Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. You will find Gastroenterologists with more than 26 years of experience on Lybrate.com. Find the best Gastroenterologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Acidity
Treatment of Abdominal Pain
Treatment of Jaundice
Treatment of Ulcer
Treatment of Blood in Stools
Treatment Of Alcoholic Liver Disease
Treatment of Peptic Ulcers
Treatment of Gastric Trouble
Treatment of GERD
Treatment of Irritable Bowel Syndrome
Treatment of Hepatitis B Infection
Treatment of Digestive Disorders
Treatment of Burning Sensation in Stomach
Treatment of Stomach Cramps
Treatment of Liver Disease
Treatment of Chronic Pancreatitis
Treatment of Gastritis
Treatment of Ulcerative Colitis
Treatment of Amoebiasis
Submit a review for Dr. M Asha Subba LakshmiYour feedback matters!
I have been facing burning sensation at my anal while doing poo. But it is not often, is it something to worry about. If yes, then what is it?
Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.
What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:
- Side-effect of certain medicines
- Hormonal imbalance, especially during pregnancy
- Sudden withdrawal from medication
- Any infection or other medical condition
How to deal with the UC flare-ups?
- Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
- Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
- Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
- You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis
Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.
Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.
Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.
The surgical choices are:
- Proctocolectomy and Brooke ileostomy.
- Abdominal colectomy and ilcorectal anastomosis.
- Proctocolectomy and Kock pouch.
- Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.
Gallstones are bits of solid material that may be formed in the gall bladder. The gallbladder is a little organ located under the liver. You won't not know you have them until they've block your bile duct, causing pain that will need immediate medical intervention, and even hospitalisation in some cases.They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases.
Women are more likely to develop gallstones than men. Read on to know more:
Causes: There are a number of causes for this condition, especially in women. These causes are as follows:
- Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy
- Malfunctioning of the gall bladder
- High cholesterol levels
- Gallstones may be created when there is excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body.
- Bilirubin: Bilirubin is a substance created when your liver wrecks old red platelets. A few conditions, like cirrhosis of the liver and certain blood issues causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones.
- Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape.
- Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such stones. The diet also has a bearing in such cases.
- A yellowish tint in your skin or eyes, which can demonstrate jaundice
- Sickness or retching
- Clay coloured stools
- Pain in the right upper quadrant of your stomach area
- Other digestive issues
Ayurveda is a holistic system of medicine that gets to the root cause of the disorder instead of just treating the symptoms. Ayurvedic remedies improve your overall wellbeing, in addition to treating the symptoms. The various Ayurvedic remedies for gallstones are:
- Diet: Following a healthy diet is one of the key measures to prevent gallstones. Eat a well-balanced diet which has plenty of fruits and vegetables; avoid eating foods that contain saturated fats. Fat rich foods such as nuts and seeds should be consumed in moderation.
- Exercise: Exercising regularly helps in keeping your weight in check. Cardio exercises such as swimming and running are good for your heart and overall health. Remember that obesity is a risk factor for gallbladder stones.
- Keep Diabetes in check: If you are diabetic, make sure your blood sugar levels are in check. High blood sugar may cause high fat levels in the blood which may result in gallstones.
- Limit Stress: Stress may be a direct or an indirect cause for the formation of gallstones. Hence practice relaxation techniques such as meditation to deal with stress in an effective manner.
- Ayurvedic Herbs: Numerous herbs known as cholagogues and choleretics have been found useful in preventing gallstones in traditional ayurvedic medicine. Cholagogues are herbs that stimulate the gallbladder to contract, while choleretics stimulate the liver to secrete more bile. Both these actions could help reduce the risk of developing gallstones. Turmeric, citrus fruits, dried ginger, black pepper, long pepper, hing, etc., fall under these categories.
- Table Salt Remedy: Before breakfast, on an empty stomach, take a tsp of Saindhava lavanam or ordinary table salt in a glass of hot water. After drinking this, lie down for about 45 minutes on your right side. Do this once or twice a week.
- Castor Oil: Apply castor oil pack over the gallbladder area.
- Therapeutic Procedures: Apatarpana (fasting), langhana (light diet) and virechana (mild purgation) are some of the therapeutic procedures that are usually advised as a part of the treatment.
- Ayurvedic Remedies: Specific Ayurvedic remedies such as Shankavati, Sootasekar ras, Pravaalpanchaamrit, Hingwaashtak choorna, Avipattikar choorna, etc., are generally prescribed to treat this condition. The duration of the treatment and dosage of these medicines depends on the severity of the condition. If you wish to discuss about any specific problem, you can consult an Ayurveda.
I had pain and disturbance in right side upper abdomen. Undergone LFT on Dec'2014. Everything is fine in the tests except SGPT-43 and SGOT-68. Doctor said no problem and gave some Probiotics. It was fine then. Again from last one month I feeling the disturbance not pain in the same area. Can anybody please suggest me what to do?
I am getting frequent headaches, esp. when there is exertion, a partying outside, long travel, etc after taking one or two pain killers after a long rest..things will become normal..is it anything due to stomach, liver problems?
I am 26 now. Male.last 2 months I am affected by severe gastric problem. And also cause insomnia due to gastric. How could I over come from this problem.
I was diagnosed for Fatty liver before 3 years. I do not know what is the condition now. I have reduced my weight from 92 to 85 Kg. I am 65 years old. My blood pressure levels and blood sugar levels are normal. I feel slight discomfort at right last rib. What test to do? What medicines suggested? Any dos and don'ts to follow?
My sister has age of near 25 She has an problem related to stomach she has burn in stomach and also has problem in passing gas tell some medication or some home remedies.
