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Bombay Hospital & Medical Research Centre, Mumbai

Bombay Hospital & Medical Research Centre

Gastroenterologist Clinic

12, Marine Lines, Landmark : Next To Liberty Cinema Mumbai
1 Doctor · ₹2000
Book Appointment
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Bombay Hospital & Medical Research Centre Gastroenterologist Clinic 12, Marine Lines, Landmark : Next To Liberty Cinema Mumbai
1 Doctor · ₹2000
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Bombay Hospital & Medical Research Centre
Bombay Hospital & Medical Research Centre is known for housing experienced Gastroenterologists. Dr. Nitin Aherrao, a well-reputed Gastroenterologist, practices in Mumbai. Visit this medical health centre for Gastroenterologists recommended by 67 patients.

Timings

MON-SAT
09:30 AM - 06:30 PM

Location

12, Marine Lines, Landmark : Next To Liberty Cinema
Marine Lines Mumbai, Maharashtra - 400020
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Doctor in Bombay Hospital & Medical Research Centre

Dr. Nitin Aherrao

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist
11 Years experience
2000 at clinic
₹300 online
Available today
09:30 AM - 06:30 PM
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4 Tips to Help Prevent Heartburn, Gas & Indigestion

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
4 Tips to Help Prevent Heartburn, Gas & Indigestion

Feeling bloated or acidic after a heavy meal can take away all the satisfaction the taste of food gave you. Indigestion and gas are some of the most common gastrointestinal problems faced by people around the world. In most cases, indigestion is a result of bad food choices and unhealthy lifestyles. Thus they can simply be relieved at home and do not necessarily need medication. Here are 4 easy steps to lower heartburn, gas and indigestion.

  1. Add more fiber to your food: Fiber is crucial to healthy digestion. It is easy to digest and help push waste out of the system by adding bulk. In this way, fiber helps detoxify the system as well. It also prevents diabetes, heart disease, hemorrhoids and other diseases. Add fiber to your diet in the form of whole grains, cereals, fruits, vegetables, nuts and plenty of water. Ideally, a woman should have 25gms of fiber a day and men should have 38 grams of fiber a day.
  2. Healthy food eating habits: How you eat also makes a difference to your digestion. Instead of eating on the move, eat mindfully. Chew your food carefully to begin the digestive system. Eating smaller portions can also help improve stomach functioning. Avoid fast foods that are difficult to digest. Ensure that you do not eat anything for at least an hour before going to bed. Lying down immediately after a meal is one of the leading causes of indigestion.
  3. Probiotics: Gut bacteria is essential for healthy digestion. This bacteria helps maintain a healthy inner ecosystem and help fight harmful viruses, yeast and other such microorganisms. This balance of gut bacteria can be affected by an unhealthy lifestyle like excessive alcohol consumption, smoking, stress and certain prescription drugs. Supplementing your natural probiotic enzymes with food rich in probiotics like yogurt or probiotic supplements can help make your digestion better.
  4. Exercise Regularly: Exercise is necessary not only for a fit body but also for healthy digestion. Exercising also helps fight stress that is one of the leading causes of indigestion. Taking a walk after meals can help regulate the passage of food and gases in your digestive system. This prevents bloating and heartburn. Physical activity also helps stimulate your bowels to prevent constipation and prevent gaseous build up. Some forms of exercise you could try are yoga, swimming and cycling. A word of caution; always ensure that there is at least an hour's gap between exercising and your last meal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3335 people found this helpful

Chronic Functional Abdominal Pain - Ways to Treat It!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Chronic Functional Abdominal Pain - Ways to Treat It!

In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.

This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient’s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.

The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.

Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of ‘gate’ that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.

Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the ‘gates’ of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor’s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3128 people found this helpful

Gastrointestinal Perforation - 8 Diseases that Can Lead To It!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Gastrointestinal Perforation - 8 Diseases that Can Lead To It!

