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Dr. Premanayagam

Gastroenterologist, Chennai

Dr. Premanayagam Gastroenterologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Premanayagam is one of the best Gastroenterologists in Kodambakkam, Chennai. You can meet Dr. Premanayagam personally at Best Hospital in Kodambakkam, Chennai. You can book an instant appointment online with Dr. Premanayagam on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 34 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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Vellala Street No 9, Kodambakkam. Landmark:Opposite D A Power House, ChennaiChennai Get Directions
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Bladder Cancer Surveillance: Understanding the Challenges Associated with it

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Bladder Cancer Surveillance: Understanding the Challenges Associated with it

Cancer is probably the most dreaded disease of our time. There are many different types of cancers, based on the parts of the body affected. As the name suggest, bladder cancer originates in the bladder. It typically affects elderly people but can occur at any age. In most cases, bladder cancer is treatable as long as it is detected in the early stages. However, it has a high risk of recurrence and hence cancer surveillance is needed for many years after treatment.

There are a number of challenges associated with bladder cancer surveillance, such as: 

  1. Anxiety: As expected, it can be quite nerve wrecking to be constantly tested for cancer and have to wait for the results of your tests. A cystoscopic examination is one of the main methods of testing for bladder cancer. Most patients show both pre-procedural and post-procedural anxiety. To deal with this anxiety and stress try meditating or practising yoga. Going for a walk regularly can also help ease the symptoms of anxiety and improve your overall health. Connect with other bladder cancer patients who can understand your experience and fears.
  2. Adherence: After the cancer has been cured, bladder cancer patients need to be tested at least once every 3-6 months for the first three years and annually thereafter. This frequency increases for Nonmuscle-invasive bladder cancer patients. Many patients prefer to use urine-based tests rather than a cystoscopic examination, but this may lead to more unwanted stress and anxiety and these tests do have false positive results at the time. Adhering to this schedule is often difficult and most patients do not strictly adhere to this schedule. However, this is completely in the hands of the patient. The more regularly you get yourself checked up, the higher the chances of detecting bladder cancer tumours in the initial stages and getting it treated.
  3. Related infections: Bladder cancer patients have a higher risk of developing tumors in the ureter and kidneys. Tumors may also develop in the inner lining of these organs. The risk of these tumors depends on the stage and grade of the initial disease and the response of the tumor to treatment. As with any other infection and health disorder, your food and water intake plays an important role in keeping toxins at bay. While there have been no proven supplements to help prevent bladder cancer, drink plenty of water to flush your system and keep it clean.

श्रीमान मेरा पेट बहुत खराब रहता है कुछ भी खता हु तो बार बार फ्रेश होने जाना पड़ता हे ।पूरा दिन कमजोरी रहती हे स्टेमिना भी बहुत कम हो गया हे

