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Samarth's Clinic

Gastroenterologist Clinic

#405, Sector 17, JK chamber, 4th floor, Vashi. Landmark: Near Golden Punjab restaurant, Navi Mumbai Navi Mumbai
1 Doctor · ₹1000
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Samarth's Clinic Gastroenterologist Clinic #405, Sector 17, JK chamber, 4th floor, Vashi. Landmark: Near Golden Punjab restaurant, Navi Mumbai Navi Mumbai
1 Doctor · ₹1000
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About

Our medical care facility offers treatments from the best doctors in the field of Gastroenterologist.We are dedicated to providing you with the personalized, quality health care that you ......more
Our medical care facility offers treatments from the best doctors in the field of Gastroenterologist.We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Samarth's Clinic
Samarth's Clinic is known for housing experienced Gastroenterologists. Dr. Satish Kulkarni, a well-reputed Gastroenterologist, practices in Navi Mumbai. Visit this medical health centre for Gastroenterologists recommended by 91 patients.

Timings

MON-WED, FRI-SAT
06:00 PM - 09:00 PM

Location

#405, Sector 17, JK chamber, 4th floor, Vashi. Landmark: Near Golden Punjab restaurant, Navi Mumbai
Vashi Navi Mumbai
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Doctor

Dr. Satish Kulkarni

Gastroenterologist
1000 at clinic
Available today
06:00 PM - 09:00 PM
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Hi, Please find attached all the medical reports. And her symptoms started in 2012, she was not able to digest anything before evening, if she ate anything it used to result in loose motions. This problem lasted for 1.5 years, after that problem cured then her legs started becoming weak and she started loosing her balance, she was not able to walk without support. She was undergoing an ayurvedic treatment in small (uttar pradesh) one day she was feeling all right and was able to walk for around 3 km but next day when she woke up again she was in same condition as earlier and that treatment didn't helped later. It increased gradually then it started affecting her arms as well. Then she took some ayurvedic treatment in delhi. It cured the problem with hands, there was also some improvement in legs, but after some time that treatment was not able to cure more and later on she went again in the same condition as earlier but her hands are fine now. She has no pain in any body part, or any problem with vision though she wears spectacles for many years now. No diabetes, no blood pressure problem and no thyroid problem. We consulted some neurologists. They stress on possibilities of either Ms. or NMO spectrum disorder. Please tell me about the possible treatment and the duration as well.

DHMS (Hons.)
Homeopath, Patna
Hi,
Please find attached all the medical reports.
And her symptoms started in 2012, she was not able to digest anythi...
Hello, Multiple sclerosis or neuromyelitis distructs the immune system attacking upper & lower extremities, first including the whole body, gradually. You need to opt certain natural norm apart from medication to recoup with body resistance. Tk, plenty of water to hydrate your body to eliminate toxins, improving flexibility of muscles. Go for meditation to reduce your stress in order to nourish your brain & physique to counter neuromyelitis. Tk, apples, carrots, milk, almonds, walnuts. Your diet be easily digestible on time. Tk, homoeopathic medicine:@.Five phos 6x-4tabs, thrice. @ Hypericum 1000-6 pills, weekly. Avoid, junk food, alcohol, nicotine & caffeine. Tk, care.
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I have kidney stones. It happens to me say every 2 to 3 years. Currently I am using mixture of olive oil with lemon, apple cider vinegar with honey and water and few other remedies to pass them out. My question is: How do I know what kind of kidney stone my body is developing so that I can make changes in my diet accordingly. Appreciate your help.

M.D.(Ayu.) Basic Principles, B.A.M.S.
Ayurveda, Ajmer
I have kidney stones. It happens to me say every 2 to 3 years. Currently I am using mixture of olive oil with lemon, ...
Hi Lybrate user U hv to avoid following things according to Ayurveda so that there is very less frequency to develop stones in kidney 1.Avoid heavy exercise 2.Retention of Urine & feces. 3.food produts which are dry in their properties 4 Basen-Meda products 5. Bakery Products 5. Baigan, Patoto, cluster beans, Date palm, Jamun etc. Best Regards.
1 person found this helpful
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What is the reasons heart attack to human body. And how to tackle when heart attack happened?

