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Dr. Vinoth

Gastroenterologist, Chennai

300 at clinic
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Dr. Vinoth 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. Vinoth
Dr. Vinoth is a renowned Gastroenterologist in Thiruvottiyur, Chennai. You can meet Dr. Vinoth personally at Aakash Hospital in Thiruvottiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Vinoth on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 33 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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Aakash Hospital

No.393/1, Thiruvottiyur High Road, Thiruvottriyur. Landmark: Near Thiruvotriyur Bus Depot, ChennaiChennai Get Directions
300 at clinic
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I am so tired about my stomach problem and my digestive system is very poor so I am very thin and want to be a fit man. please help me.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhavnagar
I am so tired about my stomach problem and my digestive system is very poor so I am very thin and want to be a fit ma...
Hello Adithya I need your detail history but start following: * 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. I need detailed history for better solution & medicine, you can cunsult me later on. Ayurveda believes in digestion not into giving heavy food for weight gain. According to ayurveda, food which are easy to digest but nutrient can gain weight. But I need detait history for perfact solution. Like your appetite? bowel habits sleeping habits kind of your work or job life style diet etc. But till you can do following: take daal rice more. Use cow ghee n milk. Avoid over eating start massage with til oil in morning, after that, do exercise whatever you want then bath focus in yourself avoid stress anger fear take ajvayan 1 tsp after meal. Start chyavanprash in morning
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I sometimes suffer from acidity and gastric problems and I have lean physique. I want to get a healthy diet chart and good physique. What I have to do.

MBBS
General Physician, Mumbai
I sometimes suffer from acidity and gastric problems and I have lean physique. I want to get a healthy diet chart and...
Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong , chana , Dal , rice etc And to apply ghee over chappati and don’t apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit
1 person found this helpful
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DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Lucknow
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.
29 people found this helpful

My digestion system is so week. whenever I eat something after 10 to 15 minutes I get motion so tell me what else can I do.

MBBS
General Physician, Cuttack
My digestion system is so week. whenever I eat something after 10 to 15 minutes I get motion so tell me what else can...
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.
1 person found this helpful
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When I am going for stool. Getting pain and getting motion with blood I am suffering for this from last 5 days. What should I do. Not feeling hungry also. Which is a major or minor health issue. What kind of food should I take.

MBBS
General Physician, Cuttack
You may be suffering from piles.Apply proctosedyl ointment 2-3 times daily before and after passing stool.Sit on a bath tub with warm water for some time daily.Take softovac powder 2 measure with warm water before bed time to soften your stool for few days. If no relief,consult
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I have very poor digestion, hardly digest anything, too much acidity and feeling like vomiting, since 3 years, no taken alcohol, tobacco.

MS - General Surgery, MBBS
General Surgeon, Delhi
I have very poor digestion, hardly digest anything, too much acidity and feeling like vomiting, since 3 years, no tak...
No smoking and alcohol. 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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What should be correct diet if you are having chronic I.B.S? What should be taken first thing in the morning, Cummins, water, resin or pomegranate?

BHMS
Homeopath, Hooghly
What should be correct diet if you are having chronic I.B.S?
What should be taken first thing in the morning, Cummins...
Ibs have little relationship with food,,it's mainly psychological problem,,wake up early and go for walking or jogging,,take non spicy food,,take fruits daily,,with this u need proper homoeopathic treatment which can cure ur problem
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I have blood in my stool my 2 days and it stopped on the third day and again I have the same thing. I smoke I am from India and currently in Germany from 2 weeks and experienced it I n Germany. I don't have much pain while poo. The blood is thin and I see a good amount of blood on the tissue paper. Please advice.

MD - General Medicine, MBBS
General Physician, Faridabad
I have blood in my stool my 2 days and it stopped on the third day and again I have the same thing. I smoke I am from...
This looks like bleeding piles. There is not much urgency. You can come back to India after 2 weeks and consult your surgeon doctor later.
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What is meaning of pancreatic amylase and what happens if value is 146. What should I do. What is absolute counts basophil. What happens if it's 0.01.what should I do. Thanks.

B.A.M.S, MD (Ayu.) Kayachikitsa
Ayurveda, Shimla
Dear Thanks for raising your concern 1. Pancreatic amylase is a digestive enzyme secreted by pancreas into the small intestine where it begins the chemical process of digestion 2. Normal value in some labs are upto 140U/L whereas in some labs it is in between 23-85U/L [so please double check or consult a qualified doctor/physician near your locality] and high value usually signifies either damage/blockage in the pancreas 3. Basophils are part of white blood cells which take part in strengthening the immunity of the body and low count usually signify either hyperthyroidism, allergic reaction or bacterial infection and since value of basophil count vary from lab to lab kindly consult your doctor for best options.
1 person found this helpful
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Hi, My father is suffering from chronic liver cirrhosis. Doctors told that we can expect 2 years with this liver. Later transplantation is must. It has been detected 2 years ago. He is Hsb A infected. And sugar patient.Can we have any better treatment without transplantation? If transplantation is must then which institute is better?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
Sootshekhar ras 125 mg twice a day yakrit avleh 10 gm twice a day basant kusumakar ras 125 mg twice a day relief in 8-10 days and for complete cure take it for 60 - 90 days only.
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