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Overview

Gastric Trouble: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Middle aged people often fall prey a common problem that is related to stomach. Gastric trouble or gastritis is an inflammation or irritation of the lining of the stomach. There can be a number of reasons that can cause this disorder but, in most cases, it is caused by the same bacteria that cause most stomach ulcers. There can be different types of gastritis: acute gastritis which is a brief and sudden illness; chronic gastritis which is a long-lasting condition and a special type of gastritis that is caused due to some other medical illness like atrophic gastritis, autoimmune gastritis and eosinophilic gastritis.

Your personal or family’s health history, physical examination and a particular test may be used to diagnose gastritis. Upper endoscopy is the procedure by which an endoscope which is a thin tube containing a small camera is inserted through your mouth into the stomach to look into the stomach lining. A doctor might also advice a person to undergo some blood tests to determine whether he/she is anemic. Other tests may include the fecal occult blood test.

Usually antacids and other drugs such as proton pump inhibitors or H2 blockers are used to reduce acid in the stomach. A person suffering from gastritis will be invariably be advised by a doctor to quit eating hot and spicy food. If gastritis is caused by infection caused by H.pylori, he/she will generally be prescribed a number of antibiotics together with an acid blocking drug. B12 vitamin shots are likely to be given if gastritis is caused by pernicious anemia. It will also be advisable for a person suffering from gastritis to avoid irritating foods like dairy (which has lactose) and wheat ( which has gluten).

How is the treatment done?

It is really an irony that gastritis is normally treated with the same medications that can actually cause it. Antacids are the go-to drugs for people suffering from gastric troubles. This is because they help to reduce acid but, in reality, all they actually do is to mask the symptoms. They do not treat the damage to the stomach lining that has already been caused. Antacids in fact do not address the underlying issues that cause gastric trouble like gut health, bacterial infections and others.

A combination of antibiotics like clarithromycin and amoxicillin or metronidazole are used to kill the H.Pylori bacteria that causes gastritis. However it is important to complete the entire antibiotic course which may last for 7-14 days.

Doctors often recommend medicines called H2 blockers like ranitidine, famotidine, nizatidine and cimetidine when antacids don’t work. But, like antacids, these medicines fail to take care of the actual causes of gastritis and only reduce the acid content in the stomach.

When all other medicines fail, doctors generally recommend medications that block acid production and also promote healing. These are known as proton pump inhibitors and some of such drugs are prescription and over-the-counter medications like omeprazole, lansaprazole, rabeprazole, esomeprazole, dexlansoprazole and pantoprazole.

A permanent solution to gastritis requires a healthy lifestyle and medication to balance the pH levels in stomach so as to fight H Pylori bacteria and other pathogens in the gut.

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

People who feel that they have problems in their gut and have been diagnosed by a registered medical practitioner to be suffering from gastritis are eligible for this treatment. Some of the symptoms that help to understand whether a person has gastritis or not are as follows: nausea, vomiting, indigestion and a feeling of fullness in your upper abdomen especially after eating. Furthermore, a person can understand whether he/she has erosive gastritis if he/she experiences symptoms like: black, tarry stool and coffee grounds-like material or blood in vomit.

Who is not eligible for the treatment?

In many cases, people with gastritis do not experience any symptoms at all. Gastritis is basically an irritation of the stomach lining that can cause stomach pain, ulcers and other complications. There can be a number of ailments of the stomach that can also have similar manifestations. So, without blood tests, a doctor’s diagnosis and a rigorous physical examination, it is not possible to understand whether a person has gastritis or not. Such people are not eligible treatment.

Are there any side effects?

Some of the side-effects associated with H2 receptor blockers are constipation, diarrhea, dry mouth, dry skin, headaches, runny nose, ringing in the ears, trouble in urinating and ringing in the ears. Consuming Protein Pump Inhibitors make it difficult for the body to absorb much-needed nutrients and thus prove to be detrimental for your health. They can even cause severe diseases ranging from heart attacks to kidney disease. They may even cause death in some cases.

What are the post-treatment guidelines?

