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Overview

Inflammatory Bowel Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Inflammatory bowel disease is the term used to describe two medical conditions, namely, Crohn's disease and ulcerative colitis

How is the treatment done?

Inflammatory bowel disease (IBD) is a group of intestinal disorders that cause prolonged inflammation of the digestive tract. The two major types of inflammatory bowel disease are ulcerative colitis and Crohn's disease. They cause sores (ulcers) in the digestive tract and also inflammation which causes extreme pain in the patient. Ulcerative colitis disease can cause inflammation and sores (ulcers) which are long lasting in the innermost lining of the large intestine (colon) and rectum. Crohn's disease can cause inflammation of the lining of the digestive tract, which often spreads deep into affected tissues.

Depending on the severity of inflammation and location of occurrence, the symptoms of inflammatory bowel disease can vary a lot. Main symptoms caused by intestinal ulcers are predominantly abdominal pain, cramps, and bleeding. Sometimes, however, ulcers may be present in IBD but are not associated with any symptoms (asymptomatic). In Crohn's disease, the symptoms can be diarrhoea, fever and fatigue, abdominal pain and cramping, blood in the stool, reduced appetite, unintended weight loss.

Treatment for Crohn’s Disease and Ulcerative Colitis in the patients will depend on how severe the symptoms are, and how much of the gut is affected. Inflammatory bowel disease can be treated with medicines and drugs that aim to reduce inflammation in the gut and bring relief from the symptoms. These anti-inflammatory drugs include steroids, 5ASAs, immunosuppressants such as azathioprine, methotrexate and ciclosporin, and biological drugs like infliximab and adalimumab. If the condition does not improve with medicines, then patients may be required to undergo surgeries. Some IBD surgeries include strictureplasty to widen a narrowed bowel, closure or removal of fistulas, removal of affected portions of the intestines for people with Crohn’s disease and removal of the entire colon and rectum for severe cases of ulcerative colitis.

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

A number of tests are performed in order to diagnose the signs and symptoms of inflammatory bowel disease. The tests include blood tests, endoscopic procedures and imaging tests. Blood tests are done as tests for anemia or infection to detect the amount of red blood cells to carry adequate oxygen to the tissues or to check for signs of infection from bacteria or viruses. Fecal occult blood test is done with a stool sample. Doctors test for hidden blood in the stool. Colonoscopy is an endoscopic exam that allows the doctor to view the entire colon using a thin, flexible, lighted tube with an attached camera. During this procedure, the doctor can also take small samples of tissue (biopsy) for laboratory analysis. Sometimes a tissue sample can help confirm a diagnosis. In other endoscopic exam, called Flexible sigmoidoscopy, the doctor uses a slender, flexible, lighted tube to examine the rectum and sigmoid, the last portion of the colon. Upper endoscopy is done if the patient is having nausea and vomiting, difficulty eating or upper abdominal pain. Capsule endoscopy is used to help diagnose Crohn's disease that involves the small intestine. Balloon-assisted enteroscopy enables the doctor to look further into the small bowel where standard endoscopes don't reach. This procedure is very useful when a capsule endoscopy shows abnormalities. Imaging tests like X ray, Computerized tomography (CT scan) and magnetic resonance imaging (MRI) tests are also done to assist the diagnosis of inflammatory bowel disease.

