Dr Archanas Hom
About Me
Dr Archanas Hom
MBBS
Gastroenterologists or GI
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
CELIAC DISEASE MANAGEMENT
Celiac disease is an autoimmune disorder triggered by gluten ingestion leading to small intestinal mucosal injury that interferes with nutrient absorption. Proper diagnosis allows effective symptom control through diet modification alone in most cases.
- Underlying mechanism & triggers: Immune activation occurs due to gluten proteins found primarily in wheat , barley , rye causing intestinal inflammation .
- Diagnostic criteria: Serologic antibodies screening supported by confirmatory biopsy of duodenal mucosa reveals villous atrophy indicative of damage .
- Treatment principle: Strict life-long gluten-free diet remains cornerstone reducing symptoms & preventing complications such as anemia , osteoporosis or malignancy .
- Dietary challenges & support :Professional nutritional guidance assists patients adapting their meal plans ensuring adequate nutrient intake avoiding contamination risks .
Vigilance about hidden gluten sources preserves remission allowing a normal healthy life expectancy .
HELICOBACTER PYLORI INFECTION
An infection caused by Helicobacter pylori bacteria affects the stomach lining often leading to gastritis or peptic ulcers if untreated. Early diagnosis mitigates risks associated with long-term gastric mucosal damage.
- Causative agent & transmission:The spiral-shaped bacterium spreads mainly via oral-oral or fecal-oral routes in crowded environments or poor hygiene conditions.
- Spectrum of symptoms & investigation: Chronic abdominal pain, nausea or bloating prompt testing using breath tests, stool antigen tests, blood antibody assays alongside endoscopic biopsies when indicated. Therapeutic regimen: The eradication protocol involves combination antibiotic therapy plus acid suppression drugs over 10-14 days ensuring higher cure rates .
- Post treatment monitoring: Follow-up testing confirms elimination thus preventing recurrence & potential malignant transformation risk .
Timely identification followed by appropriate treatment successfully clears this infection restoring gastric health .
CONSTIPATION MANAGEMENT
Constipation is a frequent complaint characterized by infrequent bowel movements or difficulty passing stool. Although often benign, chronic constipation requires proper management to avoid discomfort or complications.
- Causative factors: Low fiber intake, dehydration, sedentary lifestyle, medication side effects, or underlying disorders may contribute to this condition.
- Eliciting diagnosis: The evaluation involves clinical history emphasizing symptom duration along with physical examination; further investigations are reserved for refractory cases.
- Treatment modalities: Emphasizing dietary fiber increase through fruits and vegetables combined with regular exercise constitutes first-line management; laxatives are used judiciously when necessary under supervision.
- Poorly managed consequences:
NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD)
This condition involves the accumulation of fat within liver cells unrelated to alcohol consumption. It ranges from simple fatty infiltration to inflammation that can progress toward more serious liver damage.
- Causes and risk factors: Obesity, diabetes mellitus type 2, high cholesterol levels, and metabolic syndrome contribute significantly to NAFLD development.
- Diagnostic approach: Blood tests measuring liver enzymes coupled with imaging methods like ultrasound assess fat deposits; sometimes biopsy is used for definitive diagnosis.
- Treatment focus: Primarily revolves around lifestyle interventions such as gradual weight loss through diet optimization and increased physical activity rather than pharmacological treatments initially.
- Lifestyle outcomes: Weight reduction improves liver function tests and reduces inflammation risks; ongoing monitoring ensures early detection of fibrosis or cirrhosis if present.
A proactive attitude toward metabolic health can prevent NAFLD progression in most cases.
GASTROESOPHAGEAL REFLUX DISEASE (GERD)
Gastroesophageal Reflux Disease occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach, causing irritation. This can affect comfort and even lead to complications if untreated.
- Symptoms: Common signs include heartburn, regurgitation of food or sour liquid, chest pain, and difficulty swallowing.
- Diagnosis: Evaluation typically involves clinical history supplemented by endoscopy or pH monitoring in uncertain cases.
- Treatment strategies: Lifestyle modifications like weight loss, avoiding trigger foods, and elevating the head during sleep are frontline measures alongside medications such as proton pump inhibitors.
- Follow-up expectations: Most patients experience symptom relief with conservative therapy; sustained adherence prevents progression toward complications such as esophagitis.
Early attention to symptoms promotes better long-term digestive health with minimal intervention.
IRRITABLE BOWEL SYNDROME (IBS)
Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder affecting the large intestine, characterized by recurrent abdominal discomfort and changes in bowel habits. It can significantly impact daily life but does not cause permanent damage to the intestines.
- Symptoms and causes: Often includes cramping, bloating, gas, diarrhea, or constipation without identifiable structural abnormalities. Stress and diet commonly trigger symptoms.
- Diagnosis: Typically through patient history, symptom patterns, and exclusion of other GI conditions with tests like blood work or stool studies.
- Treatment options: Focuses on lifestyle adjustments such as dietary changes (e.g., low FODMAP diet), stress management, and medications to relieve specific symptoms.
- Management: Patients may need a personalized combination of fiber supplements or antispasmodics under medical guidance to improve quality of life.
A collaborative approach between patient and doctor helps manage IBS effectively without invasive procedures.