MD - Internal Medicine
General Physician, Vadodara
What is the reasons heart attack to human body. And how to tackle when heart attack happened?
Heart attack generally is due to blockage of Coronary arteries supplying blood to heart. The blockage can be due to Cholesterol and sometimes thrombus and can occur over a period of time and may present as chest pain (Angina) or heart attack or breathlessness and with no complaints in Diabetics One needs to have tests, life style changes and stop smoking tobacco and must walk 5 km/day if there are no other risk factors.
5 people found this helpful
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Ulcerative Colitis Surgery: Know Its Procedure

MBBS, MS - General Surgery
General Surgeon, Mumbai
Ulcerative Colitis Surgery: Know Its Procedure

Ulcerative colitis is a chronic inflammatory condition whereby, tiny abscesses and ulcers are formed on the inner lining of the large intestine, or on the colon or rectum. These ulcers may burst frequently resulting in diarrhea and bloody stools. This disease may also be responsible for causing anemia as well as harsh abdominal pain.

Ulcerative colitis normally alternate periodically from flaring up to receding quickly. These periods of remission can either last for weeks or maybe, even for years at a stretch. They are, however, not permanent and although the disease may seem to have disappeared completely, it can soon show up again in no time. Usually beginning in the rectum, it can, by and by, spread rapidly to other parts of the colon. If it is, however, limited only to the rectum, then it is more commonly referred to as ulcerative proctitis.

Surgery is generally obligatory and mandatory when it comes to treating ulcerative colitis. If surgery is not performed, you may suffer from long-lasting side effects, including cancer and colon rupture. Here are the different types of surgery that you may undergo:

  1. Colectomy: This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer.
  2. Proctocolectomy: This concerns the total removal of both colon and rectum and is usually the standard procedure when dealing with ulcerative colitis.
  3. Ileal Pouch Anal Anastomosis: If the treatment does not require a permanent stoma, and if you can still manage to let out stool from your anus, then this surgery, also called restorative proctocolectomy would be most appropriate.

Here, both colon and rectum are removed, but at the same time, the small intestine is utilized to form an internal reservoir, called a J-pouch, which is linked to the anus and can hereafter serve as your new rectum.

Digestion Related Problems - 4 Ways to Treat it!

MBBS, D.P.H
General Physician, Gurgaon
Digestion Related Problems - 4 Ways to Treat it!

A number of digestion related problems plague people from time to time. Diarrhea or loose motions remains one of the most debilitating problem in this regard, with other conditions like IBS or irritable bowel syndrome and colitis, Crohn’s Disease and others like pain, discomfort and related issues. If your daily schedule is hampered by constant trips to the bathroom and your eating habits show poor nutritional choices and a lack of appetite, then it may be time to do something about these digestive problems.

Let us acquaint ourselves with a few measures for treatment of the same.

  1. Triggers: One of the important and primary steps in the process of treating your digestive related problem is to learn how to recognise and identify the triggers so that you may avoid the same. There are many kinds of food that may not be suitable for some people. With the help of your doctor, you can go through a food or skin test that will help in exposing you to small amounts of various ingredients. The results will help in pointing towards the food allergy or triggers that you may be suffering from. Apart from food, there may be certain kinds of medication that may be causing side effects like loose motions and other digestive problems. Also, there are certain situations and stress giving factors that may be contributing to this condition. In such cases, it is best to maintain a food dairy or event diary so that you learn your triggers and avoid the same.
  2. Hydration: One of the most important ways of treating digestive problems is to drink plenty of fluids and to keep your body well hydrated. Besides routinely flushing out the toxins that cause the condition in the first place, plenty of water intake will also help in replenishing the lost fluid reserves as the body tends to get dehydrated swiftly when it is suffering from such conditions. One should also avoid contaminated sources of water and try to drink bottled and packaged water, especially while travelling.
  3. Hygiene: It is important to eat hygienically prepared food and wash your hands before and after meals so as to remove unhygienic triggers from the list that causes digestive disorders. Using alcohol free wipes in case you are suffering from loose motions and keeping a sanitiser handy at all times will also help in treating the condition.
  4. Medicines: The doctor may prescribe various kinds of medicines in order to fight the onset of such conditions as well for treatment of related symptoms like bloating and gas. This medication must always be kept handy so that the patient can have it as soon as the earliest symptoms arise.
1 person found this helpful

I'm having multiple mouth ulcers on tongue and lips. Please suggest me some best meds as I'm not able to eat or drink anything from past few weeks. I'm also using meds like oraways gel and borax homeopathic med but no improvement till now. I drink lots of water nearly 4-5 litres but nothing is helping in this situation, please help me regarding this query. Thank you.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I'm having multiple mouth ulcers on tongue and lips. Please suggest me some best meds as I'm not able to eat or drink...
Eat lot of fruits & green leafy vegetables & drink plenty of water. Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need Coronoplasty (smoothen teeth edges) along with T. Rebagen 10, morning one tab & one at night for 5 days, along with C. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash. Advance procedures can be done with laser. You may consult me in person.
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I have a short stomach pain and I am bleaching too much .Do I have gas problem. If yes how to deal with it. Can you suggest some home remedies.

