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chetan Gastro and liver centre

Gastroenterologist Clinic

matam street,gumchi junction Vizianagaram
1 Doctor · ₹400 · 1 Reviews
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chetan Gastro and liver centre Gastroenterologist Clinic matam street,gumchi junction Vizianagaram
1 Doctor · ₹400 · 1 Reviews
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about chetan Gastro and liver centre
chetan Gastro and liver centre is known for housing experienced Gastroenterologists. Dr. Naresh Kumar Inumula, a well-reputed Gastroenterologist, practices in Vizianagaram. Visit this medical health centre for Gastroenterologists recommended by 98 patients.

Timings

MON-SAT
08:00 AM - 08:00 PM

Location

matam street,gumchi junction
Vizianagaram, Andhra Pradesh - 535002
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Dr. Naresh Kumar Inumula

DM - Gastroenterology
Gastroenterologist
Available today
4 Years experience
400 at clinic
₹300 online
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I have done my stool test. Dysentery is found. What should I do now? Shall I go for homeopathy or allopathy? Which will work faster? Because it is diagnosed too late. Earlier the doctor diagnosed my situation as Irritable Bowel Syndrome. So I am taking medicines for IBS for two months. But no relief at all. 70 days gone, I had a severe abdominal pain. I can not walk, can not move, can not low down or bend because of pain in my intestines. My exam are coming, my future will be spoiled if not treated soon. All my ultrasounds, x-ray, blood sugar, BP, urine is normal. Except 4.9 mm right kidney stone. So, the doctor takes it very lightly. But after two month when I done my stool test, mucus is found. Help me please.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
I have done my stool test. Dysentery is found. What should I do now? Shall I go for homeopathy or allopathy? Which wi...
Hi, You are suffering from chronic dysentry. The early diagnosis by doctor is right as to IBS (Irritable Bowel Syndrome. Try to take pure and boiled water with filtered well. Do not take any oil and spice items. Take home prepared meals and tiffins. Avoid intake of sugar and junk food. Take natural herbal drugs to control your dysentry. Amoebic problem means mucos will be there. So feel free to contact me for your permanent remedy.
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What is ibs please explain in brief, explain its symptoms and which part is affected by ibs,

B.A.M.S, M.D In Ayurvedic Medicine
Ayurveda, Amritsar
What is ibs please explain in brief, explain its symptoms and which part is affected by ibs,
Irritable bowel syndrome. An intestinal disorder causing pain in the stomach, wind, diarrhoea and constipation. It can also causes weight loss if not treated earlier.
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Good afternoon Dr. my mother is having Gastric problem and it from long years. Few years back we did Gastrscopic and after that with medication it was little better. But from last few years she has again started with again. Doesn't feel like eating any thing, After food long degree comes. If medicines of allopathic is taken burning sensation and vomiting occurs. We tried with Ayurveda and Allopathic but no release. Dr. please suggest what steps can be taken. She is 69 years old. On taking omex and Pan she feels better for some time.

BAMS, MD (AM) , Panchakarma, Yoga
Ayurveda, Gurgaon
Good afternoon Dr. my mother is having Gastric problem and it from long years. Few years back we did Gastrscopic and ...
Hi Mr. lybrate-user you didn't mention whether she is getting continous burning sensation in her stomach now. Pls tell her to take aloeveera wt fiber 25 ml twice daily in empty stomach n drink lots of water. N do yoga n meditation if she is having stress related problems. N follow a good diet.In Ayurveda we are having good treatments for gastric problems.
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Sir mene pahle khatti chije, awale ka churne bhahut bhi khaya jis wajah se abhi muje chronic gastic problem or normal diarrhea problem ho gayi hai ek sal se problem hai sb test karvaye normal aa rahe hai. Pls solution sir is problem se body ki skin loose ho gayi hai. Age 25 hai hemoglbin 15 .liver test normal sonograpy normal stool test normal.

BHMS
Homeopath, Solan
Sir mene pahle khatti chije, awale ka churne bhahut bhi khaya jis wajah se abhi muje chronic gastic problem or normal...
Along with this If you are suffering with any kind of mental anxiety or stress then it may be a case of IBS But certain things should be noted down that is their any mucus in stool or diarrhea alternate with constipation or not. We can easily differentiate IBS from any other disease condition.In IBS there is no blood in stool, cramps are less as compare to other diseases, but gastric complaints such as bloating, eructations are more. Don't worry your condition is easily curable with homeopathic medicines.
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Hello doctor. I am 21 years male boy. My question is that my doctor advised me to insert pentasa suppository in rectum and at least for remain it inside for 10 hours but on next morning when I go for motion .the medicine comes out in the form of liquid with potty. It is normal or not.

BHMS, MD - Homeopathy
Homeopath, Vellore
Dear lybrate-user! Do not worry about cosntipation 1. Eat very mild food, avoid hard spicy and oily food. 2. DRINK HOT WATER AFTER EVERY MEALS your constipation will be normal 3, Take robust banana if you feel more constipated. 4. If you experience more difficulty consult the near by homeopath immediately. Homeopathy can cure your problem very quickly without any side effects. Divine Thanks
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Is gas is the reason for heaviness in chest. Sweating also stared once heaviness is feeling.

