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Tirath Ram Shah Hospital

Gastroenterologist Clinic

#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, Delhi Delhi
1 Doctor
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Tirath Ram Shah Hospital Gastroenterologist Clinic #2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, Delhi Delhi
1 Doctor
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Tirath Ram Shah Hospital
Tirath Ram Shah Hospital is known for housing experienced Gastroenterologists. Dr. R.C Misra, a well-reputed Gastroenterologist, practices in Delhi. Visit this medical health centre for Gastroenterologists recommended by 73 patients.

Timings

MON, FRI
11:00 AM - 01:00 PM

Location

#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, Delhi
Delhi, Delhi
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Doctor

Dr. R.C Misra

Gastroenterologist
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She is suffering from anal fissure since few weeks. Please advice with proper medication. It is painful.

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
Firstly you should be examined by general Surgeon. Frequently and-rectal condition are misdiagnosed. Treatment for anal fissure include sitz bath with Betadine at least three times a day, apply a local ointment for relaxation of sphincter e.g. Diltiazem. Use a stool softeners.**For complete evaluation and treatment, Kindly visit the doctor in person with all available reports. *This is just an preliminary opinion not to be used for medico-legal purpose.
2 people found this helpful
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My anus linings get itchy at nights, after applying some coconut oil, it soothes, It sometimes happens at daytimes as well. Is it an initial symptoms of piles?

FMAS, MS
General Surgeon, Gandhinagar
My anus linings get itchy at nights, after applying some coconut oil, it soothes,
It sometimes happens at daytimes as...
Hello dear Mihir , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * This is not sign of early piles , it indicates dryness of peri anal skin or possible warms infestation . Hope this will help you for sure . Regards dear take care .
1 person found this helpful
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Irritable Bowel Syndrome - Know The Symptoms!

MBBS,MD, DM
Gastroenterologist, Kolkata
Irritable Bowel Syndrome - Know The Symptoms!

Irritable bowel syndrome is a disorder, which generally affects the colon (large intestine). It usually show symptoms like abdominal pain, cramping, bloating, diarrhea, gas and constipation. IBS is a long term condition. It can result in sudden mood swings, depression and thus holds you back from living your life to the fullest. IBS can be controlled by managing lifestyle, stress and managing your diet. Medication and counseling could also be required to manage IBS.

Symptoms of IBS:

  1. Immense cramping and pain.
  2. A feeling that your belly is bloated all the time
  3. Severe gas
  4. Alternating and sudden bouts of constipation and diarrhea.
  5. Presence of mucus in the feces.

When should you consult a doctor for IBS?

IBS is not a chronic disorder and can be controlled by home remedies. It may also require medical treatment if the symptoms become acute and persist for too long. If you experience certain symptoms like rectal bleeding, weight loss and heavy abdominal pain that might increase at night, you may be at a risk for colon cancer. If such symptoms persist, you should visit a doctor as soon as possible.

Causes of IBS:

  1. Foods: Most people are susceptible to IBS if they consume foods like spices, fats, fruits, cabbage, beans, broccoli, cauliflower, carbonated beverage, milk or alcohol. These foods irritate the lining of the stomach and trigger IBS. However, the trigger may vary from person to person.
  2. Stress: Signs and symptoms of IBS can also increase if you are very stressed out. Stress makes your muscles too worked up and this may result in IBS. However, you should know that stress aggravates or triggers the symptoms but doesn’t cause IBS.
  3. Hormones: Women are more likely to develop IBS. Fluctuations in the hormonal cycle can trigger IBS. This usually occurs around or during menstruation.
  4. Other illnesses - Sometimes illness such as gastroenteritis (infectious diarrhea) or bacterial overgrowth in the intestines can trigger symptoms of IBS.
  5. Age: You will be more likely to develop IBS if you are 45 years of age or above.
  6. Hereditary: People having a family history of IBS are more susceptible to develop IBS.
  7. Mental problems: Depression, personality disorder, anxiety and a history of sexual abuse can also trigger symptoms of IBS.
4 people found this helpful

I have gastric problem .i suffer gastric ulcer 2 years ago then I treat it. Now I have problem to digest and pain and gastric.

