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Dr. Shanmugam.R.P

Gastroenterologist, Chennai

300 at clinic
Dr. Shanmugam.R.P Gastroenterologist, Chennai
300 at clinic
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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 38 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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Aysha Hospital

#91, A Hussain Complex, Millers Road, Millers Road, Kilpauk. Landmark: Opposite To Motcham Cinema Hall, ChennaiChennai Get Directions
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I am 32 year old male suffering from severe acidity since a long. I am taking medicine like rentake. Recoolplus etc. Only after take medicine I am able to it. So can you give me proper way to resolve.

BHMS
Homeopath,
I am 32 year old male suffering from severe acidity since a long. I am taking medicine like rentake. Recoolplus etc. ...
Dear lybrate user, you need to take homoeopathic carbo veg 200, 5 drops, thrice daily, in empty stomach. You can also try homoeopathic liver tonic liv-t (sbl company). Take 20 ml of the aforesaid liver tonic, thrice daily, after meals. Try to drink as much water as you can drink daily. Try to get an uninterrupted sleep of minimum 8 hours.
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My digested not working regularly my digestion got disturbed due to which cause acidity and little pain in stomach. What I need to do?

BAMS
Ayurveda, Bangalore
My digested not working regularly my digestion got disturbed due to which cause acidity and little pain in stomach. W...
Hi, Take cap. Stomotone 1-1-1 after food for 2-3 weeks and Himcocid syrup 2tsf 3 times daily before food to control burning sensation in the stomach and chest Take. Madiphala Rasayana 2tsf 3 times a day to stop vomitting. Avoid hot and spicy food. Eat small quantities frequently. Drink plenty of water. Never miss your breakfast. Avoid excess intake of coffee and tea.
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After eating mutton I had severe food poisoning along with high fever 105. I took 1 calpol tab, pantocid dsr and rab 20. From yesterday afternoon onwards I started having loose motions fully watery and till today I had seven to 8 times. Took 4 tab metrogyl 6 hourly but no improvement. As I am taking levipil for neurocysticercosis I was prohibited to take medicines like ofloxacin, cifloxacin and similar medicines ending with -in. There is continuing burping inside stomach. What to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kangra
After eating mutton I had severe food poisoning along with high fever 105. I took 1 calpol tab, pantocid dsr and rab ...
You should consult a Ayurveda consultant . I would recommend you to stop milk tea coffee , wheat .Take rice with curd , moong dal , khichadi put roasted cummin powder in butter milk and take . You can start Kutaja Arista 20 ml with equal water after breakfast lunch and dinner . Consult a good Ayurveda consultant for personal consultation . Take boiled and cooled water . regards
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My stool is not clear so what to do. For soften my stool. Any suggestion please And to overcome gas problem also..

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
My stool is not clear so what to do. For soften my stool. Any suggestion please And to overcome gas problem also..
First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Abhayarishta 4tsp before lunch and dinner 6. Audumbaravleha 2 tsp before lunch and dinner.
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What to do when we are having severe gastric with chest pain(because of gastric).

Post Doctoral Fellowship in G I Surgery, MS - General Surgery
General Surgeon, Panchkula
Take Tab Pantocid 40 mg once a day and do not smoke / drink. Walk for half hour after dinner. If this does not help you need an operation for the problem.
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I am 28 years old. I have taken herballife shake for loose my weight and now I have constipation gas problem throughout day.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 28 years old. I have taken herballife shake for loose my weight and now I have constipation gas problem througho...
take syp. livoluk 10 ml at night. eat more fiber foods, green veg., plenty of water for constipation.
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Diet Tips For Stomach Ulcer

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

1. Eat three small meals and three snacks evenly spaced throughout the day. It is important to avoid periods of hunger or overeating.

2. Eat slowly and chew foods well.

3. Be relaxed at mealtime.

4. Sit up while eating and for 1 hour afterward.

5. Avoid eating within 3 hours before bedtime. Bedtime snacks can cause gastric acid secretion during the night.

6. Cut down on caffeine-containing foods and beverages, citrus and tomato products, and chocolate if these foods cause discomfort.

7. Include a good source of protein (milk, meat, egg, cheese, etc.) at each meal and snack.

8. Antacids should be taken in the prescribed dose, one-hour and 3 hours after meals and prior to bedtime. This regimen is most likely to keep the acidity of the stomach at the most stable and lowest level.

9. Milk and cream feedings should not be used as antacid therapy. Although milk protein has an initial neutralizing effect on gastric acid, it is also a very potent stimulator. Hourly feedings of milk have been shown to produce a lower ph than three regular meals.

10. Caffeine-containing beverages (coffee, tea, and cola drinks) and decaffeinated coffee cause increased gastric acid production but may be taken in moderation at or near mealtime, if tolerated.

1 person found this helpful

I am suffering from stomach problem, food is not digest , why its happening ? Please tell me.

