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Mr. Rishabh

Gastroenterologist, Noida

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Mr. Rishabh Gastroenterologist, Noida
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Mr. Rishabh
Mr. Rishabh is a trusted Gastroenterologist in Sector-108, Noida. You can visit him at Rishabht in Sector-108, Noida. Save your time and book an appointment online with Mr. Rishabh on Lybrate.com.

Lybrate.com has a number of highly qualified Gastroenterologists in India. You will find Gastroenterologists with more than 30 years of experience on Lybrate.com. Find the best Gastroenterologists online in Noida. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Don't Ignore the Acute Abdominal Pain

MD - Internal Medicine, MBBS
General Physician, Gurgaon
Don't Ignore the Acute Abdominal Pain

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

  1. Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
  2. Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
  3. The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
  4. Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
  5. Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
  6. The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.

Conditions which might cause acute abdomen pain are:

  1. Meckel's diverticulitis or Acute appendicitis
  2. Acute cholecystitis
  3. Ectopic pregnancy
  4. Acute pancreatitis.
  5. Peptic ulcer disease
  6. Diverticulitis.
  7. Intestinal obstruction, including paralytic ileus (adynamic obstruction)
  8. Pelvic inflammatory disease.
  9. Gastrointestinal (GI) haemorrhage
  10. Gastroenteritis.
  11. Acute intestinal ischaemia/infarction or vasculitis.
  12. Acute urinary retention
  13. Renal colic or renal tract pain
  14. Testicular torsion
  15. Abdominal aortic aneurysm
  16. Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
  17. Rare causes might include thromboemboli, phytobezoar, and phytobezoar

Diagnosis of abdominal pains:

  1. Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
  2. Following tests can be done to rule out the condition causing the abdominal pain:
  3. Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
  4. Crossmatch or group and save
  5. Pregnancy test in women of childbearing age
  6. Blood cultures
  7. Peritoneal lavage in case of an abdominal trauma
  8. Urine analysis
  9. X ray of the abdomen, ultrasound, CT scan
  10. ECG and cardiac enzymes
  11. Laparoscopy should be a routine procedure
3025 people found this helpful

I am having a problem with sleep I am feeling very tired and lazy all day and I do not have a fix routine nd having acidity related problems too my point is how can I cure these problem.

DRCH, BHMS
Homeopath, Bareilly
I am having a problem with sleep I am feeling very tired and lazy all day and I do not have a fix routine nd having a...
May be your problem of sleep is related to acidity problem. Eat light meal at night and do not lie immediately after eating. Have a walk and then go to bed. Go to bed at right time after switching off your mobile. Once you take proper sleep in night then laziness problem in day time will be solved.
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I am 21 years old. I don't have good digestive track and I burp many times. What should I do to improve my digestive track? What should I avoid eating and what should I eat to improve my digestive tract?

BHMS
Homeopath, Delhi
I am 21 years old. I don't have good digestive track and I burp many times. What should I do to improve my digestive ...
You can follow some useful treatment at home for that:- 1. Honey take a medium glass and fill it with hot water. Add the juice of 1 lemon and 1 tablespoon of honey to it. Drink this after waking up in the morning as a first thing. Practice this remedy on a regular basis and you will certainly notice the difference. 2. Hot water drink around 1 litre hot water on an unfilled stomach. This will cleanse the body thoroughly. 3. Tomatoes eating raw tomatoes also helps in reducing the belly fat. 4. Ginger steep water and add ginger to it. Then, add honey and pepper. Simmer it for 5 minutes. Honey helps in dissolving the fat while ginger and pepper will increase the metabolic rate. 5. Mint add 1 tablespoon honey, a pinch of pepper, and some crushed mint leaves to a cup of hot water. Let it to steep for 5 minutes. Strain and drink the liquid to get a flat tummy. Mint soothes the abdomen while honey and pepper dissolves the fat and boosts the metabolism. 6. Apple cider vinegar consume apple cider vinegar with your food. It will make your stomach fuller, thereby curbing your appetite. This remedy not only helps in reducing the chubbiness of your tummy, but also in regulating the blood sugar level.
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Hello doctors am 30 years old man and have digestion problem. Mucus comes imy stool. This is problem for long time. I want to get ayurvedic median. please provide some ayurvedic medicine name.

