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Endoscopy Gastroenterology Kartik Goyal Ultrasound

What are the uses and benefits of endoscopic ultrasound?

Overview

The wave of improved and updated medical advancement have proven to be a boon for patients. The medical procedures with inventive techniques allow us to check the problem by viewing what’s inside and accordingly perform the necessary steps. Be it one of the best gynecologists or the Best Gastro Doctor in Ludhiana, both of them use the procedure to address the condition effectively. And one such procedure is an endoscopic ultrasound that is combined with ultrasound offering the desired imaging. Like in the case of a digestive tract problem, the procedure has proven to be of great help.

The procedure of Endoscopic Ultrasound

The method of Endoscopic Ultrasound in Ludhiana is categorized as a minimally invasive method. During the procedure, the doctor inserts a long and flexible tube into the rectum or mouth that easily guides through the body, and the device has a camera attached to one end to see the inside of the body clearly. The latest technology contains ultrasound devices with the same that produce sound waves giving the inside image of the tissues and organs to perform the treatment.

Gastro parts that are checked with Endoscopic Ultrasound

Through the endoscopic ultrasound, it’s possible to check the different parts like:

  • Rectum
  • Colon
  • Stomach
  • Esophagus
  • Liver
  • Gallbladder
  • Lymph nodes
  • Lungs

Depending on where you have the problem, the gastro doctor will direct you toward the specific approach.

Uses of Endoscopic Ultrasound

  • Check the reason behind the symptoms

To identify the reason behind unusual symptoms, the gastro doctor performs EUS. Like even in case of the chest or abdominal pain, unexpected weight loss, and accidental bowel leakage, the EUS checks everything.

  • Checks medical conditions

Through the same, the doctor checks the possibility of a medical condition like bile duct stone and pancreatitis problem.

  • Perform biopsy

The biopsy is an important process to check for cancer problems.

  • Stage and diagnosis of cancer

The EUS is even effective in diagnosing and staging cancer of the pancreas, stomach, lung, colorectal, and esophageal. Through the EUS, it’s even easier to find whether cancer has spread to other organs or lymph nodes.

Benefits of Endoscopic ultrasound

The EUS offers various benefits as the method of diagnostic tests like:

  • The standard EUS cannot effectively determine what’s the problem. Whereas with the advanced approach, that’s easily possible.
  • The ultrasound device goes into the body seeing all the organs properly, providing accurate images of the body. Thus the EUS helps to make effective results and determine the exact solution properly.
  • While performing EUS, the doctor can even take fluid or tissue samples. With the said approach, the need for additional biopsy won’t be required.
  • The procedure eliminates the stress of undergoing any radiation.

Prepare yourself in advance to undergo an endoscopic ultrasound

  • The EUS is an outpatient method that means you will go back home on the same day.
  • You need to give out less than one hour for the procedure. And afterward, you can continue with the normal regime.
  • Before the appointment, you need to fast for at least 8 hours.
  • The procedure is safe and effective. But make sure that you ask the doctor about everything and understand the methods of managing the complications.

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Endoscopy Kartik Goyal

What’s The Need For Minimally Invasive Procedure Endoscopy?

Endoscopy for diagnostic test

Endoscopy is one of the most asked-for diagnostic tests that’s an integral part of gastro care. The gastroenterologist performs the procedure to have a better look inside the digestive tract:

  • Stomach
  • Esophagus

  • Colon

Endoscopy in Punjab can be used to see several health issues that leave symptoms like heartburn, reflux, and chronic pain. One of the stats shows that heartburn cases in India fall between 7.6% and 30%. That’s a huge number requiring immediate medical care.

Therefore, if you have problems like acid reflux on a chronic level and heartburn, then you have to consult one of the Best Gastro Doctor in Ludhiana. The gastro doctor will suggest you the necessary possible care to address the condition in the most significant manner. What you have to always keep in mind is to consult the gastro doctor without any delay. Seeking the right kind of medical care plays an essential part in addressing the concern on time.

Endoscopy and Gastroenterology services

The doctor will do thorough evaluation to ensure everything is known. The endoscopy approach is for the lower or upper GI tract to check the possible symptoms and digestive health issues.

Endoscopy is an advanced approach and comes under the category of the minimally invasive method. Your gastroenterologist performs the same to effectively determine what’s the best possible way to correct the specific concern that you have.

