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Dr. Prabhakar Pappu

Gastroenterologist, Hyderabad

100 at clinic
Dr. Prabhakar Pappu Gastroenterologist, Hyderabad
100 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Prabhakar Pappu
Dr. Prabhakar Pappu is a popular Gastroenterologist in Ameerpet, Hyderabad. You can consult Dr. Prabhakar Pappu at Challa Hospital in Ameerpet, Hyderabad. You can book an instant appointment online with Dr. Prabhakar Pappu on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gastroenterologists in India. You will find Gastroenterologists with more than 40 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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Challa Hospital

#7-1-71/A/1, Dharam Karam Road, Ameerpet, Landmark: Near Food World and Rajarajeshwari Bank, HyderabadHyderabad Get Directions
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St. Theresa's Hospital

Erragadda, Sanath Nagar. Landmark: Opp.To Erragadda Rithu Bazar, HyderabadHyderabad Get Directions
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Hello doctor, do lactose intolerant people get any benefit after drinking pasteurised milk since the milk is causing bloating, intestinal cramps and digestion problems? If yes than how? Thank you.

B.A.M.S
Ayurveda, Banaskantha
Hello doctor, do lactose intolerant people get any benefit after drinking pasteurised milk since the milk is causing ...
Dear Lybrate User, Lactose intolerance is described in Ayurveda as a "Mrudu kostha" so in that conditions milk not digested easily- Abdominal Pain, Flatulation, Burpin, Diarrhea are symptoms. In this condition drink Indian breed Cow milk only with added 1tsp sunthi powder during boiling.
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Hello, I am 35 years old. Suffering from anal fissure for 4/5 years. It is very painfull during stooling & after stooling. I am taking sysbath with beta dine solution, applying pilex oinment, taking laxit plus before bed time. But bleeding blood is occurring during stooling. It is not healing from inside. How can I get rid from this problem?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear yes this anal fissure but the treatment is slightly off line. Remember fissure is due to constipation with passage of hard faeces. It is not a disease but a lifestyle problem so some change in your lifestyle is essential. Though this is not my speciality still follow the suggestions ans they would help you 1. Drink plenty of fluids 2. Take high fibre diet like salads green leafy vegitable and fruits esp. Papita, banana, mango etc. 3. Take liq. Cremaffin plus 1 teaspoonful at night 4. Take isabagol powder 3-4 teaspoonful in 200 ml. Of water at night. 5. Apply zincal ointment in side anus twice a day 6. Continue sitz' bath with kuke warm water. 7. Increase physical activity like walking, games or exercise regularly 8. Drink two glasses of water first in the morning and then take a walk and the go toilet even though you may not feel like it in a few days time it would be regularised. 9. Avoid taking pain killers and kunk food.
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I have muscle and joint pains, stomach and heart burning, diarrhea skin problem. These are the symptoms for what?

BHMS
Homeopath,
I have muscle and joint pains, stomach and heart burning, diarrhea skin problem. These are the symptoms for what?
Muscles and joint pain may be due to uric acid, aso titre or may for arthritis. Stomach pain, diarrhea may b due to improper digestion or any infection in the gi tract. Skin problem have other cause. If you want a permanent solution with minimum medicine you need homoeopathic treatment. With proper homeopathic treatment all your symptoms will reduce gradually. Soo if you want permanent solution you can contact me through Lybrate.
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Hi doctor,Two months before I got a gastric problem by eating prawns. That same week I played shuttle after a long time so I got sprain in my back. I went for body massage it got relieved but pain started in ankle and foot. I took X-ray . Doctor said it may be a ligament tare so I use soft soul shoes. But still pain don't get relief. It's paining in ankle. Finally I consulted acupuncture specialist he said I have more toxin in my body then I have to cut off my weight. My weight 110kg height 6.2ft age 29

BPTh/BPT
Physiotherapist, Hyderabad
Non-veg food is always harmful esp as animals dont have the means to neutralise any antibodies / steroids given to them to make them "look healthy and plump. But on the other hand plants have the ability to neutralise any toxin that it is sprayed with or filter itself from polluted soil. Hence its better to stick to plant based diet always and remain healthy. Your BMI is about 30 which falls under obesity. Calculate your calorie intake and expenditure. Calories spent should be more than intake. Follow regular routine of exercise. Take 30 days challenge to lose atleast 5 kg off.
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I am facing some gas problem for last 20 days, I'm not taking any fast foods, I taking lite meal, some times I am feeling nausea in morning time, and having back pain some times, having headaches, nebulizer in belly, some times feeling dizziness.