MBBS
General Physician, Mumbai
Hello doctors am 30 years old man and have digestion problem. Mucus comes imy stool. This is problem for long time. I...
Avoid spicy food in your diet and also avoid peanuts and potatoes in your diet and eat only curd rice or khichdi for few days and drink only boiled water.
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Hi I am suffering from ulcerative colities since 11 year, relapse after 3-4 year, is there any Ayurveda medicine treatment?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi,you might went through so many literature of ulcerative colitis, ayurveda u can really take on uc, with basti n medicines.
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Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

MBBS, MD MEDICINE, DM - Gastroenterology
Gastroenterologist, Jaipur
Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient’s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient’s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor’s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

• Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

• Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

• Persistent upper abdominal pain

• Unexplained weight loss and loss of appetite

• Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient’s needs.

3663 people found this helpful

I am 53 years male I am suffering from peptic ulcer past 20 years also piles.what can i do?

LCPS, BAM&S
General Physician, Pune
Peptic ulcer and piles together point to a heavily spiced diet including red chilly powder. Your body is complaining through the intestines, that you need to control stress and diet. See a lifestyle consultant who will advise you correctly on diet, exercise, rest and mental piece. You need it urgently to prevent further lifestyle diseases like heart disease, diabetes, hypertension etc.
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I have pain in left side of abdomen. I have done ultrasound result / impression which is written on my report which I quote below "1. LEFT LOWER URETERIC CALCULUS (4 X 3 MM) 2. MILD HYDRONEPHROSIS-HYDROURETER (LEFT). What's its meaning and what should now I do or suggest me suitable medicine and please elaborate both the points of ultrasound report. Thanx.

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
I have pain in left side of abdomen. I have done ultrasound result / impression which is written on my report which I...
Stone in urinary tube and mild back pressure changes in left kidney. Not a very major problem Water intake 8-10 glasses in 24 hrs Avoid ice cream, tomato,capcicum because of high calcium content Serum calcium Uric acid Urine culture and sensitivity Blood Sugar check.
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I am 50 Years old I am having shoulder pain and some times I am facing difficult in taking breath. And also having sciatica getting gas trouble. Please help.

MD - Pulmonary Medicine, DNB, DAA, MNAMS
Pulmonologist, Navi Mumbai
I am 50 Years old I am having shoulder pain and some times I am facing difficult in taking breath. And also having sc...
Pain killers will cause gas and you will need antacid medications. Please see a chest specialist and may need rheumatologist opinion also.
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Dear sir I am 40 years men since last 3 months problem in fissures and burning pain after stool, need to solution only homeopathy and ayurvedics.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathy aesculus pentarkan (wilmar schwabe india) 20 drop in 20 ml fresh water 3 timesdaily nux vomica 30 (dr. Reckeweg) 1 drop night direct on tongue acid nitricum 30 (dr reckeweg) 1 drop twice daily direct on tongue fissure salbe (bioforce) apply locally at night after cleaning the area.
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How t get relief from high acidity problem, any exercises to be done?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
How t get relief from high acidity problem, any exercises to be done?
1. Drink 100-500 ml of tender coconut water twice a day for relief from hyperacidity Mix equal parts of powdered fennel, licorice root, basil leaves and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (or unrefined sugar) 15 minutes before lunch and dinner. 2.Make a powdered mixture of equal parts of rock candy (or unrefined sugar), fennel, and green cardamom. Whenever you feel heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink. 3.Avoid tea, coffee, and carbonated or alcoholic beverages.Especially stop drinking bed tea. 4.Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking. 5.Curd should be strictly avoided at night. 6. Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama,Shitali Pranayama and Shitkari Pranayama. 7.Drink plenty of fluids and water. 8. Avoid constipation. 9. Take 1 tsf avipattikar churna empty stomach twice a day with water/ 20 days and 2 tab soothshekhar ras twice a day 30 min after meals with little water/10 days. 10. Revert back after 10 days. Take Care.
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From last two days this is happening with me. I just cannot control my urine, and it is so frequent that I need to urinate literally after 5-5 mins. Also during urinating I am experiencing a severe lower abdominal pain, near where our urethra is located. What must be the issue? I am really concerned.

PGD Maternal Child Health, MBBS
General Physician, Akola
From last two days this is happening with me. I just cannot control my urine, and it is so frequent that I need to ur...
You have not mentioned about having or not fever with this problem. If you are having fever with chills this may be due to acute infection in bladder called cystitis. In absence of fever or slight fever it can also be due to a small stone or calculus in the bladder near the neck of bladder irritating the sensitive area and causing frequency of micturition. Get a microscopic urine examination and for presence or absence of crystals. A ultra sonogram of abdomen for jidney ureter and bladder will be helpful in visualizing the calculus if of enough size to produce echo.
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I have gastritis problem. I used so many home remedies to cure it. But no use. Now I can't eat any kind of spicy foods. What will I do? Please help me.

