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Dr. Mandhir Kumar  - Gastroenterologist, Delhi

Dr. Mandhir Kumar

MBBS, MD, DM

Gastroenterologist, Delhi

32 Years Experience  ·  1500 at clinic
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Dr. Mandhir Kumar MBBS, MD, DM Gastroenterologist, Delhi
32 Years Experience  ·  1500 at clinic
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Personal Statement

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. Mandhir Kumar
Dr. Mandhir Kumar is a popular Gastroenterologist in Ganga Ram Hospital, Delhi. He has been a practicing Gastroenterologist for 32 years. He has completed MBBS, MD, DM. He is currently practising at Ganga Ram Hospital, Delhi in Ganga Ram Hospital, Delhi. Don?t wait in a queue, book an instant appointment online with Dr. Mandhir Kumar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gastroenterologists in India. You will find Gastroenterologists with more than 33 years of experience on Lybrate.com. You can find Gastroenterologists online in Delhi 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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Specialty
Education
MBBS - Maulana Azad Medical College, New Delhi - 1985
MD - Maulana Azad Medical College, New Delhi - 1990
DM - G.B. Punch Hospital,Delhi - 1996
Languages spoken
English
Hindi
Professional Memberships
Indian Medical Association (IMA)

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All That You Wanted To Know About Liver Transplantation!

MBBS, DNB ( General Surgery)
Liver Transplant Surgeon, Pune
All That You Wanted To Know About Liver Transplantation!

The liver has many functions, including building proteins and other substances for the body to use, removal of waste products and toxins from the blood drug metabolism and energy storage. Liver disease causes these crucial functions to fail and when the failure is too severe to respond to medication liver transplantation may be an option.

Apollo Hospitals is among the few recognized transplantation centers in the country and has one of the largest transplantation registries. As liver transplantation is a major surgical procedure, the patients and family have quite a lot of concern areas. This broucher provides brief answer to frequently asked questions.

The information contain herein is of general nature and should not be construed as specific medical advice. Please consult your doctor for more details.

GLOSSARY

  1. Ascites: A build up of fluid in the abdomen.
  2. Autoimmune: A condition that results when the bile ducts inside and outside the liver don’t have normal openings. Bile becomes trapped in the liver causing jaundice and cirrhosis. If this condition is present from birth then without surgery it may cause death.
  3. Biopsy: Removing a small piece of tissue to view under a microscope.
  4. Cirrhosis: A chronic liver condition cause by scar tissue and damage to cells. Cirrhosis makes it hard for the liver to remove poisons (toxins) like alcohol and drugs from the blood. These toxins build up in the blood and may affect the brain.
  5. Cyclosporine: An immunosuppressant used after transplantation to prevent rejection.
  6. Immunosuppressant: Medicines that stop your immune system from attacking bacteria viruses and transplanted organs.
  7. Jaundice: A symptoms of many disorders. Jaundice causes the skin and white of eyes to turn yellow.
  8. Mycophenolate mofetill: An immunosuppressant used after transplantation to prevent rejection.
  9. Sirolimus: An immunosuppressant used after transplantation to prevent rejection.
  10. Steroids: A group of immunosuppressant used after transplantation to prevent rejection.
  11. Tacrolimus: An immunosuppressant used after transplantation to prevent rejection.

What are the donor organ options that are used for transplantation in children?

  • Reduced size liver graft: a piece of a liver is taken from a beain-dead person(cadaver donor)
  • Living donor transplant: A piece of a liver from adult living donor and is used as a transplant for a child. Over the past 10 year, nearly 1000 of these transplants have been done throughout the world. They have been just as successful as transplants of whole organs. There are some risks of adult donation for transplant to a child. These risks seem to be much smaller than the risks of a living donor transplant to an adult.

Are there technical problems in doing a transplant on a child?

Yes. It is a little more difficult because the blood vessels are very small. Also, the care after surgery must be done in ICUs that can handle such small children.

Do children get the same ani-rejection drugs as adults?

In general, children get the same type of drugs that adults get. However, children may have different side effects. Therefore, only doctors who specialize in this field should handle the follow-up of children after transplants.