Hi Doctors, So here's my problem. I had an open appendectomy exactly 2 months and 8 days ago. I had it on January 25, 2016.7 weeks after, I sudden ran in the stairs, forgetting about my surgery. But there was no effect or such. And then after 5 days, March 25 (2nd month after surgery), we had a family swimming so of course I had fun on the beach but I did not run nor did intense swimming. But after 3 days I guess, I always feel this pain in my left hypogastrium, beside my upper groin. I also feel pain in my back, and my sides. Then this day, april 2, I suddenly feel this pain right under my incision. The pain comes and goes. It's bearable but I get nervous about it. I have thoughts that the scar inside might have opened, and I don't want that to happen. I'm not experiencing any infections and my scar is perfectly fine. I don't have fever, nausea, and I'm not vomiting. I have cough and feels like I'm out of breath sometimes but it's surely because of cough. I'm just worried about the pain I always feel. Please let me know what this is. Thanks!
My mother aged 95 years has a1.2 cm stone in the gallbladder. The doctors have advised against surgery at this age. Kindly suggest some ayurvedic cure to get rid of the stone. She also feels and complains ofbloating and gas formation. Please advise.
Hi am 25 year old woman, my weight is 67 kg. Am 152 cm height am having digestion problem for last one year undergone treatment but no use .now my upper stomach became very bulge and hard even when I drink water also. Motion is coming for 2 days once. It is very hard and I have push while going motion. When I did full day fasting also the upper stomach like full and bulge hitting with my chest. And also the left side breast, stomach and hip is paining and this part also increased weight when compared to right side hip. With this am getting belly button discharge monthly once or twice .what is the reason for this .Please help me .to which specialists I have to go .now my stomach is looking like pregnant woman.
Respected Doctor, Today while going to bathroom while passing stool first I had burning sensation and then along with stool blood came out. What is the problem and what medicine I should take? Please suggest.
The liver is a vital organ within the body, which functions as a filter for the blood that comes from the digestive system. One of the conditions that afflict this organ is fatty liver, which occurs due to the accumulation of triglycerides within it. There could be multiple reasons behind this, such as alcoholism, obesity, pregnancy, hepatitis among many others. Homeopathy has some great treatments for fatty liver disease, depending on the cause.
1. Nux vomica: One of the major reason of developing a fatty liver is alcoholism. While drinking moderate amounts of alcohol isn't harmful, the tendency to drink very regularly will lead to fatty liver disease. In such cases you may feel pain in the abdomen, especially a few hours after eating. You may also suffer from constipation with cravings for fatty and spicy food. Nux Vomica is thus prescribed in these conditions.
2. Phosphorus: Fatty liver has many symptoms, which may manifest differently in different people. Many people complain about indigestion and sour belching. Your liver area may be painful and you may also vomit. You may constantly crave for foods such as ice-creams, juices and cold drinks. In such cases you may feel weak after passing stool. Phosphorus is a great remedy in such cases.
3. Chelidonium: This is one of the best overall remedies for fatty liver. Some of the symptoms where Chelidonium may work are as follows:
- Pain in upper right abdomen
- Enlargement of liver
- Jaundice along with fatty liver
- Feeling excessively weak
- Craving for hot drinks and hot foods
4. Calcarea carb: If you are obese or fairly overweight and suffer from fatty liver, calcarea carbonica can be very effective in treating the symptoms. Some of the symptoms exhibited by the patients where this medication is effective would be a yearning for eggs, profuse sweating and sensitivity to air if it's cold.
5. Lycopodium: This medication is very effective in treating fatty liver disease, especially if you suffer from gastric issues and acidity. You may have symptoms like, bloating of the stomach, burning of the esophagus when belching or burping and pain in the upper right abdomen. You may also exhibit cravings for hot drinks and sweets. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.
A peptic ulcer is usually found in the duodenum, or the first part of the small intestine. These ulcers can also be found in the delicate stomach lining near this region. These are usually painful sores that are caused due to too much acid production in the stomach, as well as excessive smoking and alcohol consumption. The symptoms generally include heartburn, bloating, nausea, vomiting, and even blood discharge in stool and vomiting. So how can you treat these ulcers? Here's a short list of ways to do so.
- Medication: The most common way of treating peptic ulcers is to ingest proton pump inhibitors which can be prescribed by a general physician. These medicines will effectively stop the production of acid and reflux in the gastroesophageal band, so as to prevent the growth and production of such ulcers. Antibiotics can also help, especially in severe cases where there is a risk of infection due to the presence of these ulcers.
- Upper Endoscopy and Surgery: For severe cases where there is bleeding in the peptic ulcers, an upper endoscopy may also be conducted. This quick procedure can give relief from the bleeding. Also, many specialists might recommend surgery so as to treat an ulcer that has punched a hole in the stomach's wall, in which case the persistent bleeding cannot be stemmed even with an upper endoscopy.
- Lifestyle Choices: The presence of a peptic ulcer usually points to tobacco and alcohol abuse. If you happen to be over 50 years of age and are busy drinking copious amounts of alcohol every day and even chain smoking, then you may be at risk. It is best to stop such abuse by giving up smoking and drinking so as to ensure that the peptic ulcer can be treated and does not become a fatality. Also, drinking plenty of water and eating a proper balanced diet along with exercise are some of the best ways of treating these ulcers.
- Side Effects: Peptic ulcers may also arise as a side effect of having pain killers too frequently. So it is important to stay away from medication that gives rise to this kind of reaction in the body.
Managing and treating peptic ulcers is a matter of getting the right tests done for diagnosis before discussing further medication or surgery based treatment for the ulcer so that it does not pose any grave danger to the patient's body. If you wish to discuss about any specific problem, you can consult a General Physician.