MS - General Surgery, MBBS
General Surgeon, Delhi
I have gastritis problem. I used so many home remedies to cure it. But no use. Now I can't eat any kind of spicy food...
Maintain proper hygiene, take filtered water only. No smoking, no alcohol if any. Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2 hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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I have mucus in stool and I am taking medicines for this. Can I take egg whites, or boiled chicken for my protein requirements because I go gym regularly?

MBBS, cc USG
General Physician, Noida
I have mucus in stool and I am taking medicines for this. Can I take egg whites, or boiled chicken for my protein req...
better to avoid these food item till your stomach is okay as these item you mentioned are very heavy and take long time to digest
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Sir mujhe pareshani h. Bhojan thik se na pachna, Bhok na lagna, kabjiyat ,acidity , bar bar ulti hona. please help

BHMS
Homeopath, Delhi
Sir mujhe  pareshani h. Bhojan thik se na pachna, Bhok na lagna, kabjiyat ,acidity , bar bar ulti hona. please help
avoid oily n spicy food. tk alfa alfa tonic in homoeopathy. drinks plenty of water. tk papaya like fruits in ur diet n green vegetables.
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I have severe abdominal pain sometimes. I don't eat much junk foods. But sometimes I skip my meals when I am busy at my work. What should I do?

MCh HPB Surgery, Fellow, European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
Avoid chilli in any form. Take plenty of water and green leafy vegetables. Please get liver function test and ultrasound whole abdomen done and upload the reports. Then I will prescribe medicines.
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My age is 29 years my problem is acidity. Heart burn chest pain back pain hath pair me jhanjhnahat jakdan hath pair me kamjor. Pet saaf nahi hota. Problem before 6 month. Khana khane ke baad acidity evening time weakness fever type. Kai jagah treatment karwaya par koi fayada nahi hua . Nagpur me Sara checkup karwaya blood sugar urine chest X-ray endoscopy. But all checkup is normal. Pleas suggest me specialists doctor.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
My age is 29 years my problem is acidity. Heart burn chest pain back pain hath pair me jhanjhnahat jakdan hath pair m...
1. Cap pan-d twice daily before meals. 2. Syrup digene 15 ml thrice daily after meals 3. Cap medigas twice daily after meals. 4. Aerobic exercise - 45 minute walk daily. 5. Plenty of salads and fruits in diet. 6. Avoid oily and fried food. 7. Eat small frequent meals. 8. Avoid chillies, spices, cauliflower, beans, peppers,
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My digestion s not good and prone towards gastric trouble. Plse advise some medicine which can be of daily use and help in building digestive digestive systems and eradicates gastric trouble.

BAMS
Ayurveda, Ambala
My digestion s not good and prone towards gastric trouble. Plse advise some medicine which can be of daily use and he...
Follow these best tips to make your digestion strong & healthy - *take 10 gms powder of carom seeds (ajwain, 10 gm powder of cumin (jeera), 10 gm of rock salt. Mix them well and take 1/2 teaspoon (3-5 gm) of mixture daily after meal. *take 1/2 teaspoon of black pepper (kali mirch), 1/ 2 tea spoon of jeera (cumin), 2-3 slice of ginger. Boil it in one glass of water for 2-3 minutes. Drink 5-10 teaspoons (15-20 ml) in morning and evening. * take 1 tea spoon of liv-52 syrup daily one time. * walk for atleast 15-20 minutes daily and avoid long duration continuos sitting. * avoid taking nonveg at night & in day time after taking meals, do not sleep in day.
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I am a 23 years old male from Hyderabad. I usually have spice food, so sometimes it takes time to digest and sometimes I have chest pain because of acidity. Gas tablets give some relief to sometime, but not for more time. Is there any solution for better digestion.

MS - General Surgery, MBBS
General Surgeon, Delhi
I am a 23 years old male from Hyderabad. I usually have spice food, so sometimes it takes time to digest and sometime...
Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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I am 31 years male suffering from ulcerative colitis and lower back pain what should I do to get rid of this problem. Also I am looking for a diet chart to follow. What should I not take in my meals.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 31 years male suffering from ulcerative colitis and lower back pain what should I do to get rid of this problem....
We have good treatment in homoeopathy. If you are interested, please let me know along with any related problems.
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