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Dr. Subramanium

Gastroenterologist, Chennai

300 at clinic
Dr. Subramanium Gastroenterologist, Chennai
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Subramanium
Dr. Subramanium is a popular Gastroenterologist in Ashok Nagar, Chennai. Doctor is currently associated with Je Nesam Hospital in Ashok Nagar, Chennai. You can book an instant appointment online with Dr. Subramanium on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 32 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.1, 40th Street, Ashok Nagar. Landmark: Opp To Jayabaratham Furniture Mart, ChennaiChennai Get Directions
300 at clinic
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I always suffers from constipation, gas and other problems of stomach. For this, I used many Ayurvedic powders but cant get satisfactory result. How can I get rid of this problem? Suggest me some treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I always suffers from constipation, gas and other problems of stomach.  For this, I used many Ayurvedic powders but c...
You can take 2 tab. Charcol at night. syp. Aristozyme 10 ml after meal. avoid fast/oily foods,alcohol,smoking,junk foods,fatty foods, take plenty of liquid diets.dalia,green veg.,fiber meals,juice,lassi, if not cure then go for few tests .i.e. stool r/m, stool c/s, cbc, blood sugar,lft,and endoscopy of large intestine. Do yoga/go for walk.
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My grandmother suffering from acidity in her chest she have taken medicine but didn't get enough relief how it can be prevent and cure?

My grandmother suffering from acidity in her chest she have taken medicine but didn't get enough relief how it can be...
Avoid take empty stomach tea coffee in morning, intakes water before brush and, avoid night watching.
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I am 6 months pregnant. I noticed a pink colored muscle growing closer to my rectum (excreta area of motion). What it may be? What are its possibilities please tell me, will it affect my pregnancy, and if surgery needed what can I do? Will that lead to abortion or can cure with tablets.

MS
General Surgeon, Panipat
Mrs. Lakshmi You need not to worry it won't harm you your pregnancy because it is due to passing of hard stools ( constipation). I suggest you to please take more fruits which are allowed to you,green vegetables and good amount of water. Take morning evening stroll I mean walking and sit in warm water 2 times a day just for 5 minutes.
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My wife is 50 years old she has frequent pain at below abdomen. Kindly suggest what medicines to take.

MBBS, DPH
General Physician, Ahmedabad
My wife is 50 years old she has frequent pain at below abdomen. Kindly suggest what medicines to take.
Abdominal pain is pain felt anywhere from below your ribs to your pelvis. It is also known as tummy pain or stomach pain. The abdomen houses many organs, including your stomach, liver, pancreas, small and large bowel, and reproductive organs. There are also major blood vessels in the abdomen. Serious causes of abdominal pain include appendicitis and pregnancy problems. However, most abdominal pain is harmless and goes away without surgery. Most people only need relief from their symptoms. Sometimes, abdominal pain can stop and the cause will never be known, or it may be that the cause becomes more obvious with time. Call if you have any of: severe pain pain lasting for several hours pain and/or vaginal bleeding if you are pregnant pain in your scrotum if you are a male pain and vomiting or shortness of breath pain and vomiting blood blood in your bowel motions or urine pain that spreads to your chest, neck or shoulder fever and sweats become pale and clammy unable to pass urine unable to move your bowels or pass gas any other concerns.
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When I remove my waste the blood comes from anus point what should I do I am scared of this disease. I am not able to tell this problem to my parents. Moreover from anus point I am also having pain to remove my waste. If I remove the waste fastly then blood comes out in rapid motion. Tell me any medicine for that or any other procedure.

MCh HPB Surgery, Fellow, European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
Avoid fast food. Take high fibre diet to make your stool soft. Sit in tub of luke warm water after defecation for 15 minutes.
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I have ulcer prob for past 2 years due to that gastric problem also I have i'm taking rekool-L tab on empty stomach daily please help me.

DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Gastroenterologist, Delhi
I have ulcer prob for past 2 years due to that gastric problem also I have i'm taking rekool-L tab on empty stomach d...
I have no idea what is the content of rejoin-L tablets However a few simple advice may help Avoid fatty and spicy food Avoid smoking and alcohol if you do Take smaller meals Some form of exercise daily for half hour Don't lie down or sleep immediately after meals Get an Ultrasound Abdomen Visit a gastroenterologist for medications.
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Hello I have a shameful problem. I have a big painful sometimes itchy lump on the hole of my ass, I don't know what it is or what to do about it. It's just 1 lump on 1 place, not around the whole it look more dark and red. Its thick round and big. What could it be and what can I do about it?

MS - General Surgery, MBBS
General Surgeon, Delhi
Most lumps at anal opening are due to piles. However other diseases like abscess or even cancer can present like a lump and you should have it examined. Dont feel shame as treatment is more important.
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I am age of 29 male. I am suffering from digestion problem. Can you help me. And I am increasing my weight fastly compare to previous. Now my weight is 76 kg.

DHMS (Hons.)
Homeopath, Patna
I am age of 29 male. I am suffering from digestion problem. Can you help me. And I am increasing my weight fastly com...
Dear Lybrate user, It seems U r leading an irregular life style.. please. go for a walk in d morning. * take,plenty of water. * opt stair case in stead of a lift in your office if,possible, go for swimming,gardening . * cut your meal by 10%,& add salad,fruits, sprouts in lunch avoiding ghee. * Homoeo medicine * @ Fucus Vas Q- 20 drops with 2/2 cup of lukewarm water before each meal. * avoid,smoking,alcohol,late sitting on computer in d night. * ensure 6/7 hrs of sound sleep. please,report,fortnightly.
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Age 50 male too much stomachache and gas formed in stomach his total bilirubin is 1.5 serum sgpt alt is 80 and serum amylase is 42 what does this reports indicate from 7 days pErson continue suffer from stomachache.

MCh HPB Surgery, Fellow, European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
Age 50 male too much stomachache and gas formed in stomach his total bilirubin is 1.5 serum sgpt alt is 80 and serum ...
start Tab pantocid once daily empty stomach with cap evion 400 my once daily for two months. avoid fatty foods. do some exercise.
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I am feeling hard to pass my stool. I can see blood flow while passing my stool. Iam working in pune and i am basically from chennai. Is it because of food change? Is it advisable to work in pune? Or eat home food for a year? Give me solution and food I should eat.

MD-Homeopathy
Homeopath, Kolkata
Change of food and livelihood may be the cause. Keep you stool soft with lots of water, bland diet, less milk, fibrous food. And revert back after 10 day.
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Dear Doctor, I have fatty liver Gr. 2 which I came to know during my routine health check. Doctor told me to quit smoking, avoid non veg food and fish as well. But I wanted to understand and know how to remove the fat deposit on my liver and is there any medications to be followed. With regards.

