I am 28years old,female and I am hepB carrier. My dad has undergo

Q: Is a colonoscopy free after 50?

In India, a colonoscopy may be free or low-cost for certain individuals over the age of 50, depending on the specific circumstances. For example, colonoscopy may be free or low-cost for people who are covered by government-provided healthcare, such as those who are part of the Ayushman Bharat scheme. Additionally, some private hospitals and clinics may offer free or low-cost colonoscopies to people over the age of 50 as part of a screening program.

Q: What is the average cost of colonoscopy in India?

The cost of a colonoscopy in India depends on the location and the specific facility. However, on an average, the cost of a colonoscopy in India ranges from around Rs. 5,000 to Rs. 15,000. However, the cost of colonoscopy in private hospitals might be higher than that of government hospitals.

Q: Colonoscopy cost in government hospitals?

In India, colonoscopies cost between Rs. 350 to Rs. 850 in the government hospitals and between Rs. 2,600 to Rs. 12,000 in the private hospitals.

Q: What is the cost of colonoscopy in Mumbai?

Cost of colonoscopy depends on various factors. Starting price is ₹ 1,000 and the average cost is ₹ 11,250.

Q: Why colonoscopy is costly?

Colonoscopy can be costly for several reasons. One reason is that the procedure requires specialized equipment, such as a colonoscope, which can be expensive. Additionally, the procedure is typically performed by a specialist, such as a gastroenterologist, who may charge higher fees than a general practitioner. The cost may also include the cost of sedation or anesthesia during the procedure. Finally, the cost may also include the cost of any necessary follow-up care or treatment.

Q: What is the outcome for patients with bile duct obstruction treatment after gallbladder removal?

The outcome for patients with bile duct obstruction after gallbladder removal can vary depending on the obstruction's cause, severity, and duration. Medication: In some cases, a bile duct obstruction after gallbladder removal can be treated with a combination of medications, such as antibiotics or anti-inflammatory drugs, to help relieve symptoms and clear the blockage. ERCP: In more severe cases, a procedure known as an endoscopic retrograde cholangiopancreatography (ERCP) may be needed to remove the obstruction. Surgery: In specific cases, including cancerous growth, surgery may involve removal of the blocked section of the duct or, in severe cases, rerouting of the bile ducts through a procedure called a Roux-en-Y hepaticojejunostomy.

Q: Is a blocked bile duct an emergency?

Bile duct blockage can cause life-threatening infections if not treated in time. Eventually, they can lead to chronic liver diseases like biliary cirrhosis.

Q: Is the procedure for removing gallbladder while pregnant safe?

Recent advancements in laparoscopic surgery have made the procedure less invasive and have a shorter recovery time, which can decrease the risk of complications for both the mother and the baby. Also, this type of surgery can be performed with regional anesthesia, which is considered safer than general anesthesia during pregnancy.

Female | 28

I am 28years old,female and I am hepB carrier. My dad has undergone liver transplant surgery due to liver cirrhosis and tumour. I checked my HBVDNA and it's quite high in level (in crores) and I have consulted a doctor and he advised me to take antiviral drugs(Tafero800mg-OD) as a preventive measures since my dad suffered from liver cancer. I have taken this medicine for more than 4month and it doesn't bring changes in Dna level counts. So I discontinued my treatment. My all blood reports as well as USG and liver fibroscan is normal but my HbvDna level is still up. My dad has been taking tab.entaliv 0.5mg and it helps my dad's level to come down drastically. Please do prescribed me the best and most effective medicine,Thank you.

