Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. You will find Gastroenterologists with more than 27 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.
Book Clinic Appointment
Submit a review for Dr. Purshottam VashistaYour feedback matters!
I suffer from bloating with back pain. In the morning I get back pain but it reduces after bowel movement. After morning bowel movement in the morning I don't feel fresh and energetic. Sometimes feel dizzy also and slight pain in right side of stomach Sometimes.
Sir mai bahut din tak beemar tha mujhe khansi aur typhoid ho gaya tha khafi din dawa chala ab thik hogaya. Per mera pet kharab rahta hai pet bahut gudgudata hai hamesh bajte rahta hai, doctor ne bola k tere pet me fen ho gaya hai, jiske liye metronidajol ka tablet aristogyl 400 mg khane bole jisse pet gudgudana kam to ho gaya hai par puri tarah se thik nhi ho raha hai, aur muh ka test bhi kharab ho gaya hai sir mere pet me fen q ban raha hai please upay bataye.
The human body with its multiple organs is a highly complicated structure and one or more organs often malfunction for various reasons. However, for some, no reasons are identified for this problem. One such is irritable bowel syndrome or IBS as it is commonly referred to.
It is a common disorder affecting the large intestine leading to alternate bouts of diarrhea and constipation, abdominal cramps and a feeling of fullness. It is common in people younger than 45 years of age, affects women more than men, and though the exact reason is not known, the following are attributed.
- Signal issues between the brain and intestines: For various or even unknown reasons, the brain may not be able to send the right signal to the stomach to process food, making the stomach to be hyperactive and have an increased sense of pain or sensitivity or discomfort. Neurotransmitters, which are chemicals responsible for sending signals to various organs also could be involved.
- Hormonal connection: Menstrual periods tend to aggravate symptoms of IBS, while postmenopausal women are largely free of IBS symptoms.
- Genetics: People with a family history of IBS are more likely to develop IBS too.
- Aggravating foods: Foods rich in carbohydrates, spicy foods, fatty foods, caffeine and alcohol aggravate IBS symptoms. Ability to absorb sugar could be a cause too.
- Infections: Some people with IBS have certain bacteria identified in their gut which produces excessive gas and this could lead to altered bowel movements.
- GI Motility Issues: Alterations in the way the food passes through the stomach can lead to either constipation (slow movement) or diarrhea (quicker movement). There could also be spasms and contractions after eating, especially if the stress levels are high.
- Psychological issues: Panic disorder, anxiety, depression, and posttraumatic stress disorder are common in IBS patients. It is possible that they are not able to express their psychological stress, it manifests as physical symptoms. Stress increases symptoms of IBS and vice versa.
- Manage stress: Meditation, yoga, support groups, medication and even hypnosis in severely stressed people helps control stress, providing great relief in IBS symptoms.
- Lifestyle changes: Reduce alcohol and smoking
- Dietary changes: Avoid aggravating foods, increase the amount of fiber if you have diarrhea and space out meals to avoid intestinal overload
- Herbal remedies: Probiotics, peppermint oil and a variety of herbal medicines are available.
- Symptomatic medications: Based on presenting symptoms, different medications including antibiotics for infections and motility drugs can be used. Anti anxiety and antidepressants are also prescribed to manage the psychological issues.
In terms of causes, symptoms, or treatment, IBS requires a very individualized approach and your doctor is the right person to discuss this with and decide. Consult an Expert & get answers to your questions!
After having meal, my stomach starts filling with gas and swells like a balloon. Pain is also felt after sometimes which persist for about half an hour but gas just prolongs. please tell what's causing it and cures. Thank you.
A 2002 study in the of Alimentary Pharmacology and Therapeutics looked at the vitamin status of 30 adults with Celiac Disease showing ?biopsy-proven remission,? after following a gluten-free diet for 8-12 years. They found that 56% had poor vitamin status, suggesting that proper nutrient uptake is not occurring. The authors concluded that:
?It is generally assumed that coeliac patients adhering to a strict gluten-free diet for years will consume a diet that is nutritionally adequate. This is supported by the demonstration of a normal bone mineral density up to 10 years of dietary treatment. Our results may indicate otherwise. We found signs indicative of a poor vitamin status in 56% of treated adult coeliac patients.?
