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Dr. Suneel Chakravarthy

Gastroenterologist, Delhi

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Dr. Suneel Chakravarthy Gastroenterologist, Delhi
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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.
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Inflammatory Bowel Disease - Know the Types!

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Bangalore
Inflammatory Bowel Disease - Know the Types!

It is important for you to know about inflammatory bowel disease or IBD, it is a group of intestinal disorders, which leads to prolonged inflammation of your digestive tract. The digestive tract is made of the mouth, stomach, oesophagus, small intestine and large intestine. It performs the task of breaking down food, removing unusable materials and waste products, and for breaking down nutrients from food. Inflammation along with the digestive tract causes disruption in this process. IBD is a fatal condition which can be life threatening in some cases.

Major types of inflammatory bowel disease
The term inflammatory bowel disease is an umbrella term under which many diseases are included. The two major and most common diseases under IBD are ulcerative colitis and Crohn’s disease. Crohn’s disease (a chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae) can lead to inflammation in any part of your digestive tract. It commonly affects the small intestine’s tail end. In case of ulcerative colitis, inflammation takes place in the large intestine.

Causes of IBD
Although the exact cause of IBD is not known, several factors may lead to this condition. They are as follows:

  1. Genetics: You are more likely to develop IBD if someone in your family has the disease. This is because of the genetic component of IBD.
  2. The immune system: The body’s immune system plays a role in IBD. Usually, your immune system defends your body from pathogens. A bacterial or viral infection in the digestive tract may lead to an immune response. The digestive tract becomes inflamed as the body fights against the bacteria or viruses. The inflammation goes away when the infection is gone.

However, in the case of IBD, the digestive tract inflammation may occur without any infection. Your immune system attacks your body’s cells. This is called an autoimmune response. IBD can also occur when the infection is cured, but the inflammation remains.

Symptoms
The various symptoms of IBD depend on the severity and location of the inflammation. They are as follows:

  1. Diarrhoea which occurs when the bowel cannot reabsorb water.
  2. Bleeding ulcers which cause blood to show up in your stool.
  3. Stomach pain, bloating and cramping because of bowel obstruction.
  4. Weight loss and anaemia, which leads to delayed development and growth in children.
  5. In patients with Crohn’s disease, canker sores may develop in the mouth.
  6. Ulcers and fissures may appear on the anus or genital area.
  7. IBD may also be associated with problems such as eye inflammation, arthritis and skin disorders.

The major complications which may arise from IBD include colon cancer, malnutrition with weight loss, fistulas, intestinal rapture and bowel obstruction. It is important for you to consult a doctor on noticing any of the IBD symptoms.

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I am 23 years old. I frequently have stomach ache problems like gas, and pains. What should I treat for that?

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I am 23 years old. I frequently have stomach ache problems like gas, and pains. What should I treat for that?
You can take 1.Tablet Meftal Spas one tablet stat after food 2. Tablet Pantocid 40 Mg before food once a day for 2-3 days.. and follow care advises given below Avoid food from outside, junk, fried, spicy fatty food Take home made light food like moong dal, dalia, chapatti also tell me 1.pain is on which side of abdomen ? 2. Associated symptoms like vomiting sensation, loose motion, Burning sensation in chest etc are present or not ? Kindly tell me your symptoms so that I can help you better
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I am suffering from heartburn and indigestion from last two days. I am taking activated charcoal tablets. I am female 30 years old. Please advice.

MBBS
General Physician, Mumbai
I am suffering from heartburn and indigestion from last two days. I am taking activated charcoal tablets. I am female...
I will suggest you to take tablet Rantac twice a day and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet
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Dear sir/mam, I am 59 years male having chronic IBS problem. Specially in morning I have to go for motion at least 4 to 5 times. Kindly suggest me what all I should avoid to limit it or control it.