Even if the symptoms of gastritis may subside after sometime with medication, there a number of post-treatment guidelines that can help to get rid of the disease completely. A person can reduce his over-active inflammatory response and thus reduce gastritis by eating fruits, vegetables, non-processed grains and sprouts and nuts. A person should take measures to reduce the level of stress as a stress-free and healthy stomach has a built-in barrier that prevents stomach acid from reaching the stomach wall tissue. A person should also avoid eating highly spicy foods, processed foods, genetically processed foods and other things that cause build-up of toxins in the body. Two other post-treatment guidelines that a person can do to prevent the recurrence of such a disease are to sleep well and remove medications that cause gastritis.

How long does it take to recover?

A person can take a long time to get cured from gastritis. It is actually an inflammation, irritation or erosion of the lining of the stomach that is caused due to excessive use of alcohol, stress, vomiting and also can occur as a side-effect of certain medications. Most people respond to the treatment very quickly. But it has to be kept in mind that a person will require as much time to recover as it required for the underlying reasons of gastritis to subside.

What is the price of the treatment in India?

The price of proton pump inhibitors can vary between Rs 500 and Rs 28,000. You can buy antacids in India for as low as a price as Rs 20 while the higher variations can cost anywhere close to Rs 1300. Vitamin B12 injections can cost anything in between Rs 700 to Rs 2100.

Are the results of the treatment permanent?

A person will take a lot of time to recover from gastric problems. In fact, there is no permanent treatment as a person can develop gastric troubles even after getting treated for it. This is due to the fact that gastric troubles can affect a person due to a number of reasons and many of these reasons are related to the lifestyle of the concerned person. A bad lifestyle may cause a healthy person to experience gastric troubles again.

What are the alternatives to the treatment?

Apple cedar vinegar mixed in a glass of water helps to provide relief from gastric troubles. Lemon tea or lemon water also helps to keep gastric troubles at bay. Furthermore, buttermilk and ajwain can also provide relief from gastric problems when consumed.

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

Rs 500 - Rs 28000

Popular Health Tips

GERD - Complications Associated With It!

MS, MBBS, Clinical Fellow Pancreatic Surgery, FMBS
General Surgeon, Delhi
GERD - Complications Associated With It!

GERD or acid reflux is caused by the regurgitation of acidic liquid stomach contents back up into the esophagus. It is a long-term condition where stomach contents come back upwards from the gastro-intestinal tract resulting in either symptoms or complications. It is a commonly occurring digestion condition. A burning sensation in the chest is usually caused by acid reflux which radiates up from the stomach to the mid-chest or throat. This condition is also known as the heartburn. A sour taste in the back of the mouth is a common experience amongst the patients. Long term reflux of gastric contents causes the condition to become chronic which can lead to difficulty in swallowing. In some cases the erosion of the tract lining can also cause breathing problems.

Symptoms:

  1. Heartburn is a burning sensation felt in the retrosternal area. Most commonly it occurs post-prandial or nocturnally. Consumption of fatty foods, spicy foods, acidic foods aggravates the condition. Burning sensation is relieved with antacids, water or milk.
  2. Perception of gastric content reflux in the mouth or hypopharynx is termed as acid regurgitation. It is also known as water brash. A bitter or acidic taste is felt in the mouth.
  3. Other symptoms include dysphagia, odynophagia, nausea, chest pain, dyspepsia, epigastric fullness, bloating, frequent belching
  4. Extra-esophageal symptoms like chronic cough, hoarseness, laryngitis, dysfunction of the vocal cords, bronchospasm can also be observed.

Complications:

  1. Peptic stricture
  2. Ulcers of the esophagus
  3. Metaplastic disease (Barrett’s esophagus)
  4. Dysplastic disease (Adenocarcinoma)
  5. Laryngitis or bronchitis
  6. Pulmonary disease
  7. Fluid in the sinuses and the middle ear

Diagnosis:

The diagnosis of GERD is made by its most commonly presenting symptom- heartburn. To confirm the diagnosis of GERD, the physicians treat patients with medications for suppression of the production of acid by stomach. If heartburn diminishes to a large extent by the medications, diagnosis of GERD is considered confirmed.

 

Conditions like an ulcer caused by bacterial infection, mimic the symptoms of GERD. To get a clearer diagnosis, an endoscopy is then performed. The common diagnostic modality for GERD is Upper intestinal gastro-endoscopy. A tube containing an optical system for visualization is swallowed, the tube progresses down the gastrointestinal tract, and then the lining of the esophagus, stomach, and duodenum can be examined. A normal esophagus is observed in most patients with symptoms of reflux.

