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Overview

Crohn's Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Crohn’s disease is basically a chronic inflammation disease that occurs in the digestive tract and affects the lining. It can be extremely painful. This disease is quite rare and does not have a cure as of now. However, the treatment focusses on making the condition more manageable. Crohn’s disease can last for many years, or even your entire life. The treatment centers on the symptoms of the disease including abdominal pain, fatigue, anaemia, vomiting, and any other complications that may develop from having this disease.

There are many treatment options available for Crohn’s disease, which is fortunate because not all the options tend to be effective on everyone. The effectiveness of the treatments largely depends on your medical history and your body type. Your doctor may recommend one or more of these treatment types as time goes on. The first and main type of treatment is medication. You will be prescribed a series of drugs in dosages that are specific to your needs. Nutrition therapy is also commonly suggested for people who have Crohn’s disease. Doctors also often prescribe immune system suppressors to help with the inflammation that comes with this disease. Furthermore, a series of other, random medications can also be prescribed to help you deal with symptoms or other complications that may occur.

If none of the treatment types work, your doctor may also suggest surgery in order to reduce the impact of the disease. While the surgery will not cure the disease itself, it can help gain relief from the symptoms of the disease.

How is the treatment done?

Crohn’s disease is only diagnosed after all other possible diseases and infections are ruled out. This is because there is no specific test designed to diagnose this disease. However, once it is determined that you have this, the treatment options will be laid out in front of you. One of the most commonly used treatment methods is to prescribe anti-inflammatory drugs. Since Crohn’s disease leads to inflammation in the lining of your digestive tract, this is one of the best ways to combat it. Immune suppressants are another line of treatment. These medications target the immune system and dull the effects of the part of the system that causes inflammation to indicate that something is wrong. Often, this line of treatment works very well. Antibiotics are also another option.

As this disease affects the digestive system, nutrition therapy is one of the most important treatment types. Since the bowel is inflamed, it may not be able to absorb nutrition from food correctly. Therefore, a feeding tube is often administered, or nutrition is administered through an IV. This allows your bowel to rest and calm down, which reduces the overall inflammation as well. Furthermore, nutrition therapy is often combined with medications. You will be required to have a low fiber diet in order to allow your body more time to absorb nutrients from food. Depending on the kinds of complications you develop from this disease, you can also be prescribe anti-diarrhoea medication, pain medication, nutritional supplements, pills to help you sleep, multivitamins, and other medications. The idea is to make the disease more manageable.

If none of these work, the doctor will perform a surgery. During the procedure, the damaged parts of the digestive tract will be taken out. However, it is important to note that this only helps you maintain and control the disease, and does not fully cure it. Surgery is quite common in people suffering from Crohn’s disease.

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

People who have been diagnosed with Crohn’s disease are eligible for seeking out any of the treatment options. You can seek medical attention the minute you feel any discomfort.

Who is not eligible for the treatment?

People who have not been diagnosed with Crohn’s disease are not eligible for seeking out the treatment for the condition. People with Crohn’s disease who have not tried other treatments are usually advised not to jump into surgery straight away.

Are there any side effects?

Since there is a wide range of treatment options, there are multiple side effects with each that you need to be vary of. If you are being treated with medications that are anti-inflammatory, you may be prescribed corticosteroids. These should not be used for a prolonged time period and are mostly used when other medicines don’t work as they can lead to weakness in the bones. If you are being treated with immune suppressants, some of the risks that can come with it are an increased vulnerability to infections in general, liver inflammation, brain disease, and weakness. With surgery, the side effects include bruising, swelling, pain, and a dependency on IV feedings if you develop a short gut. It is important to note that the medications that you may be prescribed for other complications can have side effects too. You should not take too many pain killers as they can make the disease worse after a certain point. Antibiotics naturally raise the temperature of the body and you can expect a mild fever to occur while you are taking them.

What are the post-treatment guidelines?

