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Gastro And Liver Care

Gastroenterologist Clinic

A - 9, Shanti Nagar, Near Prakash School, Hatwara Road Jaipur
1 Doctor · ₹400 · 1 Reviews
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Gastro And Liver Care Gastroenterologist Clinic A - 9, Shanti Nagar, Near Prakash School, Hatwara Road Jaipur
1 Doctor · ₹400 · 1 Reviews
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Gastro And Liver Care
Gastro And Liver Care is known for housing experienced Gastroenterologists. Dr. Neeraj Nagaich, a well-reputed Gastroenterologist, practices in Jaipur. Visit this medical health centre for Gastroenterologists recommended by 80 patients.

Timings

Mon-Sat
08:00 AM - 09:00 PM

Location

A - 9, Shanti Nagar, Near Prakash School, Hatwara Road
Shanti Nagar Jaipur, Rajasthan - 302006
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Doctor

Dr. Neeraj Nagaich

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist
Available today
93%  (134 ratings)
18 Years experience
400 at clinic
₹250 online
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Patient Review Highlights

  • "Professional" 1 review
  • "Prompt" 1 review
  • "Practical" 1 review
  • "knowledgeable" 1 review
  • "Very helpful" 2 reviews
  • "Professional" 1 review
  • "Prompt" 1 review
  • "Practical" 1 review
  • "knowledgeable" 1 review
  • "Very helpful" 2 reviews

Reviews

Jul 5, 2016

Consultation with Dr. Neeraj had been a superb experience for me. It's amazing to have a Fortis Gastroenterologist responding in such a detail oriented, cooperative & timely manner.

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Ways to Treat Chronic Functional Abdominal Pain!

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist
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In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.

This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient’s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.

The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.

Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of ‘gate’ that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.

Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the ‘gates’ of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor’s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Ways to Treat Chronic Functional Abdominal Pain!
2071 people found this helpful

How to Evaluate and Treat Dyspepsia?

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist
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For a healthy body, proper digestion and absorption of food is very important. The digestion is an extremely intricate process and involves many organs. Impairment in any of the organs can hamper the digestive process, leading to a very common condition called dyspepsia. It is caused by malfunction of one of the muscular organs along the digestive tract including esophagus, stomach, small and large intestines and colon.

Causes: While dyspepsia is more a symptom, there are various reasons that lead to it including gastritis, peptic ulcer disease, infections, motility disorders, gastroesophageal reflux disease (GERD), cancers of the digestive tract or any other abnormality in the digestive tract.

Evaluation: When a patient has chronic dyspepsia or indigestion, the first thing to do is a thorough evaluation to find out the underlying cause. As noted above, there are functional and nonfunctional causes leading to dyspepsia. While gastric ulcers or polyps are visible during an endoscopy, conditions like gastritis and malignancy can only be diagnosed under microscopic examinations.

Some of the tests that are used for evaluation of the cause of dyspepsia include:

1. X-ray: Any growth would be visible on an x-ray and further testing can then be done to confirm the exact nature of it.

2. Endoscopy: This will allow the doctor to see the actual digestive tract and identify any structural abnormalities or growth.

3. Colonoscopy: If the problem is suspected to be in the lower gastrointestinal tract, then a colonoscopy may be in indicated.

4. Gastric emptying study: This study can also reveal the abnormalities in the digestive tract

5. Culture: Dyspepsia caused by Helicobacter pylori can be diagnosed through cultures of the stomach contents.

Treatment: The treatment of dyspepsia is quite complicated and cannot be clearly outlined given the various conditions that it is associated with. Even specific foods can induce indigestion in some people. Therefore, a multipronged approach is required to treat dyspepsia.

Education: The affected person should be educated about the non-life-threatening nature of the problem and its chronicity. Some of the drugs used in treatment include:

1. Proton pump inhibitors: These reduce the amount of acid produced in the stomach and thereby help in relieving symptoms.

2. Promotility drugs: They improve the movement of the muscles in the intestinal tract and are so used in managing dyspepsia.

3. Antibiotics: If an infection is suspected, antibiotics are effective.

4. Smooth muscle relaxants: Drugs like hyoscyamine and methscopolamine have been shown to provide relief in some patients.

5. Psychotropic drugs: Anxiety and depression are frequently seen in people with dyspepsia, and managing these can help reduce the dyspepsia.

As noted, the causes, symptoms, and management are very specific to individuals and needs to be managed by the doctor.
How to Evaluate and Treat Dyspepsia?
2776 people found this helpful

Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist
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Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

Persistent upper abdominal pain

Unexplained weight loss and loss of appetite

Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient s needs.
Endoscopic Retrograde Cholangiopancreatography - Procedure and Results
3662 people found this helpful

I had erosive antral gastritis and hpylori from 25-6-15. I used sompraz hp tabs for 14 days. Now on 24-6-16 I got multiple healing ulcers, erosions and pylori infection again. Is there any risk for cancer. My father died with stomach cancer at the age of 60. Which is the best medicine I will use and how many days.

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist
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I had erosive antral gastritis and hpylori from 25-6-15. I used sompraz hp tabs for 14 days. Now on 24-6-16 I got mul...
Avoid smoking alcohol, high iontake of fruit vegetable. Now 4 drug regimen recommended for h pylori.
4 people found this helpful
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