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Dr. N. Bheerappa

Gastroenterologist, Hyderabad

50 at clinic
Dr. N. Bheerappa Gastroenterologist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Dr. N. Bheerappa is a popular Gastroenterologist in Punjagutta, Hyderabad. You can meet Dr. N. Bheerappa personally at Nizam's Institute Of Medical Sciences in Punjagutta, Hyderabad. You can book an instant appointment online with Dr. N. Bheerappa on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gastroenterologists in India. You will find Gastroenterologists with more than 39 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.

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Nizam's Institute Of Medical Sciences

Panjagutta. Landmark: Near GVK Mall, HyderabadHyderabad Get Directions
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I'm 22. I am suffering form IBS from last 2 years. What should I do. It effecting me mentally also.

PDDM, MHA, MBBS
General Physician, Nashik
I'm 22. I am suffering form IBS from last 2 years. What should I do. It effecting me mentally also.
I have gone through your query and can understand your concern. It's not clear what causes irritable bowel syndrome, treatment focuses on the relief of symptoms. Following steps should be taken 1. Eliminating high-gas foods such items as carbonated beverages, vegetables — especially cabbage, broccoli and cauliflower — and raw fruits. 2.Some people are sensitive to types of carbohydrates such as fructose, fructans & lactose, called FODMAPs .FODMAPs are found in certain grains, vegetables, fruits and dairy products such as wheat, rye, barley, onion, garlic, apples, apricots, avocados, blackberries, cherries, etc 3.Taking fiber supplements, such as psyllium or methylcellulose, with fluids may help control constipation. Fiber obtained from food may cause much more bloating compared with a fiber supplement. 4.Anti-diarrheal medications such as loperamide, can help control diarrhea. 5.Anticholinergic and antispasmodic medications. These medications, such as hyoscyamine and dicyclomine, can help relieve painful bowel spasms. They should not be used if you have constipation. 6.Counseling. You may benefit from counseling if you have depression or if stress tends to worsen your symptoms. 7. In some people improvement in diarrhea symptoms occurs, if they stop eating gluten (wheat, barley and rye) Don't worry you would be fine Hoping your query is solved.
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Know Everything About Pancreatitis!!

MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Know Everything About Pancreatitis!!

What is Pancreas? 

The pancreas is an organ placed behind the stomach in abdomen. It produces: digestive juices (produce by exocrine pancreas, it help in digestion of food) as well as digestive hormones i.e. insulin and glucagon (produce by endocrine pancreas) which help in regulation of the level of glucose (sugar) in the blood. 

What is pancreatitis? 

Pancreatitis is abnormal swelling and inflammation of the pancreas. Once the gland becomes inflamed, the condition can progress to swelling of the gland and surrounding blood vessels, bleeding, infection, and damage to the gland. Normally, digestive enzymes secreted by the pancreas do not become active until they reach the small intestine. But when the pancreas is inflamed, digestive juices become trapped and start "digesting" the pancreas itself. If this damage persists, the gland may not be able to carry out normal functions. 

What Are the Types of Pancreatitis? 

Pancreatitis may be acute (new, short-term) or chronic (ongoing, long-term). Either type can be very severe, even life-threatening. Either type can have serious complications. 

  1. Acute pancreatitis usually begins soon after the damage to the pancreas begins. Attacks are mostly very mild, but about 20% of them are very severe. The onset of acute pancreatitis is often very sudden. The inflammation usually clears up within several days after treatment begins. An attack lasts for a short time and usually resolves completely as the pancreas returns to its normal state. Some people have only one attack, whereas other people have more than one attack, but the pancreas always returns to its normal state unless necrotizing pancreatitis develops and becomes life-threatening. 
  2. Chronic pancreatitis begins as acute pancreatitis. If the pancreas becomes scarred during the attack of acute pancreatitis, it cannot return to its normal state. The damage to the gland continues, worsening over time. Pancreatitis can come and go quickly, or it can be a chronic problem. Treatment will depend on whether your pancreatitis is acute or chronic. 

What are the causes of pancreatitis? 
Alcohol abuse and gallstones are the two main causes of pancreatitis, accounting for 80% to 90% of all individuals diagnosed with pancreatitis. 