However, sometimes the lining of the esophagus appears inflamed. If erosions (superficial breaks in the esophageal lining) or ulcers (deeper breaks in the lining) are seen, a diagnosis of GERD can be made definitely. Other complications of GERD like ulcers, strictures, and Barrett's esophagus are also identified. Biopsies also may be obtained. Other common problems that may be causing GERD like symptoms can be diagnosed (for example ulcers, inflammation, or cancers of the stomach or duodenum) with EGD. Previously, barium meal x-ray was undertaken to diagnose GERD. It is now discontinued.

Other tests that are carried out are esophageal acid testing, esophageal motility testing, gastric emptying studies and acid perfusion test.

Treatment:

  1. Lifestyle modifications – Avoiding acidic foods, quitting smoking, weight loss, abstaining from alcohol consumption improves symptoms in people with GERD.
  2. Medications – Proton pump inhibitors (Pantoprazole, Omeprazole, Rabeprazole), H2 receptor blockers (Ranitidine, Cimetidine) and antacids.
  3. Surgery – In cases where the proton pump inhibitors are unsuccessful in relieving symptoms of GERD, a surgical procedure called Nissen fundo-plication is done.

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






 

2008 people found this helpful

Gas & Indigestion - 4 Things That Can Help Ease It!

MD - Medicine, MRCP - Gastroenterology, MBBS
Gastroenterologist, Chandigarh
Gas & Indigestion - 4 Things That Can Help Ease It!

Feeling bloated or acidic after a heavy meal can take away all the satisfaction the taste of food gave you. Indigestion and gas are some of the most common gastrointestinal problems faced by people around the world. In most cases, indigestion is a result of bad food choices and unhealthy lifestyles. Thus they can simply be relieved at home and do not necessarily need medication. Here are 4 easy steps to lower heartburn, gas and indigestion.

  1. Add more fiber to your food: Fiber is crucial to healthy digestion. It is easy to digest and help push waste out of the system by adding bulk. In this way, fiber helps detoxify the system as well. It also prevents diabetes, heart disease, hemorrhoids and other diseases. Add fiber to your diet in the form of whole grains, cereals, fruits, vegetables, nuts and plenty of water. Ideally, a woman should have 25gms of fiber a day and men should have 38 grams of fiber a day.
  2. Healthy food eating habits: How you eat also makes a difference to your digestion. Instead of eating on the move, eat mindfully. Chew your food carefully to begin the digestive system. Eating smaller portions can also help improve stomach functioning. Avoid fast foods that are difficult to digest. Ensure that you do not eat anything for at least an hour before going to bed. Lying down immediately after a meal is one of the leading causes of indigestion.
  3. Probiotics: Gut bacteria is essential for healthy digestion. This bacteria helps maintain a healthy inner ecosystem and help fight harmful viruses, yeast and other such microorganisms. This balance of gut bacteria can be affected by an unhealthy lifestyle like excessive alcohol consumption, smoking, stress and certain prescription drugs. Supplementing your natural probiotic enzymes with food rich in probiotics like yogurt or probiotic supplements can help make your digestion better.
  4. Exercise Regularly: Exercise is necessary not only for a fit body but also for healthy digestion. Exercising also helps fight stress that is one of the leading causes of indigestion. Taking a walk after meals can help regulate the passage of food and gases in your digestive system. This prevents bloating and heartburn. Physical activity also helps stimulate your bowels to prevent constipation and prevent gaseous build up. Some forms of exercise you could try are yoga, swimming and cycling. A word of caution; always ensure that there is at least an hour's gap between exercising and your last meal. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
1888 people found this helpful

11 Ways You Can Deal With Acidity!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Medicine, Fellowship In Critical Care
General Physician, Pune
11 Ways You Can Deal With Acidity!

The stomach produces strong hydrochloric acid which plays a major role in the digestive process. This acid is contained within the stomach by the closing of a valve in the lower oesophagus. A higher-than-normal concentration of the acid is quite common and it could be due to various reasons that cause acidity, some common ones being obesity, eating large meals, certain acidic foods like citrus fruits, alcohol, smoking, pregnancy and aerated beverages.