What makes a transplant successful?

First, you must have good medical care. Then, families and patients should make every effort to keep in touch with their medical terms. Children who get liver transplants will need to take drugs on schedule, see their doctor often and may need more procedures. All this will help to make transplants successful and will help to give long and healthy lives to the children. So make sure you stay in touch with your transplant team and follow their advice. Ask for counseling when you have any problems.

What does my liver do?

  • It helps digest your food
  • It clears some wastes from your blood
  • It makes proteins that help your blood to clot
  • It helps control the way your body, uses food and works with the body’s defense system
  • It helps use and store vitamins
  • It breaks down many drugs

What are the signs of liver problems?

Some signs of liver problems are:

  • Feeling weak and sick in your stomach and losing appetite
  • Muscle wasting(becoming skin and bones)
  • Fluid build-up in the abdomen(ascites)
  • Yellow skin and eyes(Jaundice)
  • Forgetfulness, confusion or coma(encephalopathy)
  • Swollen hands/ legs
  • Itching
  • Bruising, bleeding easily and nose bleeds
  • Blood in vomitus, bloody/ black bowel movements

What is liver transplantation?

Liver transplantation is surgery to remove a diseased liver and replace it with a healthy one. This kind of surgery has been done for four decades. Across the world thousands of people have had liver transplants and now lead normal lives.

Being tired and losing your appetite can be signs of liver problems. Liver transplants can help adults and children.

PEDIATRIC LIVER TRANSPLANTAION

Liver transplantation is now one of the best treatments for fatal liver diseases in children. New drugs and ways of doing surgery have greatly improved patient survival rates. In the liver transplants for children, there are two main issues.

  1. What caused the liver failure in the first place?
  2. What is the severity of disease process and how soon does the child need a liver transplant.

Why do children need liver transplant?

  • Billiary artesia: This is a disease in which a child is born with no bile ducts. It is the most common reason for liver transplants in children
  • Problems in digesting and using food: ‘Inborn errors of metabolism’ including the following conditions:
  • Alpha-I-antitrypsin deficiency tyrosinemia and wilson’s disease.
  • Lipid storage(Gaucher’s disease, Niemann-pick disease, Wolman’s disease, cholesterol ester storage disease)
  • Carbohydrate storage diseases(galactoserria and glycogen storage diseases)
  • Liver Cancers: Some liver cancers are found only in children
  • Sudden liver failure: This is a sudden liver failure that can cause death. It can have many causes. Mostly it comes from too much paracetamol or other drugs. In this kind of liver failure, a liver transplant can cure the problem if done early.

What is involved in the donor-evaluation process?

Donors undergo a thorough check-up that includes:

  1. Blood tests: Determine donor’s blood type, to see that it matches that of the person in need of the transplant. Blood tests are done to test the donor’s liver, kidney, and thyroid. Other trests are done to check for viruses such as hepatitis and HIV(the virus that causes AIDS)
  2. Physical Examination: If donor and recipient blood types are a close match the donor will get physical examination.
  3. Ultrasound: An ultrasound is done for the liver, other organs and the blood vessels
  4. Other Tests: Such as MRI, and CT Scans, help to give a complete view of the donor’s organs
  5. Tests of the lungs and heart may also be done. It takes 2 to 4 days for a donor to go through these tests. In an emergency situation, it can be done in as little as 48 hours

For how long does the donor remain hospitalized?

Donors stay in the hospital for up to 7 days after surgery. They may spend their first night after surgery in the ICU. The nest day they often go to the general surgical floor where the nurses have experience in caring for liver donors. Donors are encouraged to get out of bed and walk as soon as they are able.

How long before the liver donor is fully recovered?

For the most part, it takes about 4 weeks to recover from surgery. In the month after leaving hospital donors return to the hospital regularly to be checked. Donors often get back to work within 3 to 6 weeks. The medical staff will let you know when it is safe to return to normal life.

What are the donor’s health care costs?

The health insurance of the person who gets the transplant covers the donor’s health care costs. This includes the costs of the check up, doctor’s fess, hospital costs, and follow-up visits after surgery.