  1. Gallstones form from a buildup of material within the gallbladder, another organ in the abdomen (please see previous illustration). A gallstone can block the pancreatic duct, trapping digestive juices inside the pancreas. Pancreatitis due to gallstones tends to occur most often in women older than 50 years of age. 
  2. Pancreatitis from alcohol use usually occurs in individuals who have been long-term alcohol drinkers for at least five to seven years. Most cases of chronic pancreatitis are due to alcohol abuse. Pancreatitis is often already chronic by the first time the person seeks medical attention (usually for severe pain).
  3. The remaining 10% to 20% of cases of pancreatitis have various causes, including the following:
    1. medications, 
    2. exposure to certain chemicals, 
    3. injury (trauma), as might happen in a car accident or bad fall leading to abdominal trauma, 
    4. hereditary disease, 
    5. surgery and certain medical procedures, 
    6. infections such as mumps (not common), 
    7. abnormalities of the pancreas or intestine, or 
    8. high fat levels in the blood. 
  4. In about 15% of cases of acute pancreatitis and 40% of cases of chronic pancreatitis, the cause is never known. 

What are the risk factors for pancreatitis? 

The major risk factors for pancreatitis are excessive alcohol intake and gallstones. Although the definition for excessive alcohol intake can vary from person-to-person, most health-care professionals suggest that moderate consumption is no more than two alcoholic drinks a day for men and one a day for women and the elderly. However, people with pancreatitis secondary to alcohol intake are usually advised to avoid all alcohol intake. Other risk factors include: 

  • a family history of pancreatitis, 
  • high levels of fat (triglycerides) in the blood, 
  • cigarette smoking
  • certain inherited disorders such as cystic fibrosis, and 
  • taking certain medicines (for example estrogen therapy, diuretics, and tetracycline). 

What Are the Symptoms of Pancreatitis? 

Most people who have acute or chronic pancreatitis experience upper abdominal pain as their primary symptom. Some of those who have chronic pancreatitis may show inflammation on imaging scans, but otherwise may show no symptoms. Symptoms of pancreatitis may include: 

  • upper abdominal pain: pain that wraps around the upper body and involves the back in a band-like pattern 
    • Pain associated with pancreatitis may last from a few minutes to several hours at a time. 

In severe cases, discomfort from chronic pancreatitis could become constant. Your pain is likely to increase after you eat or when you’re lying down. Try sitting up or leaning forward to make yourself more comfortable. 

Severe acute pancreatitis is a medical emergency. Severe acute pancreatitis may cause dehydration and low blood pressure. The heart, lungs, or kidneys can fail. If bleeding occurs in the pancreas, shock and even death may follow. People who have chronic pancreatitis may also experience steatorrhea, or fatty stools that give off a foul odor. Steatorrhea can be a sign of malabsorption. This means you’re not getting all of your essential nutrients because your pancreas doesn’t secrete enough digestive enzymes to break down your food. 

How pancreatitis is diagnosed? 

Your doctor will likely use a combination of blood tests and imaging scans to make a diagnosis. If you have acute pancreatitis, blood tests may show a rise in your level of pancreatic enzymes. During acute pancreatitis, the blood contains at least three times the normal amount of amylase and lipase, digestive enzymes formed in the pancreas. Changes may also occur in other body chemicals such as glucose, calcium, magnesium, sodium, potassium, and bicarbonate. After the person's condition improves, the levels usually return to normal. Ultrasound, MRI/MRCP, and CT scans can reveal the size of your pancreas and whether you have a blockage of the bile ducts. 

How to treat pancreatitis? 

Treatment for acute or chronic pancreatitis often involves hospitalization. In acute pancreatitis, the choice of treatment is based on the severity of the attack. If no complications are present, care usually focuses on relieving symptoms and supporting body functions so that the pancreas can recover. Treatment for acute pancreatitis includes intravenous (IV) fluids, and medications for pain, nausea and vomiting.