BAMS
Ayurveda, Sonipat
I have a short stomach pain and I am bleaching too much .Do I have gas problem. If yes how to deal with it. Can you s...
Avoid spicy and fried food eat more fibrous food and esabgol bhushi at night with warm water 5-6 days then you consult me online.
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Hi I am facing problem of fatty liver how can I make my liver healthy and I want to start taking vitamin (b complex) becosules (day and night) and vitamin E (Evion 400)(day and night )for for my hair skin and immunity I wnt to know is this safe during fatty liver problem or it can increase my fatty liver problem.

BAMS
Ayurveda, Pune
Hi I am facing  problem of fatty liver how can I make my liver healthy
and I want to start taking vitamin (b complex)...
As you write on Lybrate information your wt is 88. So first reduce weight. Take aarogyavardhini vati and faltrikadi kadha after food. Do exersize and surya namskar daily. Improve your diet rather than taking multivitamin tablet.
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Hello doctor, I am 38 years old Male. We are planing to have a kid now after 5 years. Now I used to have intercourse twice in a week but one time in that week but can not intercourse so I used to masturbate. If I do that I get headache and can not control so please help me doctor abt this issue please.

MBBS
Sexologist, Panchkula
Hello doctor, I am 38 years old Male. We are planing to have a kid now after 5 years. Now I used to have intercourse ...
You get headache after doing masturbation. I advise you to take proper balanced vegetarian diet. Take plenty of water to detoxify body. Take fruits and vegetables in daily diet. Do meditation for mental strength daily. Follow this and give feedback.
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Dear sir 1 month ago I had jaundice. Yesterday I ate idli sambar and dosa. From that day I feel pain and burning inside belly I ate various gas tablets but still my belly pains. What to do to reduce pain.

MBBS
General Physician, Durg
Dear sir 1 month ago I had jaundice. Yesterday I ate idli sambar and dosa. From that day I feel pain and burning insi...
Dear you have urinary track infection this problem not reduced by gas medicine. First take a lots of water and syp alkar, cap Ural one cap two times a day ,tab ara p -one tab two times a day for 3 days if no respond then consult a physician.
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Hi I want to know that I am having a problem that suddenly at any time I feel like sudden urge to pass stool and it happens about 3 to 4 times a day when I go to washroom little stool comes out with constipation I have to push very hard to pass stool and then after little stool has passed the stool stops coming how hard I try it feels like that my stomach has not fully emptied but stool stops coming. I feel like that it happens after I have eaten fish one week before but it's not confirmed .please suggest me any medicine. I am 17 years old.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hi I want to know that I am having a problem that suddenly at any time I feel like sudden urge to pass stool and it h...
You have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning before brush 2. Take more water in day 3. Take meals at fixed hrs, chew food properly/ completely, no eating quickly 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. Caffeine, mints or mint-flavoured foods, pungent, sour things, tomato-based foods. 6. No smoking, chewing gum, and carbonated beverages. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day 9. Do not drink/ store water in plastic bottles. 10.relax and walk for 30 mts daily 11. Take enough rest- do not lie down immediately after eating. Take dinner 3 hrs before sleeping. No late nights 13. Avoid tea, coffee, alcohol 15. Reduce physical and mental stress. Maintain healthy life style. Do exercise regularly. 16. No unnecessary medicines for medicine contact on private consultation good luck..
12 people found this helpful
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Visiting A Gastroenterologist: Tips For You To Take Care Of

MBBS, MD - Internal Medicine , DM - Gastroenterology
Gastroenterologist, Bangalore
Visiting A Gastroenterologist: Tips For You To Take Care Of

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. 

Visit your doctor to understand the severity of your condition and the course of treatment, as it is obvious that during this time you must be suffering from anxiety and you may not ask the questions arising in your mind. 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 from past few days or weeks before you finally realize the need to seek out a specialist. 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, thyroid or you 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. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
1021 people found this helpful

I have gas problem my age is 26. How can I control my problem. Can you please tell me diet of that problem.