What are the reasons for needing a liver transplant?

In adults, the most common reason for liver transplantation is Liver cirrhosis. Cirrhosis is caused by many different types of liver injuries that destroy healthy liver cells and replace them with scar tissue. Cirrhosis can be caused by viruses such as hepatitis B and C, alcohol, autoimmune liver disease, build-up of fat in the liver and hereditary liver diseases. Sometimes the cause of liver cirrhosis is not known.

In children, the most common reason for liver transplantation is a billiary atresia. Bile ducts, which are tubes that carry bile out of the liver, are missing or damaged in this disease and obstructed bile causes cirrhosis. Bile helps digest food.

Other reason for needing liver transplantation is certain liver cancers, benign liver tumors, and hereditary diseases.

Sudden or rapidly developing liver failure may sometimes affect children and adults. The common causes of certain viral illness and reaction to some medicines like excess does of pain killers and even certain herbal/ traditional medicines. A liver transplant can save a life if undertaken at the right time.

How will I know whether I need a liver transplant?

Based on your sickness and liver disease status, your doctor may recommend you to the liver transplant unit for further evaluation. You will meet the liver transplant team. The team is usually led by a liver transplant surgeon and includes liver specialists (hepatologists), nurses, and other health care professionals. The transplant team will arrange blood tests, x rays, and other tests to help make the decision about whether you need a transplant and whether a transplant can be carried out safely.

Other aspects of your health like the condition of your heart, lungs, kidneys, immune system, and mental health will also be checked to be sure you’re strong enough for surgery.

Can anyone with liver problems get transplant?

You cannot have transplant if you have

  • Cancer in another part of your body
  • Serious heart, lung or nerve disease
  • Active alcohol or illegal drug abuse
  • An active severe infection
  • Inability to follow your doctor’s instructions

How did living-donor liver transplantation begin and how common is it?

Living donor transplants were first done in children because of the long waiting period for cadaver organs and increasing death rate on the list. It was done in children in the 1980s and is now being done in adults for the last 8 years. In India because of relative lack of cadaveric organs, the majority of transplants are done using living donor organs.

Who can become a donor?

People who want to be liver donor are carefully checked to ensure that they can safely give a part of their liver and that their liver is healthy. The first concern is the safety of the donor as well as being sure that the graft will work for the person in need. The risks to the donor are real. Discuss this with your doctor. In general liver donors must:

  • Be good in health
  • Have a blood type that is a close match to the blood of the person in nedd.
  • Not have a selfish motive for donating

There should be no pressure of any kind on a person to donate part of his liver nor should there be any money given or received.

LIVING DONOR TRANSPLANTATION

What is a living donor liver transplant?

A living-donor transplant is when someone who is alive gives a part of his or her liver to a person who needs a transplant. Family members such as parents, sisters, brothers, adult children or someone close, such as a spouse, may offer to give part of his or her healthy liver. This can be done because a healthy liver can grow new tissues. After the transplant, the liver parts of both the donor and person in need will grow and form complete organs.

What are the benefits of living donor liver transplantation?

The best reason for living donor transplant is that it shortens the waiting time for a liver. The timing of the surgery can be planned. The chance for as successful transplant is increased. Today, thousands of patients await liver transplantation but only handful cadaveric organs become available every year. A living-donor transplant gives those in need an early transplant before their liver failure gets worse and their livers are in danger.

How long does it take to get a new liver?

If the transplant team recommends that you need a transplant, you will be counseled regarding your options of living donor liver transplant or cadaver liver transplant.

If you have a living donor in your family your waiting time could be as short as one week. The living donors and donated livers are tested before transplant surgery. The testing makes sure the liver is healthy, matches your blood type and is the right size so that it has the best chance of working in your body.

In case you do not have a living donor, your name will be placed on a waiting list with your consent. Your blood type, body size and how sick you are, plays a role in deciding your place on the list. Currently, the sickest people are at the top of the list, so you may have to wait your turn.

While you wait for a new liver you and your doctor should talk about what you can do to stron for the surgery. You will also start learning about taking care of a new liver.