Since there is no cure for Crohn’s disease, all the post treatment guidelines are applicable for the rest of your life. One of the most common guidelines is to watch your diet and ensure that any inflammatory food is not taken in the system. This can include dairy products, high fiber foods, and acidic foods. Spicy food, alcohol, and caffeine will need to be avoided as well. Other lifestyle changes such as reducing stress and quitting smoking are also ones that will have to be made. Regularizing your fluid intake and eating small meals can help you manage your Crohn’s disease in a better way.

How long does it take to recover?

Crohn’s disease can last for years, or even an entire lifetime. Therefore, there is no set recovery period for the same. Often, the disease goes into remission with the help of medications and a controlled diet. However, you can always expect it to eventually come back.

What is the price of the treatment in India?

Most medications in India cost anywhere between Rs. 50 – Rs 150, depending on the brand you prefer and the dosage you have been prescribed. If you have Crohn’s disease, it is advisable to see a dietician. The cost of seeing a dietician in India can range from Rs. 3000 – Rs. 5000 per month. Finally, surgery can be quite expensive. It can cost anywhere between Rs. 1,50,000 to Rs. 4,00,000, depending on where you are getting the surgery and the city you live in. Hospitalization rates also differ largely from city to city.

Are the results of the treatment permanent?

The results of any treatment, including surgery, are not permanent when it comes to Crohn’s disease. This is because there is no cure for the disease. You can only hope to suppress the symptoms for as long as possible, or to make the disease a bit more bearable for yourself.

What are the alternatives to the treatment?

There are certain home remedies and alternative treatments that you can look into to make the disease more manageable. Herbal and nutritional supplements can help, however it is advised to consult with your doctor before adding them to your diet. Some studies have found that adding probiotics to your diet can help with keeping the Crohn’s disease in remission. To manage pain, some people resort to acupuncture.

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: High Price Range: Rs. 50 - Rs. 150

Popular Health Tips

Crohn's Disease - How Surgical Management Can Help?

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
Crohn's Disease - How Surgical Management Can Help?

Life can be tough when living with Crohn’s disease as it is a chronic condition. Especially with the disease is marked by phases of relapse and remission, it requires a long-term management to keep the symptoms in check. Though the flare-ups can be typically contained using medications, some of the patients with severe symptoms or complications arising from the illness would require surgery.

Before we proceed with the surgical management of the disease, it is essential to understand what Crohn’s disease is in case you are not aware of it. It is a chronic illness in which the intestine or the bowel have become inflamed or marked with ulcers and sores and is a part of disorders collectively known as inflammatory bowel disease(IBD).

When does Crohn’s disease require surgery?
Typically, patients who are suffering from complications of Crohn’s Disease may require surgery. This may include the formation of a scar that is causing the bowel to narrow down and leading to obstructions, extensive bleeding from the intestine, perforation in the bowel wall or the formation of fistula or abscess. The fistula may be formed in the connecting area between two body parts that do not meet. Also, a condition known as toxic megacolon where the large intestine or the colon becomes severely stretched out causing the toxins to spread all through the blood requires surgical intervention.

What are the different surgical options available for Crohn’s disease?

The surgery chosen for Crohn’s disease is dependent on various factors such as where the disease has affected, how severe the disease is and most importantly what complication will be treated by the surgery. Here are some of the types of surgeries done for treating Crohn’s disease:

  1. Strictureplasty: If the small intestine is affected by the disease, it may show up in the alternating areas of the bowel. Strictureplasty is a surgical way of widening the narrow area of the small intestine into a portion which has been affected by the disease. It doesn’t involve removal of the intestine.
  2. Resection: This is yet another surgical process where the affected part of the intestine is removed. It may be required when the stricture has become elongated. The removal of the diseased portion of the intestine may be able to offer some relief from the symptoms.
  3. Colectomy: This surgery refers to the removal of the entire colon, and it is done when the disease is severe and extensive.
  4. Proctocolectomy: When both rectum and colon are affected, both these parts are removed by a process called proctocolectomy. When this process becomes necessary, the waste materials drain into the bag which is emptied every day.

Since, the surgical intervention aims to manage the disease, your doctor would be able to recommend the most suitable option as per your condition.