The symptoms of acidity include heartburn, a bloated feeling in the stomach, burping, hiccups, nausea and weight loss. An important thing to notice is that acidity is not a disease, but a symptom of an underlying disease. Unless there are serious structural issues, most cases of acidity can be managed with dietary and lifestyle changes. Some of the best, yet simple and effective ways to deal with acidity are listed below.

  1. Habit of eating smaller, but frequent meals. Eating one large meal is one of the main causes of acidity. Eating smaller frequent meals gives the stomach time to digest the food and also avoid acidity.
  2. Avoid eating close to bedtime. When you go to bed with a stomach full of food, you are sure to end up with acidity. A minimum of 3 hours should lapse between the last meal and the bedtime. This gives sufficient time for the stomach to clear the contents.
  3. Sleep with the head of the bed slightly elevated. Raising the head of the bed ensures there is no regurgitation of food, thereby preventing acidity.
  4. Daytime nappers with acidity issues can try to sleep in a recliner or on a chair to prevent acidity attacks.
  5. Manage weight through weight loss measures including diet and exercise. Obesity is one of the main reasons for acidity, and managing weight can help control acidity.
  6. Smoking is a major cause of acidity. The negative pressure created during smoking helps regurgitation of acid, causing heartburn. Quitting smoking can help relieve long-term acidity symptoms.
  7. Alcohol is another substance that aggravates acidity, and reducing or quitting can help in relieving acidity.
  8. Baking soda, aloe juice, banana, chewing gum, mustard, almonds, and chamomile are some natural remedies to relieve acidity.
  9. Most people have certain foods which are the triggers for acidity. Identifying these and avoiding these can also be a good way to manage acidity.
  10. Acidity is a major concern during pregnancy. The bloated feeling is worsened by the acidity and the developing baby.
  11. Clothes which have tight belts or are tight around the waist can be another reason for acidity.

While acidity is a common issue, it also is something that can be easily managed. Try the above measures and see your heartburn reduce. In case you have a concern or query you can always consult an expert & get answers to your questions!

5183 people found this helpful

Indigestion - Best Possible Homeopathic Remedies For It!

BHMS
Homeopath, Pune
Indigestion - Best Possible Homeopathic Remedies For It!

Indigestion can happen anytime due to wrong food habits or even due to wrong eating lifestyle. Indigestion brings in pain and discomfort that makes it difficult for you to do anything comfortably. Normally, indigestion issues may go away over a certain period of time, but if it stays for a longer time such as days and weeks, it can lead to much bigger problems such as constipation and ulcer.

Often there are instant medicines to treat indigestion but if you wish to get treated in a natural way, then natural remedies are best. Again these natural remedies may take much time to effect and in this case, treating with homeopathic medicine is the best option.

 

  1. Nux Vomica: Nux Vomica is the best homeopathic medicine for a number of stomach related issues such as heartburn due to gastric, constipation and indigestion. Often such issues do take place after the consumption of spicy food or alcohol and in this case trying this medicine can be the best option. It is most effective when you are feeling heavy on your stomach but even after the passage of your stool you are not getting the feel of comfort.
  2. Pulsatilla: Pulsatilla is another medicine that can be used in treating gastric related problems that can happen after consumption of fatty or junk food items such as pastries, patties, and others. Often problems of loose stool that is accompanied by slight chilliness are treated with the medicine Pulsatilla. Often during such a problem, the patient does not feel thirsty, even after not drinking water for a long time.
  3. Arsenic Album: If you are got indigestion and gastric problem due to food poisoning, then this is the best medicine that you can go for. Patients who suffer from gastric issues due to food poisoning will also have symptoms like nausea, vomiting, stomach pain accompanies with loose stool. Also, there is a burning sensation in the stomach and the situation increases to worsen on eating or drinking anything.
  4. Lycopodium: Often after eating of high starchy food, you may get a feeling of the heavy stomach. You may get burps that bring a burning sensation in your throat. Even after a few hours of eating the starchy food, you may feel the discomfort and upon eating only a few bites you may feel full in your stomach. This again happens due to indigestion and is a common thing. Lycopodium is the best medicine for such issue.
  5. Carbo Veg: It is not necessary that indigestion will only affect your stomach. Also, there are cases when you may get trouble pain at other parts of the body such as head due to gastric or indigestion. The medicine Carbo Veg helps in treating the gastric issues, bulging of the stomach and ultimately the pain in the head.