Where do the livers for transplantation come from?

Whole livers come from people who are brain dead (heart beat still present). These people are on breathing machines in various hospital ICUs. This type of donor is called “cadaveric donor”. Alternatively, a healthy person in the family can donate a part of his or her liver for the patient with liver failure. This kind of donor is called a ‘living donor’. More information on living donor liver transplantation is included in the latter part of this booklet.

Financial resources/ Health Insurance

You should check to be sure that you will be able to cover the cost of liver transplantation and prescription medicines. You will need certain medicines after the surgery and some for the rest of your life. Check with your employer, health insurance policy or aid organizations if they can support you in part or full.

What happens in the hospital?

When a liver is available, you will be prepared for the surgery. If your new liver is from a living donor, both of you and the donor will be in surgery at the same time. If your new liver is from a person who has recently died, your surgery will start when the new liver arrives at the hospital.

Can I go back to my daily activities?

Yes. After a successful liver transplant, most people can go back to their normal daily activities. Getting your strength back will take some time, depending on how sick you were before the transplant.

You will need to check with your doctor on how long your recovery period will be

  • After recovery, most people are able to go back to work
  • Most people can go back to eating as they eat before. Some medicines may cause you to gain weight others may cause diabetes or rise in your cholesterol. Meal planning and a balance low fat diet can help you remain healthy.
  • Most people can engage in physical activity after a successful liver transplant
  • Most people returned to normal sex life after liver transplantation. It is important for a woman to avoid becoming pregnant in the first year after transplantation.

You should talk to your transplant team about sex and reproduction after transplantation.

If you have any questions, you may check with your doctor before starting any activity.

Eating a healthy diet and taking the medications are part of taking care of your new liver.

What are the other problems that can damage the liver transplant?

Return of the problem that made the transplant necessary in the first place in less than 10% of patients with liver transplants. Also hepatitis C virus may damage a transplant if the patient was infected before the operation took place.

Rarely occurring problems include:

  • Blockage of the blood vessels going into or out of the liver
  • Damage to the tubes that carry bile in to the intestine

What if the transplant doesn’t work?

About 90% transplanted livers are still working after 1 year and about 85% livers are working at 5 years after transplant. If the new liver does not work or if your body rejects it, your doctor and the transplant team will decide whether another transplant is necessary.

How do I take care of my liver after I leave the hospital?

After you leave the transplant center at the hospital, you will see your doctor often to be sure your new liver is working well. You will have regular blood tests to check that your new liver is not being damaged by rejection, infections or problems with blood vessels and bile ducts. You will need to avoid sick people and report any illness to your doctor. You will need to eat a healthy diet, exercise and not drink alcohol. You should only use medicines, including ones you can buy without a prescription, after counseling your doctor. It is important to do what your doctor says to take care of your new liver.

During Surgery

The surgery can take from 6 to 14 hours. While the surgeon removes your diseased liver, other doctors will prepare the new liver.

The surgeon will disconnect your diseased liver from your bile ducts and blood vessels before removing it. The blood that flows into your liver will be blocked or sent through a machine to return to the rest of your body. The surgeon will put the healthy liver in place and reconnect it to your bile ducts and blood vessels. Your blood will then flow into your new liver.

After Surgery

You will stay in the hospital for an average 2 to 3 weeks to be sure your new liver is working. You will take medicines to prevent rejection of your new liver and to prevent infections. Your doctor will check for bleeding, infections and rejection. During this time you will start to learn how to take care of yourself and use your medicines to protect your new liver after you go home.

In the hospital, you will start eating again. You will start with clear liquids, then switch to solid food as your new liver starts to work.

What are the likely complications following a liver transplant?

Minor wound infection and discharge of liquefied fat is seen in about 10% of people. This will settle with little or no intervention. Major wound infection needing another surgery is extremely rare.

By now you are aware that liver transplantation involves making a lot of connections. There is an extremely small chance that these connections can become too tight or too loose. We have a very highly trained team of doctors who are able to treat them with minimally invasive techniques without resorting to another surgery.