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

3559 people found this helpful

Crohn's Disease - What All Should You Know

MBBS, MD-Medicine, DNB-Gatroenterology
Gastroenterologist, Gurgaon
Crohn's Disease - What All Should You Know

Crohn’s disease is a condition characterized by the inflammation of the digestive tract or gut. The inflammation caused by Crohn’s disease can lead to severe diarrhoea, abdominal pain, fatigue, malnutrition and weight loss. It is also known as enteritis or ileitis.

Crohn's disease is a form of Inflammatory Bowel Disease (IBD) out of the two main forms. The other form is known as Ulcerative Colitis.

Causes-
The accurate cause of Crohn's disease remains unknown even today. Formerly, stress and diet were made accountable, but now it is known that these factors aggravate it but are not responsible for causing Crohn's disease. Factors such as heredity and an abnormal reaction in the immune system play a role in the development of this disease.

A bacterium or virus may also play a role in its development. For instance, E. coli bacteria has been associated with Crohn's disease. Smoking can be another risk factor.

Symptoms
Crohn’s Disease is known to be a very individual condition. It can effect any part of the gut, starting from the mouth and down to the anus. In the most common cases, however, the ileum (the lower part of the small intestine) or colon (part of the large intestine) is majorly affected.

Its symptoms may vary from person to person, and depend on the location of the disease in the gut. Crohn’s disease develops gradually, but sometimes it comes suddenly, without any warning. Symptoms exhibited change over time, with intervals of good health when your body shows no symptoms (remission) and periods of bad health when your symptoms are more vigorous (‘flare-ups’ or relapses).

Some of the major symptoms of Crohn’s disease when it is active are:

  • Abdominal pain
  • Diarrhoea
  • Fever
  • Tiredness
  • Fatigue
  • Anal Fistulae
  • Mouth ulcers
  • Loss of appetite and weight loss
  • Perirectal Abscesses
  • Anaemia

Patients suffering from severe Crohn's disease also may experience:

  • Inflammation of the bile ducts or liver
  • Inflammation of eyes, joints and skin
  • Delayed sexual development or growth, in children

Diagnosis
There is no specific diagnostic test known for Crohn’s disease. Patients with fever, abdominal pain and tenderness, diarrhoea with blood, and anal diseases such as ulcers are sometimes diagnosed with Crohn’s disease. Elevated white blood cell counts and sedimentation rates are mostly demonstrated in laboratory blood tests. Both of which suggest infection or inflammation in the digestive tract. Other blood tests may reveal low blood proteins, low red blood cell counts (anaemia), and low body minerals, reflecting the loss of these minerals due to chronic diarrhoea.

Conclusion
Although many effective medications are available in the market to control the symptoms of Crohn’s disease, yet there is no cure developed for it. Surgery can extensively improve the quality of life in certain individuals, but the reappearance of this disease after surgery is familiar to many. A better insight into the role of environmental factors and genetics in causing this disease can help in improved treatments and prevention.

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

1809 people found this helpful

Crohn's Disease - When Should You Go For Surgery?

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
Crohn's Disease - When Should You Go For Surgery?

Crohn's Disease is a medical condition that falls under the category of Inflammatory Bowel Disease. Crohn's disease triggers inflammation of the digestive tract resulting in ulcerations and sores, mostly affecting people between 17-30 years (people of other age groups can also be affected). The inflammatory disease is a chronic illness that gives rise to a host of complications such as frequent and chronic diarrhea, fever, rapid weight loss, abdominal pain, to name a few.
Unfortunately, there is no permanent treatment available for Crohn's Disease. However, effective remedies and treatments are available to reduce and manage the symptoms and complications associated with Crohn's Disease. Many people dealing with Crohn's Disease have benefitted immensely from surgery.

When surgery is recommended for Crohn's Disease?

A surgery becomes essential when the medicines and other nonsurgical treatments fail to control or manage the symptoms and complications triggered by Crohn's Disease, some of which include

  1. Severe intestinal inflammation followed by uncontrolled bleeding
  2. There is a bowel abscess or a perforation
  3. Toxic Megacolon (a fatal condition whereby the large intestine swells up and also becomes dilated due to the inflammation that affects the intestinal walls)
  4. Fistula
  5. An intestinal blockage or narrowing of the intestinal

The surgery for a Crohn's Disease can be of different types depending on the part of the digestive tract affected.

