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Dr. Belal Bin Asaf

Masters in Surgery, Fellowship in Thoracic Surgery

Robotic Surgeon, Delhi

11 Years Experience  ·  1500 at clinic
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Dr. Belal Bin Asaf Masters in Surgery, Fellowship in Thoracic Surgery Robotic Surgeon, Delhi
11 Years Experience  ·  1500 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Belal Bin Asaf
Dr. Belal Bin Asaf is a trusted Robotic Surgeon in Ganga Ram Hospital, Delhi. He has been a practicing Robotic Surgeon for 11 years. He has completed Masters in Surgery, Fellowship in Thoracic Surgery . You can meet Dr. Belal Bin Asaf personally at Centre for Chest Surgery, Sir Ganga Ram Hospital in Ganga Ram Hospital, Delhi. Save your time and book an appointment online with Dr. Belal Bin Asaf on Lybrate.com.

Lybrate.com has a nexus of the most experienced Robotic Surgeons in India. You will find Robotic Surgeons with more than 36 years of experience on Lybrate.com. We will help you find the best Robotic Surgeons online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
Masters in Surgery - Jawaharlal Nehru Medical College, AMU - 2007
Fellowship in Thoracic Surgery - Seoul National University Bundang Hospital, South Korea - 2014

Location

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Centre for Chest Surgery, Sir Ganga Ram Hospital

F-85, First Floor, Sir Ganga Ram Hospital, Old Rajinder NagarDelhi Get Directions
1500 at clinic
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Colorectal Polyp: Symptoms and Diagnosis For It!

MBBS, MS - General Surgery , DNB - Surgical Gastroenterology
Gastroenterologist, Delhi
Colorectal Polyp: Symptoms and Diagnosis For It!

Colon polyps are growths that are typically found in the large intestine. Although the causes behind the occurrence of colon polyps are not known, this condition is usually seen to affect adults.

These colon polyps might turn into colon cancer over a period of time; the development of cancer can happen over a number of years.

Colon polyps are usually symptomless; hence it becomes difficult to diagnose the condition. They are commonly found as additional results of screening tests for colon cancers. Screening tests are conducted when there is a suspicion of a disease but it displays no significant symptoms. The symptoms can only be visible if the polyps are enlarged.

Typical symptoms include:

  1. Rectal bleeding.

  2. Changes in bowel conditions such as diarrhoea and constipation.

  3. Changes in urination patterns.

  4. Change in appearance of stool.

As the presence of most polyps becomes evident only during colon cancer tests, it is recommended that regular tests for colon cancer be conducted for adults over the age of 50.

Some of these tests include:

  1. Colonoscopy: This is highly recommended for detecting colon polyps. A small tube used for viewing is inserted into the colon by the doctor.

  2. Flexible Sigmoidoscopy: It is similar to colonoscopy with the only difference being that the tube is smaller.

  3. Computed Tomographic Colonography (CTC): Also known as virtual colonoscopy, various computer systems and X-rays are used to create a detailed picture of the colon so that the doctor can search for polyps.

The size of the colon polyps helps to identify if the polyp is cancerous or not. Chances of the polyp being cancerous are high if the size of the polyp is higher than 1 cm or 0.4 inches. Hyperplastic polyps (smaller polyps) do not become cancerous and hence, do not need to undergo a colonoscopy. Another form of polyp is the sessile polyp which is usually a flat growth without a stalk and grows on the inner wall of the colon. Similar to other polyps, these polyps can be found and removed using a colonoscopy or a sigmoidoscopy. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2778 people found this helpful

Bladder Cancer: Symptoms & Treatment

DNB (Urology), MS, MBBS
Urologist, Gurgaon
Bladder Cancer: Symptoms & Treatment

Bladder cancer can be caused by a variety of factors, which include genetic factors, inheritance, drugs, chemicals, environment related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.

Symptoms of bladder cancer are as follows:

Most often it occurs in people more than 50 years of age. It can present in different ways, but common symptoms being :

  1. Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
  2. Difficulty in passing urine

Diagnosis:

The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.

Treatment Options:

Treatments for bladder cancer depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.

  1. For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
  2. For invasive cancers the various treatment choices are:
    1. Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
    2. Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
    3. Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up.
3150 people found this helpful

Gastroesophageal Reflux Disease(GERD) - What To Expect?