Hepatic Artery Thrombosis (HAT) / Clotting of the hepatic artery is a rare complication seen in less than 4% of the patients and portal vein thrombosis is even rarer and is seen in less than 1% of the patients. When identified, the clot will have to be removed and it will involve another surgery. In spite of all this, if we are not successful, re-transplantation will be necessary.

What is rejection?

Rejection occurs when your body’s natural defenses, called the immune system, damage the new liver. Your immune system keeps you healthy by fighting against things that don’t belong in your body, such as bacteria and viruses. After a transplant, it is common for your immune system to fight against the liver and try to destroy it.

How is rejection prevented?

To keep your body from rejecting the new liver, you will have to take medicines. These drugs such as tacrolimus, cyclosporine, steroids, sirolimus and mycophenolate mofetil are called immunosuppressant. Immunosuppressants weaken your immune system’s ability to reject your new liver.

Do immunosuppressants have any side effects?

Yes. You can get infections more easily because these drugs weaken your immune system. You will need to stay away from people who are sick. These drugs may also increase your blood pressure, cause your cholesterol to rise, cause diabetes, weaken your bones and may damage your kidneys in the long run. Steroid drugs may also cause changes in how you look by causing weight gain. Your doctor and the transplant team will monitor these effects and treat you for any complications that may occur.

What are the signs of rejection?

Doctors will check your blood for liver enzymes at the first sign of rejection. Often rejection does not make you feel ill. Sometimes rejections can cause- pain, fever, jaundice, and changes in liver function tests.

Often a liver biopsy is needed to diagnose rejection. For a biopsy, the doctor takes a small piece of the liver to examine under a microscope. Blood tests will show if the new liver is being rejected.

Why liver is an important organ of the body?

The liver is one of the largest organs in your body. It helps digest the food you eat and convert it into energy. It also helps fight infections and cleans your blood, thus making it a very vital organ.

How lifestyle can affect the health of liver?

Due to our changing life style patterns, alcohol is consumed either as a status symbol or to cope up with stress. Alcohol puts a lot of stress on the liver, such continuous state of stress usually results in liver damage.

What are the different common diseases related to liver?

Cirrhosis, Viral hepatitis (Most common form across the world are Hepatitis A, B & C), fatty liver disease and alcoholic liver disorders are the common disease of liver.

What is a liver transplant and why is it done?

Simply put ‘Liver Transplantation’ is surgery to remove a diseased or injured liver and replace it with a healthy one from another person, also called as a donor.In adults, the most common reason for needing a liver transplant is ‘Cirrhosis’. This is caused by various different types of diseases which destroy the healthy liver cells and replace them with scar tissues.

What are the types of liver transplants?

There are two types of liver transplants – Living Donor and Deceased Donor Transplants. In case of the 'living donor' Liver Transplant, a portion of Liver from the living donor is removed and transplanted in the recipient patient. In both recipient and donor, the liver regenerates to necessary size in about 6 to 8 weeks. Only near relatives can donate. In deceased donor liver transplants, the donor is a brain dead person.

How much time is needed for patient to recover after liver transplant?

Recovery time ranges from 1 to 2 weeks. Proper care, follow-up and life-long medications are required for the new Liver to function properly.

Can liver grow back to normal after the transplant?

Yes. Liver is the only organ which can regenerate in case of living donor liver transplant, a portion of liver from the living donor is removed and transplanted in recipient patient. In both recipient and donor, liver regenerates to necessary size in 6-8 weeks. Only near relatives can donate liver in this case.

What does Sahyadri Hospital has in offering for Liver care?

Sahyadri Hospitals has an A-Z Liver Wellness Clinic dedicated for management of all types of diseases related to Liver, Pancreas, Bile ducts & Gall bladder. It Offers state-of-the-art facilities for Liver, Kidney & Pancreas Transplant with 24/7 availability of dedicated multi-disciplinary ‘Liver Team’, including Hepatologist, Critical Care Physicians and Liver Transplant Surgeons, a well-equipped Intensive care unit with dedicated nurses, physiotherapist and nutritionist.

What are the major risks in donating?

