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Dr Khanna Sanjeev S

Gastroenterologist Clinic

E 2 Vishal Apartments Behind Vishal Wedding Hall Andheri Kurla Road Andheri East Mumbai
1 Doctor · 1 Reviews
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Dr Khanna Sanjeev S Gastroenterologist Clinic E 2 Vishal Apartments Behind Vishal Wedding Hall Andheri Kurla Road Andheri East Mumbai
1 Doctor · 1 Reviews
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
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Dr Khanna Sanjeev S is known for housing experienced Gastroenterologists. Dr. Sanjeev S Khanna, a well-reputed Gastroenterologist, practices in Mumbai. Visit this medical health centre for Gastroenterologists recommended by 61 patients.

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06:00 PM - 09:00 PM

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E 2 Vishal Apartments Behind Vishal Wedding Hall Andheri Kurla Road Andheri East
Andheri East Mumbai, Maharashtra - 400069
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Dr. Sanjeev S Khanna

MD, MNAMS (Membership of the National Academy) (General Surgery)
Gastroenterologist
36 Years experience
Available today
06:00 PM - 09:00 PM
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Fatty Liver - Causes, Symptoms, Treatment And Prevention!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Fatty Liver - Causes, Symptoms, Treatment And Prevention!

Fatty Liver
Building up of fat in the liver is known as a fatty liver. There is some amount of fat in the liver which is normal for a healthy individual, but excessive fat accumulation in the liver can be a matter of serious concern.

The liver is an important organ which performs various necessary functions. It is the second largest organ in the human body and performs the function of processing the food and water that the body intakes and filters the unwanted and harmful substances from the blood. This function of the liver might be compromised if there is excessive fat accumulation in the liver. In this condition, vacuoles of triglyceride fats are present in the cells of the liver because of the abnormal lipid retention in the cells. When the fat metabolism process is disturbed it leads to the accumulation of high amounts of fat which results in a fatty liver.

Fatty liver can be an indicator of serious conditions if left untreated. Collection of fat cells in the liver is termed steatosis. In case inflammation is caused in the liver tissue because of these excess fat cells, the condition is known as steatotic hepatitis which should be taken seriously. A major cause of steatotic hepatitis is alcohol consumption or conditions which cause biochemical changes in the body. In case the problem is because of reasons other than alcohol, it is known as Non-Alcoholic Steatotic Hepatitis or NASH.

In case there is inflammation of the fatty liver, it can lead to scarring and also fibrosis of the liver. This is a serious condition which is known as cirrhosis and can lead to difficulties if left untreated.

This condition is reversible and can most often be taken care of by making healthy changes in one’s lifestyle. Fatty liver shows no signs in most of the cases and does not lead to any permanent damage to the liver in most of the cases unless the situation worsens or progresses. This condition can also become hazardous in case the underlying cause is not timely recognized and treated.

Grades/Stages of Fatty Liver
Fatty liver is most often not a serious and critical condition. The levels of development of the disease are divided into three grades, Grade 1, Grade 2 and Grade 3. Each one of these stages is related to different signs and symptoms which become severe as the disease progresses. The first two stages can be handled with proper medicinal treatment but treating grade 3 fatty liver might be more challenging.

Fatty liver grade 1 is the onset of the disease. It is the beginning stage of accumulation of fats in the liver. The symptoms in this stage are not severe and it is not serious in most cases.

Fatty liver grade 2 is the situation when the amount of fat accumulation in the liver increases. As the level of the fat cells increases in the liver, the liver starts decreasing its functionality. Due to the invasion of fats into the cells of the liver, the cells that are responsible for carrying out different functions start dying. Medical attention is necessary at this stage.

Fatty liver grade 3 is the most severe and serious form of the condition. At this stage, the fat accumulation has spread to the entire liver. The liver becomes inflamed and the situation worsens. The blood vessels in the liver are not able to perform the function of pumping in the nutrients and pumping out toxins. Distension of the abdomen might also appear. The normal cells of the liver start fading and fibrotic cells start appearing. Significant diet changes are made at this stage. Fatty foods and red meat products should be avoided. Industrial cooking oils should not be used and should be substituted with coconut oil, flaxseed oil, sunflower oil etc. Intake of fresh fruits and vegetables should be increased.

