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Dr. Manish Hasmukh Shah

Gastroenterologist, Mumbai

600 at clinic
Dr. Manish Hasmukh Shah Gastroenterologist, Mumbai
600 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. Manish Hasmukh Shah
Dr. Manish Hasmukh Shah is a renowned Gastroenterologist in Mumbai, Mumbai. He is currently associated with Rhushbh Nursing Homemu in Mumbai, Mumbai. Book an appointment online with Dr. Manish Hasmukh Shah on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 26 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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Rhushbh Nursing Homemu

C / 201, Anjana Apartments, Sv Road, Shimpoli Road Junct., Borivli West, MumbaiMumbai Get Directions
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Hello sir I am 27 male from last few days I am getting dry cough and acidity a lot. What could be the reason? I have recently moved to the different state so food here is too much spicy? Can that be reason and for acidity what is the remedy please let me know.

MBBS
General Physician, Mumbai
Hello sir I am 27 male from last few days I am getting dry cough and acidity a lot. What could be the reason? I have ...
Any change in climate and food are the reason for cough and acidity and so Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and can take tablet rantac twice a day and For cough take syp ascoril-D 2.5 ml twice a day
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I am 22 years old. I have a acidity problem by which I cannot go for motion freely and also I have constipation problem. What can I do?

MD-Homeopathy
Homeopath, Kolkata
I am 22 years old. I have a acidity problem by which I cannot go for motion freely and also I have constipation probl...
Pl take fibrous diet, plenty of water, less alcohol (if applicable), less spicy food and good dis-stress mechanism
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Hello doctor, I am 28 year old male and suffering from acid reflux from last 3 years. Doctor have suggested rabicip-d daily, half and hour before breakfast. Is there any disadvantages o having the capsule daily ?

MBBS
General Physician, Cuttack
Hello doctor,
I am 28 year old male and suffering from acid reflux from last 3 years. Doctor have suggested rabicip-d...
You can continue the medicine as prescribed by doctor till you are symptomatic. Once symptoms are relieved you can stop medicine but follow dietary precaution.
1 person found this helpful
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I am 37 yrs old male I am suffering from hp-B, if any treatment in medical science then tell us.

MBBS
General Physician, Cuttack
I am 37 yrs old male I am suffering from hp-B, if any treatment in medical science then tell us.
Periodically do liver function test to assess liver damage and consult gastroenterologist to start anti viral drugs if required.In some cases the virus gets cleared from blood automatically without causing any liver damage and without any treatment
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I am 45 ye old male. Suffering from gastric from 2 days. Today I am getting loose motions. Took rabesec d sr in the morning empty stomach. Feeling pain in stomach and headache also.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
I am 45 ye old male. Suffering from gastric from 2 days. Today I am getting loose motions. Took rabesec d sr in the m...
Hello, your body is highly acidic right now that means your body is producing more gastric juice (HCl). I suggest you to eat vegetable salads with broccoli, spinach and other vegetables of your like at least 3-4 times a day. Vegetables are highly alkaline (opposite of acidic) and will definitely help you in your problem. Also, Stress is the major cause of acidity so try be happy throughout the day.
2 people found this helpful
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My friend a suffering from gastrolgia and indigestion and palpitations some times he became so weak and there is no response from medicine sir please help and advice him a better treatment. Thank you.

MS - General Surgery, MBBS
General Surgeon, Delhi
My friend a suffering from gastrolgia and indigestion and palpitations some times he became so weak and there is no r...
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 am 23 years old I done my two blood test 25 (OH) D3- 7.45 and bilirubin conjugated - 0.12. I want suggestion I have hyper gastric I'm a gastro patient.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
I am 23 years old I done my two blood test 25 (OH) D3- 7.45 and bilirubin conjugated - 0.12. I want suggestion I have...
Take proepr care of your life style n diet take zeera in with warm water after meal do acupressure oh naval point.
1 person found this helpful
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I am losing so much weight due to alcohol I checked my liver test and my liver Is fatty so please tell me how to improve my lever and my weight.

BHMS
Homeopath, Raebareli
I am losing so much weight due to alcohol I checked my liver test and my liver Is fatty so please tell me how to impr...
Stop taking alcohol. Do take nux vom 30 - twice daily for next 2 weeks. Take bland diet--no spicy/no non-veg should be taken in this time period. Consult after 2 weeks.
5 people found this helpful
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Can symptoms of bloating gas wind also be formed in back? Because I feel the symptoms in the back nd this is too frustrating.

MBBS, DMCH, DEM
General Physician, Jaipur
Can symptoms of bloating gas wind also be formed in back? Because I feel the symptoms in the back nd this is too frus...
Since you are on antituberculr treatment. You may be having these symptoms due to side effect of these drugs. Gastritis/ gas, derange liver function / jaundice, loss of appitite, weakness etc are some very commonly seen side effects. Please consult your doctor for physical check up & base line blood investigations/ sonography as per need. Take light but nutrious diet at short intervals. Avoid oily, spicy, junk foods, excessive tea/ coffee etc. To prevent acidity. Take care.
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I have acidity problem and I am not able to eat properly and of late loosing weight. What should i do?

General Physician, Gurgaon
I have acidity problem and I am not able to eat properly and of late loosing weight. What should i do?
Dear Labrate user, you problem is related to digestion. Acidity is due to over production of acid or due to decreased movement of the digestive system. First stop using things that increases acidity like excess of tea coffee and doing fasting/ empty stomach. Take regular meals even small. The other nothing that is regular motion. If you have constipation that also increases acidity.
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I am suffering from erosive pyloric ulcers in my stomach and my liver and spleen are also fatty. I am suffering from GERD. I diabetic too.