M.B., B.S. FCGP., FIAMS
General Physician, Panipat
I am facing some gas problem for last 20 days, I'm not taking any fast foods, I taking lite meal, some times I am fee...
Excess acid formation and low grade infections in intestines is the common cause In addition to the Physician advice take glass full of Home made liquids every 2-3 hrs for ever Avoid fast fried spicy Oily foods Take fresh fruits salad thrice daily before meals Increase daily exercise to 30 min twice daily And be thankful to my advice.
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I am four weeks pregnant. I am suffering frm severe headache and lower abdominal pain. Is that normal?

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
I am four weeks pregnant. I am suffering frm severe headache and lower abdominal pain. Is that normal?
This is normal. Lower abdominal pain is du to enlarment of uterus. Take atleast 2.5 to 3 ltrs of water to reduce head ache.
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What Causes Acidity? Understanding its Symptoms and Causes

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
What Causes Acidity?  Understanding its Symptoms and Causes

Acidity - gastritis: understanding the symptoms and causes

Gastritis/acidity is a group of diseases or symptoms where there is excess secretion of acid by the gastric glands of the stomach.

If you have upper abdominal discomfort or pain, stomach fullness, heartburn, nausea, vomiting, indigestion, belching, waterbrash or irregular bowel movement, then you must be suffering from acidity or gastritis. It is a problem which becomes worse when an individual has poor eating habits and improper lifestyle.

Gastritis: swelling of stomach lining

Various factors like spicy food, medicines, tobacco, alcohol etc. Can cause increase in gastric acid production and disturb, weaken or damage the normal stomach lining. Gastritis occurs when there is an imbalance between the acid production and damage to the stomach lining, resulting in swelling of the stomach lining.

Gastritis a very common disorder of all age groups

Gastritis is of two types - acute gastritis (which occur suddenly) and chronic gastritis (develops over a period of time). In India gastritis is a very common disorder which occurs at any age but is more widespread in the adolescent age group (12-17 years). Adolescence is a change from childhood to adulthood, the period in which a lot of physical and psychological changes occur increasing the risk of gastritis.

Multiple factors cause gastritis

Various factors like spicy food, medicines (pain killers), tobacco, alcohol, emotional disturbance, psychological stress, smoking, alcohol intake and bacterial infection lead to gastritis.

Besides these, the three most important factors include helicobacter pylori infection (bacterial infection), use of painkiller medicines and autoimmunity (body loses its own immunity and attacks itself). These factors in the long term may even cause an ulcer (permanent breakage of the stomach lining), acid reflux disorder (food coming back to mouth after swallowing) and stomach cancer.

What does Ayurveda suggest?

In Ayurveda, agni refers to fire like activity in alimentary canal responsible for digestion of food which is influenced by the status of doshas. When samana-vata associates with kapha in turn produces weak digestive power (agni-mandya). Consuming food against the code of dietetics i. E. Ahara-vidhi vidhana and ahara-vidhi-visheshayatana (method of taking food) lead to a number of diseases related with food. Eating food before the previous food is digested, untimely food, eating too much of spicy or oily food, eating when not hungry, drinking too much water during food and at a time unless required, very hot high fatty-fried food, stale food, heavy diet, excess consumption of horse gram, vitiate all the three body humours (tridosha) also contribute to the symptoms of gastritis.

Due to the sourness of consumed food the liquidity of pitta increases further decreasing the capacity for digestion (agnimandya). Hence, rasadi-dhatu is not formed in a proper manner. This, after a certain period, manifests as amlapitta (hyperacidity).

