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Dr. Nitin Aherrao - Gastroenterologist, Mumbai

Dr. Nitin Aherrao

89 (10 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced En...

Gastroenterologist, Mumbai

11 Years Experience  ·  2000 at clinic  ·  ₹300 online
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Dr. Nitin Aherrao 89% (10 ratings) MBBS, MD - General Medicine, DM - Gastroenterology, Fello... Gastroenterologist, Mumbai
11 Years Experience  ·  2000 at clinic  ·  ₹300 online
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Personal Statement

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. Nitin Aherrao
Dr. Nitin Aherrao is a renowned Gastroenterologist in Marine Lines, Mumbai. He has over 11 years of experience as a Gastroenterologist. He is a MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy . You can meet Dr. Nitin Aherrao personally at Bombay Hospital & Medical Research Centre in Marine Lines, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nitin Aherrao on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gastroenterologists in India. You will find Gastroenterologists with more than 37 years of experience on Lybrate.com. You can view profiles of all Gastroenterologists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - LTMMC Hospital Sion Mumbai - 2007
MD - General Medicine - IMS, Banaras Hindu University - 2012
DM - Gastroenterology - Institute of Post Graduate Medical Education & Research (IPGMER , SSKM Hospital) Kolkata - 2013
...more
Fellowship in Advanced Endoscopy - BIDS, Global Hospital Mumbai - 2017
Languages spoken
English
Hindi
Awards and Recognitions
Anchoring ITSCON, BHU, Varanasi
Distinction Holder In MBBS
Case Report “An Unusual Presentation of Rare Bilateral Pheochromocytoma In Communication With Hindawi Journal of Endocrinology ( Manuscript Reference Number 824030
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APICON Conference Kolkata
APICON Conference Ahmedabad
ABSTRACT Clinico-Microbiological Profile of Diabetic Foot Patients With Special Reference To Anaerobic Infection For APICON, Kolkata
IBD Conference Chandigarh
ABSTRACT Bacteriological Profile of Diabetic Foot Infection In Northern India For Desert Foot Conference 2011 Phoenix Arizona, USA
ISG Conference Kolkata
Professional Memberships
Medical Council of India (MCI)
ARTICLE  “ Status of Metronidazole In Healing of Diabetic Foot Ulcer & Anaerobic Infection Therein In Communication With Wounds Journal (Manuscript Refernce Number Is : W-12-00009 Version 1)
Clinico-Microbiologic Study Of Diabetic Foot Infection With Special Reference To PCR Detection of Anaerobes

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Bombay Hospital & Medical Research Centre

12, Marine Lines, Landmark : Next To Liberty CinemaMumbai Get Directions
2000 at clinic
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Chronic Gastritis - How to deal with it?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Chronic Gastritis - How to deal with it?

When you have pain in the stomach that is accompanied by nausea and vomiting, chances of you having chronic gastritis are high. This is an issue that specifically affects the stomach and is caused because the lining of the stomach gets inflamed and swollen and in some cases it may get damaged. The deterioration of the lining may be caused because of a bacterial infection and that would have to be treated with specialised medicines and treatment methods.During that time you may feel like there is something wrong with your digestive system and you may need to see a doctor for the constant pain that you have to go through as soon as you eat something.

Getting help
There may be times when you can no longer cope with the pain that may be occurring in your stomach. You may want to go to sleep or just sit still and do nothing; however, you cannot spend your entire life in that manner and you may have to consult an expert to get relief from the problem. One of the first steps in coping with chronic gastritis is to make sure that you make important lifestyle changes, such as eating healthy, choosing the right timings for eating, cutting down on alcohol and smoking and making sure that you choose a well-qualified and experienced doctor for getting the treatment.

Treatment
Apart from lifestyle changes, it is highly essential to follow a medication routine in order to beat the chronic gastritis completely. Doctors may suggest you take the medication according to the severity of the problem, but before that, you may be asked to go through a number of tests to confirm the problem. The tests may range from regular blood tests, stool tests, to endoscopy or even biopsy in some severe cases. After the testes are done, the doctors may be further sure about the the problem and that would be of great help in treating the issue with much more ease and expertise.

