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Dr. Ajay Kr. Choudhary

Gastroenterologist, Lucknow

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Dr. Ajay Kr. Choudhary Gastroenterologist, Lucknow
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ajay Kr. Choudhary
Dr. Ajay Kr. Choudhary is a trusted Gastroenterologist in Indira Nagar, Lucknow. Doctor is currently practising at Shriram Memorial Hospital in Indira Nagar, Lucknow. Book an appointment online with Dr. Ajay Kr. Choudhary and consult privately on Lybrate.com.

Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. You will find Gastroenterologists with more than 27 years of experience on Lybrate.com. Find the best Gastroenterologists online in Lucknow. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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A-Block, Amrapali Market Road, Indira Nagar.Lucknow Get Directions
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What is the main reason of belly problem like gas, kabji &how protect our body from these diseases.

MBBS
General Physician, Chandigarh
What is the main reason of belly problem like gas, kabji &how protect our body from these diseases.
Normally your irregular eating habits is the cause for stomach problems don't eat fried spicy and junk food eat good nutrious diet fresh vegetables and fruit smaller amounts at fixed intervals don't keep your stomach empty for more than 3to4hrs and add lots of Fiber and water in your daily intake
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Hello Dr. m married from 10 years I have one baby boy 8 years old after six months of my delivery I got pregnant again and I had an abortion by pills which was suggested by my same gynae Dr. Now after 8 years I had my 2 abortion on 19 December 2015 by dnc because it's 2 months of pregnancy I consult many drs they suggest me dnc only. From March onwards my tummy N thigh area slightly increased and from may month m suffering from severe gas N constipation problem. What should I do now pls suggest I am so tensed. Before my dnc m fit N slim now I become lazy N sick. I go for walk daily in morning for 1 hour but my tummy N thigh is same as it is not large but not ok. My gas problem is getting severe day by day. Is dnc is the reason for my increased tummy N thighs or gas N constipation. I can't understand what is happening with me. Pls help N suggest me what kind of food and lifestyle should I follow to become slim n active again. Pls help thanks and regards.

PDDM, MHA, MBBS
General Physician, Nashik
Hello Dr. m married from 10 years I have one baby boy 8 years old after six months of my delivery I got pregnant agai...
Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry. Kindly get your CBC ESR done and revert.
1 person found this helpful
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Hi doctor I have a problem of hair fall and gas in stomach. Hair fall is intense so much that front portion of my hair is fast getting bald I have tried various medicine homeopathy, etc but not working also their is dandruff on my scalfand regarding stomach noises somewhat come from my stomach in morning and gas builds up each night around 9: 00 pm please suggest me what should I do.

BHMS
Homeopath, Faridabad
Hi doctor I have a problem of hair fall and gas in stomach. Hair fall is intense so much that front portion of my hai...
Hello, dandruff causes hair loss so its necessary to treat dandruff first. Take thuja 200, 5 drops in the morning, once in a week. Take arnica q and cochleria arom. Q in equal amount, mix with equal amount of coconut oil, and apply this on your scalp, thrice a day. Wash your hair with b&t anti- dandruff shampoo. Revert me after 1 month. Home remedies are as follows:- coconut oil helps eliminate dandruff due to its antifungal properties. It also moisturizes dry scalp and provides relief from itching. Take some coconut oil and mix half the amount of lemon juice in it. 1. Rub it on your scalp and massage for a few minutes. 2. Wash your hair after at least 20 minutes. 3. Follow this remedy two to three times a week. Also take alpha liv, 2 tsp, at night after dinner to make your digestion strong.
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Alcoholic Liver Disease

MD - General Medicine, MBBS
General Physician, Mumbai
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Symptoms, causes, and treatment for Alcoholic Liver Disease


Hi, This is Dr. Umesh Alegaonkar from Thane, Sampada Hospital. The topic of discussion is Chronic Alcoholic Liver Disease.

