Sri Balaji Action Medical Institute

Hello,

I am Dr. Monika Jain, Gastroenterologist. Today I will talk about the tips for healthy liver. Aap sab jaante hain ki liver humare sharir ka ek mukhaye aang hai joki bahut sare kam karta hai humare sharir mein. Hum liver ki tulna gaadi ke engine se kar sakte hain. Liver humari puri body ki health ke lia important hai. Ab hum ye janege ki liver humare sharir mein kya kya karta hai? Sabse pehle hai khana pachana. Pachan kriya mein iska important role hai. Dusra humare body mein jagaha jagaha par proteins rehte hain joki kuch enzymes ka and kuch hormones ka kam karti hain toh iska synthesis liver ke through hota hai. Humari body ki dusri bimariyon se jo ladne ki shamata hoti hai vo bhi liver ke through hoti hai. Aap ne dekha hoga jaise agar koi cut pad jaaye skin pe toh vahan khoon jam jata hai toh ye bhi liver ke through hota hai. Aur bhi metabolic functions hain jo liver perform karta hai. Ye ek taraha ka store house and engine hai jo har chiz ka take care karta hai. Ab kin kin karanon se liver damage hota hai? Sabse important hai alcohol.

Dusra important factor hai viruses like hepatitis B and C. Ye liver ko damage kar dete hain and fir hepatitis stage, cirrhosis stage and ultimately pura liver damage hone ke baad kayi baar liver cancer ho sakta hai. Tisra important cause hai fat. Iski vajaha se jab liver damage hota hai toh ise non-alcoholic fatty liver kaha jata hai. Bahut sari medicines bhi liver kharab karti hain. Chote bachon mein dekha gaya hai ki metabolic causes hote hain. Generally dekha gaya hai ki ye disease chote bachon mein bahut jaldi aa jati hain. Ab liver disease ke baare mein humein kaise pata chalta hai. Agar liver ki performance achi nahi hogi toh patient ko khana digest karne mein problem aayegi. Patient ko vomiting ho sakti hai, jaundice ho sakta hai. Oatient ko peat mein dard ho sakta hai. Kayi baar patient ko pata bhi nahi chalta hai ki use liver ki problem hai. Lekin agar aap ko koi bhi symptom aata hai toh liver ka test jarur kra lein. Kayi baar normal treatment mein bhi pakda jata hai ki liver kafi kamjoor hai. Kayi baar hepatitis B and C delivery ke time pe bhi pakad lia jaata hai.

Aaj kal sabhi donors ki bhi testing ki jaati hai. Agar koi symptom hai toh liver ka test recommend kia jata hai. Hum kis test se bata sakte hain ki liver kharab hai? Ek hai blood test jismein liver function test kia jata hai. Fir hum hepatitis ka check bhi kar sakte hain. Pehle liver biposy karna hota tha but up fibroscan hai jo non-invasive hai. Is se hum ye bata sakte hain ki liver mein kitna fat hai aur ye simple fat hai ya fir vo liver ko fibrosis ki taraf le ja raha hai. Endoscopy bhi ek test hai jo indirectly humein btata hai ki liver damage kis extent tak hai. Ab baat karte hain prevention ki humein liver health maintain karne ke lia kya karna hai? Alcohol aap ko avoid karni hai. Hepatitis B and C ka check kra lena chaiye. Humare pass vaccination bhi available hain.

2001 se government ki wajah se vaccination ka schedule bachon ke lia aa gya hai. Hepatitis C ko hum difficult bolte the and ise kala pilia ke naam se janna jata tha. Par pichle 2.5-3 saal mein humare pass iske lia achi medicines aa gayi hain. Hum 12 weeks ke treatment mein almost cure kia ja sakta hai. So, B ke lia vaccine hai and C ke lia medicines hain. Humare liver ka fat minimum rehna chaiye. Iske lia aap walk karein, exercise karein. Jo fatty food and fast food ka bahut jyada consumption hai, ise kam karna hai. Trans fat like pizza, burger, ye sab aap ko kam karna hai. Weight aap ko healthy maintain karna hai. Koi bhi mediicnes Dr ke salah ke bina na lein. Bahut sari drugs hain jo humare liver ko damage kar sakti hain. Aaj kal har koi gym products bahut jyada consume kar rahein hain. So, ye unsupervised products bhi humare liver ko damage karta hai. So, last mein mai kehna chahungi ki love your liver and take care of it.

