Dr Arun Bhardwaj
About Me
Dr Arun Bhardwaj
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
HEMORRHOIDS
Piles or hemorrhoids are swollen veins located around the anus or lower rectum which often lead to discomfort especially during bowel movements. This condition is widespread across all age groups but particularly common in adults above 40 years old.
- Symptomatology includes rectal bleeding noticed on toilet paper , itching peri-anal area , painful defecation , palpable lumps externally during flare ups .
- Diagnosis mainly relies upon physical examination , anoscopy test confirming internal hemorrhoidal enlargement .
- Treatment strategies encompass increased dietary fiber intake , hydration , sitz baths for symptomatic relief ; topical agents can soothe irritation . For persistent cases minimally invasive procedures or surgery may be warranted .
- Prognosis is typically favorable given prompt management combined with lifestyle adjustment targeting constipation prevention .
Effectively managing hemorrhoids empowers patients toward prevention recurrence minimizing impact on comfort levels throughout daily activities .
CELIAC DISEASE
Celiac disease is an autoimmune disorder triggered by ingestion of gluten found in wheat, barley and rye leading to intestinal damage if untreated. It affects nutrient absorption causing varied systemic manifestations.
- Clinical presentation:Diverse symptoms include chronic diarrhea, abdominal distension, anemia due to malabsorption along with possible neurological complaints like peripheral neuropathy.
- The diagnostic methods used are: serologic antibody testing followed by confirmatory intestinal biopsy via endoscopy demonstrating villous atrophy characteristic of celiac disease diagnosis confirmed definitively only after gluten withdrawal response is noted clinically over time post diagnosis .
- TREATMENT consists STRICTLY of lifelong adherence gluten-free diet avoiding any food items containing gluten preventing ongoing immune reaction within the bowel lining . .
- The prognosis improves markedly once strict gluten avoidance commences ensuring mucosal healing restoring digestive function thus reducing risk associated comorbidities .
A strong commitment toward dietary compliance renders excellent symptom control enhancing overall quality of life effectively .
CHRONIC LIVER DISEASE
The liver plays a vital role in metabolism and detoxification. Chronic liver disease refers to progressive deterioration of liver functions caused by various factors including viral infections or alcohol use.
- Main causes & signs: Hepatitis B/C virus infection, alcoholic liver disease present commonly with jaundice, fatigue, swelling abdomen due to fluid accumulation (ascites).
- Investigations involved: Liver function tests (LFTs), imaging such as ultrasound elastography evaluate extent of liver damage; sometimes biopsy is needed.
- Treatment options: Addressing underlying cause such as antiviral therapy for hepatitis; abstaining from alcohol; managing complications like portal hypertension forms critical care components.
- The importance of follow-up: Regular monitoring helps detect progression towards cirrhosis or liver cancer early enough for intervention planning including transplant consideration if needed.
Liver health maintenance through lifestyle changes combined with timely treatment interventions can slow disease advancement substantially.
INFLAMMATORY BOWEL DISEASE (IBD)
Inflammatory Bowel Disease encompasses chronic inflammatory conditions primarily involving Crohn's disease and ulcerative colitis affecting the digestive tract lining deeply.
- Causative factors & symptoms: Autoimmune mechanisms drive symptoms such as persistent diarrhea, abdominal pain, rectal bleeding, fatigue, and weight loss.
- Diagnosis process: Blood work for inflammatory markers combined with colonoscopy biopsies helps differentiate IBD subtypes.
- Treatment approaches: Medications include aminosalicylates, corticosteroids, immunomodulators or biologics aiming to reduce inflammation and induce remission.
- Lifestyle considerations: Nutritional support and routine monitoring prevent complications; surgery might be necessary in severe cases.
An early diagnosis followed by appropriate therapy greatly improves disease control over time for many patients with IBD.
GASTROESOPHAGEAL REFLUX DISEASE (GERD)
This condition arises when stomach acid frequently flows back into the esophagus leading to irritation. GERD is quite widespread among adults globally.
- Symptoms: Heartburn, regurgitation of food or sour liquid, difficulty swallowing are common signs.
- Diagnostic methods: Apart from clinical evaluation, endoscopy or pH monitoring tests can help confirm severity.
- Treatment modalities: Lifestyle changes like avoiding spicy foods and elevating the head during sleep plus pharmacological therapy using antacids or proton pump inhibitors form the core treatment.
- If untreated: Complications could include esophagitis or Barrett's esophagus necessitating vigilant follow-up.
A combination of medical and lifestyle intervention usually successfully controls symptoms to improve quality of life.
IRRITABLE BOWEL SYNDROME (IBS)
Irritable Bowel Syndrome (IBS) is a common disorder affecting the large intestine, causing discomfort and changes in bowel habits. It is a functional GI condition meaning that symptoms occur without obvious structural abnormalities.
- Symptoms and causes: IBS may present with abdominal pain, bloating, diarrhea, and constipation. Triggers include stress, certain foods, and gut-brain interaction abnormalities.
- Diagnosis: Diagnosis relies largely on symptom evaluation using criteria such as Rome IV and ruling out other diseases through blood tests or colonoscopy.
- Treatment options: Management includes dietary modifications like low FODMAP diet, stress reduction, fiber supplements, and medications to manage pain or abnormal motility.
- Management: Long-term symptom tracking and lifestyle adjustments often help control episodes; probiotics may also be suggested.
Living with IBS requires understanding triggers and adopting a tailored treatment approach to minimize impact on daily life effectively.