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Overview

Digestive Disorders: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The digestive process is complex and takes place in the digestive tract and involves a number of organs. It begins with the esophagus that helps to carry food to the stomach. A number of different organs like the pancreas and the gall bladder produce digestive juices that help to break down the food for digestion. Digestive problems can occur at any stage of the digestive process. Gas is formed as a natural corollary of the digestive process and is passed out through your mouth or through our anus. Some foods tend to produce more gas than others. This is why is important to avoid consuming certain types of food. Unnecessary build-up of gas in the stomach and intestines may cause you to feel bloated. Bloating may lead to serious complications in the future. That is why it should be treated by incorporating some changes in the lifestyle.You can take lactase supplements, alpha-galactosidase, simethicone and probiotics.

Heartburn is caused due to indigestion and can make you feel really uncomfortable. You can avoid fatty and oily foods and aerated drinks if you are suffering from this condition and take some medication. Peptic ulcers cause stomach pain and can cause internal bleeding and may also cause a hole to be formed in the stomach wall. Normally, 10-14 days of antibiotic treatment together with acid reduction therapy works to alleviate this condition. Gallstones are made of cholesterol and bile salts and may require treatment in some cases. Removal of gallbladder can be done through laparoscopy and also via mouth or vagina without any external incision. Other disorders include constipation, diarrhea, hemorrhoids and others.

However for acute digestive disorders, the key treatments are gastric electrical stimulation and islet auto-transplantation for chronic pancreatitis.

How is the treatment done?

Gastric electric stimulation or GES is performed in patients who suffer from gastroparesis due to diabetes or any other cause. This method uses a device implanted in the abdomen to send mini electrical impulses to the smooth muscles and nerves of the lower stomach. Gastroparesis is the condition where the nerves and muscles of the stomach are affected and this delays the emptying of food from the stomach to the small intestine. It can happen in people with diabetes or nervous disorder and sometimes, the cause is not detected.

A pocket-watch size device is inserted in the abdomen by means of a surgery that generally lasts for 2-3 hours. Sometimes surgeons choose to use minimally invasive methods rather than going for an open abdominal surgery. In the former case, a small incision is made and a viewing tube called a laparoscope is used to guide the entire procedure. A neuro-stimulator is implanted in the right side of the abdomen while two insulated wires are implanted in the muscle wall of the stomach. It is then routed under skin to the neuro-stimulator and connected. The wires transmit low-energy electrical impulses to the stomach once the device is activated. The doctor activates and programs the device externally using a hand-held programmer. The doctor can adjust the frequency and energy of the nerve impulses according to the requirement of the patient. Most people, however, do not feel the electric impulses.

Chronic pancreatitis requires auto-islet transplantation after a total pancreatectomy which is the removal of the entire pancreas. Chronic pancreatitis is a serious condition which causes inflammation of the pancreas that worsens over time and leads to permanent damage. It gradually impairs a patient’s ability to digest food and make pancreatic hormones. During islet autotransplant, the patient’s own cells are kept separate from the pancreas. They are put back when the patient starts receiving insulin.

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

GES or gastric electrical stimulation is done when a person is diagnosed with gastroparesis due to diabetes or some other unknown cause. It can also be done if someone is suffering from chronic nausea, vomiting or both.

This treatment can also be initiated if a person has not responded to medication or if/she is intolerant towards medication. It should also be kept in the mind only those people capable of undergoing surgery should be given gastric electrical stimulation.

Those people who suffer from chronic pancreatitis are eligible for islet autotransplantation. Furthermore, if you have to take medication to treat other forms of digestive disorders, it is always good to consult a doctor first.

Who is not eligible for the treatment?

Gastric electric stimulation can only be undertaken by those patients who have the ability to withstand a surgery. People without such physical tenacity are not eligible for this treatment.

Islet autotransplantation for the treatment of chronic pancreatitis involves pancreatectomy. This procedure can induce permanent diabetes due to its effect on insulin. Thus people with diabetes or people at risk of developing diabetes should refrain from undertaking this treatment.

Are there any side effects?

Heartburn patients are generally prescribed H2 blockers which reduces the amount of acid that a stomach intakes. However, there are a number of side-effects of consuming H2 blockers: they can cause constipation, diarrhea, headache or nausea and vomiting. Islet autotransplantation involves the complete removal of the pancreas. This exposes the patient to the risk of developing permanent diabetes. A patient will then have to take insulin shots or to use an insulin pump for the rest of their lives. Gastric electrical stimulation may cause pain at the implant site, infection, stomach wall perforation, lead obstruction of intestines, lead/device problems and lead penetration, irritation, inflammation, uncomfortable stimulation, tissue damage and others.

