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Center for Medical Gastroenterology & Endoscopy

Department of gastroenterology offers advanced treatment for disorders of the liver, biliary tree, pancreas and other gastro-intestinal diseases, by diagnostic and therapeutic upper and lower GI endoscopy and colonoscopy.

Abdominal pain is a common symptom that it is sometimes difficult to judge when it is due to a serious problem requiring immediate medical attention.

There are some characteristics of abdominal pain such rapidity of onset, location duration and intensity that can give the physician as well as the patient some idea about the cause.

  • Pain which has a sudden onset,severe as well as localized is likely due to an intra abdominal catastrophe such as a perforation.
  • Pain is self-limiting and subsides in disorders such as gastroenteritis.
  • Pain in the upper abdomen above the naval can be from pancreatitis of from a performed peptic ulcer.
  • Pain in the right upper portion of the abdomen could be from the gallbladder or liver.
  • Pain originating in the small intestine is felt around the umbilicus.
  • Pain can also spread from its original site to another as in appendicitis, where it starts around the umbilicus and then spreads to the right lower portion of the abdomen.
  • The character of the pain (dull aching spasmodic, crampy or severe boring) can also suggest its origin.

Acute Gastroenteritis:

This is characterized by cramps around the navel, with diarrhea, sometimes with blood and mucus, with or without vomiting and fever. Most cases are self-limiting or respond rapidly to antibiotics and fluid replacement. There may be a history of other family members or friends affected at the same time. Gynaecological causes, such as endometriosis, twisted ovarian cyst or ruptured tubal pregnancy and urological causes such as kidney stones should not be overlooked.

Abdominal pain can also originate from disorders involving systemic illnesses. Examples include acute myocardial infarction (heart), pneumonia (lung), disc prolapse, spinal cord tumors (nervous system), metabolic (renal failure diabetes), toxic (lead poisoning), infections (herpes zoster) and muscle contusions or haematomas.

It is therefore extremely important to consult the nearest physician or the Emergency Department when one has abdominal pain with any of the characteristics described above.

Our Gastroenterology- specialists deal with the following conditions:

  • Jaundice (e.g. viral hepatitis / obstructive jaundice/ biliary stone disease)
  • Hypertension Management Clinic
  • Chronic liver disease (Hepatitis B, Hepatitis C), cirrhosis, portal hypertension, variceal bleeding, ascites.
  • GI Bleeding (haematemesis / melena / fresh blood per rectum)
  • Abdominal pain
  • Dyspepsia (gas, bloating of abdomen, distension of abdomen)
  • Gastro oesophageal reflux disease (acidity, heartburn, vomiting)
  • Loss of appetite, weight loss
  • Irritable bowel syndrome (chronic diarrhea, mucus in stools, loose bowel movements
  • Inflammatory bowel disease e.g. ulcerative colitis
  • Elevated SGOT, SGPT (could be due to chronic Hepatitis B or C, non alcoholic fatty liver disease)

The Endoscopic procedures performed at our center include

  • Esophagogastroduodenoscopy
  • Colonoscopy
  • Enteroscopy
  • Endoscopic Ultrasound (EUS) and
  • Endoscopic Retrograde Cholangiopancreatography (ERCP).

 


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