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Dr. J.B.Agarwal

Gastroenterologist, Mumbai

1000 at clinic
Dr. J.B.Agarwal Gastroenterologist, Mumbai
1000 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. J.B.Agarwal
Dr. J.B.Agarwal is a renowned Gastroenterologist in Malad East, Mumbai. You can visit him/her at Agarwal General Hospital & Polyclinic in Malad East, Mumbai. Book an appointment online with Dr. J.B.Agarwal on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 44 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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# 49 Dastari Road, Malad East. Landmark: Near Abhyuday Bank & Opp Subhash lane, MumbaiMumbai Get Directions
1000 at clinic
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# 49 Dastari Road, Malad East. Landmark: Near Abhyuday Bank & Opp Subhash lane.Mumbai Get Directions
1000 at clinic
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I feel pain and burning on bowel movements. I am a healthy individual but still suffers from it. It is not regular but happens quite often. Am I suffering from any digestive disorder.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Hiii 1) drink plenty of fluids. Hv atleast 4lit of water 2) avoid smoke n drinks 3) eat fresh fruits n veggies thanku.
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My Age 53yrs, male, disturbed sleep during night because of indigestion. Suggest me the suitable tablet. I am taking TOPCID20mg tab. Gas comes thro mouth, reflux, continuously 1hr after taking food.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My Age 53yrs, male, disturbed sleep during night because of indigestion. Suggest me the suitable tablet. I am taking ...
Here are tips for preventing gas and acid reflux: -Relax and eat food slowly Avoid skipping breakfast. - Eat smaller meals;Don't overeat -Limit fluids intake during meals. As it increases stomach distension. -Avoid foods and drinks that trigger acidity (e.g. Fatty ,Spicy foods, onions, garlic, peppermint, chocolate, coffee,tea, citrus fruits or juices, tomatoes, cola or alcohol) -Wear loose-fitting clothes.Tight clothes or belts can constrict your stomach. -Do daily exercise.like walking;It keeps you upright, allowing gravity to aid digestion -Don't lie down after eating.Wait at least 2-3 hours after meal before sleeping. Avoid late night snacks .Elevate the head end of bed by 6-8 inches. Sleep in left lateral position. HOME REMEDIES:.Dried ginger ,dried fennel or Ripened guava can speed up digestion of food -TREATMENT: -mucaine gel syp 2 tsp twice daily will help -tablet Rabicip-D. taken twice daily before meals as these reduce acid production in the stomach.
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I had appendices problem and now it is OK but what should I do that appendices should not come again.

MBBS
General Physician, Allahabad
I had appendices problem and now it is OK but what should I do that appendices should not come again.
Appendicitis is inflammatory condition of appendix an appendage found on the right lateral of lower side of abdomen. It's permanent treatment is surgical removal.
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No any things digested properly from two month I have taken many medicines but not effected.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
No any things digested properly from two month I have taken many medicines but not effected.
DEAR Lybrate USER. A) Take 10-10ml of ginger juice and honey before meal. B) take 30 ml of divya shwasari pravahi (PATANJALI AYURVEDA) along with 30 ml of water after meals. C) eat 5 gm of AJOVA seeds along with 5 gm of jaggery after meals D) take 30 ml of aloe vera juice and 30 ml of lukewarm water at night before sleep. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS….
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I am 21 years old, there are ulcers in my mouth, I don't take any type of drugs so what I do?

MD , MBBS
General Physician, Aligarh
Dear . There are many reasons for ulcers in mouth. The main are the stress and the acidity. First tell me do you have any of these and then we will look at other possibilities.
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My brother has a problem related with stomach I was consult to a doctor who said that the acid is producing in the stomach what can be done in such situation.