  1. Colectomy: This is mainly carried out in the case of the Crohn's Disease causing such extensive damage to the colon that it needs to be surgically removed. Following the removal of the colon, the small intestine may be connected to the rectum to ensure that the bowel movement is not affected.
  2. Bowel Resection: A bowel resection is usually performed to treat a fistula or to get rid of the diseased and inflamed portion of the intestine to avoid further aggravation.
  3. Proctocolectomy (Ileostomy): This surgery is performed to get rid of both the rectum and the colon affected extensively by Crohn's Disease. Here also, post removal of the organs, the surgeon connects the small intestine (end part or the ileum) to the stroma or a small opening in the abdomen. This rearrangement is done to ensure that the wastes from the small intestine get eliminated.
  4. Stricturoplasty: This surgery goes a long way to open up the areas of the small intestine that have narrowed down due to Crohn's Disease.

Risks associated with the surgery
Every surgery comes with their share of side-effects and risks. In the case of Crohn's Disease, the surgeries can give rise to complications such as

  1. Pain, swelling, bruising is common.
  2. There may be Infection at the site of the incision.
  3. Scarring at the incision site.
  4. There can be a blockage of the bowel (temporary or short-term)
  5. Surgical removal of the diseased part of the small intestine can trigger inadequate absorption of the vital nutrients (Short-Gut Syndrome).

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

3168 people found this helpful

Abdominal Pain - Know the Causes Behind It!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Abdominal Pain - Know the Causes Behind It!

There is hardly any individual across the world, who has not experienced abdominal pain. In most instances, these aches are not very serious and can be diagnosed and treated by addressing the underlying condition. It is very crucial to recognize the symptoms which are severe and know when an individual should seek medical assistance. 

Most common causes of abdominal pain: 

Some of the most common causes of abdominal pain include indigestion, infection, menstrual cramps. It may also be due to food poisoning and allergies, irritable bowel syndrome, gas formation and bloating, lactose intolerance, pelvic inflammatory disease or ulcers and hernia, gallstones and kidney stones, urinary tract infection, Crohn’s Disease or gastroesophageal reflux disease. 

Some patients have abdominal pain but the source of pain lies in the spine. These patients are often seen by multiple doctors and have undergone many tests but their diagnosis is never established. These patients should visit a pain specialist to reach a diagnosis and treatment plan. They have conditions like neuropathies or facet joint arthritis which cause abdominal pain due to a condition known as referred pain. 

Symptoms of abdominal pain that are cause for concern: 

  1. Abdominal pain along with any sign of dehydration or fever or is unable to pass stools.
  2. Abdominal pain associated with tenderness in the abdomen, painful and frequent urinations or persistent loose motions or bloody/ tarry stools. 
  3. Severe or recurrent abdominal pain.

Determining the cause of abdominal pain and treating it.

  1. Detailed medical history and thorough physical examination would be performed. Further tests like USG, Endoscopy etc may be needed to reach a diagnosis. 
  2. The treatment of abdominal pain is entirely dependent on the cause of the pain. If you wish to discuss about any specific problem, you can consult a doctor.
4614 people found this helpful

Causes, Types and Symptoms of Crohn's disease

FELLOWSHIP IN ADVANCED LIVER SURGERY AND LIVER TRANSPLANTATION, FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, MASTER OF SURGERY, MBBS
Gastroenterologist, Ahmedabad
Causes, Types and Symptoms of Crohn's disease

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:
1. Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. 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.
3. Crohn's colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
4. Ileitis: This type affects the ileum and the symptoms are identical to those of ileocolitis.

5. 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.

Causes
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:
1. Immune system problems
2. Genetic disorders
3. Environmental factors
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
2. In rare cases, there may be blood in your stool.
3. In more intense cases, you may even develop a fever.
4. Cramping and intermittent belly pain.
5. Anemia, due to a reduction in iron levels caused by bloody stools.
6. Weight loss.
7. Erratic appearance of small tears in the anus, called anal fissures.