MS - General Surgery, MBBS
General Surgeon, Delhi
श्रीमान मेरा पेट बहुत खराब रहता है कुछ भी खता हु तो बार बार फ्रेश होने जाना पड़ता हे ।पूरा दिन कमजोरी रहती हे स्टेमिना...
No smoking, no alcohol if any. Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2 hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. 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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I have a problem acidity How can I control my problem is there any medicines for this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have a problem acidity How can I control my problem is there any medicines for this.
Homoeopathic treatment GASTROBIN ( Wilmar Schwabe India) Drink slowly 20 drops in 20 ml fresh water 3 times daily. NATRUM SULPH 6X ( Dr.Reckeweg) Chew 2 tabs twice daily NUX VOMICA 30 ( Dr.Reckeweg) Drink 5 drops in 1 spoon fresh water at night bed time DIGECOM SYRUP ( WELLMAN LAB) Drink 2 spoons 10 minute after meals 3 times a day Do nd dontss 1.Avoid fast,spicy nd fried food 2.Avoid tea,coffe nd cold drinks 3.Try to take nutritious easy digestible home diet 4.No any intake of water 30 minutes before nd after meals .This is possible only if the meals r non spicy nd if you r eating slowly. 5.Eat half chapati less than your appetite 6.My personal addition.........1 fast in a week is must ( Only 1 meals in the evening) in aweek if you r habitually ssuffering from acidity problem.It will pay you in future 7.Breafast nd dinner light nd Lunch can be heavy 8.10 minutes evening walk after Dinner is a must 9.Start a habit of eating 5 leaves each of HOLY BASIL ( TULSI PATTA) nd KARI PATTA ( CURRY LEAVES) early morning empty stomach.Start from 1 leaf each nd go upto 5 leavess..After eating drink 1 glasss plain water.This will increaseyour digestive powers naturally 10.Implement naturopathy in your life as medicines can help only for the time being . How to take Homoeopathic medicines 1.Homoeopathic mediciness are always to be taken empty stomach,means when there is nothing in your stomach.It doesnt meanss that these medicines r to be taken early morning.It means that homoeopathic medicines are to be taken minimum 15 minutess before or 15 minutes after eating or drinking anything except plain water.and maximum time no limit. 2.Therefore distance between two homoeopathic medicines will also be minimum 15 minutes nd maximum no limit. 3.All the homoeopathic medicines can be taken empty stomach ( Morning dose) if you so like. 4.Difference from all allopathic medicine should be minimum of 1hour before or after as homoeopathic medicines r very light but deep acting nd allopathic medicines in materialistic doses being strong,mimimise the effect of homoeopathic medicines if taken in a difference of less than one hour
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I was H. Pylori infection 5 years back and was treated. Now I get stomach infection quite often. Gas, fullness in stomach etc.

MBBS
General Physician, Mumbai
I was H. Pylori infection 5 years back and was treated. Now I get stomach infection quite often. Gas, fullness in sto...
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and repeat upper GISCOPY after three weeks if necessary
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I eat dry fruit and pain in abdomen gas and bleeding with stool I am shocked and nervous about the matter so please let us help me. Thanks.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I eat dry fruit and pain in abdomen gas and bleeding with stool I am shocked and nervous about the matter so please l...
Dear Sunny. Pain abdomen and gas and bleeding may not be due ti dry fruits. There could be some other reasons. No need to be nervous. Consult a physician at the earliest. Take care.
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I was suffering with water in stomach and gas formed in body and knee joints pain what I have to do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I was suffering with water in stomach and gas formed in body  and knee joints pain what I have to do?
Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Cyra-20mg 1 tab od x 5 days do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform me.
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Hi I am 17 years old and I am suffering from gas trouble plzz suggest me some natural ways to fight it and get a nomal life like before and I am having rabi plus medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Hi I am 17 years old and I am suffering from gas trouble plzz suggest me some natural ways to fight it and get a noma...
Dear Lybrate User, *Drink warm water. *Avoid more spicy, maida related, dry, junk foods. *While suffering from gas and indigestion due to spicy or fatty food, having fennel seeds can help cure your problem. The oil contained in fennel seeds reduces nausea and controls flatulence. Dry, roast and grind fennel seeds to make a powder. Take half teaspoon of this powder twice a day along with water. You will see some results. *Buttermilk is a wonder remedy when it comes to treating indigestion and gas. It is easier to digest than milk and contains more lactic acid. Buttermilk is already recommended to keep yourself cool in harsh summers and its digestive benefits just give you another reason to drink up a glass of buttermilk
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Whenever I eat something my stomach getting full with gas and it's not going out anyway, what should I do?

MBBS
General Physician, Mumbai
Whenever I eat something my stomach getting full with gas and it's not going out anyway, what should I do?
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and take tablet rantac twice a day
1 person found this helpful
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Sir myself varun and my age is about 31 yrs. Sir, I have an regular acidity but I dont know why. I regularly go for medical check up. Also I do drink lots of water; eat as light as I can but the problem remains the same.

