Gastroenterology deals in treating diseases related to gastrointestinal tract and disorders associated with it. The branch also includes the understanding of gastrointestinal organs, like the functioning of the liver, digestion and absorption, removal of waste and several others. Any gastrointestinal disorder can cause problems in stomach, esophagus, pancreas, gallbladder, liver, small and large intestines. A gastroenterologist has a broad scientific knowledge to provide gastroenterology treatment and optimal health care for patients.
Who is a Gastroenterologist?
A gastroenterologist is a physician who specializes in gastroenterology (DM gastroenterology) and offers all kinds of medical treatments related to the specialty. They undergo training in the management of diseases of the liver and gastrointestinal tract. The gastroenterologist takes a broad understanding of the symptoms at presentation like difficulty in swallowing, constipation, heartburn, loose motions, vomiting and renal bleeding to diagnose and treat conditions effectively. We at Life Medicity Hospital are committed to offer best in class healthcare services for our patients to treat life-threatening acute medical problems.
Gastroenterologists do extensive research involving gastrointestinal endoscopic treatment and procedures as well as the interpretation of results and are experts in the field. Furthermore, it is their aptitude to provide broad, precise, and thorough care for patients with gastrointestinal conditions, which differentiates them from other physicians that provide similar services. Conditions and treatments taken care by gastroenterologists include peptic ulcer, irritable bowel syndrome, inflammatory bowel disease, esophageal cancer and colon cancer. They also perform endoscopic therapeutic interventions.
WHAT TO EXPECT
Before the Surgery
Before an endoscopy, a doctor will do a physical examination and check the patient’s medical history, including prior operations, if any. At this stage, patients should inform the doctor about all their current medications, including over-the-counter drugs and nutritional supplements. A doctor may also ask a patient to stop taking certain medications to avoid excessive bleeding during the procedure. Depending on the body part to be examined through the endoscope, a patient may be asked to stop eating and drinking for a few hours before the Endoscopy.
During the Surgery
A patient may be given a local anesthesia to numb the specific area of a body part along with a sedative to relax during the surgery. A doctor will carefully insert the endoscope into the body, and throughout the procedure, the healthcare team will monitor the patient’s blood pressure and heart rate.
Nowadays, in a new innovative procedure many doctors use a capsule endoscopy procedure in which a patient is asked to swallow a capsule containing a tiny camera. The images of the digestive tract are captured and transmitted to a recorder tied to a patient’s waist.
After the Endoscopy
After the endoscopy, a patient may experience mild side effects like dry throat, sore, bloating and gas, which may disappear in a few hours. If the person has fully recovered, the doctor may discharge the patient. If the doctor has used sedation during the surgery, the patient should be taken home by another person. Also, the patient should stay away from driving or operating any machinery for the rest of the day. At the time of discharge, a doctor may also devise a follow-up schedule for the patient.
Immediately talk to the doctor if there are any of the following symptoms appear after endoscopic surgery:
- Chest pain
- Abnormal stool
- Severe abdominal pain
- Shortness of breath
Inflammatory bowel disease (IBD) is typically a group of inflammatory conditions of the colon and small intestine. The main forms of IBD are Crohn's disease and ulcerative colitis (UC). The main difference between Crohn's disease and UC is the location and nature of the inflammatory changes. Crohn's can affect any part of the gastrointestinal tract, from mouth to anus (skip lesions), although a majority of the cases start in the terminal ileum.
The treatment of inflammatory bowel disease depends on its form. IBD may require immunosuppression through prednisone, TNF inhibition, azathioprine (Imuran), methotrexate, or 6-mercaptopurine to control the symptom. More commonly, treatment of IBD requires a form of mesalazine.
Severe cases may require surgery, such as bowel resection, strictureplasty or a temporary or permanent colostomy or ileostomy
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