BHMS, CGO
Homeopath, Pune
Dear Doctor, I have fatty liver Gr. 2 which I came to know during my routine health check. Doctor told me to quit smo...
Homoeopathic treatment is safe and effective way to provide permanent cure in fatty liver grade 2 disease. If you're willing to take a homoeopathic treatment just let me know through private conversation in Lybrate. Fatty Liver Grade 2 Unhealthy lifestyle habits along with poor health maintenance usually give rise to various health problems.  In such a situation it is normally the gastrointestinal tract that gets affected initially, with the liver taking a major brunt of it all.  Fatty liver disease has progressed to be the most common ailment of the liver suffered by most at the present time. Causes – In some, genetics may be the causative factor for this disease condition.  But most often it is either due to abnormal conditions of the body systems like diabetes, high blood cholesterol or triglyceride levels, or excess body weight.  Over use of certain medications are also known to interfere with the proper functions of the liver and cause fatty liver disease to set in.  Heavy alcohol drinking is also linked to this liver condition. Treatment – Effective treatment depends on identifying the exact cause behind this disease development.  Now, fatty liver is classified into two – alcoholic and non-alcoholic type.  Hence, if an individual is diagnosed with the alcoholic type, then refraining from drinking alcohol, even in moderate amounts, will help in reversing this liver disease. For the non-alcoholic fatty liver type sufferers though the treatment involves a change in diet and lifestyle habits. Foods to Be Avoided – Refined carbohydrates like white rice, white bread, noodles, and pasta to be removed from the person’s diet. Processed junk foods contain excess greasy fats and thus needs to be removed.  Breakfast cereals are also processed highly and should be avoided.  Likewise, baked goods like cakes, cookies, scones, puff pastry, etc. Require excess fats for baking purposes and needs to be eliminated by the sufferer. Deep fried sweet and savories also to be avoided by the person.  Meat, especially red meats like lamb, pork and beef, and meat products that contain animal fats needs to be avoided. Dairy rich products like cheese, butter, margarine, mayonnaise, ice-creams and fruit yogurt also to be avoided. Artificial sweeteners to be avoided for breakdown of these additives will exert the liver. Foods to Promote Healthy Liver – Whole grains like brown rice, whole wheat, rye, and oats to be made part of the person’s regular diet.  Organic fruits and vegetables that are rich in fiber will benefit a fatty liver sufferer. If meat cannot be avoided, the person will need to switch to fat-trimmed meats and chicken.  Seafood like prawn, mackerel, salmon, sardine, tuna, etc. Which are rich in essential fatty acids may also be consumed by the sufferer. For regular cooking, oils that contain omega-3 fatty acids are recommended for the sufferer.  The best choice would be cold-pressed olive oil. Exercise – Reduction ofugh abdominal fat with exercise is recommended for fatty liver sufferers.  A regular exercise routine will also keep overall body weight at desired levels, which is essential to keep all disease conditions at bay.
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I am 20 years boy. I have gastric problem. It's very bad. Please give me tips.

BHMS
Homeopath,
I am 20 years boy. I have gastric problem. It's very bad. Please give me tips.
Homoeopathic treatment- bio combination no 25 -4 pills 3 times digestone syrup 2 spoonful 3 time. Helps relieve acute/chronic acidity with heart burn, flatulence, nausea, regurgitation of food and pain or pressure in stomach. For 8 days and revert back.
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I got Gas problem, even someone press my hand forcedly. It has started. What should I do to get solution from gas and acidity?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I got Gas problem, even someone press my hand forcedly. It has started. What should I do to get solution from gas and...
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.
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I got pregnant and while taking ultrasound for my abdomen there was stone in my urinal bladder measuring 2.5 please give me suggestion, it is urgent.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I got pregnant and while taking ultrasound for my abdomen there was stone in my urinal bladder measuring 2.5 please g...
I suggest you consult a urologist. Stones of such size may need surgery which is usually safe in pregnancy. Also increase the amount of water you take daily to 3 litres a day. In case you are well and have no symptoms the stone can be simply monitored and treatment deffered on the discrition of the urologist.
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DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Hyderabad
Gastroesophageal reflux disease, or gerd, is a digestive disorder that affects the lower esophageal sphincter (les), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by gerd. Doctors believe that some people suffer from gerd due to a condition called hiatal hernia. In most cases, heartburn can be relieved through diet and lifestyle changes; however, some people may require medication or surgery.
What is gastroesophageal reflux?

Gastroesophageal refers to the stomach and esophagus. Reflux means to flow back or return. Therefore, gastroesophageal reflux is the return of the stomach's contents back up into the esophagus.
In normal digestion, the lower esophageal sphincter (les) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus.

Gastroesophageal reflux occurs when the les is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus.
The severity of gerd depends on les dysfunction as well as the type and amount of fluid brought up from the stomach and the neutralizing effect of saliva.