1899 people found this helpful

Popular Questions & Answers

Hi, I have been going through a nightmare with my body more so my colon over the past year. Back on May 17th of 2017 I was rushed to the hospital due to sepsis shock due to an infection that never showed it self. Lucky I survived, but been having issues since then. Since the infection in May of 2017 I been having unformed stools ranging from very soft to watery. About 30% of my bowel movements have contained blood. Over time they have appeared to be getting more flat and a lot of mucus on the soft ones. I been tested and have chronic disease and ulcerative colitis with diverticulosis. Now keep in mind this has been going on since May of 2017. Now on June/July of 2018 I been on a month long of antibiotics total of 7 different antibiotics and on aspriso. On September 16th of 2018 I went to the ED and had a cat scan done and it came back saying I have a decompress colon with intramural fat deposits throughout. They also did a c-diff test done and tested positive. I was in the hospital for 2 days and on vancomycin 2.5 ml every 6 hours for 10 days. Still having soft/watery stools with blood. On September 21st of 2018 I went back to the hospital where they did blood work and another cat scan. The radiologist has stated “ no acute findings in the abdomen or pelvis to explain patients pain”. But they know I have colitis, chrohns, and diverticulosis. There findings that day he said on the report has shown diverticulosis and also now bilateral uncomplicated fat-containing inguinal hernias. They never tested again for c-diff. I was sent home. On October 3rd of 2018 I went back to the ED at this point the vancomycin has been done and still the same symptoms. They tested for c-diff after I have argued with them. The test camp back positive within 27 min. I’m admitted again. They give me flagyl then vancomycin again. They did urine test and it came back with high protein and RBC but nothing else done with that. Then they did another cat scan that now came back with bowel wall thickening in the sigmoid part of my colon. 2 days later I’m discharged and sent home on a tapering vancomycin. I’m still having bloody soft/watery stools. But now I keep getting “ everything is fine there is nothing wrong”.

Masters In Clinical Psychology
Psychologist, Lucknow
Hi I believe you should discuss your concerns in detail with a mental health professional to gain an insight about nature of problem and ways to overcome it through psychotheraputic techniques Consult with me or any psychologist for therapy and counseling Connect with me through text or audio on Lybrate app All the best Seek help for early recovery.

Please suggest Ayurveda antibacterial herbs for bacterial infections (ileal ulcers)

BAMS, M.D.Alternative Medicines
Ayurveda, Bangalore
1.Bilwa 2.Kutaj 3.Nagarmotha 4.Rasanjan 5.Shalmali 6.Amruta. U need to share your detailedhistory investigations and previous treatment details to understand your problems. The selection of the medicine depends upon the underlined cause pathology and individual assessment. For more information you can consult me online with your details and reports.
1 person found this helpful

Sir, I am suffering from terminal ileitis with ulcer problem so what should my precautions and how to recover as soon as possible.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Cooking for the Ulcer Patient: Foods to Avoid Meats with a high fat content. High-fat condiments. Citrus fruits and juices. Tomato products. Coffee and tea — either caffeinated or decaffeinated. Alcoholic beverages. Spicy foods. Chocolate.

What is Crohn's disease? Is this curable? How to diagnose this one? If curable what's the treatment?

MBBS
General Physician, Mumbai
It is auto immune disease of the intestines and we can control it but not cure it fully and to be diagnosed with a biopsy through lower giscopy and as of now we give steroids with symptomatic treatment.
2 people found this helpful

Hi my daughter is having cronh diseases, she is 15 years old. She is taking MERCAPTOPUR 50 mg everyday. Can you explain me about the disease and the medication she is taking now.

DHMS (Diploma In Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
Hi Lybrate user it's very uncommon &incurable if not treated many times need surgery actually it's inflammation of small intestine mainly jejunum &duedenum ,along with abdominal pain, diarrhoea, acidity, weight loss, blood in stool genarlly found so need proper management and treatment. Its may be controlled by homoeopathic treatment if you want you can contact with me privately for better advice &also treatment best level, take care of your daughter & you, thanks.
2 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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Guide On Dental Crowns
Hi friends!