As you know, that 95% of the cases of liver damage on earth is because of alcohol and over intake of alcohol. Usually, it is defined as alcoholic diseases when a person suffers from the diseases of liver related illnesses and consumes more than 80 grams of alcohol or 240 ml of alcohol every day for at least five years. In the case of women, this amount gets little lower, it's 50 grams of alcohol daily for five years. Usually, the liver failures manifest in terms of increase in weight gain, jaundice, irrelevant speech, a decrease in night sleep, day time sleep pattern alters, decrease in appetite, increase in your abdominal girth. It is usually very late to diagnose the chronic liver disease because of the alcoholism, usually, the patients are into the denial mode, and the sonographic features may not be able to reveal the intensity of the liver diseases.

The newer technology like the Fibroscan can definitely give an early indication of the liver damages that has happened because of the alcohol intake. Apart from the history of the alcohol intake, the patient can simply opt for Elastography which is the finest diagnostic tool available nowadays in any of the diagnostic centers. Depending on the share value, we can judge the severity of the liver damage because of alcohol. Of course, the liver transplant is the golf standard treatment when the liver is completely damaged, but the need for the liver transplant goes into declining mode as the person quits alcohol, it decreases by and large the survival rate from the day of abstinence of alcohol is more than 30%. So if we consider that 30% of the life span of a person when he leaves alcohol considering the liver damage costing nowadays are around 30-35 lac rupees. We can estimate the amount of money which can be saved by just remaining away from alcohol.

Apart from that, liver damage recommends multiple tests such as blood test, urine test and ultimately the huge socio-economic burden needs to be evaluated just because of alcohol giving trouble not only in the family but also in the society. A simple measure by lessening your alcohol intake or abstaining from alcohol may be a fair idea but it is not recommended at all when a person gets to know the liver has roughly damaged because of the alcohol. Now, that day onwards, he has to abstain from alcoholism.

For any other further alcohol related or liver damage inquiries, please contact on lybrate.com
 

3136 people found this helpful

My throat and my upper stomach are in burning sensation for the past five days. Please help me.

MBBS
General Physician, Faridabad
My throat and my upper stomach are in burning sensation for the past five days. Please help me.
try to improve your habit, take lunch and dinner at proper time, dinner should be taken at least 2-3 hr before going to bed, take tab flagyl 400 1tab tds, tab lan 30 empty stomack in morning for 1 5 day.drink 3-4 liter of water dailytake isabgol in water at night. welcome for further help.
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I am suffering from acidity whenever I drink tea. It has been a headache for me as I can not hav my dinner properly due to dis problem. Plus I am suffering from gas problems. I haven't yet consulted any doctor till date for d same.

BAMS
Ayurveda, Bangalore
I am suffering from acidity whenever I drink tea.
It has been a headache for me as I can not hav my dinner properly d...
Hi, take cap. Stomotone 1-1-1 after food for 2-3 weeks and himcocid syrup 2tsf 3 times daily before food to control burning sensation in the stomach and chest. Take madiphala rasayana 2tsf 3 times a day to stop vomitting. Avoid hot and spicy food. Eat small quantities frequently. Drink plenty of water. Never miss your breakfast. Avoid excess intake of coffee and tea.
2 people found this helpful
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Dyspepsia: Symptoms And Causes

DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Hyderabad
Dyspepsia: Symptoms And Causes

Dyspepsia is a disorder of the stomach that is characterized by pain in the upper part of the stomach. It is not a single disorder, but is a collection of symptoms such as nausea, burping and bloating. It results when the acid of the stomach comes in contact with the mucosa of the digestive tract. These acids cause a breakdown of the mucosa leading to inflammation and irritation, which leads to indigestion. It may also result from eating disorders or certain medications.