Thank You.

Hello,

I am Dr. Monika Jain, Gastroenterologist. Today I will talk about peptic ulcer. Ye bahut hi common problem hai. Jiske baare mein aam toor pe general public mein rehta hai ke badi difficult disease hai and common disease hai. Ike baare mein bahut sari bharantiyan bhi rehti hain ke kya khana chaiye, kis vajaha se hoti hai, toh aaj iske baare mein hum baat karenge. Sabse pehle hum ulcer kise kehte hain? Agar pait mein koi bhi ghav ho jaaye toh use hum ulcer disease kehte hain. Iske mukhaye karan kya hite hain? Iske 2 important karan hain. Ek hai helicobacter pylori infection and 2nd is NSAID (non-steroidal anti-inflammatory drugs). Jo ki pain hatane ke lia use hoti hai. Ye painkillers log knowingly and unknowingly karte hain. Kuch conditions hain jaise smoke jyada hai ya fir alcohol jyada hai ya fir spicy food ka consumption jyada hai, agar kisi ko ulcer hai toh ye sab un problems ko badhata hai. Hum pehchanege kaise ki kisi ko ulcer hai? Generally, patient aayenge peat dard ke sath, peat ke upari hisse mein dard hota hai, ye pain raat ko badh jata hai.

Burning rehti hai peat mein. Vomiting hoti hai patient ko. Food digest nahi hota hai. Patient ko kaise oata chalega ki use Dr ko dikhana hai? Agar ye sare symptoms patient ko kafi lambe samay se hai toh. Ulcer ke lia log over the counter medicines lete hain jo acidity control karne ke lia hoti hain. Agar medicine lene ke baad bhi aram na aaye toh unhein Dr se consult karna chaiye. Next important baat ki kuch alarm symptoms hote hain jismein agar khoon ki kami ho jaaye ya kisi ka weight ghat jaaye, khoon ki ulti aa jaaye ya for kaale rang ka stool pass ho toh ye sab alarm symptoms hain. Kuch risk factors hain jaise ki koi smoker hai, alcohol hai and ye symptoms hain, liver disease ke patients ho, asthma ya heart disease ke patient hain, ya fir kidney problem hai jismein especially is type ke symptoms aane laage ki in sab logon mein ulcer ki matra jyada paayi jaati hai toh Dr ko consult karna chaiye, Patient ko Dr ke pass aa ke treatment lena chaiye, kya in bimariyon se kisi ko major khatra bhi ho sakta hai toh ye mai batana chahungi ki ulcer ko halke mein na lein.

Kyuki ye bahut sari complications bhi humari body mein kar sakta hai. Sabse important complication hai bleeding, agar ulcer fut jaaye ya bleeding kar jaaye toh khoon ki ulti ho jaati hai, stool mein bhi blood aa jata hai. Kabhi kabhi bleeding itni severe ho jaati hai ki jaan ko bhi khatre mein daal sakti hai. Kabhi kabhi intestine ya peat fat jata hai joki bahut hi serious complication hai and surgical treatment hi require hota hai. Ulcer disease agar bahut lambe time tak rahe toh kabhi kabhi ulcer cancer mein bhi convert ho jata hai. Ulcer ki healing se vo area kayi baar sukad jata hai toh aise mein aant and peat ki blockage bhi ho sakti hai jise humein aage manage karna pad sakta hai. Iska bachav kaise ho sakta hai.