What are the post-treatment guidelines?

Gastric electric stimulation helps to reduce symptoms of chronic intractable vomiting and nausea related to gastroparesis. But it is not a complete cure in itself for gastroparesis. It helps to reduce symptoms but patients generally need to take medication and follow a special diet to control the symptoms even after undergoing this surgery. Islet autotransplantation may induce permanent diabetes in some people. Those people will have to take insulin shots or will have to use an insulin pump for the rest of their lives.

How long does it take to recover?

Most patients are discharged within 1-5 days of gastric electrical stimulation procedure. However, as this surgery is not an end in itself, a person will have to go to the doctor for regular check-ups. Other digestive disorders like gas, heartburn, constipation and diarrhea may be treated within a time span of a few hours to a few days with the help of proper medication and a proper diet. The islet autotransplantation procedure is complex and a person may require quite some time to recover.

What is the price of the treatment in India?

Common digestive disorders like heartburns, gas, constipation or diarrhea can be effectively treated with the help of some medicines which do not cost much. Medicines for indigestion and heart burn are available within a price range of Rs 50-100. However, islet transplantation for treating acute pancreatitis is expensive and may cost about 10,00,000 – 12,00,000 rupees. Gastric electric stimulation may cost around 6 lakh rupees in India.

Are the results of the treatment permanent?

Common gastric disorders like gas, constipation, diarrhea and heartburms are more often than not the result of lifestyle irregularities. Thus there is seldom a permanent solution to such problems. Gastric electric stimulation is not an end in itself and patients will require medication and routine check-ups to keep the symptoms of gastroparesis at bay. Islet transplantation procedure may cause to reduce chronic pancreatitis but it tends to have a lot of side-effects.

What are the alternatives to the treatment?

There is no such alternative to islet autotransplantation as these method is adopted only when all other options fail. Chronic gastric stimulation is used to treat gastroparesis. Alternative methods to treat gastroparesis may include changes in the diet of the patient and medications. Such medications like metoclopramide and erythromycin can be used to stimulate the stomach muscles. Other drugs that help to contain nausea and vomiting may include prochlor perazine and diphenhydramine.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: Rs 300000 - 550000

Popular Health Tips

Exercise - Why It Is Important For Your Digestive Health?

MD - Medicine, DM - Gastroenterology
Gastroenterologist, Gurgaon
Exercise - Why It Is Important For Your Digestive Health?

A digestive system that is healthy and functions smoothly ensures sound health of both body and mind. If the digestive system faces any kind of interference, the body will be in trouble too. The way the body benefits from regular exercising so does the digestive system as well as the digestive process.

Keep on reading to understand the importance of exercise on digestion.

  1. Boosts the Blood Circulation: Exercise is known to boost the blood flow in the body. Blood being responsible for absorbing various nutrients from the digested food and then distributing them throughout the body, proper blood flow becomes necessary for the digestive system to function smoothly. The better the blood flow, the more efficient will be the digestive process, preventing risks of developing heartburn, gas, constipation, stomach cramps, etc.
  2. Increases the Metabolism: Exercise also helps in boosting metabolism. As a result, it makes the food move through the digestive system more quickly. The quicker the passage of the food, the lesser the load or work done by the digestive system. When the food fails to pass quickly, it ends up sitting and rotting in the gastrointestinal tract, causing acidity and other stomach discomforts.
  3. Helps in Maintaining a Digestive Routine: Exercise also plays a crucial role in helping the body maintain a healthy digestive routine. Yes, it is through exercising that you can help your body to better utilize the nutrient-rich food that you are consuming. It is not only the fiber-rich foods or necessary water consumption, but also exercise that can help in establishing a routine for the body, such as regular bowel movement.
  4. Makes the Muscles Strong: The role that regular exercising plays in strengthening the muscles around the intestines as well as the stomach say a lot about the relationship of exercise and smooth digestion. Just as the muscles of various parts of the body become strong, exercising strengthens the muscles involved with the digestion process. These muscles move the food through the intestines and stomach more easily and efficiently.
  5. Keeps the Mind Relaxed and Stress-Free: Excessive stress can cause the esophagus muscles to go into sudden convulsion or contraction, letting the stomach acid and the gastric secretions go back up the food pipe and interrupt the digestive process. The more stressed one is, the more hampered will be the process of digesting and absorbing nutrients. It is undoubtedly through regular exercising that both the mind and body can stay relaxed, and free from troubles caused by stress.