Practising Unani Physician
Unani Specialist, Coimbatore
I have gastric problem .i suffer gastric ulcer 2 years ago then I treat it. Now I have problem to digest and pain and...
Dear lybrate-user Gastrities commonly occurs those who ate tale continuously taking foods from hotels. To avoid reduce hotel foods rrduce garam Masala items tea and coffee. Take fruit items two times. Take water. Try above style no improvement found I will give prescribe medicines
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I am 18 years old female. I am suffering from bloating since 1 month all the time in day and more at night. I reduced fat intake and spice but problem remained same.

MBBS
General Physician, Greater Noida
I am 18 years old female. I am suffering from bloating since 1 month all the time in day and more at night. I reduced...
Hi, it seems you are suffering from 1. Gastritis or hepatitis 2. Take an antacid 3-4 tsf 8 hrly 3. Get a blood investigation - liver function test done 4. Avoid fatty, oily meals 5. No fast food, no momos and samosas 6. No tea and coffee 7. Lots of water 8. Walk after meals 9. Eat less at nights 10. No soft drinks, hard drinks and no smoking recommended a private consultation.
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Hello sir I am facing the liver problems I mean I am a fully addicted to alcohol 4 months back I am getting jaundice and now I am taking alcohol again from past 3 weeks now I am getting digesting problem and feeling like vomit and I am getting very tired and getting fever some times I can not sleep without alcohol now I am afraid of cirrhosis of liver I did not test anything yet pls what I do now I need some medicine suggest and I am a psychiatric problem psychiatric doctor said I have panic disorder problem and he suggest lonazep and walbeta la 25 and nexito 10 but after I am taking that medicine I am feeling very fast heart beet and sweating and body shivering but I am feeling very afraid of cirrhosis of liver but I can not sleep without alcohol pls suggest me sir.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hello sir I am facing the liver problems I mean I am a fully addicted to alcohol 4 months back I am getting jaundice ...
Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. You have to do counselling and do tests to determine that you have cirrhosis and fully stop alcohol.
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I have mild fatty liver with gallstones of 9 mm and 7 mm. Should I get my gallbladder removed? How will this decision effect my future life please? Age: 27.

FMAS, MS
General Surgeon, Gandhinagar
I have mild fatty liver with gallstones of 9 mm and 7 mm.
Should I get my gallbladder removed? How will this decision...
Respected Zeeshan , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * Need for gall bladder removal depends upon the symptoms of the patient . If severe pain on & off , vomiting , bloating and abdominal fullness after meals , no relieve with medicines in symptoms then surgery is must . If not much pain , vomiting , other issues it is not mandatory that you have to get surgery right now only otherwise you will have serious problems . Certain precautions in diet always help to get lesser and lesser pain of gall stones as you have to always take less amount or least of oily , spicy , dairy fat , non veg , junk foods . Then that pain will be minimal or nil . Coming to decision on future life . If gets operated it is life time cure . if do not get operated have to check every 1 year size of the stone , even though no pain . If much increase in size or more symptoms in between then decide for surgery anytime . But do not panic that if you do not get operated right now then you will become serious and like that . It is not life threatening at all , there are always symptoms on very early basis before it gets life threatening , which usually does not happen with the educated people like you . Hope this clears your query . wishing you fine recovery from the same . always feel free to ask any further assistance . Regards dear take care .
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Ways To Deal With Ulcerative Colitis!

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
Ways To Deal With Ulcerative Colitis!

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

  1. Side-effect of certain medicines
  2. Hormonal imbalance, especially during pregnancy
  3. Sudden withdrawal from medication
  4. Any infection or other medical condition

How to deal with the UC flare-ups?

  1. Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
  2. Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
  3. Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
  4. You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.

Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

  1. Proctocolectomy and Brooke ileostomy.
  2. Abdominal colectomy and ilcorectal anastomosis.
  3. Proctocolectomy and Kock pouch.
  4. Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).

The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.