Iske 2 mukhye karan hain ek toh mene aapko kitadu batayein hain and kuch pain killers hain. Toh inhi chizon se bachav karna chaiye. Humein haath ki saaf safayi, khane ki saaf safayi rakhni chaiye. Dusra painkillers ke baare mein mai aap ko btana chahungi. Painkillers tabhi lein jab iski jarurat ho. Unnecessary painkillers na lein. Humesha Dr ki salah lein. Konse painkillers khane hain vo DR se hi puchein. Non-steroidal anti-inflammatory drugs ulcers karte hain. Dr ki advice leke hi medicines lein. Ulcers ka diagnosis kaise hota hai. Endoscopy kia jata hai. Jismein hum muh ke through durbin daal ke kuch hi minton mein isko pakad sakte hain. AGar koi khatre vali baat hai toh biopsy bhi kar sakte hain. Agar humein koi khatare vali baat lage toh usmein biopsy bhi le sakte hain. Sath hi sath hum uska treatment bhi bata sakte hain. So, aap sabki achi health ki shubhkamnayein karte hue mai aap ko dhanyawad karti hun.

Thank You.

Hi,

I am Dr. Monika Jain, Gastroenterologist. Today I will talk about the liver diseases caused by alcohol. Liver kharab hone ke bahut sare karan hain jinmein mukhaye hai hepatitis-B & C. Liver mein bahut jyada fat aa jata hain. Kuch autoimmune diseases hoti hain and kuch toxins jo ki liver ko damage karti hain. Jo liver ko kharab karta hai vo hai alcohol ka sewan. Isko hum alcoholic liver disease ke naam se bhi jante hain. Jaisa ki aap sab jante hain ki sharab humare sabhi body organs ko effect karti hai lekin maximum damage liver ko hota hai. Jaise jaise person alcohol consume karta hai vaise humare liver mein fat jama ho jata hai jisko hum alcoholic fatty liver bolte hain. Ye fat inflammation shuru kar deta hai and liver mein swelling aane lag jaati hai jisko alcoholic liver hepatitis kehte hain. Uske baad ye liver cirrhosis mein convert ho jata hai agar patient still alcohol le raha hai. Liver stiff ho jata hai and uska internal structure bigad jata hai. Baki ke function bhi perform karna liver band kar deta hai. Ultimately ye jaan leva bimari ban jaati hai.

Log puchate hain ki iske kya symptoms rahenge. Kafi time tak specific symptoms nahi aate. Patient ko bhook na lagana, nausea hona, vomiting hona, peat ka bharipan hona, pairon mein swelling ana. Ye sare non-specific hote hain and bahut bar patient ko pata bhi nahi chalta hai ki ye alcohol ki vajaha se hain. LLiver damage ho jata hai. Advance liver disease mein patient ko jaundice aane lag jata hai. Kayi patients khoon ki ulti leke aate hain, peat, pairon mein swelling aa jati hai. Bahut sare patients behoshi ki halat mein hote hain. Toh ye sab advance liver disease ke symptoms hain. Alcoholic liver disease mein kya treatment hain? Unfortunately, aisi medicines nahi hain jo definitely patient ko cure kar sakin. Kuch medicines ke through hum patients ko help kar sakte hain. Healthy diet like high in protein treatment ka part hai. Medicines de sakte hain and main hota hai ki patient alcohol na le. Alcohol ka sewan strictly mana ho jata hai. Agar patient alcohol lega toh uski disease aur progress hogi. Jab aise patient advance stage par pahuch jaate hain toh uska treatment liver transplant hota hai.

Ye simple treatment nahi hai and iske through bhi hum patient ki life ko prolong kar sakte hain. Ye kafi costly treatment hai aur bahut sare patients us stage tak pahuch hi nahi paate ki ise afford kar sakein. Alcohol se related kuch myths logon mein rehte hain. Kitna alcohol lene se humein liver disease ho jayegi? Dekha gaya hai ki aisa koi definite amount nahi hai. But ye dekha gaya hai ki jyada and lambe time tak drink karne se liver problem ho jaati hai. Ye dekha gaya hai ki bahut choti aayu mein alcohol lena shuru ho jata hai. Ye disease person to person depend karti hai. Kyki har vayakati ka alcohol ka metabolism different hota hai. Kuch families mein dekha gaya hai ki liver jaldi khrab hone lagta hai. Alcohol content jayada important hai rather type of drink. Alcohol ka consumption female mein bhi jyada dekha gaya hai. Females mein males ke compare mein liver disease jaldi aa jati hai. Pregnant lady ko alcohol nahi lena chahiyai kyuki vo mother and child dono ki health ko affect karta hai. Alcohol bahut jyada amount and bahut jyada samay tak nahi karna chahiyai. Especially agar kisi vayakti ka liver weak hai toh alcohol consume nahi karna chahiyai kyuki is se bahut jaldi liver damage hoga. Dekha jaye toh alcohol bahut jyada time tak harmful hai.