Symptoms of gastritis vary among individuals

Symptoms of gastritis vary among individuals, and in many people even there are no symptoms. It also depends on the duration of disease, whether it is of acute (coming on suddenly) or chronic (causing symptoms over a long period of time) type.

The most common symptoms of acute gastritis include:

  • Abdominal bloating or stomach fullness,
  • Belching (expelling air from the stomach through the mouth)
  • Waterbrashes (sour fluid or tasteless saliva into the mouth)
  • Upper abdominal pain or discomfort
  • Nausea/vomiting feeling
  • Irregular bowel movement
  • Recurrent indigestion,
  • Chest burn or gnawing feeling between meals (heartburn)
  • Hiccups etc.

In addition to this, symptoms of chronic gastritis may include weight loss, continuous flatulence, black stool, loss of appetite and even anemia.

How to diagnose gastritis?

To diagnose gastritis, performs a thorough physical evaluation, and may recommend a blood test for h. Pylori screening, stool test for blood in the stool. Abdominal x-rays or barium studies (upper or lower) may demonstrate the presence of thickened stomach lining and folds that are signs of inflammation in the stomach.

Sometimes, an endoscope, a thin tube containing a tiny camera, is inserted through the mouth and down into the stomach to look at the stomach lining (endoscopy). The doctor will check for inflammation and may perform a biopsy, in which a tiny sample of tissue is removed and sent for analysis of gastric lining.

If you would like to consult with me privately, please click on 'consult'.

Related Tip: 10 Things You Must Correct to Fight Acidity And Heartburn

4601 people found this helpful

Sir I am ill digestive problem something two year please help me. Take gud treatment for me.

MBBS
General Physician, Mumbai
Sir I am ill digestive problem something two year please help me. Take gud treatment for me.
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water
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Good evening sir; hello my wife is 22 years old and recently about 10-12 days before and then daily she pass stool with blood but blood in small amount but today she pass stool with large amount of blood and she also suffering from vaginal itching redness and inflammation Dr. please consult us what should we do .thanks.

BAMS
Ayurveda, Bangalore
Good evening sir; hello my wife is 22 years old and recently about 10-12 days before and then daily she pass stool wi...
Hi, Blood in motions is seen in piles, fissures, ulcerative colitis, colon cancer, etc. For diagnostic purpose, do a colonoscopy and consult a general surgeon for further management. Avoid hot and spicy food. Take some laxatives if you have constipation. Drink plenty of fluids and consume high fiber diet. Get treated at the earliest, otherwise, you will suffer from severe anaemia due to heavy blood loss. Take cap. M-Ceaz 1 cap 3 times a day to arrest the bleed.
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I am 29 year old female having pregnancy of 5 week 5 days (as per USG report), I am facing too much problem with acidity, which medicine I can take for relief from acidity and is this will safe during pregnancy.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 29 year old female having pregnancy of 5 week 5 days (as per USG report), I am facing too much problem with acid...
Homoeopathic medicine symphoricarpus racemosa. 30 (sbl or wilmar schwabe india) drink 2 drops in 1 spoon fresh water every 1-2 hrly during acidity a very safe medicine esspecially recommended during pregnancy.
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I am suffering from mucous in the stool and my motion doesn't come after so much of efforts I put, since 3-4 yrs. My stool is so sticky n blackish. I used to take Kayam churna or tablets for stomach cleaning. Please suggest what this disease called? And also some strong remedy for this. My tests like KFT, LFT, THYROID, & UTRA SOUND are normal. I have taken allopathic treatment but it start again after some time. Please help me with this.

PDDM, MHA, MBBS
General Physician, Nashik
I am suffering from mucous in the stool and my motion doesn't come after so much of efforts I put, since 3-4 yrs. My ...
Some amount of mucus in the stool is normal; however, significant amounts of mucus and mucus accompanied by diarrhea, pain or blood may signify an intestinal condition such as infection or inflammation. Increased amounts of mucus in the stool can also occur with cancers of the colon or rectum or with bowel obstruction. Since your stool is blackish, I would suggest you to get yourself evaluated by a gastroenterologist.
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It always feels that stool is coming back again. what should i do to get rid from this feeling ?