Reasons to perform endoscopy

Several digestive issue symptoms are treated through endoscopy to analyze your entire digestive health effectively. The possible reasons to perform endoscopy are:

  • Peptic Ulcer Disease

  • Hiatal hernia

  • Blood while vomiting

  • Nausea and weight loss

  • Achalasia Cardia

  • Inflammatory bowel disease (IBD) like Ulcerative Colitis (UC) and Crohn’s Disease

  • Frequent abdominal pain

  • Unexplained bleeding in the digestive tract

  • Diarrhea that doesn’t respond to medicines

  • Pancreatitis

  • Gallstones

  • Resection of Gastric epithelial polyps

  • Recurrent gastritis or acidity

  • GERD (Gastroesophageal Reflux Disease)

  • Taking a biopsy from a suspicious lesion or ulcer

  • Foreign body extraction (Example: Coin, battery, meatloaf, etc.)

  • Endoscopic balloon for weight loss (For advanced cases, if needed)

  • Esophageal Variceal Ligation

Endoscopy procedure: How is it done?

The expert gastro doctor performs this minimally invasive method as an outpatient procedure. The endoscope is a small fiber-optic instrument with a light attached to one end. It allows you to send images of your present GI tract on the video screen. It follows a careful and effective approach making it an exceptionally perfect method.

Is an endoscopy diagnostic test comfortable?

The gastro doctor will administer the required sedative before the procedure starts. Its desired effect is to make the procedure extremely comfortable. The recovery from the sedative might take around 24 hours.

Gastro care: Get the best care at the earliest

Getting the right information is essential, no matter what the problem. Similarly, to improve your gastro health, you need to seek medical assistance from Dr. Kartik Goyal, who will ensure to offer what’s best and effective. Schedule your initial consultation to get further information.

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ERCP Kartik Goyal

What Are ERCP, And What Are The Common Reason For Doctors To Use It?

What Is ERCP (Endoscopic Retrograde Cholangiopancreatography)?

ERCP or Endoscopic Retrograde Cholangiopancreatography is a method that mixes the X-rays and upper gastrointestinal (GI) endoscopy in order to treat the issue of pancreatic ducts and bile.

 What Are Bile And Pancreatic Ducts?

Bile ducts are basically a tube that carries bile from your liver to your duodenum and gallbladder. The primary function is that the small pancreatic ducts empty into the main pancreatic duct. Also, the common bile duct and the duct of the main pancreatic join together before they empty into the duodenum. 

Reasons Why Doctors Use ERCP?

The main reason why the best gastro doctor in Ludhiana uses ERCP is to treat the issue related to pancreatic ducts and bile. Apart from that, the professional also uses ERCP to diagnose the concerns of bile and pancreatic ducts if they expect to cure the issue at the time of the procedure.

In the case of only diagnosing the issue, the doctor generally uses non-invasive tests instead of ERCP. They are those examinations that do not physically enter the body.

Some of the non-invasive tests that are safe and can also diagnose the problem of pancreatic ducts and bile without any complication are magnetic resonance cholangiopancreatography (MRCP). It is basically a type of magnetic resonance imaging (MRI).

Doctors perform ERCPs because of the blocking and narrowing of the bile and pancreatic ducts. 

Common Reason For The Blocking And Narrowing Of Pancreatic And Bile Duct

  1. The formation of gallstones in your gallbladder becomes stuck in the common bile duct.
  2. Chronic pancreatitis.
  3. Acute pancreatitis.
  4. Having surgical or trauma complications in the pancreatic and bile ducts.
  5. Pancreatic pseudocysts.
  6. Tumors or cancer of the pancreas.
  7. Tumor and cancer of bile ducts.

Talking To Your Doctor Is The Key

It is necessary for you to discuss your allergies and medical conditions beforehand. You should also show all the prescribed over-the-counter medicines that you are taking, including vitamins, and other supplements such as:

  1. Arthritis medicines
  2. Blood pressure medicines
  3. Blood thinners medications
  4. Diabetes medicines
  5. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen and naproxen.

Apart from that, your doctor might also ask you to stop taking certain medicines, such as those that affect the interaction with sedatives and blood clotting temporarily. Additionally, the doctor will also prescribe you some sedatives at the time of ERCP treatment to help you relax a little and stay comfortable throughout the procedure.

You must also tell your doctor if you are pregnant or not. If you are pregnant and have to undergo ERCP treatment to treat the condition, the doctor might conduct the whole procedure with some minor or major changes best suited for the patient’s comfort. They would also protect the fetus from the X-rays.