When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.

Symptoms of gastrointestinal perforation (GP) usually include
1. Serious stomach pain
2. Chills
3. Fever
4. Nausea
5. Vomiting

Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:
1. Fatigue
2. Passing less gas, urine or stools
3. Breathing difficulties
4. Fast heartbeats
5. Dizziness

Certain diseases can cause Gastro-intestinal perforation, such as:
1. Appendicitis
2. Diverticulitis (A type of digestive disorder)
3. Stomach ulcer
4. Gallstones
5. Gallbladder infection
6. Inflammatory bowel diseases (inflammation in the small intestine and the colon)
7. Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
8. Gastrointestinal tract cancer

Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:
1. Blunt abdominal trauma
2. Gunshot or knife wound to the abdomen
3. Abdominal surgery
4. Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
5. Ingestion of caustic substances or foreign objects
Other than these, drinking alcohol, smoking and bowel injuries (caused by colonoscopy or endoscopy) can lead to GP as well.

Treatment options available
This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.

The complications include:
1. Bleeding
2. Sepsis (Critical and fatal bacterial infection)
3. Belly ulcers
4. Wound infection
5. Bowel infarction (impaired supply of blood to the bowels)
6. Permanent colostomy or ileostomy

1 person found this helpful

Colitis - Know The 5 Most Common Types!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Colitis - Know The 5 Most Common Types!

Colitis is characterized by an inflammation of the large intestine (colon). It is generally caused due to reduced blood supply, autoimmune reactions (wherein the immune system erroneously starts attacking the body’s healthy tissues) and infections in the large intestine.

Symptoms of colitis

  1. Presence of blood traces in the stool.
  2. Tenesmus (constant urge to empty the bowels) is also quite common
  3. Occurrence of abdominal pain in regular intervals, thus resulting in diarrhea
  4. Constant abdominal pain
  5. Fever and sudden chills throughout the day

Types of colitis

  1. Inflammatory bowel disease: This condition is characterized by inflammation of the intestines or all the parts of one’s digestive tract
  2. Microscopic colitis: This involves inflammation of the large intestine (colon), resulting in a cramping sensation that can be painful
  3. Chemical colitis:  This condition is caused due to prolonged exposure to certain harsh chemicals which results in intestinal swelling and inflammation
  4. Ischemic colitis: The most common form of colitis, this occurs mainly due to an insufficient blood supply to the large intestine
  5. Infectious colitis: Caused due to certain bacterial or parasitic infections

Treatment for colitis

  1. Medications such as acetaminophen and ibuprofen can be recommended to ease the pain
  2. The drug ‘Loperamide’ can control the diarrhea. However, this should not be consumed if there is presence of blood in the stool
  3. Colitis reduces your appetite. Thus, it is important to maintain a healthy diet in this regard. Avoid consuming dairy products or high fiber foods because they further inflame the large intestine.
  4. Colectomy (surgically removing a part of the whole of the colon) is recommended in the most severe of cases.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3357 people found this helpful

Perianal Abscess - How It Can Be Managed?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Perianal Abscess - How It Can Be Managed?

The human body is an intricate mechanism that functions amazingly. And when there is any trouble it does not fail to show signs of trouble, and all we need to do is, to notice it and solve our problems. This is applicable to all types of health issue, including a perianal abscess.

What is perianal abscess?
The extremely painful condition of anal abscess occurs when one cavity in the anus starts getting filled up with pus. Very often it appears as a painful swelling similar to boil just near the anus. Usually, it appears red in color as well as slightly warm to touch. If the location of the anal abscesses is in the deeper tissue, then it might be less visible and it occurs in people suffering from inflammatory bowel disease.
The worst part is that in certain cases, anal abscesses might lead to more painful anal fistulas. Generally, fistulas occur only if the abscesses fail to heal and break open on the skin’s surface. Therefore, it is important that the abscess heals properly or else it may lead to intolerable pain and may even require surgery.

