventing gallstones in traditional ayurvedic medicine. Cholagogues are herbs that stimulate the gallbladder to contract, while choleretics stimulate the liver to secrete more bile. Both these actions could help reduce the risk of developing gallstones. Turmeric, citrus fruits, dried ginger, black pepper, long pepper, hing, etc., fall under these categories.
  6. Table Salt Remedy: Before breakfast, on an empty stomach, take a tsp of Saindhava lavanam or ordinary table salt in a glass of hot water. After drinking this, lie down for about 45 minutes on your right side. Do this once or twice a week.
  7. Castor Oil: Apply castor oil pack over the gallbladder area.
  8. Therapeutic Procedures: Apatarpana (fasting), langhana (light diet) and virechana (mild purgation) are some of the therapeutic procedures that are usually advised as a part of the treatment.
  9. Ayurvedic Remedies: Specific Ayurvedic remedies such as Shankavati, Sootasekar ras, Pravaalpanchaamrit, Hingwaashtak choorna, Avipattikar choorna, etc., are generally prescribed to treat this condition. The duration of the treatment and dosage of these medicines depends on the severity of the condition. If you wish to discuss about any specific problem, you can consult an Ayurveda.
3723 people found this helpful

I am having daily gas problem in my stomach. I also take a break fast in morning. I want a quick way to get free from gas, if I am outside my home.

BHMS
Homeopath,
I am having daily gas problem in my stomach. I also take a break fast in morning. I want a quick way to get free from...
Avoid spicy food. Avoid fatty food. Do not let your stomach b empty for long time. Eat something in every 3-4 hrs interval. With this you need some blood test and usg of whole abdomen to know whtr your suffering from any gastric or liver diseases or not. With this you need proper homeopathic treatment for cure. You need to b cure of this disease. Soo you can contact me through lybrate.
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I M suffering from its problem. Heavy gastric problem. How can I get permanent relief.

BAMS
Ayurveda, Ambala
I M suffering from its problem. Heavy gastric problem. How can I get permanent relief.
* firstly take your meals with proper chewing and do not be hurry in taking meals to avoid acidity after meals. * take less spicy food & avoid chilly in meals. * try to avoid stress. If you feel unable to avoid stress & extra thinking then follow meditation techniques. Sit in a calm & well airy room & do long breathing. Concentrate on your breathing. Do it for atleast 3-5 minutes twice a day. You can do anulom - vilom pranayam in the morning. It calm down your mind and lower the gastric irritation. * put 1 teaspoon of fennel seeds (saunff) in a glass of water in night and drink this water in morning everyday to cure gastric problem. * take few leaves of mint (pudina), coriander leaves (dhania), pinch of rock salt & pinch of black pepper. Crush them well and make paste. Take 1 teaspoon this paste (chatni) with meal in morning & evening.
1 person found this helpful
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I am 25yr old having crohns disease. What life style and food habit should I follow?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You can take Chest Nut. 30 / 5 drops in little water thrice a day for one week. You have to take further treatment for better results. Revert back after one week with feedback.
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I have joined gym, from their they advised to consume protein rich foods. Specially meat and egg. But after eating two eggs daily body generating heat and having loose motion Due to this again becoming slim. Can anybody suggest good diet and veg foods specially.

MD- Homoeopathy
Homeopath,
I have joined gym, from their they advised to consume protein rich foods. Specially meat and egg.
But after eating tw...
You have a lot of vegetarian options for protein rich food such as all types of sprouts, Dals, soyabean chunks. Eating one bowl of dal daily will give you 25gms of protein. According to your weight you need 70 to 75 daily.
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My mother is getting severe health problems. She is suffering wd gas trouble, kidney stones, now her legs are swelling very much along with back pain.help me

MCh - Urology, Visiting Fellow Andrology and Men's Health, Visiting Physician Urology and Andrology, Fellowship in Minimal Access Surgery, Master of Surgery, MBBS, EUREP USI Fellowship
Urologist, Gurgaon
My mother is getting severe health problems. She is suffering wd gas trouble, kidney stones, now her legs are swellin...
This is a very common situation and your mother will require investigations for her medical condition. Weight reduction, bland diet along with plenty of fluids and salt restriction will benefit her. She will also require a cardiac checkup and renal checkup. Abdominal sonography will throw more light on the size and location of the stones, based on which further treatment can be suggested.
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I'm 28 male and I have some disturbance in the lower part of the abdomen. What I'm supposed to do?

MBBS
Urologist, Kolkata
Kindly explain what kind of disturbances you are having. There are lots of possible symptoms in the abdominal region and it will be difficult to draw any conclusion with such a minute detailed question.
5 people found this helpful
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My husband is 43 years old and has a very hard and bloated stomach for years. He is unable to reduce. Kindly advise.

Advanced Aesthetics
Ayurveda, Gulbarga
What type of treatment you take in past reduce. And you start laser non surgical liposuction this treatment is an affordable price.
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I have facing the problem of cysts in kidney liver ns prostate .I have to also high BP. It is found when I done CT scan of abdomen. Now doctor tell it I SD not curable.

MS - General Surgery, MBBS
General Surgeon, Delhi
I have facing the problem of cysts in kidney liver ns prostate .I have to also high BP.
It is found when I done CT sc...
Yes it is true the multiple cysts in liver, kidneys are not to be operated until and unless causing problems and rapidly increasing in size giving possibility of malignancy.
2 people found this helpful
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I am suffering from heavy acidity and dakar and dil kacha. Which medicine to take.

MBBS
General Physician, Cuttack
I am suffering from heavy acidity and dakar and dil kacha.
Which medicine to take.
1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit like orange grape, lemon, tomato, cucumber, raddish, vinegar, pickle etc 2.Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat food slowly, don’t rush, take smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. Limit fluid intake during meal4.Drink plenty of water (8-10 glass daily). Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee, carbonated drinks if you are having,6. Avoid stress, have adequate rest, sleep for 7-8 hours daily in night, go for regular exercise, practice yoga/meditation 7. Take one tablet of pan40 in the morning before breakfast daily for few days .8.Consult Gastro enterologist for further advice.
1 person found this helpful
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I have rashes on my skin over 3months and also I am suffering from digestive problem which medicine I have to use?

MBBS
General Physician,
I have rashes on my skin over 3months and also I am suffering from digestive problem which medicine I have to use?
Both these symptoms may be due to infestation of intestinal parasites like hook warms, round warms, tape warms. Normally one should get dewarming done at least once a year if not six monthly. It is a single dose medication like albendazole or mebendazole. So get it done in consultation with a doctor near your locality.
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