ANANYA GASTROENTEROLOGY - FAQS

WHAT ARE GASTROINTESTINAL PROBLEMS?

The problems pertaining to gastrointestinal tract, namely the esophagus, stomach, small intestine, large intestine, colon and rectum, and the accessory organs of digestions, the liver, gallbladder, bile ducts and pancreas come under Gastrointestinal diseases.

WHEN SHOULD YOU VISIT A GASTROENTEROLOGIST AND WHAT WOULD BE THE INITIAL DIAGNOSIS?

When you have any discomfort or pain in any part of the body that is an indication that your are having a problem in that system of body. If you have heart burn, abdominal pain, problem in swallowing, digestion problems, changes noticed in stools, blood motions, constipation, extreme diarrhoea then it is the time you visit a gastroenterologist. Knowing the symptoms and by physical examination of the patients, doctor can prescribe medicines or suggest for further investigation procedures such as Ultrasound, Endoscopy, Sigmoidoscopy, Colonoscopy based on the severity of problem.

WHAT MAKES A GASTROENTEROLOGIST DIFFERENT FROM A PHYSICIAN?

Some Gastroenterologists receive special recognition from national and international societies when they demonstrate extraordinary achievement in research, teaching, or other unique service to the field of Gastroenterology. These societies designate such physicians as “Fellows” and the suffixes FACG, FACP, FAIGES, FSGE etc are added to denote these honors. This means that these physicians have fulfilled the respective organizations rigorous requirements to gain this added distinction. Such Gastroenterologists perform higher quality examinations and comprehensive consultative services when compared to other physicians. These specialists can make accurate detection of problems, well versed to control the complications from procedures and manage fewer days in the hospital for many gastrointestinal conditions. It is this ability to provide more complete, accurate, and thorough care for patients with gastrointestinal conditions, which distinguishes Gastroenterologists from other physicians that provide some similar services.

WHAT ARE THE DIGESTIVE DISORDERS?

These days people are prone to many digestive disorders and there are many medical terms associated for each and every different problem. Some of them are Heart Burn/GERD, Inflammatory Bowel Disease, Irritable Bowel Syndrome, Bowel Obstruction, Crohn’s, Constipation, Diarrhoea, Haemorrhoids, Piles, Fissures, Ulcerative Colitis, Polyps etc.. However a patient need not worry much about the terminology because it is the doctor who knows better about the treatment and when you are in the hands of right doctor, you can be assured of the correct medication. Just allow the doctor to diagnose your problem correctly by explaining the symptoms your having and you will get the perfect solution.

BLOOD IN STOOLS – WHAT TO DO?

Visible blood in the stool or a positive stool test for hidden blood in the stool may be a sign of a serious bowel disease. Although harmless as causes Haemorrhoids or anal fissures predominate, a complete bowel diagnostics should be performed to diagnose a cancer or its precursors (polyps) early and treat. An early detected cancer has cure rates of over 90%.

WHAT IS ENDOSCOPY?

ndoscopy is a nonsurgical procedure used to examine a person’s digestive tract. Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a colour TV monitor.
In Upper Endoscopy, endoscope passed throw mouth or throat allows the doctor to view your esophagus, stomach and upper part of small intestine.
Endoscope passed through rectum to see the large intestine can be called as Sigmoidoscopy or Colonoscopy depending on how far the colon is examined.

HOW LONG WILL THE PROCEDURE TAKE?

An upper endoscopy will take approximately 15 to 20 minutes. A colonoscopy will take approximately 20 to 35 minutes. However, plan to be at the hospital for a total of 2 to 3 hours for pre-procedure preparation and recovery.
If you wish, or if necessary, under monitoring anaesthesia is provided. It is important that you then may not drive your car home after the examination. It is best to be accompanied or pick up from someone.

WHAT ARE HEPATOBILIARY DISEASES SPECIFICALLY?

Hepatobiliary diseases includes a group of diseases of the Liver, Gallbladder and biliary tract caused by viral, bacterial, and parasitic infections, neoplasia, toxic chemicals, alcohol consumption, poor nutrition, metabolic disorders, and cardiac failure.
Hepatitis refers to inflammation of live tissue which can be acute or chronic. The predominant diseases of the liver are Viral Hepatitis, Alcoholic liver disease and Cirrhosis. The predominant chronic disease of the biliary system are cholelithiasis, cholecystitis.

WHAT ARE PANCREATIC DISEASES?