MD-Homeopathy
Homeopath, Kolkata
Dear , I feel bad for you. Following steps may help you: 1. Bland diet at regular interval. 2. Avoid smoking & hard drinks 3. Proper time management for food, sleep & work. 4. Stress management. 5. Visit a doctor for necessary investigation and medicines 6. Homeopathy may help to great extent.
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I am 45 year old Male, for sometime I going through professional rough time, I mean having tough time (as for sometime there is market recession), also some financial crunch (Money got stuck with business associates), cause of these two setbacks I am thinking a lot and not able to get it off my mind, may be I am thinking a lot cause of that I often get tightness in my stomach and incase I get up in the middle of the night then sleeping again becomes problem, I keep thinking and thinking that something will happen to me, my stomach often stays upset gas gets trapped and then more tension, I have noticed that when this gas gets released I intact gets relief, now I don't know it's this problem is cause of tension I am taking or because of stomach upset. Please help me to overcome this problem. Regards.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 45 year old Male, for sometime I going through professional rough time, I mean having tough time (as for sometim...
Your stomach upset is definitely related to the anxiety attacks you are experiencing. You may be troubling yourself unnecessarily and too caught up with excessive thinking. You must now act on these problems and only then will a solution appear. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: The former, by meditation and mind exercises; and the later, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality course too. Anything that develops you personally will be of great assistance in building resilience.
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Sir I am suffering from indigestion with stomach pain, more gastritis and unexplained weight loss with repeated typhoid fever. Unable to sleep properly recently endoscopic test showed h pylori positive with erosive gastritis.

MBBS
General Physician, Chennai
Sir I am suffering from indigestion with stomach pain, more gastritis and unexplained weight loss with repeated typho...
You have a gastric erosion avoid spicy food no missing meals eat small qty every two hrs you will gain weight too.
1 person found this helpful
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I am 35 years of age. Whenever I eat food which has used green chillies in it I feel burning sensation in my stomach. Also I have vomiting sensation since few days. I am taking zofer tablet to avoid this sensation. Is it recommended or nor.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
I am 35 years of age. Whenever I eat food which has used green chillies in it I feel burning sensation in my stomach....
Dear lybrate user the foods which are more spicy including chilli produce more gastric irritation leads burning sensation. So avoid such foods and adopt soft and light foods including green leefy vegetables. In order to control this condition take avipattikar choornam 1 tsp with warm water 3tms before evry meals.
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I am 27 years old I have acidity and gastric problem. Im nervous and depressive for last 2 years and I taking metaprolol 50mg for b. P. I have heart pain problem. 2d echo cardiogram was normal. What can I do for heart pain? is it muscular pain?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Kindly take carbo veg. - 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
1 person found this helpful
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I am 33 years old and have anal fissure from 1 month taking medicines and ointments but not getting results.

MS - General Surgery, MBBS
General Surgeon, Guwahati
Do Sitz bath after passing stool atleast twice daily. Avoid constipation. Add some stool softener like syp duphalac at bedtime for two wks.
1 person found this helpful
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Dear Sir, I have a problem of acidity which irritates me sooo much that I can't do my work properly and efficiently. So please suggest me the best medicine which makes me free from such problem. Thanking you sir.

DHMS (Hons.)
Homeopath, Patna
Dear Sir, I have a problem of acidity which irritates me sooo much that I can't do my work properly and efficiently. ...
Dear lybrate user, take, homoeo medicine. @ nux vom 30-6 pills, thrice @ acid sulph 30-6 pills, thrice take, plenty of water to dilute acid, easing, hyper acidity and to eliminate toxins, as well. Take, easily digestible diet on time. Go for a walk in d morning to restore blood circulation and to activate, metabolic action to digest your intake, properly in order to avert acidity. Please, report, wkly, take, care.
1 person found this helpful
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Can stones in gall bladder be treated through medication or it is compulsory to undergo a surgery?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
No its not compulsory to undergo surgery to remove gall stones, it can be removed naturally with our medicines only. 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. One can avoid formation of gall stones by just avoiding fatty food, junk foods and going behind unhealthy diet. To cure it naturally with medicines only one can just take our medicines which are combination of herbal and homeo medicines. Just take our medicines for some time and stones will be expelled also thereafter that stent can also be removed.
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Beetroot (Chukundar) - 7 Reasons Why You Must Eat Them!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
Beetroot (Chukundar) - 7 Reasons Why You Must Eat Them!

