Lybrate.com has top trusted Gastroenterologists from across India. You will find Gastroenterologists with more than 42 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.
Book Clinic Appointment
Submit a review for Dr. Rajiv KhoslaYour feedback matters!
Hi I am a working professional, 9-6: 30 timing. While going to office I eat 3-4 biscuits in breakfast. Our lunch is from 1 pm. Pls suggest best practices after eating lunch and dinner so as to digest it properly, and foods to eat.
Hello sir/mam good evening ,actually I am suffering with fissures, recently I am cured by this problem, again I am doubting that is occurring again ,so what precautions I have to take, please help me in this.
When you have pain in the stomach that is accompanied by nausea and vomiting, chances of you having chronic gastritis are high. This is an issue that specifically affects the stomach and is caused because the lining of the stomach gets inflamed and swollen and in some cases it may get damaged. The deterioration of the lining may be caused because of a bacterial infection and that would have to be treated with specialised medicines and treatment methods. During that time you may feel like there is something wrong with your digestive system and you may need to consult a doctor for the constant pain that you have to go through as soon as you eat something.
There may be times when you can no longer cope with the pain that may be occurring in your stomach. You may want to go to sleep or just sit still and do nothing; however, you cannot spend your entire life in that manner and you may have to consult an expert to get relief from the problem. One of the first steps in coping with chronic gastritis is to make sure that you make important lifestyle changes, such as eating healthy, choosing the right timings for eating, cutting down on alcohol and smoking and making sure that you choose a well-qualified and experienced doctor for getting the treatment.
Apart from lifestyle changes, it is highly essential to follow a medication routine in order to beat the chronic gastritis completely. Doctors may suggest you take the medication according to the severity of the problem, but before that, you may be asked to go through a number of tests to confirm the problem. The tests may range from regular blood tests, stool tests, to endoscopy or even biopsy in some severe cases. After the testes are done, the doctors may be further sure about the the problem and that would be of great help in treating the issue with much more ease and expertise.
While it may be obvious to you that you suffer from chronic gastritis due to the constant pain in the stomach, it is also important to understand that the problem should not be taken lightly and that the right steps of the treatment should be taken in time before the problem gets worse.
I am getting blood in stool and one nerve is paining a lot. What should I do to avoid in eating and what should I eat?
I have infiltration related to fatty lever. Doctor did not prescribe any medicine. What wil do? Any food control?
Most do not develop symptoms even after follow up periods as long as 20 years. Approximately 20% of patients develop symptoms by 15 years. Asymptomatic gallstone disease does not need surgery but there are important exceptions tabulated below.
1.High risk for gallbladder cancer
North Indian women with gallstones
Gallstones larger than 3 cm in diameter
Porcelain gallbladder (calcification in the wall)
Gallbladder polyps larger than 12 mm
Note:- The role of prophylactic cholecystectomy in young patients from various parts of India has been emphasized in many recent papers.
Infection in the gallbladder in patients with gallstones can be life threatening
Working for prolonged periods in remote parts of the world with poor medical facilities
Symptomatic Gallstone Disease:
Although dyspepsia (upper abdominal fullness, flatulence or gas formation, heart burn, hyperacidity) are not considered typical symptoms of gallstones, in a study from AIIMS new Delhi of the 1,680 consecutive dyspeptic patients, 500 (29.8%) had gallstones. The common presentation of patients with gallstones is:-
Biliary pain: The typical first symptom is frequently characterized as pain in the right upper abdomen after a meal, more so after fatty foods.
Complications of gallstone disease
a. Acute Cholecystitis: Often patients will have history of biliary pain which lasts for > 3 hours, associated with fever and right upper quadrant tenderness (Murphy?s sign).
b. Chronic Chlolecystitis: Patients will have episodic epigastric or right upper abdominal pain lasting for more than 30 minutes
c. Choledocholithiasis: When a stone from the gallbladder slips into the common bile duct it can lead to biliary colic, obstructive jaundice followed by acute cholangitis or pancreatitis.
d. Acute Cholangitis: is a medical emergency. Patients may present with right upper quadrant abdominal pain, fever and jaundice. (Charcot?s triad)
e. Pancreatitis: A most dreaded and life threatening complication of gallstones presents with very severe, persistent central upper abdominal pain, retching and prostration.