BHMS, CGO
Homeopath, Pune
Dear sir/mam,
I am 59 years male having chronic IBS problem. Specially in morning I have to go for motion at least 4 ...
Irritable bowel syndrome (ibs) is a common gut disorder. The cause is not known. Symptoms can be quite variable and include tummy (abdominal) pain, bloating, and sometimes bouts of diarrhoea and/or constipation. Symptoms tend to come and go. There is no cure for ibs, but symptoms can often be eased and prevent with homeopathic treatment. What is irritable bowel syndrome (ibs) and who gets it? ibs is a common functional disorder of the gut. A functional disorder means there is a problem with the function of a part of the body, but there is no abnormality in the structure. So, in ibs, the function of the gut is upset, but all parts of the gut look normal, even when looked at under a microscope what are the symptoms of irritable bowel syndrome (ibs)? pain and discomfort may occur in different parts of the tummy (abdomen). Pain usually comes and goes. The length of each bout of pain can vary greatly. The pain often eases when you pass stools (faeces) or wind. Many people with ibs describe the pain as a spasm or colic. The severity of the pain can vary from mild to severe, both from person to person, and from time to time in the same person. Bloating and swelling of your abdomen may develop from time to time. You may pass more wind than usual. Changes in stools: some people have bouts of diarrhoea, and some have bouts of constipation. Some people have bouts of diarrhoea that alternate with bouts of constipation. Sometimes the stools become small and pellet-like. Sometimes the stools become watery or more loose. At times, mucus may be mixed with the stools. There may have a feeling of not emptying the back passage (rectum) after going to the toilet. Some people have urgency, which means they have to get to the toilet quickly. A morning rush is common. That is, they feel an urgent need to go to the toilet several times shortly after getting up. This is often during and after breakfast. Other symptoms which sometimes occur - include: feeling sick (nausea). Headache. Belching. Poor appetite. Tiredness. Backache. Muscle pains. Feeling quickly full after eating. Heartburn. Bladder symptoms (an associated irritable bladder). Some people have occasional mild symptoms. Others have unpleasant symptoms for long periods. Many people fall somewhere in between, with flare-ups of symptoms from time to time. Some doctors group people with ibs into one of three categories: those with abdominal pain or discomfort, and the other symptoms are mainly bloating and constipation. Those with abdominal pain or discomfort, and the other symptoms are mainly urgency to get to the toilet, and diarrhoea. Those who alternate between constipation and diarrhoea. However, in practice, many people will not fall neatly into any one category, and considerable overlap occurs. Note: passing blood is not a symptom of ibs. You should tell a doctor if you pass blood. Do I need any tests for irritable bowel syndrome (ibs)? there is no test that confirms the diagnosis of ibs. A doctor can usually diagnose ibs from the typical symptoms. However, a blood sample or stool (faeces) test is commonly taken to do some tests to help rule out other conditions such as crohn's disease, ulcerative colitis, coeliac disease, cancer of the ovary, gut infections, etc. The symptoms of these other diseases can sometimes be confused with ibs. Tests done commonly include: full blood count (fbc) - to rule out lack of iron in the blood (anaemia), which is associated with various gut disorders. Erythrocyte sedimentation rate (esr) or c-reactive protein (crp) - which can show if there is inflammation in the body (which does not occur with ibs). A blood test for coeliac disease. In women, a blood test to rule out cancer of the ovary, called ca 125. A stool test to look for a protein called faecal calprotectin. This may be present if you have crohn's disease or ulcerative colitis, but is not present in ibs. More complicated tests such as gastroscopy (a look into the bowel with a special telescope) are not usually needed. However, they may be done if symptoms are not typical, or if you develop symptoms of ibs in later life (over the age of about 50) when other conditions need to be ruled out. What causes irritable bowel syndrome (ibs)? the cause is not clear. It may have something to do with overactivity of part or parts of the gut. What are the treatments for irritable bowel syndrome (ibs)? many people are reassured that their condition is ibs, and not something more serious such as colitis. Simply understanding about ibs may help you to be less anxious about the condition, which may ease the severity of symptoms. Symptoms often settle for long periods without any treatment. In some cases, symptoms are mild and do not require treatment. There are many different treatments that may be tried for ibs. All will have an effect on some people, but none will help in every person with ibs. No treatment is likely to take away symptoms completely, but treatment can often ease symptoms and improve your quality of life. If symptoms are more troublesome or frequent, one or more of the following treatment options may be advised: treatment option 1: lifestyle changes exercise. Regular exercise is known to help to ease symptoms. Managing stress levels. Stress and other emotional factors may trigger symptoms in some people. So, anything that can reduce your level of stress or emotional upset may help. Keeping a symptom diary. - it may help to keep a food and lifestyle diary for 2-4 weeks to monitor symptoms and activities. Note everything that you eat and drink, times that you were stressed, and when you took any formal exercise. This may identify triggers, such as a food, alcohol, or emotional stresses, and may show if exercise helps to ease or to prevent symptoms. If you are advised to try a particular treatment, it may be sensible to keep a symptom diary before and after the start of the treatment. For example, before changing the amount of fibre that you eat, or taking a probiotic (explained later), or starting medication. You may wish to jot down in the diary the type and severity of symptoms that you have each day for a week or so. Keep the diary going after you start treatment. You can then assess whether a treatment has improved your symptoms or not. Treatment option 2: dietary changes a healthy diet is important for all of us. However, some people with irritable bowel syndrome (ibs) find certain foods of a normal healthy diet can trigger symptoms or make symptoms worse. General dietary advice for ibs- -have regular meals and take time to eat at a leisurely pace. -avoid missing meals or leaving long gaps between eating. -drink at least eight cups of fluid per day, especially water or other non-caffeinated drinks. This helps to -keep the stools (faeces) soft and easy to pass along the gut. -restrict tea and coffee to three cups per day (as caffeine may be a factor in some people). -restrict the amount of fizzy drinks that you have to a minimum. -don't drink too much alcohol. (some people report an improvement in symptoms when they cut down from drinking a lot of alcohol.) -consider limiting intake of high-fibre food (but see the section above where an increase may help in some cases). -limit fresh fruit to three portions (of 80 g each) per day. - if you have diarrhoea, avoid sorbitol, an artificial sweetener found in sugar-free sweets (including chewing gum) and in drinks, and in some diabetic and slimming products. -if you have a lot of wind and bloating, consider increasing your intake of oats and daliya (for example, oat-based breakfast cereal or porridge) all are temporary treatment as per provided information, for permanent cure we need detail history and investigations. Homeopathy is best, safe and effective. We treated every day 2-3 patients of this type of problem with no side effects, no worries our 94% success rates makes sure we're the complete package. You can contact us for treatment.
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Hi, I'm 35 years old I have been suffering from Hepatomegally with fatty changes, ongoing treatment in homeopathy, but its not working. Please suggest.

