Services Provided By Dr.S.H.Kayamkhani.

Gastroenterologist Dr. S H Kayamkhani who specializes in diseases and conditions of the digestive system. Provides treatment, organs from the mouth to the anus, including the oesophagus, stomach, liver, pancreas, large intestine, small intestine and rectum.
Dr. S H Kayamkhani specialize doctor for irritable bowel syndrome, inflammatory bowel disease, Gastro-Oeosphageal Acid reflux, Pancreatitis (inflammation of the pancreas), Hepatitis, Inflammatory bowel disease, Jaundice, Polyps in the large intestine, Gastrointestinal cancer, Reflux esophagitis (caused by gastroesophageal disease), Hemorrhoids, Bloody stool, cramping, bloating etc.

Irritable Bowel Syndrome


Irritable bowel syndrome(IBS) is one of the commonest conditions seen in gastroenterologic practice. It is characterized by recurrent chronic abdominal pain and discomfort associated with disordered bowel habit. The bowel habit can vary between constipation and diarrhea often with disordered defecation and associated bloating. The (only) great thing about IBS is that is it not associated with, nor does it lead to any other illness. It will not progress, it does not raise the risk of colon cancer and it never requires surgery.

It is important to note that it is the combination of symptoms that characterize IBS - constipation as a stand -alone problem should not be diagnosed as IBS, nor should abdominal pain that comes without a change in bowel movements. Interestingly because IBS is a "functional disorder" one cannot actually be tested for it rather it is determined by a diagnosis of exclusion. This is because there are no structured, inflammatory, biochemical or infectious abnormalities present in IBS.
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Inflammatory Bowel Disease


World Gastroenterology organization is observing 29th May 2010 as Inflammatory bowel disease” (IBD) day to create awareness regarding this disease. The incidence of IBD is rising gradually, especially in developing countries including India. Many countries are actively taking part in creating this awareness programme.
The two major types of IBD are ulcerative colitis and Crohn’s disease. Both these diseases are chronic conditions that can last from years to decades. They most commonly begin during adolescence or early adulthood.
In ulcerative colitis the large intestine becomes inflamed and ulcers may develop. Ulcerative colitis affects only the large intestine. However, Crohn’s disease can occur in any part of digestive system from oral cavity to anus. Ulcerative colitis affects superficial lining of large intestine but Crohn’s disease can cause damage to the entire wall of digestive tract. In ulcerative colitis inflammation begins in the rectum (the last few inches of the large intestine where faeces are stored before they leave the body).The most common symptoms of Ulcerative colitis are abdominal pain and bloody diarrhea. Patients with Crohn’s disease usually have abdominal pain or cramps, diarrhea, sometimes with blood in stool, fever and weight loss. As Crohn’s disease involves entire thickness of bowel wall, it can cause more serious problems than ulcerative colitis. In Crohn’s disease swelling and scar tissue can thicken the intestine wall. This narrows the passageway for food that is being digested. The area of the intestine that has narrowed is called a stricture. Deep ulcers may turn into tunnels called fistulas that connect different parts of the intestine. Among the many complications of Crohn's disease, the development of fistulas is one of the most distressing to patients because it decreases their quality of life and one of the most frustrating to physicians because of the dishearteningly high rate of management failure. IBD is not the same as IBS (irritable bowel syndrome) although the symptoms can be similar. Unlike in inflammatory bowel disease irritable bowel syndrome does not cause inflammation or damage the intestines.
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Role Of Fiber

The present emphasis on fiber and its role in various diseases dates back to the 1970s and the observations of Burkitt and others. They noted that in cultures with diets rich in fiber there was a relative rarity of diverticulosis or diverticulitis, gall-bladder disease, coronary heart disease, appendicitis, colorectal tumors or polyps, varicose veins, or deep vein thrombosis. In contrast, in the developed or Western cultures where the intake of dietary fiber is lower, these diseases are quite common. Burkitt also noted the emergence of these diseases in the United States and England after 1890. This seems to correlate with a new milling technique that yielded a low-fiber flour - white flour. He also showed that stool volume and transit speed correlated with the fiber content of the diet. The faster the transit time and the larger the volume, the lower is the incidence of these diseases. Please click At www.ibspune.net for more information in all languages.

Intestional Gas

What causes belching?
The ability to belch is almost universal. Belching, also known as burping, is the act of expelling gas from the stomach out through the mouth. The usual cause of belching is a distended (inflated) stomach caused by swallowed air. The distention of the stomach causes abdominal discomfort and the belching expels the air and relieves the discomfort. The common reasons for swallowing large amounts of air (aerophagia) are gulping food or drink too rapidly, anxiety, and carbonated beverages. People are often unaware that they are swallowing air. Moreover, the act of belching may actually cause more air to be swallowed. "Burping" infants during bottle or breast feeding is important in order to expel air in the stomach that has been swallowed with the formula or milk. Excessive air in the stomach is not the only cause of belching. For some people, belching becomes a habit and does not reflect the amount of air in their stomachs.
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Links

Useful Websites On Irritable Bowel Syndrome 1) The National Institute of Health is one of the world's foremost medical research centers and Federal focal point for medical research in the United States. This prestigious institute has a website on Irritable Bowel Syndrome for purpose of educating people on this subject. You can directly access information on Irritable Bowel Syndrome by clicking on http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/. The author strongly advocates everyone to read this article as it answers most of your queries.
www.mayoclinic.com is one of the most educative sites from the reputed hospital in USA. At home page of this site type "Irritable Bowel Syndrome" in the search box on top right of the page and press the "go" button next to it. You get list of articles on irritable bowel syndrome written by reputed physicians from this organisation. The author strongly recommends to read following articles which covers IBS in depth.
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From Other Resources:

WHAT IS IRRITABLE BOWEL SYNDROME?
Irritable bowel syndrome (IBS) is a common disorder that may affect up to 30 percent of all Americans at some time during their lives. The disorder has many names, including nervous colon, spastic colon, spastic bowel, mucous colitis and spastic colitis. However, it should not be confused with diseases like ulcerative or Crohn's colitis. IBS is a syndrome, a pattern of symptoms such as pain and bloating that tend to occur together. It is not a "disease" in the normal sense of the word (i.e., it cannot be caught or transmitted from person to person as a cold can nor can it be cured by an operation or medication). It is not life-threatening.”
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