Doctor in Care And Cure Clinic
Treatment of Acidity
Treatment of Abdominal Pain
Treatment of Jaundice
Treatment of Ulcer
Treatment of Blood in Stools
Treatment Of Alcoholic Liver Disease
Treatment of Peptic Ulcers
Treatment of Gastric Trouble
Treatment of GERD
Treatment of Irritable Bowel Syndrome
Treatment of Hepatitis B Infection
Treatment of Digestive Disorders
Treatment of Burning Sensation in Stomach
Treatment of Stomach Cramps
Treatment of Liver Disease
Treatment of Chronic Pancreatitis
Treatment of Gastritis
Treatment of Ulcerative Colitis
Treatment of Amoebiasis
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Patient Review Highlights
Realy amazing experience. Doctor is genious in Gastric problems. I have toooo much pain since 12 days, visited 3 doctors, addmited for 3 days but my stomach pain remains same, yesterday i visited to Dr Sachin Vani & in just 2 minutes he understood my problem & advised me some medicines, from only first day my most of pain is cured, also look to his reputation his fees is very reasonable. I am thankful to him, i experienced he is best doctor i have ever visit in gastroenterology.
He is the best GI doctor I have ever come across. Very talented and yet extremely humble. He cured my aunt when even other doctors was finding hard to treat. I will highly recommend him
Excellent. Listens to all the problems carefully and explained the causes and the solution.
He is very friendly doctor I ever meet.
Increased burping, sometimes hiccups, regurgitations especially after drinking tea? I am 18 years old. Acid reflux runs in my family so its not uncommon for me to experience this but what concerns me is the risk for complications like barrett's oesophagus. My dad also have this problem. Is there any risks for complications?
Exocrine Pancreatic Insufficiency (EPI), also called pancreatic deficiency, is a disorder where the pancreas is unable to produce the sufficient amount of enzymes that are required to digest food. The pancreatic enzymes help to break down and absorb nutrients from the food in the small intestine. So, this disease causes nutritional deficiencies.
Causes of Exocrine Pancreatic Insufficiency
This condition is generally caused as a complication of other diseases because EPI develops only as a result of severe damage to the pancreas. The following reasons can cause EPI:
- Inflammation Of The Pancreas: After surgery in the pancreas, stomach or the intestines, there may be inflammation in the pancreas as a post-surgical complication. A high content of triglyceride fat in the blood can also cause pancreatic inflammation and hinder the secretion of the enzymes.
- Chronic Pancreatitis: In this disease, the pancreatic ducts are swollen and blocked and so the digestive enzymes cannot be passed into the small intestine. This condition is often caused by a heavy consumption of alcohol.
- Cystic Fibrosis: The digestive fluids and enzymes become thick and sticky and block the passageways of the pancreas and other organs like the lungs and the kidneys. This can obstruct secretion and passage of enzymes afterwards.
- Shwachman-Bodian-Diamond Syndrome: This is an autosomal recessive genetic condition where enzyme-producing pancreatic cells are not formed properly. This rare disorder causes a number of associated disorders like bone marrow diseases, skeletal defects and exocrine pancreatic insufficiency.
Symptoms of Exocrine Pancreatic Insufficiency
The symptoms appear in the middle stages of the disease when the process of absorption of nutrients has already been affected. The common warning signs are:
- Digestive problems like gas, diarrhea and indigestion because the food remains mostly undigested.
- Severe and frequent stomach pain in the lower abdominal region
- Greasy stools due to the excretion of undigested fat
- Rapid loss of weight and body mass due to mal-absorption of nutrients
- Constantly feeling bloated and full even if you have not eaten anything
- A general sense of fatigue and exhaustion
- Excessive bleeding from small wounds because protein deficiencies hamper blood clotting
- Pain in the muscles and bones
- Increased susceptibility to infections of the body systems
- Joint pains
- Abnormal swelling of the limbs or edema
GERD or gastroesophageal reflux disease is a chronic digestive disease which occurs when the stomach acid and at times the contents in your stomach flows backwards into the food pipe. The backwash or reflux irritates the esophagus's lining and hence causes GERD. Individuals may manage GERD's discomfort by changing their lifestyle and by taking over-the-counter or OTC medications. But, certain people might also require stronger medications or surgery for reducing the symptoms.
Some of the basic signs include chest pain, burning sensation in the chest, dry cough, difficulty in swallowing, sore throat, etc. If you experience such symptoms at least twice a week or if your physician notices damage in your food pipe, then you might undergo diagnosis. Though drugs are the primary GERD treatment yet, an individual can manage it by following certain tips which may give relief.
Few ways to manage GERD- self-care tips:
- One of the effective ways to help yourself is by consuming smaller meals. Instead of taking three big meals regularly, you may try having smaller meals frequently and avoid stuffing.
- Almost all individuals tend to have dinner just half an hour before sleep, but this might affect GERD patients. It is best to eat 2 hours before going to bed as by doing so your stomach will get enough time to digest the food.