MBBS
General Physician, Mumbai
Hi, I'm 35 years old I have been suffering from Hepatomegally with fatty changes, ongoing treatment in homeopathy, bu...
We have to concentrate on limiting any progress in Fatty liver and it can be done by exercise and having low fat content in your diet
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What are the symptoms of jaundice. And I had a gastric problem also Tel me a daily taking best tablet for it.

MBBS
General Physician, Mumbai
What are the symptoms of jaundice.
And I had a gastric problem also
Tel me a daily taking best tablet for it.
Vomitting with loss of appetite with yellow coloured urine output are few symptoms of jaundice and for gastric problem avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
2 people found this helpful
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Hello Doctor, I am suffering from stomachache. When I have to take the outside food items so it is paining several. I thought its a appendix. I go too check up and reports are came normal. Then whats the problem that's come when eaten outside food so please give me some suggestions to stop the stomachache. I am waiting for your replay.

MBBS
General Physician, Faridabad
Hello Doctor, I am suffering from stomachache. When I have to take the outside food items so it is paining several. I...
take meftal spas if pain abd, tab pan 40 empty stomach daily morning for 15 days, drink 3-4 litre of water daily, isabgol in a glass of water at night, if required get u/s whole abdomen done and back with report it will help. thanks
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I am having grade 2 fatty liver and plus weight gain. How to cure it. Please help me on it.

MBBS, DNB, Indian Diploma In Critical Care Medicine
General Physician, Gurgaon
I am having grade 2 fatty liver and plus weight gain. How to cure it. Please help me on it.
Fatty liver can be partially corrected by physical exercise and loosing weight. Do 45 minutes brisk walk daily.
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I always feel so tired. Even if I eat so much. After eating I couldn't easily digest my food. Due to which gas arises in my stomach. I don't do most of the daily work due to tiredness and indigestion. At the same tym I have gain so much weight. I couldn't understand whether all these leads me to sleepy or I am sleepy and lazy person that's why I have problem's like tiredness and indigestion. please suggest me some medicine for energy and digestion. Plzz help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I always feel so tired. Even if I eat so much. After eating I couldn't easily digest my food. Due to which gas arises...
Mr. Lybrate-user I think you have digestion related problem. So you should take easily digestible food, which you may digest properly. Due to indigestion you feal tiredness and weakness. You take food in digestible limit. If you have constipation, remove it to drink lemonated warm water300-500 ml. Early in morning 30 minutes walk before defecations. Avoid non veg. Bakery products and fast food.
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I suffering abdominal swelling for 2 years.& I thing my colon become infected & ulcer is my colon. I take ornof & drotin m. For two years. Bt it not properly clear my swelling & ulcer. Contrast ct scan is done. Bt mild swelling is found. In my uretin. Line left side. please tell me wht I do.

MBBS
General Physician, Mumbai
Apart from taking symptomatic treatment I will suggest you to maintain strict diet control and avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and also avoid milk and its products and eat only freshly prepared home made food.
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