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Overview

colitis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Colitis is defined as an inflammatory bowel disorder and is characterised by inflammation in the inner lining of the colon (large intestine) and rectum. The inflammation generally begins in the rectum and the lower part of the large intestine and gradually spreads upward to the entire colon. Colitis hardly affects the small intestine except for the lower part, which is known as the ileum. For a person suffering from colitis, with time as the cells on the surface of the lining of the large intestine die and slough off, ulcers develop resulting in pus, mucous and bleeding. The inflammation of the inner lining of the colon may cause diarrhoea and/or frequent urge for emptying of the colon.

The symptoms of a person having colitis may vary depending upon how severe the inflammations are and where the inflammation occurs. Some of the common symptoms of such a disorder include diarrhoea along with blood or pus, abdominal pain or cramping, loss of appetite, rectal pain, bleeding of rectum, anaemia due to excess bleeding, urgency to defecate, inability to defecate despite urgency, fever, weight loss, weakness and lack of growth in children. A few patients may also experience some indirect symptoms such as skin lesions, inflammation of eyes, osteoporosis, rashes, kidney stones, liver disorders and joint pain. A patient having such symptoms should immediately consult a doctor for proper diagnosis and treatment.

The diagnosis of patients suffering from colitis involves obtaining the medical history of the patient, physical examinations and a few laboratory tests. A few popular ways of diagnosis are laboratory examination of stool sample, abdominal computed tomography, abdominal X-rays and colonoscopy. Once the severity of the condition and the area of inflammation within the colon is accurately diagnosed, the treatment begins and it includes both medical as well as surgical treatments (if found necessary by the doctor).

How is the treatment done?

The first step for the treatment of the problem of colitis calls for proper diagnosis. Diagnosis of colitis involves laboratory examination of stool sample and imaging studies such as abdominal computed tomography, abdominal X-rays and colonoscopy. Once the severity of the condition and the region of inflammation within the colon are accurately diagnosed, the treatment begins. The problem of colitis is usually treated either by drug therapy or by surgery.

There are several categories of drugs that may prove effective in the treatment of colitis. The type of drug prescribed by the doctor mainly depends on the severity of the condition that a patient suffers from. Moreover, the response of patients to various drugs may also be different and hence it might take some time for the doctor to find out the appropriate medicine that would be effective for a particular patient. In addition to this, it is important for physicians to weigh out the benefits as well as the side effects of various medicines before prescribing them to their patient.

The drugs prescribed by the doctor for the treatment of colitis mainly include anti-inflammatory drugs, immune system suppressors, antibiotics, anti-diarrhoeal medications, pain relievers (except ibuprofen, naproxen sodium and diclofenac sodium as they tend to worsen the symptoms and increase the severity of the disease) and iron supplements. The common anti-inflammatory drugs used in the treatment of colitis include amino-salicylates and corticosteroids. The immune system suppressors used for treatment are azathioprine, mercaptopurine, cyclosporine, infliximab, adalimumab, golimumab and vedolizumab.

However, in severe cases of colitis, where medical treatment has no effect, the doctors may recommend for surgical treatment. The surgical treatment involves the removal of the entire colon and rectum (proctocolectomy) of the patient. This surgical method is followed by another process known as ileoanal anastomosis where the surgeon constructs a pouch from the end of the patient’s small intestine and attaches it to the anus. This pouch functions similar to rectum and collects the stool of the patient and helps in excreting them out normally.

Who is eligible for the treatment? (When is the treatment done?)

Any person irrespective of their age and having symptoms such as diarrhoea along with blood or pus, abdominal pain or cramping, loss of appetite, rectal pain, bleeding of rectum, anaemia due to excess bleeding, urgency to defecate, inability to defecate despite urgency, fever, weight loss, weakness due to inflammation of the inner lining of the large intestine or rectum is said to be suffering from colitis and is eligible for this treatment.