How do you know if it is a perianal abscess?
The immediately noticeable and probably the most common anal abscess symptom is constant and throbbing pain around the anal area. Swelling accompanies the pain and its rate increases during bowel movements. Various other common signs include bleeding or rectal discharge, constipation, fatigue, etc. Besides swelling or tenderness, the affected individual might also suffer from skin irritation all around the anus.
Patients with deeper abscess might also show symptoms such as chills, fever, malaise, etc. Various reports state that certain people also feel a lump or nodule at their anus’s rim. Facing difficulty while urinating might also be experienced by some people affected by perianal abscess.

What to do if you suspect a perianal abscess?
One must immediately seek medical if they experience any of the above-mentioned signs or symptoms. Clinical evaluation along with digital rectal exam is sufficient for the proper diagnosis. But, in some cases, patients might need other tests to screen for rectal cancer, diverticular disease, inflammatory bowel disease and sexually transmitted infections. Your physician might also suggest for a CT scan, an MRI or an ultrasound.
Just after the diagnosis, a prompt surgical drainage would be carried out by the doctor before the abscess erupts. Deeper or larger abscess might require hospitalization as well as an anesthesiologist’s assistance. In most cases, patients are prescribed certain medications for pain relief just after the procedure. Antibiotics are mainly given to those people who have comparatively weaker immunity or suffer from diabetes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3195 people found this helpful

Gallstones in Women - Symptoms, Causes and Treatment!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Gallstones in Women - Symptoms, Causes and Treatment!

Gallstones are bits of solid material that may be formed in the gall bladder. The gallbladder is a little organ located under the liver. You won't not know you have them until they've block your bile duct, causing pain that will need immediate medical intervention, and even hospitalisation in some cases.They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases.

Women are more likely to develop gallstones than men. Read on to know more:

Causes: There are a number of causes for this condition, especially in women. These causes are as follows:

  1. Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy
  2. Fasting
  3. Malfunctioning of the gall bladder
  4. High cholesterol levels
  5. Gallstones may be created when there is excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body.
  6. Bilirubin: Bilirubin is a substance created when your liver wrecks old red platelets. A few conditions, like cirrhosis of the liver and certain blood issues causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones.
  7. Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape.
  8. Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such stones. The diet also has a bearing in such cases.

Symptoms:

  1. Fever
  2. A yellowish tint in your skin or eyes, which can demonstrate jaundice
  3. Sickness or retching
  4. Clay coloured stools
  5. Pain in the right upper quadrant of your stomach area
  6. Nausea
  7. Vomiting
  8. Other digestive issues

Treatment:

Numerous individuals with gallstones may be asked to go through surgery to remove the gallbladder. These include the following:

  1. Laparoscopic cholecystectomy: The specialist passes instruments, a light, and a camera through a few little cuts in the midsection.
  2. Open cholecystectomy: The specialist makes bigger cuts in the belly to expel the gallbladder. You may have to spend a couple days in the hospital after the operation.
  3. Without getting operated: If you have a mild condition and your specialist feels you shouldn't have an operation, he may recommend medicines like chenodiol, ursodiol, or both. These medications work by dissolving cholesterol stones. One may experience mild loose motions as a side effect.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3178 people found this helpful

Fatty Liver - What To Know About It?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Fatty Liver - What To Know About It?

Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound. It can occur at all ages including childhood, highest prevalence is in 40–50 year age group. Prevalence more in patient who are obese and in diabetic patients.

Types of Fatty Liver

1 Alcoholic fatty liver: This condition occurs when there is a heavy consumption of alcohol. Gastroenterologists recommend abstention from alcohol for this condition to subside. If the patient continues to consume alcohol, then liver cirrhosis may develop.

2 Non alcoholic fatty liver (NAFL): One may develop a fatty liver even if one is not an alcoholic. The liver in some cases is unable to process the fat in cells causing them to build-up on the organ.