According to much research, we have established that ERCP is generally safer during pregnancy.

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Endoscopy ERCP Kartik Goyal

Will my child be in pain while undergoing the ERCP procedure?

Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedure

ERCP (Endoscopic Retrograde CholangioPancreatography) is minimally invasive method that helps treat the conditions linked to the pancreatic and bile duct. At one of the leading Gastro hospital in Ludhiana, you can expect the most advanced method to be performed correctly to diagnose the specific condition.

In many cases, parents get worried whether undergoing an ERCP procedure would trigger pain and how it’s performed fir childrens? To clear your thoughts, ERCP Treatment in Ludhiana is a feasible approach and won’t cause any significant discomfort. For better understanding, you need to discuss the same with your gastro doctor.

What’s the use of an endoscope in ERCP?

Endoscopic means endoscope use which means going in the bile flow direction and getting necessary images of the pancreatic and bile duct. Getting all the required information allows the Gastro doctor in Punjab to perform the surgery with utmost ease and comfort.

What are the reasons for undergoing ERCP?

As per the prevalence rate, around 0.3% of children need a hospital visit to get treatment for jaundice and severe pain. The given symptoms are the reason for conditions like:

  • Gallbladder stone reaches the bile duct area
  • Blocked biles, the body won’t absorb the nutrients

As the presence of the bile duct is so tiny, it’s normal for the stone to get in that area. To address severe pain and ensure the problem won’t get worse with time, the doctor suggests your child get ERCP.

ERCP procedure

ERCP includes two components:

  • Endoscopy
  • Fluoroscopic X-ray

During ERCP, your child will be under general anesthesia, which means they won’t feel discomfort. The gastro doctor inserts the endoscope that has a tiny video camera attached to one end. The doctor will safely put the thin, flexible tube into the child’s mouth, and then it goes into the upper digestive system.

As the endoscope is narrow, there is much ease in dividing it into two channels. The doctor inserts carbon dioxide into the GI tract to help see and treat everything. If there’s a need to visualize an extremely small part of the body, the doctor uses a special kind of contrasting dye for better visualization.

The dye makes it easier to see any type of abnormal blockage or to narrow in the duct. Depending on the test results and what’s visible on the X-rays, the gastro doctor will further customize the necessary course of the treatment plan.

Pediatric ERCP developing significantly

Undoubtedly, the demand for ERCP, in general, has increased a lot in the past 20 years. As an advanced diagnostic method offering a high level of therapeutic capabilities makes it effective. If your child is in pain or the exact reason is unknown, seek medical assistance from the gastro doctor without any delay.

Schedule your initial consultation

At Ludhiana Gastro & Gynae Centre you can consult the gastro doctor to make an informed choice on what’s right and safe for your little one.

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Gastroenterologist Gastroenterology Kartik Goyal

Everything you should know about an intragastric balloon for weight loss treatment

Intragastric Balloon For Weight Loss Treatment

The intragastric balloon treatment makes one of the most appropriate choices for weight loss. The procedure uses endoscopy to fill the stomach with a balloon and limit the intragastric space. The stomach stays there for six months, and Intragastric Balloon for Weight Loss in Punjab helps the patients lose around 10 to 15 kg. So, if you have been searching for weight loss treatment, then better consult the doctor.

Procedure of endoscopic guidance

The silicon balloon gets placed in the stomach through endoscopic guidance. The procedure aims to make you feel full and reduce your hunger feeling. Don’t consider the procedure a permanent weight loss treatment. The market have different types and sizes of balloons. Depending on what’s best for you, the doctor will suggest the necessary choice when you visit for the initial consultation at Gastro hospital in Ludhiana and clarify all your doubts.

Signs that I need to undergo intragastric balloon treatment (For weight loss)

  • BMI is more than 30, and therefore, your condition demands an effective approach
  • Class 2 obesity (BMI falls between 32 to 37) and surgery is impossible due to other health issues.
  • For BMI > 37, procedure makes best before bariatric surgery to ensure there’s no problem linked to the surgical approach.
  • All the dietary measures have failed, and you have conditions like infertility, PCOS, and other problems.

With all these conditions, you must consult a medical expert without worrying about anything.

The expert team performs weight loss surgery in Ludhiana

There’s no need for surgery during intragastric balloon for weight loss treatment. The medical expert team will give you a necessary treatment plan to improve your condition. When you consult the doctor, you will get the following information:

  • Right kind of assessment.
  • Proper guidance is available to you.
  • Discuss the different methods. Make sure to ask any questions that come to your mind.
  • Depending on the initial evaluation and diagnosis, the team informs that you are a suitable candidate for intragastric balloon treatment for weight loss.