The treatment of inflammatory bowel disease depends on the degree of severity and location of the syndrome. Treatment aims to reduce the inflammation that triggers the signs and symptoms. IBD treatment usually involves either drug therapy or surgery. Anti-inflammatory drugs are used primarily in the treatment of inflammatory bowel disease. Anti-inflammatory drugs include corticosteroids and aminosalicylates, such as mesalamine (Asacol HD, Delzicol, others), balsalazide (Colazal) and olsalazine (Dipentum). Prescribed medicine depends on the location of the disease. Immunosuppressant drugs like azathioprine (Azasan, Imuran), mercaptopurine (Purinethol, Purixan), cyclosporine (Gengraf, Neoral, Sandimmune) and methotrexate (Trexall) suppress the immune response that releases inflammation-inducing chemicals in the intestinal lining. Drugs called tumor necrosis factor (TNF)-alpha inhibitors, or biologics also help to relieve the symptoms of IBD. It works by neutralizing a protein produced by the immune system. Examples of these drugs include infliximab (Remicade), adalimumab (Humira) and golimumab (Simponi). Other biologic therapies that may be used are natalizumab (Tysabri), vedolizumab (Entyvio) and ustekinumab (Stelara).Apart from these medicines, antibiotics may also be used. Frequently prescribed antibiotics include ciprofloxacin (Cipro) and metronidazole (Flagyl). In addition to this, some over-the-counter medications may also be used which help to relieve the symptoms. Depending on the severity of the IBD symptoms, doctor may recommend anti-diarrheal medications, pain relievers, iron supplements and Calcium and vitamin D supplements. The doctor may also recommend a special diet given via a feeding tube (enteral nutrition) or nutrients injected into a vein (parenteral nutrition) to treat the symptoms of IBD. Some IBD signs and symptoms are so severe that the doctor may recommend surgery. Surgery can often eliminate ulcerative colitis by removing entire colon and rectum (proctocolectomy). This procedure involves an ileal pouch anal anastomosis. People with Crohn's disease will require at least one surgery. However, surgery is not able to cure Crohn's disease. During surgery, the surgeon removes the damaged portion of the digestive tract and then reconnects the healthy sections. Surgery may also be used to close fistulas and drain abscesses.

Who is not eligible for the treatment?

People should consult a doctor when they experience a persistent change in their bowel habits. They may have any of the signs and symptoms of inflammatory bowel disease and pain which they have not experienced before. Inflammatory bowel disease usually is not fatal, but it can be a serious disease and in some cases, may cause life-threatening complications. It is always advisable to consult a doctor and seek medical assistance and care.

Are there any side effects?

People with normal bowel movement and no signs and symptoms of inflammation do not need to undergo medical treatment. Many times, the bowels become inflated and cause pain but this can be cured with home remedies. If the symptoms are not chronic and do not cause hamper in the daily lives of the people, they do not need to undergo medical treatment.

What are the post-treatment guidelines?

Medications used in the treatment of inflammatory bowel disease (IBD) have certain side effects. Side effects of the corticosteroids used in the treatment include weight gain, facial swelling, sweating, insomnia etc. Side effects such as nausea, vomiting and loss of appetite, are noted in case of Oral 5-aminosalicylates drugs. Antibiotics can cause upset stomach, loss of appetite, diarrhea and vomiting and also the feel of an urgent need to urinate, as well as vaginal itching and/or discharge. There can be some serious side effects caused by the immunosuppressant. Despite the side effects, these medications are effective in the treatment of IBD.

How long does it take to recover?

After treatment, people need to follow certain rules to prevent relapse of the disease and also cut down the risk of developing inflammatory bowel disease. They need to maintain a healthy diet, take proper medicines and exercise regularly. They should also quit smoking and avoid taking stress in order to prevent the recurrence of the disease even after treatment.

What is the price of the treatment in India?

In general, it takes around 6 weeks to recover from the treatment of inflammatory bowel disease. People should be careful and avoid complications. Medicines and other opinions from the doctor, when followed, can help in speedy recovery.

Are the results of the treatment permanent?

IBD is an expensive chronic disease without a cure. Patients incur a huge amount for the treatment fo inflammatory bowel disease. Surgical procedures for IBD typically cost about Rs. 600000/- to Rs. 2000000/-. For mild symptoms, doctors may prescribe a number of drugs which can cost about Rs 6000 to Rs 50000/-. Additional costs are needed for the consultation fees, various diagnostic tests etc.

What are the alternatives to the treatment?

The treatment can be considered permanent only on certain basis. Medications and drugs can help to cure the inflammation and reduce symptoms. However, the benefits of surgery for Crohn's disease are usually temporary. This disease can recur often, and frequently near the reconnected tissue. Patients must take proper medication to minimize the risk of recurrence and cause the treatment be permanent.

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

Rs. 600000/- to Rs. 5000000/-

Popular Health Tips

Inflammatory Bowel Disease - Risk Factors Associated With It!

MD - Medicine, MRCP - Gastroenterology, MBBS
Gastroenterologist, Chandigarh
Inflammatory Bowel Disease - Risk Factors Associated With It!