MBBS
General Physician, Mumbai
My brother has a problem related with stomach I was consult to a doctor who said that the acid is producing in the st...
Use parsley and jeera seeds while cooking vegetables. Please make it a point that too bitter, too sour, salty, hot, pungent, dry and burning foods are to be avoided as such foods cause distress, misery and disease. Thus deep frying foods or foods taking lot of oil as in gravy vegetables, salty foods, spicy foods, long preserved, frozen foods, junk foods like pizzas burgers chips are to be avoided. Drink two glasses of warm water on empty stomach every morning about 30 minutes before breakfast. Try it! This works amazingly! In addition, walk fast for 30 minutes every day or engage in some service every day. Please also do meditation regularly and sincerely which has been scientifically proved for overall health.
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Is it necessary to go to hospital when i'm suffering from food poison. Or I can cure it with home remedies.

MBBS, PDDM
General Physician, Mumbai
Is it necessary to go to hospital when i'm suffering from food poison. Or I can cure it with home remedies.
First of all you need to figure out if that is surely a food poisoning and not infection. Food poisoning is caused by preformed toxins in food and can last upto maximum of 24-36 hrs. It does not cause fever and increased wbc count. Get a cbc done. If you have fever, you need antibiotics. Monitor your bp. Rehydrate excessively using water, juices, soups, ors etc.
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International Academy of Classical Homeopathy, BHMS
Homeopath,
HOMOEOPATHIC TIPS FOR GASTRITIS



Gastritis is the most common silent disease of the gastrointestinal tract, affecting more than half of the world population. It is well known that H.pylori is the chief etiological agent of chronic gastritis, peptic ulcer, gastric adenocarcinoma, malt lymphoma. Helicobacter pylorus was discovered by Warren and Marshal in 1983. H. pylori has some unique characteristics:

It defied its detection by scientists for centuries.
It survives in the stomach, an organ which is devised by the nature to kill all bacteria.
85% of the population hosts this organism asymptomatically.
It persists in the gastric mucosa for decades.
It does not penetrate the gastric mucosa for decades.
It reduces the risk of oesophagitis, Barrett’s esophagus, esophageal adenocarcinoma, in the infected individual.


Gastritis is defined as an inflammatory response of the gastric mucosa to infections or irritants.
In the histology of normal gastric mucosa, inflammatory cells – neutrophils are spare and lymphoid tissue is absent.



ACUTE GASTRITIS is diagnosed endoscopically in the presence of hyperemia, intermucosal hemorrhages, and erosions in the gastric antrum and/or body mucosa.
Erosions are flat, or elevated white based lesions with an erythematous margin, and are frequently seen in the antrum.
Histology shows marked surface epithelial degeneration and heavy infiltration with neutrophils, but it is rarely performed.



CHRONIC GASTRITIS may be classified as chronic active, non-atrophic (superficial), atrophic and pernicious anaemia.
On histology of the gastric mucosa, there is a predominant increase in the chronic inflammatory cells – lymphocytes, plasma cells and an occasional lymphoid follicle may be present.
Presence of numerous neutrophils indicates activity (chronic active gastritis).

Symptoms:

The vast majority of chronic gastritis patients are asymptomatic. Non colicky pain in upper abdomen within 15 minutes after ingestion of a spicy meal and absence of pain on delaying or omission of a spicy meal are considered suggestive of chronic gastritis. Heaviness in upper abdomen immediately after a meal is also not an uncommon symptom. With a fiberoptic gastroscope a definite diagnosis of chronic gastritis is easy with biopsy from the body mucosa and the antrum. H.pylori causes chronic gastritis in all subjects. H.Pylori colonizes normal antrum and may extend into the body mucosa causing corpus gastritis. Chronic gastritis due to H.pylori slowly progresses over a few decades from the superficial to atrophic gastritis, intestinal metaplasia, dysplasia and gastric adenocarcinoma.

H. pylori was earlier responsible for more than 80% of chronic gastritis but its prevalence is decreasing in countries with improved sanitation.



H.PYLORI AND PEPTIC ULCER



DUODENAL ULCER:

The patients. with duodenal ulcer may present with dull aching pain in the epigastrium, occurring daily on an empty stomach or at midnight relieved soon after the ingestion of antacid, milk or non-spicy food. Nearly half of the numbers of patients with typical history of duodenal ulcer do not show any ulcer on endoscopy. The popular multi-factorial theory of stress and spices causing duodenal ulcer, died its natural death, with the discovery of H.pylori in 1983.