Who is not eligible for the treatment?

People who do not suffer from the symptoms of colitis are considered as not having this disease and are not eligible for such treatment. Moreover, if a patient suffers from serious side effects of a particular treatment of colitis, then the doctor may recommend switching to some other effective form of treatment of the disease.

Are there any side effects?

Like most other treatments, medications used for treating colitis also have some side effects. It is important for a patient to know how to differentiate between the symptoms of colitis and the possible side effects that may arise from its medications. A doctor, who prescribes the medicines for a patient of colitis, must always weigh out the benefits as well as the possible adverse side effects of the medication. Some of the common side effects of the treatment of colitis include headache, nausea, vomiting, fever, rash, loss of appetite, decreased white blood cells, decreased sperm production in males, diarrhoea, abdominal pain and cramps, gas, hair loss, dizziness, kidney problems, weakness, pericarditis, pancreatitis, high blood pressure, weight gain, mood swings, acne, osteoporosis, cataracts, high blood sugar levels, insomnia, lymphoma and others. In case a patient suffers from some serious side effects then he/she must immediately consult a doctor for remedial measures.

What are the post-treatment guidelines?

The treatment of colitis involves a number of medications and proper diet (mainly fluids and excluding any type of spicy food). Even after the patient recovers from this problem, he/she needs to follow some guidelines given by the doctor in order to stay healthy. The post treatment guidelines to be followed by a patient include taking the medicines regularly on time, having a healthy diet, taking plenty of fluids to avoid dehydration and practising regular exercises to facilitate proper bowel movements. Even after recovery the patient needs to go for follow-up check-ups on a regular basis as instructed by their doctor. In case, a patient suffers from any side effects during the time of medication then he/she should consult a doctor for its remedy

How long does it take to recover?

The time taken for a patient of colitis to recover from this problem usually varies depending on the seriousness of the condition and the physiological response of the patient to the prescribed medications. Usually cases of mild colitis may take about 3 to 4 days to recover for children and about one week for adults. However, patients suffering from severe colitis may even take 3 to 4 weeks to recover from this condition.

What is the price of the treatment in India?

The price of the treatment of colitis in India varies depending upon the seriousness of the condition of the patient and the medication that his/her doctor prescribes. Usually mild colitis can be treated with medicines that can cost as low as Rs. 1300 (for full treatment). However, patients suffering from severe colitis may require costly medications and even surgical treatment (if necessary) and for such treatments the price range can be between Rs. 57,400 to Rs. 7,87,500 in India. This treatment is available in almost all leading hospitals in India.

Are the results of the treatment permanent?

It should be remembered that colitis, being an auto-immune disease characteristically has a relapsing-remitting course and this means that there are periods of flare-ups which are then followed by a period of remission. Presently there are no medical treatments for the complete cure of colitis. The medical treatments only tend to lessen the severity of the condition. However, conditions such as inflammation of the bowel, bloody diarrhoea and abdominal cramping can be stopped with surgical treatments.

What are the alternatives to the treatment?

Although medical and surgical treatments are considered as the best ways to control the conditions of colitis, there are a few alternative treatments as well. The alternative treatments for the conditions of colitis include taking of herbal and nutritional supplements, probiotics, fish oil (although excess consumption of fish oil can cause diarrhoea), Aloe Vera gel, acupuncture therapy and/or turmeric. In addition to this, the patient should avoid consumption of spicy food, dairy products, alcohol, beverages and fibres in their diet. Eating of small light nutrition-rich meals at regular intervals throughout the day, plenty of water and multivitamin supplement helps to recover from this condition.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: Medium Time For Recovery: High Price Range:

Rs. 57,400 – Rs. 7,87,500

Popular Health Tips

Ulcerative Colitis Surgery - Tips For Quick Recovery!