Inflammatory bowel disease (IBD) is a group of conditions wherein the intestines become inflamed. IBD is a collective term used for the diseases like Crohn's disease, ulcerative colitis (UC) and indeterminate colitis. So it won’t be wrong to say that IBD is an umbrella term used to denote various diseases.

These are the painful diseases which, involving an abnormal response by the immune system, damages the lining of the digestive system, hence causing fatigue and/or weight loss, inflammation and ulceration, severe abdominal pain, diarrhoea and bloody stools.

  1. Ulcerative colitis: This causes a long-lasting inflammation and sores in the innermost lining of large intestine and rectum.
  2. Crohn's disease: This causes inflammation of the lining of digestive tract, which penetrates deep into affected tissues.

The symptoms of IBD mainly depend upon how severe the inflammation is and also its location. Symptoms can be mild or severe. In this condition, there are periods of active illness and remission.

  1. Diarrhea
  2. Fever and fatigue
  3. Abdominal pain and cramping
  4. Blood in your stool
  5. Loss of appetite
  6. Weight loss

Though the exact cause of inflammatory bowel disease remains unknown, it is said that diet and stress lead to this condition. However, doctors say that there are many factors which aggravate IBD which are:

  1. Immune System Malfunction: One of the predominant cause for this conditions is when immune system attempts to fight an invading virus or bacterium, and there is an abnormal immune response—which causes the immune system to attack the cells in the digestive tract.
  2. Heredity: It is also considered to be a cause of IBD. It is said that IBD occurs mostly in people who have a family history of this disease. However, not only people who suffer from this disease have any family history.

Risk factors you should know about:

  1. Smoking: Smoking is one of the main factors for developing this condition. It aggravates the symptoms of this disease hence compounding the problem.
  2. Race: IBD can occur in all races. However, there are certain ethnic groups such as Caucasians and Ashkenazi Jews that have a higher risk.
  3. Age: IBD usually starts before the age of 35. Although it can happen at any age.
  4. Genetics: If you have a parent, child etc with IBD, there are chances that you are at higher risk to get this condition.

Complications due to IBD

  1. Obstruction in bowels
  2. Weight loss
  3. Ulcers that penetrate the bowel wall
  4. Colon cancer

There are some rare cases where a serious bout of IBD can make a person go into shock – which can be life-threatening. In case you have a concern or query you can always consult an expert & get answers to your questions!

2033 people found this helpful

Inflammatory Bowel Disease - Symptoms and Treatment

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
Inflammatory Bowel Disease - Symptoms and Treatment

Inflammatory Bowel Disease needs to be controlled in the initial stage only so that severe symptoms can be prevented. There are a few easy treatments that need to be followed for getting instant relief and quickest recovery. 

What are the commonest signs of Inflammatory Bowel disease?

  1. Fatigue and fever: Low-grade fever can be experienced, which might invite fatigue, tiredness and weakness. Your energy levels will become too low, and thus you will lose your concentration to work. 
  2. Diarrhea: This is regarded as the commonest signs of all, and it can be quite severe in a few cases. 
  3. Stool with blood: If you find blood with stool, then it is a serious case, and this sign confirms clearly that you have got IBD.
  4. Cramping and abdominal pain: Ulceration and inflammation within digestive tract might invite both cramping and abdominal pain. Vomiting and nausea are the other two symptoms that are associated with the same.
  5. Weight loss: Your digestive system can get disturbed as a result of which you might lose weight on a frequent note. On the other hand, your appetite will get disturbed, and you will suffer from malnutrition.

What are the best ways to treat Inflammatory Bowel disease? 