MBBS
General Physician, Chennai
Is gas is the reason for heaviness in chest. Sweating also stared once heaviness is feeling.
It is one of the possibilities but should not be teaken for granted get a cardiac evaluation done.
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20 year male. I have got acidity problem all time. Stomach upset. N 3 days back I have got red itchy pitta rashes on body. Specially at lower knees .i do not have any joint pain. Or any fever. Or sore throat. Its just these rashes. I used cetrizine tab. And applied calamine lotion. But still its not going. Tell me a solution.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
20 year male. I have got acidity problem all time. Stomach upset. N 3 days back I have got red itchy pitta rashes on ...
Lately acidity and acid peptic disease confirmed has having it’s base in psychosomatic cause. In our experienced we have seen strong connection between stress, aggression and hyper acidity and homoeopathy works to correct the issues at all this levels step by step.
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I am having problem in digestion. When I eat food I have to go to loo immediately. Even after drinking a glass of water. And if I do not eat anything. Then I hv to go to loo. In every 2-3 hours. It creates constipation. Please help.

DHMS (Hons.)
Homeopath, Patna
I am having problem in digestion. When I eat food I have to go to loo immediately. Even after drinking a glass of wat...
Hello, Lybrate user, Tk, homoeopathic medicine:@ China 200-5 drops ,thrice. Tk, plenty of water to hydrate your body. Avoid, junk food, alcohol, nicotine, caffeine. Report after 2 days. Your, feedback matters for further follow-up, ,please. Tk, care.
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I am having hyper acid attack problem since 5 days. Symptoms: 1Itching, redness and chubna in my left eyes. 2 pain in neck and left cheek 3It feels if I vomit, vil get relieved 4 ghabrat and insomnia 5 tried pantocid dsr, but problem persists 6.also consult dentist, ent,everything is fine please suggest?

BAMS
Ayurveda, Zirakpur
I am having hyper acid attack problem since 5 days. Symptoms:
1Itching, redness and chubna in my left eyes.
2 pain in...
Start taking syrup amalpittmishran 2 tsp 3 times a day with water empty stomach. make a mixture of dhaniya powder and mishri.100 gm each.Take 1 tsp of it 2 times a day.
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Gastric Cancer - In a Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -​

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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I am 25 years of old unmarried from about 4 years I am facing the problem of soft stool constipation with back winds (gas) every day I have to pass d stool 4 to 5 times .with gas I am really fed up please help me out.

DHMS (Hons.)
Homeopath, Patna
I am 25 years of old unmarried from about 4 years I am facing the problem of soft stool constipation with back winds ...
Hello, Lybrate user, Tk, plenty of water to eliminate toxins ,softening stool to avoid constipation.   •go for a brisk walk in d morning to complete digestion to ease gastric disorder.   • go for meditation to nourish your whole body to complete the digestion.   •  your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.  • Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,    •Tk Homoeo medicines ,gentle ,rapid & safe in administration. @ Nux vom 30-6 pills thrice a day.   • ensure at least 7 hrs of sound sleep in d night.    • Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
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Mujhe acidity or gas constipation he ibs bhi or 4 years se blood vessels bhi ho raha he legs or hands me bilkul flat no itching no burn bus atey he or chale jate he kya karu.

PDDM, MHA, MBBS
General Physician, Nashik
Mujhe acidity or gas constipation he ibs bhi or 4 years se blood vessels bhi ho raha he legs or hands me bilkul flat ...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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My BMI is within limit 26 and I have fatty liver. I am non alcoholic & non smoker. Last time I did scanning for different reason and doctors said no major. Please suggest.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
My BMI is within limit 26 and I have fatty liver. I am non alcoholic & non smoker.
Last time I did scanning for diffe...
Dear user. Some fat in your liver is normal. But if it makes up more than 5%-10% of the organ's weight, you may have fatty liver disease. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week. Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. Take care.
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I feel pain in my lower left abdominal area. I don't know what it is but I feel realy bad. I feel like dehydration but am not clear ,should I go to doctor or it's just fine.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
I feel pain in my lower left abdominal area. I don't know what it is but I feel realy bad. I feel like dehydration bu...
U should meet doctor, if the pain is distressing, it can be renal stone or urinary tract infection, it can also be just muscular pain in case of decreased water intake.
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Sir I was hospitalized last 4 month before having problems of fatty alcoholic liver. With deficiency of 87% n having increased uric acid n watery lungs .now all r under normal range my question is that can I take Alcohol. In future or not if yes then how much kindly reply.

DNB Surgical Gastroenterology, MS Surgery
Hepatologist, Delhi
Sir I was hospitalized last 4 month before having problems of fatty alcoholic liver. With deficiency of 87% n having ...
Alcohol in general is not good for health, particularly in excessive quantities. I would not suggest you to go back to drinking.
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Hi, I am suffering from acidity. Feel like vomiting 24*7 amd vomited thrice since yesterday. I also have a slight head ache I have exams tomorrow please suggest some easy remedy or medicine.

BHMS
Homeopath,
Hi, I am suffering from acidity. Feel like vomiting 24*7 amd vomited thrice since yesterday. I also have a slight hea...
Hello Lybrate User, Avoid spicy and oily food. Take lemon juice thrice a day Take Gelsemium 200, a homoeopathic medicine.
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Hi I am getting stomach pain past 3 months I have done ultrasound abdomen test in that my gall bladder having stone 6-10 mm one of the doctor said need to remove gall bladder is there any alternative process to remove please help me.

MBBS
General Physician, Delhi
Hi I am getting stomach pain past 3 months I have done ultrasound abdomen test in that my gall bladder having stone 6...
Hi gall stones if not presenting with any symptoms can be ignored. But any gall stone which is symptomatic needs to be removed. As in your case your gall stones are symptomatic and therefore they should be removed. The preffered treatment is removal of gall bladder itself. Gal bladder can be removed either via open surgery that is open cholecystectomy or can be removed via laproscopy that is called as laproscopic cholecystectomy or more commonly called as lap chole. Its a very common procedure these days and a competent surgeon will be able to do it without any complications. Lap chole is the preffered method now. So I would advice you to listen to your consulting surgeons advice and make a well informed decision for the same. Best wishes!
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