As with any major surgery, there will be pain from the incision, which will get better with time. Other risks to the donor include bleeding, infection, and temporary bile leaks. Fatalities in transplantation have been reported from certain transplant centers in the world but it is rare. Most have full recoveries and are healthy. Discuss regarding risk to the donors with your transplant surgeon.

What happens during donor surgery?

The incision is the shape of mirror image of ‘L’. The gallbladder is always removed. The donor’s liver is split into two parts. One part is removed for the transplantation. The surgeon then closes the wound with sutures and staples. There are later removed at a follow-up visit to the surgeon’s office. The liver begins to heal and grow new tissue. It takes about 8-21 weeks for the liver to grow back to its normal size.

1 person found this helpful

Hi. I am 26 years old and work in retail. yesterday while relieving (stools) I found thick clots of blood in it. Second time I dint get any blood but today morning again I found blood while relieving myself. Can you please help me with the same.

MS
General Surgeon, Panipat
Hi. I am 26 years old and work in retail. yesterday while relieving (stools) I found thick clots of blood in it. Seco...
Mr. lybrate-user. I think you have problem of passing hard stools for long time. You improve your eating habit take three full meals lot of vegetables, fruits ,water avoid fast food. Use stool softener regularly every night. I think you will start improving.
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I have acidity problems lot of pain. Leaver pain vary much problems come out. That why I am not eating properly. My health is down. Lot of doctor checkup but not satisfied give me suggestion. Any medicine suggest please Helpful me imminently.

MD - Medicine, DM - Gastroenterology
Gastroenterologist, Gurgaon
I have acidity problems lot of pain. Leaver pain vary much problems come out. That why I am not eating properly. My h...
Avoid spicy and fatty meal. Since you have already consulted many doctors, I'll suggest to consult Gastroentrologist who can really help you to rule out persistent infection.
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Hi, Last few days I feel like falling down while walking, driving and standing.. Feel bit burning sensation also in stomach. Eye vision also not proper. My age is 33. Please advice Mr. Back head also paining and acidity problem also there with heavy body pain.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
Hi, Last few days I feel like falling down while walking, driving and standing.. Feel bit burning sensation also in s...
Hello lybrate-user. There are multiple causes responsible for diminution/ blurring of vision. Let me enumerate them in brief for you: (1) refractive error. This is one of the commonest reasons responsible. Minus or plus number in one eye or both eyes may be responsible for weak/ blurred vision. The solution for this is glasses/ contact lens/ refractive surgery (if applicable). It should be checked by a trained optometrist/ ophthalmologist and proper glasses should be prescribed. (2) cornea related problem: injury, degeneration, infections or inflammation occurring on the cornea tend to causes loss of transparency and lead to weakening of vision. These should be assessed preferably by a cornea specialist and treated appropriately. (3) cataract in the lens of the eye: this usually occurs with increasing age but in some cases may occur at a younger age. There are multiple systemic factors responsible (eg. Diabetes, increased cholesterol levels, etc) injury to the eye may also cause cataract. This should be assessed and treated appropriately by a cataract specialist. (4) retina/ vitreous problems: these occur due to a variety of reasons such as high minus numbers, diabetes, trauma, etc. These issues are best assessed and treated by a retina specialist. There are good quality surgical options available for the same. (5) optic nerve related problems: these may occur due to raised eye pressure (glaucoma), or occur in association with certain conditions related to the brain and the blood vessels. These are best assessed by a retina/ glaucoma specialist (whichever applicable). (6) neurological problems: certain problems in the brain and the central nervous system tend to cause weakening/ blurring of vision. These are best assessed by an eye specialist in concordance with a neurologist and a neurosurgeon if required. Thus, based on the category you fall under, it would be necessary to take appropriate help and treatment. Hope my suggestions helped you. Take care.
2 people found this helpful
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Hi Blood in stool without pain Suggest me any test or any symptoms related to this. I have acidity issues also.

