FAQs - Gastroenterology

In this video, Dr. Arvind Garg, Consultant Pediatrician, Apollo Hospital, Noida, will discuss the causes of stomach pain in children. Children who suffer from stomach pain can miss their school, parents rush to the hospital due to this reason and miss their work too. The main cause of stomach pain is constipation. He suggests having proper eating habits and diet with lots of vegetables and fruits.

The video talks about the diagnosis of celiac disease by Dr. Carlo Catassi, Head, Department of Pediatrics, Italy. The diagnosis of celiac disease is based on clinical picture. There are certain investigations such as blood tests for antibodies and he will further explain the specific allergic sensitivity test. Also, he will also elaborate that biopsy is also done for confirming the diagnosis.

Dr. Carlo Catassi, Head, Department of Pediatrics, Italy, will talk about the causes of celiac disease in this video. The causes of celiac disease are genetic predisposition and gluten intolerance. Ingestion of gluten containing foods are responsible for it. He will further explain the genetic markers which are predisposed to celiac disease.

In this video, Dr. Carlo Catassi, Head, Department of Pediatrics, Italy, will explain about the celiac disease. Celiac disease is a permanent contusion characterized by intolerance to dietary gluten. Gluten is a mixture of proteins which is present in wheat and other cereals. Wheat in genetically predisposed individuals causes intestinal mal-absorption and atrophy. He will further talk on several symptoms of celiac disease such as weight loss, anemia, and mal-nutrition, etc.

The video talks about the difference between puffed rice and regular rice by Dr. Ishi Khosla, Clinical Nutritionist, Delhi. The puffed rice can be eaten lot more without getting the calories. She will further talk about the advantage of it and also increasing the shelve life of rice without increasing the calories.

Dr. Ishi Khosla, Clinical Nutritionist, Delhi, will discuss the benefits of different types of milk available in the market in this video. Each type of milk has different compositions and has certain amount of calcium. Also the protein content varies in different milk composition. For gluten intolerance, these products are not an option. She will further talk about these alternatives if they are intolerant to milk.

In this video, Dr. Ishi Khosla, Clinical Nutritionist, Delhi, will discuss about dairy products. There are lot of adulterations in milk products and the quality of milk. She will talk about lactose intolerance. Also, 50% of the people who are gluten tolerant cannot tolerate diary. It is not because of the lactose but the protein which is hard to digest. People are treated as per their allergies and intolerance and differs from case to case.

Dr. Ishi Khosla, Clinical Nutritionist, Delhi, will discuss the wheat alternatives in this video. In India, there are many alternatives for wheat. One of them is the rice in any form such as, poha, brown rice, polished rice, etc. The millets such as bajra, jowar, ragi, etc. can be the substitute for wheat as they do not contain gluten. There are soyabean, oats, etc which are also gluten free but in certain people they can cross react in people in gluten sensitivity. She tells that this aspect of cross reactivity should be understood.

In this video, Dr. Ishi Khosla, Clinical Nutritionist, Delhi, will discuss whether wheat is a problem to Indian people. Wheat has a protein called gluten which is not completely digestible by any human being. There are 1-2% of people who cannot digest wheat in any form and in such people the absorption of the gut is damaged. She will further explain about undiagnosed and diagnosed celiac disease. The diagnosis of the celiac disease is very difficult. She will further explain about wheat allergy and its symptoms too. Non-celiac disease which is a new disease entity is seen nowadays and Dr. Khosla will further discuss about it.

Dr. Shiv Chopra, General Surgery Senior Consultant, Mool Chand Hospital, New Delhi, will explain the anorectal conditions in this video. Piles are usually painless, painful conditions are fissures, fistula and proctitis. Fissure is a longitudinal cut in the anal canal. Whenever hard stool is passed there is some amount of trauma to the area. The management for fissure is to have enough water and pass soft stool and avoid being constipated. Chronic fissures need surgery. He will further explain about piles and its management.

In this video, Dr. Shiv Chopra, General Surgery Senior Consultant, Mool Chand Hospital, New Delhi, will talk about hernia and its management. Hernia is basically due to certain weakness of abdominal wall or manmade creations such as smoking, obesity, sedentary lifestyle. Treatment is to reduce the defect with some prosthetic material known as mesh. He will further explain about mesh which is used to strengthen the abdominal wall. Also, he will discuss why it is important to evaluate the patient properly before the surgery.

Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss about irritable bowel syndrome related to stress in this video. He will explain it according to Vedic philosophy. When a thought arises from a disturbed state of mind, the thought is analyzed in the mind by the intellect then personalized by the ego and then order is given to body for action. Action is stored in the form of memory and memory will lead to desires and then actions again. If the desire is not fulfilled then it lead to suppressed anger which can result in a gastrointestinal chemical leading to IBS and other conditions.