MBBS, MD-General Medicine, DM-Gastroenterology, Advanced endoscopy fellowship
Gastroenterologist, Visakhapatnam
Gastroesophageal Reflux Disease(GERD) - What To Expect?

Gastroesophageal Reflux Disease (GERD) is a form of digestive disorder, which affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe. GERD incorporates the return of the contents of the stomach back to the oesophagus or food pipe. The functioning of the lower oesophageal sphincter is disrupted.

Causes-

Hiatal hernia is a common cause of GERD. An unhealthy lifestyle and diet may also lead to GERD. Intake of an excess amount of chocolates, fried food, coffee or alcohol triggers the chance of a reflux. GERD also occurs in obese people and pregnant women.

Symptoms-

Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning chest pain which starts from behind the breastbone and reaches up to the throat. The feeling can be defined as food coming back to the throat with a bitter, acidic taste. The burning sensation may last as long as two hours.

Other symptoms include:

In order to diagnose GERD, several tests may be conducted . They are:

  1. An X-Ray of the upper part of the digestive system.
  2. Endoscopy to examine the inner part of the oesophagus.
  3. Ambulatory acid test for monitoring the amount of acid within the oesophagus.
  4. An oesophageal impedance test to measure substance movement inside the oesophagus.

Treatment-

  1. Proton pump inhibitors (PPIs) are one type of medication that can be used to reduce stomach acid and relieve GERD symptoms.A person must make several changes to his daily lifestyle and diet plan for treatment of GERD. PPIs work by blocking and reducing the production of stomach acid. This gives any damaged esophageal tissue time to heal. PPIs also help prevent heartburn, the burning sensation that often accompanies GERD.
  2. Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower oesophageal sphincter. Several food items irritate the damaged oesophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.
  3. Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD.
  4. One should elevate the head of the bed on which he or she sleeps on blocks measuring 6 inches. This reduces the heartburn as gravity minimizes stomach reflux to return to the oesophagus.
  5. Over the counter medicines can be used to cure GERD. Antacids are a good example and neutralize the acid in the oesophagus and stomach, reducing heartburn. Combining antacids with foaming agents is also effective. A foam barrier is formed over the stomach, preventing the occurrence of acid reflux.

Medicines for reducing acid in the stomach are prescribed in cases of chronic GERD, which include H2 blockers by the likes of cimetidine, famotidine or nizatidine.

GERD is a digestive disorder which causes disruption in digestion, as reflux from the stomach is returned to the oesophagus. Proper treatment measures should be taken.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3345 people found this helpful

Respected sir, Can any doctor who completely cure my gerd problem and anxiety problem I got relieved 80 percent in my problem in last one year but I want it completely cured. And how much time it will take to cure completely.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Respected sir, Can any doctor who completely cure my gerd problem and anxiety problem I got relieved 80 percent in my...
Dear user, Nervousness or Anxiety disorders are a category of mental disorders characterised by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalised anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behaviour. Behaviour change and Continuous practice of the changed behaviour cure anxiety. I suggest anxiety education, progressive counselings and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Take care.
1 person found this helpful
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Ovarian Cysts - 9 Symptoms About It!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
Ovarian Cysts - 9 Symptoms About It!

Ovarian cysts are common and most women will have at least one during their life. In most cases they do not display any symptoms and are discovered only during routine physical exams and ultrasounds. In most cases, it is nothing to worry about but in rare cases it can lead to complications and hence it is best to get an ovarian cysts checked out by a doctor.

Ovarian cysts usually affect women in their child bearing years. They can be described as fluid-filled sacs that develop in either of the ovaries. In an ultrasound image, these can look like small bubbles. Problems usually arise when these cysts grow larger or rupture.

In such cases, you may experience symptoms that include:

  1. Pain in the lower abdomen
  2. Painful intercourse
  3. Irregular menstruation
  4. Painful urination and bowel movement
  5. Pelvic pain after exercising
  6. Nausea and vomiting
  7. Bloating
  8. Spotting between periods
  9. Heartburn and indigestion

If the doctor suspects ovarian cysts, an ultrasound is usually used to confirm the diagnosis. A pelvic ultrasound or a sonograph as it is also known is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the body’s internal structure. In some cases, an endovaginal ultrasound may also be required. This involves inserting a covered wand or probe into the vagina through which a clearer image of the ovaries can be seen.