MBBS, MS - General Surgery, Fellowship In Laparoscopic & Robotic Onco-Surgery, Fellowship In bariatric surgery, F.I.A.G.E.S
General Surgeon, Delhi
Ulcerative Colitis Surgery - Tips For Quick Recovery!

Most patients suffering from ulcerative colitis are advised to undergo a surgery as that is oftentimes, the last option remaining for them. Failure of other treatments to bear any results leads to the need for a surgery. There are two main categories of surgery options; however, the difference lies in where the waste pouch will be placed following the ulcerative colitis surgery.

A patient who is planning to go through the ulcerative colitis surgery procedure must be aware of the recovery period and its duration. Since the surgery is an invasive and an intensive procedure, the recovery time is lengthy. So, naturally, before you arrive at any decision it is recommended that you consult your doctor, surgeon and other healthcare professionals about the procedure.

Ulcerative colitis is not a curable disease, but if your colon and rectum are removed, the symptoms of ulcerative colitis can be treated. But educate yourself as you may still have to live with a number of side effects of the surgeries, even after the incisions have healed. This is the reason that you must prepare yourself both physically and mentally before making any decision, which should be based on the information available.

Tips for Quick Recovery
The recovery from ulcerative colitis is quite tricky. As it is an invasive surgical procedure, the recovery time is lengthy. However, you should not fret yourself with that. With the required care and doctor’s advice, you will be able to return to your daily life in full vigor. In order to improve your recovery and hasten the process, you will be given a detailed file of information that you must follow strictly. These tips are:

  • After the surgery, you may have to remain in the hospital for 3 to 7 days. This is a mandatory protocol as it allows your surgeon to monitor your incisions and treat any complication or infections.
  • Any procedure that you may opt for, a total of 4 to 6 weeks is a minimum requirement for recovery.
  • During this time, you will be asked to meet your surgeon regularly and in some cases an enterostomal therapist as well. An enterostomal therapist is a specialized doctor who only deals with patients who have had their colon removed. So you should make an appointment with an enterostomal therapist, suggested by your doctor, and have him/her review your case.
  • Eat nutritional healthy foods to avoid any complications.
  • Stay hydrated by drinking at least 2-3 liters of water per day.
  • A rehab therapist or a physical therapist will help you to move towards your normal life, by keeping you active and recommending rejuvenating exercises that won’t hamper your health.
  • Manage stress and anxiety as they cause stomach issues.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1983 people found this helpful

Ulcerative Surgery - What Should You Know?

MBBS, MS - General Surgery
General Surgeon, Pune
Ulcerative Surgery - What Should You Know?

What Is Ulcerative Colitis?
Ulcerative colitis is a chronic, inflammatory condition of the colon and the rectum. It affects the mucosal lining of the large intestine (colon) and the rectum. The rectum is present just above the anus.
In this condition, patients have ulcers and abscesses in their colon and rectum.

Symptoms are seen periodically. The symptoms are severe pain in the abdomen, blood in stools and diarrhea. Anemia is seen due to decreased healthy red blood cells as a consequence of bleeding in stools.

When is surgery required?

  • The colon has ruptured
  • There is extensive bleeding
  • The treatment results in severe side effects affecting the patient's health
  • Drug therapy fails to provide results
  • When it progresses to colon cancer
  • Surgery for Ulcerative colitis

There are 2 types of surgeries:

  1. Colectomy: Surgery performed to remove the entire colon
  2. Proctocolectomy: Surgery is conducted to remove both the colon and rectum. It is considered as the standard treatment for ulcerative colitis.