  1. Lifestyle change: Proper diet should be maintained, and you should include foods with low fats, high fiber and others. Non-spicy and non-dairy foods are quite suitable in this case. Smoking, alcohol drinking and other bad habits should be curtailed from the diet. Eat healthy and drink water in abundance. 
  2. Surgery: Only for dealing severe conditions, especially ulcerative colitis and crohn's disease, surgery is chosen as the best option but this decision is normally taken by the doctor. 
  3. Medications: Specialized medications are being used like anti-diarrhoeal medications, pain relievers, and iron supplements, Vitamin-d and calcium supplements, vitamin-12 supplements and many more.
  4. Home remedies: There are few commonest homemade therapies that can treat IBD, and they are meditations, probiotics, acupuncture, turmeric, aloe Vera, fish oil and others. These remedies are the safest of all, and thus no side-effects will be faced.
  5. Doctor's assistance: Without doctor's help, you will not be able to get the quickest recovery from IBD. Therefore, you got to visit the clinic regularly in order to get the perfect treatment. There are a few therapists who can help you to get rid of unwanted emotional difficulties. A support group can also be joined for receiving moral support. If you wish to discuss any specific problem, you can consult a gastroenterologist.
4509 people found this helpful

Irritable Bowel Syndrome (IBS) - Are You At Risk?

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Delhi
Irritable Bowel Syndrome (IBS) - Are You At Risk?

IBS is a common intestinal disorder causing pain in the stomach, gas, diarrhea and constipation. The condition affects millions of people around the world, mostly women. It may not fully be cured, but the condition can be kept under control diet and lifestyle changes and in severe cases with medication and treatment. The most common affected age groups are between 6 to 18 and 41 to 60. 

Causes: There are several triggers to IBS although doctors are yet to determine a specific cause. Because IBS happens more in women than men, some people believe that hormones are responsible for it. Other studies suggest that IBS is triggered when

  • The colon becomes hypersensitive reacting to an external stimulation
  • The bowel muscles spasm causing diarrhea or constipation
  • The muscles in the bowel don't squeeze normally, causing diarrhea or constipation
  • There is an imbalance in chemicals like serotonin and gastrin which are responsible for the communication between the brain and the digestive system
  • Certain bacteria in the bowel can cause this condition

So far, there are no extensive studies to back any of these theories. 

Signs and symptoms: People with IBS have symptoms that can include diarrhea and /or constipation, sometimes alternating with each other, stomach cramps, gas and bloating and a belly that sticks out. Stress may, in some cases, aggravate the problem.

Diagnosis: Unfortunately there are no specific tests to identify IBS as the causes itself can vary in a big spectrum. Using your symptoms as a guide, the doctor may run tests to check for food allergies, lactose intolerance, reactions to any medications you may be taking like blood pressure drugs, infection in the stomach, enzyme deficiencies where the pancreas isn't releasing enough enzymes to digest the food properly and inflammatory bowel diseases like ulcerative colitisor Crohn's disease. You may have to undergo a colonoscopy or endoscopy, blood tests, stool tests and allergy tests for your doctor to devise a treatment that can best treat your specific symptoms.

Treatment: Because the symptoms and causes are so varied, there is no one specific treatment of IBS. You will need to identify and understand your specific triggers to isolate it and then make changes accordingly in conjunction with lifestyle change and medication.

Lifestyle changes: Look at IBS as a trigger to make you move into a healthier lifestyle and improved diet. Here are some basic changes that your doctor may prescribe

  • Avoid coffee tea and sugary sodas
  • Drink 8 glasses of water per day and time your water intake as per your food
  • Limit fatty foods, milk and cheese
  • Add wholesome fiber to your food. 
  • Relax and get some me time
  • Add a good quantity of regular exercise

There is nothing here that you already didn't know can lead to a healthier life. It's just that you'll have to take it seriously now that the doctor has prescribed it for you.

Poor Digestion - Don t Take Lightly. Good Health Begins In The Gut!

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
Poor Digestion - Don t Take Lightly. Good Health Begins In The Gut!

A happy gut starts with a healthy diet.  A balanced diet can help to prevent or manage gastroesophageal reflux disease (GERD), fatigue, inflammatory bowel disease (IBD), chronic constipation, cardiac disease, Crohn’s disease, ulcerative colitis, migraines, leaky gut syndrome and more.

Here are some basic ways to take care of your gut:

  • Drink plenty of water and stay well hydrated. 
  • Eat high-fibre foods, like fruits, vegetables, and whole grains.
  • Include probiotics in diet, eat fermented foods such as yogurt, kefir, sauerkraut, etc.
  • Focus your diet on vegetables, fruits, lean proteins and low fat dairy products.  
  • Exercise daily.  Incorporating physical activity into your daily life improves fitness, as well as contributes to microbiota balance.
  • Manage your stress. Try Yoga
  • Avoid processed, fried, junk and refined food.
  • Skip the bad habits: smoking, excessive caffeine, and alcohol.        