If the cyst does not trigger any of the above symptoms, it usually does not require treatment. Instead a pelvic ultrasound may be scheduled after a month to check on the size of the cyst. In most cases, these cysts resolve themselves within a month or two. In the case of larger cysts, a biopsy may be required to rule out the chances of the cysts being cancerous. Birth control pills may be prescribed to address the pain associated with this condition. These pills are also used to stop ovulation and reduce the risk of developing further cysts.

Surgery is considered only if the cyst grows in size or continues to pain. In such cases, surgery can be of two kinds: laparoscopy or laparotomy. Laparoscopy involves the removal of cysts through a telescope like an instrument that is inserted through a small incision made in the abdomen. This is usually used to remove small cysts. Larger cysts and ovarian tumours are treated with a laparotomy. This involves making a bigger incision in the stomach and may also involve the removal of the ovaries, fallopian tubes and uterus depending on the tumour.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4260 people found this helpful

Tips To Prevent Infections After A Splenectomy!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Tips To Prevent Infections After A Splenectomy!

The spleen is a very important organ of the human body. A splenectomy is the process of removing the spleen from the human body. The spleen is a very small, fist-sized organ which is located under the rib cage, close to the stomach. The basic function of the spleen is removing the damaged or dead red blood cells. It also removes any kind of bacteria present in the bloodstream that can cause infections. When the spleen is removed, there are chances of infection that can be life-threatening if not treated. It is always better to prevent infections as soon as you see the symptoms.

Why do you need a Splenectomy?
There can be many reasons for the removal of the spleen from your body such as –

  • In case, the spleen is damaged due to an accident, injury or in the process of an abdomen surgery.
  • For treating some medical conditions such as lymphomas or leukemias.
  • Overactivity of your spleen.
  • In case any abnormalities found in the red blood cells of the body.
  • Collagen vascular diseases
  • In some rare cases, a person may be born without a spleen.

Sepsis:
The infection that is caused due to the removal of the spleen is called sepsis. This is a life-threatening condition where the bacteria that causes the infection keeps on spreading to the entire body and bloodstream. It is going to impact the normal functioning of the human body. Symptoms of sepsis include high fever, shivering, headache, confusion, drowsiness, severe pain in the abdominal area and increased heartbeat. But all this starts with a simple respiratory problem such as a respiratory tract infection.

Tips to prevent infections after a Splenectomy:
If you have had a splenectomy, then it is very important for you to take certain precautions such as:

  • You need to take certain vaccines such as HIB, pneumococcal or meningococcal and they will reduce the risk of getting an infection after the removal of the spleen.
  • You will have to take some additional doses of the above vaccines in order to maintain the effect on your body.
  • You need to take antibiotics on a daily basis to prevent a sepsis infection.
  • The first stage or symptoms start with chills or fever and hence you should make sure to maintain a set of antibiotics. Start taking them as soon as you see these symptoms.
  • If you are travelling to another country, then make sure you carry the antibiotics with you. If you notice any kind of symptoms, you need to take the medicine immediately.

You need to discuss the above-listed points with your doctor, especially if you require more information about how to prevent infection after the spleen is removed. In case you have a concern or query you can always consult an expert & get answers to your questions!

3161 people found this helpful

My wife have a cyst in uterus, the doctor said colposcopy and biopsy test. Anyone can suggest me about this test in delhi private hospitals, because of in government hospital they study again and start different treatment. So please suggest me.

DNB, DGO, MBBS
Gynaecologist, Faridabad
For better consultation you are requested to please come over in OPD otherwise you can opt for Myo inositol and D-chiro with L-methyfolate. If you want I can send you the link for such combination where you can buy.
4 people found this helpful
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Can any one tell me about the risk involved inbariatric surgery .because I hope that I need it as my bmi is nearly 48.

MS - General Surgery
General Surgeon, Kanpur
There are many types of bariatric surgery each has its own risk, you need to be council by bariatric surgeon, after surgery you can eat only little amount of meals.
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Ovarian Cysts - 7 Things You Should Know About It!

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Chandigarh
Ovarian Cysts - 7 Things You Should Know About It!

Ovarian cysts are fluid-filled sacs that develop on a woman's ovary. A patient might experience abdominal and pelvic pain, abnormal bleeding, menstrual irregularities, pain during intercourse or irregular bowel movements. These symptoms indicate an ovarian cyst developing inside you. Ovarian cysts are common in women and may develop during menstruation. In many cases, symptoms are not observed, and you may get ovarian cysts without knowing. Usually being harmless, ovarian cysts may sometimes lead to severe health conditions.