- Due to a hectic schedule and fast paced lifestyle, people tend to eat as quickly as possible. To manage GERD, one must eat slowly and put down the spoon or fork in between each bite.
- Changing the daily diet by striking off the trigger foods is beneficial in managing GERD symptoms. Though the food triggers vary from one person to another yet, it includes coffee, chocolate, peppermint, alcohol, tomato, citrus juices, onions, spicy and high- fat foods, etc.
- Sleeping with the head end of the bed elevated by 6 inches is a very effective way of reducing night time reflux. It is also advisable to sleep on your left side . Never sleep on the right side as this position promotes reflux. Medications to reduce acid production are the mainstay of the medical treatment.
- One always has to ensure that they are following the various lifestyle changes along with the medication. Other medications include pro kinetic medicines which help the stomach empty. Surgery always remains the last resort in the treatment of GERD. Endoscopy is required for the diagnosis or GERD Prior to any surgery a Manometry and 24 hr ph merry test is compulsory.
If you are suffering from GERD symptoms frequently, then you may maintain a diary for figuring out which foods are giving you trouble.
When is a surgery required?
If lifestyle changing tips and other medications fail to provide any relief, then physicians recommend undergoing surgery.
- Surgery is done for strengthening lower esophageal sphincter and also for reinforcing it. The surgery for reinforcing lower esophageal sphincter is performed by surgeons laparoscopically. The surgeon inserts instruments like a tiny camera and flexible tube by making 3-4 incisions in the abdomen. This surgery for managing GERD may be quite effective.
- Experts state that candidates who undergo GERD surgery are those who are unwilling to take GERD drugs or are not getting relief from them. While choosing a surgeon, it is better to consider one who possesses huge experience of the particular operation which you need and also with a good track record.
- So, you must visit a doctor if you experience frequent gastroesophageal reflux disease symptoms. It won't be a good decision to take OTC medications without your doctor's recommendation if you notice arm or jaw pain along with difficulty in breathing as these are signs of heart attack.
The diagnosis as well as management of pancreatic cystic lesions is a general problem. Nearly 1% of the patients in the chief medical centers have been observed to have pancreatic cystic lesions on cross sectional imaging. It has also been observed that a quarter of all pancreas scanned in an autopsy series contain pancreatic cysts. Earlier, these cystic lesions were regarded benign but with increasing evidence made available from the cystic lesions, they are regarded as origin of pancreatic malignancies.
Information on Asymptomatic Neoplastic Pancreatic Cysts
The most vital medical tools that are used in the diagnosis and management of pancreatic cystic lesions include the endoscopic ultrasound and cross sectional imaging. These are used to distinguish non-mucinous cysts from mucinous cysts. The identification of pancreatic cysts creates a lot of anxiety for the clinicians as well as the patients related to the probable presence of a fatal tumor. The findings of a macro cystic lesion that enclose viscous fluid loaded in CEA are helpful in the analysis of a mucinous lesion.
The most common pancreatic cysts are the non-neoplastic inflammatory pseudo cysts, and they can be detected easily by imaging. The identification of pancreatic irregularity with probable association with malignant cells is a vital source of referral for the specialist. The set of guidelines that have been proposed for the management and diagnosis of patients with asymptomatic neoplastic pancreatic cysts are based specifically on the analysis of the quality of the data. It is also designed to address the most important and frequent clinical scenarios. The diagnostic suggestions are provided based on the clinical problem as well as the risk of malignancy.
Imperative Guidelines to Follow
To achieve accurate diagnosis of asymptomatic neoplastic pancreatic cysts is indeed a great challenge. It is all the more important to find the reproducible methods that can be used to stratify threat of cancer for the patients. The main guidelines include a two year screening interval of cysts that can be of any size as well as stopping observation after 5 years, in case there is no change. The new guidelines, for the most part, recommend surgery if more than one concerning feature is confirmed on the MRI by use of endoscopic ultrasound. The new guidelines even suggest discontinuation of inspection after the surgery if no dysplasia or invasive cancer is identified. The guidelines have mainly been developed by use of Grading of Recomendations Assessment, Development and Evaluation.
One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.
Crohn's disease is subdivided into five types, each having its own set of symptoms:
- Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
- Gastroduodenal Crohn's disease - People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
- Crohn's colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
- Ileitis - This type affects the ileum and the symptoms are identical to those of ileocolitis.
- Jejunoileitis - In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.
Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:
- Immune system problems
- Genetic disorders
- Environmental factors, such as:-
- Certain edibles
- Viruses or harmful bacteria
The primary symptoms of Crohn's disease include the following:
- Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
- In rare cases, there may be blood in your stool.
- In more intense cases, you may even develop a fever.
- Cramping and intermittent belly pain.
- Anemia, due to a reduction in iron levels caused by bloody stools.
- Weight loss.
- Erratic appearance of small tears in the anus, called anal fissures.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Some traditions are unique in this country. On the top of the bill lies the ritual of sitting together with family during holidays and sharing a grand and unending meal. Although, this is really fun but the after effects of these get together are not very pretty; with the spread of hearty dishes, it becomes very hard to control the appetite and you end up overeating. Having a party with friends or watching football or cricket match that is directed towards relieving the situation, but in reality, it makes the situation worse. If this is the only viable means of following your tradition, then it is time to consider what you are doing to your body.