MS - General Surgery, MBBS
General Surgeon, Delhi
I am suffering from erosive pyloric ulcers in my stomach and my liver and spleen are also fatty. I am suffering from ...
Avoid tea/coffe alcohol, smoking spicy food. Life style changes and food habbits can solve your problem easily. Chew your food properly. Avoid outside food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done if it persist, consult doctor. Edit answer.
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I have stomach problem. When I go to bathroom my penis is also getting pain. Some time I can't Sit or sleep properly because it's getting so much pain. Please help me what kind of medical to get it fine.

MBBS
General Physician, Cuttack
It could be due to stone in kidney/ ureter/ bladder or due to urinary tract infection 1. Drink plenty of water (8-10 glasses daily) 2. Get your urine examined for re/me, do usg kub 3. Consult urologist with report for advice and treatment.
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Hello iam 39 years old male I would like to know that how can I curb my acidity in a natural way.

BAMS
Ayurveda, Bangalore
Hello iam 39 years old male I would like to know that how can I curb my acidity in a natural way.
Hi, The following are some home remedies: - Drink a glass of pumpkin juice everyday in the morning on empty stomach. - Take 1tsf of jeera powder mixed with jaggery twice daily. - Drink kheer prepared out of saboo or poppy seeds which keeps the stomach cool. – Take a bowl of curds mixed with sugar or a glass of lassi everyday which helps to neutralise the acid.
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I am 33 years old last 2 days I have right side chest pain.I have gas problem please prescribe tablet.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
I need to ask you moreinformation about the nature of pain you are having. Please ask the question in private section so that I can discuss with you and provide more info. Thanks.
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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.

15 people found this helpful

Sir. I am feelings pain in my stomach in every morning due to weak digestion system. I am not take heavy food.

MBBS
General Physician, Cuttack
Sir. I am feelings pain in my stomach  in every morning due to weak digestion system. I am not take heavy food.
1. Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit like orange grape, lemon, tomato, cucumber, raddish, vinegar, pickle etc 2. Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3. Eat food slowly, don’t rush, take smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. Limit fluid intake during meal4. Drink plenty of water (8-10 glass daily). Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee, carbonated drinks if you are having,6. Avoid stress, have adequate rest, sleep for 7-8 hours daily in night, go for regular exercise, practice yoga/meditation 7. Take one tablet of pan40 in the morning before breakfast daily for few days.
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Mam I am 25 years old and male, weight 51 kgs, hight 5.7" I have a stomach problems - gas, acidity and constipation, I am work as an accountant in a company, Now I want to know that how can I gain my weight, please tell me the remedies or medicines.

MSc
Dietitian/Nutritionist, Hyderabad
Mam I am 25 years old and male, weight 51 kgs, hight 5.7" I have a stomach problems - gas, acidity and constipation, ...
FOODS FOR GAS, ACIDITY & FLATULENCE hi biju •Eat your meals in a peaceful environment. Avoid eating when you are upset. •Eat slowly. Chew well. Stay conscious of the process. •Avoid heavy, greasy and spicy foods. •Honour your appetite. Eat when you feel hungry and stop when you are satiated. •Leave one-fourth of your stomach empty. •Sit quietly for a few minutes after finishing your meals. •Stay upright after eating. •Avoid smoking. •Avoid gas producing foods – heavy fried foods, excessive spices and chillies, papads/ legumes, milk products (if lactose intolerant). •Chew well. It is important to chew every bite of food 20 times. •Switch to de caf or restrict the intake of caffeine, by limiting tea/ coffee consumption to 2 cups a day. •Cut back on red meat consumption helps if you suffer from acidity. Lean meat such as chicken breast or fish, can take the place of acid-forming red meat. •Consult physician for medication (antacid) if problem persists. HOME REMEDIES Drink some water – As soon as you start feeling discomfort drink a glass of warm water. Ginger to relieve acidity – Make yourself a cup of ginger tea by mixing a teaspoon of freshly grated ginger root in a cup of boiling water. Let stand for 5 minutes and then drink. Chew a small cinnamon stick or chew 2 to 3 cardamoms help to relieve acidity . Avoid lying down immediately after meals – Eat at least two hours before bedtime. Mint infusion – Add fresh chopped mint leaves to a cup of boiling water. Let stand for a few minutes and sip slowly after meals. Cloves - Suck on a clove for natural acidity relief. Fennel (saunf) -Fennel is a digestive herb with many medicinal and culinary uses. It acts as a popular “after mint”.
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Which medicine should I take to remove gas. Or to prevent formation of gas in my stomach?

DHMS (Hons.)
Homeopath, Patna
Which medicine should I take to remove gas. Or to prevent formation of gas in my stomach?
Hello, •Tk, plenty of water to eliminate toxins, dilute acid in stomach, soften faeces (stool)  to prevent constipation, piles fissure.   •Go for a brisk walk in d morning to restore your peristaltic movement to ease gastric disorder.   • Go for meditation & yoga to nourish your whole body to complete the digestion and to calm down stress ,being, one of d  main reasons of gastritis & peptic ulcer.   •  Your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines, being gentle  repaid & safe  in administration.@ China 200-6 pills. Thrice. @ Carbo veg200-6 pills, thrice.   • Ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
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I always get pain near to my stomach. When ever I am late for food or something I have eaten does not suits my body. I think there is gastric issue. Can you guide hw can I get rid of it.

MBBS
General Physician, Mumbai
I always get pain near to my stomach. When ever I am late for food or something I have eaten does not suits my body. ...
Can take tablet pan-d before breakfast and avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet.
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