Pancreatic diseases that affect digestion refers to disorders affecting the exocrine pancreas, which is a part of the pancreas involved in digestion.
One of the most common conditions of the exocrine pancreas is acute pancreatitis, which in the majority of cases relates to gallstones that have impacted in the pancreatic part of the biliary tree, or due to acute or chronic alcohol abuse or as a side-effect of ERCP. Other forms of pancreatitis include chronic and hereditary forms. Chronic pancreatitis may lead to pancreatic cancer and is strongly linked to alcohol use. Other rarer diseases affecting the pancreas may include pancreatic pseudocysts, exocrine pancreatic insufficiency, and pancreatic fistulas.

WHAT IS OBESITY AND HOW IS IT MEASURED?

Obesity is a term used to describe body weight that is significantly greater than what is considered healthy. If you are obese, you have a higher amount of body fat compared to lean muscle mass. This may lead to have negative effect on health, leading to reduced life expectancy and increased health problems.
One of the simplest and most accepted ways to measure obesity involves calculation of the body mass index (BMI). BMI is a determination of body fat based on height and weight. Adults with a BMI of 25 to 29.9 are considered overweight while those with a BMI of 30 or more are considered obese. Obesity can be further classified as Class I, II or III depending upon the degree of increase in BMI over 30.
One important category of obesity not captured by BMI is so-called “abdominal obesity”—the extra fat found around the middle that is an important factor in health, even independent of BMI.
The simplest and most often used measure of abdominal obesity is waist size. Guidelines generally define abdominal obesity in women as a waist size 35 inches or higher, and in men as a waist size of 40 inches or higher.

WHAT GASTROINTESTINAL DISEASES ARE ASSOCIATED WITH OBESITY?

In addition to the risks of obesity to your general health like heart disease, high blood pressure and diabetes, obesity is also associated with a number of conditions that affect your digestive system, pancreas and liver. Many of the gastrointestinal diseases that are commonly seen in normal weight individuals are seen up to 2 to 3 times more commonly in those who are obese.

WHAT ARE THE DIGESTIVE DISORDERS ASSOCIATED WITH OBESITY?

Esophagus: Gastroesophageal reflux disease, Cancer
Colon: Precancerous Polyps, Cancer
Gallbladder: Gall stones, Cancer
Pancreas: Acute Pancreatitis, Cancer
Liver: Fatty Liver Disease, Cirrhosis

WHAT IS BARIATRIC SURGERY AND FOR WHOM IT IS REQUIRED?

Bariatric surgery is an operation on the stomach and/or intestines that helps patients with extreme obesity to lose weight. This surgery is an option for people who cannot lose weight by other means or who suffer from serious health problems related to obesity.
But having a surgery for weight loss is a very serious decision and the patient needs to think a lot before taking the decision. You must approach the best bariatric surgeon and only under specialist who have undergone special courses in this area. We are proud to say that our doctor got trained with one of the world’s best Bariatric Surgeon at North Cyprus medical centre in Houston, USA in 2013.

WHAT IS THE DIFFERENCE BETWEEN OPEN AND LAPAROSCOPIC SURGERY?

Bariatric surgery may be performed through “open” approaches, which involve cutting the stomach in the standard manner, or by laparoscopy. With the latter approach, surgeons insert complex instruments through 1/2-inch cuts and guide a small camera that sends images to a monitor. Most bariatric surgery today is laparoscopic because it requires a smaller cut, creates less tissue damage, leads to earlier hospital discharges, and has fewer problems, especially hernias occurring after surgery.

WHAT LANGUAGES DOES THE DOCTOR SPEAK?

The doctor speaks English, Hindi, Telugu & Kannada. You can be free to ask any of your questions and the doctor is determined to take up any complicated cases to gives his 100% effort to provide the best solution available. Surgeries are not just recommended when there is no real need. But when inevitable it is the only option.

WHY DO I NEED GET ALL THE INVESTIGATIONS DONE?

Doctors always try to understand your problem by listening your problems and by physical examination. But now-a-days there is a great technology upgrade in medical field we can have many diseases diagnosed at an early stage to prevent many dangerous conditions like cancer. So, when a doctor asks you to undergo some procedures, it may be required and it is for your good. If nothing is wrong in the test then it is good for you. But getting checked is always essential. If tests are not required then our doctor will not advise you for it.

HOW ABOUT THE WAITING TIME?

As all of us are aware, the appointments are given to patients and the staff adhere to keep up the timings. But it is a fact that doctors can’t send out the patients without having their questions answered. And sometimes there will be medical emergencies without prior notice. So please understand us, if you need to wait for a little more time. Everyone of us have same problems and everybody’s time is precious. Doctors or staff doesn’t make you wait without a reason.