Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 41 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. V K JainYour feedback matters!
Suffering with chronic diarrhoea since 2 months. Vit b12 deficiency. Vit d3 def. Endoscopy shows d2 scalloping and grooves. Sample given to check sprue in deudenum. Stomach oesophagus. Normal. Even then I am suffering daily with indigestion and acidity. For that I am taking pantoprazole once before breakfast. I have prescribed. Injection of vit b12 and ca. And ccm tab. Folic acid tab given. My question is. Why I am suffering with indigestion and acidity. Even my stomach appeared well in endoscopy. And for how much time I should take pantoprazole. Should I move to zantac or continue to use this. please help me. Give brief reason of my disease and answer.
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:
- 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.
- 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.
The various symptoms of IBD depend on the severity and location of the inflammation. They are as follows:
- Diarrhoea which occurs when the bowel cannot reabsorb water.
- Bleeding ulcers which cause blood to show up in your stool.
- Stomach pain, bloating and cramping because of bowel obstruction.
- Weight loss and anaemia, which leads to delayed development and growth in children.
- In patients with Crohn’s disease, canker sores may develop in the mouth.
- Ulcers and fissures may appear on the anus or genital area.
- 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.
Hi i am 33 years old female anal fistula problem past 2 years I took all only for time being. It not permanent now what to do coz I have 2 month boy baby. I am scared for for operations. please tell any ointments or what food to have lots of fiber. please help dr.
My mother is suffering from insomnia and some time she have headache and gas problem in stomach then what is the guidelines for solution of these disease.
Hai sir I am suffering from anal fissure since 3 months hw I can cure without surgery sir please give me suggestions and I have already consult general physician but it is nt curring sir wt is problem and y its nt curring sir tell me.
You pass by the cake shop and happen to glance at a sumptuous chocolate cake, and then realization dawns on you that you are not allowed to eat simple sugar. Why? The answer to it is diabetes, for which you only have your pancreas to blame. Situated behind the stomach in your body, the pancreas is an organ whose role is to produce hormones and enzymes that aid in the digestive process. One of the hormones that the pancreas produces is insulin which is required by the body to metabolize sugar that is present in various foods.
So, if your pancreas does not produce the required amount of insulin or fails to utilize insulin effectively, it leads to accumulation of glucose in your blood. The improper functioning of the pancreas leads to diabetes. There are four types of diabetes and they are classified with respect to the manner in which the pancreas mal-functions:
- Type 1 Diabetes: In this type, the immune system of the body wrongly attacks the insulin-producing beta cells of the pancreas. This impairs the ability of the pancreas to secrete insulin, thus leading to Type 1 diabetes. However, even after extensive research in this field, the exact triggers haven’t been found yet.
- Type 2 Diabetes: Type 2 Diabetes develops when the body becomes resistant to insulin. It can either mean that the pancreas is producing less than normal insulin or the body is not being able to utilize the produced insulin effectively. Factors such as a poor diet and lack of exercise increase the risks of Type 2 diabetes.
- Pre-diabetes: Pre-diabetes is a condition wherein the blood sugar levels are higher than normal, but not high enough to be considered as ‘diabetes’. It can again occur due to a reduced secretion of insulin or the inability of the body to utilize the insulin effectively.
- Gestational Diabetes: This type of diabetes can develop only during pregnancy. This occurs primarily as the placenta, that connects the fetus with the body’s blood supply, produces hormones that impair the functioning of insulin. This type of diabetes can affect both the mother and the child.
Another common link-
Pancreatitis is a condition that is marked by an inflammation of the pancreatic cells. This inflammation can damage the beta cells that produce insulin, thus resulting in diabetes. Factors that contribute to it are a poor diet, lack of exercise, presence of excessive calcium in the blood or excessive alcohol consumption.
Diabetes is also known to increase the risks of pancreatic cancer, especially if you have been suffering from this condition for more than 5 years. Pancreatic cancer and Type 2 diabetes share a few similar triggers such as a poor diet, obesity and lack of physical activity.
How can you avoid the same?
It is best that you incorporate lifestyle changes if you have any of these disorders, and talk to your doctor about a treatment plan. Making a few simple lifestyle changes such as eating healthy, avoiding smoking and exercising on a regular basis can reduce the chances of you suffering from both diabetes and any other pancreatic problems. If you wish to discuss on any specific problem, you can consult an endocrinologist.