Risk factors
The condition of fatty liver is due to the building up of more than normal fats in the liver. It is more prevalent in individuals who are obese or are overweight. Individuals suffering from Type 2 diabetes are also at a higher risk of developing fatty liver. Accumulation of fat is often connected to resistance to insulin which is the main cause of development of type 2 diabetes.

Other factors that are associated with the development of the condition are consumption of alcohol in excessive quantities, high levels of triglyceride fat cells in the body, a high level of cholesterol, high blood pressure patients taking long-term medicines for the condition, taking higher than usual and/or recommended dosage of some over the counter medicines like Tylenol etc. The risk is also heightened during pregnancy. Fatty liver might also affect individuals experiencing malnutrition. The condition of metabolic syndrome is also associated with the development of fatty liver.

Symptoms
Beginning stage of fatty liver disease generally shows no symptoms. Mild cases of fatty liver are mostly asymptomatic. Fatigue and abdominal discomfort might be experienced by the individual. This condition is usually uncovered during routine check-ups and physical examination. The liver might become enlarged which is detected by a physical examination.

Some people might experience vague symptoms such as fatigue even with little or moderate physical exertion, wanting to rest because of the feeling of discomfort, heaviness and fullness in the abdomen mostly in the upper right corner etc. Sometimes applying pressure might result in pain in the liver area. Liver inflammation might cause signs like confusion, pain in the abdomen, loss of weight, a poor appetite, weakness and fatigue etc.

If left unchecked and untreated, the fatty liver might transform into cirrhosis which is a serious and life-threatening condition. Symptoms of this condition include easy bleeding tendency, confusion, enlargement of the abdomen, fluid in the abdomen, symptoms of jaundice like dark coloured urine, yellow colour of the skin start appearing, inability of blood to clot, fine tremors of the fingers, poor memory and concentration, distending of veins in hands and legs, nauseavomiting, loss of appetite, giddiness etc.

Causes
Most often the fatty liver disease occurs in people who indulge in heavy drinking and their alcohol intake is higher. Though, it might occur in people without any drinking problems.

There are various causes other than alcohol for the occurrence of fatty liver disease. These include metabolic syndromes which lead to an imbalance in the metabolic capacity in the body like glycogen storage diseases, acute fatty liver of pregnancy, abetalipoproteinemia, Weber-Christian disease etc. Other conditions like diabetes, high blood cholesterol, high blood pressure, Wolman’s disease, Galactosemia, Wilson’s disease and infections like tuberculosis and malaria are also known to be causes of fatty liver disease.

Various nutritional causes like obesity, malnutrition, sudden weight loss, gastric bypass, total parenteral nutrition, refeeding syndrome, jejunal diverticulosis with overgrowth of bacteria, jejunoileal bypass etc. are also some of the factors aiding in the development of the fatty liver disease.

Certain drugs like Valproic acids used in epilepsy, Sedatives, Anti-retroviral drugs, corticosteroids, methotrexate, Vitamin A overdose, Tamoxifen which is used in the treatment of breast cancer, medications like amiodarone and diltiazem which are used in treatment of heart conditions like high blood pressure and irregular heartbeats environmental hepatotoxins like phosphorous and mushroom poisoning are also some causes of fatty liver disease. Inflammatory bowel diseasehepatitis C particularly genotype 3, HIVCeliac disease and alpha 1- antitrypsin deficiency can also be the cause of the development of a fatty liver.

Diagnosis
Most often the diagnosis of fatty liver is incidental. Most of the individuals suffering from this condition are asymptomatic and the disease is uncovered through incidental abnormal tests like liver function tests or hepatomegaly done for other medical conditions that are unrelated. There is no particular test that can show whether the accumulation of fats in the liver is because of alcohol use or other factors. Thus, the doctor will inquire about the alcohol consumption habits of the individual to establish the reasons. This information helps the physician in determining whether the condition is ALD or NAFLD.

Various tests can be used by the healthcare practitioner to diagnose the disease. Some of the tests used are-

Physical Examination: In case of inflammation of the liver, the doctor can detect it by the examination of the abdomen for any enlargement of the liver. The doctor needs to be informed if the patient is experiencing fatigue, loss of appetite etc. The doctor also enquires about the alcohol history, medications and the history of supplement usage.