3 Answers

Dr. N S S Gauri

Unani

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Answered on 10th July '24

follow these herbal combination for complete cure :- sootshekhar ras 125 mg twice a day, pittari avleh 10 gms twice a day, after breakfast and dinner with water, send your reports initially

2 people found this helpful

Dr. Sayalee Karve

Clinical Pharmacologist

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Answered on 23rd May '24

• Hepatitis B carriers are persons who carry the hepatitis B virus in their blood but do not experience symptoms. Between 6% and 10% of persons infected with the virus will become carriers and will be able to infect others without knowing it.
• A considerable proportion of chronic hepatitis B (HBV) patients are in the inactive carrier state, which is characterised by normal transaminase levels, limited viral replication, and little liver necroinflammatory activity. After at least one year of frequent monitoring, a diagnosis is made, and lifelong follow-up is required to ensure that this status is maintained.
• In case there is no improvement in HBVDNA levels, consult your expert but do not stop the medication on your own.
• Drugs prescribed such as Tafero (tenofovir) acts by ceasing the production of new viruses, blocks or slows viral proliferation in human cells, and eliminates the infection and also boost the level of CD4 cells (white blood cells that fight infection) in your blood. Entaliv (entecavir) acts by inhibiting the viral replications processes like reverse transcription, DNA replication and transcription.
• Seek the advice of a hepatologist so that your treatment may be adjusted according to your specific needs and preferences.

33 people found this helpful

Dr. Ganapathi Kini

Gastroenterologist

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Answered on 23rd May '24

Please continue taking Tab Tenofovir 300 mg once daily for at least one year, if there is no decrement in the viral load then we can change to some other medicine. Presently don't stop Tab Tenofovir 300 mg .

52 people found this helpful

Questions & Answers on "Gastroenterology" (1253)

I am suffering from Loss of appetite for four month.

Male | 33

If a person is losing their appetite for several months, it can be due to different reasons like stress, underlying health conditions, or changes in lifestyle. The most prominent symptoms may be dissatisfaction of the taste of food or a general disinterest in eating. It is necessary to have a comprehensive examination of your health situation and also, care must be taken at maintaining a proper dietary plan in order to figure out whether you experience certain symptoms after eating specific foods. Drinking water and eating small but healthy meals can do a lot to help. However, I recommend you to visit a gastroenterologist.

Answered on 10th Dec '24

Dr. Samrat Jankar

I am 53 years old female, lives with Chrohn disease already taken Pentasa drug but Pentasa makes it worsened.i have abdominal pain after eating.what should I do now...

Female | 53

Abdominal pain after eating may be caused by the swelling of your intestines, which is a common symptom of Crohn's disease. You may ask your doctor to let you try a different drug that might work better for your condition. The right medication that is most effective for you and is helping with your symptoms should be found out soon. Therefore, you should not forget to tell your doctor about the other treatment possibilities.

Answered on 30th Aug '24

Dr. Samrat Jankar

Loss of Appetite, Sleeping Sickness

Female | 54

Loss of appetite can be a symptom of various conditions like gastrointestinal issues, mental health disorders, medication side effects, or infections. Get proper medical evaluation done by a GP or gastroenterologists.

Answered on 23rd May '24

Dr. Samrat Jankar

I'm feeling like my chest is too heavy from yesterday night and abdominal pain and too much headache from 5 days and I'm not getting sleep at night & legs pain and feeling irritating,,,, wanted to be alone and I'm not hungry at all from 1 week

Female | 17

Dealing with chest pressure, abdominal pain, headaches, sleep troubles, and leg pain can be tough, especially when feeling irritable. The cause might be stress, a poor diet, or lack of sleep. Listen to your body—stay hydrated, eat well, rest, and talk to someone about how you're feeling.

Answered on 19th Sept '24

Dr. Samrat Jankar

I have an episode of watery diarrhea for 5 days Stool analysis showed only mucus, with no parasites and 0-1 WBC's. I have had my last colonoscopy in September 2023, and it was clear from any lesion, inflammatory bowel disease symptoms or any other clinically significant finding. In 2020 I also had another colonoscopy with some specimens to check for microscopic colitis but the specimens were negative. I need to know what is wrong with me and what is the reason for this diarrhea. Blood test showed no Anemia (apart from my Thalassemia minor) , liver enzymes are normal, lactate dehydrogenase normal, CRP and ESR are normal. I need help . .

Male | 44

A positive result from your last two colonoscopies, showing no inflammation or IBD, is reassuring. Mucus in your stool might be due to irritation. Diarrhea can result from various causes, including infection, certain foods, or stress. Since your test results aren't alarming, try drinking lots of fluids, sticking to a soft diet, and letting your gut rest. If the diarrhea persists, consult your doctor for medical advice.