MS
General Surgeon, Panipat
Hi Blood in stool without pain Suggest me any test or any symptoms related to this. I have acidity issues also.
Mr. lybrate-user. Blood in stools can be due to many causes common cause may be piles which occur due to passing hard stools. If you are passing hard stools please improve your eating habits take three full meals lot of vegetables ,fruit and water and add stool softener. I think you will improve.
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My wife & daughter get acidity & burping at least once a month. Which foods & drinks should they avoid. Thanking you.

MBBS
General Physician, Jalgaon
My wife & daughter get acidity & burping at least once a month.
Which foods & drinks should they avoid.
Thanking you.
Please Avoid oily spicy and fast food, non veg food, processed food, maida containing items like biscuits toast bread khari etc Take salads and fruits more Take milk regularly Go for morning and evening walk daily for good digestion and easy defication.
1 person found this helpful
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I am second month pregnant and my last period date July 1. I am getting stomach pain in the abdominal area.In the scan report tells baby formation not yet started. Taking thyroid tab (tsh: 4.65) and folvite tablet s For stomach pain am taking carpoel tablet. Please suggest.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I am second month pregnant and my last period date July 1. I am getting stomach pain in the abdominal area.In the sca...
If the pain is in the upper abdomen stomach area it could be due to gastritis.Avoiding spicy food,tea,coffee will help.If in the lower abdomen due to enlarging uterus.Will go away.Regarding heart beat you can repeat the scan after a week and check.
2 people found this helpful
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I had hyper acidity, after taking some medicine my acidity has been somewhat controlled. But still can not eat any food, although I hungry, my mouth is not willing to eat food, I have lost my desired to eat food, I take very very less food everyday, how can I bring my desire back.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I had hyper acidity, after taking some medicine my acidity has been somewhat controlled. But still can not eat any fo...
your stomach is heated so tk fluids lemon juice, ,chach, etc avoid medicine. do physical activity 14 glass water per day. do core strength exercise avoid spicy food.
1 person found this helpful
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I am 32 years old suffering from food poisoning (Vomiting and Diarrhoea) since last evening. There is fever and body ache also. I have taken crocin and NOR-TZ TABLET. Am I on correct line of treatment? There is no doctor available nearby.

MD - Homeopathy, BHMS
Homeopath, Gurgaon
I am 32 years old suffering from food poisoning (Vomiting and Diarrhoea) since last evening. There is fever and body ...
Follow the liquid diet: (1) ORS liquid - Small quantities more frequently (2) Green Moong Dal liquid (3) Rice and Green Moong Dal liquid (Khichdi liquid) (4) Sour Milk (chhachh Lassi) (5) Cold lemon tea or Lemon juice in Salt Sweet water For all liquids take small quantities more frequently.
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I want to ask you about my problem of acidity which continue from the last four months.

PDDM, MHA, MBBS
General Physician, Nashik
I want to ask you about my problem of acidity which continue from the last four months.
Here are some home remedies to cure acidity.  - Skip the aerated drinks as well as the caffeine. Opt for herbal tea instead.  - Have a glass of lukewarm water everyday.  - Include banana, watermelon and cucumber in your daily diet. Watermelon juice is great for curing acidity.  - Nariyal paani is known to soothe the system if you suffer from acidity.  - Drink a glass of milk - everyday.  - Have your last meal at least two to three hours before you hit the sack.  - Keeping long intervals between meals is another cause for acidity. Have small but regular meals.  - Try to avoid pickles, spicy chutneys, vinegar, etc.  - Boil some mint leaves in water and have a glass of this after meals.
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Mera pate buhat kharab rehta hai zada kar gas ke shekayat hai mane buhat chote Dr. Ko dekhaya hai magar kuche hasel nahi huwa.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
Mera pate buhat kharab rehta hai zada kar gas ke shekayat hai mane buhat chote Dr. Ko dekhaya hai magar kuche hasel n...
boil dhania jeera saunf one spoon each in one glass water and take daily for two weeks for ayurvedic medicine cosult me good results
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My spouse is having colitis and what is the best treatment to over come it and kindly advise a healthy diet for her please