A major breakthrough in understanding of the etiology of duodenal ulcer was the discovery of H.pylori in the antral mucosal biopsy of humans, on upper gastrodudenal endoscopy- as; H.pylori is present in the antral mucosal biopsy of >90 % of duodenal ulcer patients., following the eradication of H.pylori from the gastric mucosa, annual duodenal ulcer recurrence reduced to less than 10% compared to 80%. Failure to eradicate H. pylori results in a higher recurrence rate of duodenal ulcer. H. pylori infection of the antral mucosa increases the risk of duodenal ulcer by 3-6 folds.



GASTRIC ULCER:

Pt. with benign gastric ulcer does not have any classical pattern of symptoms for a clinical diagnosis. Pt. may complain of dull aching pain in upper abdomen soon after food intake, nusea, heaviness, heamatemesis or symptoms of anemia.

Benign gastric ulcer is rare in Indian population, it may occur with ch.gastritis due to H.pylori or following ingestion of aspirin or NSAID. H. pylori increases the risk of benign gastric ulcer by 3 folds.



INVESTIGATION

Gastric mucosal Biopsy
Gastric secretion: Acid, Pepsin, Intrinsic factor
Co vita B12 excretion test
Fasting serum pepsinogen,serum gastrin
Parietal cell, intrinsic factor, helicobacter pylori antibody
H.pylori detection : invasive ,non invasive methods


THE HOMOEOPATHIC APPROACH

Abdominal pain and inflammation present difficulties in diagnosis for even the most experienced physician. All cases of dynamic diseases, acute or chronic even when resulting from mechanical or psychological injuries, are amenable to homoeopathy. The homoeopathic medicine works quite well in the treatment of an acute abdomen often averting the need for surgery in many of cases. The problem may range from entrapment of gas, to constipation, perforation of the bowel which results in sever inflammation and sepsis which may result in death. Any acute onset of abdominal pain should be considered a medical emergency.

By carefully applying the law of similars, the physician will observe that all cases of curable dynamic disease are curable with homoeopathy. To achieve this, the physician must be thoroughly familiar with the principles of homoeopathy as taught in the ORGANON and must know how to make the use of materia medica.

Repertories are used as essential links between the patient’s symptoms and the vast materia medica.

Clinical guides such as below mentioned, provide a synopsis of the most characteristic symptoms of the leading remedies in a given condition. Their objective is to give assistance only. While using it one has to be aware of two general drawbacks. One, it may fail because of its incompleteness as only leading remedies in given a given condition can be presented, and the symptomatology of each remedy presented is limited to only the leading characteristic symptoms.

In clinical practice the patient will most of the time present some symptoms that can only be found in a more complete materia medica. Second, there is the inevitable temptation to associate remedies with a given disease. The practice of homoeopathy consists of constant individualization. – The more we understand this science the more we individualize. Frequent follow up to monitor the patient’s condition is a must.



ABIES CANADENSIS:

Gnawing, hungry faint feeling at the epigastrium

Burning and distension of stomach with palpitation

Tendency to eat far beyond the capacity for digestion

Great appetite, craving for meat, pickles, radish, turnips, coarse food

Flatulence disturbs the heart’s action

Wants to lie down all the time



ABIES NIGRA:

Pain in stomach always comes on after eating

Sensation as if a hard-boiled egg had lodged in the cardiac end of stomach

Great craving for food at noon and night

Dyspepsia of the aged, after tea or tobacco

Sour eructation



ACETIC ACID

Constitution – Pale, lean, emaciated persons.

Symptoms relating to GIT indicating hyperacidity – Burning pains as of an ulcer

Cancer of stomach

Sour eructation

Vomits every kind of food

Heartburn and water brash

Hyperchlorhydria

Concomitants – Profuse salivation

Intense burning thirst

Haemorrhage from bowels

ALSO MANY REMEDIES ARS.ALB. , SULPH, CAL.CARB.ETC

thanks.