Answered on 1st July '24

Dr. Samrat Jankar

I took esmoprazole 40mg in morning at night I took esmoprazole 40mg and domperidone for excess gas.......do I develop any problem???

Male | 37

Sometimes, taking esomeprazole and domperidone together may lead to headaches, dizziness, or abdominal discomfort. Carefully following your doctor's guidance is crucial. Inform them promptly if any new or worsening symptoms arise. Take medications precisely on schedule. Don't hesitate to contact your gastroenterologist should concerns arise.

Answered on 16th Oct '24

Dr. Samrat Jankar

Suffering from IBS - Diarrhea for a long time. Last 5/6 days having severe flatulence with stool having obnoxious smell and pain in entire abdomen. Kindly advise please. Regds, Supratim Daschoudhury, Age 55, Chemistry Faculty, Howrah. ( Currently taking Tonact Tg 10 and Cilakar T 40) . Ph no 6291 695 374

Male | 55

IBS is a disorder that affects the digestive system and can be triggered by stress, certain foods, or medications. To help manage your symptoms, consider avoiding trigger foods like spicy or fatty foods and try adding more fiber to your diet. Drinking enough water and managing stress through relaxation exercises can also be helpful. If these tips don't work, it might be helpful to talk to a gastroenterologist. They can suggest other treatment options or make changes to your current medications.

Answered on 3rd Sept '24

Dr. Samrat Jankar

I am 19 years old I have a pain in my stomach from 4 to 5 days but I have taken in medicine no I am not well I think it is happening due to not a proper meal consultant nearby medical store them given medicine but it is not well from that medicine sometime I am feeling pain in my stomach so I am afraid of getting kidney stone can you suggest me some medicine thank you

Male | 19

Since you've had stomach pain for several days, it's important to think about the different things that could be causing it. This pain may be caused by conditions such as indigestion, gastritis, or a stomach infection. Kidney stones are not usually the cause of pain in the stomach but in the lower back. Now, try to drink lots of water, eat light and easily digestible foods, and consider taking over-the-counter antacids to help with the stomach pain. If the pain doesn't go away or it gets worse, it's important to see a gastroenterologist for further checking and the right treatment.