MBBS
General Physician, Cuttack
I am suffering from stomach problem, food is not digest , why its happening ? Please tell me.
1. Take bland diet, avoid spicy, oily, fried and junk food2 eat and drink slowly. 3. Avoid fatty food, carbonated drink like soda/ soft drink/beer, chewing gum, sucking hard candy etc, 5. Avoid gas forming food like onion, bean, peas, potato, lentil, lettuce, cabbage, cauliflower, broccoli, mushroom, whole wheat bread. Fruits like apple/peach/pear 6. Avoid stress, anxiety 7. Stop alcohol/ smoking if you have 8. Go for regular exercise and avoid sedentary life style 9. Take one tablet of pan40 in the morning 10. Take unienzyme 2 tablet twice daily after food for few days. 11. Consult gastro enterologist for further advice.
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Can a non alcoholic fatty liver be converted into its normal state. It happens to me during pregnancy. Can I take livomap for this.

MS - General Surgery, MBBS
General Surgeon, Delhi
Can a non alcoholic fatty liver be converted into its normal state. It happens to me during pregnancy. Can I take liv...
Livomap is liver protective medicine. It should be taken when it is required. At present you should not take unnecessory medicines.
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Respected Sir, I have been suffering from indigestion / gas formation for the past 4 weeks. At the initial stages, I had to go to toilet 5 times and it was watery stool most of the time. I visited a general doctor but later, I visited a Gastroenterologist and he gave me these two medicines - Equirex - 2 times a day RIFAGUT 400 MG - 2 times a day Now, I am having formed stool. But sometimes, I am pooping 3/4 times a day and sometimes it is 1/2 times a day. There is no heart burn or pain or vomiting or any blood in poop. Sometimes, there is a little discomfort in the left side of my abdomen but My poop is normal, sometimes it is a bit soft and it is like sausage most times. This week, the Doc said it is happening because of stress so he gave these two medicines only - Esoz 40 mg - one time a day Cilapam - H - one time a day I had done USG of Upper Abdomen and it is normal. I just want to know will my current problem like small gas formation and pooping [normal] 3 / 4 times [not everyday] are going to subside after few weeks? I would be grateful if I get a response. Kind regards deb.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
Respected Sir, I have been suffering from indigestion / gas formation for the past 4 weeks. At the initial stages, I ...
Yes the problem will subside. Plz exercise regularly. Avoid sprouts, fermented foods in your diet. Have lemon after each food intake. Have a very small piece of ginger with a pinch of salt before lunch and dinner. This will aid your digestion process. Avoid excess water intake during meals . All this will help u.
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I suffer from acute acidity whenever I consume something oily like paratha, samosa or even roti. Please advise.

BHMS
Homeopath, Raebareli
I suffer from acute acidity whenever I consume something oily like paratha, samosa or even roti. Please advise.
Please avoid fried/oily food stuffs. Also take a balance diet always. Keep bowels clear. Do morning walk daily also take nux vom 30 - twice daily for next 2 weeks and get back to me.
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What so ever I eat my stomach is vibrating all the time I think I have a gas problem please tell me the solution.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What so ever I eat my stomach is vibrating all the time I think I have a gas problem please tell me the solution.
for gas problem follow these simple advices: - Eat smaller meals;Don't overeat  -Limit fluids intake during meals. As it increases stomach distension.  -Avoid foods and drinks that trigger acidity (e.g. Fatty ,Spicy foods, onions, garlic, peppermint, chocolate, coffee,tea, citrus fruits or juices, tomatoes, cola or alcohol) -Do daily exercise.like walking;It keeps you upright, allowing gravity to aid digestion -Don't lie down after eating.Wait at least 2-3 hours after meal before sleeping. Avoid late night snacks .Elevate the head end of bed by 6-8 inches. Sleep in left lateral position. HOME REMEDIES:.Dried ginger ,dried fennel or Ripened guava can speed up digestion of food  -TREATMENT: -Antacids: like Mucaine gel, 2 tsp twice daily may give relief.
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I have digestive problems I can't digestive non-veg food like chicken. Please give me a solution for this problem.

BHMS
Homeopath, Faridabad
I have digestive problems I can't digestive non-veg food like chicken. Please give me a solution for this problem.
Hello, take Natrum phos 6x, 5 tabs before heavy meals. Alpha LIV, 1 tsp , after meals twice daily. Revert me after 15 days.
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Hpylori ki kit 9 din lene k bad pet m gas or dard hai 1 mahina ho gaya. Iska asar kab tak rahta hai. Kitne din main normal ho jata hai.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
Hpylori ki kit 9 din lene k bad pet m gas or dard hai 1 mahina ho gaya. Iska asar kab tak rahta hai. Kitne din main n...
H pylori kit is for infection which is eradicated after the complete course. In your case in h pylori was probably an accidental finding You might be having irritable bowel syndrome which has not been treated and your symptoms are persisting.
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Hello Dr. I am biku. Iam suffering by acidity gas problem in one year. Some time I feel bore of this problem. If I take some antacid then its feel better fot some day. Its happen cause of my irregularity. Now what should I do doctor.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello Dr. I am biku. Iam suffering by acidity gas problem in one year. Some time I feel bore of this problem. If I ta...
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 a week if you r habitually suffering 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 leafs each of HOLY BASIL ( TULSI PATTA) nd KARI PATTA ( CURRY LEAVES) early morning empty stomach.Start from 1 leaf each nd go upto 5 leafs..After eating drink 1 glasss plain water.This will increase your digestive powers naturally 10.Implement naturopathy in your life as medicines can help only for the time being
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Hello, I am a diabetic patient and most of the time I suffer from gas . From my childhood I have been suffering from migraine and cervical . I find difficulty to workout I am obese. I am totally relied on medicine . Pls help I want to loose my weight.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hello, I am a diabetic patient and most of the time I suffer from gas . From my childhood I have been suffering from ...
Hye, thanks for the query. Being, a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - the sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Long gaps consequent heavy meals lead to not only hyperglycemia but gas as well. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250 mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline. I would advise you to take a personalised consultation.
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Fatty Liver - Signs You Are Suffering From It!