This is Dr.Premendra Goyal. I m dentist from Mumbai.

Had some of the other time everyone may be directly or indirectly have known about Dental Crown. Now when you visit a dentist every one gives you a choice. This is a crown, this is a crown, and this is a material available and creating to lot of confusion. Mind you be very sure whatever your dentist is suggesting, may it be a 1000 rupees cap or 10,000 rupees cap, may it be a white color or a metal cap. They are not bad for you in any way. The broad choices available for dental crowns are metal crowns; which are something called white metal, they probably look more like steel. Then there are something called as porcelain fused to metal crowns; where a thin metal shell are is covered by ceramic which is a tooth color material which matches your tooth very well. In nowadays we have a something called as zirconia or metal free crowns which are very aesthetic, which look very lifelike your natural teeth. Now as we progress from a simple metal crown to a complicated zirconia crown which are fabricated using advance technology over CAD/CAM, total computerization, the cost factor increases. But so does the cosmetic value, maybe the life and sometimes some companies do offer long-term warranties on those caps. But believe me you start with a metal cap , they may look like steel but by far if you ask me they become the best choice of a cap today, because there are single piece metal casting. But again yes, they have a big drawback of having a steel like color so they are not acceptable today. The second choice as I said Porcelain fused to metal, they are very good they look like life-like again but the only drawback is over a period of time they create a black margin near the gum that is due to the tattooing effect due to the metal inside. Now thirdly you have those metal free zirconia crowns which actually look like your actual teeth. To express them in words is difficult because you need to actually feel them, you need to see, next to your natural teeth you hardly make out the difference. So when going for dental crowns please don t be confused, go according to your budget and the aesthetic zone which demands what sort of crown you want. But by far be very sure whatever your dentist is suggesting is not going to harm you in any way.

Be happy, be healthy, keep smiling. Thank you! For more information you can contact us via Lybrate. Thank you!
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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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Lifestyle Diseases
How Yoga and Naturopathy helps manage Lifestyle diseases?

Vedic Namaskar. Mai Dr. Suresh Gujjar. Naturopathy and Yog Department, Vedic Gram. Mai aaj aap ko bata raha hun aaj ki bhaag daud wali zindagi mein jo rogo se hum garshit ho rahe hai un rogo se bachaw k liye Yog aur Naturopathy ka kya mehetwa hai. Yog aur Naturopathy k dwara hum uss lifestyle jo humari kharab ho chuki hai, jo jewan chariya hum bekar kar chuke hai un sab se bahar aane k liye, un bimariyo se bahar aane k liye Yog aur Naturopathy aap ka kaise help karta hai. Sabse pehle aaj subah uthne se leke shaam ko sone tak hazaro aise kaam rehte hai jinka sharirik aur mansik dabaw humare upar rehta hai.

Aaj 3 saal se lekar k 100 saal ka jo baccha ho yuwa ho ya wridh ho sabhi tanaw wali zindagi jee rahe hai. 5 saal ka baccha hua nahi ki usko bag leke school jana hai, shaam ko tution karna hai fir video game ya TV se uski puri lifestyle, fir raat ko late se khaana, late se sona hai, subah late uthna hai yehi aaj lifestyle humari ho gayi hai. Air pollution, jaise hi hum bahar nikalte hai puri pollution hi pollution nazar aati hai, in sab se jo rog ho rahe hai, sabse zyada diabetes, madhumeye k rogi bohot hi zyada aaj aap k samne dikhai dete hai. High blood pressure, mansik tanaw, pet ki samasyayein jo fast food k karan ho rahi hai, in sab mein naturopathy kya kam karta hai, yog kya kam karta hai, kaise un chiz ko, un bimariyo ko hum dur kar sakte hai.

