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Dr. S. Arul Prakash  - Gastroenterologist, Chennai

Dr. S. Arul Prakash

Gastroenterologist, Chennai

Dr. S. Arul Prakash Gastroenterologist, Chennai
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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. S. Arul Prakash
Dr. S. Arul Prakash is a trusted Gastroenterologist in Poonamallee, Chennai. He is currently associated with Miot Hospital in Poonamallee, Chennai. You can book an instant appointment online with Dr. S. Arul Prakash on has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 28 years of experience on 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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4/112, Mount Poonamallee Road, Manapakkam, Landmark: Near Chennai Trade Center, ChennaiChennai Get Directions
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Hello Doctor, From past few months (3 months) I am not feeling very great. I feel low in energy all the time and when I stand on my feet I feel like I have to hold onto something to be steady though I don't feel I am fainting or I will fall or lose my balance. But yes I feel like that I am disbalancing a bit. Secondly, I have this problem of heartburn and gas as well. No matter what I eat, sometimes I get severe heart burn and sometimes I am OK. Gas is constantly building whenever I eat anything. I would say that 65% after eating anything I get heartburn. Thirdly, I get palpitations and I think I have become very sensitive. Sensitive in the sense that whenever I am sleeping or resting on my bed, even a small sound or a bang or anything or even a slight banging makes me feel like my heart is pounding/dropping/ or something (dil ghabrana ek dum se). From past few days I got this pain in my chest (right side). Pain is not severe but it is disturbing and I don't feel comfortable at all. My stomach is upset all the time and some pain in bowel. I have got an ultrasound done, I can attach a copy of it if required. I feel low everything and I spend most of my time worrying about things or how to sort my life out. When I think too much these problems becomes intense and I feel really uncomfortable with all this happening. Headache is another issue, regular pain in temples of my head and itching inside my ear is also there. I have tried a lot of doctors but not happy with what they have suggested me. I would request you to consult or advice me in a best possible way please.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Firstly relax take it easy, with some discipline in life and medicine you can start feeling better get following tests and if already done write report blood cbc, blood sugar f/pp, lipid profile and thyroid hormones t3, t4, tsh get bp, ecg /tmt- treadmill test and echo. Start doing following you have to improve your food habits 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 report feed back with what ever reports available earliest good luck.
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When i am sitting in chair gas release automatically with bad smell for 1 year suffering from same problem even empty stomach the gas is automatically release continuously please tell good solution sir.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate USer, * To combat extra acid in your stomach baking soda is an effective and a commonly available antacid. The basic nature of soda neutralizes the excess hydrochloric acid in the stomach forming salt and water. Mix half teaspoon of baking soda in half a glass of water and drink the solution on an empty stomach. It will get you fast relief from gas and indigestion. *During the condition of lack of hydrochloric acid in our stomach black pepper can be very effective to cure the problem. Black pepper can increase the flow of gastric juices and thus help in digestion. Powdered black pepper with crushed jaggery can be taken along buttermilk during indigestion. Or a fine powder of black pepper, dried mint leaves, ginger powder and coriander seeds, all taken in equal amounts, can be consumed twice a day (one teaspoon) to treat gas and indigestion. *Drink warm water. *Avoid more spicy, maida related, dry, junk foods.
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My dad have anal fistula problem what swill be the basic remedies which we can apply at home? What should he eat?

General Surgeon, Panipat
Ms. lybrate-user. Anal fistula is a chronic disease it occurs due to irregular and wrong eating habits, constipation. Simply let him have three ful meals lot of vegetables, salad,fruits and plenty of water to keep stool soft. Or add Stool softener. Let him sit in warm water 2 times a day for 4-5 mints. If Not relieved consult a surgeon.
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Sir I have been suffering from IBS diaheria last one year. It has cured but last one month I had it again. Now I am taking medicines Ibset tablet Nisprox 40 mg Normaxin tab Doctor said to take for one month From 15-3-16 Two days back I did all blood test Sugar Lipid profiles Creatine Liver function test CBc T3 t4 tsh Electrolytes And ct scan also But everything is normal In abdominal scan they found small two three PCOD ONLY Menstruation is correctly for every month No thyroid Now I have severe stomach pain Especially after taking medicines So what should I do Can I take any pain killers.

MBBS, MD - Community Medicine
General Physician, Jaipur
I think you doctor suggest good treatment to you. As you said, all the investigations are fine. No further investigations are required. IBS is a kind of disorder related to lifestyle/ personality. Therefore, consult some doctor in person/ private consultation at Lybrate would be more helpful as it needs substantial discussion to understand problem. Meanwhile will suggest to follow: 1. Eat healthy food. Avoid junk/ spicy/fried/oily foods. 2. Eat homemade food including more fibres in your diet (plenty of salads, vegetables, seasonal fruits, and complex carbs like Dalia, oats and whole wheat bread etc.). 3. Eat all your meals on time. 4. Take a light and early dinner. 5. Try to keep yourself active. Exercise, do brisk walk, take a break between works and stretch yourself in between. 6. Keep yourself stress free as much as possible, have meditation/ yoga etc, it will help in long term (don't expect short term benefit) 7. Avoid tea/ coffee, it causes gas.
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My age is 44 years old and suffering from gastric problem. Alternative pain in stomach and getting some time blood from my mouth in the morning. I am taking cipla tz table and cobadex table frequently when were problem started. Kindly suggest what is simtums and give me remedy.