There are many other homeopathic medicines also apart from these such as Bryonia Alba, Ipecac, China and Colocynth that are also effective in cases of indigestion. In case you have a concern or query you can always consult an expert & get answers to your questions!

4654 people found this helpful

Acidity - How To Manage It At Home?

Master of Hospital Administration, DTM&H, MBBS
General Physician, Kolkata
Acidity - How To Manage It At Home?

The stomach produces strong hydrochloric acid which plays a major role in the digestive process. This acid is contained within the stomach by the closing of a valve in the lower oesophagus. A higher-than-normal concentration of the acid is quite common and it could be due to various reasons that cause acidity, some common ones being obesity, eating large meals, certain acidic foods like citrus fruits, alcohol, smoking, pregnancy and aerated beverages.

The symptoms of acidity include heartburn, a bloated feeling in the stomach, burping, hiccups, nausea and weight loss. An important thing to notice is that acidity is not a disease, but a symptom of an underlying disease. Unless there are serious structural issues, most cases of acidity can be managed with dietary and lifestyle changes.

Some of the best, yet simple and effective ways to deal with acidity are listed below.

  1. Habit of eating smaller, but frequent meals. Eating one large meal is one of the main causes of acidity. Eating smaller frequent meals gives the stomach time to digest the food and also avoid acidity.
  2. Avoid eating close to bedtime. When you go to bed with a stomach full of food, you are sure to end up with acidity. A minimum of 3 hours should lapse between the last meal and the bedtime. This gives sufficient time for the stomach to clear the contents.
  3. Sleep with the head of the bed slightly elevated. Raising the head of the bed ensures there is no regurgitation of food, thereby preventing acidity.
  4. Daytime nappers with acidity issues can try to sleep in a recliner or on a chair to prevent acidity attacks.
  5. Manage weight through weight loss measures including diet and exercise. Obesity is one of the main reasons for acidity, and managing weight can help control acidity.
  6. Smoking is a major cause of acidity. The negative pressure created during smoking helps regurgitation of acid, causing heartburn. Quitting smoking can help relieve long-term acidity symptoms.
  7. Alcohol is another substance that aggravates acidity, and r
    educing or quitting can help in relieving acidity.
  8. Baking soda, aloe juice, banana, chewing gum, mustard, almonds, and chamomile are some natural remedies to relieve acidity.
  9. Most people have certain foods which are the triggers for acidity. Identifying these and avoiding these can also be a good way to manage acidity.
  10. Acidity is a major concern during pregnancy. The bloated feeling is worsened by the acidity and the developing baby.
  11. Clothes which have tight belts or are tight around the waist can be another reason for acidity.

While acidity is a common issue, it also is something that can be easily managed. Try the above measures and see your heartburn reduce. In case you have a concern or query you can always consult an expert & get answers to your questions!

2829 people found this helpful

Popular Questions & Answers

From last 6 months I am suffering from intestine gas and swelling I've consulted many doctors nd taken all allopathy nd ayurvedic medicine nothing helped me then I decided to take Aristozyme after every meal nd 2 probiotics capsule daily plzz guide me is anything wrong with this med nd how long can I take these medicines? And I more thing do probiotics helps to detox my stomach and intestine nd can I take probiotics life long?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
No need of taking probiotics for life long instead give it a break after every month ,and stick to taking fresh curd in every meal, and eat healthy balanced food with green vegetables fruits and milk. Also you may take these digestive enzymes but not for long as your system will get used to these and will grow dependency.
1 person found this helpful

Hi Doctor since three days, I am having below symptoms: White colour stools Some times blood in stools. Watery stools (some times white ). Gas bloating Less appetite. Running to motion after meals. What could be the cause? Please suggest a lab diagnosis. Thanks.

M.S. General Surgery, M.Ch Gastro - Intestinal Surgery
General Surgeon, Bangalore
Dear sir, based on your symptoms you seem to be suffering from IBS. IBS means irritable bowel syndrome. You will have to do the following 1. Stop having milk 2. Do not take stress in any form 3. Sleep well 4. Try to exercise for an hour 5. Have curd in diet.
1 person found this helpful

Last 2-3 days onwards belched after a meal, due to this belched unable to sleep on saturday night some ltl bit pain fill right side of chest, due to some friends and neighbors suggestion I had taken ENO and lemon water ltl bit of relief filled but I want its permanent cure please suggest me.