Procedures for the surgery

  1. Ileostomy: The entire colon and rectum are removed and the surgeon creates an opening or stoma in the abdominal wall particularly below the waist. Stoma allows waste from the intestines to exit the body. The tip of the lower small intestine is brought through the stoma. An external bag, or pouch, is attached to the stoma. This is called a permanent ileostomy. Stools pass through this opening and collect in the pouch. The pouch must be worn at all times. Before an ileostomy, the surgeon will perform a proctocolectomy. They will perform the ileostomy in the hospital, and the patient receives a general anesthesia.
  2. Ileal Pouch Anal Anastomosis (IPAA): This is also called a J-pouch. This is a procedure that does not require a permanent stoma. The patient is still able to eliminate stool through the anus. A pouch is constructed at the end of the ileum and attached to the anus. This is called a J- pouch. As with the ileostomy, the patient will need a proctocolectomy before an IPAA. An IPAA is done in a hospital, and the patient will receive a general anesthesia.

Side-effects
Some people experience incontinence after the surgery. Medications may help control the function of the pouch.
Some women may become infertile after the procedure.

Recovery after Surgery
Both sets of the procedure will require a four-to-six-week recovery period.

  1. Keep your diet healthy: A healthy diet is essential because good nutrition can help the body heal faster and help avoid post-operation health issues. Absorption of nutrients can be an issue after these surgeries, so eating well will help in maintaining the proper level of nutrients.
  2. Keep yourself hydrated: Hydration is important for overall health, especially for the digestive health. Drinking six to eight glasses of water per day is recommended.
  3. Manage your stress: Anxiety or emotional stress can cause stomach issues, which can aggravate the complaint.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2892 people found this helpful

Ulcerative Colitis - How Surgery Can Help Manage It?

DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Ulcerative Colitis - How Surgery Can Help Manage It?

Ulcerative Colitis is one of the severe and chronic forms of Inflammatory Bowel Disease (IBD) that can throw life in a jeopardy. The condition that mainly affects the rectum and the large intestine can cause severe inflammation, ulceration, and abscess formation. The ulceration or the inflammation of the colon and the rectum left unattended for too long can give rise to deleterious consequences including damage and perforation of the colon, osteoporosis. Various studies also suggest that ulcerative colitis can increase the risk of a person suffering colon cancer.

Like most of the IBD, there is no definite cure for ulcerative colitis. The illness is a chronic condition and can flare up or recur at any point in time. Though medications may help to control the damage and the complications triggered by ulcerative colitis, a surgery may be essential in case of

  • Severe damage to the colon.
  • The nonsurgical treatments could do little to improve the conditions.
  • There is an increased risk of colon cancer.
  • Ulcerative colitis has resulted in Toxic megacolon (a life-threatening condition where the large intestinal muscles have dilated with some swelling).
  • There are extreme discomfort and bleeding.

Surgeries to deal with Ulcerative Colitis

  • In the case of Ulcerative Colitis, the nature of the surgery depends on the extent to which the colon or the rectum or both have been affected and damaged.
  • In the case of extensive damage with a high risk of colon cancer, the surgeon may perform Proctocolectomy or colectomy
  • Colectomy may involve
    • Removal of all of the colon- Total Colectomy
    • Removal of the diseased part of the colon- Partial Colectomy.
  • Following the excision, the surgeon may carry out necessary rearrangements to reconnect the remaining portion of the colon to the abdomen through an opening known as stroma (the procedure is known as colostomy).
  • In case of Total Colectomy, the small intestine will be connected to the abdomen by a process known as Ileostomy.
  • Proctocolectomy involves the removal of both the rectum and colon to avoid further aggravation.
  • Following the proctocolectomy, the surgeon may carry out Ileoanal Anastomosis (Ileal Pouch-Anal Anastomosis). In this procedure, a pouch is created using a small part of the small intestine. This pouch is then connected to the anus to help in the elimination of the wastes.

General precautionary measures to control Ulcerative Colitis
Making healthy lifestyle and dietary modifications can go a long way to control ulcerative colitis and the associated symptoms.