What Is Intestinal obstruction?

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
What Is Intestinal obstruction?

What is Intestinal obstruction?

Intestinal obstruction is a blockage of your small intestine or colon that prevents food and fluid from passing through. A complete intestinal obstruction is a medical emergency. It often requires surgery.

Symptoms of Intestinal obstruction-

Causes of Intestinal obstruction-

  • Colon cancer
  • Tumors in the small intestine
  • Inflammatory bowel diseases, such as Crohn’s disease
  • Twisting of the intestine (volvulus)
  • Telescoping of the intestine
  • Hernias
  • Abdominal surgery
  • Pelvic surgery
  • Infection
  • Parkinson’s disease
  • Diverticulitis
     

Risk factors of Intestinal obstruction-

  • Abdominal or pelvic surgery
  • Crohn’s disease
  • Cancer within your abdomen

Complications of Intestinal obstruction-

  • Death of the affected intestine
  • Infection in the abdominal cavity 

Diagnosis of Intestinal obstruction-

Diagnosis of Intestinal obstruction involves the following tests:

  • Medical history and physical exam
  • X-ray and computerized tomography (CT) scans

Treatment of Intestinal obstruction

  • Homeopathic Treatment of Intestinal obstruction
  • Acupuncture & Acupressure Treatment of Intestinal obstruction
  • Psychotherapy Treatment of Intestinal obstruction
  • Conventional / Allopathic Treatment of Intestinal obstruction
  • Surgical Treatment of Intestinal obstruction
  • Dietary & Herbal Treatment of Intestinal obstruction
  • Other Treatment of Intestinal obstruction

Homeopathic Treatment of Intestinal obstruction-

Homeopathic remedies are effective in relieving obstruction and complaints like  nausea and vomiting. It helps in relieving cramping and upper abdominal pains that become worse at night and after meals. Some of the homeopathic remedies for intestinal obstruction are:

  • Acon
  • Arnica
  • Bell
  • Mag p
  • Nux v
  • Phos ac
  • Plumbum
  • Carbo veg

Acupuncture and Acupressure Treatment of Intestinal obstruction-

Acupuncture relieves pain and obstruction by improving the physiological function of the organs and organ system. In acupuncture therapist will first diagnose the case on the basis of energy system or chi blockage as well as on the basis of status of five elements. On this basis certain disease specific acupoints are selected and stimulated.

Psychotherapy and Hypnotherapy Treatment of Intestinal obstruction-

Psychotherapy and hypnotherapy can help in stress relief. They can help in better coping and early relief.

Conventional / Allopathic Treatment of Intestinal obstruction-

Allopathic Treatment of Intestinal obstruction involves placing an intravenous (IV) line into a vein in your arm so that fluids can be given. Nasogastric (NG) tube is also placed through your nose and into your stomach to suck air and fluid out to relieve abdominal swelling. Drug therapies such as cisapride and vasopressin (Pitressin), are sometimes prescribed

Surgical Treatment of Intestinal obstruction-

Surgery typically involves removing the obstruction, as well as any section of your intestine that has died. The procedure you undergo will depend on what’s causing the obstruction and which part of your intestine is affected. In some cases, especially where there is a mechanical obstruction, surgery may be necessary.

Dietary & Herbal Treatment of Intestinal obstruction-

  • Increase your fiber intake
  • Drink plenty of water
  • Avoid dried beans, crunchy nut butters and tough meats
  • Choose canned and cooked vegetables
     

 

2 people found this helpful

Popular Questions & Answers

Hello Doctor, I am diabetic suffer from inflammatory bowel disorder .i read about the low carbohydrate high protein diet online 1.with regard to south indian meals what should be eliminatedplease? 2.does it really cure diabetes-in your opinion?