Symptoms:
The symptoms of this disorder tend to occur mostly after consuming food and drink. In some cases, the symptoms tend to go away after eating or drinking. The symptoms of dyspepsia are: 

  1. You may feel bloated on a regular basis
  2. You may experience discomfort in your stomach
  3. Loss of appetite
  4. You may experience constant burping
  5. You may feel nauseous
  6. Symptoms of heartburn
  7. You may also experience chest pain and breathing difficulties
  8. You may be affected by jaundice

Causes:
The various causes of dyspepsia are: 

  1. Irritable bowel syndrome, which hampers the movement of food through the intestines
  2. If you are unable to properly digest dairy products
  3. Gastroesophageal reflux disease (GERD) that results in reflux of the acids of the stomach
  4. Any inflammation of the gall bladder
  5. Various medicines such as aspirin, steroids and antibiotics may lead to dyspepsia
  6. If you suffer from depression or anxiety then it may lead to dyspepsia
  7. Excess consumption of chocolate, coffee and alcohol

Dyspepsia may be controlled by modifying your lifestyle. Some of the changes that you may make are

  1. Don't sleep immediately after eating, wait for at least two hours before you go to bed
  2. Avoid spicy foods as they tend to aggravate symptoms of dyspepsia
  3. Space out your meals, eat multiple smaller meals instead of few large ones
  4. Restrict smoking and alcohol consumption
  5. Lose weight as being overweight may lead to dyspepsia
  6. Avoid wearing tight clothes 
  7. Exercise on a regular basis to keep your body healthy and maintain optimal weight levels

    If you wish to discuss about any specific problem, you can consult a gastroenterologist.

3585 people found this helpful

My upper stomach has been bulging. What might be the reason for it. I even feel bloating. Am unable to eat more. If I ate small quantity also. I feel so heavy. vomiting vomiting sensation also. Since 4 months my weight has also been. Increased because those are my holidays and my work is only to eat and sleep.

DHMS (Hons.)
Homeopath, Patna
My upper stomach has been bulging. What might be the reason for it. I even feel bloating. Am unable to eat more. If I...
Hello, you r suffering from gastric disorder with sluggishness of liver. Go for a walk in d morning to restore your blood circulation & peristaltic movement. Tk, plenty of water to eliminate toxins and to regularise metabolism to complete digestion. Your diet b regular, simple, easily digestible on time. Avoid, caffiene, nicotine, alcohol, junk food, tk, homoeo medicine: # nux vom 30-6 pills, thrice. # carbo veg 200-6 pills, thrice.
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Sir, I have constipation & have to go 3-4 time a day, I tried good diet, exercise & healthy habits but problem is same. Even after going many times no good feeling. When I eat get pressure. Curd& buttermilk cause me severe constipation. One day when I take ZIFI LBX 200 antibiotic get good relief than any other day, but not in 1 time but in 2-3 time. When I constipated heartburn, indigestion, burps &farts occurred in huge nature.

BHMS
Homeopath, Chennai
Sir, I have constipation & have to go 3-4 time a day, I tried good diet, exercise & healthy habits but problem is sam...
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 You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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Dear Dr. My age is 45 years and I am suffering from gastric problems from long time. Pls guide.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Dear Dr. My age is 45 years and I am suffering from gastric problems from long time. Pls guide.
U have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day do for 7 days you will feel better for medicine contact on private chat.
2 people found this helpful
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I am suffering from REGULAR BASIS OF DYSENTERY WITH MANGO HOPE AND DISCOMFORT IN LOWER ABDOMEN. I had been gone through all test by Dr. MAHESH GOENKA. Then Dr. DHIMAN SEN prescribed CLARIBID 500. But still I am in trouble.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Physician, Calicut
I am suffering from REGULAR BASIS OF DYSENTERY WITH MANGO HOPE AND DISCOMFORT IN LOWER ABDOMEN. I had been gone throu...
Take 1) Mustarishtam+Kutajarishtam 30 ml twice daily after food 2) Dadimashtaka churna 1 tsp in warm water at 1 pm 3) Vilwadi gulika 2 tab with honey.
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I'm having urgent pain in abdomen. And doctor told me I am having perforation peritonitis and Dr. done operation on next day in admit in emergency.