Fellowship in Minimal Access Surgery, FACRSI (Colo-Rectal Surgery), Ph. D - Gastrointestinal Surgery, FAIS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , MBBS
Gastroenterologist, Bangalore
Sir, kindly take Cap. Pantocid-DSR (half an hour before dinner) for 10 days. Avoid spicy food. Stop tea/coffee for next 10 days. Do not drink water along with food, preferably after 45 min. Of meal would be ok.
1 person found this helpful

Hello Doc, I suffered gastritis in 2013 and my doc prescribed me etizolam tablets 0.5 mg in morning and 0.5 mg in night. Now the problem is that I'm not able to quit these tablets. I tried to taper it but after tapering I suffer it's after effects. Please help me I want to get rid of these tabs any how.

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
Hello lybrate-user. One of the main problems with gastritis is improper investigation and management. You should get a few important investigations like upper gi endoscopy and test for stomach infection .only after ruling out these. You have to go on medications otherwise like you many people will be taking life long medications instead of a permanenent cure.
11 people found this helpful

Sir I have a problem jab bhi me thoda teekha ya masala dar khana kha leta hu usse next day mere stool me jalan hoti h aur ye har bar hota h aur teekha chahe norml se thoda jada hta h tabhi ho jati h. 2 year phle mere jaundice hua tha kya ye uski wajh agar ha to muje dwae btae ya pls kuch aur answer de. Thanku.

Fellowship In Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hello This could be due to acidity A. Avoid spicy and junk food B. Eat light and simple food C. Eat dinner 2 hrs before going to bed D. Consult local physician.

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
Weight Loss Surgery or Bariatric Surgery
Here are cause, type and method of Weight Loss Surgery (Bariatric Surgery)

Hi, I am doctor Aloy Mukherjee. I am a senior consultant in advanced laparoscopic surgical gastroenterology and Pediatrics surgery. I'm associated with Indraprastha Apollo Hospital for the last 15 years as a senior consultant. We at Apollo hospital have a dedicated team of doctors who address our patients. Our team encompasses three consultants, a nutritionist, resident doctors, physicians and medical gastroenterologist. Today I'm going to speak to about weight loss surgery, our Pediatric surgery.

As we know that basically is a common problem which is plagued the world over the last several decades. In India, this is a common problem going to the entry of several food chains from the West, but there by increasing our junk food intake. What is Pediatric surgery? Pediatric surgery aims to tackle the problem of obesity, by medical or surgical means, mostly surgical. There are 3 or 4 different types of procedures which are commonly performed in this. The commonest of which is a Laparoscopic gastric band. The other procedures include a gastric bypass, sleeve gastrectomy or VSG and sleeve gastrectomy and in many bypass. Who are the candidates would be enrolled into our program? Patients who are obese or morbidly obese, with comorbidities like diabetes, hypertension, heart disease, obstructive sleep apnea, disc problems, mostly arthritis in the knees, gastro phological reflux, secondary to obesity or any other life style disorders, secondary to obesity are enrolled in our program.

How do we calculate the body mass index? It s a very simple calculation which is available in the most then all over the internet. It is the weight in the kilogram divided by the height and meters square a BMI of a 25 is considered normal. 25-30 is overweight. 30 to 35 is Class-I obesity or mild obesity. 35-40 is severe obesity and more than 40 is morbid obesity. Our patients are mostly in the category of 32 and above. It is not a cosmetic surgery. There by we are not attempting to make the patients lose weight for cosmetic reasons. They come here to be physically fit and mentally fit. They gain about 8-10 years of life after this surgery, which is a very important parameter. All the ancillary problems, the metabolic problems like diabetes, hypertension, requirement for antihypertensive drugs, requirements for oral hypoglycemic insulins are reversed almost completely after the surgery. Now that s the significant gain.

Now to talk in detail about three or four forms of surgery. The commonest like I said is a gastric band in which a band is placed on the stomach. It is about very easy, very easy to perform and the filling port is usually done, is usually filled without patient s department but it does not give us expected weight loss as we would have achieved in the other forms. Thereby it is not performed routinely across the world. The three other main procedures which are performed including, includes the laparoscopic gastric bypass which attains, which helps us attains a significant weight loss. Thereby we make a small out about the size of half a cup in that part of abdomen and bring up in the intestine to join it with this cup. We are bypassing a large segment of the stomach and the smaller. That is what's called a gastric bypass.

