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Dr. Swastik Agarwal

Gastroenterologist, Kolkata

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Dr. Swastik Agarwal Gastroenterologist, Kolkata
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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She is facing pain in lower abdomen and in the back She has lots of white discharge plus painful urine discharge.

MBBS, MBA (Healthcare)
General Physician, Delhi
Do routine urine and culture test. Do ultrasound lower abdomen. Consult good physician in your city.
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Stabbing pains in lower right and left Abdomen and navel area, nausea, gas, bloating, feeling full even if not. Difficulty to eat. Been like this for weeks. Pains getting worse. Diarrhoea and constipation, constant throwing up feeling but only threw up once lately. Fatigued.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Stabbing pains in lower right and left Abdomen and navel area, nausea, gas, bloating, feeling full even if not. Diffi...
You can take tab. Charcol at night. Syp. Aristozyme 10 ml thrice a day.syp. Livoluk 10 ml at night. These can help cure in constipation.take green veg., salaad in meal. Papaya at night.grapes at night,one apple daily in morning. Banana in morning, juice,whole grain ,oats,more fiber meal,digestive foods, plenty of water during day and 1 glass of water before meal, avoid bad habits...stress ,alcohol, smoking, non-veg.,avoid fatty meal,oily foods. To confirm cause of constipation go for tests stool r/m, stool c/s,lft,blood sugar,cbc,usg whole abdomen ,x ray barium meal for examination for rectum,sigmoid, best tests is endoscopy for large intestine . go for walk daily im morning.
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International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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Can any Doctor say what are the specific medicines in Allopathy invented by two German Doctors to heal Solitary Rectal Ulcer?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Patients with occult rectal mucosal prolapse can be considered for surgery. However, the risks, benefits, and success rates of surgery should be discussed at length, prior to any procedure being performed. Rectopexy or Delorme's procedure offer the best success rates to date; however, the choice of surgical procedure must take into account the experience of the surgeon and wishes of the patient.
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I am 25 male I am having of digestion and never get fresh properly. What should I do?

PDDM, MHA, MBBS
General Physician, Nashik
I am 25 male I am having of digestion and never get fresh properly. What should I do?
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I want buld a strong of my liver. I leave acidity and digesting problem please give me a solution I m wight lifter.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
I want buld a strong of my liver. I leave acidity and digesting problem please give me a solution I m wight lifter.
Hi dear as you r wt. Lifter- you need serious attention -u should buy acidity/ indigestion packages -as permanent solutions any how for the start you can take homeo med;- -nux vom 30--4 times a day--4 days and report here.
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I am now 41 years female under gone tubal ligation at 1999. My lmp is 1st july feeling lower abdomen pain and having little bleeding feeling heavy also at lower abdomen and low.

MBBS
Pediatrician, Hyderabad
I am now 41 years female under gone tubal ligation at 1999. My lmp is 1st july feeling lower abdomen pain and having ...
Hello Ms. lybrate-user, Thanks for the query. Now that you're 41 years old, you may be experiencing what's called MENOPAUSE. It's common for the women in the age group of 35-45 years to undergo a natural phenomenon called menopause where your body undergoes physical, mental and hormonal changes. Please a make an appointment for further help.
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I am 24 years old, my lower abdomen is paining for the last one week, kindly suggest me wat to do.

MBBS
General Physician, Mumbai
For stomach pain take tablet Meftalspas-Ds and Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet
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For around last 4 to 5 years I am having issue in my stomach. I am not feeling fresh after loo. Took alopathic, homeopathic, aruvadic medicine but no luck. Can you please suggest something.

BHMS, MD - Homeopathy
Homeopath, Delhi
For around last 4 to 5 years I am having issue in my stomach. I am not feeling fresh after loo. Took alopathic, homeo...
Hello Mr. lybrate-user, these may be symptoms of irritable bowel syndrome, Allopathy might not have permanent cure for this, I do not know much about ayurveda in this case, but in this condition its like you feel for going to the loo but when you go, only small amount of stool passes and then you feel uncomfortable the whole day as motion has not passed, if this is the case you can try Homeopathic Medicine Argent Nit 200 ten drops in morning and carbo veg 200 at night and if this is no the case you must discuss this problem in detail
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I am a 24 years old, and working in a desk job. From few months I am unable to digest food properly and after every meal, I get hundreds of burp and sometimes vomiting as well. Pls suggest which physician shall I consult and is this any kind of disease?

DM - Gastroenterology, MD - Internal Medicine, MBBS
Gastroenterologist, Hyderabad
I am a 24 years old, and working in a desk job. From few months I am unable to digest food properly and after every m...
Hello, I understand your concerns. Usually when you eat in a hurry, you tend to swallow air with food. Which causes burping. Avoid excess tea, coffee and carbonated beverages. Some foods like pulses, beans, cabbage, cauliflower produce excessive gas in intestines. Vomiting is a cause of concern. I recommend you to meet a gastroenterologist for evaluation. Smoking and alcohol intake also worsen stomach problems. Regards.
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