Diploma in homeopathy, B. Sc
Homeopath, Gurgaon
Her diet must include fresh fruits and a full serving of salads at every meal: cucumber, tomato, carrot, radish, onion slices or spring onion, raw cauliflower, cabbage leaf, etc. All this is essential. Cut out any junk food and aerated drinks totally. Generally foods that come out of a packet, can, or bottle shud be avoided. Exercise to increase circulation:- 2 mins of medium hard exercise then 1 min rest - do this four times a day. She can either do it all in one go or split it into sessions through the day. In total it is only 12 mins a day so should not be a big issue. In short, live and eat healthy and she will develop energy, a glowing skin, a'go' in life -regardless of age and the diet will remove inflammations from her system. Contact for supporting meds.
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I have more than 4 years but some time only fissure in anal, always I feel pain and some time only bleedings come, I had take lot and lot of medicines and syrup nothing will solve, always I feel uneasy , when I go to hospital doctor says your problem is small not a major, they give the medicine when I take few month only no problem then again come, so tell me a proper way of medicines.

MS - General Surgery, MBBS
General Surgeon, Delhi
Piles may be the reason of bleeding. You should get your proctoscopy done under local anaesthetic jelly to confirm the diagnosis. If piles or anal fissure is there then surgery is the option.
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I am 25 years old bay. I had stomach problem regarding gastric problem and digestion problem. I had this problem since 2006 but I don't know how to express to doctor. Some doctors say it is naturally cure by eating food. Please tell me how to behaviour correctly cure. Thank you sir.

MBBS
General Physician, Cuttack
I am 25 years old bay. I had stomach problem regarding gastric problem and digestion problem. I had this problem sinc...
You may be having hyper acidity 1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit, tomato etc 2..Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. 4.Drink plenty of water. Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee if you are having, 7. Avoid stress 8. Take one tablet of pan40 in the morning before breakfast daily for few days. 9.Consult me for further advice
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Hi am 27 yrs old male. Having gastric issues. I need to gain weight. What type of diet and medicine I need to take to look good gain weight and to stop gastric issues. Even I have some regurgitation issues after having lunch or dinner if had stomach full with minimal vomiting occasionally please help me in this.

BHMS
Homeopath, Delhi
Hi 
am 27 yrs old male. Having gastric issues.
I need to gain weight. What type of diet and medicine I need to take t...
Hello,you can take homoeopathic medicine Carbo Veg 30 (4 drops in little water) thrice a day for a week and revert. *Avoid spicy and fried food. *Make a habit if 8-10 glasses of water daily.
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I am suffering from dengue and affected from food poisoning and now sometime there is a pain in my testes which may create problem during midnight sex.

MBBS
General Physician, Mumbai
I am suffering from dengue and affected from food poisoning and now sometime there is a pain in my testes which may c...
First you get fully recovered from dengue and food poisoning and than you will be able to enjoy midnight sex till that time you need physical rest
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I have excess acidity since 5 years, any medicine does not affect this acidity, I have taken many typs of medicines but it does not work. Is it problem of liver ? Is it very harmful. Should I go for lft test?

MBBS
General Physician, Mumbai
I have excess acidity since 5 years, any medicine does not affect this acidity, I have taken many typs of medicines b...
Pl take care of your eating habits. If you feel burning in stomach, then you better is to take fruits and reduce regular meals. Sometimes, simply eating less takes care of stomach trouble. A use ful way is to divide both lunch and dinner into two or three halves each, with interval of two hours between each half, so that through out the day you eat sufficiently but also avoid over loading of food on stomach and thus help to prevent acidity, indigestion etc please make it a point that too bitter, too sour, salty, hot, pungent, dry and burning foods are to be avoided as such foods cause distress, misery and disease. Thus deep frying foods or foods taking lot of oil as in gravy vegetables, salty foods, spicy foods, long preserved, frozen foods, junk foods like pizzas burgers chips are to be avoided. Drink two glasses of warm water on empty stomach every morning about 30 minutes before breakfast. Try it! this works amazingly! in addition, walk fast for 30 minutes every day or engage in some service every day. Please also do meditation regularly and sincerely which has been scientifically proved for overall health. Use parsley and jeera seeds while cooking vegetables.
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