Blood tests: Blood tests might reveal high levels of liver enzymes in routine tests. Abnormal liver enzymes level in the blood give a deeper understanding of the cause of the disease as well as is an identifier of the problem. Liver function tests also provide an understanding of the efficiency of the treatment and the improvement that can be expected. But, this test does not fully confirm the diagnosis. Further analysis of the situation is necessary.

Imaging studies: Ultrasounds can also be conducted to diagnose the problem of fatty liver. It is a painless and a non-invasive test and can most often detect the condition accurately. The fat in the liver shows as a white patch on the ultrasound image.

Computed Tomography scan also knows as CT scan can also be performed as it can measure the organs and the inflammation accurately through the use of X-Rays. MRI or Magnetic Resonance Imaging can also be used to scan the internal organs. But these tests cannot confirm whether the individual has a simple fatty liver or NASH. Another kind of imaging study is a FibroScan, which helps in determining liver density and the fat tissues and normal tissues areas.

Liver Biopsy: In liver biopsy is performed, a needle is inserted into the liver for removal of tissue for examination. Anesthetics are given to the patient to relieve the pain. Through a liver biopsy, the doctor can certify of the disease and also know the cause of the condition.

Treatment-
There is no set method of treatment for fatty liver. Undergoing treatment for the underlying cause of the problem can help reverse the changes that have happened in the liver. Reducing the risk factors is often recommended. Some of the most common recommendations that are prescribed are:

Controlling cholesterol levels: Reducing the number of saturated fats in the diet can be a healthy approach which can help control and reverse the situation. Also, medications that lower cholesterol levels are also prescribed which can be used along with exercise and regular workouts to reduce and reverse fatty liver.

Exercise and Weight loss programs: The objective of these programs should be to lower the body mass index of the patient by around two units in comparison to the existing BMI. Aerobics is an effective way to burn off excess fat in the body. In order to reap long-term benefits, dedication and sustenance matter more than the intensity of the workout.

Controlling Diabetes: Lifestyle changes are required to move towards a healthy body and control diabetes. Management of sugar levels in the body can be done by taking proper medication. Controlling diabetes can stop the disease from advancing to the more stage of cirrhosis or failure of the liver.

Avoiding harmful substances: Substances like alcohol, certain drugs and fatty junk foods should be avoided to prevent the condition from advancing. Certain medications which can cause complications should also be substituted by consulting with a healthcare practitioner.

 

Prevention
Protecting the liver from harmful substances is the most important way to avoid the occurrence of fatty liver. The reduction in alcohol consumption is the most important method to eliminate the risk of fatty liver. Smoking should also be reduced as it leads to various biochemical and hemodynamic changes which can cause liver damage.

A proper check should be kept on the weight. A healthy routine of exercising and a healthy balanced diet should be followed to maintain a healthy weight. Omega 3 fatty acids have been shown to prevent fatty liver. It is found in various natural sources like fish oils, walnuts and flaxseed oils. Leading a healthy lifestyle is the key to a healthy body.

I am 32 years old, I have a stomach problem it's bloating, gases and now a days me putting a weight rapidly.

MBBS
General Physician, Jaipur
I am 32 years old, I have a stomach problem it's bloating, gases and now a days me putting a weight rapidly.
Bloating could be due to ulcer in stomach or intestine. Please consult with me on my private chat window for full treatment details.
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I feel my bloating in stomach and weight gain. Please tell me how to solve my problem asap.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I feel my bloating in stomach and weight gain. Please tell me how to solve my problem asap.
Exercise burns the most belly fat fast? Read on and burn the unwanted calories with these exercises to burn stomach fat quickly. 1: Running or walking. 2: Elliptical trainer. 3: Bicycling. 4: The bicycle exercise..#5: The Captain's chair leg raise..# 6: Exercise ball crunch..# 7: Vertical leg crunch..# 8: Reverse crunch.
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Stomach fullness and very bad smell of gas. Acidity and burning sensation in stomach.

Bachlor in homoeopathic
Homeopath, Pune
Stomach fullness and very bad smell of gas. Acidity and burning sensation in stomach.
Stop junk food take light diet add more fruit nd veggies in your diet drink plenty of water daily use carom seed in night.
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Hi, I am 46 years old and have been suffering from extreme thirst for the past two years, accompanied by a big waistline and painful intestines as if something is biting them. What should I do?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
Hi, I am 46 years old and have been suffering from extreme thirst for the past two years, accompanied by a big waistl...
Sootshekhar ras 125 mg twice a day chandanadi avleh 10 gm twice a day relief in 5-7 days and for complete cure take it for 60 - 90 days only avoid spicy and oily food.
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Hi, I am 16 years old with a light pink lump on the entrance of my anus with bleeding sometimes.