  • The pancreas is key to your digestive process and needs to rest to heal. No food or liquid should be taken by mouth for a few days. This is called bowel rest. By refraining from food or liquid intake, the intestinal tract and pancreas are given a chance to start healing.
  • For this reason, you may receive fluids and nutrition intravenously or through a tube that goes from your nose directly into your jejunum (part of small intestine), which is called a nasojejunal feeding tube. Restarting an oral diet depends on your condition. Some people feel better after a couple of days. Others need a week or two to heal sufficiently. 
  • If needed, medications for pain and nausea are prescribed. 
  • Those people who are having trouble breathing are given oxygen. 
  • Antibiotics are given if the health-care professional suspects an infection may be present. 
  • Some people may need a nasogastric (NG) tube. The thin, flexible plastic tube is inserted through the nose and down into the stomach to suck out the stomach juices. This suction of the stomach juices rests the intestine further, helping the pancreas recover. 
  • If the attack lasts longer than a few days, nutritional supplements are administered through an IV line. 
  • Surgery is sometimes needed to treat complications 
    • If your doctor diagnoses gallstones or other blockages of the bile ducts, you may need surgery to correct these problems later on. 

What are the complications of pancreatitis? 

Some patients may develop complications. These complications are rare, but they’re more common in people with chronic pancreatitis: 

Can pancreatitis be prevented? 

The following recommendations may help to prevent further attacks or to keep them mild: 

  • Completely eliminate alcohol because it is the only way to reduce the chance of further attacks in cases of pancreatitis caused by alcohol use, to prevent the pancreatitis from worsening, and to prevent the development of complications that can be very serious or even fatal. 
  • Eat small frequent meals. If in the process of having an attack, avoid solid foods for several days to give the pancreas a chance to recover. 
  • Eat a balanced diet high in carbohydrates and low in fats because may help individuals decrease the risk for pancreatitis since it is likely these actions will decrease the risk of gallstones, a major risk factor for pancreatitis. 
  • If pancreatitis is due to chemical exposure or medications, the source of the exposure will need to be found and stopped, and the medication will need to be discontinued. 
  • Don't smoke 
  • Maintain a healthy weight 
  • Exercise regularly. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
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Sir my ultrasound reports states 22 MM stone in my gall bladder I do not want surgery if I not do surgery it has any effect on me presently I have no major problem.

MS, MBBS
Gastroenterologist, Delhi
Sir my ultrasound reports states 22 MM stone in my gall bladder I do not want surgery if I not do surgery it has any ...
whenever stone is detected in gall bladder it needs to be removed laparoscopicallly. no other treatment is advisable
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What is the treatment for stone in gallbladder. Is there a operation to take out the stone from gall bladder without removing the gall bladder and the size is 24mm.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
Yes, certainly it can be reduced/removed naturally with medicines only. Gall bladder gets diseased due to an unhealthy diet and lifestyle. This leads to an imbalance of the acid-alkali balance in the body which causes the cholesterol to precipitate in the gall bladder leading to stone formation. Over time, these may get infected and lead to an acute inflammation, pain, fever etc. A stone may move ahead into a narrow passage or the duct and get stuck leading to severe agony. The safest and way that should be used to remove gall stones is removing it naturally, not just remove gall stones from gall bladder but also remove the cause of gall stones. There is no operation as such in which stones can be removed without removing gall bladder. They just remove gall bladder in operations and that can cause big digestion and stomach related problems. You must search about our ssohm treatment which helps in removing stones naturally without any operation/surgery.
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Hi I was diagnosed with pcod in may I was on ocp till Aug den I stopped taking medicines now m having bad pain nd cramps in lower abdomen nd in sono graphy reports it was mentioned I hv hormone problem nd my ovaries are enlarged please help me what to do I work for night shifts can't manage to visit clinic

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
To reduce pain take. Apis mel 30 daily 2 doses. Report me after 1 week in private question. [Automatically added by Lybrate] Click "Consult Dr. Swapan Debnath" below to consult privately with the doctor.
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Dear Doctor, I am suffering from stomach pain, acidity and giddiness. I have taken pantoprazole and enzyme tablets but no relief.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Dear Doctor, I am suffering from stomach pain, acidity and giddiness. I have taken pantoprazole and enzyme tablets bu...
Some things you should know oily food & cold drinks can trigger gas problems & discomfort. More gas formation is due to improper digestion. Take 2 spoons ghee before meal 2 times use butter milk in meal do pavanmuktasan daily empty stomach & vajrasan after meal. To improve digestive system not get relief in 3 to 8 days.
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I am 21 years old male I hv chest pain since 1 week. I hv did x ray but nothing is found. Is this hpnig bcz of gas.