General Physician, Delhi
Self medication could be harmful and should be avoided. Common causes of oral bleeding are-- Dental problems,gingivitis, gastritis,lung infections. Consult with details .
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Control Hyperacidity in Natural Way

Homeopath, Delhi
Control Hyperacidity in Natural Way

• Drink 1 – 2 glasses of lukewarm water early morning to stay healthy and acidity free. Drink more and more water. It is one of the easy Home Remedies to beat acidity. Have a habit to drink warm water after meal at night which helps in proper digestion.
• Coconut water is an effective means for acidity and soothe your digestive system.
• Eat carbohydrate rich food like rice ,which is easy to digest without any acid formation.
• Banana, watermelon and cucumber aid your digestion and good for curing acidity. So, use it in your diet.
• Vegetables like sweet potatoes ,carrot and beet root are effective in fighting acidity. Vegetables such as drumsticks, beans, pumpkin and carrot give you relief from acidity.
• Have dinner two to three hours before sleep, it would ensure food is digested completely and keep you healthy.
• Eat some almonds after every meal, every snack, every time you ingest something basically. Nuts do something to seemingly neutralize the juices in your stomach, relieving and preventing some instances of heartburn.
• Chewing on five to six tulsi leaves when you suffer from acidity is a great way to beat the discomfort you feel.
• Simply chewing on a few saunf seeds can help reduce the symptoms of acidity, as a long term remedy, boil a few seeds in water and leave overnight, drink this water during the day when you feel uneasy.
• Have one teaspoon of amla powder twice a day to help keep acidity at bay.
• Take a probiotic supplement. Probiotics are mixtures of "good" bacteria normally found in your gut.
• Use of honey and water before meals fights acidity.
• You can take cold cow milk before going to bed at night to cure acidity.
• You can chew piece of jaggery after every meal. Potassium present in the jaggery help to balance the stomach acid. Diabetes patients should not take jaggery.
• Sucking ginger is also very beneficial to neutralize stomach acid.
• Exercise daily. Yoga is the best exercise for acidity to cure and reduce it naturally.
• For instant relief from acidity, one should use Jaggery, banana, and yogurt.
• Clove: One piece of clove (laung or lavang) if kept in the mouth for some time can help in reducing acidity. Clove juice that goes into the system with saliva eases the abdomen and stomach greatly.

• Don’t eat fried and oily food.
• Avoid intake of coffee ,tea and soft drinks.
• Avoid eating citrus fruits ,such as sweet lime and oranges , as they have high acid content.
• Stop smoking and limit your intake of alcohol as both can damage the sphincter and cause acid reflux.
• Avoid late nights ,as inadequate sleep can lead to severe acidity.
• Avoid going to bed immediately after having dinner.
• Do not wear tight clothes and lose weight if you are obese. Yoga and meditation can help lessen stress and reduce heartburn.
• Activities that put too much pressure on the stomach and cause acid reflux, such as bending; lifting heavy objects, straining, and coughing should be reduced as well.

It seems in my lungs and stomach it is like a burning (fire) but there is a gas problem what can I do for avoiding these problem?

General Physician, Gurgaon
It seems to be due to acidity you can take syp digene (if no drug allergy), one tsf before food twice a day for 3 days avoid food from outside, junk, fried, spicy fatty food take small frequent meal kindly take 5-6 small meal in whole day avoid excessive tea, coffee do not postpone breakfast consult if symptom persist.
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I have fissure for more ta hsn 1 year. Now no bleeding but having slow bowl movement of stool and itching on anus and sometimes burning at the anus after stool output. Should should be my diet plan and daily life home remedy doings it. Suggest some ayurvedic tips please: . Age 25. Wt. 80 kg. Height 174 cm.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Mr. Lybrate-user ayurveda is best answer for your problem. Because in ayurveda we emphasis mainly on digestive system and these piles, fissure and fistula develop due to weak digestion for full recovery along with medicine you have to maintain your food habits and life style. Without these you will again and again land up on same problem. 1. Early to bed and early to rise. 2. Your water intake should be proper. 3. Take milk daily with 4-5 raisins (munnakka) 4. Avoid junk food - bread, cold drinks, food with lots of red chilli specially chinese 5. Avoid over straining while motion 6. Take your food on time, skipping food also leads to indigestion. 7, apply jataydi oil after motion. Consult for proper medication.
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I have suffering from pain in rectal & anal region. I do not know is it piles /fissure? Sometime constipated. Much burning.

MS - General Surgery, Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Vijayawada
Likely fissure in ano. Sit in a tub with like warm water before and after defecation, use antibiotics and pain killers.
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I have severe indigestion problem from past six months and it's worst at nights, not even curd rice gets digested. Please suggest a solution.