BHMS
Homeopath, Noida
It can be piles. Take home cooked, fresh light food. Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation Maintain active life style Curd is good for u. Avoid fast foods, spicy n fried foods For details you can contact me.
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Home Remedies To Treat Gastric Acid Disorders!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD- Ayurveda
Ayurveda, Greater Noida
Home Remedies To Treat Gastric Acid Disorders!

Gastric acids are chemicals provided by your stomach to aid digestion. But the corrosive effects they induce are counteracted by the secretion of other chemicals. It is when the secretion of these chemicals is impaired that it leads to damaged stomach lining, causing acidity, also known as acid reflux.

Ayurveda promises some easy home treatments for acidity which are quite efficient in ensuring fast recovery for you.


You can use any of these listed Ayurvedic treatments if you suffer from acidity.

1. Amla powder (Indian Gooseberry) and honey
 
Soak one teaspoonful of amla powder in half a cup of water. Add honey and stir and drink empty stomach in the morning. Repeat similarly for the evening.
 
2. Cumin seeds

You can reduce cumin seeds to their powder form, then you have to add half a spoon of it to water; presumably, one liter. Then, keep the solution boiling then filter it. You will have to make sure that you drink this solution instead of normal water. Take this water based solution everyday till recovery. This is quite an effective remedy for acidity.
 
3. Mulethi (liquorice) and honey
 
You can reduce liquorice root to powder, then to half a spoon of this powder add little honey to form paste. Lick to consume this paste twice daily after meals. Liquorice neutralizes the acids quickly to give relief.

4. White pumpkin juice
 
Take white pumpkin peel and slice it and make a pulpy juice out of it. Half a cup twice daily gives fast recovery from gastritis and acidity. Alternatively you may eat sweet made of pumpkin (peetha ki methai) after meals.
 
5. Buttermilk

You can take half a glass of buttermilk and add a pinch of each asafetida and turmeric to it. With it, also take care to add a tiny amount of fenugreek and drink it at night, to make the most of its benefits.

6. Jaggery

You can try taking boiled ash gourd with jaggery. This relieves the burning sensation in the stomach to a considerable extent.

Sir anal fissure k lye kya kre, 2 3 din se me anal fissure se jujh rha hun. please sir help me.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Din mein 2-4 baar sitz bath (Hot water tub bath) lein aur anal passage mein koi healing appointment ya coconut oil apply karein. Kabj se bachne ke liye; 1 chmmach Haritaki churna/ Swadisht virechan churna raat ko garam pani se lein.
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HI, I Have gas problem. Home remedies please Pain in liver, kidney, heart not joking really.

Bachlor in homoeopathic
Homeopath, Pune
HI, I Have gas problem. Home remedies please Pain in liver, kidney, heart not joking really.
Avoid junk food add papaya in your diet start walking after dinner or lunch take carom seed daily in night with water.
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Hyperacidity - Everything You Should Be Knowing!

BHMS
Homeopath, Pune
Hyperacidity - Everything You Should Be Knowing!

ABOUT HYPERACIDITY

Acidity is a term used for a set of symptoms caused by excess production of acid by the gastric glands of the stomach. The stomach normally secretes hydrochloric acid which is required for the breakdown and digestion of food we eat. Acidity causes symptoms like dyspepsia, heartburn, gastric inflammation and ulcers in the stomach. Acidity is generally a consequence of several external factors like eating habits, fad diets, stress, smoking and alcohol consumption, lack of physical activity, irregularity in eating pattern.

The incidence of acidity is higher in countries where individuals eat more of non-vegetarian, oily and spicy foods. Certain medications like non steroidal anti-inflammatory drugs (NSAID's)also predisposes individuals to gastric acidity. People suffering from acidity feel a burning sensation after eating a meal. Sour belching is also commonly seen. Sometimes, constipation and indigestion is also seen in people having acidity. Acidity can be treated by making changes in eating and lifestyle habits. This section offers some really good home remedies for acidity which you can try.