  • Spicy foods can worsen the incidence of ulcerative colitis. Enrich your diet with lots of fruits, vegetables (squash, avocados, fish (especially salmon and tuna), meat, dairy products, olive oil, walnuts, flaxseed oil, almonds.
  • Make sure the diet is a low-fiber diet.
  • Avoid alcoholic and caffeinated drinks and beverages, foods high in sulfur content, refined sugar.
  • Research suggests stress and lack of physical activities can aggravate the ulcerative colitis. Mediation and daily exercise can produce fruitful results.
  • Make sure your sleep is not compromised (6-8 hours daily).

In case you have a concern or query you can always consult an expert & get answers to your questions!

3406 people found this helpful

Ulcerative Colitis Diet - Foods To Eat And Avoid!

MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Ulcerative Colitis Diet - Foods To Eat And Avoid!

Eating good and healthy food always contributes to the overall wellbeing of a person. Same holds true for the patients suffering from ulcerative colitis (UC). Ulcerative colitis patients need certain dietary modification to bring about a change in their condition. Though this condition isn’t directly caused by the food but the frequency of flare ups is influenced by the food taken. Below mentioned is the list of foods to eat and avoid.

Food to be Consumed
Usually, for ulcerative colitis, low fibre and low residue foods are considered the best since they are easy to digest. Here is a list of foods that can be included in the diet:

  1. Vitamin D: This vitamin boosts the immune system to fight the risks of ulcerative colitis flare ups. Since the sun is the best source of Vitamin D, it is important that a person gets as much exposure to the sun as possible.
  2. Probiotics: Maintain a balance between good and bad bacteria of the gut which in turn alleviates the symptoms of this condition.
  3. Omega-3 fatty acids: Omega-3 fatty acids have an anti-inflammatory effect, which can help alleviate intestinal inflammation caused by ulcerative colitis. Salmon is one of the best sources of Omega-3.
  4. Eggs: Eggs are typically easy to digest and offer a number of nutrients which makes them one of the best choices for the patients of UC.
  5. Plenty of fluid: People with this condition need to drink extra fluid, as diarrhoea can lead to dehydration.
  6. Supplements: Dietary supplements also help in balancing the nutritional needs of a patient.

And last but not the least there are many anti-inflammatory foods that help in reducing the ulcerative colitis flare-ups include turmeric, cloves, ginger and rosemary.

Foods to be Avoided
A patient should closely monitor what s/he is eating as the studies have revealed that the symptoms of ulcerative colitis are closely associated with diet. The following list will help you cut off the chances of UC flare ups.

  1. High Fibre Food: Are difficult to digest so should be cut off from the diet. It’s best to moderate the intake of fruits and vegetables with insoluble fibres.
  2. Oily and Fatty Foods: The greasy food can aggravate the symptoms of UC as well as can cause diarrhoea.
  3. Spicy foods: Spicy foods may disturb your bowel movements, so it is best to limit the intake of chillies, chilli powder, paprika, peppers etc.
  4. Dairy products: Patients of UC are mostly lactose intolerant. So, these patients should avoid dairy products.
  5. Seeds and nuts: Seeds and nuts are hard to digest, and it is best to avoid them if you are suffering from ulcerative colitis.

Ulcerative Colitis is just a disease which can be avoided by maintaining a proper diet and making few dietary modifications. One should eat smaller meals a few times per days instead of eating large ones.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3610 people found this helpful

Ways To Deal With Ulcerative Colitis!

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
Ways To Deal With Ulcerative Colitis!

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

  1. Side-effect of certain medicines
  2. Hormonal imbalance, especially during pregnancy
  3. Sudden withdrawal from medication
  4. Any infection or other medical condition

How to deal with the UC flare-ups?

  1. Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
  2. Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
  3. Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
  4. You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.

Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

  1. Proctocolectomy and Brooke ileostomy.
  2. Abdominal colectomy and ilcorectal anastomosis.
  3. Proctocolectomy and Kock pouch.
  4. Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).

The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist

In case you have a concern or query you can always consult an expert & get answers to your questions!