While it may be obvious to you that you suffer from chronic gastritis due to the constant pain in the stomach, it is also important to understand that the problem should not be taken lightly and that the right steps of the treatment should be taken in time before the problem gets worse.

1 person found this helpful

6 Tips for Your First Visit With a Gastroenterologist

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
6 Tips for Your First Visit With a Gastroenterologist

A Gastroenterologist is a physician with dedicated training and unique experience in the management of diseases of the gastrointestinal tract and liver. If you are planning to visit one, you most likely have a problem in one or many organs like esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. 

First visits to a doctor to understand the severity of your condition and course of treatment is generally filled with anxiety which may muddle your mind and stop you from asking the right questions. That is why you need to prepare in advance for your first visit with a gastroenterologist. Being an active partner in the doctor patient relationship is bound to have its benefits. Here are some handy tips:

1. Come mentally prepared: Don't let the anxiety get to you. If you need some extra help calming down, try yoga or meditation. You can simply go out on a walk alone to help you focus your thoughts. This is just like any other doctor visit. The good part is that you are taking the first step in easing your discomfort and starting treatment - so go with a positive mind.

2. Maintain a diary of symptoms: It is likely that you are experiencing discomfort for a few days or weeks before you finally realized the need to seek out a specialist doctor. Try to remember as much as possible about the symptoms you experienced in a chronological order. Write down any over the counter medicines you've tried or anything unusual that you may have consumed in the past week. 

3. Take stock of your medical history: It is likely that your doctor may want to know about any historic conditions you've suffered that may or may not relate to your present condition. Many ask you to fill out forms during your first time patient registration which includes many minor details about your medical past. List down any allergies, especially food allergies you have. 

4. Take stock of your recent medical tests: Bring your latest blood tests and imaging tests (X-rays, ultrasounds, MRIs, and CT scans) with you for the doctor's visit. If you have a pre-existing condition like diabetes or thyroid or suffer from other chronic conditions like increased uric acid, carry your most recent medical reports with you. 

5. Make a list of questions for the doctor: In most cases, the first visit is a crucial factor in determining whether you want to continue the course of treatment with a particular doctor. This comes out of your ability to trust the doctor, his knowledge and diagnosis and an overall comfort level that comes with how well he handles your questions. Start by making a list of questions you want to ask about your specific condition and course of treatment and see if you get satisfactory answers. 

6.  Brace yourself: If you want to suggest a treatment option, make sure you read up all about it before you tell the doctor.

Thinking of getting an appointment with a gastroenterologist? Do it here

6 people found this helpful

4 Tips to Help Prevent Heartburn, Gas & Indigestion

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
4 Tips to Help Prevent Heartburn, Gas & Indigestion

Feeling bloated or acidic after a heavy meal can take away all the satisfaction the taste of food gave you. Indigestion and gas are some of the most common gastrointestinal problems faced by people around the world. In most cases, indigestion is a result of bad food choices and unhealthy lifestyles. Thus they can simply be relieved at home and do not necessarily need medication. Here are 4 easy steps to lower heartburn, gas and indigestion.

  1. Add more fiber to your food: Fiber is crucial to healthy digestion. It is easy to digest and help push waste out of the system by adding bulk. In this way, fiber helps detoxify the system as well. It also prevents diabetes, heart disease, hemorrhoids and other diseases. Add fiber to your diet in the form of whole grains, cereals, fruits, vegetables, nuts and plenty of water. Ideally, a woman should have 25gms of fiber a day and men should have 38 grams of fiber a day.
  2. Healthy food eating habits: How you eat also makes a difference to your digestion. Instead of eating on the move, eat mindfully. Chew your food carefully to begin the digestive system. Eating smaller portions can also help improve stomach functioning. Avoid fast foods that are difficult to digest. Ensure that you do not eat anything for at least an hour before going to bed. Lying down immediately after a meal is one of the leading causes of indigestion.
  3. Probiotics: Gut bacteria is essential for healthy digestion. This bacteria helps maintain a healthy inner ecosystem and help fight harmful viruses, yeast and other such microorganisms. This balance of gut bacteria can be affected by an unhealthy lifestyle like excessive alcohol consumption, smoking, stress and certain prescription drugs. Supplementing your natural probiotic enzymes with food rich in probiotics like yogurt or probiotic supplements can help make your digestion better.
  4. Exercise Regularly: Exercise is necessary not only for a fit body but also for healthy digestion. Exercising also helps fight stress that is one of the leading causes of indigestion. Taking a walk after meals can help regulate the passage of food and gases in your digestive system. This prevents bloating and heartburn. Physical activity also helps stimulate your bowels to prevent constipation and prevent gaseous build up. Some forms of exercise you could try are yoga, swimming and cycling. A word of caution; always ensure that there is at least an hour's gap between exercising and your last meal.