Before opting for any exercise, it's important that you consult a doctor first. This is because sometimes you may not be aware of your physical condition. If there are any underlying health problems, they could worsen further by random, strenuous exercise.
 

11 people found this helpful

Digestive Health - 8 Things You Should Just Say 'No' To!

MD - Medicine, DM - Gastroenterology
Gastroenterologist, Gurgaon
Digestive Health - 8 Things You Should Just Say 'No' To!

Knowingly or unknowingly, people often end up consuming food items that affect their digestive health negatively, instead of providing health benefits. Yes, the majority of people think that they can digest any kind of food and won't suffer from any side effects at all. But in reality, based on the preparation, processing, and ingredients present in them, some foods end up triggering digestive problems.

Let's take a look at some such foods that can be bad for the digestive health.

  1. Processed Foods: Processed or packed foods are high in carbohydrates, and can cause various digestive issues, such as bloating, cramping, gas formation, hypertension, and diabetes, when consumed in large amounts.
  2. Alcohol: Technically speaking, alcohol may not be a food; but if you consume alcohol every time you eat, it can be counted as a food item. When the consumption of alcohol is moderate to high, it can cause acid reflux or heartburn, inflammation in the stomach lining, stomach cramps, and even diarrhea.
  3. Artificial Sweeteners: Artificial sweeteners may work great for keeping your blood sugar in control but may affecctyour digestive system adversely. Artificial sweeteners contain ingredients that can increase the chance of bloating, gas, diarrhea, and inflammation.
  4. Fried and Greasy Foods: Fried foods and greasy food are not only difficult to digest but they can also cause minor digestive problems, which later lead to intense stomach conditions such as acid reflux, heartburn, bloating, tummy upset, belching, etc.
  5. Chocolates: Are you fond of eating chocolates? Having a sweet tooth can cost you your digestive health. From heartburn to an upset stomach, eating too many chocolates or candies can result in loose stools and diarrhea.
  6. Foods Rich in Spice: Eating too much of spicy foods and those that contain chili peppers for a tangy flavor can often lead to heartburn and acidity. While you may enjoy eating something delicious with a tangy and spicy taste, the damage it may cause to your digestive health can be a cause forconcern.
  7. Too Much of Caffeine: Drinking too much coffee or drinks with a high caffeine content cannot only irritate the stomach but also damage the smooth functioning of the digestive system. Heartburn, inflammation, constipation, and dehydration are some of the common digestive problems posed by coffee.
  8. Raw Vegetables and Acidic Fruits: While consuming too many acidic fruits can cause acid reflux and stomach inflammation, eating raw vegetables leads to cramps, diarrhea, bloating and gas as they pass through the digestive system undigested.

For those who are concerned about their digestive health, consulting a doctor is recommended. In case you already have a stomach related ailment or disorder or have suffered from any in the past, a doctor can suggest and advice you and what are the best foods to incorporate in your diet.

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

2996 people found this helpful

Life Hacks! How To Beat Alzheimer's

MBBS, MD-Medicine, DM - Neurology, MBA, PGD Hospital Administration, PGD Echocardiography, Fellow Neuro-Sonology, PGD Sonology
Neurologist, Jalandhar
Life Hacks! How To Beat Alzheimer's

Firstly, what you need to realise is that Alzheimer’s is not dementia and the main point you need to remember about the difference between the two is that the former is a disease while the latter is a syndrome. Alzheimer’s is a neurodegenerative disease, it breaks down the cognitive functions of the brain and reduces a person’s ability to function properly. It’s one of the foremost reasons for untimely senility in middle-aged to old-aged persons.

It can be a scary time for the patient themselves as well as for friends and family alike but fear not, there are ways to reduce the chances of suffering from this painful predicament. Here are a few easy hacks to keep in mind to stave off the risk of Alzheimer’s:

  1. Fix your diet: Cut down on saturated fats and construct a diet combining lots of healthy vitamin and mineral rich foods, fruits and vegetables. Vitamin E is essential as well as vitamin B12 which can also be taken in the form of supplements. Vitamin E can be found in foods like spinach and even nuts. Rush University Medical Centre in Chicago has, after a lot of research, developed the MIND and DASH diets. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet collates portions of the DASH (Dietary Approaches to Stop Hypertension) diet to create the perfect combination that has been shown to reduce the risk of Alzheimer’s by 53 percent.
  2. Exercise mental and physical: A sedentary lifestyle is one of the major causes of Alzheimer’s because it leads to slower brain activity and an overall unhealthy lifestyle. To break out of this you need to regularly exercise and not just physical exercises but also mental exercises such as solving mental maths and crosswords and reading books and newspapers. There are a lot of apps concerning games that help boost brain activity on the market that can help as well. Physical exercise can include swimming, brisk walking, joking and even gardening.
  3. Reduce stress: Stress proves to be a huge issue for the brain contributing to its damage by putting a lot of pressure on it. Try to relax more by improving your sleep cycle, resting as and when required, and not overworking yourself.
  4. Aromatherapy: Essential oils have been shown to work wonders, by reducing stress and relaxing the mind. Lavender, rosemary, lemon and even orange are some great options you can try out. These oils can help rejuvenate damaged brain and nerve cells.
  5. Meditation: Studies have shown that regular meditation helps boost grey matter in the brain, and along with yoga, keeps the minds and bodies of middle-aged people active and better focused contributing to the overall health of the brain.

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

1840 people found this helpful

Most Common Threatening Digestive Disorders

DM - Gastroenterology, MD - Internal Medicine, MBBS Bachelor of Medicine & Bachelor of Surgery
Gastroenterologist, Noida
Most Common Threatening Digestive Disorders

Your digestive organs together comprise one of the most important systems in your body. You have to be very careful about everything in your body as sometimes the most common digestive disorders, having the most common symptoms, can be seriously threatening as well. A number of different health issues can be related to problems with your digestive system, therefore you need to be very careful about your health and track any symptom which indicates a digestive disorder.

Irritable Bowel Syndrome
According to various studies, around 10-15% of the population faces the problem of irritable bowel syndrome in their lives, with almost twice as many women than men. This usually happens when there is a change in the functioning of the GI tracts. Constipation and diarrhea both can be observable problems in people with an Irritable Bowel Syndrome. Abdominal pain, changes in the bowel habits, cramping and other discomforts can be symptoms of IBS.

Celiac Disease
One of the most common diseases which affect around 2 million people in the US alone is Celiac Disease. This disease manages to damage the small intestine and also intrudes in the process of absorbing nutrients from the food. People affected by this disease are usually intolerant of various food products like wheat and barley among other items. Seizures, fatigues, vomiting, constipation, abdominal pain and more can be symptoms of celiac disease.

Crohn’s Disease

Crohn’s disease is categorized under an inflammatory bowel disease. This disease can affect any part of the GI tract ranging from the mouth to the anus. The reason for Crohn’s disease is largely unknown but observing symptoms like abdominal pain, skin rashes, diarrhea, and inflammation of the eye, weight loss, fever and more should be immediately checked by the doctors. People who smoke tobacco are two times more likely to develop this disease than those who do not smoke tobacco.

Gastroparesis
Women are more likely to get affected by gastroparesis than men as the process of emptying food from the stomach to the small intestine is slowed down and this is already a slow process in the case of women. Diabetes along with intestinal surgery and nervous system diseases are often the cause of this problem. Pain in the stomach, lack of appetite, bloating of the abdominal region are all symptoms of this disorder. This disorder can be a chronic disease in many cases and immediate diagnosis and treatment are suggested on observing the symptoms. In case you have a concern or query you can always consult an expert & get answers to your questions!

2633 people found this helpful

Ulcerative Colitis - What You Need To Know?

MS - General Surgery, DNB - Surgical Gastroenterology, Fellow HPB Surgery & Liver Transplant
Surgical Gastroenterologist, Ernakulam
Ulcerative Colitis - What You Need To Know?

Ulcerative Colitis is a chronic inflammatory disease that affects the lining of the intestine and the rectum. It is located just above the anus. Patients suffering from ulcerative colitis tend to have small ulcers in their rectum and the colon. These eventually flare up leading to diarrhea, bloody stools, anemia and abdominal pain. The inflammation starts from the rectum and eventually, spreads to the colon. Ulcerative Colitis tends to flare up and remit in an alternate phase. The remission can last from few weeks to few years.

Methods adopted to diagnose Ulcerative Colitis-
Ulcerative Colitis is very similar to an inflammatory bowel disease known as Crohn’s disease. The only differentiating factor is the fact that, ulcerative colitis affects the colon whereas, Crohn’s disease affects the digestive system and the small intestine. A doctor might prescribe certain tests such as the colonoscopy, blood tests, CT scan, pill camera, stool sample tests etc.

