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Dr. Manoj Bharucha  - Gastroenterologist, Mumbai

Dr. Manoj Bharucha

Gastroenterologist, Mumbai

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Dr. Manoj Bharucha Gastroenterologist, Mumbai
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Manoj Bharucha
Dr. Manoj Bharucha is a renowned Gastroenterologist in Malad East, Mumbai. You can visit him at Sanjeevani Surgical & General Hospital in Malad East, Mumbai. Book an appointment online with Dr. Manoj Bharucha on Lybrate.com.

Lybrate.com has an excellent community of Gastroenterologists in India. You will find Gastroenterologists with more than 42 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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Languages spoken
English
Hindi
Awards and Recognitions
Special award from Ethicon in appreciation of outstanding contribution to promoting advancement of science and technology for the surgical profession, Dec

Location

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Sanjeevani Surgical & General Hospital

Bhavani Chambers, Kedarmal Road, Rani Sati Marg, Malad East. Landmark: Near Children's Academy, MumbaiMumbai Get Directions
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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
  4.3  (22 ratings)
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I am suffering from IBS (Irritable Bowel syndrome). Not able to digest easily food like rice, milk, oily foods etc. Dr. Suggested me to do some yoga. Can you tell me what type of yoga should I do? Also, if possible please tell me for this type of yoga so that I can follow.

MBBS
General Physician, Cuttack
I am suffering from IBS (Irritable Bowel syndrome). Not able to digest easily food like rice, milk, oily foods etc. D...
If you are suffering from Irritable Bowel syndrome(IBS),you have to get yourself examined by Gastro enterologist and follow the advice and treatment.Yoga is not going to solve your problem
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Hello lybrate, I want to know that what is the final cure of fissure. My husband has this problem. When he take painkiller and antibiotics he feel relief. But after some time he has same problem. Please suggest me.

M.S. (proctology)
Proctologist, Navi Mumbai
Dear Lybrate user If it is not responding to medicinal management it is better to go for sphincterotomy or anal stretching will helps in healing anal fissure and relieves the pain. It is minor procedure.
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My brother have acidic problem 2days onwards but breathing problem occurs. There is tight position in chest to have breath.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
My brother  have acidic problem 2days onwards but breathing problem occurs. There is tight position in chest to have ...
Try the tips for acidity.. sometimes acidity causes breathing problem:: 1. Drink 100-500 ml of tender coconut water twice a day for relief from hyperacidity Mix equal parts of powdered fennel, licorice root, basil leaves and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (or unrefined sugar) 15 minutes before lunch and dinner. 2.Make a powdered mixture of equal parts of rock candy (or unrefined sugar), fennel, and green cardamom. Whenever you feel heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink. 3.Avoid tea, coffee, and carbonated or alcoholic beverages.Especially stop drinking bed tea. 4.Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking. 5.Curd should be strictly avoided at night. 6. Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama,Shitali Pranayama and Shitkari Pranayama. 7.Drink plenty of fluids and water. 8. Avoid constipation. 9. Revert back after 10 days. Take Care.
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Hi sir, I am having burning sensation in lungs after eating food. May I know what will be the reason.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi sir,
I am having burning sensation in lungs after eating food. May I know what will be the reason.
Hi. It's GERD. Avoid stress, smoking, spicy food. Don't lie immediately after meals. You have to start antacids and PPI.
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Mujhe bhaut zyada stomach infection ho gya tha jo dvai se thik ho gya shyd lekin ab subah or kisi bhi time me becheni c rhti h or latrine bhi thik nahi aati, what I do any suggestion.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
Mujhe bhaut zyada stomach infection ho gya tha jo dvai se thik ho gya shyd lekin ab subah or kisi bhi time me becheni...
Take medicine Nux vomica 200, 4 pills twice a day for 3 days and report thereafter for further treatment. Besides this- 1.A change in diet can help keep the stools regular and soft. 2. Eat more fiber, such as fruit and vegetables like carrot, cucumber, sprouts, and switching your cereal breakfast to bran. 3. Water is the best drink, so increase water consumption. 4. And avoid caffeine. Taking fibrous diet will reduce the incidence and severity of constipation 5. Include ¼ Papaya in your diet daily. 6. Drink warm milk at night 7. Take early morning luke warm water with honey and lemon Homeopathic treatment should be started if above changes in diet plan doesn't gives relief. For more advice, consult me.
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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 vagina is bleeding since yesterday after intercourse. Even my abdomen is paining. Please suggest me some medication. Is this normal?

BHMS
Homeopath, Raebareli
I think you need to visit your local doctor for the same. Till the time you can take arnica 30 - at an interval of 1 hour upto three doses in a row. Yous should take rest. Also take mag phos 12x - thrice daily for next 2 days. If there is a hymen rupture its normal that you will experience some bleeding--but if this does not stops then you need to take medical assistance.
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I am suffering from ibs for the past 20 years. No medicine has cured this. Now for a month, I am getting stomach cramps and rush to toilet every half to one hour. My dr. Prescribed eldicet and some probiotic drugs. But it has not helped much. What should I do

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
Stop smoking, consuming tobacco, alcohol, excessive tea/coffee, paan masala. Exercise regularly. Maintain proper meal timings. Stop all the medications. Start taking tab normaxin 1 tab twice a day, take isapgol husk, 2tsf at night daily, darolac 2 sachets daily.
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I am 40 years old and suffering backache and anus pain from last 2-3 month what I do? please suggest me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph & digital X RAYS of affected part. Rule out diabetes & vit.D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.
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