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Gastroenterology Treatment

The specialty of gastroenterology is the diagnosis and treatment of diseases pertaining to the esophagus, stomach, intestines, liver, pancreas, and gallbladder, as well as other parts of the digestive system. Treatments for digestive system problems are known as gastrointestinal (GI) treatments, and gastroenterologists treat them. A gastroenterologist is a medical specialist who focuses on the diagnosis and treatment of disorders pertaining to the digestive system, which includes the liver, pancreas, stomach, small and large intestines, and gallbladder.

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About Gastroenterology

India offers excellent and widely accessible gastroenterology care. Some of the top medical centers and hospitals in the world that offer specialist treatment for gastrointestinal diseases are located in India. The nation is home to highly qualified gastrointestinal surgeons and gastroenterologists who are competent to diagnose and treat a broad variety of digestive ailments.

A gastroenterologist should be consulted for the proper management of gastrointestinal disorders such as diverticulitis, stomach ulcers, irritable bowel syndrome, inflammatory bowel disease, Celiac disease, small intestinal bacterial overgrowth, and more.

What Gastroenterology Treats?

Gastroenterology provides the diagnosis and treatment of ailments arising in the digestive system, with a great variety of conditions relating to:

  • Esophagus: GERD (Gastroesophageal reflux disease), Esophagitis, Swallowing disorders, and Esophageal cancer.
  • Stomach: Peptic ulcers, Gastritis, Gastroparesis, and Stomach cancer.
  • Small intestine: Celiac disease, Crohn's disease, Small intestinal bacterial overgrowth, and Malabsorption syndromes.
  • Large intestine (colon) and rectum: Ulcerative colitis, Irritable bowel syndrome, Diverticulitis, Colon polyps, Colon cancer, and hemorrhoids. 
  • Diseases of the liver: Hepatitis (A, B, C), cirrhosis, fatty liver disease, and liver cancer. 
  • Pancreas: Pancreatitis and pancreatic cancer. 
  • Gallbladder and bile ducts: Gallstones, cholecystitis, and bile duct disorders. 

Types of Gastroenterology:

Gastroenterology is characterized by many areas of its focus considered as specialties or subspecialties, often without strict definitions. 

  • General Gastroenterology: Covers all sorts of digestive disorders. 
  • Hepatology: Deals with the liver, gallbladder, and biliary system. 
  • Pancreatology: Concerns itself with the diseases of the pancreas.
  • IBD: Refers to Crohn's and colitis.
  • Interventional: Refers to advanced endoscopic procedures.
  • Motility Disorders: Involves problems of movement in the digestive tract. 
  • Gastrointestinal Oncology: Deals with cancers of the gastrointestinal tract.
  • Pediatric Gastroenterology: Gastrointestinal disorders in children.

Symptoms of Gastroenterology

Gastroenterological conditions cause various symptoms, from mild discomfort to intense pain. Symptoms of common digestive disorders include:

  • Abdominal pain & cramping: intensity, location, and its very nature might point toward different conditions. 
  • Bloating: An uncomfortable sensation of fullness due to excess gas. 
  • Bowel habits: Any kind of alterations, be it constipation or diarrhea, or alteration with the stool. 
  • Nausea and vomiting: These may be caused by an infection, inflammation, or blockage. 
  • Heartburn or acid reflux: Burning sensation in the chest due to backflow of stomach acid into the esophagus.
  • Rectal bleeding or blood in the stool: Immediate medical evaluation needed. 
  • Unexplained weight loss: One of the signs of many disorders of the digestive tract, including a malignancy. 
  • Difficulty swallowing (dysphagia): Due to any problem with the esophagus. 
  • Excessive gas (flatulence): This may indicate other underlying digestive problems.

Causes of Gastroenterology Problems

Several issues can affect the health of the gastrointestinal tract-from the lifestyle a person follows to genetic factors that present a likelihood for the development of a particular disorder. 

  • Lifestyle factors: A fiber-deficient diet, greasy foods, food intolerances like lactose intolerance, excess alcohol, stress, lack of exercise, dehydration, and smoking can adversely affect digestive health.  
  • Infections: Viral infections, as in viral gastroenteritis, bacterial infections causing food poisoning, and parasites infecting the digestive tract are quite similar.  
  • Genetic Factors: Certain inherited conditions are specifically as Crohn's disease and celiac disease. A family history of colon cancer or other digestive disorders predisposes one to a higher risk.  
  • Autoimmune Disorders: Conditions such as Crohn's disease and ulcerative colitis in which the immune system attacks the digestive tract.  
  • Medications: Those like NSAIDs or antibiotics that irritate the stomach lining or sap the gut microbiome.  
  • Structural Abnormalities: Hernias like hiatal hernia can create acid reflux. Diverticulosis is inflammation of the colon, and polyps can turn into colon cancer.  
  • Other Factors: As you age, digestive functions may deteriorate, while hormonal changes linked to pregnancy and menstruation may also interfere with normal digestion.