MBBS
General Physician, Cuttack
If it is a perforation with peritonitis, it is a surgical emergency and should be immediately operated. Follow the advice and treatment of surgeon.
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I'm a 18 years old male having acid reflux for more than 2 weeks. Due to acidity in my stomach i'm having some problems which are given below:- * Difficulty breathing. * Difficulty swallowing. * sensation of a lump in throat. * hiccups that won't let up. * Chest pain & sometimes it hurts back of my chest. * Chest tightness. * Burn in chest & stomach sometimes. * Dizziness. * Headache sometimes.

BHMS
Homeopath, Secunderabad
I'm a 18 years old male having acid reflux for more than 2 weeks.
Due to acidity in my stomach i'm having some proble...
Hope you are taking proper treatmemt. Follow a healthy lifestyle and avoid all kinds of junk food and ready made foods. Avoid all bad habits. With proper precautions you should overcome these problems within a few days. Keep reviewing your health status. Exercise everyday so that the digestion is smooth. Drink lots of water and fluids in summer. If the complaints become chronic then contact me for Homeopathic treatment which is gentle and safe.
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Sir when I sit I have ache inside my hips nd sometimes blood comes in stool. What should I do.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi it's fissure problem. Avoid oily spicy nonveg stuffs. Have more liquids green leafy veg fiber fruits curd for better digestion. Apply xylocaine (5) jelly over anal part after passing stool & sitz bath (sitting in tub filled with leuk warm water for 10-10 min mor & eve) take isabgul powder 3 teaspoonful at night with glass of leuk warm water & tab esgipyrin mor & eve after meals for 5 days. Consult later if problem dear thanks regards.
1 person found this helpful
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DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Hyderabad
Gastroesophageal reflux disease, or gerd, is a digestive disorder that affects the lower esophageal sphincter (les), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by gerd. Doctors believe that some people suffer from gerd due to a condition called hiatal hernia. In most cases, heartburn can be relieved through diet and lifestyle changes; however, some people may require medication or surgery.
What is gastroesophageal reflux?

Gastroesophageal refers to the stomach and esophagus. Reflux means to flow back or return. Therefore, gastroesophageal reflux is the return of the stomach's contents back up into the esophagus.
In normal digestion, the lower esophageal sphincter (les) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus.

Gastroesophageal reflux occurs when the les is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus.
The severity of gerd depends on les dysfunction as well as the type and amount of fluid brought up from the stomach and the neutralizing effect of saliva.

What is the role of hiatial hernia in gerd?

Some doctors believe a hiatal hernia may weaken the les and increase the risk for gastroesophageal reflux. Hiatal hernia occurs when the upper part of the stomach moves up into the chest through a small opening. Many people with a hiatal hernia will not have problems with heartburn or reflux. But having a hiatal hernia may allow stomach contents to reflux more easily into the esophagus.
Coughing, vomiting, straining, or sudden physical exertion can cause increased pressure in the abdomen resulting in hiatal hernia. Obesity and pregnancy also contribute to this condition. Many otherwise healthy people age 50 and over have a small hiatal hernia. Although considered a condition of middle age, hiatal hernias affect people of all ages.

Hiatal hernias usually do not require treatment. However, treatment may be necessary if the hernia is in danger of becoming strangulated (twisted in a way that cuts off blood supply, called a paraesophageal hernia) or is complicated by severe gerd or esophagitis (inflammation of the esophagus). The doctor may perform surgery to reduce the size of the hernia or to prevent strangulation.

What other factors contribute to gerd?

Dietary and lifestyle choices may contribute to gerd. Certain foods and beverages, including chocolate, peppermint, fried or fatty foods, coffee, or alcoholic beverages, may trigger reflux and heartburn. Studies show that cigarette smoking relaxes the les. Obesity and pregnancy can also play a role in gerd symptoms.