When more than 10% of the liver is made of fat then this condition is called Non Alcoholic Fatty Liver (NAFL).

Non alcoholic steatohepatitis (NASH): When fatty liver is associated with inflammation in liver patient is said to be having Non alcoholic steatohepatitis. NASH is a more advanced stage of NAFLD, and has a higher risk of progressing to liver cirrhosis or hepatocellular carcinoma (HCC). These condition display symptoms like jaundice, vomiting, nausea, loss of appetite and abdominal pain. Blood test (LFT) shows raised enzymes level. Approx 5-8% of the Indian population has NASH. Consult a doctor if you are experiencing any of these symptoms.

3 Fatty liver during pregnancy: Occurring mainly in the third trimester, the symptoms of this condition are vomiting, nausea, pain the right part of the abdomen and jaundice.

Symptoms

During the early stages (fatty liver) of the disease, patients usually have no symptoms directly related to liver disease. However, people may experience a vague abdominal discomfort. If their liver is inflamed (NASH) then they may display symptoms of poor appetite, weight loss, pain in the abdomen and disorientation.

What causes fatty liver?

The most common cause of fatty liver is alcoholism. When the human liver is unable to metabolize fat fast enough or when there is an excess accumulation of fat on the liver cells then the liver becomes fatty. However, intake of high-fat foods may not result in a fatty liver.

Predisposing factor:

  1. Diabetes mellitus
  2. Obesity or being overweight
  3. Hyperlipidemia or the condition where there are high levels of fat in the blood
  4. Genetic reasons
  5. Rapid loss of weight
  6. Drugs: Aspirin, steroids, tamoxifen, tetracycline etc. cause side effects which also leads to fatty liver
  7. Nutritional status (eg, overnutrition, severe malnutrition, total parenteral nutrition [TPN], or starvation diet)
  8. Other health problems (eg, Hepatitis C infection, celiac sprue and Wilson disease).

In case you have a concern or query you can always consult an expert & get answers to your questions!

3181 people found this helpful

GERD - How To Deal With It?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
GERD - How To Deal With It?

Gastroesophageal reflux disease (GERD) is a common digestive tract problem where symptoms are produced by the abnormal reflux of gastric contents into the esophagus or beyond, into the oral cavity (including larynx). Normally a band muscle fiber at the lower end of the esophagus (Lower esophageal sphincter) prevents contents of the stomach to enter into the esophagus. If the sphincter relaxes abnormally then gastric contents easily flow back into esophagus producing symptoms.

Symptoms of GERD

  • Heartburn (classic symptom)

  • Dysphagia (In long-standing disease)

  • Less common symptoms – water brash, odynophagia, burping, hiccups, nausea and vomiting

  • Atypical symptoms – Chest pain, asthma, chronic cough, recurrent pneumonitis, laryngitis, dental erosions, disturbed sleep

Following factors can increase risk of GERD

  • Obesity

  • Smoking

  • Presence of a hiatus hernia

  • Spicy and fatty food

  • Irregular timings and large amount of meals

  • Factors causing delayed gastric emptying

  • Excessive tea or coffee

Associated conditions that can increase GERD

  • Pregnancy

  • Scleroderma

  • Zollinger Ellison syndrome

Diagnosis

  • Empirical trial of acid suppression

  • 24 Hour Esophageal pH monitoring

  • Upper GI endoscopy +/- biopsy

  • Esophageal manometry

Management

  • Lifestyle modification like weight reduction, discontinue smoking & alcohol intake, dietary changes, etc.

  • Pharmacological therapy – acid-suppressing medications, prokinetic drugs

  • Endoscopic therapy – anti-reflux mucosectomy (ARMS procedure), Stretta procedure

  • Surgical therapy – Fundoplication

In case you have any concern or query, you can always consult an expert and get answers to you questions.

3050 people found this helpful
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