Why is surgery necessary to treat Ulcerative Colitis?
An estimated 40 percent of all Ulcerative Colitis patients need to undergo surgery to recover completely. The reason surgery becomes necessary to treat ulcerative colitis are the following:

  1. Drug therapy and medication become ineffective.
  2. Without undergoing surgery, the condition might increase the risk of developing cancer.
  3. The colon has the risk of getting ruptured if surgery is not performed on time.
  4. There could be excessive bleeding.
  5. Toxic megacolon might set in.

Types of surgery available to treat Ulcerative Colitis
A procedure where the entire colon is removed is known as the colectomy. In case both the colons are removed, the procedure is termed as proctocolectomy. In this procedure, an external pouch needed to be attached to the stoma that collects the stools. There is another method known as pouch surgery.

Pelvic pouch or ileal pouch is also termed as IPAA. This procedure doesn’t involve permanent stoma. In this procedure, both the colon and the rectum are eradicated from the body. The small intestine is then used to form a J-shaped pouch, that serves as the new rectum. The pouch is then connected to the anus. The whole procedure is done via two surgeries.

What are the surgical complications of this procedure?

  1. There could be an excessive bowel movement.
  2. There are instances where an inflammation of the pouch is observed. This condition is known as pouchitis.
  3. There could be a situation of intestinal blockage from adhesion due to surgery.
  4. There could be pouch failure that can happen inside within 5 few years. This is observed in 4 out of 100 patients who are treated. In this case, the patient should go for a permanent ileectomy.

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

2853 people found this helpful

Popular Questions & Answers

What are the reason of unformed stool and mucus in it and undigested food material. I have done ct scan and the come up with that, but I am scared of of being colon cancer my age is 25.

Oncologist, Hyderabad
Can just be simple infection. Use a course of antibiotics and see a medical gastroenterologist if symptoms are not relieving.
2 people found this helpful

I am 66 years old still active. I have observed slight mucus in the stools (white colour). Gastro specialist suggested medicine - Velgut morning one capsule and evening one capsule for one week. Would like to have second opinion.

MS - General Surgery
Gastroenterologist, Nashik
Mucous in stools can be because of colitis. If doesn’t improve with Velgut, looking at the age better get a Colonoscopy done.
3 people found this helpful

Hlo sir; My problem is that when I'm eating something else then after some time then I'm going to toilet. I think my digestive system is not so good. This problem is create for two days. Please give me suggestion.

MD-General Medicine, D.M, Gastroenterology & Hepatology
Gastroenterologist, Ahmedabad
Stop milk for 10 days, chew food properly, eat more curd if it suits you ,problem only since 2. Days, it should improve slowly over a few days.
3 people found this helpful

Laparoscopy has done to my friend in 2014, now he has struggling from sticky stools from last 20 days, he is taken sompraz 40, but not yet cure.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
I think, surgery done 4 years back has nothing to do with the current problem. Please ask him to get stool R/E done, consult a physician and take treatment accordingly.
1 person 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?
Play video
Digestive And Immune System
The digestive system is responsible for your overall well-being. It breaks down the food you eat into essential nutrients that help repair cells, stimulate growth, and give your body energy.
Play video
Stomach Diseases And Homeopathy
Homeopathic remedies can be highly effective in treating acute digestive conditions such as the stomach flu, bloody diarrhea, and pancreatitis, as well as chronic digestive conditions such as inflammatory bowel disease and hemorrhoids.
Play video
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!
Play video
Importance Of Water
Hello Everybody,

This is dietician Charmi Gala here. We all know we need to drink lots of water. Body is made full of water at least 70% of a body part. Most of us know that we need to drink water but are we able to? No! So what are we going to learn today or what I am going to tell you is that there is no hard and fast rule to follow about water? But you can watch your urine colour, you can have ample of water. Summer is not a season where you need to worry much about the water. But rains yes. Once it is little cooler, our water intake comes down. So how do we get and reach that water target?

So how do we make sure we need to drink ample amount of water. What are the ideas that I am going to share number one add water if not there are other ways to adding water. Like your milk, lime water, you have your rice kanji, you have green tea. Other liquids which you can stock at your desk and keep drinking ample amount of water. So you need to set a limit on beverages when you work at the desk, we take a lot of tea and coffees. These are all having lot of caffeine. What you can do is set a limit of 2 small cups during a day. Increasing your water should be a good way by adding a different more of fruits and vegetables to your diet. Try and have the seasonal fruits as much as you can. As much as your tomatoes melons your cucumber salad tomatoes they have ample amount of moisture so we can eat moisture from them.