ACIDITY CONTENT

CAUSES

Our stomach produces gastric acids to aid digestion. But, their corrosive effects are neutralised by the production of natural bicarbonate and prostaglandins secreted in the mucous lining. When the production of these chemicals is interrupted then it leads to damaged stomach lining which causes acidity.

1. Stress

2. Consumption of spicy and non-vegetarian foods

3. Smoking and alcohol

4. Stomach ailments like peptic ulcers, gastroesophageal reflux disease, stomach tumors, etc.

5. Medications like non-steroidal anti-inflammatory drugs. Read more about why acidity is rising among youngsters.

SYMPTOMS

The common signs and symptoms that you might experience are -

1. Burning in the stomach

2. Burning in the throat

3. Restlessness

4. Belching

5. Nausea

6. Sour taste

7. Indigestion

8. Constipation

HOME REMEDIES

Here are 10 home remedies for acidity that actually work -

• Bananas:  one daily (or 2 elaichi kela)

Tulsi: bring a sapling and nurture it nicely. Pluck 8-10 leavesand chew or add it in tea.

• Cold milk: one glass a day especially in the morning

Saunf or aniseed, flax seeds: one tsp each 2-3 times a day

• Jeera powder, asaefotida, ajwain: half teaspoon in a glass of buttermilk

• Clove: one-two in a day. Hold it between teeth and just press it.

• Elaichi: a pinch at least 2-3 times a week. It truly helps.

Mint leaves or pudina: you can chew 6-7 pudina leaves or add them in a fresh juice

Ginger: one inch in whole day in summers and 2 inces consumption in a day in winters.

• Amla: one pint Patanjali amala juice

PREVENTION

Acidity can be prevented by the following methods:

1. Don’t consume spicy food

2. Eat more fruits and vegetables

3. Eat small, regular meals

4. Consume your last meal at least a few hours before sleeping

5. Chew tulsi leaves, cloves, saunf, etc.

6. Avoid medications like NSAIDs (non-steroidal anti-inflammatory drugs) and steroids

7. Reduce stress

HOMEOPATHIC REMEDIES FOR ACIDITY,GASES AND DIGESTIVE PROBLEMS

Nux Vomica: Best Homeopathic remedy for stomach problems Homeopathic medicine Nux Vomica is of great help in the treatment of various stomach problems. It is the best Homeopathic remedy for heartburn that occurs after taking coffee, spicy food or alcoholic drinks. Nux Vomica is also the ideal Homeopathic treatment for constipation. For using this medicine for constipation, the prominent indicating symptom is the constant urge to pass stool or poop but the stool is insufficient and unsatisfactory. Homeopathic medicine Nux Vomicais also used to relieve the heaviness and sensation of weight in the stomach after eating.

Pulsatilla: Top Homeopathic remedy for gastric problems after eating fatty food Pulsatilla is the best Homeopathic medicine to deal with the gastric problems that arise as a result of consuming fatty food like pastries, ice creams, ghee and butter. Most of the patients requiring this medicine have a complete absence of thirst. Homeopathic medicine Pulsatilla can also be used for treatment of loose stools. The prominent symptom to use this medicine in case of loose stools is the changing nature of stool every time it is passed. Chilliness also accompanies loose stool.

China: Homeopathic medicine for letting out gas from bloated abdomen China is the most efficient Homeopathic medicine to relieve the bloated abdomen where the whole abdomen is full of gas. The gas may also cause severe pain in the abdomen. China is also the ideal Homeopathic remedy for diarrhoea with extreme weakness. Diarrhoea consequent to eating fruits can be very efficiently treated with this Homeopathic medicine.

Arsenic Album: Top Homeopathic medicine for gastric trouble after food poisoning Arsenic Album is the best Homeopathic medicine for gastric troubles that occur as a result of food poisoning. The patients requiring the Homeopathic treatment of Arsenic Album have the symptoms of nausea, vomiting, loose stool and stomach pain. These complaints get worse after eating or drinking anything. The patient also feels an extreme burning sensation in stomach.

Lycopodium: Homeopathic medicine for stomach feeling full after eating very little Homeopathic medicine Lycopodium is an ideal remedy when the stomach feels full and there is a distention of abdomen even after eating very little. There is rolling of gas in stomach with burps that cause burning in the throat. Lycopodium is even the Homeopathic cure for acidity due to intake of farinaceous (starchy) and flatulent food.

The patients requiring this Homeopathic medicine at times also show a craving for hot drinks.

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