What is the role of hiatial hernia in gerd?

Some doctors believe a hiatal hernia may weaken the les and increase the risk for gastroesophageal reflux. Hiatal hernia occurs when the upper part of the stomach moves up into the chest through a small opening. Many people with a hiatal hernia will not have problems with heartburn or reflux. But having a hiatal hernia may allow stomach contents to reflux more easily into the esophagus.
Coughing, vomiting, straining, or sudden physical exertion can cause increased pressure in the abdomen resulting in hiatal hernia. Obesity and pregnancy also contribute to this condition. Many otherwise healthy people age 50 and over have a small hiatal hernia. Although considered a condition of middle age, hiatal hernias affect people of all ages.

Hiatal hernias usually do not require treatment. However, treatment may be necessary if the hernia is in danger of becoming strangulated (twisted in a way that cuts off blood supply, called a paraesophageal hernia) or is complicated by severe gerd or esophagitis (inflammation of the esophagus). The doctor may perform surgery to reduce the size of the hernia or to prevent strangulation.

What other factors contribute to gerd?

Dietary and lifestyle choices may contribute to gerd. Certain foods and beverages, including chocolate, peppermint, fried or fatty foods, coffee, or alcoholic beverages, may trigger reflux and heartburn. Studies show that cigarette smoking relaxes the les. Obesity and pregnancy can also play a role in gerd symptoms.

What are the symptoms of heartburn?

Heartburn, also called acid indigestion, is the most common symptom of gerd and usually feels like a burning chest pain beginning behind the breastbone and moving upward to the neck and throat. Many people say it feels like food is coming back into the mouth leaving an acid or bitter taste.

The burning, pressure, or pain of heartburn can last as long as 2 hours and is often worse after eating. Lying down or bending over can also result in heartburn. Many people obtain relief by standing upright or by taking an antacid that clears acid out of the esophagus.

Heartburn pain can be mistaken for the pain associated with heart disease or a heart attack, but there are differences. Exercise may aggravate pain resulting from heart disease, and rest may relieve the pain. Heartburn pain is less likely to be associated with physical activity.

How common is heartburn and gerd?

More than 60 million adults experience heartburn at least once a month, and more than 15 million adults suffer daily from heartburn. Many pregnant women experience daily heartburn. Recent studies show that gerd in infants and children is more common than previously recognized and may produce recurrent vomiting, coughing, and other respiratory problems.

What is the treatment for gerd?

We recommend lifestyle and dietary changes for most people needing treatment for gerd. Treatment aims at decreasing the amount of reflux or reducing damage to the lining of the esophagus from refluxed materials.
Avoiding foods and beverages that can weaken the les is often recommended. These foods include chocolate, peppermint, fatty foods, coffee, and alcoholic beverages. Foods and beverages that can irritate a damaged esophageal lining, such as citrus fruits and juices, tomato products, and pepper, should also be avoided if they cause symptoms.

Decreasing the size of portions at mealtime may also help control symptoms. Eating meals at least 2 to 3 hours before bedtime may lessen reflux by allowing the acid in the stomach to decrease and the stomach to empty partially. In addition, being overweight often worsens symptoms. Many overweight people find relief when they lose weight.

Cigarette smoking weakens the les. Stopping smoking is important to reduce gerd symptoms.

Elevating the head of the bed on 6-inch blocks or sleeping on a specially designed wedge reduces heartburn by allowing gravity to minimize reflux of stomach contents into the esophagus. Do not use pillows to prop yourself up; that only increases pressure on the stomach.
Along with lifestyle and diet changes, doctor may recommend over-the-counter or prescription treatments.

Antacids can help neutralize acid in the esophagus and stomach and stop heartburn. Many people find that nonprescription antacids provide temporary or partial relief. An antacid combined with a foaming agent helps some people. These compounds are believed to form a foam barrier on top of the stomach that prevents acid reflux from occurring.