Are there any tests done before the weight loss treatment?

  • Hemogram, RBS, HbA1C
  • Cortisol, Blood Group
  • Calcium, S. Magnesium
  • GAD Antibodies, IA2 Antibodies (in diabetic patients)
  • His Ag, HIV I & II, Anti HCV, VDRL, Urine RE
  • ECG, X-Ray Chest PA, USG abdomen, Dexa Scan
  • C peptide fasting, C peptide 1 hr pp, Insulin fasting
  • Liver function test, Lipid Profile, Thyroid function test, and Renal function test

Placement of the intragastric balloon

The procedure requires endoscopy and mild anesthesia. The tube contains a camera to see the inside of the stomach. The balloon is silicone elastomer, soft and pliable. The balloon gets placed through sterile solution or air. Following that, the doctor gently pulls the catheter from the inner side, and the balloon self-sealing valve won’t result in leakage or air. The procedure takes 20 minutes. You might need to stay overnight or return home a few days after surgery.

Do you have any doubts?

Schedule your initial consultation at Ludhiana Gastro & Gynae Centre to seek all necessary information.

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Gastroenterologist Gastroenterology Gynecologist

Everything you need to know about the healthy diet plan for IBS

IBS (Irritable Bowel Syndrome): Diet Plan for IBS

IBS is one of the most problematic conditions that affect your gut and your overall lifestyle. It’s even seen that IBS symptoms flare up with the intake of specific food options. And that is why it’s suggested to change the diet plan. Irritable bowel syndrome can trigger in some people by consuming specific food options. 

Food is a powerhouse to generate your body’s well-being towards the right path. And that is why our Gastroenterologist in Ludhiana has shared essential insider tips for the ‘Best Diet Plan For IBS.’ When you consult our gastroenterologist, he will guide you towards the right possible option to make your bowel health better and healthy.  

Gastro doctor guide: Diet Plan for IBS

Your IBS diet plan includes three significant steps. And those are mentioned below:

Step 1: Live a healthy lifestyle and follow the healthy diet plan

For a healthy IBS Diet plan, you should:

  • Eat fruits and vegetables
  • Drink an adequate amount of water, at least 10 to 12 glasses, every day 
  • Include scratchy carbohydrates like rice, bread, pasta, potatoes, cereals, and chapatis. 
  • Milk & dairy products. Individuals with lactose intolerance should have rice milk, oat milk, and soya milk. 
  • Include protein-enriched food like eggs, fish, meat, pulses & beans. 
  • Don’t have an excess amount of sugary and high in fat food
  • Don’t have saturated food like cakes, butter, ghee, cheese, biscuits, etc. 

For a healthy IBS lifestyle

  • Do not miss out on any meal
  • Never eat your food in a hurry
  • Properly chew the food
  • Avoid eating late at night
  • Exercise regularly
  • De-stress yourself 
Step 2: Change IBS diet depending on symptoms

With a healthy diet and lifestyle, you have to change your diet plan depending on the symptoms. Therefore, modify the diet to get the symptoms under control. Here are some of the changes you should make:

  • Limit the regular intake of coffee

Coffee stimulates the colon and makes symptoms worse. So, limit coffee and tea intake to not more than 3 cups in a day. Additionally, limit soft drinks. 

  • Do not drink alcohol

Just like alcohol, you need to limit alcohol intake daily. It’s better to keep at least two days without any alcohol intake

  • Limit intake of resistant starch 

Some starch doesn’t react well to digestive health and aggravates IBS symptoms. Here’s what you have to avoid:

  • Ready meals
  • Pastry
  • Cold potato, salad, or pasta 
  • Savory snacks
  • Processed food of any kind
  • Whole grains, sweet corn, green banana, and muesli
  • Make your fiber intake better

For most individuals diagnosed with IBS, fiber intake is not correct. And some have to increase their fiber intake. So, depending on how your body reacts, you should manage your fiber intake every day. 

  • Reduce fatty foods

Some fatty foods are problematic for the body to digest, and their intake can worsen symptoms. So, you should:

  • Avoid fatty meat products such as sausages, pies, and pasties
  • Take cheese in a small amount
  • Intake of lower-fat dairy food like low-fat yogurt, semi-skimmed milk, and cottage cheese
  • Use tomato-based sauces 
  • Cakes, biscuits, chocolates, and pastries.
  • Make dressings and sauces with mayonnaise and salad cream but add small amounts. 
  • Opt for different and healthy cooking methods: Microwaving, grilling, steaming, boiling, and poaching. Avoid frying.