MD - Physician, Associate Fellow of Industrial Health, Post Graduate Diploma in Diabetology (PGDD)
General Physician, Pune
I have gas problem my age is 26. How can I control my problem. Can you please tell me diet of that problem.
Gas problem means that your digestion is disturbed. I suggest you increase your water intake to 3.5 liters per day. Have meal every 4 hrs and do regular exercise. This will surely help.
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When I go for latrine some pain and blood has been come. But it is not regular, only some times it happens.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
When I go for latrine some pain and blood has been come.
But it is not regular, only some times it happens.
The most common causes of rectal bleeding are hemorrhoids, ulcers, and anal fissures. Often called piles, hemorrhoids are swollen veins that appear at the bottom of the large intestine and outside the anus. Hemorrhoids are common, affecting about 75 percent of the population over the course of a lifetime. They are caused by excessive straining such as while making a bowel movement, sitting on the toilet too long, or, in women, pregnancy and giving birth. People who have persistent hemorrhoids are often constipated, overweight or obese, or eating a very low-fiber diet. Anal fissures, another cause of rectal bleeding, are tiny tears in the anus and anal canal commonly caused by straining with hard stools. They can usually be managed with treatment for constipation and the use of moistened wipes, which soothe the area around the anus. Anal fissures rarely require medical treatment or surgery. Light rectal bleeding or spotting due to constipation or hemorrhoids in people under 40 rarely needs medical attention. However, if your rectal bleeding is continuous or heavy, or accompanied by a feeling of faintness or nausea, see a doctor or go to the emergency room right away.
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I got operated gall bladder removal in june 2016 and stunt removal in sept2016. But all is well suddenly I took with empty stomach in the afternoon apply fizzy in thirty and before lunch and from that time, I faced with fatty liver type with full stomach full and gas developed. No interetdigeton in eating food. Then I started taking lemon watering other c vitamin food with empty stomach and I recovered 100% but digestion problem and stomach burning sensationexists. Pl give advise.

BHMS, PG(hom) London, MBA (Healthcare)
Homeopath, Visakhapatnam
I got operated gall bladder removal in june 2016 and stunt removal in sept2016. But all is well suddenly I took with ...
Hi Mr. lybrate-user Gall bladder is the organ which stores up bile produced by the liver and releases it only when the food reaches the small intestine since your gall bladder has been removed there is storage of bile and hence the bile gets constantly secreted into the intestines and there is decreased levels of digestion especially fatty foods so I suggest that you avoid carbonated or sugary drinks, fried foods, tea or coffee, as these foods cause lot of gas to accumulated since they take a long time to get digested I would suggest that you have small quantity of food in small intervals and have a balanced diet which includes fresh fruits and vegetable salads
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Night fall shighrapatan dhat ke liye bard ke pad ke doodh ki 4- 5 bund batase ke sath morning me khane se koi problem to nhi hogi please give me advice side effects and benefit.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Night fall shighrapatan dhat ke liye bard ke pad ke doodh ki 4- 5 bund batase ke sath morning me khane se koi problem...
This is happening due to insufficiency of hormones and improper functions of serotonin. The good news is that this is easily treatable with our herbal tablets. These tablets improve blood supply to penis and nourish muscles and blood vessels of penis thereby making erection long and hard. At the same time, these tablets improve functions of serotonin thereby delaying ejaculation significantly. Regards
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How Ayurveda Helps Manage Digestive System?

BAMS, MD
Ayurveda, Gurgaon
How Ayurveda Helps Manage Digestive System?

The Ayurvedic body of knowledge relies on the rhythms and functions of the body to find the root cause of ailments. The digestive tract or system is one of the most important organs of the body. The entry and accumulation of Ama or toxins can lead to an imbalance in the way the small and large intestines functions along with various other participating organs like the liver and more. As per Ayurveda, the digestive fires or Agni also need to be produced in appropriate amounts.