It’s been long known about the numerous health benefits of beetroot. Surprisingly though, beetroot has some not-so-known qualities such as increasing stamina, removing skin blemishes and increasing the glow of the face. Apart from this, it can fetch benefits to the skin, hair and the overall health. In this article, we will discuss the benefits of beetroot consumption in vivid detail.

  1. Reduces the impact of aging: Beetroot being a great antioxidant successfully blocks free radicals and helps to fight the symptoms of aging. All it requires is a medium slice beetroot. The juice should be extracted from it and the pulp needs to be removed. The juice then could be applied to the face using cotton balls. Applying this simple solution once in a week can fetch dramatic results.
  2. Reduces blemish and pigmentationBeetroot is one of the few vegetables that have a large amount of vitamin C embedded in it. It helps the skin to retain its original color, reduces blemishes and pigmentation. 3-4 cubes of beetroot serving twice a week should do the trick.
  3. Hair lossBeetroot is a great source of food to stay away from hair loss. Being a good source of potassium, beetroot can prevent hair loss and enhance hair growth. A weekly serving of 3-4 cube of beetroot over a span of few months will show visible results.
  4. Improves liver function: Beetroot contains glutathione that is known to be a great agent for the liver. It acts as a detox diet and helps in functioning of the liver. This liver, in turn, helps the body to detox. Beetroot also helps in the regeneration of cells of the liver.
  5. Boost hemoglobin: Beetroot is an excellent source of iron and folate. These are the nutrients that are required for the body to maintain an adequate amount of hemoglobin in the body. A deficiency in the hemoglobin level can lead to anemia. Regular consumption of beetroot can ensure that a person refrains from deadly diseases such as anemia.
  6. Fight inflammation: Some typical symptoms of inflammation include infection, trauma etc. This is a sign of the immune system not acting efficiently against sudden panic. Some typical symptoms include pain, redness, swelling etc. Beetroot in known to have a super-efficient anti-inflammatory response. Injection of beetroot is often suggested by medical practitioners.
  7. Cancer prevention: Beetroot can elevate the level of oxygen in the blood. Since cancer cells are acidic in nature, beetroot can successfully neutralize them due to its alkaline nature. Owing to this anti-cancer properties, oncologists often suggests the intake of beetroot juice on a regular basis to patients suffering from liver, rectal, colon and various other types of cancer. 2 glasses of beetroot juice are often recommended for cancer patients.
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Dear Doctor. I have stones in gallbladder. How to clear the stones in gallbladder.

MD - Homeopathy, BHMS
Homeopath, Palakkad
Dear Doctor. I have stones in gallbladder. How to clear the stones in gallbladder.
Take following homoeopathic medicines for 1 month 1. Lycopodium 200 4 pills daily morning 2. Cholestrinum 6x tabs 4-4-4 3. Cardus marianus mt 10 drops in quarter glass of water 3 times after food. Avoid coffee and soft drinks. Reduce intake of oily and non veg foods. Drink plenty of water. Revert back after a month. No side effects in homoeopathic medicines. And 100% rapid and effective results which prevent you to do cholecystectomy.
2 people found this helpful
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Hi doctor as I am felling always in my stomach that there is always a hyperacidity as there is a fire burning in my stomach and I also feels some nausea what is the cause pls answer me.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hi doctor as I am felling always in my stomach that there is always a hyperacidity as there is a fire burning in my s...
U have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day for medicine contact on private chat.
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I am 16 years old boy from last couple of days I am suffering from diarrhea today I am feeling weak how this disease can be cured please tell me Dr.

BHMS, PhD Arthritis
Homeopath, Chennai
I am 16 years old boy from last couple of days I am suffering from diarrhea today I am feeling weak how this disease ...
Hi, Drink more water 5-6 liters. Take lemon with salt juice and butter milk, curd eat fruits like orange, sweet lime. Take electoral mixed with one liter of water drink every half an hour. Avoid spicy food and non veg.
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