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My mother have problem in stomach. In blood test result she have a fat in liver. She feel very hard in stomach. She say when she eat some thing her stomach is increased n feel heavy around neck.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGD IN NATURO & YOGA SCIENCE
Ayurveda, Katni
My mother have problem in stomach.
In blood test result she have a fat in liver.
She feel very hard in stomach. She s...
U should write the age, and about bp, sugar. More intake of lukewarm water can help, but Ayurvedic medication is needed.
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HI Docs; My wife having gallstone of 32mm. Kindly suggest how it can be removed without surgery. I being last from 6 years developed from 13mm to 32mm, pains rarely.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
Gall bladder gets diseased due to an unhealthy diet and lifestyle. This leads to an imbalance of the acid-alkali balance in the body which causes the cholesterol to precipitate in the gall bladder leading to stone formation. Over time, these may get infected and lead to an acute inflammation, pain, fever etc. A stone may move ahead into a narrow passage or the duct and get stuck leading to severe agony. One can avoid formation of gall stones by just avoiding fatty food, junk foods and going behind unhealthy diet. To cure it naturally with medicines only one can just take our medicines which are combination of herbal and homeo medicines. Just take our medicines for some time and stones will be expelled also thereafter that stent can also be removed.
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This is regarding my mother - 69 years, chronic Asthma patient. Here is the history of her illness : - Diagnosed with Colon Cancer stage 4 (after a colon blockage was detected in Hospital in Bhubaneswar in Nov 2014, she was taken to Manipal Hospital in Bangalore for treatment and went through Right hemicolectomy surgery) followed by a full body PET CT scan in Jan 2015. - 4 CAPOX Chemo cycles were done at Manipal Hospital and a follow-up Abdomen/Pelvis CT scan was done in Mar 2015. The scan reports showed visible progress - 5th CAPOX was done in Bhubaneswar and during that chemo WBC counts went down - 6th CAPOX was done in Bhubaneswar on 2nd May and WBC counts reduced further. - 7th CAPOX was done in Bhubaneswar on 23rd May And either after 6th or 7th Chemo she had not taken all the prescribed medications (Floxacin?). She had very bad fever/breathing issues and was taken to Casualty for treatment with a bad oral thrush and urine infection. Because of her health condition, the 8th planned CAPOX cycle was skipped. Follow up CT scan was done in Nov 2015 - and the disease had worsened. She was advised second line of chemo with FOLFIRI with Erbitux. 5 Cycles of FOLFIRI Erbitux was given (Erbitux was given every week). She then had a very bad Asthma/COPD attack and was advised to stop chemo in Feb 2016. In May 2016 she again had a major COPD attack and was admitted to ICU for 6 days. After recovery she complained about discomfort in the lower abdomen area. The ultrasound reports found a very large mass in the suprapubic region. She now feels like going to toilet every time she eats something. Also there is pain (feeling as if there is gas) in the lower abdomen area. Please advise what would be the next phase of treatment. We would like to do whatever possible to make her go through minimal suffering during her last days If needed I can share all the CT scan and ultrasound reports via email. The last ultrasound was done on Aug 06th 2016 with the impression : A fairly large mass with cystic and solid components measuring 132x99x151 mm (approx volume 1044 cc) is noted in suprapubic region. Irregularly marginated hypoechoic masses with punctate calcifications also noted in the right paracolic region, the largest measuring about 55x33 mm

BHMS
Homeopath, Raebareli
This is regarding my mother  - 69 years, chronic Asthma patient. Here is the history of her illness :
- Diagnosed wit...
I think this chemo has worsen her condition. You need to take homeopathic medicines for her condition. Also note that you should give allopathic medicines for her acute condition. Initially give her kali mur 6x - thrice daily 4 tabs. Also mag phos 6x - thrice daily 4 tabs continue treatment.
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Sir I have gas problem for last 3 years so please help to cure it please tell me the medicine for it and diet chart also.