F.D.R.C.
Diabetologist, Raipur
It is always best to take balanced diet with more fibre and moderate protein, fat and carbohydrate in the diet, don't get confuse with online literature. Avoid oily, fatty and fried items with regular physical activity with meditation and yoga will help. All the best.
1 person found this helpful

I have irrational bowel syndrome along with gas issue, acidity and lactose intolerance How can I find a improvement? What are the tips that I should follow for a better diet and happy digestion. Thank you.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Irritable bowel syndrome is a condition were a person tends to have frequent bowel habits with pain, mucous and sometimes blood in the motion. Technically, cause of this is not known but we may accredited it to stress, overuse of laxatives or causative. As this comes in either an infective nor an allergic disease, therefore their are limitations of it's cure in modern medicine. Here homoeopathy has got upper hand by not only relieving the patient symptomatically to a great extent but it also has shown to relieve patient from the frequent relapsing episodes of loose motion. This is the last and best option for you if you want permanent relief.
1 person found this helpful

I take cyclopam tablets every month during menstruation does it cause any side effect? I am 17. Yrs old.

BHMS
Homeopath, Noida
Once in a while, it’s ok Place a heating pad or hot water bottle on your lower back or abdomen. Rest when needed. Give yourself a little massage where it hurts. Exercise-- Get Moving to Relieve Symptoms. Walking, running, Yoga etc. Avoid foods that contain caffeine. Avoid smoking and drinking alcohol For better results consult with details.

HI, My uncle took Fecal Calprotectin stool test (method: Fluoroenzyme Immunoassay) whose results came 156.0 mg/kg but normal range is less than 50. Can anyone please suggest what should be the next course of action now? Also please elaborate about any complications that may occur.

BHMS
Homeopath, Noida
Faecal calprotectin testing is recommended by NICE as an option to help doctors distinguish between inflammatory bowel diseases, such as Crohn’s disease and ulcerative colitis, and non-inflammatory bowel diseases, such as irritable bowel syndrome. Faecal calprotectin is a substance that is released into the intestines in excess when there is any inflammation there. Its presence can mean a person has an inflammatory bowel disease such as Crohn’s disease or ulcerative colitis. These conditions can cause very similar symptoms to irritable bowel syndrome. But, Crohn’s disease and ulcerative colitis can also cause symptoms serious enough for major surgery to be needed, so it’s important to distinguish between them and irritable bowel syndrome.

I take Asafoetida tablet everyday before going to bed. It helps in my bowel movement. Is it ok?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
It is fine to take asafoetida if it suits you . FOr bowel movement you take high fiber diet , eat fruits and drink lot of water ( 2-3 liters)
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
Irritable Bowel Syndrome
Irritable Bowel Syndrome explained in detail

Hi I am Dr Chhavi Bansal and I am practicing homeopathy at Homeo Sure in Pritampura. Today I would like to discuss about irritable bowel syndrome.

Most of us do not know the disease by its name but its symptoms are very well known to us. Most commonly symptoms produced by this disease are Sensation of being full all the time, bloated sensation, being more windy, Bouts of constipation and diarrhea, unsatisfactory stool, sensation of discomfort, weakness and stool etc. All these symptoms point towards irritable bowel syndrome. Irritable bowel syndrome is one of the emerging diseases because of the poor lifestyle we are all living.

It is a very much functional disorder which is basically deranges the brain cut access. Which leads to some kind of disturbances in the functioning of digestive system. Now coming to what causes irritable bowel syndrome. It is a very much functional disorder so there is no pathology involved behind this. It is because of certain things which then affects the functioning of the digestive system. Like if a person is very much prone to Stress anxieties and disappointments. It also deranges the brain access or if a person is having a very poor lifestyle eating unhealthy food or it can happen after some kind of gastric infections as well. So the management would include controlling the same.

Letting go the stress free life which is quite difficult But still can be managed regular physical workouts and maintaining The routine and Taking a healthy diet containing Much of fruits and vegetables. It is also being found that the people who take probiotics Are less prone to these diseases because Probiotics Promote gut bacteria. Coming to the homoeopathic management of irritable bowel syndrome. Irritable bowel syndrome is a disease which is very well managed and controlled with homeopathy.

It is the functional disorder Which has no Treatment in any kind of petty. Because it basically need to treat your constitution. It is your constitution that predisposes you to develop irritable bowel syndrome. A person who is more prone to take anxiety and stress are going to develop to irritable bowel syndrome earlier than the individual who keeps herself or himself calm. Homeopathy is the only system of medicine which basically treats the constitution and has wonderfully treated a lot of cases of irritable bowel syndrome.

