Common Specialities
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Barium Meal Follow Through (Upper) Health Feed

I am 36 years, I was tested to have gotten stomach ulcer last year and was given several treatments but still experiencing pains in my abdomen, please how can I cure this ulcer?

MBBS, Fellowship in Hypertension, MD - Bio-Chemistry
General Physician, Ujjain
I am 36 years, I was tested to have gotten stomach ulcer last year and was given several treatments but still experie...
Avoid spicy fatty oily food take more curd and buttermilk take small frequent meal avoid heavy meal avoid alcohol if you are taking avoid too much sweet and chocolate avoid smoking if you are doing avoid stress daily do yoga and walking go for endoscopic examination and h pylori test. If positive take course of antibiotics along with antacids.
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Is sompraz 40 good for duodenal ulcer? Does it causes flatulence after using it for 70 days?

Liver Transplant, Surgical Gastroenterology, Fellowship in Abdominal Multi Organ Transplant Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Gastroenterologist, Delhi
Is sompraz 40 good for duodenal ulcer? Does it causes flatulence after using it for 70 days?
Mr. lybrate-user. Sompraz is effective, but ulcer if treatable with medicine 2 -3 weeks course is enough. If more than this duration use is required without relief, then better get upper gi endoscopy.
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Gastrointestinal Problems In Women - Know More!

Diplomate of National Board , DM in Gastroenterology , MD in General medicine, MBBS
Gastroenterologist, Faridabad
Gastrointestinal Problems In Women - Know More!
The gastrointestinal system starts from the oral cavity and ends at the anus where undigested food is eliminated from the body. The esophagus, small intestine, large intestine and rectum along with organs like salivary glands, pancreas, liver and the gall bladder are all part of the gastrointestinal system. The gastrointestinal problems affect women differently than men. The symptoms which are observed in women are different than the symptoms observed in men. Some of the major areas where the women s gastrointestinal system works differently than men s are in the stomach, esophagus, colon and other areas.

Stomach
The process of emptying food from the stomach seems to be slower in women than in men which can be the reason why women experience nausea and bloating more than men. Another problem which affects women more than men is gastritis which causes inflammation of the stomach. Patients often take aspirin-like compounds as a quick solution for reducing the inflammation; however, this may lead to irritation in the stomach lining which can eventually lead to ulcers. Consulting a doctor is therefore advised before taking any step.

Esophagus
Esophagus is another organ which works differently for men and women. For women, especially premenopausal women, the muscle squeezes shut strenuously to make sure that the stomach juices and food stay in the stomach. Women tend to have heartburn more often than men; however, women are less likely to damage their esophagus in comparison to men.

Gallbladder Issues in Women
The process of emptying from the gallbladder is also slower in women than in men. Men are less likely to develop gallstones than women. The problem of developing gallstones is often heightened for women who are pregnant. This is usually the reason why more women develop gallstones after pregnancy. There are a number of symptoms which indicate a gallbladder disease. Any pain in the upper abdominal after eating or nausea and vomiting can indicate the risk of gallbladder diseases.

Liver and Small Intestine Issues
For the liver and small intestine, women secrete different enzymes than men. Enzymes from the liver and small intestines help in breaking down any medications they take, in the body. Since the enzymes work differently for both men and women, women handle the medications differently which either has little or too much effect on them. So patients must consult their doctors before starting any medication.
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Esophagectomy - Know New Method Of Tackling It!

MBBS, MS General Surgery, FRCS
General Surgeon, Ludhiana
Esophagectomy - Know New Method Of Tackling It!
Esophagectomy is a procedure of removing a part of the esophagus and reconstructing the same using another organ of the body. The oesophagus is the tube that connects the stomach and the mouth. This procedure is often performed in an advanced stage of esophageal cancer and Barrett s esophagus. This procedure removes the cancer cells from the esophagus and gives relief from the symptoms. The organs from where the reconstructing tissues are taken are generally large intestine and stomach.

Many esophagectomy surgeries are performed with minimally invasive techniques. The latter is commonly known as laparoscopic surgery. This is a procedure where numerous small incisions are made in order to perform the surgery. This procedure results in faster recovery and reduced pain as compared to conventional surgery.

Newer methods such as Robotic surgery are being adopted by many doctors these days. Procedures like these can access the oesophagus through places such as the throat, collarbone and abdomen. They make a minute incision to get to the exact location of cancer and treat them with improved precision, unlike conventional surgical methods.

An important aspect of treating this condition is to determine the procedure that is going to be implemented. To determine this, doctors use imaging techniques such as PET scan, CT scan and an MRI scan. A doctor might also prescribe other tests such as FNAC and endoscopic ultrasound. Heart evaluations are also conducted before the surgery to ensure that there are no complications involved while performing the surgery.

Before Esophagectomy

Unless the cancer is detected at a very early stage, most doctors recommend radiation or chemotherapy or both. These treatments help to shrink the size of cancer and make for an effective oesophagectomy. Both chemotherapy and radiation have their set of side effects, which include loss of appetite, fatigue, hair loss, vomiting and skin discolouration.

After Esophagectomy

Post the procedure, a patient cannot directly consume food. He is required to consume food through a pipe for a duration of four-six weeks. Adequate nutrition is required during this phase to recover quickly. Once the patient is able to resume a normal diet, it should be ensured that he takes food in reduced quantities to make up for the reduced stomach size.

