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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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Did You Know GERD Is More Than Heartburn?

BAMS, MD (Panchkarma)
Ayurveda, Mumbai
Did You Know GERD Is More Than Heartburn?

Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD.

Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

Complications associated with GERD:
Over time, chronic inflammation in your esophagus can lead to complications, including:

  1. Narrowing of the esophagus (esophageal stricture): Damage to cells in the lower esophagus from acid exposure leads to formation of scar tissue. The scar tissue narrows the food pathway, causing difficulty swallowing.
  2. An open sore in the esophagus (esophageal ulcer): Stomach acid can severely erode tissues in the esophagus, causing an open sore to form. The esophageal ulcer may bleed, cause pain and make swallowing difficult.
  3. Precancerous changes to the esophagus (Barrett's esophagus): In Barrett's esophagus, the tissue lining the lower esophagus changes. These changes are associated with an increased risk of esophageal cancer. The risk of cancer is low, but your doctor will likely recommend regular endoscopy exams to look for early warning signs of esophageal cancer.

Tips to Manage GERD:

  1. Maintain a healthy weight: Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. If your weight is healthy, work to maintain it. If you are overweight or obese, work to slowly lose weight - no more than 1 or 2 pounds (0.5 to 1 kilogram) a week. Ask your doctor for help in devising a weight-loss strategy that will work for you.
  2. Avoid tight-fitting clothing: Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter.
  3. Avoid foods and drinks that trigger heartburn: Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn.
  4. Eat smaller meals: Avoid overeating by eating smaller meals.
  5. Elevate the head of your bed: If you regularly experience heartburn at night or while trying to sleep, put gravity to work for you. Elevate your bed
  6. Don't smoke: Smoking decreases the lower esophageal sphincter's ability to function properly.

If you wish to discuss about any specific problem, you can consult a specilized gastroenterologist and ask a free question.

5392 people found this helpful

I have stomach problem since 3 month. What should I do. I have gas problem. Its burning inside the stomach.

MBBS
General Physician, Mumbai
I have stomach problem since 3 month. What should I do. I have gas problem. Its burning  inside the stomach.
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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I am 27 years old female and have a problem like diarrhoea type from so many years. Which specialised doctor I Hv to consult. Plz.tel me. When I eat wheat or lite spicy food also for every 2-3 days am suffering from motions problem.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 27 years old female and have a problem like diarrhoea  type from so many years. Which specialised doctor I Hv to...
Hello take grahini gajendra ras with water twice a day. Take chitrakadi vati 1-1 twice a day. Avoid junk food. Spicy food. And fermented food. Take fresh buttermilk empty stomach in morning.
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Please suggest for fatty liver fruit is good please suggested me I am eating daily promogrante and guava Suggest me which fruit is better.

BHMS
Homeopath, Chennai
Please suggest for fatty liver fruit is good please suggested me
I am eating daily promogrante and guava Suggest me w...
Fatty liver is a common condition of the liver due to modern life-style, food, and drink habits. Collection of fats in liver cells is called fatty liver. This condition is also called steatosis hepatis or steatorrhoeic hepatosis. Fatty liver by itself though abnormal, is a relatively harmless condition. Liver is the largest organ in the human body. It plays a vital role in keeping the biochemical balance intact. Why fatty liver occurs, is unknown. A fatty diet or overeating by itself never results in a fatty liver. The fat may come from increased absorption from the intestines or from elsewhere in the body. But, putting it generally, the liver loses its capacity to eliminate fats deposited within it. Yet, 70% of persons suffering from NASH are found to be obese. Homeopathy addresses the underlying causes behind fatty liver, improves liver functions and reduces the symptoms as well as modifies the disease process. Fatty liver is partly reversible condition if treated in the early stages. In later stages, it can help to improve the liver functions. Well chosen homeopathic medicines can help control and reduce Fatty liver disease. Homeopathy is recommended for cases of Fatty Liver. A homeopathic constitutional treatment will give you best results naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects Medicines will reach you via courier services
1 person found this helpful
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There is swollen at my left side of the stomach, most probably at the left lower abdomen. Little pain is also there while bending down and the affected part becomes sometime heavy tight as compared to right side. I am also having pain at my left corner side of my back while bending down. Please help me or suggest any medicine.

DHMS (Hons.)
Homeopath, Patna
There is swollen at my left side of the stomach, most probably at the left lower abdomen. Little pain is also there w...
Hello, Lybrate user, it's gastric disorder you are suffering from with accumulation of flatulence in lower abdomen with pain. Tk, plenty of water to eliminate toxins, dilute acid in stomach ,regulate metabolism & soften faeces (stool) to b evacuated smoothly to avoid constipation.   •go for a brisk walk in d morning to restore your blood circulation & to activate peristaltic movement to complete digestion to ease gastric disorder.   • go for meditation & yoga to nourish your whole body to complete the digestion by stimulating edequate  digestive enzymes and to calm down stress ,being, one of d  main reasons of gastritis.  •  your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines ,gentle & repaid in administration without any side effect, there of. @ Carbo veg200-6 pills, thrice.   • ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
3 people found this helpful
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Both side of my anus has bulge and while passing stool comes out and then goes inside. There is no other issue like blood, irritation, pain etc. Kindly advise how to reduce the bleaching of my anus side?

BHMS, MD - Homoeopathy
Homeopath, Lucknow
this is not any bulge of anus... this is called protrution of anus. this condition can be connected with piles and its arise mainly due to constant straining during stool, due to constipation. If its goes by itself then there are good chances you can be cured by homoeopathic treatment, once it stops going in by itself, then any treatment cannot help and surgery is the last option.
1 person found this helpful
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I feel pain in my stomach when I pull up heavy weight, and acidity problem is very common specially when I eat pickle with tea, what can I do ?

MBBS
General Physician, Mumbai
I feel pain in my stomach when I pull up heavy weight, and acidity problem is very common specially when I eat pickle...
For pain in stomach problem avoid spicy food in your diet and take cp veloz d once before breakfast and don't combine pickle with tea in your diet.
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Madam I have gastro reflux GERD. I have problem of acute acidity which comes to throat. I take rabeprazole + domperidone regularly. Single rabeprazole has no effect. Can I skip lunch. Pl guide me in details. Thanking you anil sharma.

Masters In Clinical Nutrition & Dietitics
Dietitian/Nutritionist, Bangalore
Madam
I have gastro reflux GERD. I have problem of acute acidity which comes to throat. I take rabeprazole + domperid...
Sure ,we will help you But before prescribing any thing we need some information like. Vitals.Purpose. Medical history. Family history. Occupation.Physical activity. Daily routine And many more So, if you want to contact us, you can contact us directly thru Lybrate.
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