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Dr. Shanmugam.R.P

Gastroenterologist, Chennai

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Dr. Shanmugam.R.P Gastroenterologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Shanmugam.R.P
Dr. Shanmugam.R.P is a popular Gastroenterologist in Kilpauk, Chennai. Doctor is currently practising at Aysha Hospital in Kilpauk, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shanmugam.R.P on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 40 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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I think I might have ulcerative colitis. My symptoms include diarrhea which I have had for more then a year but never any constipation, a lack of appetite although the anti depressants I'm on are meant to increase my appetite, nausea after a bowel movement and frequent abdominal pains.please help

MBBS
General Physician, Chandigarh
You should consult a gastroenterologist and get thoroughly investigated for your stomach problems don't presume anything get it confirmed and treated
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Hello, my name is Rishikesh Sharma. I'm 23 years old. And I am suffering from IBD (ulcerative colitis). Where should be the best treatment I can get. Or what should I do.

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
For this you need to consult Gastroenterologist, i can guide you about the best Gastroenterologist in Delhi/ NCR
1 person found this helpful
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I always suffer from cough and cold, advice me a permanent cure I also have stomach problem like acute gas and acid. My stool is not clear properly every day. Stool in not hard but it is like jelly, or cracked milk. My mouth is always test sour.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I always suffer from cough and cold, advice me a permanent cure I also have stomach problem like acute gas and acid. ...
Now a days are of viral infection be careful. Cold,Sneezing, sore throat, a stuffy nose, coughing -fever,bodyache,headache,occured in viral infection. What can you do for your cold or cough symptoms? besides drinking plenty of fluids and getting plenty of rest, you may want to take medicines. There are lots of different cold and cough medicines, and they do different things. Nasal decongestants - unclog a stuffy nose...i.e ................ nasal dop/spray.....nasivion Cough suppressants - quiet a cough...................................... syp. Brozedax Expectorants - loosen mucus so you can cough it up.............syp...zeet expectorant Antihistamines - stop runny noses and sneezing.....................tab/syp....levocetirizine Pain relievers - ease fever, headaches, and minor aches and pains.......tab..flucold plus . Here are some other things to keep in mind about cold and cough medicines. Read labels, because many cold and cough medicines contain the same active ingredients. Taking too much of certain pain relievers can lead to serious injury. Do not give cough medicines to children under four, and don't give aspirin to children. Not helpful uses of antibiotics medicines.you should be also go for tests cbc,
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I hve been suffering from acid reflux and after it having a unbearable pain in abdomen repeatedly after 2 months.

DHMS (Hons.)
Homeopath, Patna
I hve been suffering from acid reflux and after it having a unbearable pain in abdomen repeatedly after 2 months.
Hello, Gaseous and distended abdomen being uncomfortable is owing to acidity and menstrual disorder, need to monitor obesity, regulation of diatery habits with avoidence of stress. You need to opt certain natural norms to ease distension abdomen, please. Take, plenty of water to hydrate your body to prevent constipation, diluting acid in stomach, regulating metabolism. Go for meditation to reduce your stress to nourish your body including digestive system to check gastric disorder that triggers bloating abdomen. Your diet be simple, easily digestible on small intervals to check gastric disorder. Take apples, carrots, Papaya, tonned milk. Ensure,6/7 hours of sound sleep in the night. Take, homoeopathic medicine:@ Acid sulph 30-6 pills, thrice. @ China 200-6 pills thrice. Avoid, junk food, alcohol, nicotine, caffiene, watching TV and sitting on computer in the late night. Take care.
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My fatty liver is 3.1 (normal range is 3.0) & 3 months AVG sugar is 7.0 sometimes twice a week fresh blood comes in my stool only in the beginning. Pls advice is it because of fatty liver or piles or something else?

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
My fatty liver is 3.1 (normal range is 3.0) & 3 months AVG sugar is 7.0 sometimes twice a week fresh blood comes in m...
Yes, it is beginning of fatty liver, piles and diabetes. Switch to Ayurveda medicines and avoid progression of diseases.
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I am suffering from gas in stomach Every 15 minutes it becomes What can I do.Please help me for that.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
I am suffering from gas in stomach
Every 15 minutes it becomes
What can I do.Please help me for that.
Avoid spicy oily fried and fast foods Walk for 30 minutes after taking meals If problem persists then you can consult me online.
1 person found this helpful
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Anal Fistula - How Can It Be Treated Using Ayurveda?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal Fistula - How Can It Be Treated Using Ayurveda?

The area in and around anal region is some time affected with pain swelling and pus or watery discharges. This abnormal presentation may be due to anal fistula. It is characterized by a nodular swelling in or around anal region with occasional pain and watery or blood mixed pus discharge. The symptoms might be mild but as the time passes the fistulous tract may become deep and develop multiple branches with multiple openings. This makes the treatment more difficult. Therefore it is always advisable as soon as this condition is diagnosed it should be treated promptly to avoid further complications. 

Causes: The causes of anal fistula are many. The major reason is the formation of pus. Incompletely cured abscess, microbial infection, ulcers, inflammation of anus and the region around it, and complications that arise out of a surgery can cause the anal fistula. The individuals suffering with diabetes, ulcerative colitis, malignancies and also individuals undergoing chemo or radiotherapy or having some other immune compromised conditions are prone to develop anal fistula. 