What are the symptoms of heartburn?

Heartburn, also called acid indigestion, is the most common symptom of gerd and usually feels like a burning chest pain beginning behind the breastbone and moving upward to the neck and throat. Many people say it feels like food is coming back into the mouth leaving an acid or bitter taste.

The burning, pressure, or pain of heartburn can last as long as 2 hours and is often worse after eating. Lying down or bending over can also result in heartburn. Many people obtain relief by standing upright or by taking an antacid that clears acid out of the esophagus.

Heartburn pain can be mistaken for the pain associated with heart disease or a heart attack, but there are differences. Exercise may aggravate pain resulting from heart disease, and rest may relieve the pain. Heartburn pain is less likely to be associated with physical activity.

How common is heartburn and gerd?

More than 60 million adults experience heartburn at least once a month, and more than 15 million adults suffer daily from heartburn. Many pregnant women experience daily heartburn. Recent studies show that gerd in infants and children is more common than previously recognized and may produce recurrent vomiting, coughing, and other respiratory problems.

What is the treatment for gerd?

We recommend lifestyle and dietary changes for most people needing treatment for gerd. Treatment aims at decreasing the amount of reflux or reducing damage to the lining of the esophagus from refluxed materials.
Avoiding foods and beverages that can weaken the les is often recommended. These foods include chocolate, peppermint, fatty foods, coffee, and alcoholic beverages. Foods and beverages that can irritate a damaged esophageal lining, such as citrus fruits and juices, tomato products, and pepper, should also be avoided if they cause symptoms.

Decreasing the size of portions at mealtime may also help control symptoms. Eating meals at least 2 to 3 hours before bedtime may lessen reflux by allowing the acid in the stomach to decrease and the stomach to empty partially. In addition, being overweight often worsens symptoms. Many overweight people find relief when they lose weight.

Cigarette smoking weakens the les. Stopping smoking is important to reduce gerd symptoms.

Elevating the head of the bed on 6-inch blocks or sleeping on a specially designed wedge reduces heartburn by allowing gravity to minimize reflux of stomach contents into the esophagus. Do not use pillows to prop yourself up; that only increases pressure on the stomach.
Along with lifestyle and diet changes, doctor may recommend over-the-counter or prescription treatments.

Antacids can help neutralize acid in the esophagus and stomach and stop heartburn. Many people find that nonprescription antacids provide temporary or partial relief. An antacid combined with a foaming agent helps some people. These compounds are believed to form a foam barrier on top of the stomach that prevents acid reflux from occurring.

Long-term use of antacids, however, can result in side effects, including diarrhea, altered calciummetabolism (a change in the way the body breaks down and uses calcium), and buildup of magnesium in the body. Too much magnesium can be serious for patients with kidney disease. If antacids are needed for more than 2 weeks, a doctor should be consulted.

For chronic reflux and heartburn, the doctor may recommend medications to
Reduce acid in the stomach. These medicines include h2 blockers, which inhibit acid secretion in the stomach.

What if heartburn or gerd symptoms persist?

People with severe, chronic esophageal reflux or with symptoms not relieved by the treatments described above may need more complete diagnostic evaluation. Doctors use a variety of tests and procedures to examine a patient with chronic heartburn.

An upper gi series may be performed during the early phase of testing. This test is a special x-ray that shows the esophagus, stomach, and duodenum (the upper part of the small intestine). While an upper gi series provides limited information about possible reflux, it is used to help rule out other diagnoses, such as peptic ulcers.

Endoscopy is an important procedure for individuals with chronic gerd. By placing a small lighted tube with a tiny video camera on the end (endoscope) into the esophagus, the doctor may see inflammation or irritation of the tissue lining the esophagus (esophagitis). If the findings of the endoscopy are abnormal or questionable, biopsy (removing a small sample of tissue) from the lining of the esophagus may be helpful.

