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Dr. K.Raghuram

Gastroenterologist, Chennai

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Dr. K.Raghuram Gastroenterologist, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. K.Raghuram
Dr. K.Raghuram is one of the best Gastroenterologists in Kodambakkam, Chennai. You can meet Dr. K.Raghuram personally at Best Hospital in Kodambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. K.Raghuram on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 30 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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No 9, Vellalar Street,Kodambakkam, Landmark: Near Power House, ChennaiChennai Get Directions
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Ulcer In Urinary Bladder - How They Can Be Treated?

DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Ulcer In Urinary Bladder - How They Can Be Treated?

Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2001 people found this helpful

I take Pantocid DSR every morning as prescribed by the doctor. If I do not take it by the afternoon I get acidity and heart burns. Endoscopy results have shown a light spot in my esophagus. I am facing gastric and acidity from a long time and have found no cure.

MBBS
General Physician, Cuttack
I take Pantocid DSR every morning as prescribed by the doctor. If I do not take it by the afternoon I get acidity and...
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 meal 4.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
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Ayurvedic Ways To Treat Hyperacidity!

Ayurveda Clinic
Ayurveda, Navi Mumbai
Ayurvedic Ways To Treat Hyperacidity!

Acidity gives you tremendous discomfort. The stomach condition wherein acid levels of the gastric juices are much more than normal is known as hyperacidity. It causes uneasiness alongside symptoms like loss of appetite, heartburn, unexpected stomach pain, etc. According to Ayurveda, the main cause of this condition is the worsening of the Pitta Dosha (the fire element) in your body.

The reasons that worsen this dosha are:

- Having foods that don't match your constitution or which aren't supposed to be had like milk and salt or milk and fish
- Extremely spicy and sour beverages and foods
- White flour products
- Products made from white sugar
- Smoking
- Excessive intake of coffee and tea
- Alcohol
- Having food even though you may be suffering from indigestion
- Controlling the urge to urinate or pass stool
- Prolonged exposure to heat and the sun

What happens to your digestive power?
The exacerbated Pitta worsens your digestive fire, causing your food to be not properly digested as well as influence the production of ama (toxins). When ama builds up in your various digestive channels, it brings about the problem of hyperacidity. The treatment focuses on calming down the irritated Pitta Dosha. For this, certain herbs are used to get rid of the toxins that block these channels. This automatically improves your digestive fire, bringing about better digestion.

What changes you're required to make?
To keep this problem at bay, there are certain lifestyle changes that you may have to make such as
- To curb the consumption of acidic foods like garlic, onions, ginger, vinegar, and tomatoes
- Avoid having curd/yogurt at night
- Practice yoga and Pranayam like Bhujangasana, Vajrasana, Shitkari Pranayam and so on
- Avoid fermented as well as processed foods
- Avoid coffee, tea, alcoholic or carbonated beverages

If you wish to discuss about any specific problem, you can consult an ayurveda.

5284 people found this helpful

Lower abdominal pain from 2 days back, please tell me some home remedy, and let me know is it any danger?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Lower abdominal pain from 2 days back, please tell me some home remedy, and let me know is it any danger?
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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Hii m having gastric problems from a long time, consulted some doctors and problem resolved for few days and again facing problems. Now days m having OmezD feeling good. Just want to. Ask is there any side effects of this medicine if I take it in alternate days or any other solution. Plzz reply soon Thanks Gagan.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
Hii m having gastric problems from a long time, consulted some doctors and problem resolved for few days and again fa...
Dear lybrate user depending upon the medicines for long time surely not good for your health. Try to correct your digestive system with proper diet and lifestyle. Avoid the causes for gastric problems and take the necessary precautions. Long time popping omez d will disturb other organs in the body. -take avipattikar choorna 1tsp with warm water regularly before meals. -taking lemon water after every meals will accelarate your digestive system.
1 person found this helpful
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She got one year back stomach pain. Resulted she has stone 13 mm in glad bladder. Now she has no complaint. No check ups. What will you suggest for her health. She is not interested for operation. Is any problem will face in future.

MS - General Surgery, MBBS
General Surgeon, Delhi
She got one year back stomach pain. Resulted she has stone 13 mm in glad bladder. Now she has no complaint. No check ...
Even stone is silent you have to undergo surgery because it can lead to cancer and other complication.Operation for gall bladder is simple now ,nothing to afraid.
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Hi, I am 27 year old male. My weight is 88 kg, I have a problem of acidity and heart burn, after every 3-4 days I have to take a capsule (Rabemin DSR). I tried many things but I could'nt get a permanent solution. Please help me out here in what sort of way I can overcome this issue. I drink beer occasionally.

PDDM, MHA, MBBS
General Physician, Nashik
Hi, I am 27 year old male. My weight is 88 kg, I have a problem of acidity and heart burn, after every 3-4 days I hav...
There are several things you can do to prevent an episode of acidity like: Avoid alcohol. Normally alcohol in moderation is well tolerated but for people prone to acidity even a small amount of alcohol can cause discomfort. Avoid smoking .The nicotine in the tobacco affects the opening and closing of the food pipe allowing back flow of the normal stomach acid into the food pipe. Eat small meals. Instead of 3 big meals, have 5 small meals every 3-4 hours. Eat slowly. Don’t sleep on a full stomach. Try to have an early dinner. Make sure there is a gap of 3 hours between your last meal and bed time. Wear loose-fitting clothes. Avoid certain known foods which cause acidity like, coffee, tea, colas, and citrus fruits, oily and spicy food. If your weight is high – losing a few kilos will reduce acidity too. Keep a gap of 2 hours between exercise and meals. Drink at least 3 litres of water every day. Try meditation and yoga to minimise daily stress.
59 people found this helpful
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From past two weeks I am not able to get proper motions. And my stomach is bloating. Suggest diet which I can follow daily.

MBBS
General Physician, Cuttack
From past two weeks I am not able to get proper motions. And my stomach is bloating. Suggest diet which I can follow ...
1.Eat high fibre diet like fruits, vegetables, beans,boiled/sprouted moong dal,whole grain rice, whole wheat pasta,whole meal breads, multi grain chapatti, oats. 2.Avoid foods which are high in fat. Choose lean meats like fish,chicken. 3.Eat on schedule 4.Drink plenty of water,8-10 glasses daily,.Avoid alcohol/caffeine 5.Take regular physical exercise 6. stick to a regular timing for going to toilet. 7.Take 2 tsf of softovac SF/Naturolax powder with warm water at bed time or syrup Duphalac 15 ml twice daily for few days
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Hello Dr. m married from 10 years I have one baby boy 8 years old after six months of my delivery I got pregnant again and I had an abortion by pills which was suggested by my same gynae Dr. Now after 8 years I had my 2 abortion on 19 December 2015 by dnc because it's 2 months of pregnancy I consult many drs they suggest me dnc only. From March onwards my tummy N thigh area slightly increased and from may month m suffering from severe gas N constipation problem. What should I do now pls suggest I am so tensed. Before my dnc m fit N slim now I become lazy N sick. I go for walk daily in morning for 1 hour but my tummy N thigh is same as it is not large but not ok. My gas problem is getting severe day by day. Is dnc is the reason for my increased tummy N thighs or gas N constipation. I can't understand what is happening with me. Pls help N suggest me what kind of food and lifestyle should I follow to become slim n active again. Pls help thanks and regards.

PDDM, MHA, MBBS
General Physician, Nashik
Hello Dr. m married from 10 years I have one baby boy 8 years old after six months of my delivery I got pregnant agai...
Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry. Kindly get your CBC ESR done and revert.
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