Post Graduate Diploma in Holistic Healthcare, PG Diploma Clinical research, Diploma in Medical Writing, MSc Biotechnology
Dietitian/Nutritionist, Bangalore
Fatty Liver - Signs You Are Suffering From It!

The liver is a key organ in metabolism and will have some amount of fat. However, excessive fat accumulation in the liver can be abnormal and is referred to as fatty liver. If the fat content exceeds anything more than 5% to 10% of the liver’s weight, it would be referred to as fatty liver.

Types - There are mainly two types based on causes:

  1. Alcoholic fatty liver: This is very common in people who consume excessive amounts of alcohol. Even a one-off instance of binge drinking can cause increased fat accumulation in the liver, but it would not produce any symptoms though. Preexisting hepatitis, pregnancy, obesity, and genetic predisposition may also lead to alcoholic liver disease.
  2. Non-alcoholic liver disease: This is the less common type of fatty liver, and there would be no alcoholic abuse history here. However, there could be genetic predisposition, obesity, autoimmune liver disease, malnutrition, which can lead to this condition.

Symptoms

Fatty liver disease is a chronic condition with insidious onset (meaning to say, the exact time of onset cannot be pinpointed). However, as the disease condition progresses, symptoms will become evident, which can trigger a medical evaluation to identify the fatty liver. Some of the symptoms include:

  1. Excessive fatigue and weakness
  2. Unexplained weight loss
  3. Loss of appetite
  4. Nausea
  5. Trouble focusing and concentrating
  6. Impaired judgment
  7. Constant, slow enlargement of the liver can cause pain in the right upper quadrant of the abdomen (where the liver is)
  8. There could be jaundice, where the skin and the white of the eyes turn pale yellow
  9. Symptoms of liver failure, including increased levels of proteins in the chemical tests.

Diagnosis

As noted earlier, it is not easy to identify liver disease, as there are no specific symptoms. However, the above symptoms could point to a potential fatty liver.

  1. Blood tests, especially for liver enzymes
  2. Ultrasound, where the liver is imaged to look for any structural changes
  3. Biopsy, where liver tissue is extracted to confirm the diagnosis of fatty liver

Treatment

There is no specific treatment for fatty liver. It can be managed through the following, where symptoms reduce in severity, and overall prognosis improves.

  1. Diabetes control: There is a relation between how well diabetes is controlled and severity of fatty liver. Improving diabetes control ensures fatty liver does not progress.
  2. Alcohol: Cutting down or even better quitting alcohol, definitely helps improve symptoms. If it is alcohol induced fatty liver, alcohol should be stopped.
  3. Weight management: Obesity and fatty liver are related, so weight management is essential.
  4. Healthy diet: Eating a healthy diet and regular exercise regimen also helps improve symptoms of fatty liver. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.
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Digestive problem from 2 months, medicines and syrups didn't work all were prescribed by the doctors but nothing happened. What should i do now?

MS - General Surgery
General Surgeon, Pune
Digestive problem from 2 months, medicines and syrups didn't work all were prescribed by the doctors but nothing happ...
You are young person. Should not be incapacitated by digestive system problem. What is the nature of the problem? if its a loose motion, it could be because of food and water borne infection. If its hyperacidity it could be because of gastritis or reflux disease. Proper history, clinical examination and pinpoint invetigations will clinch the diagnosis and then treatment would be easy.
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Hi actually this is for my father. He is 45 years old. Who is a diabetes patient. He has been suffering from chronic dysentery for 16 years. What food should be nd should not be eaten in this. Give me a effective medicine for it.

BAMS, MD Ayurveda
Sexologist, Lonavala
Hi actually this is for my father. He is 45 years old. Who is a diabetes patient. He has been suffering from chronic ...
For this I would suggest you to do following remedy Natural home remedy using fenugreek seeds: 1. Take 4 tbsp of fenugreek seeds 2. Soak them in 250 ml water overnight 3. Crush them in the morning 4. Strain the mixture and collect the water 5. Drink it everyday for 2 months This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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