Even after following the conventional Celiac prescription for 10 years, 56% still showed signs of poor nutrient uptake ? meaning their digestive system still isn?t working like it?s designed to.
That means after 10 years of being gluten-free, HALF of all Celiacs are likely starving for the critical nutrients required for health and longevity. It?s no wonder we have a 77X increased risk for lymphoma.
The Gluten-Free Diet Doesn?t Fix Leaky Gut
Earlier in this series, we discovered that gliadin initiates leaky gut by increasing the zonulin protein in people with Celiac Disease. And later, we learned that fixing leaky gut is absolutely essential to reversing the damage from Celiac Disease?
But the gluten-free diet doesn?t fix leaky gut?
As it turns out, when Celiac Disease patients follow a strict gluten-free diet, their zonulin levels do fall (which is good). But research shows that they still have elevated levels of zonulin compared to non-Celiacs. And when the zonulin levels are still high? the Tight Junctions can?t restore normal function and the leaky gut remains.
Chris Masterjohn found the same thing reviewing a study by researcher Allessio Fasano.
Remarkably, they found that celiacs produce 30 times as much zonulin as non-celiacs, even though the non-celiacs were not eating gluten-free diets while the celiacs had been off gluten for over two years!
Hi, I am 25 years old, I was suffering from acidity and heart burn, later when I went for ultrasound scanning the result was fatty liver. I have severe stomach and abdominal pain and from past 2 days I could notice blood in stool. I am not sure, stool color has been changed to red. Please suggest me what steps to be taken.
I am 46 years old facing hyperacidity from last 4 yrs. Daily taking rabeprazole. Weight is 57kg. Bp 110/70. After acidity heartbeats increased above 85. After bath showering observed. From last two days both hands and legs nerves are paining. Also frequent backpain and stomach pain.
I am 42years old female, or last 2years I am experiencing too much bloating in upper body only & I burp too much I eat moderately/simple /non spicy food.
I am suffering with fistula. Can I usual e piles tablets & innovate cream for the treatment. I am also suffering with severe gastric problem.
Irritable bowel syndrome is a disorder of the large intestine. It may cause abdominal pain, bloating, diarrhea and constipation. The condition is not life threatening in nature and does not make you susceptible to colon disorders such as Crohn's disease, ulcerative colitis and colon cancer, however, symptoms of IBS may act as deterrents in leading a normal life.
The symptoms of irritable bowel syndrome are:
- You may experience symptoms of constipation
- Frequent episodes of diarrhea
- Abdominal cramps especially on the lower part of the abdomen
- Constant bloating
- Abnormal stool structure
- You belly might stick out
In some cases, you may experience sexual problems and urinary problems. In addition, if you also suffer from stress related disorders then it might aggravate the symptoms.
The primary cause is that the colon becomes very sensitive such that small stimulation may cause it to react. When the food passes through the colon, it tends contract strongly and leads to complications, such as bloating and constipation. It may also lead to weak contractions of the colon which leads to hardened stool.
There are certain things which may symptoms of IBS, they are:
- Stress: Any type of stress tends to aggravate symptoms of irritable bowel syndrome.
- Foods: Certain foods such as chocolate, spices, cabbage, milk and carbonated beverages may trigger symptoms of IBS.
- Hormones: Hormonal changes such as the ones during menstrual cycles may aggravate symptoms of IBS.
- Illnesses: Various illnesses such as diarrhea or conditions such as overproduction of bacteria in the intestines may lead to symptoms of irritable bowel syndrome.
Women are more likely to be affected by symptoms of IBS as are people who are below 45 years of age. If someone in your family has irritable bowel syndrome, then you are also likely to develop this disorder. It may also aggravate symptoms of hemorrhoids, along with aggravating symptoms of stress. If you wish to discuss any specific problem, you can consult a gastroenterologist.