3 people found this helpful

I am diabetic since 3 years. I have fatty liver as per my report. How to get rid of it? Also my triglycerides are high. Any natural remedy for this?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic since 3 years. I have fatty liver as per my report. How to get rid of it? Also my triglycerides are hig...
lybrate-user, Thanks for the query It is very essential to achieve a strict blood glucose control with fasting < 100 mg, PP 150 to 170 mg & HbA1c% < 6.8. Plus do regular exercise and take a healthy diet, avoid saturated fats and and maintain normal weight. There is no specific treatment for fatty liver. Even TGL can be controlled with diet and exercise. If need be Fenofibrate may be taken. Thanks.
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Sir. Ye bataye ki banana or milk khane se liver thik nhi rehta h or kharab ho jata h Aisa q?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi Rukhsar... I haven't seen any patient of liver failure because of banana and milk... Ye sab Kahi suni bate he... Imperial Bharosa nahi kar sakte..
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I am 4 weeks pregnant now I have abdominal pain and white discharge I am worried because of this will affect my pregnancy. On this time having contact with partner is good or bad can anyone clear my doubt.

General Physician, Vizianagaram
I am 4 weeks pregnant now I have abdominal pain and white discharge I am worried because of this will affect my pregn...
If you have a severe pain in abdomen you should get an ultrasound done or else you can ignore. White discharge is common during pregnancy.
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I am patient of Gerd and gastric erosion. Doctor have me neksium 40 and pankreoflat2 with motilium m x3 daily. In this week I had some non veg chicken. Now I see I am having very foul smell Gas coming out. Help if this Gas can be reduced.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
I am patient of Gerd and gastric erosion. Doctor have me neksium 40 and pankreoflat2 with motilium m x3 daily. In thi...
Ars alb 3c 4tims day for 10days Sulph 3c 3tims day for 10days Nux vom 12c 4tims day for 10days Nit ac 12c 3tims day for 10days
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Is surgery the only remedy for Anal Fistula? What are cause/cure/? How much time it takes to heal completely!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
If you r suffering from anal Fistula then Say no to surgery. Because it recurs in approx 20 percent of the cases after surgery. However ever this problem can be completely cured without any recurrence by graded ksharsutra therapy. A clinical trial conducted by Indian council of medical research has already proved that ksharsutra treatment is more convenient andmore effective as compared to surgery in the patients of anal Fistula.
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I am 28 years old man and I have anal pain for 3 year but I when to hospital before 9 months, I was given medicine but the pain still persist what I do?

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
Take Aloe Vera juice half cup for a week. Take Ashwagandha Drink Apple Cider Vinegar three teaspoon mixed in one full glass of lukewarm water empty stomach at morning. Chew your food well. If you are constipated, take Magnesium Citrate 400mg two tabs daily at night after dinner. Hope it helps. Thanks.
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My age is 22 years. Male.My problem is Blood coming from anus it is not regularly. It occurs for once/twice a 15 days or sometimes twice a month. Is it serious? I am scaring.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Sindhudurg
check out for the constipation. coz of there is constipation or more use of sweets ur eating them it leads to the.anal piles problem is the blood will come in anus like wise. Eat the more fines diet. dry to dehydrate your body. don't use too spicy and masala in ur diet. further you can connect me.
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Sir 3 years back I gone through operation for anal fissures and now I am getting bowel movement 3 times a week. And I am getting some irritations in the Anus. What shall I do.

MS
General Surgeon, Panipat
Sir 3 years back I gone through operation for anal fissures and now I am getting bowel movement 3 times a week. And I...
Mr. Byersh. Plz improve your eating habits take full three meals with plenty of vegetables fruits and water and add stool softener in your daily routine I hope you will start improving.
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C/o acidity reflux disease. Only concern is vomiting at empty stomach white fluid out. And also constant clearing throat in early morning. Please provide any remedy.

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
C/o acidity reflux disease. Only concern is vomiting at empty stomach white fluid out.
And also constant clearing thr...
Please follow my prescription. 1) Acid Sulph-30. 2) Argentum Nitricum-30 In no 30 globules. To be taken four globules thrice daily before food no 1 and after food no 2 for 15 days and report me the result for next medicine or follow up.
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