6 people found this helpful

Popular Questions & Answers

Mai lagbhag 18 month se mesacol 800 mg tablet kha raha hu iska kitna month ka course hota hai mujhe ulcerative colaitice ka problem tha kitna din aur khana padega ye tablate.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
You may have to continue it for long. Many times you may require additional medicines and even surgery. So visit your physician regularly.
1 person found this helpful

I have ulcerative colitis. Please sir I want to know my diet plan and about medicine. Now my weight 73.5 and I want to grow up my weight.

MD - Gastroenterology
Gastroenterologist, Delhi
If your disease is controlled, you can take normal diet. Take turmeric with milk and water. If disease is not controlled, increase your medicine after consulting a gastroenterologist. contact us for further treatment and life long follow up.
7 people found this helpful

What is ulceration of intestine. Is apc a successful procedure? Are solitary rectal ulcer syndrome and ulcerative colitis the same?

MBBS
Gastroenterologist, Gurgaon
Hello sir, An ulcer in the upper (small) intestine is a raw place or sore in the lining of the part of the intestine that connects to your stomach, yes apc is a successful procedure. No, ulcer syndrome and ulcerative colitis is not same.
1 person found this helpful

I have suffered ulcerative colitis. please suggest some medicine I got depressed due to this. My mother also have same. I go 2 toilet 2wice a day. Toilet hard sometime soft and sticky Too much gas. Wt 68 but feel weakness in legs and hand.

MD - Psychiatry
Psychiatrist, Chennai
Ulceartive colitis has strong correlation to mind and requires medications from psychiatrist apart from gastro, it will lead to wonderful recovery and fewer relapses. Consult any psychiatrist. All the best.
2 people found this helpful

I am suffering from Ulcerative Colitis for more than 2 years. I have tried Mesacol tablets Mesacol Enaema. It worked ok in the beginning then their effect wasn't much. So I switched to Ayurvedic Medicines since I heard it can be cured with that and its almost 1 month, can't see any significant difference. My life has become a living hell. Im passing motions like almost 6 times a day now from 3 earlier. I'm running out of options. Please help me. Please.

MBBS, MD-General Medicine, DM-Gastroenterology, Advanced endoscopy fellowship
Gastroenterologist, Visakhapatnam
Dear Mr. lybrate-user I am sorry to hear that you are suffering from ulcerative colitis please let me stress upon the following things to make you better and understand about this disease and outcomes 1. The disease gets worse with stress, anxiety and psychological depression. So first relax yourself 2. You need to visit only a qualified medical gastroenterologist and please followup him up regularly and be compliant to those medicines 3. Changing docotors in attempt to loom for a better treatment will put varying and differing opinions in your mind. This would add to more stress confusion and anxiety. So please stick on to a single gastroenterologist. Do enough research before choosing your gastroenterologist. 4. It is a life long disease and you need to deal with it. So please make up your mind and be strong good luck and get well soon.
6 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Know More About Eye Problems
Hi,

I am Dr. Varun Gogia, Director Eye clinics advance eye care and senior consultant Ophthalmology at Forty SeaDoc taking care of all their diabetic patients and having eye problem.

We at diabetic eye clinics or our eye clinics advance eye care have a single motto of patient first, vision first and we provide all comprehensive and complete eye care very affordable prices for all our patients. The services provided by us include a complex retinal therapeutics and diagnostics which include three dimensional OCT, diluted examination fluorescein angiography for diabetic neuropathy fundoo phrosis for various retinal disorders and lasers. in lasers we have a very specialized machine which is a multi-spot laser which is extending the benefits of reduction in total duration of the laser and reducing pain which is not available in many of the centers of Delhi and NCR region. Apart from that state of art endoscopic switcher less retina surgeries are being performed for all kind of complex retinal problems like Aetna detachment, macular hole, ERN s, diabetic retinal detachment, diabetic ERN s and various severe disorders. Apart from that we extend this care to our patients even post-operative period by providing them with protect me recovery support system which help them in maintaining their position even after the surgery which helps them in the success of the surgery. Having done my senior in see my graduation and post-graduation from a premier institute of all India with medical sciences we hear them at making the diagnosis at a very initial stage thus preventing the total visual loss specifically you will and retinal disorders like separgenous colitis, acute retinal process. Apart from these kind of services have a state of the art institute for cataract surgeries, Lasik surgeries other glaucoma and squid surgeries and uplopastic surgeries.