Treatment: Practically it has been noticed that any amount of oral medications either from allopathy/ homeopathy or Ayurveda is not of much help. In allopathy the surgeons usually advice Fistulectomy i.e. complete excision of fistulous tract or VAAFT – Video Assisted Anal Fistula Treatment. However in both these case a fairly high incidence of recurrence has been noticed. In Ayurvedic surgery; Fistula has been categorized among eight diseases which are difficult to cure. A highly specific Ksharsutra procedure has been advised in Ayurvedic surgery to treat this problem. Subsequently, efficacy of this Ksharsutra therapy was compared with surgery in 1991. This clinical trial was conducted by Indian Council of Medical research at AIIMS New Delhi and PGI Chandigarh. They have clearly reported that Ksharsutra treatment is more convenient and more effective as compared to surgery in the patients of Anal fistula. The recent concept of Graded Ksharsutra has further improved the efficacy of this therapy. Facility of Graded KsharsutraTM is available only at Sushruta Ano rectal Institute Rohini; New Delhi. 

Ksharsutra Therapy: It is a highly specific and most effective amongst all available treatments for the patients of Anal Fistula. In this treatment; the first step consists of proper identification of fistulous tract with respect to depth, direction and branching pattern. This is usually achieved by careful probing or taking the help of MRI Fistulogram, Ultrasound etc. One the tract has been defined Ksharsutra is placed in the tract with the help of malleable probes under local anesthesia. Since there is no injury to the soft tissue hence no pain or bleeding is expected after this treatment. Patient can continue his routine activities as usual from the very first day. The Ksharsutra – medicated thread is changed at weekly interval. Usually the Fistula heals @ 0.5 to 1 cm per sitting. Therefore the anal fistula which is 4-6 cm long they usually heal in 8-10 sittings. After Ksharsutra Treatment the sphincter control remains normal and the fistula heals completely.

6082 people found this helpful

I am suffering stool with mucous 2 to 3 times at morning since 2 month. No pain, and blood while defecation. What is problem. Endoscopy and ultrasound both are normal sir.

MS - General Surgery, MBBS, Fellowship in Laparoscopy
General Surgeon, Udaipur
I am suffering stool with mucous 2 to 3 times at morning since 2 month. No pain, and blood while defecation. What is ...
Take a course of tab cipro + tinidazole 1 tab morning -evening x 10 days. If not relieved contact surgeon.
1 person found this helpful
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Gastrointestinal Bleeding - How It Can Be Treated?

MBBS, DNB - Internal Medicine, DNB - Gastroenterology
Gastroenterologist, Faridabad
Gastrointestinal Bleeding - How It Can Be Treated?

Gastrointestinal bleeding, as the name suggests, is characterized by bleeding in the gastrointestinal (GI) tract and its accessory organs (esophagus, stomach, colon, small intestine, rectum, and anus). The bleeding also referred to as gastrointestinal hemorrhage, is not a disease in itself. However, it may be an indication of a disease, injury or infection in the digestive tract of a person. The bleeding in the GI tract may be mild to chronic (often fatal), depending on the severity of the condition that triggers the bleeding.

What causes the gastrointestinal bleeding?
As stated, the gastrointestinal bleeding may be indicative of some digestive tract disorder. Some of the common conditions that may trigger the bleeding include

  • Tumors that are malignant in nature.
  • Hemorrhoids (a painful condition where veins around the anus, as well as the lower part of the rectum, swell up)
  • Peptic ulcers.
  • Diverticulosis (formation of diverticula or pouches in the walls of the large intestine).
  • Inflammatory bowel disorder.
  • Colon polyps (a small mass of cells that develop on the inner lining of the large intestine or colon).
  • There may be problems in the blood vessels (in the digestive tract).
  • Anal fissures.
  • Esophageal varices (the veins of the stomach or esophagus swell up due to a liver disorder, such as cirrhosis).
  • Angiodysplasia (it is a minute vascular malformation that takes place in the gut).
  • There may be an inflammation of the gastrointestinal lining.

Symptoms:
The appearance of blood in the stool and vomit is one of the characteristic symptoms of the gastrointestinal bleeding. Other symptoms indicative of a bleeding include

  • Weakness and fatigue.
  • The stool appears black and tarry.
  • A person may complain of uneasiness and shortness of breath.
  • The skin appears pale. In some cases, prolonged bleeding that goes unattended may result in anemia.
  • Abdominal pain.
  • The stool may also appear maroon or bright red (often in the case of bleeding from the lower gastrointestinal part).

Consult a doctor at the earliest if the symptoms persist for more than a week.Timely medical assistance can help to minimize the extent of the damage.

Diagnosis and treatment:
Gastrointestinal bleeding in the colon or the stomach is easy to diagnose. However, the diagnosis of the bleeding that occurs in the small intestine may be tricky and often requires the use of advanced and sophisticated equipment. The diagnosis is often done by

  • Physical examination.
  • Liver function tests.
  • Complete blood count.
  • Endoscopy, colonoscopy, and sigmoidoscopy.

Treatment:

  • Endoscopic injections (often diluted epinephrine) at the bleeding site provides great relief.
  • To close or clamp off a bleeding blood vessel, doctors may use Endoscopic clips.
  • Endoscopic intravariceal cyanoacrylate injection is used to treat varices in the stomach effectively.
  • There are medications available to treat GI bleeding triggered by ulcers.
  • In the case of an acute bleeding, a person may need surgery (Laparoscopy).

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

1874 people found this helpful

I have pcos with hypothyroid and also fatty liver, facial hair growth, acne problem. I want to loose weight.

CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
I have pcos with hypothyroid and also fatty liver, facial hair growth, acne problem. I want to loose weight.
1.no alcoho 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water for medicine contact on private chat. Good luck.
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