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Dr. Subash

Gastroenterologist, Chennai

Dr. Subash 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. Subash
Dr. Subash is a popular Gastroenterologist in T.Nagar, Chennai. Doctor is currently practising at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. You can book an instant appointment online with Dr. Subash on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 27 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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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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Sir mujko acidity problem h.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Sir mujko acidity problem h.
1. Drink 100-500 ml of tender coconut water twice a day for relief from hyperacidity Mix equal parts of powdered fennel, licorice root, basil leaves and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (or unrefined sugar) 15 minutes before lunch and dinner. 2.Make a powdered mixture of equal parts of rock candy (or unrefined sugar), fennel, and green cardamom. Whenever you feel heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink. 3.Avoid tea, coffee, and carbonated or alcoholic beverages. 4.Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking. 5.Curd should be strictly avoided at night. 6. Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama,Shitali Pranayama and Shitkari Pranayama. 7.Drink plenty of fluids and water. 8. Avoid constipation. 9. Take 1 tsf avipattikar churna empty stomach twice a day with water/ 20 days and 2 tab soothshekhar ras twice a day 30 min after meals with little water/10 days. 10. Revert back after 10 days. Take Care.
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Dear Doctor, I am 46/M. Height is 5'9" weight is 95 kg. My tummy is tight always. Even after small amount of meals it becomes hard. Is it obesity or some other medical condition. I have 1st condition controlled asthma also. Please reply. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Dear Doctor, I am 46/M. Height is 5'9" weight is 95 kg. My tummy is tight always. Even after small amount of meals it...
Its obesity dear... Dear to decrease your weight you have to do work out daily. Try the remedies below they can help u. 1. Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one glass of water. 2. Drink it in the morning on an empty stomach. 3. Do this daily for at least three months. 4. Drink mint tea or make a paste of green mint with some simple spices and eat during meals. 5. Eat vegetables such as bitter gourd and drumsticks to control obesity. 6. Do bhujang asana, dhanurasana, naukasana, kumbhakasana, pavanamukthasana daily 10 min per asana. 7. Do running early morning daily and join aerobics in evening. 8. Avoid oily and spicy food. And constipation.
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Appendectomy - Procedure and Risks

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Appendectomy - Procedure and Risks

What is an Appendectomy?

An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical elimination of the organ known as the appendix. Appendectomy is mostly performed as an emergency surgical procedure, when patients suffer from appendicitis.

How is Appendectomy Performed?

Appendectomy can be performed both as an open operation as well as laparoscopically. An appendectomy is most often performed laparoscopically, if the diagnosis is in doubt, or if the patients feel that they need to hide their telltale surgical scars near their umbilicus or in the pubic hair line.

However, although laparoscopic appendectomy has its cosmetic advantages, and its recovery time is a little quicker, this procedure is more expensive than conventional open surgery.

Conventional Open Appendectomy-

In the conventional open surgery, the surgeon makes an incision which is less than 3 inches in length in the lower right section of the abdomen. Once the infected appendix is identified, the surgeon separates the infected appendix from its surrounding tissues and removes it surgically from the cecum (an intraperitoneal pouch that forms the junction of the small and large intestine). After that, the cecum is closed and is returned back into the abdomen. In the end, the muscle layers and the skin are sewn together and the incision is closed.

Laparoscopic Appendectomy (LA)-

While performing appendectomy laparoscopically, which is also known as LA, four incisions of 1 inch in length are made in the abdomen. One incision is made near the umbilicus, while another one is made in an appropriate region between the umbilicus and the pubis. The other two incisions, which are even smaller in size, are made in the right side of the lower abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and after identifying, frees the appendix from its surrounding tissues. Next, the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body of the patient through any one of the two 1 inch incisions. In the end, the laparoscopic instruments are removed and the incisions are sutured and closed. During this whole procedure, the intraperitoneal space is filled with medical grade carbon dioxide gas, to inflate the abdomen, which is released after the surgery.