If you want to contact me, you can contact either, either through Lybrate, or you can come to my clinic at Eye clinic s advance eye care. Thank you.
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Homeopathic Treatment For Chronic And Recurrent Diseases
Hello!

My name is Dr. Rajesh Shah. I am founder and director of Life Force Homeopathy. We started Life Force somewhere in 1985 and in last 33 years we have been able to treat patients from across the world. Currently our operations are based in 180 countries and we have been treating cases which are little more difficult and little resistant to the regular line of treatment. When we talk about Homeopathy, it is very important that every educated person on this planet is well informed of the scope of Homeopathy for treatment of various diseases. Homeopathy is specially effective for more of chronic and recurring diseases. Of course homeopathy has great scope in the treatment of acute disease as well however homeopathy possibly is not so great for critical diseases such as microbial infection, heart attack or accidents etc. So coming back to the treatment of chronic and recurring diseases which is a huge segment in fact.

These are the diseases which tends to remain for weeks or months or years together. They are resistant to conventional treatment or any other form of treatment then homeopathy has to be thought of. Some of these diseases in this category are for example various forms of allergies, skin allergies, respiratory allergies, allergic dermatitis etc. They respond extremely well to homeopathy. The condition such as bronchial asthma, recurrent colds, recurring infections etc. they also respond extremely to homeopathy. A range of conditions called autoimmune diseases which could affect various parts of the body such as gastrointestinal tract, stomach, intestine where you have gastritis, ulcerative colitis, affecting the joints where you have rheumatoid arthritis including Spondylitis and so on and so forth.

Homeopathy has definite role to play in managing these diseases. Homeopathy is very popular in the treatment of skin diseases. A range of them in fact which may be named as for example- Psoriasis, urticaria, skin allergies, vitiligo etc. Homeopathy has to be considered extremely strong in the treatment of conditions affecting the children ranging from dyslexia, learning disorders, Autism, ADHD. These are the conditions with homeopathy is so effective and the children can be kept away from the frequent use of chemical based medicine. So likewise homeopathy is effective for almost 200- 300 different common diseases. For many of these diseases it's important that one examines, checks whether homeopathy has something to offer or not.

Homeopathy is not so good for certain critical conditions certain truly surgical conditions such as- hydrocele, hernia, cataract etc. Homeopathy is also not good for terminal cases of cancer or it is not good for coronary heart blockages and so on. So it is very important that the patient and the doctor have clarity about the scope of homeopathy as well as its limitation. To get treated at Life Force please visit our website Life Force Homeopathy or you could fix an appointment through Lybrate.

Thank you so much!
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Digestive Disorders & Gastrointestinal Diseases
Namaskar!

I am Dr. RP Singh. I am director and head of Liver and Kidney transplant and Gastro Sciences at Saroj Super Speciality Hospital in North West Delhi. I am also Director and Co Founder of Centre for healthy liver at our chain of clinics by the name of the Healthy Human Clinics. I ve done my MBBS and MS from prestigious Maulana Azad Medical College and after that I have done my M.Ch or super specialisation in gastro surgery from the prestigious GB Pant Hospital. At my time I was one of the youngest Indians in history, to do a M.Ch in GI surgery and the only one in Indian history among few who topped in all 4 Universities who conduct GI surgery exams. After doing my M.Ch in GI surgery from GB Pant Hospital, I was offered to be an assistant professor in GB Pant hospital. During that I ve done extensive work on various aspects of GI cancer, specially Gall-bladder cancer. After that I was in Ganga Ram hospital as a Liver transplant and a Gastro surgeon, following which I was in Apollo Hospital as a senior consultant of Liver Transplant and Gastro surgery where I was involved in more than 850 liver transplants and in all aspects of GI cancers. Following which I moved as a director and head to start Liver and Kidney transplant and Gastro surgery at Saroj Super Speciality centre.

