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(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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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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