Answered on 7th Oct '24

Dr. Samrat Jankar

Hello sir , Sir my age is 23 and I got fatty liver and ocd from 3 years when first time I got fatty liver my ultrasound report show grade 2 fatty liver and my doctor gave me proper medicine like golbi sr 450, adilip 45, zolfresh 10, ocid 20, folvite 5 , fluvox cr 300 , epilive 600 , rospitril plus 1 , clonil 75 SR . and after 6 months my treatment completed and docter advised me usg and I reversed to fatty grade 1 liver and docter stop my medication later I got fatty liver 1 and high triglycerides so doctor recheck my tests and I done with all test cbc , lft , kft , thyroid test , hba1c , lipid profile and usg and results were all kft , thyroid , hba1c are normal but elevated liver enzymes sgpt and sgot and lipid are also high and usg show fatty 1 grade and doctor re start my all medicines as same as first time medicines for six months then after 6 months my doctor advised all re test my all reports get normal except liver enzymes and grade 1 fatty liver and docter told me everything is normal so they stop my medication and advice me physically activity to do but I am little obese and doing no exercise and drink alcohol 90-120 ml a day six to seven times a month and later after just one year I got fatty liver symptoms and I go to new doctor well renowned doctor he advised me fibroscan , lft , cbc , esr , lipid profile , thyroid test , hba1c. Reports are : hba1c - 5.8 normal Kft : normal Thyroid : normal Esr : normal CBC : little low RBC , low p.c.v , little high m.c.h , m.c.h.c Lft : bilrubin direct 0.3 indirect 0.4 , sgpt 243 , sgot 170 IU/L Lipid profile : Total cholesterol : 210 mg/dl Triglycerides : 371 mg/dl Ldl : 141 mg/dl Hdl : 38 mg/dl Vldl : 74 mg/dl Tc/hdl ratio : 5.5 Ldl/hdl ratio : 3.7 Fibroscan report : Cap(dB/m) median : 355 Iqr : 28 Iqr/median : 8% E(KPa) median : 10.0 Iqr : 2.3 Iqr/med : 23% Examination M(Liver) Number of valid measurements : 10 Number of invalid measurements : 0 Success rate : 100% Measurements all 10 : 1- CAP : 359 dB/m E : 10.2 KPa 2- CAP : 333 dB/m E : 12.8 KPa 3- CAP : 351 dB/m E : 7.6 KPa 4- CAP : 302 dB/m E : 7.1 KPa 5- CAP : 381 dB/m E : 7.8 KPa 6- CAP : 359 dB/m E : 8.9 KPa 7- CAP : 368 dB/m E : 10.7 KPa 8- CAP : 345 dB/m E : 10.2 KPa 9- CAP : 310 dB/m E : 9.8 KPa 10- Not given Clinical correlation with fibroscan data : Evidence of significantly with fibrosis of liver corresponding to liver biopsy metavir score F3 Treatment started : - Flunil 40< - ursotina 300< - cutee 400< - roseday F10- - zolfresh 10 - ocid 20 Treatment given : 1 Year After Treatment Tests : Fibroscan report : Cap(dB/m) mean : 361 E(KPa) median : 9.4 Iqr/median : 28% Examination M(Liver) Number of e- measurements : 10 Success rate : >100% Measurements all 10 : 1- E : 11 KPa 2- E : 11.5 KPa 3- E : 10.0 KPa 4- E : 10.7 KPa 5- E : 7.8 KPa 6- E : 8.5 KPa 7- E : 8.8 KPa 8- E : 11.4 KPa 9- E : 8.2 KPa 10- E : 7.5 KPa Clinical correlation with fibroscan data : Evidence of significantly steatosis with evidence of fibrosis of liver corresponding to liver biopsy metavir score F2 B.M.I : 29 CBC : normal Esr : normal Thyroid test : normal Kft : normal Uric acid : normal Lipid profile : normal Lft test : sgpt 113 sgot 70 IU/L Serum GGTP : 42 IU/L (normal) Hba1c : 6.1 % prediabeties Treatment medicines for NASH : - Ocid 20- - Flunil 60- - Zolfresh 10- - Bilypsa- - Polvite E- - Fenocor R- - My question sir : Can my fibrosis F3 to F2 can come back to F0 healthy liver after weight loss and treatment I listen that scarring is natural process to heal itself but scar never go just it get fade with treatment not permanently heal or removed is it true or not what is your advice sir

Male | 23

Nonalcoholic fatty liver disease can progress to fibrosis, which is the scaring of the liver. Healthy weight loss through diet and exercise can play a key role in the liver's health. The liver is capable of some self-repair, but the damage from serious scarring is probably not going to be reversed completely. Following your doctor's advice, taking your medication, and lifestyle changes to support your liver health are essential.

Answered on 13th Sept '24

Dr. Samrat Jankar

What is normal level of lipase

Male | 17

An individual can find the chubby substance-dissolving macromolecule in this system. It commonly breaks down between 0 to 160 units per liter when it is in a healthy person’s bloodstream. Having a high level of lipase can indicate something wrong with your pancreas. Some signs that someone has too much lipase may include pain in their stomach or feeling sick; they might also have a fever, etc.

Answered on 28th May '24

Dr. Samrat Jankar

went to the toilet for a poo and once finished there was a lot of blood in the toilet

Male | 56

In this regard, you should see a gastroenterologist for the right diagnosis and treatment. The condition can deteriorate without proper first aid.

Answered on 23rd May '24

Dr. Samrat Jankar

Potty karte samay bahut blood nikal rha hai

Male | 39

Passing blood while having a bowel movement can indicate a medical issue. If you're experiencing this, it's important to consult a doctor for examination and treatment. It could be caused by conditions like fissures, hemorrhoids, or other gastrointestinal problems.

Answered on 23rd May '24

Dr. Samrat Jankar