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Dr. Parakh

Pediatrician, Mumbai

300 at clinic
Dr. Parakh Pediatrician, Mumbai
300 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Dr. Parakh is an experienced Pediatrician in Nalasopara East, Mumbai. You can visit him at Om Sai Hospital in Nalasopara East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Parakh on Lybrate.com.

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Om Sai Hospital

: 1st Floor, Reliable Plaza, Achole Road, Nalasopara East,Landmark: Opposite Dwarka Hotel, MumbaiMumbai Get Directions
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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

I have a problem of memory loss is it due to ADHD what is its symptoms for this disease?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear I cannot narrate all the symptoms here because, when I narrate the symptoms, you always say, yes, I have it. Over and above the symptoms are all over the web. Instead, I suggest, you provide me all your symptoms in detail and let me diagnose. Take care.
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My 36 weeks foetus wt 2110gm only. How can I improve my baby with through food in these last weeks.

Pediatrician, Pune
Relax, don't worry, have a good sleep, drink at least 3 glasses of milk, eat healthy nutritious food which you like, with additional fruits and salad.
2 people found this helpful
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Hi, my baby is 1 1/2 month old. There are lot of mosquitoes in the house no matter how clean we keep. Can we use mosquito coil or in liquid refill, please advise. Also once bitten what ointment or cream should I apply for the baby? Please help!

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Hi, my baby is 1 1/2 month old. There are lot of mosquitoes in the house no matter how clean we keep. Can we use mosq...
Hello, Keep camphor near the windows and shut the windows after 5 pm. You can protect your baby with mosquito net over the cradle.
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My baby is 25 days old and every time she passes gas or even otherwise little poops comes out. Her normal poops are abut 3 to 4 times per day but this small ones means I am changing her nappy in every five minutes. Please advise is this normal or not.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), FACEE PEDIATRICS
Pediatrician, Allahabad
My baby is 25 days old and every time she passes gas or even otherwise little poops comes out. Her normal poops are a...
Yes this is normal. Some of neonate and infant passes little amount of stool with gas. And some of them has increase intestinal motality upto three to four month so thay used t pass more requent stool. Concern will arise if he is not gaining weight, decrease feeding, dull look, decrease urination frequency and amount.
1 person found this helpful
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Multiple small subcentimetric lymphadenopathy likely to be normal. This is my 2 years old boy usg report. Is it normal?

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Multiple small subcentimetric lymphadenopathy likely to be normal. This is my 2 years old boy usg report. Is it normal?
yes small ones are normal.they resolve with time .ensure proper nutrition and avoid junk foods , spicy foods .ensure vacvination against typhoid .
1 person found this helpful
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My daughter 2.5 months old is taking out milk almost after every feed and also cries and feels uneasy until she takes out the milk. Daily in evening she cries a lot Please suggest the possible reasons behind it.

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter 2.5 months old is taking out milk almost after every feed and also cries and feels uneasy until she takes...
All babies bring out milk and it is not vomiting or disease and is called posseting and you ahve to give only breastmilk and no bottle feeding and burp well after each feed
1 person found this helpful
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Good Afternoon sir. My son is 5 year old. He has only one white hair which is very thin and short. What might be the reason sir? Is there any problem? Any problem in future? Pls suggest me any solution to this problem.

MD - Paediatrics
Pediatrician, Kolkata
Good Afternoon sir. My son is 5 year old. He has only one white hair which is very thin and short. What might be the ...
Premature greying is most commonly  due to genetic ,nutritional factors. Focus on a balanced diet rich in proteins, fruits and green veggies. Often deficiency  of Iodine, vitamin  B12 ,iron may be causing such problems.  Tests CBC, FT4/TSH Serum Vitamin D3 level /Vitamin  B12 levels.
2 people found this helpful
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I am 3 months after delivery and am giving breastfeeding. Nowadays am feeling so tiredness during the time of feeding so please suggest some vitamins tablets for me continue with breast feed.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Gopika, please take protein rich diet like beans, pulses, sprouts. Start iron and calcium supplements if you are not having it.
1 person found this helpful
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12 years old girl Suffering from allergic cough since birth. Cough will be throughout the year. She is avoiding fridge items and all. Still she is getting. Please suggest.

M.D.( Pediatrics), DCH
Pediatrician,
She probably needs brochodialators and steroids by inhalation route. But before that xray chest cbs, pulmonary function test required to find out the cause.
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Hello my son is 2 years old and his weight is 8. 5kgs I am veg I don' t want to give him any non veg food not even eggs but many people around me suggest me to give eggs so could you tell me it is really help me or is there any equivalent food for high protein?

Pediatrician, Pune
Exclusive vegetarian diet causes vit b12 deficiency leading to anemia, developmental problems, occasional egg given does not cause any harm, but if you still want to give exclusively vegetarian diet, then soya bean, dal rajma, ground nuts are good sources of protein, see that the child gets sufficient amount of these nutrients.
1 person found this helpful
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My 1 year old baby has birth mark just near to right eye, due to forceps delivery. Now, there is a scar. Will it disappear or need some procedure?

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
My 1 year old baby has birth mark just near to right eye, due to forceps delivery. Now, there is a scar. Will it disa...
Usually they decrease significant ly by adulthood. If by then there is any need felt it can be removed surgically.
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Hi my daughter is 5 1/2 years. She is very naughty. I am facing one issue currently. My daughter dosent feels when she wants to do potty. She avoids doing potty. And lands up doing in her pantly. I dont understand the reason. Please guide me.

C.S.C, D.C.H, M.B.B.S
General Physician,
She is a disturbed child and attention seeking. There may be constipation and potty goes off when over filled. Have to do some tests. Ask me privately.
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My 4 and 1/2 months girl baby goes urine only 4 times per day from one week. Is it problem?

C.S.C, D.C.H, M.B.B.S
General Physician,
My 4 and 1/2 months girl baby goes urine only 4 times per day from one week. Is it problem?
If she is drinking enough water and is active this is OK . If there is any other symptom she need to be checked up . If she is bottle fed she need to be given additional water unlike breast fed babies
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My baby is 17 months old. Having fever. She is not eating anything. Shall I give her tropicana fruit juice. Is it good for babies. Or advice me a healthy drink.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My baby is 17 months old. Having fever. She is not eating anything. Shall I give her tropicana fruit juice. Is it goo...
tropicana during disease ..i would not recommend ...better things would be to have ORS...cocconut water etc...even pediasure is good ...for more than 18months baby
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I am from Bangalore, and my son is 8 years 9 months old, and he has pain just around the umbilical cord region. Checked in google. Also known as belly button pain. His pain is severe. Since 4 years. All along we had been visiting doctors thinking it could be gastric related. Very confusing what exactly is the problem. While all his organs are normal in a scan. Could it be some kind of intestinal hernia or really a gastro related problem.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I am from Bangalore, and my son is 8 years 9 months old, and he has pain just around the umbilical cord region. Check...
There are many reasons for pain around umbilicus. One of them is non specific known as idiopathic. Since Scan is normal, it may be idiopathic, such pain disappears on its own after some time. If your son otherwise is normal, need not to worry. Just console him, you may give warm fomentation to the part. Hernia is visible on the part which can be easily detected. Gastric related problems present with other associated symptoms.
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My son is 8 years old. He looks slim and small. What are the foods to be given to him to increase his height and weight.

M.D.( Pediatrics), DCH
Pediatrician,
It' s difficult to opine on your perception, in absence of info about actual weight and height. Give him healthy home food, fruits, vegetables.
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