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Dr. Selvarangan.A.B

MBBS, MS - General Surgery

Gastroenterologist, Chennai

59 Years Experience  ·  400 at clinic
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Dr. Selvarangan.A.B MBBS, MS - General Surgery Gastroenterologist, Chennai
59 Years Experience  ·  400 at clinic
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Personal Statement

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.
More about Dr. Selvarangan.A.B
Dr. Selvarangan.A.B is an experienced Gastroenterologist in Anna Nagar East, Chennai. Doctor has had many happy patients in his/her 59 years of journey as a Gastroenterologist. Doctor has completed MBBS, MS - General Surgery . You can visit him/her at Selvaraman Hospital in Anna Nagar East, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Selvarangan.A.B on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 31 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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Education
MBBS - Madras Medical College - 1958
MS - General Surgery - Madras Medical College - 1960
Professional Memberships
Indian Medical Association (IMA)

Location

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Selvaraman Hospital

D-107, 1st Main Road, Anna Nagar East. Landmark: Near Chinthamani Super Market, ChennaiChennai Get Directions
400 at clinic
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Selvaraman Hospital

D-107, 1st Main Road, Anna Nagar East. Landmark: Near Chinthamani Super Market.Chennai Get Directions
400 at clinic
...more
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For the last couple of days. I am getting repeated burps entire day in irregular small intervals of 5 - 10 minutes. This is happening Not only after eating a meal. Could you please help me?

MBBS
General Physician, Delhi
For the last couple of days. I am getting repeated burps entire day in irregular small intervals of 5 - 10 minutes. T...
hi, it seems you are suffering from 1. gastritis or hepatitis 2. take an antacid 3-4 tsf 8 hrly 3. get a blood investigation - liver function test done 4. avoid fatty , oily meals 5. no fast food, no momos and samosas 6. no tea and coffee 7. lots of water 8. walk after meals 9. eat less at nights 10. no soft drinks, hard drinks and no smoking
1 person found this helpful
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She weights 64, and having problem with indigestion, gas problem. She wants to loose her weight as well as to reduce her indigestion and gas problem.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
She weights 64, and having problem with indigestion, gas problem.
She wants to loose her weight as well as to reduce ...
Dear lybrate-user, Please ask Sharada to drink lots of water through out the day. She is not overweight, but can improve her digestion by eating fresh food, chewing properly, eating more raw foods, boiled foods. Eating on time and doing a lot of walking as best exercise. Tell he to take castor oil one night to rid body of constipation and gas. Regards.
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How long do benfotiamine, inositol, alpha lipoic acid, chromium picolinate & mecobalamin protect from stress and stay in the body as the psychiatrist gave me one med named benfosules which included these vitamins/ minerals for anxiety disorders and nerves but after this med I am experiencing that it has effected my creativeness as well as my thinking how can these be reversed and till how long these vitamins will stay and effect me.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
How long do benfotiamine, inositol, alpha lipoic acid, chromium picolinate & mecobalamin protect from stress and stay...
These are vitamins and minerals. No harm is done usually. But if you are experiencing problems with the medicine, please stop it and contact your doctor.
3 people found this helpful
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Ultrasound scan shows fatty lever. I am non alcoholic. What is the cause& remedy for fatty lever? Will it b complicated in future. Blood test BILIRUBIN DIRECT is 0.6 mg/dl &SGPT 56U/L. Above normal range. Anything to worry?

MBBS
General Physician, Cuttack
Ultrasound scan shows fatty lever. I am non alcoholic. What is the cause& remedy for fatty lever? Will it b complicat...
Cause of fatty liver 1.Alcohol, obesity are the two major causes. 2.other causes could be diabetes, Hypertension, hypercholestorlemia, TB, Mal nutrition 3.Drugs like steroid anti epileptic,anti hypertensive anti neoplastic Precaution 1.Reduce obesity by regular exercise, 2.Control diet by avoiding oily, fatty, cholesterol rich and high calorie diet,diary rich food product,fried /processed food, soft drink, sugar, salt, meat. 3.Take foods rich in omega3 fatty acid like walnut , fish oil, , high fiber diet, vegetables and fruits 4. Drink plenty of water 5. Avoid Hepato toxic drugs 4. Total abstinence from alcohol , smoking 5.Monitor your Liver function test regularly and consult Gastro enterologist/Hepatologist for advice and treatment
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I have suffering from anemia and I suffering from weight gain and I have suffering from blood pressure low problem what can I do? I can not sleep and I am also suffering from food poisoning also what can I do?