To Naturopathy kya karta hai, Naturopathy ka matlab hai prakritik. Humara sharir jo hai unhi 5 tathwo se bani hai jinse prakriti bani hai- aakash, wayu, aagni, jal aur prithvi. Ye 5 mahabhut. Inhi panch mahabhuto se humara sharir bana hai. Prakriti swayam mein ek chikitsak hai, agar hum prakriti k sath chalte hai to bade se bade asadhya rog ko bhi hum prakritik chikitsa k dwara, yog k dwara thik kar sakte hai. Lekin aaj hum allopathy chikitsa k taraf, fasat result mile islye hum injection, tablets inhi pe zyada wishwas karte hai. Lekin ye sab kya karte hai, humari bimari ko thik karne k bajai inhe daba rahi hai, aur jo bimari dabti hai, koi bhi chiz ho, agar dharti k niche bhi koi chiz dabti hai koi hulchal hoti hai to wo jwalamukhi k roop mein bahar nikalta hai. Aise hi humare sharir k andar jo toxins ikkatthe ho jaate hai to wo kisi na kisi rog k roop mein, kisi badi bimari k roop mein, shuruwat mein phode phunsi ityadi k roop mein bahar nikalne lagte hai ya kabz ya ulti waman in chizo k dara bahar nikalne lagte hai. Aur agar kaafi lamba procedure ho jaata hai to cancer, asthma aisi chize bhi dheere dheere ban jaati hai. To in chizo ko hum prakritik chikitsa k sath kaise thik kar sakte hai.

Wayu chikitsa mein upwas chikitsa jo Naturopathy mein bataya gaya hai, upwas ek bohot hi acchi ousadhi hai jaise ki pashuye bimar hone pe apna khaana aur peena chor dete hai waise hi agar insaan bimar hone pe upwas chikitsa ka sahara le leta hai to bagair kisi problem k aapne bimari ko thik kar sakta hai. Aise hi hum jal chikitsa mein aate hai, jal k visesh prayog hai. Aaj hum jaldi jaldi khaade hoke paani peete hai, bootle se paani pete hai, bhagte huye paani pete hai, eksath adhik paani pete hai. Prakritik roop se bhi kaha gaya hai k upar waale ne humein 32 daant diye hai, jo khaana khaate hai jaldi nahi khaa pa rahe hai, fast food kha rahe hai. 32 daant ka matlab hai k pratyek grass ko aap ek ek bar chabao to wo bilkul liquid form mein aa jayega aur kaha gaya hai k paani ko khaane k tarah piyo aur khaane ko paani k tarah to aap k pet ki koi bhi problem nahi hogi. Agar aap ki lifestyle sahi hai, raat ko sahi time pe soote hai to na hi aap o sharirik aur mansik wikar honge na hi tanaw wysat honge.

Isme agar hum yog ka bhi sahara lete hai, to yog jiske baare main aaj kal bohot hi jankari ho gayi hai lekin aaj bhi logo ko yog k andar jo hai vo ab bhi logo ko nahi pata. Yog ka matlab sharir ko todna phodna yehi lagta hai. Lekin yog to ek bohot hi baada samundar hai uska ek chota sa hissa yoga hai. Humne sharir ko moda to hum yoga karte hai. Yog ka matlab hai aap apne aap ko sharirik, mansik aur adhyatmik roop se swasth rakhne ki jo kriya karte hai use yog kehte hai. Aap ne ek do aasan kar liye aur yog ho gaya nahi ye galat hai. Yog ka matlab wahi hai k aap aatma ko parmatma se milaye.

Lekin aaj hum sanskarik yug mein rahte hai jaha aatma o parmatma se milane ka matlab aap apne aap ko swasth kaise rakh paate hai. Sharirik, mansik aur adhyatmik level pe aap apna balance kaise bana k rakh paate hai, isilye yog k andar visesh aasana, aasana k andar hum pranayam, dhyaan, in 3 chizo ko bhi agar hum apnaate hai to hum bohot chizo se mukt ho sakte hai, bohot se wikar dur kar sakte hai. Agar hum sharir k andar bina koi dawai liye bhi, bohot se aisi chize hai jaise nariyog, humare naari k surya aur chandan, aap bohot se bimaari ko surya aur chandan chalakar bhi thik kar sakte hai.

Iski agar aap ko adhik jankaari chahiye to aap Vedic Gram me aa kar humse sampark kar sakte hai ya Librate pe humse sampark kar sakte hai.
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