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Dr. D.N. Amarapurkar  - Gastroenterologist, Mumbai

Dr. D.N. Amarapurkar

Gastroenterologist, Mumbai

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Dr. D.N. Amarapurkar Gastroenterologist, Mumbai
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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. D.N. Amarapurkar
Dr. D.N. Amarapurkar is an experienced Gastroenterologist in Mumbai, Mumbai. You can meet Dr. D.N. Amarapurkar personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. D.N. Amarapurkar on Lybrate.com.

Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. You will find Gastroenterologists with more than 28 years of experience on Lybrate.com. You can find Gastroenterologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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Liver Transplant By A Living Donor - Understanding It In Detail!

M. Ch., FEBS, MBBS, MS - General Surgery
Liver Transplant Surgeon, Delhi
Liver Transplant By A Living Donor - Understanding It In Detail!

Living donor liver transplant is the procedure where a portion of the liver of a living donor is transplanted to one whose liver is damaged and beyond recovery. The source of graft liver can be from two sources namely from a deceased brain-dead donor or a Living-related donor and termed respectively as DDLT ( Deceased donor liver transplant) and LDLT ( Living Donor Liver Transplant) . 

In case of DDLT , the recipient name is registered in the NOTTO list , and whenever a suitable brain-dead donor is available the recipients are transplanted according to their position on NOTTO list. DDLT involves a longer waiting time before a deceased donor may become available which can be anywhere between a month to years . The recipient runs a risk of developing a fatal complications during the waiting period. In LDLT ( Living donor liver transplant) the graft liver is procured from a living donor who is related to recipient and agrees to donate a portion of his liver. After careful pre-operative evaluation of prospective donor nearly 60-70% of liver of donor is removed and transplanted into the recipient.

Due to the unique ability of human liver to regrow, within 6-12 weeks nearly 100% of previous liver volume is achieved. LDLT enjoys the benefits of a elective surgery done without any waiting time and delay. However both DDLT and LDLT have nearly 90% success rate and both the procedures have their own benefits and lacunaes. Also the decision to go for DDLT and LDLT may vary for any particular patient. 

Factor that makes living donors potent enough to donate part of their liver: 

  1. As the liver is composed of two lobes , right and left lobe. Also the liver has an unique ability to regenerate. 
  2. The donor’s right lobe preferably transplanted in and adult recipient and left lobe is transplanted in pediatric age group .. When the portion of the liver is in place in the recipient’s abdominal cavity, the transplanted liver generates supplementary liver tissue adequate for decent functioning. 
  3. The donor liver regrows to nearly 90% of its original volume in 6 weeks and nearly 100 % in three months. Morever liver functions tests revert to completely normal even before complete regeneration happens. 

The knowledge, essential for the living liver donors: 

  1. The living donor transplant method is a lifesaver, but there are some concerns. The donor should have an excellent health record and should be free from cancer, pulmonary hypertension, congestive heart failure, or any other chronic diseases. 
  2. The donor’s liver must be healthy and large enough so that it works correctly after the right lobe is removed. The operation may take many hours, and both the recipient and the donor must rest in the ICU overnight. 
  3. The donor can be discharged by the end of one week and can resume normal household and office work by end of second week.

Patient is advised to avoid abdominal straining for three months but after that he or she can resume absolutely normal life style. Living donor liver transplants have an advantage that they can be performed in elective setting when the patient and donor are well-optimized, eliminates the waiting time, donor liver has been well evaluated and can be performed quickly in advanced or decompensated patients. In case you have a concern or query you can always consult an expert & get answers to your questions!

2142 people found this helpful

My brother have cbd stones in gallbladder already stent is placed in abdomen. Please suggest me is why stent placed and how many days he will carry and also suggest what is the treatment for that.

PDDM, MHA, MBBS
General Physician, Nashik
My brother have cbd stones in gallbladder already stent is placed in abdomen. Please suggest me is why stent placed a...
Endoscopic biliary stenting is procedure to open a blocked bile duct. A stent is a small cylinder-shaped tube that widens your bile duct and keeps it open. A stent should keep bile duct open and stop bile building up and causing jaundice. You should be able to see the jaundice reducing within a day or two of having your stent put in. Unfortunately, stents can become blocked after a few months. If this happens it is often possible to unblock or replace the stent.
1 person found this helpful
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My mother in laws age 68 .she is having gastic & head pain etc . what can solutions.

PDDM, MHA, MBBS
General Physician, Nashik
Please get her blood pressure and sugar checked. Till then start tab rekool d once daily at 8 am and revert back to me for further assistance.
1 person found this helpful
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I am suffering from acidity and heavy stomach from three to four weeks. What can I do?

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I am suffering from acidity and heavy stomach from three to four weeks. What can I do?
Hello Rachita ji, it may gas distention trouble due to indigestion. have simple bland food (Khichadi) for next few days avoiding junk, oily, spicy fried and deep-fried food items. drink lot of water. Add Jeera, Ajwain, Sonth in ur food items – these herbs prevent gas formation. Reduce intake of tea – coffee. Instead u can have green tea. dont lye-down or sit immediately after having meals. have a walk instead. maintain good bowel habits. Have more of Coconut Water, Gulkand etc to relieve acidity, Avoid too much of Cauliflower, Peas, Brinjals, Namkeens as snacks etc. Do regular walking and mild exercises. You may also do a weekly fast – just to relax and calm down ur system. Fasting also helps in cleansing of the system. for gas some herbal medicines might also help you but after proper history taking. For that u may consult me privately over Lyberate. Please update with ur valuable feedback.
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What is MRCP. Any side effects for female who had gone through a cesarean delivery 45 days back. Any effects to breast feeding baby.