Here are 7 important things you should know about ovarian cysts:

  1. You should know the reason behind the formation of ovarian cysts. When the follicle does not release the egg, it may grow bigger in size and take the form of a follicular cyst. A corpus luteum cyst may also develop, which is a cavity that gets formed after the egg is ruptured and released from the follicle. The cysts may bleed and cause pelvic pain.
  2. It is important for you to know if you have an ovarian cyst. Many ovarian cysts do not show symptoms and go away by themselves. Follicular cysts do not change your menstrual cycle, but corpus luteum cysts may cause bleeding.  
  3. You should know how to detect an ovarian cyst. You should visit a gynecologist regularly for diagnosis. Bigger cysts can be diagnosed via a pelvic examination. Ultrasound is also used for detection.  
  4. You should have an idea about all the symptoms associated with ovarian cysts. These include fever, nausea and vomiting. These symptoms indicate that you have an infection. Sometimes, a cyst might twist an ovary, which may cut off blood supply to the ovary, causing permanent damage.
  5. In case you are at a risk of twisting of the ovaries, you have to undergo a surgery. Surgery is also considered when the cyst lasts longer than three menstrual cycles and it is bigger than four inches in size. The cyst may also pose the risk of being a tumor. The common surgical procedures for ovarian cysts are laparoscopy and laparotomy.  
  6. You can prevent ovarian cysts be taking birth control pills, which help in suppressing ovulation and prevent the formation of a cyst. Birth control pills may help only if you are not pregnant.
  7. Ovarian cysts are more common in premenopausal women. However, these are possible in postmenopausal women as well, especially in the early postmenopausal stage.  

Sometimes, there might be chances of an ovarian cyst being cancerous in nature, which may lead to ovarian cancer. The risk of cancerous ovarian cysts increases with age. It is recommended to consult a gynaecologist for the proper diagnosis and treatment of ovarian cysts in women. Pain medications and heating pads are used as alternative treatment methods for less serious ovarian cysts.

2736 people found this helpful

Achalasia - Symptoms + Treatment

MBBS, MS - General Surgery, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellowship in Hepatobiliary Surgery & Liver Transplantation, International Visiting Scholar
Surgical Gastroenterologist, Hyderabad
Achalasia - Symptoms + Treatment

Achalasia is a serious disorder of the esophagus in which your nerves and muscles fail to work properly. This disorder causes problems in your body such as chest pain, difficulty to swallow food and excessive coughing.

You will also face problems in breathing in case the food enters in to the lungs. There is a valve in your lower esophageal splinter, which closes the esophagus from your stomach. If you have problems like achalasia then perhaps your lower esophageal splinter fails to open while swallowing food it can lead to accumulation of food in esophagus. In this condition the nerves in your body gets damaged and hence cause health complications.

You are at risk of achalasia when you are middle aged, but it can also occur during childhood. Auto immune disorder often places you at risk for achalasia.

Symptoms of achalasia:
The major symptom of achalasia is dysphagia in which you face problems while swallowing food. You may feel that the food is struck in your esophagus which causes choking and problems when you breathe. There may be other symptoms of achalasia which includes:
1. Loss of weight
2. Heart burn
3. Discomfort or pain while you eat food
4. Chest pain
5. Risk of esophagus cancer

Treatment for achalasia:
Esophageal manometry is a technique your doctor may use, if he suspects achalasia when the symptoms include difficulty while you eat and swallow foods. A tube measures the muscular activity in your stomach and reports about the functioning of your esophagus. Another way to diagnose is through X- ray of the esophagus or endoscopy.

The treatment for achalasia generally starts with oral medications. Sphincter nitrates and calcium blockers often help to relax the muscles. Botox can also help to relax your sphincter and help you swallow food.
Esophagomyotomy also helps to treat achalasia in which your doctor can use an incision to access the sphincter and also alter it to enable better flow into the stomach. It’s a generally successful procedure, but sometimes can cause Gastroesophageal reflux disease (GERD) which causes heart burn and would require intensive care. Sometimes surgery can also help to give relief but it can also cause acid reflux, respiratory problems, tearing of esophagus along with other serious complications.

Laparoscopic surgery is a simple and effective way of treating this problem .The tight lower esophageal sphincter is released to make way for easy passage of food.The patient recovers in one day and is discharged home following this operation. If you wish to discuss any specific problem, you can consult a gastroenterologist.

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