Thank You.

Namashkar! Mai Dr. Monika Jain, chief of gastroenterology and hepatology hoon. Stool mein blood aana, aaj hum is vishay pe baat cheet karenge. Yahi yeh ek bahut hi common problem hai aur generally ye middle age or old age mein dekhi gayi hai par aisa nahi hai ki koi bhi age isse exempt hai, even baccho me bhi ye problem miljati hai. To generally ye dekha gaya hai ki ye problem ke sath jab patient ko symptom rehte hai to ya to vo khud hi ilaaj karna shuru kardete hai ya kisi unqualified doctor ke pass pahuch ke uski jaanch me ya jaanch ya ilaaj me lag jate hai. Generally logo me ye dhaarna hai ki agar stool ke sath blood aa gaya hai to bawaseer ki hi problem hogi aur usi ke ilaaj mein samay bita dete hai. Bawaseer ek mukhya karand hai stool mein blood aane ka but iske alawa bhi bahut sare karand hai jinme se bahut karand aise bhi ho sakte hain ki jo ki serious ho, to agar hum iska timely jaanch na karaye to veh ek bahut serious problem ka roop bhi le sakte hai.

To generally jaise patients ko bawaseer ke alawa kya karand rehte hai jisme blood ayega usme ek fissure or fistula ek common karand hai. Inme generally dekha gaya hai ki patient ko jo khoon ka risaav hota hai usme pain bhi rehta hai that means painful defecation is a main symptom. Kai baar intestine me ulcers ban jaate hain jisko jiske kafi sare karand rehte hai unmein infection hota hai, tuberculosis ek humare desh me mukhaya karand ek rehta hai, inflammatory bowel disease ya jaise jinko aanton ke ghaav ka ek anay karand hai. In sab although yeh saari ki saari bimariyan treatable hai lekin inn sabki treatment different hai, to hume inn bimariyon ko proper diagnose karke he ilaaj karna chahye. Ek bahut he important gambhir bimari hai jisko hum intestine ka cancer kehte hain isme bhi kafi bar patient ko jo pehla symptom jisse patient present karte hai vo kai bar sirf stool me blood ana hai. To ab hum dekh rahe hai ki bahut simple bimari se leke bahut gambhir bimari tak ka symptom yahi ho sakta hai ki usko stool mein blood aana hai aa raha hai to inn sabka timely jaanch karna or timely treatment karna bahut he important hai kyunki kai bar badi serious bimari bhi undekhi rehjati hai or jab jis samay hum usko diagnose karte hai to uska ilaaj sambhav he nahi hota. To ye sab to raha middle age or old age vala group. Kabhi kabhi bacche bhi is symptom se grasith hojate hai, vo log bhi patients parents leke ate hai ki bachcho ko stool ke sath blood ara hai, unn cases me generally jo ek mukhya karand rehta hai woh hota hai polyp. Polyp ek tarah ki maas ki gaanth rehti hai jo ki intestine me hoti hai or usme bachcho ko stool ke sath beech beech mein blood aata rehta hai. To ab ye sab karando ka diagnosis karne ke liye ek bhut hi simple janch hoti hai jisko hum kehte hain colonoscopy. Isme 5 -10 minute mein hum pura intestine ki testing karke aapko karand bhi aur uska kuch cases me uska ilaaj bhi endoscopy ke zariya ho jata hai jaise ki endoscopy polypectomy ya koi kai bar early cancer ka ilaaj bhi hum endoscopic nayi technique se kar sakte hai.