MS - General Surgery, MBBS
General Surgeon, Delhi
Sir I have gas problem for last 3 years so please help to cure it please tell me the medicine for it and diet chart a...
Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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I have got a lump (that is a medium size knot) near my anal and its paining me now. I ignored it before but now when I am trying to remove my stools it really pains a lot. It is like the lump comes and goes automatically, I am not getting what exactly the problem is pls help me out.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hii. It's a anal fissure with a sentinel pile. It will time to heal. First thing is to control your constipation. Take some laxative. Avoid straining during motion. You can use topical local anaesthetic along with a muscle relaxant. Do regular sitz bath.
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I am 23 years old and I suffering from body pain near abdomen, near backbone and chest I think it is due to gastric problem I had OMEZ medicine for a while but I m worried it may lead to heavy and serious problem later. Is it. What should I do n which doctor should I consult.

MBBS
General Physician, Faridabad
I am 23 years old and I suffering from body pain near abdomen, near backbone and chest I think it is due to gastric p...
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 a 24 years old male & I am suffering with digestion problems.

CCH, CGO, BUMS
Unani,
I  am a 24 years old male &  I am  suffering with digestion problems.
Do exercise limit oily diet smoking or alcohol drink 4-5litres water every day and take pentop d tab before meal.
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I am old case of Abdominal TB. Duly treated with ERH for 7 months, till May 2014. Reviewed by the Gastroentrologist in November 2014. But now I have similar kind of cough with reduced appetite. USG - Abdomen of November 2014 was normal. ESR and TSH levels are high for last two years. Not on any medication, now. Kindly advise.

FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Thanks for your query. Raised TSH means you have hypothyroidism. Go for full thyroid profile. Get a chest X ray done to have an idea for lung TB and get sputum for AFB. IF it is negative then an antibiotic course will help you. Best wishes
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Dear Sir, I have gastric problem and i am taking tablet RAZO-D. Sometimes i am getting pain in bones and muscles in back body if gastric became huge in body discomfort for breathing. I have done ECG test but report came normal. And also chest muscles are also getting like a jammed.

BHMS
Homeopath, Raebareli
Dear Sir, I have gastric problem and i am taking tablet RAZO-D. Sometimes i am getting pain in bones and muscles in b...
Dear user it seems you are facing refered flatulent colic. No wonder use carbo veg 30 twice daily for three days and consult back thereafter. Also try eating 3/4 of your capacity.
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What are the symptoms of ulcer? I think I am having it and if yes then I want to have it get treated asap.

BDS
Dentist, Delhi
Hi, a mouth ulcer is a painful sore inside the mouth, on the tongue, soft palate (the back portion of the roof of your mouth), or inside the cheeks. Sores in your mouth are round, white, or grey in color, with a red edge or border. The condition is usually becomes okay within 7 days. But if it persists beyond that, or if multiple ulcers keep re-appearing, medical advice must be taken. In severe mouth ulcer attacks, you may also experience fever and physical sluggishness. Taking vitamin b12 supplements along with a suitable gel for pain is the best remedy. I suggest that you consult me privately on lybrate so that I can send you the appropriate prescription. Take care.
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I have been diagnosed with dysentery 4 months back, went through medications, I used to had frequent urge to defecate 10-12 times a day with mouscous and blood and mild to harsh stomach cramping, the disease last for about two months bt now it has been reduced to 2-3 times a day with no mucus and no blood and no to mild stomach ache sometimes, but my bowel habit have been changed drastically after the disease, earlier I used to had urge to defecate 1 time a day, maximum of 2 times occasionally. Moreover a feeling of incomplete defecation is always there now, feels like something is still inside, passing of gas has become frequent, and mucus present in feces occasionally. Please prescribe me with some medicine to prevent this chronic form of dysentery, I am student of 12standard and I have a career to make bt this condition had made me depressed out of life.

MS
General Surgeon, Panipat
I have been diagnosed with dysentery 4 months back, went through medications, I used to had frequent urge to defecate...
There are so many conditions in which pt. Pass mucous with blood and cramps in abdomen commonest is bacillary dysentery but it does not last for long time if it is treated properly. Other condition your doctor can discuss with you. I suggest you if motions are normal no abdominal cramps you are eating normally. please add ISBGOL powder in your diet 2 spoon 2 times a day in curd. Take it for 3-4 months your abdominal problems we reduce. If you have again the same problem motion with mucous blood then consult a surgeon or gastroenterologist.
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