Esophageal manometric and impedance studies -- pressure measurements of the esophagus -- occasionally help identify low pressure in the les or abnormalities in esophageal muscle contraction.

For patients in whom diagnosis is difficult, doctors may measure the acid levels inside the esophagus through ph testing. Testing ph monitors the acidity level of the esophagus and symptoms during meals, activity, and sleep. Newer techniques of long-term ph monitoring are improving diagnostic capability in this area.

Does gerd require surgery?

A small number of people with gerd may need surgery because of severe reflux and poor response to medical treatment. However, surgery should not be considered until all other measures have been tried. Fundoplication is a surgical procedure that increases pressure in the lower esophagus. Endoscopic procedures that involve making the les function better or using electrodes to promote scarring of the les are newer options in treatment.

What are the complications of long-term gerd?

Sometimes gerd results in serious complications. Esophagitis can occur as a result of too much stomach acid in the esophagus. Esophagitis may cause esophageal bleeding or ulcers. In addition, a narrowing or stricture of the esophagus may occur from chronic scarring. Some people develop a condition known as barrett's esophagus. This condition can increase the risk of esophageal cancer.

Although gerd can limit daily activities and productivity, it is rarely life-threatening. With an understanding of the causes and proper treatment, most people will find relief.
28 people found this helpful

I usually suffer with acidity problem and feels like dizzy and stomach ache. So give me any solution.

MBBS, cc USG
General Physician, Gurgaon
I usually suffer with acidity problem and feels like dizzy and stomach ache. So give me any solution.
You can take 1. Tablet meftal spas one tablet stat after food 2. Tablet pantocid 40 mg before food once a day for 2-3 days. And follow care advises given below. Avoid food from outside, junk, fried, spicy fatty food take home made light food like moong dal, dalia, chapatti pain is on which side of abdomen? also tell me associated symptoms like vomiting sensation, loose motion, burning sensation in chest etc. Are present or not? kindly tell me your symptoms so that I can help you better I am giving you some health tips to avoid acidity 1. Take small frequent meal kindly take 5-6 small meal in whole day 2. Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5. Avoid excessive tea, coffee 6. Do not postpone breakfast.
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Diarrhea in Adults!!

MBBS, Diploma in Tuberculosis and Chest Diseases (DTCD), MD - General Medicine
General Physician, Delhi
Diarrhea in Adults!!

Diarrhea is one of the world’s most common ailments and almost everyone suffers from it now and then. It is a condition in which the bowel movements become loose and watery. In many cases, diarrhea lasts a couple of days. But when it lasts for a week, then it can mean a serious disorder. You have to seek medical attention immediately in such scenarios.

Symptoms:

The symptoms of diarrhea can include loose, watery stools, abdominal cramps and pain, blood in the stool and bloating symptoms. If the condition persists for more than two days and if you are unable to find any relief, consult your doctor. You might also tend to get dehydrated when you are suffering from the condition. Hence, you might feel weak and tired. Occasionally, your stool samples may be loaded with blood.

Causes:

There are many harmful pathogens that can cause diarrhea- including viruses and bacteria. One of the most important reasons is contaminated water and the buildup of parasites in your body. There are also certain foods that might not suit your body type and as a result, you might experience diarrhea. Do know your food symptoms and follow a proper diet accordingly. One of the major complications of diarrhea is dehydration and if left untreated, it can become life threatening. This is especially worse in small children. Hence seek medical attention if your child is suffering from it. Do look out for signs like no tears when your child cries and withdrawn face in your child.

Other causes include:

  • Alcohol abuse
  • Allergies to certain foods
  • Diabetes
  • Diseases of the intestines (such as Crohn's disease or ulcerative colitis)
  • Eating foods that upset the digestive system
  • Infection by bacteria (the cause of most types of food poisoning) or other organisms
  • Laxative abuse
  • Medications
  • Overactive thyroid (hyperthyroidism)
  • Radiation therapy
  • Running (Some people get “runner’s diarrhea” for reasons that aren’t clear)
  • Some cancers
  • Surgery on your digestive system

Diagnosis:

Diagnosis is usually rare for diarrhea unless you want to find the reason. Usually, this is done by testing your stool and in some cases even your blood.