The weight loss primary due to a small gastric pouch and secondary to the man's option of this. The third procedure is a vertical sleeve gastrectomy in which the stomach is divided and meet into the 50 ml small pouch the rest of the stomach is taken out of the communicating body. This decreases the hormone ghrelin, which is required for the appetite and also makes it in our pouch. So these two procedures help us to attain significant weight loss. Other procedure is a mini gastric bypass which is also equally effective. How would a patient choose one procedure over the other? The patients talk to us come to us and decides one procedure to other after they have understood the advantages and disadvantages of a particular procedures and talk to a patient. And which is the right center of such a surgery is the right center is the center of excellence whereby which has a dedicated team of surgeons, medical gastroenterologist, physicians, clinical nutritionists and dietitians and a team of doctors and physicians who can actually explain them the procedure.

I would advise that you should meet your local surgeon, local physician for this procedure if you are interested for it. You can contact us at Indraprastha Apollo hospital if you wish to do for your condition of obesity or you can contact us at Lybrate.com in the form of texts, in the form of questions, in the form of telephone queries and we would be happy to address you. Thank you.
Play video
Metabolic Surgery For Diabetes
Hi!

This is Dr. Tulip. I am a Bariatric and Laparoscopic Surgeon practicing at Dr. Tulip Hospital, 4th block, Koramangala.

Now this surgery for diabetes is called the metabolic surgery. This is done through tiny holes over the tummy so we need not cut open that tummy and what is done if we operate on the stomach and the small intestine. It is called the gastric bypass. So what is happening in the surgery? We divide the stomach into small portions and this small portion, a small pouch, is attached to the small intestine. Which means we are diverting the food directly from the small gastric pouch into the small intestine.

So majority part of the stomach and small intestine , who doesn't enter. How does this help us? Because we are by passing that second part of the deodenum the second part of the deodenum, the harmful factor, the deodenum factor is not released because this is released only when the food touches that part of the stomach of the intestine. Other thing is what we achieved by these bypass is, the food touches, reaches rather, this lower part of the small intestine which is called the idiom which is very early compared to normal and this causes release of the glp 1 hormone normally in three times more than normal.

Now, what happens by this? This hormone is very good for the pancreas it stimulates the pancreas and does define class starts working in a much better way and more insulin sensitization occurs. Normally in type 2 Diabetics we have insulin resistance. So by doing this bariatric surgery when we do the manipulation the hormones, Dipankar starts working better and the person gets out of insulin resistance. So much so that the very next day of surgery, the patient is totally out of diabetes. This is nearly like a wonderful but we do need to take care, we need to make sure the patient of the type 2 diabetic as good pancreatic reserve and is not underweight. We don't do the surgery for underweight people. The person should be either overweight and obese.
Play video
PCOS (Polycystic Ovarian Syndrome)
Hello,

Myself Dr Shilpa Bansal consultant gynaecologist at Harleys Clinic, Mumbai at Andheri West.

