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Fortis Hospital - Mohali, Mohali

Fortis Hospital - Mohali

  4.4  (338 ratings)

General Surgeon Clinic

Phase - 8 Mohali
1 Doctor · ₹500
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Fortis Hospital - Mohali   4.4  (338 ratings) General Surgeon Clinic Phase - 8 Mohali
1 Doctor · ₹500
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About

Our entire team is dedicated to providing you with the personalized care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Fortis Hospital - Mohali
Fortis Hospital - Mohali is known for housing experienced General Surgeons. Dr. Kanwaljit Chahl, a well-reputed General Surgeon, practices in Mohali. Visit this medical health centre for General Surgeons recommended by 49 patients.

Timings

MON-SAT
09:00 AM - 06:00 PM

Location

Phase - 8
Mohali, Punjab - 160062
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Photos (2)

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Doctor in Fortis Hospital - Mohali

Dr. Kanwaljit Chahl

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon
88%  (338 ratings)
23 Years experience
500 at clinic
₹300 online
Available today
09:00 AM - 06:00 PM
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Patient Review Highlights

"Professional" 2 reviews "Well-reasoned" 4 reviews "Helped me impr..." 1 review "Practical" 4 reviews "knowledgeable" 10 reviews "Caring" 3 reviews "Very helpful" 20 reviews "Saved my life" 1 review "Inspiring" 2 reviews

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Management of Gastroesphageal Reflux Disease (GERD)

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Management of Gastroesphageal Reflux Disease (GERD)

GERD is a digestive disorder that affects the lower esophageal sphincter, which is the ring of muscle between the esophagus and stomach. Gastroesophageal reflux is the backward flow of acids from the stomach into the esophagus. Doctors believe that some people usually suffer due to a condition called hiatal hernia. Pregnant women usually suffer from heartburn or acid indigestion caused by Gastroesophageal Reflux Disease.

The primary goals in the treatment of this disease are relief from symptoms, healing of erosive esophagitis and prevention of complications of esophagitis. The symptoms include heartburn and regurgitation. The setting includes a proton pump inhibitor (PPI). Patients suspected due to GERD with non-cardiac chest pain are recommended to have diagnostic evaluation before institution of therapy. For diagnosing GERD, barium radiographs should not be used.

The other points that must be remembered to diagnose GERD are
1. Endoscopy is recommended only in case of alarming symptoms. Even in typical symptoms, the upper endoscopy is not recommended.
2. For preoperative evaluation, esophageal manometry is recommended, but it has no role in diagnosing GERD.
3. Ambulatory reflux monitoring is a test that can assess association of reflux symptoms.

Management:
The suggested lifestyle modifications for the patients with GERD are

  1. Weight loss is recommended for patients who are overweight. So, avoid large meals and decrease dietary fat intake.
  2. Avoid alcohol, chocolate, onions, garlic, acidic foods and peppermint.
  3. Do not lie down within 3 to 4 hours after meal (recommended for nocturnal GERD patients).
  4. For symptom relief and to heal erosive esophagitis, a 8-week course of PPIs is the therapy of choice.
  5. Medications that help in potentiating GERD symptoms, including alpha-adrenergic agonists, nitrates, calcium channel blockers and theophylline should be avoided.
  6. For patients without diagnostic evaluation, therapy for GERD other than acid suppression, including prokinetic therapy should not be used.
  7. For patients with partial response to PPI therapy, additional symptom relief can be achieved by increasing the dose twice daily or switching to a different PPI.
  8. It is recommended to elevate the head of the bed 10 to 20 cm.
  9. Avoid wearing clothes which are tight around the waist.
  10. If patients experience heartburn relief, Histamine-receptor antagonists (H2RA) therapy can be used as a maintenance option in patients without erosive disease.

Some surgical options
1. For long-term therapy for patients suffering with GERD, surgical therapy is the best treatment option.
2. In patients who have no evidence of erosive esophagitis, preoperative ambulatory pH monitoring in mandatory.
3. Gastric bypass is the preferred operation for patients who are suffering with obesity and are contemplating surgical therapy for GERD.

Apart from these, there are potential risks that are associated with PPIs such as switching them can be considered in setting of side effects and the therapy can be a risk factor for Clostridium difficile infection.

In my ear big pimpale is happened last 6 days back. So I went one ent hospital they gave me one pain killer, stancefo200, betnesol-N drop. After using. These med. I n getting more pain so tell me what to do.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
In my ear big pimpale is happened last 6 days back. So I went one ent hospital they gave me one pain killer, stancefo...
It will burst soon and the pain will be relieved or you can go to your doctor and he will burst it by making a small incision on it and the pain will be relieved.
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From the past 1 week. I am getting white coloured liquid from my years. But there is no pain for me. Even after I kept tablets also it hasn't stopped. Is there any remedy.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
From the past 1 week. I am getting white coloured liquid from my years. But there is no pain for me. Even after I kep...
Dear Bhavani, Perhaps you need some oral antibiotics. If you are sexually active , your partner also needs antibiotics.
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My age 29, unmarried male, there is some swelling (fat) below left testes in scrotum. There in no pain. Some times feel frequent urination. Is it normal?

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
My age 29, unmarried male, there is some swelling (fat) below left testes in scrotum. There in no pain. Some times fe...
Dear lybrate-user, At your age, it could be normal but painless swellings in the testis should always be monitored so please get it checked by a physician. You might also need an Ultrasound. All the best.
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Hi Doc, Mujhe kuch dino se apni right side mein uper ki taraf psalion mein dard aur ek ubhar feel ho raha hai. Saath hi mein deep breath lene mein bhi problem hoti hai. Agar mein deep breath leta hoon to back mein khichav feel hota hai.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Get an ultrasound whole abdomen done It's either muscular spasm Appendicitis Or most likely a stuck renal stone
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My mother (55 yrs) started to have brown dot type something in her ankle almost more than a year ago, earlier we thought that this is side effect of some medicine. But as the days passed by the dots became bigger. Several big patches appeared of same nature. Although it does not pain nor it causes any trouble, but what is that anyway, how to cure it. Please help doctor.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
My mother (55 yrs) started to have brown dot type something in her ankle almost more than a year ago, earlier we thou...
Dear lybrate-user, She needs some basic blood tests like platelet count. If it is normal, she should then see a skin specialist to confirm diagnosis. All the Best.
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I have breast pain in my both breast before 10 days periods after periods I have pain in my left breast for 10 days.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
I have breast pain in my both breast before 10 days periods after periods I have pain in my left breast for 10 days.
Dear Megh, Breast pain in both breasts is normally not a worrying issue. Please get an ultrasound done and if it is normal-forget about it. Since it is just before periods its all the more vreason not to worry.
3 people found this helpful
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I am 32 years old male. Having 6 cycle R-chop chemotherapy & 2 high dose methotrexate in 2015. Got lymphoma which was cured. I dint get my hair back as like before. And its density is not good like before. Can you suggest something?

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Dear Himanshu, Congratulations on your recovery. Normally the hair growth after chemotherapy is very thick and healthy. You can try Minoxidil. It commes as a solution. Please put 1-2 drops in oil and apply. Don't put more than that as it causes headache. All the Best.
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