M.D.(AM), B.A.M.S.(PB)
General Physician,
It always  feels that stool is  coming back again. what should i do to get rid from this feeling ?
CASE OF INCOMPLETE EVACUATION ,NEED DIGESTANTS LIKE PUDINA ,SALAD ETC TO YOUR DIET, DAILY GO FOR WALK AT NIGHT ,DRINK WARM WATER
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I am too fat from stomach. I feel bloated and have gas problem whenever I eat something.

MBBS
General Physician, Mumbai
I am too fat from stomach. I feel bloated and have gas problem whenever I eat something.
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and do exercise regularly
1 person found this helpful
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I Am Having Problems Related With Potty From 2 Months And I Feel that my bowels are full. Many times the poo doesn't come out easily. Please Tell me what to do. Sometime my tummy got bloated. I take laxative sometimes. It's Urgent. Help me fast.

BHMS
Homeopath, Chennai
I Am Having Problems Related With Potty From 2 Months And I Feel that my bowels are full. Many times the poo doesn't ...
The first line of treatment that almost everyone resorts to is that of taking laxatives. It is likely to be any of the most frequently advertised one bought over the counter. It may even be something recommended by an elder in the family. The biggest disadvantage of such laxatives is that they are habit forming. Once you start takingthem, you cannot leave them. Otherwise, you will not be able to evacuate your bowels in a satisfactory manner. Here, Homeopathy offers the biggest advantage. The homeopathic medicines do not work as laxatives. This means that you should not expect them to work as short term quick fixes. Rather, they work to improve the digestive system which has lost its proper and smooth functioning. The peristaltic movement of the intestines, which is responsible for pushing out the waste matter is often compromised in patients who are constipated. Homeopathy  intends to cure the root cause of constipation. It is therefore natural that these medicines are going to take some time to get things going. Ultimately, it is effective at restoring this peristaltic movement to the normal self
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Whenever I go to the toilet to dump a stool, blood comes out in small amounts but no pain. Should I be worried?

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
Don't worry. It looks like your source of bleeding could be piles. You must avoid constipation at all costs. Take plenty of fruits, fibre rich diet and fluids. Avoid non-veg, spicy and fried food. If the problem continues, please consult some surgeon in person and have yourself examined. Thanks.
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Crohn's Disease - Causes, Types And Symptoms

MS - Surgery, MAMS, Senior Residency , MBBS, Fellow IAGES
Gastroenterologist, Delhi
Crohn's Disease - Causes, Types And Symptoms

One of the most severe illnesses included in the larger group of diseases, is known as inflammatory bowel disease (IBD). Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults. 

Types : Crohn's disease is subdivided into five types, each having its own set of symptoms:

  1. Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
  2. Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
  3. Crohn's Colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas. 
  4. Ileitis: This type of Crohn's disease affects the ileum and the symptoms are identical to those of ileocolitis.
  5. Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes: Although there are many theories about what causes Crohn's disease, none of them have been proven. However, there have been a few possible causes which have been identified. These include:

  1. Immune system problems
  2. Genetic disorders
  3. Environmental factors, such as: a) Certain edibles, b) Viruses or harmful bacteria, c) Smoke.

Symptoms: The primary symptoms of Crohn's disease include the following:

  1. Diarrhea: Diarrhea is a common problem for people with Crohn's disease and can occur for about 10 to 20 times a day in severe cases.
  2. Blood in your stool: In rare cases, you might notice blood in the toilet bowl or darker blood mixed with your stool.
  3. Fever and fatigue: In more intense cases, you may develop a fever. You may also feel tired or have low energy.
  4. Abdominal pain and cramping: You may experience anything from slight discomfort to severe cramping and intermittent belly pain, including nausea and vomiting.
  5. Anemia: Due to a reduction in iron level caused by bloody stools a person can turn anemic.
  6. Reduced appetite and weight loss: Abdominal pain and cramping can affect both your appetite and your ability to digest food, which leads to severe weight loss.
  7. Perianal disease: Erratic appearance of small tears in the anus are called anal fissures.
2823 people found this helpful

I have problem in liver last 5 yrs. I have fatty liver. Pain in liver upper part. Tell me solution.