Recovery Time For Appendectomy-

The recovery time for appendectomy depends on and varies with the type of procedure and anesthesia used during the surgery. While laparoscopic appendectomy can be done on an outpatient basis so that the patients can recover back at home, an open surgical procedure will require an overnight or even longer hospital stay.

Normally patients after appendectomy can resume their normal daily activities within a few days. However, for full recovery, it may take four to six weeks. Patients are advised to avoid strenuous activities during this period of time.

Risk and Long Term Consequences of Removing the Appendix-

While wound infections are the most common complications of this surgery, formation of an abscess in the area of the surgical incision and also in the area close to the removed appendix has also been noticed as an aftermath of appendectomy.

Other rare complications may include lack of intestinal peristalsis (ileus), gangrene of the bowel, injuries to the internal organs and infections in the peritoneal cavity (peritonitis).

Major long-term consequences of appendectomy include increased risks of bowel obstruction, stump appendicitis (infection in the retained portion of the appendix still stuck with the cecum) and development of incisional hernia at the site of the scar. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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Hii even I lyk most other ppl believed tht medical science have reached the sky but it ws just a short lived friction cuz the reality is far from this. U get PanCan or gallbladder Cancer (stage 4) and docs start assuming your lyf expectancy 4 to 6 months and whts funny is tht pancreatic cancer is 11th most common cancer and it seems tht science is taking it very lightly which is nt gud so many awareness campaigns are done fr other cancers but wen it cmes to PanCan there is no such thing as awareness campaigns.

Fellowship in Minimal Access Surgery, FACRSI (Colo-Rectal Surgery), Ph. D - Gastrointestinal Surgery, FAIS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , MBBS
Gastroenterologist, Bangalore
Hii even I lyk most other ppl believed tht medical science have reached the sky but it ws just a short lived friction...
Yes sir, because the very first presentation of pancreatic cancer is either mild upper abdominal pain or Jaundice (painless). When patient comes to us, they already would have taken some home remedies, And other sorts of medicines presuming it to be a infection one. The most commonly taken medicine is for "Gastritis" which again delay the diagnosis and leads to disease progression. Only awareness I could say is don't take any pain abdomen (recent onset), a new onset of alteration of bowel or bladder habit lightly. Take care sir.
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I am suffering from motions from yesterday afternoon. From the 4th I went to bathroom blood also coming what I had to do.

BHMS
Homeopath, Faridabad
Hi,' Take homoeopathic medicine - Merc. Cor. 30/ after every 3 hourly. But you need to get yourself examined properly from a nearby doctor if the blood keeps on !
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Yesterday I was having pain in my pancreas so doctor told me take out report of lipase and my report shows me lipase level 140 out of 60.

C.S.C, D.C.H, M.B.B.S
General Physician,
In a healthy individual, a normal blood amylase level is 23-85 units per liter (U/L), although some lab results for amylase go up to 140 U/L. A normal lipase level is 0-160 U/L. If the pancreas is damaged, these digestive enzymes can be found in the blood at higher levels than normal. You have to so as the doctor says.
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Hello sir, I feel pain upper abdomen, previously I did ultrasound for my abdomen buy doctor said I have little fatty liver so doctor recommend me udiliv 300mg for 15 days It's been more then 3 months now still I feel bloated and feel uncomfortable while sitting as I feel numbness in my right upper abdomen Kindly suggest what is the exact reason?

MBBS
General Physician, Mumbai
Fatty liver perse will not cause discomfort and no use of taking udiliv and main reason is due to small intestinal cause may be due to hyperacidity or due to mild enteritis and might be also due to folicacid defeciency
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I have been facing acidity problem for many years. I want to know which food make acid in my stomach.Please tell.

