Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 35 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.
Book Clinic Appointment
Submit a review for Dr. Rajendran SYour feedback matters!
Sir my mother 82 years old. She is suffering from ANAL FISSURE. Is there any ayurvedic treatment for the same.
I am feeling like I can notvexhale properly. Done lungs xray everything is fine there. Always stomach is heavy. Acidity. Whats the cause help me.
Mam, I am 20 years old and my weight is 42 kg , I just recovered from acute pancreatitis. Please suggest me proper diet plan so that I cwn regain my weight. please help.
My daughter is of, 24years n is suffering from mesentric lymphodenitis. For the last one month n is under going pretreatment of taking antibiotics n injections but she is having abdominal pain what should we do.
Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:
It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.
Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.
ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.
CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).
The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.
H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.
H.PYLORI AND PEPTIC ULCER
The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.
A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.
Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.
Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.
Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods
THE HOMOEOPATHIC APPROACH
Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.
By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.
Repertories are used as essential links between the patient’s symptoms and the vast materia medica.
Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.
In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.
Gnawing, hungry faint feeling at the epigastrium
Burning and distension of stomach with palpitation
Tendency to eat far beyond the capacity for digestion
Great appetite, craving for meat, pickles, radish, turnips, coarse food
Flatulence disturbs the heart’s action
Wants to lie down all the time
Pain in stomach always comes on after eating
Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach
Great craving for food at noon and night
Dyspepsia of the aged, after tea or tobacco
Constitution – Pale, lean, emaciated persons.
Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer
Cancer of stomach
Vomits every kind of food
Heartburn and water brash
Concomitants – Profuse salivation
Intense burning thirst
Haemorrhage from bowels
ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC
Liver cirrhosis and Homeopathy
The largest gland of the human body is liver. Cirrhosis is a chronic liver disease which features abnormality in structure and functioning of the liver.
Cirrhosis normally means damage to liver cells. These damaged cells are then replaced by scar tissues which restricts the organ to work normally as it ought to. The replacement of normal liver cells with scar tissues is a long and slow process.
The continuous inflammation of the liver cells due to certain conditions wears out them and the regeneration process works with fibrosis and scar tissue formation. If not treated and checked it may lead to liver failure.
Cirrhosis affects liver very badly and disrupts the normal functioning of the liver some of which are of great importance to the human body and all conditions which can damage the cells of the liver can easily cause cirrhosis.
Cirrhosis of liver means the circulation of blood within the liver is not in a normal condition and hence affecting liver metabolism and elimination of various end products of liver. Liver treats and breaks down many substances which include alcohol, drugs and red blood cells. With the formation of cirrhosis liver does not work properly which means accumulation of various harmful substances in liver and hence damaging liver more and more.
Liver cirrhosis is caused due to many factors like viral infections including hepatitis, Alcohol, Cystic fibrosis, Wilson’s disease, Primary biliary cirrhosis, Drugs and toxins, Schistosomiasis (snails) and many more.
These conditions gradually lead to the wear and tear of liver thus affecting its normal routine and mostly causing cirrhosis.
The symptoms of this disease are not easily recognizable at early stages but gradually symptoms can be seen like appetite loss, nausea, weight loss, jaundice, skin itching, swelling in abdomen and ankles, easy bruising, palms turn warm and reddish, asterexis, spider naevi and some more. When cited the patient should be rushed to the doctor and treatment should be started thereafter.
Homeopathy has proven its point in treating liver conditions of all types. Homeopathy not just treats the symptoms of cirrhosis but also treats its underlying causes like genetic tendency, viral infection, metabolic changes, alcoholic bad effects etc. and helps to treats cirrhosis on the whole. Homeopathy helps in controlling further damage to the liver cells. Homeopathy cannot help in curing scarred tissues as it is impossible to regenerate those affected tissues.
Homeopathy helps in increasing a person’s immune response and hence reduces the virus load and gradually improving the overall health of liver.if homeopathic medication is given to the patient at early stages it helps in preventing the disease in going any further and preventing further complications like liver failure or cancer from occurring. These are the associated disease of cirrhosis if not treated properly.
Homeopathy is hence very helpful in treating the disease efficiently and prevents the disease from progressing and if administered in early stages homeopathic medication helps in restoring most of the normal liver functions. Thus, homeopathic treatment for this disease is strongly advised and especially in the early stages.