In any other query related to in any other query related to irritable bowel syndrome feel free to consult me through lybrate.
Play video
Lumbar Degenerative Disc Disease
Different methods to treat Disc problems

Hello friends, I am Dr Gaurav Khera. I am an orthopaedic surgeon, doing joint replacements and spine surgeries at the Access healthcare. Now today I will be talking about the lumbar degenerative disc disease. Now it sounds very big, but it is not as complicated as it sounds. It basically is what you people commonly know as a disc disease. So it is a fairly common problem that is seen in our population today. In fact about 30 or 40% of the patients who come to our OPD have lower back pains, some have other disc problems and very commonly seen after 40 years of age and this incidence gradually increases up to 60-70 years of age. The other ecological factors which are associated with this are, first of all smoking, secondly it is, mild to moderate trauma, thirdly its seen in people who lift heavy weights, fourth is obesity, especially central obesity, that is if you have a very heavy waistline.

Now what is Lumbar degenerative disc disease? Now, our spine is composed of multiple bones, which are starting from your neck and they come all the way down to your hip, divided into the cervical, dorsal, lumbar and sacral spine. And between these bones, there are these small pieces of discs, which act as cushions. When your body walks, these act as shock absorbers between your body s bones. Now this discs, when these come out of their normal place, it gives or presses against the nerves which are passing through these areas and it causes pain. This is what happens in the disc disease. Basically, in the patient it will come as a lower back pain, and this pain will be travelling down to the hip, and it will also be coming down to the legs. Some people complain that as they walk, the pain increases.

They also complain of tingling numbness. They complain that sometimes their fingers or their toes are feeling numb. These are some of the very common symptoms which are being seen. Few people may have only lower back pain, and these are the people who do not have very significant disc disease. Now there are two main causes of the disc disease. First is an inflammatory reaction that occurs in the disc, and second is the micro motion instabilities that occur. Inflammatory reactions may occur as a result of some small traumas which may occur such as when you may injure your back. Such inflammatory reactions occur in the form of small swellings in the body. And micro motion instabilities are when the body ages, the disc which has an outer fibrous thick layer, that degenerates, and as it degenerates, the pulp which is there at the centre, of the discs, tends to degenerate. What I mean is it comes out of its normal space. And as it comes out of the normal place, it comes and tends to press on the nerves and these are the two most common causes.

All disc patients are not to be operated. When we get these patients, the first and foremost investigation that we do is a X-Ray. And if required, we go in for a MRI. Frankly MRI is the known standard to diagnose the disc disease. The findings of a MRI are always coordinated with the clinical findings. Once we have diagnosed that it is a disc problem, we have to establish that what the compression on the nerves is. If the nerve compression is a lot, and if we think that we cannot do anything other than surgery, then we take the patient for a surgery.

If not, we take the patient fro physiotherapy, lifestyle changes and few medications. These medications may carry on for few weeks to few months. And a lot of exercise has to be carried on regularly. Lifestyle changes such as weight loss, stoppage of smoking is very important. And if you can achieve this, then your problems are very easily solved. If you have any queries regarding your disc problems or back pains, then you can get in touch with me for the same.

You can reach me in my clinic, which is there in Indrapuri, by the name of Dr Khera s Wellness Clinic or you can also contact me through Lybrate for the same. Thank You.
Play video
Treatments for Pilonodal Disease
Hi, I m Dr Ashok Gupta. I m a general surgeon gastroenterologist. I m practicing since last 35 years. Today we will discuss pilonidal disease.

First, let s know what this disease is?

This is the first fistula formation on the back side of the body. Where there is the lower portion of the human body, where the pus starts coming from the fistula and quite often it is not being treated by the repeated treatment of antibiotics and anti-inflammatory drugs and the person feel very much annoyed by this. This can be a pilonidal disease.

What pilonidal disease is?