Long-term use of antacids, however, can result in side effects, including diarrhea, altered calciummetabolism (a change in the way the body breaks down and uses calcium), and buildup of magnesium in the body. Too much magnesium can be serious for patients with kidney disease. If antacids are needed for more than 2 weeks, a doctor should be consulted.

For chronic reflux and heartburn, the doctor may recommend medications to
Reduce acid in the stomach. These medicines include h2 blockers, which inhibit acid secretion in the stomach.

What if heartburn or gerd symptoms persist?

People with severe, chronic esophageal reflux or with symptoms not relieved by the treatments described above may need more complete diagnostic evaluation. Doctors use a variety of tests and procedures to examine a patient with chronic heartburn.

An upper gi series may be performed during the early phase of testing. This test is a special x-ray that shows the esophagus, stomach, and duodenum (the upper part of the small intestine). While an upper gi series provides limited information about possible reflux, it is used to help rule out other diagnoses, such as peptic ulcers.

Endoscopy is an important procedure for individuals with chronic gerd. By placing a small lighted tube with a tiny video camera on the end (endoscope) into the esophagus, the doctor may see inflammation or irritation of the tissue lining the esophagus (esophagitis). If the findings of the endoscopy are abnormal or questionable, biopsy (removing a small sample of tissue) from the lining of the esophagus may be helpful.

Esophageal manometric and impedance studies -- pressure measurements of the esophagus -- occasionally help identify low pressure in the les or abnormalities in esophageal muscle contraction.

For patients in whom diagnosis is difficult, doctors may measure the acid levels inside the esophagus through ph testing. Testing ph monitors the acidity level of the esophagus and symptoms during meals, activity, and sleep. Newer techniques of long-term ph monitoring are improving diagnostic capability in this area.

Does gerd require surgery?

A small number of people with gerd may need surgery because of severe reflux and poor response to medical treatment. However, surgery should not be considered until all other measures have been tried. Fundoplication is a surgical procedure that increases pressure in the lower esophagus. Endoscopic procedures that involve making the les function better or using electrodes to promote scarring of the les are newer options in treatment.

What are the complications of long-term gerd?

Sometimes gerd results in serious complications. Esophagitis can occur as a result of too much stomach acid in the esophagus. Esophagitis may cause esophageal bleeding or ulcers. In addition, a narrowing or stricture of the esophagus may occur from chronic scarring. Some people develop a condition known as barrett's esophagus. This condition can increase the risk of esophageal cancer.

Although gerd can limit daily activities and productivity, it is rarely life-threatening. With an understanding of the causes and proper treatment, most people will find relief.
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I am 50 Years old I am having shoulder pain and some times I am facing difficult in taking breath. And also having sciatica getting gas trouble. Please help.

MD - Pulmonary Medicine, DNB, DAA, MNAMS
Pulmonologist, Navi Mumbai
I am 50 Years old I am having shoulder pain and some times I am facing difficult in taking breath. And also having sc...
Pain killers will cause gas and you will need antacid medications. Please see a chest specialist and may need rheumatologist opinion also.
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If I ate some food. Items and then if i ate anything time to time. Am getting gas problem.why?

BHMS
Homeopath, Sindhudurg
If I ate some food. Items and then if  i ate anything time to time. Am getting gas problem.why?
Homoeopathic treatment- digestone syrup 1 spoonful 3 times bio combination no 25 acidity- 4 pills 3 times for 8 days and revert back.
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M.D.( Pediatrics), DCH
Pediatrician,
Rehydration with ORS is life saving, simple treatment for diarrhea .
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I m 19 years old male. I have been suffering from acidity problem since 5 months. Medicines or also not doing well and it makes me feel sick. What should I do?

MBBS
General Physician, Mumbai
I m 19 years old male. I have been suffering from acidity problem since 5 months. Medicines or also not doing well an...
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and can take tablet rantac twice a day for a month
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