MS - General Surgery, MBBS
General Surgeon, Delhi
No smoking and alcohol. Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs 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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One 52 yes male pt having pain in lower abdomen which is radiating to back. No burning a cturition no fever. Sleep cycle is normal. Usg is normal. So what could be the diagnosis. How to approach.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
pl. clear it is this patient is female or male . because in question you has say it is male and in condition of patient is showing female.
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What could I have that is causing pain in my abdomen and lower back when taking a deep breath?

Physiotherapist, Kota
Back exercises. Many people go to physiotherapists with back pain. Here are two exercises that help to relieve pain and reduce stiffness in the back: •Dear, 1. Lie on your back with both of your legs straight. In this position, bring your left knee up close to your chest. Hold this position for 10 seconds. Return your leg to the straight position. Repeat with the right leg. •2. Stand up with your arms on your side. Bend to the left side while slowly sliding your left hand down your left leg. Come back up slowly and relax. Repeat with the right side of your body.
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I am 39 Yrs old and working in front of computer for 12 hours daily, hardly get time to eat something. From last one month gas is forming in my stomach and now also started very light pain in my stomach. Please advise.

MBBS, Diploma in Cardiology, DTM&H(Diploma Tropical Medicine & Hygiene, PGD PPHC(Post graduate diploma in Preventive and promotive health care
General Physician, Kolkata
Hi Kundan, Long hours be without food is not good.U may develop ulcer in the future. So take some food.Even biscuits u can take. Now u can take Tab Pan(40)-1 once daily before breakfast for 1 month.
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I have increased bilirubin, Globulin and ALP count since last four years. I took all the hepatitis tests but each one was negative. I am very concerned because of this constant hike. Since all the hepatitis tests are normal, what exactly is causing this condition? Please suggest some remedies. My report:- ALP - 164 Sgpt- 20 Sgot- 24 Bilirubin total - 2.20 Bilirubin direct- 0.82 Bilirubin indirect - 1.38 Total serum protein- 6.5 Albumin- 3.9 Globulin - 2.60.

C.S.C, D.C.H, M.B.B.S
General Physician,
The normal range is 44 to 147 IU/L (international units per liter). Normal values may vary slightly from laboratory to laboratory. They also can vary with age and gender. High levels of ALP are normally seen in children undergoing growth spurts and in pregnant women our bilirubin ony is increased and many more details need to be discussed and if you can consult me on this site, I can guide you better. You may have obstruction in bile duct.
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I'm being diagnosed with 18 mm stone in gall bladder, what shall I do for treatment, I'm 49. 8 years old residing in Mumbai.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
You need to take medicines that can help in removing them naturally such as our medicines combination of herbal and homeo that will help in removing stones. 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 gallstones is removing it naturally, not just remove gallstones from gallbladder but also remove the cause of gallstones.
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Going with treatment for fissures and piles but last 2 days I am suffering from itching on outer surface of bumm about 4 to 6 cm from the outlet. I had applied zolef but still itching is there.

General Physician, Hyderabad
Don't waste time, better you consult a doctor after getting blood sugar estimation. You would be benefitted.
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What to do because whenever I go to party n eat spicy food like chicken. Then Stomach problem like gas etc. So please suggest me what to do? If need suggest me homeopathic liver tonic n yoga also. Thank you

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Home Remedy- 1-Mixing two teaspoonfuls of ghee in a glassfull of milk and taking this once a day acts as a liner inside the gut and will heal all the destruction caused by the high flow of Pitta.... Treatment- 1-Take pranacharya aceno syrup 2-2 tsf twice a day.... 2-Take pranacharya aceno capsule 1-1 twice a day.... 3-Take avipattikar churna 1-1 gm with warm water.. 4-Take pranacharya udar bhaskar kshar churna twice a day with warm water.. Diet-take fresh butter milk empty stomach...avoid food...junk food
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BHMS, MD - Alternate Medicine
Homeopath, Nagpur
If constipated pl try to make your bowel habit very regular part of daily routine whether you have urging or not.
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I am having gastric problem from since 2.5 years. From 2 years onwards I am using gastric medicine like rabiprozle and levospride. From 3 months onwards I started using homeopathy medicine. When ever I used english medicine I can able to eat masala foods but after using of homeopathy I cannot able to eat. I am having constipation problem also. For this I used so many english medicine and When ever I am using medicine only I am getting smooth motion. From 3 months onwards I am using Y-LAX TABLETS OF homeopathy. Please suggest me best treatment for permanent cure for gastric problem and constipation. I am having fissure problem and 1 and half year gone for fistula surgery.

General Physician, Jalgaon
Please Don't depend on medicines only Wake up early go for morning walk in greenery daily with relaxed mind Do pranayam and yoga daily Do abdominal exercises daily Take salads and fruits more Take milk regularly Avoid oily spicy and fast food, non veg food, processed food, rice for few days Take Bhunimbadi kadha by sandu pharma 20 ml twice a day for 6 weeks Avipattikar churna by Patanjali 1 tsf twice a day for 6 weeks Tab yastimadhu by Himalaya 2 2 for 6 weeks Reconsult after 3 wks.
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