When the hair enters in the skin and it goes in and creates an infection there, until and unless that track is being exercised or being operated that remains a permanent fissure. This is called a pilonidal disease. The surgery is very simple for it. only the thing is if it is being done by an experienced person and one day you have to stay in the hospital and it can even be done under local anaesthesia. The foreign body is being removed from the wound and the wound is remained open for a long time only the dressing is required for two three weeks and another if it is the primary closure is being done then it can be cured in seven to ten days.

You can connect me at lybrate.com. if you have question, query or any clarification you are most welcome to contact on lybrate.com to me. Thank you.
Play video
Stomach Diseases And Homeopathy
Hi,

Dr. S S Tanwar, aap logon ko peat ke rog or homeopathy ke bare me kuch jankari dunga. Jaisa ki aap log jante hain peat ke rog bhut logon ko affect krte hain. Jyadatar logon me peat me gas, peat ka fulna, jalan, kabaz or dusre peat ke rog paye jante hain. Homeopathy in sabhi problems me successful rehti hai. Jhan par severe peat ki bimari nhi hai vhan homeopathy successful rehta hai.

Peat ke rog ka mukhye karan aaj kal street food, unhealthy food, or bina samay ke sona are the major causes. Lekin homeopathy lifestyle ko thik krne ke lia kafi shi rehti hai. Kuch homeopathic medicines peat ki bimari ko durr karke, sujan ko durr kar ke or acidity ko band kar deti hai.

Kuch medicines fermentation, fulna or gas formation ko durr kar deti hain. Homeopathic medicines se irritable bowel syndrome ko thik kia ja skta hai. Aap agar kisi bhi tarike ke peat ke rog se garasit hain to aap mujhe contact kar skte hain. Mera clinic Gurgaon me hai. Aap mujhe Lybrate ke through online bhi contact kar skte hain.
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Degenerative Joint Disease
Hello,

I am not a Hardik Gondia practicing Orthopaedic surgeon in Mumbai. So, today I would like to speak about osteoarthritis of the knee joint there are various type of Arthritis of the knee joint broadly they are divided into a primary and secondary osteoarthritis is comes in the primary category of the secondary categories post-traumatic for post-infectious Arthritis. However, today I will talk only about the osteoarthritis of the knee osteoarthritis is a progressive form of Arthritis is characterized by breakdown of the cartilage of the knee joint it is also called as wear and Tear Arthritis it is usually found in the people more than 60 years of age however young people can also have it the common joints affected for the Arthritis is the knee joint spine is also affected Indians.

In some Western countries hip joint is also affected the common symptom of operators is the pain which is gradually increasing over a period of time and which is disability disabling to the patient. The other symptoms being stiffness is usually present in the morning times and as the patient vox stiffness comes down the other symptoms of the deformity of the legs in which the bro the bones become crooked the last thing is the bone grating sensation as the patient makes the movement of the knee joints.

The bones rub against each other which causes the patient to gives a grating sensation when the patient moves his knees the most common factor for the osteoarthritis is the age as one gross cold osteoarthritis is pretty much evident for the needs in the knees are the factors being the gender females are more affected in osteoarthritis then the mails maybe because of postmenopausal arthritis most winner whistle osteoporosis which leads to the Apparatus weight being III important factor which causes osteoarthritis why did the weight is less the stress and strain is reduced at the joint which causes delayed osteoporosis. osteoporosis also one of the important actors causing osteoarthritis if the calcium levels of the bones are less the Bourne grating and the Oscar for osteoarthritis increases there is no specific treatment for osteoarthritis.

How to join functions can be improved with daily exercises in the form of swimming swimming is the best exercise for the patient is osteoarthritis II exercises is the walking routine works of at least 30 minutes per day is sufficient enough the other exercises are by cycling yoga can be done loss of weight is the most important modifying factor for the osteoarthritis various Plains are available for osteoarthritis which help in preventing the deformity of the lake medications are available in the form of non steroidal anti inflammatory drugs steroids or disease-modifying agents with all these medications and the exercises with a weight loss if the deformity and the pain causes the last option to go in his for total knee replacement knee replacement is actuary surfacing of the bones of the needs in which a part of a leg bone and part of a thigh bone is cut and it is replaced by metallic objects with a plastic part in between the metallic objects so that the bone grating is avoided the metal parts bride against the plastic and hence the pain of the knee joint is almost negligible and the movements are preserved.

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