Did you know? 

Probiotics can also help. Talk to the doctor about which one you should have. 

Step 3: Begin with an elimination diet

Additionally, some studies have shown if indicated to follow a low FODMAP diet, the symptoms improve. And it’s

  • Fermentable
  • Oligo
  • Di
  • Monosaccharides
  • And
  • Polyols

Little Breakdown on IBS Diet:

Foods to eat Foods to avoid
Fruits Oranges, grapes, kiwi, blueberries, strawberries, and raspberries,  Peaches, mangoes, apples, watermelon, pears, and plums nectarines
Sweeteners Agave, stevia High fructose corn syrup, and Sorbitol, xylitol, 
Legumes Peas Chickpeas, kidney beans, and lentils
Vegetables Carrots, eggplant, pumpkin Artichokes, Brussels sprouts, onions, asparagus, and broccoli
Other foods Eggs, lean meat, oatmeal Wheat products, nuts, milk products, coffee, and alcohol

Do you have any doubts?

Schedule your initial consultation at Ludhiana Gastro & Gynae Centre to better understand what kind of diet plan to follow during IBS.

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Gastroenterologist Gastroenterology Gynecologist Kartik Goyal

Common Questions About Gastroenterology And Its Common Treatment

What Is Gastroenterology?

Gastroenterology is basically a generic medicine that is a subspecialty. It mainly focuses on the digestive system, the organs that are associated with it, and its disorders. The primary function of the gastrointestinal system is to assimilate nutrients, digest and transfer food, and also eliminate toxins from the body. Gastroenterology mainly concerns the diseases that affect the organs. The concern starts from the mouth to the anus, also known as the gastroenterology tract.

 What Are The Most Common Gastroenterology Diseases

Gastro doctor in Ludhiana is able to cure many different types of illness, including ulcers, acid reflux, hepatitis C, polyps or growths that happens in the large intestine, hemorrhoids, jaundice, pancreatitis (inflammation in the pancreas), bloody stool, constipation, colon cancer, acute or chronic diarrhea, defecation problems, hemorrhoids, irritable bowel syndrome, rectal problems in women, some other inflammatory bowel diseases such as ulcerative colitis, Crohn’s diseases and many more.

Some of the most common symptoms of these diseases are mostly ranging widely, such as nausea, vomiting, loose motions, constipation, rectal bleeding, loss of appetite, pale-colored stools, loss of weight, and lethargy.

We highly recommend you seek professional help if you notice any of the given symptoms or issues. You can get Gastroenterology Treatments in Ludhiana without any delay and get rid of any problems that concern your overall health. 

Who Are Gastroenterologists?

Gastroenterologists are typically trained professionals who have specialized in the field of treating gastroenterology issues in the body. They generally have a training and education of a total of 10 years that includes undergraduate medical education, an MD in internal medicine, a Dm, or even a fellowship in gastroenterology. The doctors for gastrology conduct various diagnostic and remedial examinations that include ERCP, endoscopy, gastrology, endoscopic, liver biopsy, and ultrasound. Apart from that, there are also some gastroenterologists that can perform various advanced hepatology, endoscopy, and treatments for ulcerative colitis and Crohn’s diseases.

 When Should You Consult A Gastroenterologist?

You must immediately consult or seek help from an expert (gastroenterology doctor) if you notice any unexplained pain or complaints in the abdominal area. Apart from that, if a patient is suffering from any abdominal pain, they must contact the gastroenterology specialist without delay. In some cases, people who are above the age of 50 unusually contact a gastroenterologist for some precautionary measures as they are at higher risk of contracting colon cancer.

What Kind Of Treatments Do Our Gastrologists Give?

We hire our gastroenterologists doctors who are highly educated and skillful at diagnosing and treating the ailment and disorders associated with the gastrointestinal tract, also known as GI. Some of those areas include the esophagus, small intestine, stomach, large intestine (colon), and also the biliary system (pancreas, liver, bile ducts, and gallbladder). Apart from that, a gastroenterologist will be more comfortable or skilled in guiding the symptoms and the conditions of the GI organs, including:

  1. Liver problem
  2. Nausea
  3. Gastritis
  4. Abdominal pain