Find numerous Gastroenterologists in India from the comfort of your home on Lybrate.com. 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.
Book Clinic Appointment with Dr. Raveshia Divyesh Jaysukh
Submit a review for Dr. Raveshia Divyesh JaysukhYour feedback matters!
I am 30 years old.in winter season my health down gradually. My digestion system fail in winter. My whole body pains.
I am 65 years old . Except for some minor treatments of gas and BP I have not been affected by any major disease. I am not under any medication. One thing is very prominent is my irregular bowls. However since last evening I am experiencing a mild pain on the left side of my chest near the neck bone. I am worried. Is it any thing serious. please advise.
Can a lady get pregnant if getting intimate without proper precautions on her 1st day of period? * The bleeding stopped after the second day. *swelling on lower abdomen.
I have problem in my stomach how to get rid of it? I have stomach ache and digestion problem so please suggest me some health tips.
I am 49 yrs old, I have lower abdominal pain in left side. When I bend forward pain increases. Past 2 days suffering what will be problem what to do?
Sir mujhe acidity ki vajah se gastric problem hoti hai muje ye problem 4 year se hai mene koi dawai nahi li abhi muje asthma ho gaya hai ish vajah se. Allopathic acidity ki goliya leta hu pr koi permanent fayada nahi. Pls help I take all test LFT sonograpy blood test all are normal.
I was suffer from acute pancreatic But now I have fatty liver So today morning I have pain in left and right abdominal pain.
I have severe mouth ulcer last three days taking multivitamins and using ulcer gels frequently but not come down please advice.
Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.
These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.
Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.
Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.
Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.