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

3337 people found this helpful

Chronic Functional Abdominal Pain - Ways to Treat It!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Chronic Functional Abdominal Pain - Ways to Treat It!

In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.

This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient’s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.

The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.

Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of ‘gate’ that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.

Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the ‘gates’ of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor’s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels.

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

3128 people found this helpful

Gastrointestinal Perforation - 8 Diseases that Can Lead To It!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Gastrointestinal Perforation - 8 Diseases that Can Lead To It!

When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.

Symptoms of gastrointestinal perforation (GP) usually include
1. Serious stomach pain
2. Chills
3. Fever
4. Nausea
5. Vomiting

Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:
1. Fatigue
2. Passing less gas, urine or stools
3. Breathing difficulties
4. Fast heartbeats
5. Dizziness

Certain diseases can cause Gastro-intestinal perforation, such as:
1. Appendicitis
2. Diverticulitis (A type of digestive disorder)
3. Stomach ulcer
4. Gallstones
5. Gallbladder infection
6. Inflammatory bowel diseases (inflammation in the small intestine and the colon)
7. Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
8. Gastrointestinal tract cancer

Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:
1. Blunt abdominal trauma
2. Gunshot or knife wound to the abdomen

3. Abdominal surgery
4. Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
5. Ingestion of caustic substances or foreign objects
Other than these, drinking alcohol, smoking and bowel injuries (caused by colonoscopy or endoscopy) can lead to GP as well.

Treatment options available
This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.

 

The complications include:
1. Bleeding
2. Sepsis (Critical and fatal bacterial infection)
3. Belly ulcers
4. Wound infection
5. Bowel infarction (impaired supply of blood to the bowels)
6. Permanent colostomy or ileostomy

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

3416 people found this helpful

Colitis - Know The 5 Most Common Types!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Colitis - Know The 5 Most Common Types!

Colitis is characterized by an inflammation of the large intestine (colon). It is generally caused due to reduced blood supply, autoimmune reactions (wherein the immune system erroneously starts attacking the body’s healthy tissues) and infections in the large intestine.

Symptoms of colitis

  1. Presence of blood traces in the stool.
  2. Tenesmus (constant urge to empty the bowels) is also quite common
  3. Occurrence of abdominal pain in regular intervals, thus resulting in diarrhea
  4. Constant abdominal pain
  5. Fever and sudden chills throughout the day

Types of colitis

  1. Inflammatory bowel diseaseThis condition is characterized by inflammation of the intestines or all the parts of one’s digestive tract
  2. Microscopic colitis: This involves inflammation of the large intestine (colon), resulting in a cramping sensation that can be painful
  3. Chemical colitis:  This condition is caused due to prolonged exposure to certain harsh chemicals which results in intestinal swelling and inflammation
  4. Ischemic colitis: The most common form of colitis, this occurs mainly due to an insufficient blood supply to the large intestine
  5. Infectious colitis: Caused due to certain bacterial or parasitic infections

Treatment for colitis

  1. Medications such as acetaminophen and ibuprofen can be recommended to ease the pain
  2. The drug ‘Loperamide’ can control the diarrhea. However, this should not be consumed if there is presence of blood in the stool
  3. Colitis reduces your appetite. Thus, it is important to maintain a healthy diet in this regard. Avoid consuming dairy products or high fiber foods because they further inflame the large intestine.
  4. Colectomy (surgically removing a part of the whole of the colon) is recommended in the most severe of cases.

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

3357 people found this helpful

Perianal Abscess - How It Can Be Managed?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Perianal Abscess - How It Can Be Managed?

The human body is an intricate mechanism that functions amazingly. And when there is any trouble it does not fail to show signs of trouble, and all we need to do is, to notice it and solve our problems. This is applicable to all types of health issue, including a perianal abscess.