Ye diagnosis ke sath sath hum hume yeh bhi dekhna chahiye ki kuch cases me bleeding aant se obvious nahi hoti matlab patient symptom directly ye karke nahi aata ki hume stool me blood aa raha hai, unme ye dekha gaya hai ki bhae chronic anaemia se ajate hai, unka khoon kam hojata hai to aise cases me ye important hai ke agar patient ye kahe ki mujhe anaemia hai, anaemia ki diagnosis me hume koi or karand nahi milra to aise me intestine ki jaanch jarur kara leni chahye kai bar vahi ek karand milta hai. To ab mai apko iss vishaye me ek important salah ye dena chah rahi hu ki jo agar kisi ko stool me blood aa raha ho to usko undekha na karein, uska timely jaanch karaye, proper doctor ke paas jane se na jhichke or proper jaanch ke baad timely treatment karane me deri na karein. Yahi meri salah rahegi. Dhanyavad!

Hi,

I am Dr. Monika Jain, Gastroenterologist. Aaj me apko black jaundice ke bare me btaungi. Jin patients ko hepatitis B & C se infection hota hai use black jaundice kehte hain. Ye hmari body me blood ke through enter krte hain and lover ko effect krte hain. Ye kuch cases me liver ko shrink kr ke cirrhosis ke stage pe le aata hai. Isa cause hai infected syringe, ya fir infected patient ka blood dusre ko lag jaye, in sab se ye virun transfer ho jata hai.

Ye mother ke through be transmit ho skta hai baby ko. Ye sexual contact ke through bhi transmit hota hai. Tattoo banvate time agar precaution na lia jaye to bhi is disease ka problem hota hai. Dental practice me agar same needle use ki jaye to bhi ye problem ho jati hai. Iske symptoms hain fever, bodyache, yellowish colored eyes. Isko diagnose krne ke lia hepatitis B & C ka blood test hota hai. Aaj kal hum donor ko bhi test kr rhen hain jo blood donate kr rhen hain. Agar koi bhi jaundice se suffer kr rha hai to use proper medical advice lena chaiye.

Timely diagnosis hone se iska treatment ho jata hai. Agar liver damage nhi hua hai to treatment kafi successful hai. Aaj ke time me is problem ke lia kafi achi medicines available hain. 2 important baatein dhyan rkehn ki timely diagnosis and treatment len. Is disease ke against hmare pass vaccine available hain. Is vaccination ka proper course patient ko lena chaiye.

Thank You.

Hi,

I am Dr. Monika Jain, Gastroenterologist. Aaj hum baat krenge gastroesophageal reflux disease (GERD). Is disease ko acidity bhi bola jata hai. Ye problem 10% population ko effect krti hai. Iske symptoms hai muh me khatta pani ana, stomach and neck burning, belch and pain in chest. Patient ka frequently sore throat ka problem hona, asthma, excessive saliva. Kayi baar is problem se patient ko dental problem bhi ho jata hai. Kuch logon ki awaz change hone lag jati hai.

Endoscopy se hum ise diagnose kr skte hain. Patient ko lifestyle changes ki jrurat hoti hai. Patient ko spicy food nhi khana hai. Excess intake of soft drinks, tea and coffee. Chocolate, snacks, junk food and peppermint se bhi ye problem hoti hai. Alcohol and smoking se bhi ye problem hoti hai. Dinner krte hi sona nhi chaiye. 2-3 hours ka gap hona jruri hai. Obese people agar apna weight lose kren to unki acidity ki problem kafi hadd tak solve ho jati hai. Hmare paas kafi achi medicines hain jinse ye problem easily solve ho skti hai.

Bhut jyada acidity hone se food pipe me zakham ho jata hai, vomiting with blood hota hai. Patient ko dysphagia ka problem ho jata hai. Islia iska timely treatment len. Aise patient ko ek time pe jyada nhi khana chaiye. Patient ka agar bhut lambe time tak stomach empty rhen to uski problem badh jati hai. Frequently small meal can help patient.

Thank you.