MBBS
General Physician, Mumbai
What is MRCP. Any side effects for female who had gone through a cesarean delivery 45 days back. Any effects to breas...
Mrcp is usually done to see if there is any kind of obstruction in the biliary tract and it can be done post delivery without any side effects for lactation.
1 person found this helpful
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Celiac Disease: How to Recognize and Manage Them

BDS
Dentist,
Celiac Disease: How to Recognize and Manage Them

Celiac disease is a serious genetic autoimmune disease with over 300 symptoms, and most people manifest with a combination of them. It is caused by intolerance to gluten, which is a protein found in wheat, rye, barley, and other cereals. Gluten is usually present in the small intestine, and in patients with celiac disease, the lining of the small intestine gets attacked. Consequently, a number of organs and/or body systems are affected, making it extremely difficult to pointedly say that a person has celiac disease.

These symptoms cover almost all systems of the body including reproductive to digestive, cardiovascular to endocrine, respiratory to neuromuscular, and even affect the bones, and the teeth. Another major variation also is the age at which celiac disease becomes symptomatic. While some show symptoms quite early in their childhood, some others show symptoms later in their life, and some may not manifest with any symptoms all through their life.

Talking of the oral/dental symptoms, there are two main causes for concern one involving the soft tissues and the other involving the teeth. Let us look at the two in a little more detail.

Similar to the canker sores or the usual mouth ulcers, celiac disease also cause whitish sores. Unlike the canker sores which appear on the lips, the celiac mouth sores are common on the insides of the cheek, gums, lips, palate, and sometimes even the tongue. The appearance is very similar to that of aphthous ulcers, which have a whitish or grayish margin. They appear at random with no specific reason. The soft tissue lining of the digestive system is present from the stomach or intestine all the way to the mouth, and therefore these ulcers are seen. These can be quite discomforting and interfere with nutrition. Topical creams and/or gels can be applied to treat them. If celiac disease is diagnosed by then, abstaining from a gluten-free diet will help relieve the symptoms. Else, they may continue to recur and symptomatic treatment would be required.

The second oral symptom of celiac disease is the presence of visible defects of discoloration in the enamel. There are usually white, brown or yellow spots, usually discolored on the incisors and molars (front and back teeth). The bad news with the tooth issue is that these do not go away once a gluten-free diet is adopted. Depending on the severity, these may require tooth whitening treatments ranging from bleaching to veneers to full crowns.

The next time you have a group of symptoms, with the above two oral symptoms, contact your doctor and have a detailed discussion. It does not take much effort to diagnose and treat celiac disease.

3204 people found this helpful

Can Frequent Urge to Urinate Be a Sign of Prolapsed Bladder?

MBBS Bachelor of Medicine & Bachelor of Surgery, Fellowship In Infertility, MCh - Urology, MS - General Surgery
Urologist, Gurgaon
Can Frequent Urge to Urinate Be a Sign of Prolapsed Bladder?

Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.

Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).

What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:

  1. Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
  2. Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
  3. Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.

What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)

  1. Frequent urge to urinate
  2. Urinary incontinence (unwanted leakage of urine)
  3. Pain during urination
  4. Pain during sex
  5. Frequent urinary tract and bladder infections
  6. Pain in the vagina, pelvis, lower abdomen or lower back
  7. Incomplete urination

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

2511 people found this helpful

Sir I migrated from Punjab to Delhi in Punjab I used to have raw dairy milk but when I come to Delhi I used to drink amul milk so it causes pain in right side of my chest and causes gas what should I do is amul milk bad for health and I have gluten intolerance just for you to know that's why milk is my basic diet.

Master of Hospital Administration, DTM&H, MBBS
General Physician, Kolkata
Sir I migrated from Punjab to Delhi in Punjab I used to have raw dairy milk but when I come to Delhi I used to drink ...
Do not take hot milk, take it after cooling &possibly with a bit of sugar in it &adjacent food, think the problem will be over.
1 person found this helpful
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I am a student of CA Final. I sit for long hours to study. What sort of food intake is required to have good brain health and avoid gastric problem I am facing these days. Kindly suggest a diet plan for the whole day specially for breakfast.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am a student of CA Final. I sit for long hours to study. What sort of food intake is required to have good brain he...
The gastric problem is related to stress. That is obviously causing the problem of lack of concentration. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: • Green leafy vegetables (like spinach and salad greens): At least six servings a week • Other vegetables: At least one a day • Nuts: Five servings a week • Berries: Two or more servings a week • Beans: At least three servings a week • Whole grains: Three or more servings a day • Fish: Once a week • Poultry (like chicken or turkey): Two times a week • Olive oil: Use it as your main cooking oil. • Wine: One glass a day You avoid: • Red meat: Less than four servings a week • Butter and margarine: Less than a tablespoon daily • Cheese: Less than one serving a week • Pastries and sweets: Less than five servings a week • Fried or fast food: Less than one serving a week.
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I am having gastric problem for last 10 days severely. When I wake up in the morning I am not able to bend and my stomach feels like it's been expanded to max. I used to have gastric problem but not this severe. What should I do?

B.A.M.S, MD - Ayurveda
Ayurveda, Ajmer
I am having gastric problem for last 10 days severely. When I wake up in the morning I am not able to bend and my sto...
hello lybrate user First of all you should take Vaman- a panchkarma therapy to detoxify your body. after vaman karma most of your symptoms will subside. after that you should take some ayurvedic medicines. take high fiber and whole grain diet. take plenty of water. do some yoga and exercises.
3 people found this helpful
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