MBBS
General Physician, Cuttack
I have problem in liver last 5 yrs. I have fatty liver. Pain in liver upper part. Tell me solution.
You have to consult Gastroenterologist/Hepatologist for advice Avoid oily, fatty, Junk food.Take Bland diet, plenty of green leafy vegetables, fruits.Avoid Alcohol consumptiion if you are having. Regularly monitor your LFT(Liver function test)
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My wife is suffering from severe stomach 2 to 3 times a month. Is there any permanent solution for acidity.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife is suffering from severe stomach 2 to 3 times a month. Is there any permanent solution for acidity.
Homoeopathic treatment GASTROBIN ( Wilmar Schwabe India) Drink slowly 20 drops in 20 ml fresh water 3 times daily. NATRUM SULPH 6X ( Dr.Reckeweg) Chew 2 tabs twice daily NUX VOMICA 30 ( Dr.Reckeweg) Drink 5 drops in 1 spoon fresh water at night bed time DIGECOM SYRUP ( WELLMAN LAB) Drink 2 spoons 10 minute after meals 3 times a day Do nd dontss 1.Avoid fast,spicy nd fried food 2.Avoid tea,coffe nd cold drinks 3.Try to take nutritious easy digestible home diet 4.No any intake of water 30 minutes before nd after meals .This is possible only if the meals r non spicy nd if you r eating slowly. 5.Eat half chapati less than your appetite 6.My personal addition.........1 fast in a week is must ( Only 1 meals in the evening) in aweek if you r habitually ssuffering from acidity problem.It will pay you in future 7.Breafast nd dinner light nd Lunch can be heavy 8.10 minutes evening walk after Dinner is a must 9.Start a habit of eating 5 leaves each of HOLY BASIL ( TULSI PATTA) nd KARI PATTA ( CURRY LEAVES) early morning empty stomach.Start from 1 leaf each nd go upto 5 leavess..After eating drink 1 glasss plain water.This will increaseyour digestive powers naturally 10.Implement naturopathy in your life as medicines can help only for the time being . How to take Homoeopathic medicines 1.Homoeopathic mediciness are always to be taken empty stomach,means when there is nothing in your stomach.It doesnt meanss that these medicines r to be taken early morning.It means that homoeopathic medicines are to be taken minimum 15 minutess before or 15 minutes after eating or drinking anything except plain water.and maximum time no limit. 2.Therefore distance between two homoeopathic medicines will also be minimum 15 minutes nd maximum no limit. 3.All the homoeopathic medicines can be taken empty stomach ( Morning dose) if you so like. 4.Difference from all allopathic medicine should be minimum of 1hour before or after as homoeopathic medicines r very light but deep acting nd allopathic medicines in materialistic doses being strong,mimimise the effect of homoeopathic medicines if taken in a difference of less than one hour
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By prolonged usage of Ayurvedic medicines can there be any side effects like gastritis?

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
By prolonged usage of Ayurvedic medicines can there be any side effects like gastritis?
Hello Yes its possible that prolonged use of ayurvedic medicines can excessive acidity or gastritis. Thank you
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Is there any medicine to stop collecting acidic fluid in stomach or can it be reduce in normal form because every 3-4 days have to do tapping and take out the fluid. It is painful and unbearable.

MBBS
General Physician,
Is there any medicine to stop collecting acidic fluid in stomach or can it be reduce in normal form because every 3-4...
It may be ascites of the abdomen which is collection of fluid in the abdominal cavity's duevto some chronic liver diseases like chronic hepatic failure or tuberculosis of abdomen etc you should consult a medical specialist for assessment and further management.
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