We can also think about gifting a bottle to ourselves. Why not , yes. Whenever you get of your typical bottle, get bored not taking water in a right way, try and substitute with a fresh new bottle that will add more interest to your water intake. Apart from that whenever you are going away from home or office try and carry a water bottle set a reminder to your gadget we all use lots and lots of gadgets these days. So what we can take help from technology is set good into will's target so that whenever you are low on water keep reminding your body that you need more and more of water. What next you can also change the temperature, in summers we all like to drink cold stuff.

Soon there would be monsoons here, we can add up warm liquids like your green tea rice kanji your liquids which are thin soups so that your body will appreciate taking warm liquids and it will get you and energized body. Next what next can you do you can also try and put yourself on a liquid diet for a day in a week's time where you just take lots of liquid so that you rejuvenate your body. So to know more about your nutrition queries know more about yourself how you can change your nutrition targets in your body contact me via lybrate.com you can book an appointment for yourself.

Play video
Lifestyle Changes For Living Better With Diabetes And Thyroid
Hi,

I am dietician Rashmi Sharma from Faridabad, I am handling thyroid, BP and diabetic patients and the obesity.

Basically, thyroid, BP and sugar all these problems are Lifestyle problem and these problems are always because of the eating habits, exercise and your lifestyle. The stress is the major reason for all these things. In a thyroid, the person is basically have metabolism disorders in their body, metabolism related like if they eat food they can't able to digest it and some other symptoms are also there like swelling is there, mood swings and many other things are there. According to person Lifestyle these symptoms are there, some person hypothyroidism specially they have more ways and those who are in Hypothyroidism and they have less weight they have some kind of their lifestyle problems. We have diet patterns, we provide diet patterns, the timings of their diet, some kind of meditation procedures are also available like what kind of procedures you can avail to heal your thyroid and even the person get ready rid of medicines also. Like most of the cases we have gone through which have got very good balance of their thyroid and they get rid of their medicines also. We have some procedures also, processes like cryolipolysis, laser and Ultra these procedures helps you to reduce anxious and the weight also and with inches and weight counselling you can maintain your weight and your pattern. Secondly, sugar diabetes, diabetes are basically also lifestyles problem or if the person is having fattening in their pancreas, they also suffer from the sugar. So for pancreas fat percentage, they have to reduce their fat eating foods which are heavy in their fat patterns like they must avoid maida and they introduced high beans and sprouts also which help them to reduce the fat percentage. In Diabetic, the person should introduce themselves to most of the exercise pattern, if the person is unable to do the exercise they must reduce first their fat percentage then introduced muscles also. How they include the muscle in their body? It is all about how you can avail your diet, in a diet beans-whole beans those who are vegetarian they can go for the whole beans they can go for the sprouts and those who are non-vegetarian they must take thrice chicken, chicken leg piece twice in as a meal replacement and every person have their own kind of a lifestyle, so they have their problems also because of their wrong eating habits and the wrong lifestyles. So in a first or second stage, you must first go through diet pattern then with the exercise and then the type of your lifestyle. It doesn't mean you should not have any kind of a fried foods, fried foods you can have a thyroid person also, BP person also and diabetic person also. But they also need some kind of a guidance and further guidance they must go for a once in a month or once in a three months for any Counsellor, we can help them to maintain their pattern as well. Second thing is the technological basis, technological basically for those who are unable to control these levels. These Technologies help them to maintain by reducing the organelle fat and by maintaining the fat percentage in their body. Second muscle improvement, how they can improve their muscles? Muscles improved by the diet or by reducing their fat percentage or exercise. Some people have low muscle mass like 17, 19 or 20. The muscle percentage can improve by eating patterns, the timings of their eating patterns and the type of food they are choosing. For vegetarian person they can go for the beans, whole beans and for nutritional basis like Tofu and Paneer and milk content and those who are lactose intolerance they must avoid milk and milk products they can use beans, sprouts then milk products. And first, they have to reduce the fat percentage then they can improve the muscle, without reducing their organelle fat and fat they can't improve their muscles as well. So they need a proper counselling for that and for thyroid patients and for BP patients they must take care of the vitamin C level also. That can help them to reduce the water retention and retain the sodium balance as well.

Thank you.
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