Follow-up

Almost 90% of patients who have gone through this procedure report an improved life quality. While lifestyle related adjustments have to be made, there could be regular follow-ups to ensure the below-mentioned complications do not arise:

1. Breathing-related problems

2. Swallowing problem

3. Effectively managing heartburn and ensuring the pain is under control

4. A thorough review of the nutritional diet to be consumed by the patient to counter sudden weight loss.
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I was suffering from the problem of black stool. This problem had occurred in 2014. Then endoscopy test was conducted and stomach ulcer deudonal was detected. After giving treatment of ulcikit it was ok. After that time I was fine. Now in 2020 the same problem occurred. The doctor conducted endoscopy test and some erosive lining was there. He gave me some medicine. i.e. sucralfate and provacid tablet. Please suggest some remedial measure so that it can be avoided further. Also inform the eating menu. Can egg, or non veg be taken or not.

DM Gastoenterology, DNB- Gastroenterology, MD - Internal Medicine, MNAMS (Gastroenterology)
Gastroenterologist, Latur
I was suffering from the problem of black stool. This problem had occurred in 2014. Then endoscopy test was conducted...
Hi lybrate-User, Black stool means most likely you are losing blood from some where ; it is recommended that you should also undergo colonoscopy to rule out lower gi bleed in consultation with dm Gastroenterology doctor of your area You can have egg and non spicy nonveg. Thanks.
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Gastrointestinal Cancer - Know More About Them!

MBBS, MD - Internal Medicine, DM - Gastroenterology, Fellowship in Advanced endoscopy, Fellowship in Endoscopic Ultrasound(EUS), Observer fellowship in NBI and ESD, Fellowship in Hepatology
Gastroenterologist, Bhopal
Gastrointestinal Cancer - Know More About Them!
Below are some most common types of gastrointestinal cancers, know more -

1. Esophagus cancer (cancer of food pipe): Cancer of food pipe presents as difficulty in swallowing food (Dysphagia) and is usually seen in elderly patients. Gastroenterologists will perform Endoscopy to look for any growth or cancer. High-resolution endoscopy with Narrowband imaging helps in detection of Superficial early squamous cell cancer (SESCC) of esophagus. Biopsies are taken for microscopic evaluation. Treatment depends on stage of the disease and is multimodality, means it involves GI Surgeons, cancer doctors(Oncologists), Radiotherapy specialists, and Gastroenterologists. Early cancer can be treated by Endoscopy (Endoscopic submucosal dissection). Definitive treatment involves surgery and chemotherapy or radiotherapy or both. Advanced stage cancers require palliative treatment by esophageal metal stenting (SEMS for Esophageal cancer).

2. Stomach cancers: Stomach cancer usually presents with vomiting after food, abdominal pain, anemia, or can be symptomless. Occasionally it just presents with Gas or acidity where on endoscopy a cancer growth is found. High-resolution endoscopy with Narrowband imaging helps in the detection of early gastric cancer. The treatment is multimodality and involves GI Surgeons, cancer doctors (Oncologists), Radiotherapy specialists, and Gastroenterologists. Early cancer can be treated by Endoscopy (Endoscopic submucosal dissection). Definitive treatment involves surgery and chemotherapy or radiotherapy or both. Advanced stage cancers require palliative treatment by Metal stenting (SEMS for stomach cancer) for palliation of gastric outlet obstruction.

3. Cancer of Large intestine and rectum (colorectal cancer): Large intestine cancer presents with altered bowel habits such as recent onset loose motions or constipation, Anemia, Bleeding in the motions. Screening colonoscopy helps in detection of polyps which are the precursors of cancer. If any polyp is found during the colonoscopy, it is usually removed by polypectomy. This reduces the risk of large intestine cancer. The treatment is multimodality and involves GI Surgeons, cancer doctors (Oncologists), Radiotherapy specialists, and Gastroenterologists. Surgery is the best management of large intestine cancer. Advanced stage cancers with obstruction require metal stenting (SEMS for large intestine cancer) across the growth to relieve the obstruction.

4. Liver cancer: Chronic Hepatitis B or chronic hepatitis C, Alcohol intake and fatty liver are the main causes of liver cancer. The treatment is multimodality and involves GI Surgeons, cancer doctors (Oncologists), Radiotherapy specialists, and Interventional Radiologists. Early cancers less then 5 cm are usually treated by Liver transplantation, radiofrequency ablation or Surgical resection if there is no portal hypertension. Advanced liver cancers are treated by Transarterial chemoembolisation (TACE) or Transarterial radioembolisation (TARE) if there is portal vein thrombosis. Liver cancers with metastasis are usually treated by medicines such as Sorafenib with palliative intention.

5. Pancreas Cancer: Pancreas cancer can present with Acute pancreatitis, severe abdominal pain or Jaundice. The treatment is multimodality and involves GI Surgeons, cancer doctors (Oncologists), Radiotherapy specialists, and Gastroenterologists. Early cancers can be treated by Whipple s surgery or distal pancreatectomy. Late-stage cancers with Jaundice can be treated by Metal stenting (SEMS for pancreas cancer), where the metal stent is inserted in common bile duct for relieving jaundice. Patients who have severe pain are treated by Endosonography guided Celiac plexus Neurolysis ( EUS guided CPN).
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I am suffering from sticky yellow stools from past 2 years please suggest treatment for it.

BAMS
Ayurvedic Doctor, Bangalore
I am suffering from sticky yellow stools from past 2 years please suggest treatment for it.
Hi, take tab. Kutaja parpati vati 1 tab thrice a day after food for 2-3 days and tab. Liv 52 ds 1 tab twice a day for a week.
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