BHMS
Homeopath, Faridabad
I am 21 years old male I hv chest pain since 1 week. I hv did x ray but nothing is found. Is this hpnig bcz of gas.
Hello, this pain may be because of gas so take Natrum phos 6x , 5 tabs twice daily after meals. Take care.
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I have chronic abdominal boating, gas and constipation. I also sucfer from anxiety n stress in the upper spine nexk and head and eyes region. I am told I have chronic amoebiases which gets settled on upper liver region. My arms n neck is pigmented since this problem from teenage. Please suggest a permanent remedy. I also suffer from hairloss and dark cir les. Everythknv started with stomach problem. I take mahacef oz and get better for a while and then again stomach problem starts.

MBBS
General Physician, Ahmedabad
Hi, , I can say that you are suffering from irritable bowel syndrome, with anxiety and stress, indigestion lead to weakness and vitamin deficiency and even anemia. So stop antibiotic. Just now you start, tab veloz l 1 in the morning, isapgol powder 2 tsf with water at night. Avoid fast and fried food. Sleep atleast 3 hrs after taking food. Have an aerobic exercise for better digestion. For anxiety and depression contact me here at private questions. I also advice, tab haem up 1 after lunch. I also advice for sonography of abdomen and blood check up for hb, sgpt and stool for routine and occult blood.
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Dear Doctor, I am 46/M. Height is 5'9" weight is 95 kg. My tummy is tight always. Even after small amount of meals it becomes hard. Is it obesity or some other medical condition. I have 1st condition controlled asthma also. Please reply. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Dear Doctor, I am 46/M. Height is 5'9" weight is 95 kg. My tummy is tight always. Even after small amount of meals it...
Its obesity dear... Dear to decrease your weight you have to do work out daily. Try the remedies below they can help u. 1. Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one glass of water. 2. Drink it in the morning on an empty stomach. 3. Do this daily for at least three months. 4. Drink mint tea or make a paste of green mint with some simple spices and eat during meals. 5. Eat vegetables such as bitter gourd and drumsticks to control obesity. 6. Do bhujang asana, dhanurasana, naukasana, kumbhakasana, pavanamukthasana daily 10 min per asana. 7. Do running early morning daily and join aerobics in evening. 8. Avoid oily and spicy food. And constipation.
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I am 24 year old. My problem is stomach. Acid and gas problem for long time tell me specific solution. please tell the remedies and specialist doctor and my other problem is hair loss please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I am 24 year old. My problem is stomach. Acid and gas problem for long time tell me specific solution. please tell th...
You have to avoid eating spicy oily and sour food items. Stop junk food and outside food. Eat bland diet for few days. Medication for acidity. Syrup himcocid 2-2-2 tablet avipattikar 1-1-1 amlapitta mishran of dhootpapeshwar 2-2-2. All for 3 months. Use anti hair fall oil, shampoo and cream of himalaya company mix following powders. Bhringraj +brahmi +neem +triphala + rasaayan. 1 spoon three times a day for 3 months. Always drink a glass of warm water empty stomach every morning.
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Hello sir I am suffering from gas and acidity problem from many days. Please tell me how to get rid of from this.

MBBS, MD GENERAL MEDICINE, PDCC CRITICAL CARE, FCCS CRITICAL CARE
General Physician, Hyderabad
Hello sir I am suffering from gas and acidity problem from many days. Please tell me how to get rid of from this.
Stress in life has to be avoided first try to identify the causative agent like cigarettes, alcohol. Spicy food try to avoid it and see if it helps.
2 people found this helpful
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What could be the reason for having the traces of undigested food in the poop? I have weak digestion too, I am really worried about it. What do I do?

MBBS
General Physician, Cuttack
What could be the reason for having the traces of undigested food in the poop? I have weak digestion too, I am really...
1.Take bland diet, Avoid spicy, oily, fatty and Junk food 2.drink plenty of water 3. take one tablet of pan40 in the morning 4. Take unienzyme 2 tablet twice daily after food for few days. 5.consult for further advice
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I have very sever gas and acidic problem even while taking medicines. Please advice what to do.