BHMS, DEMS
Homeopath, Pune
I have been facing acidity problem for many years. I want to know which food make acid in my stomach.Please tell.
homeopathic treatment arsenic album 30 ( 2 pills ) 2 time / day for 8 days take daily one cup cold milk before sleep after 8 days revert back for further treatment for complete cure advice = avoid spicy food , drink water 10 glass / day .
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Acid Reflux or GERD

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Acid Reflux or GERD
Acid Reflux or GERD

Acid Reflux or GERD (Gastroesophageal Reflux Disease) is caused when the valve between the esophagus and stomach becomes weak. Normally, this valve opens to allow food in and then it shuts tightly. With GERD, the valve stays open, allowing stomach acids to flow back up into the esophagus, causing heartburn and many other symptoms. It leads to a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. If you have heartburn that occurs more than twice a week and/or does not get better with over-the-counter antacids, you may have GERD.
Causes

Consumption of pitta (fire) aggravating foods and foods of incompatible nature (virudh aahar) vitiates all the doshas, predominantly pitta dosha. Vitiated doshas produce heating toxins that are expelled upwards into the food pipe causing heartburn. Increased intake of tea or coffee, or oily, spicy, or fried foods aggravates pitta and leads to acidity. An aggressive nature and hyperactivity are also causal factors. Pitta is aggravated by late night work schedules, irregular eating patterns, and/or drinking alcoholic and carbonated beverages. Increased intake of painkillers and antibiotics also cause acidity and heartburn.
Symptoms

Chest pain

Heartburn

Pain while swallowing food

Ayurvedic View

According to Ayurveda, Acid Reflux is a result of aggravation of pitta Dosha. Pitta is an Ayurvedic humor that symbolizes heat or fire. It is hot, sharp, intense, acidic and pungent in nature and is located in the stomach. Aggravated pitta leads to increase of acidic content in stomach fluids. Actually, the reflux of the stomach's liquid contents into the esophagus occurs in most normal individuals. In such patients, refluxed liquid contains acid more often due to aggravated pitta, which leads to acid reflux.
Diet & Lifestyle Advice

Avoid tea, coffee, and carbonated or alcoholic beverages.

Avoid processed and fermented foods.

Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking.

Also avoid rich gravies, sour, salty, and spicy foods.

Curd should be strictly avoided.

Take meals in a relaxed atmosphere at regular intervals.

Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama, Shitali Pranayama and Shitkari Pranayama.

Home Remedies

Make a powdered mixture of equal parts of rock candy (mishri), fennel, and green cardamom. Whenever you experience heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink.

Mix together equal parts of powdered fennel, licorice root, basil leaves, and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (mishri) 15 minutes before lunch and dinner.

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50 year old female having pain abdomen 2 days mass par abdomen on Ct scan ovarian rumour 3rrd stage with ascites what is the best treatment modalities.

MBBS
General Physician, Mumbai
First get a PET scan done and I will prefer to go for its removal because we have to relieve her symptoms but please contact an Oncosurgeon for proper guidance
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I am having digestion problem just after having food it doesn't take time and also having itching problem in anus.

M.D.(AM), B.A.M.S.(PB)
General Physician,
I am having digestion problem just after having food it doesn't take time and also having itching problem in anus.
proctalgia fugax , two glass of water daily in morning,,, avoid onion, chese in foodv , regular walk at night after meals , add digestantas to your food
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I am 28 year old male. I am frequently suffering from acidity problems. I am taking ample amount of water intake but still. Can anybody guide.

MBBS, cc USG
General Physician, Noida
I am 28 year old male. I am frequently suffering from acidity problems. I am taking ample amount of water intake but ...
Hello, You can take (if no drug allergy) Tablet Pantocid 40 Mg before food once a day for 2-3 days.. 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 6. Do Not postpone Breakfast 7. Avoid excess citrous fruit 8. Avoid smoking and Alcohol 9. Regular Physical activities 10. Meditation Consult Physician/me for further Management
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I am a diabetic on the insulin I have bowel disorder and gas problem now my Alkaline Phosphatase is at 181 LDL is at 146 SGPT at 10.8 what would be problem and how to get rid of this situation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetic on the insulin I have bowel disorder and gas problem now my Alkaline Phosphatase is at 181 LDL is at ...
Mr. Lybrate-user, your liver enzyme sgpt (alt) is in the normal range. (7 to 56 units/l). Ldl is a bit high, it is better to have it below 100 mg/dl. Gastrointestinal disturbances some times do occur in diabetes like gastroperesis where there is delaying of stomach emptying and related to that there may some symptoms which can be corrected by prokinetic drugs. But most important is to have very strict blood glucose control like fbg near 100 mg, pp 150 to 160 mg and hba1c% <6.8. To keep liver healthy alcohol should be kept away totally. Similarly deep fried foods, junk foods, pastries and other bakery items also be avoided. Regular exercise of 1 hour is a must. Thanks.
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How to overcome with the gastric ulcers. How to reduce the uiric acid level in blood.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to overcome with the gastric ulcers. How to reduce the uiric acid level in blood.
take tab. charcoal for gastric ulcer.cap. pan-40 mg once a day. A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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My liver is mild enlarge with moderately and diffusers increased echogenecity without any focal lesion. Renal caliectasis with 28ml of post void residual urine. Mild hepatomegaly with moderate splenomegaly. Is any major problems, what should I do?