MBBS
General Physician, Mumbai
Eat nutritious food and have adequate fluid intake and take physical rest and For loosemotions drink ors solution and to stop the frequency of motions take capsule roko and Avoid spicy food in your diet and eat only curd rice or khichdi and if necessary we should take prescribed antibiotics and Get your vital parameters of the body checked from a nearby doctor and revert back with findings
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Gastric Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -​

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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I have cervical ulcer and burning sensation there. I have the problem from last 4 years consulted many doctors some said uterus should be removed and the others prescribed some medicines, DNC, etc. Which is of no good use. Can you help in solving my problem?

C.S.C, D.C.H, M.B.B.S
General Physician,
If it needs to be removed you have to remove and other methods will not help . LOng standing ulcer may turn to cancer
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I am suffering from gas problem. Frequently releasing by bad smelling gas. This is big issue for me and I am too much demoralize and feel insulting. So please give me some suggestions for better life. Thanks.

PDDM, MHA, MBBS
General Physician, Nashik
I am suffering from gas problem. Frequently releasing by bad smelling gas. This is big issue for me and I am too much...
Hello, Thanks for your query. Try an over-the-counter medicine containing simethicone, which helps to break down gas bubbles. You can try a process of elimination by substituting a gassy food for a non-gassy one, and see which one is giving you the most trouble. A few basic substitutions: • Rice milk for cow’s milk • Bananas, blueberries and melon for apples, peaches and plums • Gluten-free and spelt cereals and bread for wheat and rye products • Bamboo shoots, bok choy, carrot, celery, corn, eggplant, green beans, lettuce, chives, parsnip, pumpkin, and tomato for artichokes, asparagus, Brussels sprouts, broccoli, cabbage, okra, onions, and peas. I do hope that you have found something helpful and I will be glad to answer any further query. Take care
2 people found this helpful
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I am 25. I have acidity problem, stomach clearing problem, irregular period and I am fat too. I always feel too hungry also. Suggest me something that reduce my hunger and I also want to lose my weight. So suggest something.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
I am 25. I have acidity problem, stomach clearing problem, irregular period and I am fat too. I always feel too hungr...
Hello your weight is on higher side and you can go for a sonogram and hormonal status checked. Get your blood sugar levels also checked. For losing weight, diet and exercise are the best answer. You should take plenty of water and liquids. Avoid junk food and fats in the diet.
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Sir i'm suffering from abdomen problem that means after eat presser starts increasing actually this problem is from last month.

MBBS
General Physician, Mumbai
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water
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I am losing my digestion power day by day. What else can I do. Will you help me for dis?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Bhavnagar
I am losing my digestion power day by day. What else can I do. Will you help me for dis?
Do as follow: * take ajvayan & jeera 1 tsp each after each meal * take ginger & turmeric before food * take hot water * quantity is much important, assume 4 part of your appetite & take food only 3 part of it * avoid day sleep, stress, night awaking * start excersice.
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I am 23 year old and I have a problem of gas in my stomach. The problem of loose motion is also very harassing. What should I suppose to do now?

BHMS
Homeopath, Faridabad
I am 23 year old and I have a problem of gas in my stomach. The problem of loose motion is also very harassing. What ...
Hi,Gas and acidity is the result of constipation and indigestion.Take homoeopathic medicine to get relief:-1. Gastrobin (WSG), 10 drops+ 1/2 cup of water, half an hour before meals, 3 times a day. 2. Natrum phos 6x, 4 tablets at a time, 3 times a day 10 mins. after meals. 3. Drink 10 to 12 glasses of water daily. 4. Take BC No. 08, 5 tabs thrice daily. 5. . Avoid heavy spicy and oily food , pickles. Revert me after 7 days.
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Whenever I eat anything oliy I feel acidity. What should I do now I really like eating junk food alot.