So how can you understand and take care of your digestive system, the Ayurvedic way? Here's our take on the matter:

  1. Types of Agni: The digestive system has four kinds of Agni or fire that keeps it in working condition. The Jathar Agni ensures that hydrochloric acid is being produced in the stomach which directly affects the thyroid gland. The Bhuta Agni takes care of the bile acid formation in the liver. The Kloma Agni manages the pancreatic enzymes that help in digesting and absorbing sugar properly. And finally, the Dhatu Agni takes care of the tissue transformation in this entire process and region. A weak state of any of the four Agnis will lead an imbalance and food will not be digested properly.
  2. Doshas and Agni: As per Ayurvedic science, the state of your Agni and its strength depends on the four Doshas and the one that afflicts your being. In Vata and Kapha Dosha patients, the Agni will be weak which will lead to a 'cold' digestive system where the food will not be digested properly. This can lead to constipation in the long run as well as loose motions and gas. In case there is a Pitta Dosha, the raging fire of Agni will be unbearable, which can lead to acid reflux disease and chronic acidity as well as heartburn.
  3. Herbs and Spices: The use of herbs and spices while cooking can greatly cool or revive the Angi, depending on your Dosha. Ingesting a sliver of ginger along with lemon juice can help in warming the cold fire of the Agni, along with other aroma releasing spices like cardamom, pepper and licorice. Further, saliva and enzyme secretion can happen with these spices too. Also, these herbs can ensure that your digestion does not work overtime or create excess heat.
  4. Ama: Using hing to season your meals can also help in better digestion of food and less accumulation of Ama or toxins.

One needs to know the state of the Agni in the body and regulate the diet and routine with proper sleep and food intake patterns, for a well-functioning digestive system.

1 person found this helpful

8 Signs You Are Suffering From Celiac Disease!

MBBS, MS - General Surgery , DNB - Surgical Gastroenterology
Gastroenterologist, Ghaziabad
8 Signs You Are Suffering From Celiac Disease!

Also called gluten-sensitive enteropathy and celiac sprue, celiac disease is an autoimmune digestive disorder, wherein the consumption of gluten-based foods leads to damage of the tissues that line the small intestine. This hinders the ability of your body to absorb the essential nutrients from the foods you eat.

Causes
Under normal conditions, the immune system of the body offers protection against external intruders. When individuals diagnosed with celiac disease consume gluten-based foods, gluten resistant antibodies are formed by the immune system. This causes them to attack the linings around the intestines, thus causing irritation in the digestive tract and harming the villi (hair-like structures on the covering of the small intestine which absorb nutrients from the food). This impairs the nutrient absorbing capacity of the individual, thus increasing chances of malnourishment.

Symptoms
Celiac disease has symptoms that vary from patient to patient. Some of the common symptoms include:

  1. A severe skin rash called dermatitis herpetiformis.
  2. Digestive problems such as:
  3. Musculoskeletal problems such as bone and joint pain as well as muscle cramps
  4. Seizures
  5. Aphthous ulcers which are basically sores occurring in the mouth
  6. Tingling sensation in the legs which are caused by low calcium and nerve damage
  7. Growth issues in children since they cannot absorb the required amount of nutrients
  8. Irregular menstrual cycles

Other complications associated with celiac disease

  1. Miscarriage or Infertility
  2. Osteoporosis. This is a disease which weakens the bones and causes fractures. It is caused because of a deficiency of Vitamin D and calcium.
  3. Intestinal Cancer
  4. Other birth defects: Such as irregular spinal shape because of the deficiency of certain nutrients, especially folic acid. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
195 people found this helpful

Last year around the same time, I started having blood in my stool and a bit of pain during the excretion process and sometimes during sitting. On consulting with a doctor, he said that it's nothing and it healed after sometime and I was good to go. Now again I am going through the same problem and I don't have any idea what to do. Please help and guide me because I am too worried about it.

M.S. general surgery, M.Ch Gastro-intestinal surgery
General Surgeon, Bangalore
Last year around the same time, I started having blood in my stool and a bit of pain during the excretion process and...
Hello sir, I believe you are suffering from fissure in ano. Kindly drink plenty of water, avoid getting constipated, and have sitz bath 5 times a day. You will be OK.
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Hello. I had a small boil near the anal area a month back. It was painful at that time and there after there was a discharge of pus with some blood as well. Ever since the pain has subsided. But there is still discharge of pus on a regular basis. Sometimes less sometimes more. There is no pain what so ever. However the boil is still present when I checked today. What should I do.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help. First and foremost, I would advise you to get this clinically examined by a general surgeon. Simultaneously, you can connect for an integrative traction with natural medicines that can help heal the same faster. Do stay well hydrated, and keep your diet and lifestyle streamlined. Any kind of fatty, oily, greasy, high calorie foods/ drinks including fast foods etc all are best avoided. Hope this helps. Do take care and all the very best. Sincerely,
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