MS - General Surgery, MBBS
General Surgeon, Delhi
I have very sever gas and acidic problem even while taking medicines. Please advice what to do.
Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy/USG done. Tab Pantium-l 1 tab empty stomach.
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There is heavy pain on anus while passing motion since 7 days. I consulted doctor and having tablet & Ointment. But there is no improvement. Yesterday I noticed little blood in my motion. Still I feel irritation in my anus. Please provide me a proper solution? Is this piles?

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
Dear friend, from the symptoms you have described you might be suffering from either fissure in ano or piles, as both of them can cause similar symptoms. Only by a physical examination a correct diagnosis can be made. I suggest along with the tablet and ointment that your doctor has prescribed please start taking some laxative. Also increase intake of fruits and salads in your diet. Drink at least four laters of water every day. One more thing that will help you is to sit in warm water, pour warm water in a big plastic tub and sit in it for about 20 minutes in the morning and evening. It will give you quick relief. If all the above measure do not work then please meet a surgeon and get operated. Best wishes.
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What are the symptoms of kidney stones I have pain in my lower back and lower abdomen please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
What are the symptoms of kidney stones I have pain in my lower back and lower abdomen please help me.
It could be. Some time if stone r there, it might passed also because of that only you r getting pain. Get one abdominal scan. By that you will come to know.
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In last 3 week my digestive system is not well. 1 or 2 days I don't have motion then in my penis a white substance collected that's why I feel week and please suggest me sir what I do?

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
In last 3 week my digestive system is not well. 1 or 2 days I don't have motion then in my penis a white substance co...
Certainly you would masturbate a lot. Better drop doing masturbation and take full sexual restrain. And take any purgative medicine to clear your stomach. Takes only light food and salads, fruits for some days. Clean your penis duly. May take ayurvedic medicines for post masturbation weakness. Wish you good health.
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15 days before my wife suddenly faced watery stooling like diarrhea and vomiting, for that reason I was took her to the doctor .doctor checked blood and gave her two injections for immediate relief from diarrhea and vomiting. But at that time she feels well and good. The stooling and vomiting stopped. But after two days when she was going for latrine she faced stool was so tight and hard, for that reason doctor again prescribed cremaffin stool softener, now while she going for latrine she faced hard stool with blood. After latrine now she faced pain in her anus. She also faced blood spots in her stool. But she never ever faced such problems in her life. After this injections she faced such situations. Please suggest me the solution. Some are saying that this a symptoms of arsa.

DIABETES EDUCATOR, PGDND, RMP -ALTERNATIVE MEDICINE, MEDICAL TRANSCRITPTINIST, M.SC, Msc nutrition
Dietitian/Nutritionist, Bangalore
15 days before my wife suddenly faced watery stooling like diarrhea and vomiting, for that reason I was took her to t...
Dear patient this is an indication of piles you have to do a stool routine and urine routine and get back to me with the report I am at basavanagudi bengaluru you can visit my clinic also I can have a close look at the problem you better book an appointment with lybrate and take paid consultation rs 300 only. Meantime you can take s soft diet and do not put force on the anal area drink lots of fluids and keep the anal area clean and tidy I need to examine her orelse you can do a video call to me with your wife thanks.
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I would like to know if there is a better and natural solution rather than using proton pump inhibitors for acidity?

BAMS
Ayurveda, Bangalore
I would like to know if there is a better and natural solution rather than using proton pump inhibitors for acidity?
HI, Try these home remedies: - Drink kheer prepared out of saboo. - Drink a glass of pumpkin juice everyday in the morning on empty stomach. - Take 1tsf of jeera powder mixed with jaggery twice daily. or poppy seeds which keeps the stomach cool. – Take a bowl of curds mixed with sugar or a glass of lassi everyday which helps to neutralise the acid.
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Sir I have constipation problem due to that reason I suffer from acidity problem regularly sir pls give some solution.

BHMS
Homeopath, Raebareli
Sir I have constipation problem due to that reason I suffer from acidity problem regularly sir pls give some solution.
Dear user constipation is just a simple man made situation you need to make sure you do all things and activity timely interms make daily schedule for you wake up and sleep time. Avoid carbs indule in green leafy vegetables fibre rich diets and consing fruits will help you a lot. Above which regulate water intake do not drink water in excess at it will cause more problem.
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