What is perianal abscess?
The extremely painful condition of anal abscess occurs when one cavity in the anus starts getting filled up with pus. Very often it appears as a painful swelling similar to boil just near the anus. Usually, it appears red in color as well as slightly warm to touch. If the location of the anal abscesses is in the deeper tissue, then it might be less visible and it occurs in people suffering from inflammatory bowel disease.
The worst part is that in certain cases, anal abscesses might lead to more painful anal fistulas. Generally, fistulas occur only if the abscesses fail to heal and break open on the skin’s surface. Therefore, it is important that the abscess heals properly or else it may lead to intolerable pain and may even require surgery.

How do you know if it is a perianal abscess?
The immediately noticeable and probably the most common anal abscess symptom is constant and throbbing pain around the anal area. Swelling accompanies the pain and its rate increases during bowel movements. Various other common signs include bleeding or rectal discharge, constipation, fatigue, etc. Besides swelling or tenderness, the affected individual might also suffer from skin irritation all around the anus.

Patients with deeper abscess might also show symptoms such as chills, fever, malaise, etc. Various reports state that certain people also feel a lump or nodule at their anus’s rim. Facing difficulty while urinating might also be experienced by some people affected by perianal abscess.

What to do if you suspect a perianal abscess?
One must immediately seek medical if they experience any of the above-mentioned signs or symptoms. Clinical evaluation along with digital rectal exam is sufficient for the proper diagnosis. But, in some cases, patients might need other tests to screen for rectal cancer, diverticular disease, inflammatory bowel disease and sexually transmitted infections. Your physician might also suggest for a CT scan, an MRI or an ultrasound.
Just after the diagnosis, a prompt surgical drainage would be carried out by the doctor before the abscess erupts. Deeper or larger abscess might require hospitalization as well as an anesthesiologist’s assistance. In most cases, patients are prescribed certain medications for pain relief just after the procedure. Antibiotics are mainly given to those people who have comparatively weaker immunity or suffer from diabetes.

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

3197 people found this helpful

Gallstones in Women - Symptoms, Causes and Treatment!

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Gallstones in Women - Symptoms, Causes and Treatment!

Gallstones are bits of solid material that may be formed in the gall bladder. The gallbladder is a little organ located under the liver. You won't not know you have them until they've block your bile duct, causing pain that will need immediate medical intervention, and even hospitalisation in some cases.They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases.

Women are more likely to develop gallstones than men. Read on to know more:

Causes: There are a number of causes for this condition, especially in women. These causes are as follows:

  1. Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy
  2. Fasting
  3. Malfunctioning of the gall bladder
  4. High cholesterol levels
  5. Gallstones may be created when there is excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body.
  6. Bilirubin: Bilirubin is a substance created when your liver wrecks old red platelets. A few conditions, like cirrhosis of the liver and certain blood issues causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones.
  7. Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape.
  8. Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such stones. The diet also has a bearing in such cases.

Symptoms:

  1. Fever
  2. A yellowish tint in your skin or eyes, which can demonstrate jaundice
  3. Sickness or retching
  4. Clay coloured stools
  5. Pain in the right upper quadrant of your stomach area
  6. Nausea
  7. Vomiting
  8. Other digestive issues

Treatment:

Numerous individuals with gallstones may be asked to go through surgery to remove the gallbladder. These include the following:

  1. Laparoscopic cholecystectomyThe specialist passes instruments, a light, and a camera through a few little cuts in the midsection.
  2. Open cholecystectomy: The specialist makes bigger cuts in the belly to expel the gallbladder. You may have to spend a couple days in the hospital after the operation.
  3. Without getting operated: If you have a mild condition and your specialist feels you shouldn't have an operation, he may recommend medicines like chenodiol, ursodiol, or both. These medications work by dissolving cholesterol stones. One may experience mild loose motions as a side effect.

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

3179 people found this helpful

Fatty Liver - What To Know About It?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
Fatty Liver - What To Know About It?

Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound. It can occur at all ages including childhood, highest prevalence is in 40–50 year age group. Prevalence more in patient who are obese and in diabetic patients.