Today I am going to talk about a common endocrinal abnormality imbalance which is happening known as Polycystic ovarian syndrome. According to the present statistics about 20 to 25% of Indian females suffered with it, Polycystic ovarian syndrome becomes a part of an Android excess problem there are other problem such as adenomas, hyperplasia of adrenal, stress and thyroid abnormalities which too mimic something like symptoms of Polycystic ovarian. In Polycystic ovarian syndrome we expect various signs and symptoms to trouble a lady, at the teenage this becomes the teenage crisis, symptoms like she has acne, she has weight, she has bald patches, hirsutism becomes the issue weight which is uncontrollable or which is very difficult to lose. These teenage prices after sometime do become reproductive age crisis or medial crisis, in medial crisis again she is struggling to conceive she is struggling to get her period back to normal, if unattended that time again leads to old age crisis. Old age, she is at risk of endometrial carcinoma, she become at risk of diabetes, she become at risk of atherosclerosis. Now after all of this the point is that we can't blame everything on hormones you get stressed you skip your periods and your hairs start falling and you blame it on hormones, not that. There are various causes for getting the symptoms as well, so correct diagnosis is very important that are we really dealing with PCOD or there is something else which needs to be attended. So now the situation is how to combat PCOS, how to handle the picture, first people who do not have it please don't get it. We have to understand the importance of discipline in life, we have to understand the difference of diet in 8th schedule in our daily life, we have to give importance to the sports in our daily activities in our daily schedules, this helps a woman not to become a PCOS. Moreover, thin lady does not mean a fit lady, if we eat a junk food, if we are induldged into activities which are not good that we all of us know comes with the price, she eventually would be the one of the candidates to become PCOS. People who are struggling at the moment with the PCOS, we need a group of people to handle PCOS like cosmetologist to handle pimples coming we need, a diet Counsellor to tell you what portions to be omitted, what portion to be started, how much you should be taking to combat that weight issues and for the gynaecologist we can give you certain medications to combat those acute crisis in which all the things are troubling you and we decides the time you need to take it up to. People who are struggling with the PCOS again have to understand that we have to take care of the diet, we have to take care of the exercise and we can put some of the medications but that is for sometime to combat those acute crisis. We need lot of more people like as a cosmetologist, who can take care of the acne hair, fall and hirsutism. We need of the diet counsellor who can talk to you about your diet which things can be added which can be omitted, we need a psychotherapist sometimes if there is a mood swings which are troubling a lot are there is a depression between a part of the PCOS. We can help you out with certain cases of infertility and because of PCOD, we can correct the menstrual irregularity through medication, till you reach your own target, till you did the right weight with you hoping to get in the end.

In case of further questions or any queries you can write to us through lybrate or you can contact Harleys clinic.
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Natural Ways to Ease Allergies
I m Dr Chhavi Bansal and I m practising at the Homeosure home of Homeopathy and Wellness, Pitampura, Delhi. I will be speaking about allergies today.

Allergies are a group of conditions which are characterized by hypersensitivity of the immune system to something in the environment that causes little or no problems in most of the individuals. So from this only we get the causes of allergy. Allergy is basically caused by a combination of host and environmental factors. Host factors, being genetic redispositions, hereditary, age, sex and racial factors. There are a very good number of allergies which are common in certain races and environmental factors being environmental pollution, the prevalence of allergens in the environment, our dietary habits and the childhood exposure to certain allergens.

Almost daily I see around eight to ten patients of respiratory allergies and I don t advise them a prolonged treatment. Usually, a treatment of 3 to 6 months suffice in case of any kind of allergies be it respiratory allergies, skin allergies, food allergies or gastric allergies but the treatment may extend up to 1 year in certain conditions.

If you have any query related to respiratory allergies or any kind of allergies feel free to consult me at lybrate . You can text me your problems or you can have a audio consultation or video consultation. You can also book an appointment through lybrate.com.
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Female Infertility
Hello, this is Rahul Manchanda. I am a part of Manchanda's endoscopic centre. And I am a gynaecology endoscopic surgeon. We do Minimal Invasive Surgery for women's diseases. This includes surgery for Infertility, for which I want to talk about today.

Infertility despite our country has large population has rampant here. Many couples want babies of course and are unable to have them. So infertility is a science in medicines that deal with this problem. And as an infertility specialist, we would like to help those people who are troubled with this. Endoscopic surgery is a large part of this.

You must have heard In Vitro Fertilization, ICSI i.e, Intracytoplasmic Sperm Injection methods to those who do not have babies and can not conceive. But you don't really need an IVF unless it is indicated and that needs to be diagnosed by the Endoscopic surgeon. You have procedures like looking into the uterus to see whether there is a problem and those problems can be corrected. And many people don't need IVF, once this works up and go through the endoscopic surgery. Tubes that are blocked can be open up with the very simple procedures in which you don't need to stay in a Hospital for very long and you do not have many cuts on the body, the cost is less, the trauma to the body is much less, you can go back to the work faster and of course you avoid the Infertility procedures. So, yes we do this surgery.

We are based at New Friends Colony and also Pushpawati Singhania Research Institute Hospital. Facebook page is also available where you can put your queries on that. Also, you can contact me through Lybrate.

Not only this, we do other types of surgeries also which we will talk to you about. But in case of Infertility, these surgeries are used. So if you have a problem, let us diagnose it, let us help to treat you and put a smile on your face.

Thank you. Regards.
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