MS - General Surgery, MBBS
General Surgeon, Delhi
My liver is mild enlarge with moderately and diffusers increased echogenecity without any focal lesion. Renal caliect...
You are having hepato- spleenomegaly. Which can be due to so many causes. You should consult doctor urgently. Very good medicines for caliectasis available now. You should get your ultrasound done first and then consult doctor.
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Common Signs of Diarrhea

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Common Signs of Diarrhea

Diarrhea is a very common condition, which is associated with the passage of the ingested fluids and foods through your colon more frequently than usual or in huge amounts. This condition is mostly caused by the action of viruses, parasites, bacteria, medications like antibiotics, certain digestive disorders, abdominal surgery, lactose intolerance, and consumption of an excessive amount of alcohol etc. Here are some of the common symptoms, which indicate that you are suffering from diarrhea:

  • Passing watery and loose stools
  • Frequent bowel movements
  • Pain or cramps in the abdomen
  • Feeling of nausea
  • Vomiting
  • Bloating in the stomach

If you are suffering from a more serious form of diarrhea, you might also experience symptoms like:

  • Presence of mucus, blood and traces of undigested food in your stool
  • Fever

Diarrhea mostly gets cured even without consuming any medicines within a couple of days. However, you need to consult a doctor and get proper treatment for diarrhea in the following cases:

  • If you are continuously experiencing the condition for more than two days
  • Your stools contain blood or are black
  • Severe pain in the rectum or abdomen is bothering you
  • You experience signs of dehydration like excessive thirst, weakness, dizziness, dry mouth, urine of dark color or reduced frequency and amount of urination
  • Your body temperature exceeds 102 F (39 C)

'Consult'.

Tip: Dhat Syndrome: Why is 'Semen loss problem' so big issue among Indian Men?

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I think I have developed an anal fissure because there is blood coming out while passing stool. Though its not paining but I need your kind advice how to treat it. May prescribe an ointment which is best.

General Surgeon, Pune
Mr. lybrate-user Follow Sitz bath, meaning sit in a tub of warm water. Put a few drops of Dettol in it. Relax and contract your anal sphincter for 15 mins. Repeat atleast 3 times a day. Show to a general surgeon and get examination done. He will advise you pain killer ointment and laxative which you can use to ease the pain. You can take high fiber diet like fresh fruits and leafy vegetables for making stools soft. Drink atleast 3 liters of water everyday. Avoid excess tea/coffee. Avoid red meat. Hope this helps,
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From last 4 month I am in so much stress. Yo reduce stress I am joining one stress management coarse also. But I can not get deep sleep at night. Whole night I have so much dreams. Thats why I am suffer with big acidity problem and hietas hernia. I am trying to get tension free but I can not. And thats why my nature is so anger. Please help me what can I do?

Doctor of Medicine
General Physician, Surat
From last 4 month I am in so much stress. Yo reduce stress I am joining one stress management coarse also. But I can ...
There is way that you could come out of this condition and for that you need to try some relaxation therapy, yoga, meditation, aerobic exercise, try to control your thoughts, be positive, bring back your confidence, else you need to see the psychiatrist.
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