Types of Fatty Liver

1 Alcoholic fatty liver: This condition occurs when there is a heavy consumption of alcohol. Gastroenterologists recommend abstention from alcohol for this condition to subside. If the patient continues to consume alcohol, then liver cirrhosis may develop.

2 Non alcoholic fatty liver (NAFL): One may develop a fatty liver even if one is not an alcoholic. The liver in some cases is unable to process the fat in cells causing them to build-up on the organ.

When more than 10% of the liver is made of fat then this condition is called Non Alcoholic Fatty Liver (NAFL).

Non alcoholic steatohepatitis (NASH): When fatty liver is associated with inflammation in liver patient is said to be having Non alcoholic steatohepatitis. NASH is a more advanced stage of NAFLD, and has a higher risk of progressing to liver cirrhosis or hepatocellular carcinoma (HCC). These condition display symptoms like jaundice, vomiting, nausea, loss of appetite and abdominal pain. Blood test (LFT) shows raised enzymes level. Approx 5-8% of the Indian population has NASH. Consult a doctor if you are experiencing any of these symptoms.

3 Fatty liver during pregnancy: Occurring mainly in the third trimester, the symptoms of this condition are vomiting, nausea, pain the right part of the abdomen and jaundice.

Symptoms

During the early stages (fatty liver) of the disease, patients usually have no symptoms directly related to liver disease. However, people may experience a vague abdominal discomfort. If their liver is inflamed (NASH) then they may display symptoms of poor appetite, weight loss, pain in the abdomen and disorientation.

What causes fatty liver?

The most common cause of fatty liver is alcoholism. When the human liver is unable to metabolize fat fast enough or when there is an excess accumulation of fat on the liver cells then the liver becomes fatty. However, intake of high-fat foods may not result in a fatty liver.

Predisposing factor:

  1. Diabetes mellitus
  2. Obesity or being overweight
  3. Hyperlipidemia or the condition where there are high levels of fat in the blood
  4. Genetic reasons
  5. Rapid loss of weight
  6. Drugs: Aspirin, steroids, tamoxifen, tetracycline etc. cause side effects which also leads to fatty liver
  7. Nutritional status (eg, overnutrition, severe malnutrition, total parenteral nutrition [TPN], or starvation diet)
  8. Other health problems (eg, Hepatitis C infection, celiac sprue and Wilson disease).

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

3181 people found this helpful

GERD - How To Deal With It?

MBBS, MD - General Medicine, DM - Gastroenterology, Fellowship in Advanced Endoscopy
Gastroenterologist, Mumbai
GERD - How To Deal With It?

Gastroesophageal reflux disease (GERD) is a common digestive tract problem where symptoms are produced by the abnormal reflux of gastric contents into the esophagus or beyond, into the oral cavity (including larynx). Normally a band muscle fiber at the lower end of the esophagus (Lower esophageal sphincter) prevents contents of the stomach to enter into the esophagus. If the sphincter relaxes abnormally then gastric contents easily flow back into esophagus producing symptoms.

Symptoms of GERD

  • Heartburn (classic symptom)

  • Dysphagia (In long-standing disease)

  • Less common symptoms – water brash, odynophagia, burping, hiccups, nausea and vomiting

  • Atypical symptoms – Chest pain, asthma, chronic cough, recurrent pneumonitis, laryngitis, dental erosions, disturbed sleep

Following factors can increase risk of GERD

  • Obesity

  • Smoking

  • Presence of a hiatus hernia

  • Spicy and fatty food

  • Irregular timings and large amount of meals

  • Factors causing delayed gastric emptying

  • Excessive tea or coffee

Associated conditions that can increase GERD

Diagnosis

  • Empirical trial of acid suppression

  • 24 Hour Esophageal pH monitoring

  • Upper GI endoscopy +/- biopsy

  • Esophageal manometry

Management

  • Lifestyle modification like weight reduction, discontinue smoking & alcohol intake, dietary changes, etc.

  • Pharmacological therapy – acid-suppressing medications, prokinetic drugs

  • Endoscopic therapy – anti-reflux mucosectomy (ARMS procedure), Stretta procedure

  • Surgical therapy – Fundoplication

In case you have any concern or query, you can always consult an expert and get answers to you questions.

3050 people found this helpful
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