When to see a doctor

People who have warning signs of blood or pus in the stool, fever, or signs of dehydration should see a doctor right away, as should those with significant abdominal pain. Such people may need immediate testing, treatment, and sometimes admission to a hospital. If the only warning signs are chronic or nighttime diarrhea or weight loss, people should see a doctor within a week or so. People without warning signs should call a doctor if diarrhea lasts for more than 72 hours. Depending on the person's other symptoms, age, and medical history, the doctor may recommend the person have an examination or try at-home or over-the-counter treatments

Treatment:

In most cases, diarrhea symptoms can clear up by themselves, without any treatment. Most of the scenarios involve changing your food habits for some days. You can take antibiotics but use of antibiotics in diarrhoea should be only under medical supervision. In most cases these are helpful and the symptoms will go away after a day or two. Drink plenty of fluids during these days to replenish the lost water content and to keep your body hydrated at all times. If drinking fluids affect your stomach then you may need to take the fluids intravenously. If you do not get relief from the symptoms even after a couple of days, seek medical help. 

Oral Rehydration rehydration salts (ORS) - How To Make It?

Oral Rehydration rehydration salts (ORS) is a special drink made up of sugars, salts, and clean water. It can help replace fluid loss from severe diarrhea or vomiting. Studies have shown ORS to be as effective as intravenous fluid administration when treating dehydration. ORS drinks can be made using purchased packets, like Pedialyte®, Infalyte®, and Naturalyte®. You can also make ORS drinks at home using clean water, salt, and sugar.

Making Your Own ORS Solution--

1. Gather the ingredients. To make your own ORS solution, you’ll need:

  • table salt 
  • clean water
  • granulated or powdered sugar

2. Mix the dry ingredients. Add a half-teaspoon of table salt and 2 tablespoons of sugar into a clean container. You can use granulated or powdered sugar.

  • If you don't have a teaspoon to measure, you can use a fistful scoop of sugar and a three-finger pinch of salt. 

3. Add one liter of clean drinking water. If you cannot measure out a liter, add 5 cups of water (each cup is about 200 ml). Only use clean water. The water can be bottled water or recently boiled and cooled water.

  • Be sure to only use water. Milk, soup, fruit juice or soft drinks cannot be used since they will make the ORS ineffective. Don't add any extra sugar.

4. Stir well and drink. Use a spoon or whisk to mix the ORS powder into the water. After a minute or so of vigorous stirring, the solution should be completely dissolved. Now, it is ready to drink.

  • ORS solution can be refrigerated for 24 hours. Do not store it any longer. If you wish to discuss any specific problem, you can consult a general physician.
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Some time I feel some pain in the left side of my lower abdomen. Also I have to go to toilet at least twice in the morning as well as in the evening both. Also I have lack of appetite. My sugar level and b.p. Is ok.

MBBS
General Physician, Mumbai
Some time I feel some pain in the left side of my lower abdomen. Also I have to go to toilet at least twice in the mo...
For stomach pain take tablet Meftalspas-Ds eight hourly if necessary and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet.
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I am 20 years old. I often suffer from bloating and sometimes dysentery. These conditions get worse when I eat oily foods. What should I do?

MBBS
General Physician, Jalgaon
I am 20 years old. I often suffer from bloating and sometimes dysentery. These conditions get worse when I eat oily f...
Please Take very simple and light food for 3 weeks Take filtered water only Take Tab diarex by Himalaya 2 2 for 3 weeks Kutjarishta 20 ml twice a day for 3 weeks Vidangarishta 20 ml twice a day for 3 weeks Reconsult after 15 days
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