Gastroenterology Diagnosis

Diagnosis for gastroenterology incorporates carefully exploring the history, physical examination, laboratory tests, and biopsy.

1. Medical History and Physical Examination: The gastroenterologist will explore the patient's medical record, including everything that had happened before now, into symptoms to see how far physical examinations look for abnormalities.

2. Laboratory Tests: Blood tests thereby detect any infections, inflammation, and conditions of the liver. Stool tests: Find Blood, Bacteria, and Parasites. Breath Tests diagnose Helicobacter pylori infection and small intestinal bacterial overgrowth (SIBO).

3. Imaging Studies: Diagnosing abnormalities and issues of the digestive tract efficiently with the use of various imaging techniques such as X-rays, CT scans, MRI scans, and ultrasound.

4. Endoscopy: 

  • EGD: The upper endoscopy employs tubes to see the glands, the stomach, and the duodenum.
  • Colonoscopy: This is performed by inserting a tube equipped with a camera into the colon. 
  • Sigmoidoscopy: Inspection of the end part of the colon. 
  • ERCP: Diagnosing and treating bile ducts and pancreatic problems. 
  • Endoscopic Ultrasound (EUS): This procedure gives clear images of the digestive tract and adjacent tissues with the help of endoscopy and ultrasound. 

5. Biopsy: Hold tissue samples taken during such endoscopy procedures to check for the presence of diseases such as cancer, inflammatory bowel disease, and celiac disease.

Advantages of Gastroenterology Treatment

Gastroenterology Treatment Benefits Gastroenterology treatment has a lot of advantages and can be a significant improvement to the quality of living. Now, some most highlighted benefits: 

  • Gastroenterologists have the advanced tools that are used in precisely diagnosing and tailoring treatment plans specifically using them to treat digestive issues of patients.
  • Symptom relief, improvement of a person's digestive ability, better absorption of nutrients, and prevention of colon cancer. 
  • Gastroenterologists conduct early detection, management of chronic conditions, and non- emergent treatments to avert complications. 
  • Those were minimally invasive gastroenterology procedures that eliminated the need for open surgery and reduced complications.

Procedure of Gastroenterology

Some of the common gastrointestinal procedures are listed below:

·  Endoscopy: In order to inspect the digestive tract, a long, thin tube with a camera on its tip is put into the mouth or rectum. This is the process used to identify and manage issues like tumors, inflammation, and ulcers. To aid in their relaxation during the treatment, patients may be given a sedative. Subsequently, the tube will be gradually introduced into the oesophagus, throat, and mouth. The camera will next be inserted into the stomach to provide images of any potential illnesses there.

·  Biopsy: This is a procedure in which the gastroenterologist takes a small tissue sample from the digestive tract and examines it under a microscope. This is done to diagnose cancer, peptic ulcers, hepatitis, endometriosis, and other infections.

· Gastrointestinal Surgery: For conditions like gallbladder illness, colorectal cancer, tumors, gastroesophageal reflux disease, and even weight loss, this GI therapy method is used. Laparoscopic, open, and bariatric surgery are the most often performed surgical procedures (for weight loss and health enhancement). The degree of surgical invasiveness affects how long it takes to recuperate. Invasive surgical procedures may require longer recovery times. 

·  Medications: Certain gastrointestinal problems may be managed with medication alone, without the requirement for surgeries or endoscopic procedures. Proton pump inhibitors, antacids, laxatives, and anti-diarrheal drugs are among the pharmaceuticals used to treat gastrointestinal diseases.

·  Dietary Modifications: The diet must be geared toward specific conditions, with every condition dictating a different diet. Fiber for constipation, gluten-free for celiac, avoid triggers for IBS, and low-fat for the gall bladder. Exercise aids digestion. Stress should also be brought under control so that symptoms are eased.

· Alternative therapies: These are non-conventional treatments that might help manage GI symptoms. Some alternative therapies for GI disorders include acupuncture, herbal remedies (like ginger, peppermint, and other herbs to treat nausea, bloating, and indigestion), probiotics, and mind-body therapies (like cognitive-behavioural therapy).

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