In addition, I am running a very successful clinic by the name of Healthy Human clinic with a vertical name as Centre for healthy Liver. We are are dealing with all aspects of problems of liver and gastro. We are having an experience of more than 1000 transplant with a very high success rate. We have extensive experience in kidney transplant also. We are taking care of all the gallbladder problems including gallbladder stone, which is no more a problem for the general public now with our extensive experience. We have one of the largest experience in the world of gallbladder cancers, I have done most of my research in gallbladder cancer where I get patients from far and flung areas of India for their gallbladder cancer. In fact, I have published a series of the largest number of gallbladder cancer patient operated in the world and also proposed a new classification for gallbladder cancer and their staging and treatment which was accepted way back in 2010 and many people used to follow it. In addition to gallbladder cancer, we are doing extensive work on binar cancer, we are also doing a extensive work on gallbladder cancer and binar stone. Most of our patient comes for liver problem, gallbladder, liver and pancreas problem. We are having an extensive program for your fatty liver problem, for your obesity and weight loss problem, for your paediatric surgery problem.

We are having extensive work on pancreatic cancer and pancreatic stone. We deal with all aspects of the problem of degree track including cancer of the oesophagus, the problem in your food pipe and your swallowing and all problem in your stomach like cancer, ulcers and bleeding, the problem in your intestine like cancer abstraction and infection. The problem in your large intestine including cancer. We are also dealing with problems of inner canal including Hemorrhoids. we are also dealing with highly complicated surgeries including cancer of the Pelvis, involving Pelvic exenteration where multiple organs are involved and as well as ulcerative colitis and crohn's disease.

We put a lot of focus on prevention of problem to occur. We started with this concept where we not only wants to treat the patient once they have a problem but we also want the patient to come to us so that we can make a change in their life so that they do not have that problem. That's how the concept of health and health care and that's how the Healthy human clinic was born. We are running extensive program in prevention of all aspects of gastro problems and liver problem. We are running good programs of fatty liver, liver cancer, cancer of food pipe, stomach, small intestine and large intestine. We are taking care of all your gastro problems by both medical as well as surgical method. We are extensively trained in both open surgery as well as laparoscopic surgery with the success rate matches to the best hospital of the world.

With respect to that dear friends today I am going to talk a little bit about the GI cancer. GI cancer or gastro cancer is basically divided into three broad field, upper GI cancers, lower GI cancers and HPB cancers HPB in common language is called as liver, pancreas and bile duct, which are highly complicated cancers and my field of interest and my specialisation. In addition to upper and lower GI cancer which are known to the general public by the name of khane ke raste ka cancer, pait ke raste ka cancer aur aanton ka cancer. They are now coming ramping, the reasons are many and this is how and where we are trying to help, not only to operate and make you free of cancer but also to start a program where we can prevent your cancer. Dear friends, healthy lifestyle quitting of alcohol, quitting of smoking, quitting of paan, gutka and tobacco or any of its form.

Living a healthy lifestyle doing regular exercises, walking for 45 minutes everyday, cutting down on your sugar and salt, avoiding too much of fried and fatty food, avoiding fast food will go a long way in making you healthy and keeping you fit. In addition, I am running many articles in the newspaper for the health and awareness of many people and population. All these services are easily accessible and available at our healthy human clinic. I am always available on phone call at any hour of the day. We will try our level best to make you happy, to make you fitter, to make you satisfy and to give you the best possible standard of care in the world at our clinic.

Thank You!
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