MBBS, cc USG
General Physician, Gurgaon
Whenever I eat anything oliy I feel acidity. What should I do now I really like eating junk food alot.
I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee, Avoid food from outside, junk, fried, spicy fatty food 6. Do Not postpone Breakfast 7. Avoid excess citrus fruit 8. Avoid smoking and Alcohol 9. Regular Physical activities 10. Meditation Medication can be started after personal consultation
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Since year 2008 I had major problem of gas. Bloating. Indegestionmay be due to incomplete bowel evacuation. It become worse after eating food and bowel movement. My stomach becomes tight & stiff like football. I had tried isabagol. Ayurvedic & homeopathic medicines but it wiĺl give me temporary relief. I am vegetarian eating one fruit in a day I occasionally eating egg also. I am tired from taking medicines. What shd I do. Pls help?

MS - General Surgery, MBBS
General Surgeon, Delhi
Since year 2008 I had major problem of gas. Bloating. Indegestionmay be due to incomplete bowel evacuation. It become...
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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He is having lot of acidity problem he drinks alcohol medicine he use is omi tablet in every 3 days due to high acidity please help him out to get out of high acidity.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
He is having lot of acidity problem he drinks alcohol medicine he use is omi tablet in every 3 days due to high acidi...
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, chew food properly/ completely, no eating quickly 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 smoking, chewing gum, and carbonated beverages. 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 9. Do not drink/ store water in plastic bottles. 10.relax and walk for 30 mts daily 11. Take enough rest- do not lie down immediately after eating 11. Keep your weight under control. 12 Keep your weight under control. For medicine contact on private consultation good luck..
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I had feeling some very little pain in my right side abdomen from last three or four months. It only just feel when I attempt to move the body, and every act which shakes my stomach.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I had feeling some very little pain in my right side abdomen from last three or four months. It only just feel when I...
I suggest you get an ultra sound of whole abdomen to know the reason for pain. In the mean time do 1. Take 2/3 glass of warm water in the morning, take more water during day to get clear urine. 2. Avoid all spicy/ fried/ fast/ junk food 3. Go for morning walk for 10- 15 mts 4. Do deep breathing exercise for 10 mts rt. Try these, you will feel good good luck.
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Sometimes my anal is like something is moving I do not have hemorrhoid problem and I do not know what is this.

MBBS
General Physician, Mumbai
It can be due to worms or due to fistula and which needs to be examined for diagnosis and further guidance and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet.
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Dear doctor I have a acidity problem for last one year in every time I am using omee tablets. But I want permanent solution. Please suggest.

M. Ch., FEBS, MBBS
Liver Transplant Surgeon, Delhi
Dear doctor I have a acidity problem for last one year in every time I am using omee tablets. But I want permanent so...
Firstly it is important to know what is the cause for such prolonged acidity problem, following are the things that govern acid production tea, coffee, smoking, alcohol, fried food, sleeping habits, stress at work or home, amount of salad or fresh fruits intake and other lifestyle things, lastly it is important to get an endoscopy done and perform certain tests. Permanent cure is definitely possible.
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How to quit smoking easily I am suffering from. Gastric to I fells tht if I somkes it ll help in digestion nd .it ll be relaxed for mind how to make it gud.

DHS
Homeopath, Delhi
How to quit smoking easily I am suffering from. Gastric to I fells tht if I somkes it ll help in digestion nd .it ll ...
Strong will power is needed to quit the habit of smoking. You are having a wrong feeling regarding te smoking. These are the withdrawal symptoms you are experiences on quitting the smoking. Homoeopathy has very good medicines to deal with the urge to smoke. Get in touch with some homoeopath there near you.
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I am 44 years, male and I am having gallbladder neck calculus measuring 4.8 mm. gallbladder size, wall thickness is normal. I am not having any other health problems except some pain in upper chest some times.

Diploma in Cardiology
General Physician, Kolkata
I am 44 years, male and I am having gallbladder neck calculus measuring 4.8 mm. gallbladder size, wall thickness is n...
Get it operated immediately as gb stone often leads to obstructive jaundice, and prolong gb stone leads to malignancy.
2 people found this helpful
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