Gastric distresses is just the beginning: Overeating during the holidays can lead to unhealthy weight gain, and in case you are already overweight, then it may lead to obesity. Now this in turn would play its role in making you prone to heart diseases, blood pressure, diabetes and several other severe diseases. A single instance of eating more than you should may lead to short-term consequences that are not simply confined to bloating or excess gas. Expert gastroenterologists opine that seasonal overeating can have a ripple effect throughout the body which can also affect the nervous system.
Overeating is very harmful: After you have eaten more than your stomach can hold, the post-meal malaise you go through is not actually the outcome of the tryptophan in the chicken; it has resulted from the increase in blood flow through the digestive tract, and it's your body's way of protesting that you must stop now. Every disease has a cause that is often rooted in one's habits. One of the most prominent results of overeating is the deterioration of the digestive system. With a poor digestive system, you may feel nauseous, uneasy and a subtle weakness in the limbs and legs.
Limiting the function of major organs: If you eat more than your body can take up even occasionally, it will bring about an overload in the entire physical system casting a stress on the intestines, stomach, heart and other major organs. Your body has limited energy and blood and when you overeat, all the organs demand more energy for functioning optimally. Thus just half of the required resources reach your limbs and brain.
There are various ways of enjoying with your close ones and overeating though may appear to be a fun thing to do, it has the power to impair your system. But if you have already indulged in the same, it's probably time to visit your gastroenterologist to help the digestive system to soothe down. In case you have a concern or query you can always consult an expert & get answers to your questions!
Dyspepsia is an uncommon word, but a very common problem. This medical condition is more commonly known as indigestion of the stomach and small intestine. The symptoms of this condition include abdominal pain, bloating, belching, nausea and a loss of appetite. They come and go varying terms of frequency and intensity.
Some of the common causes of dyspepsia are lactose intolerance, anxiety, regurgitated stomach juices, stomach ulcers, irritable bowel syndrome and excessive caffeine or alcohol intake. In most cases dyspepsia can be easily treated with home remedies.
Here are the 5 best ways to treat it:
- Lemon juice: Lemon juice cleanses the digestive system by flushing out waste material and undigested food. It also inhibits the formation of acids in the stomach and boosts appetite. Dilute the juice of 1 lemon in a glass of water to avail its benefits. You could also add half a teaspoon of fresh ginger juice to this. Ginger also aids in digestion and prevents flatulence.
- Buttermilk: Buttermilk has cooling properties and helps calm the stomach and intestines. It is also suitable for people who are lactose intolerant. Drink a glass of buttermilk immediately after a meal to improve your digestion. You could also flavor it with roasted cumin powder or mint. Mint also helps in relieving indigestion and prevents buildup of gases in the stomach while cumin stimulates the secretion of pancreatic enzymes.
- Yogurt: Yogurt is the best remedy for any stomach bug. It is rich in probiotics that help restore balance healthy gut bacteria and stabilize digestion. Yogurt can be had as an accompaniment to your meals or mixed with steamed rice to make it a meal in itself.
- Fenugreek: Fenugreek boosts appetite and helps relieve indigestion. This herb is known for its soothing properties that cleanse the digestive system. Fenugreek leaves can be bitter and unpalatable. Hence, to benefit from this, boil the leaves and then lightly fry them in butter before eating them.
- Pomegranate juice: Pomegranate juice is an excellent way to treat indigestion and diarrhea. Its antioxidant properties also make it a good remedy for heartburn. To benefit from pomegranate juice, dilute the juice of a pomegranate in a glass of water along with a tablespoon of honey.
Along with this, also take a look at your eating habits. Avoid eating on the move and chew your food properly. Eat only when you are hungry and control your portion sizes. Lastly, make the time to exercise for half an hour or so every day.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Gall stones is becoming a common problem in adults of all age groups. Faulty eating habits, long gaps, spicy oily foods, prolonged fasting is making gall bladder work overtime and causing damage to it's inner lining leading to formation of stones. Gall stones can lead to sudden impaction with acute cholecystitis and or obstructive jaundice if it slips in the bile duct. You may suddenly have excruciating pain in right side of abdomen with vomiting.
Diagnosis is by doing ultrasound abdomen and liver function tests. If stones are small and you have no symptoms, they can be treated by medicines like ursedeoxycholic acid. If you start experiencing excessive acidity or abdominal pain, you will require treatment for same.
Treatment of large stones, symptomatic or impacted stones is laparoscopic or keyhole cholecystectomy i. E. Removal of gall bladder with stones and not only stone removal. As gall bladder is diseased and stones are a sequelae.
You have to admit for one day, surgery takes an hour approximately and you will be discharged next day. You will have minimal scars and can resume all activities in a week's time.
Prevention of gall stones is to inculcate good eating habits and timely food to be taken with a balanced diet.