Dr Sameer Taneja
About Me
Dr Sameer Taneja
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
TOXIC MEGACOLON
Toxic megacolon is a rare but critical complication typically occurring from severe colonic inflammation such as ulcerative colitis. Rapid intervention is required due to risks including perforation and sepsis.
- Key clinical features: Abdominal distension with tenderness accompanied by systemic signs like fever, rapid pulse suggesting systemic toxicity.
- Diagnosis: Abdominal X-rays demonstrating marked colon dilation help confirm toxic megacolon diagnosis.
- Immediate management: Bowel rest along with intravenous fluids, broad-spectrum antibiotics; steroids may be used if underlying inflammatory bowel disease present.
- Surgical necessity: If no improvement within 48-72 hours or deterioration occurs colectomy may be lifesaving.
With prompt recognition combined medical and possibly surgical treatments provide patients their best chance for recovery from toxic megacolon’s life-threatening effects.
CHOLANGITIS
An infection in the bile ducts called cholangitis usually arises due to obstruction resulting in bile stasis. This medical emergency requires urgent antibiotic therapy alongside other treatments for resolution.
- Spectrum of symptoms: Fever with chills, jaundice, right upper quadrant pain often referred as Charcot's triad indicating biliary infection presence.
- Diagnostic approach: Blood cultures combined with abdominal ultrasound or MRCP confirm ductal obstruction plus infection signs.
- Treatment protocol: Intravenous antibiotics targeting common pathogens plus possible biliary drainage via ERCP if obstruction persists.
- Etiology: Gallstones commonly block ducts precipitating cholangitis; strictures or tumors can also contribute.
Recognition at an early phase paired with effective antimicrobial use dramatically decreases morbidity linked with this biliary infection syndrome.
ESOPHAGEAL VARICES
This condition involves dilated veins in the lower part of the esophagus that can rupture causing severe bleeding. It primarily affects individuals with liver disease related portal hypertension.
- Main symptoms: Sudden onset vomiting blood or signs of anemia such as weakness due to blood loss.
- Diagnosis method: Upper GI endoscopy allows direct visualization of varices and guides emergency treatment decisions.
- Treatment options: Medications to reduce portal pressure; endoscopic band ligation to stop active bleeding; sometimes surgical shunts are needed for prevention of future bleeds.
- Causation factors: Chronic liver diseases such as cirrhosis increase portal vein pressure leading to variceal formation.
The focus is on controlling acute hemorrhage promptly while managing underlying liver pathology for long-term stability in patients affected by esophageal varices.
BOWEL OBSTRUCTION
Bowel obstruction is a blockage that prevents the normal passage of contents through the intestines. This acute problem demands swift diagnosis and management for relief and prevention of serious outcomes.
- Signs and symptoms: Severe abdominal pain, bloating, vomiting, constipation or inability to pass gas.
- How it’s diagnosed: Physical examination combined with X-rays or CT scans reveal the site and cause of obstruction.
- Treatment strategies: Initial bowel rest with nasogastric tube insertion followed by surgery if non-surgical methods fail or strangulation occurs.
- Causative factors: Adhesions from previous surgeries, hernias, tumors often lead to obstruction episodes.
An early diagnosis coupled with appropriate treatment improves prognosis and reduces risk of intestinal damage requiring more complex interventions.
UPPER GASTROINTESTINAL BLEEDING
Upper gastrointestinal bleeding involves bleeding originating from the esophagus, stomach, or duodenum. It can be life-threatening without urgent medical attention.
- Common symptoms: Vomiting blood or black tarry stools indicating bleeding in the upper GI tract.
- Diagnostic procedures: Endoscopy is crucial for visualizing the source and severity of bleeding.
- Treatment approaches: Stabilization with fluids and blood transfusions followed by endoscopic interventions to stop bleeding.
- Underlying causes: Often due to ulcers, varices, or erosive gastritis; addressing these is critical for preventing rebleeding.
This condition requires rapid assessment and intervention to reduce complications and promote healing of affected tissues.
ACUTE PANCREATITIS
Acute pancreatitis is a sudden inflammation of the pancreas that can cause severe abdominal pain and digestive complications. Prompt evaluation and treatment are essential to manage this condition effectively.
- Symptoms and causes: Intense upper abdominal pain, nausea, vomiting, often caused by gallstones or excessive alcohol intake.
- Diagnosis: Blood tests to check enzyme levels, imaging like CT scans to assess pancreatic inflammation.
- Treatment options: Hospitalization for hydration, pain control, fasting to rest the pancreas; sometimes antibiotics or surgery if complications arise.
- Management expectations: Most cases improve with supportive care but may require long-term lifestyle changes to prevent recurrence.
- Potential complications: In severe cases, organ failure or infection may occur requiring intensive care.
A timely diagnosis and tailored supportive therapy play a vital role in recovery from acute pancreatitis and minimizing risks of chronic issues.