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Silent Killer: Understanding Esophageal Cancer and How to Protect Yourself

April 25, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

Esophageal Cancer

Silent Killer: Understanding Esophageal Cancer and How to Protect Yourself

Esophageal cancer is a silent killer that affects thousands of people every year. Unfortunately, many individuals are unaware of the symptoms and risk factors associated with this disease, resulting in late diagnosis and limited treatment options. As April marks Esophageal Cancer Awareness Month, it’s crucial to spread awareness about this deadly illness and encourage early detection through education and screening initiatives. In this blog post, we’ll delve into the facts about oesophageal cancer, its causes, symptoms, treatments available, and how you can help raise awareness for this disease. So grab your coffee or tea and let’s dive in!

Esophageal Cancer

Silent Killer: Understanding Esophageal Cancer and How to Protect Yourself

Esophageal cancer is a silent killer that affects thousands of people every year. Unfortunately, many individuals are unaware of the symptoms and risk factors associated with this disease, resulting in late diagnosis and limited treatment options. As April marks Esophageal Cancer Awareness Month, it’s crucial to spread awareness about this deadly illness and encourage early detection through education and screening initiatives. In this blog post, we’ll delve into the facts about esophageal cancer, its causes, symptoms, treatments available, and how you can help raise awareness for this disease. So grab your coffee or tea and let’s dive in!

esophageal cancer

What is esophageal cancer?

Esophageal cancer is a type of cancer that affects the esophagus, the long, thin tube that carries food and liquids from the throat to the stomach. Cancer can develop in any part of the esophagus, but most commonly occurs in the lower part of the tube.

Causes of Esophageal cancer

There are many different causes of esophageal cancer, but the most common cause is chronic inflammation of the esophagus. This can be caused by a variety of things, including:

GERD
Acid reflux
Barrett's esophagus
Smoking
Alcohol
Certain medical conditions
GERD

Gastroesophageal reflux disease is a condition in which stomach acid and other contents of the stomach back up into the esophagus. This can cause irritation and inflammation of the oesophagus over time.

Acid reflux

Long-term acid reflux can cause changes in the cells of the esophagus that may lead to esophageal cancer.

Barrett's esophagus

This is a condition in which the lining of the oesophagus changes, becoming more like the lining of the intestine. It is often caused by GERD, and it increases the risk of developing esophageal cancer.

Smoking

Smoking tobacco products can damage the cells lining the esophagus and lead to cancer.

Alcohol

Drinking too much alcohol can also damage the cells lining the oesophagus and lead to cancer.

Certain medical conditions

Conditions such as achalasia, which is a disorder of the muscles of the esophagus, or Plummer-Vinson syndrome, which is a rare disorder that affects swallowing, can both increase the risk of developing esophageal cancer.

Screening for Esophageal cancer

There are multiple ways to screen for oesophageal cancer, and the most effective method may vary depending on the individual. Common screening methods include endoscopy, which uses a flexible tube with a camera to examine the inside of the esophagus, and barium swallow, in which the patient drinks a contrast solution and X-rays are taken to look for abnormalities.
Other less common methods of screening include computed tomography (CT) scans, magnetic resonance imaging (MRI), and positron emission tomography (PET) scans. Screening for oesophageal cancer is important because it can often be detected early, when it is most treatable. Talk to your doctor about which screening method is right for you.

Symptoms of Esophageal cancer

Esophageal cancer is a disease in which cancer cells form in the lining of the esophagus. The esophagus is the muscular tube that carries food and liquids from your throat to your stomach. 

Most people with oesophageal cancer have difficulty swallowing (dysphagia), and many also experience weight loss and fatigue. Other symptoms may include hoarseness, chest pain, or a sour taste in the mouth.

If you experience any of these symptoms, it’s important to see your doctor for a diagnosis. Esophageal cancer is often diagnosed at an advanced stage, so early detection is critical

esophageal cancer symptoms

Diagnosis of Esophageal cancer

Endoscopy: The best way to find oesophageal cancer early is through regular screening with an endoscopy. An endoscopy is a procedure where a flexible tube with a light and camera is inserted down the throat to look for any abnormal areas. If any are found, biopsies can be taken to confirm the diagnosis.
Biopsy: When a person is suspected of having oesophageal cancer, a biopsy may be performed to confirm the diagnosis. During a biopsy, a small sample of tissue is removed from the esophagus and examined under a microscope to look for cancer cells. The biopsy may be done using an endoscope, which is a long, flexible tube with a light and camera on the end that is inserted through the mouth and down the throat. Biopsy results will help determine the stage and extent of the cancer, as well as guide treatment options.
CT scan: A CT scan may be used to help diagnose oesophageal cancer by providing detailed images of the esophagus and surrounding tissues. During a CT scan, multiple X-ray images are taken from different angles and then combined to create a detailed 3D image. This allows doctors to see any abnormalities in the esophagus, such as tumors or enlarged lymph nodes, which may indicate the presence of cancer. The CT scan can also help determine the size and location of the cancer, as well as if it has spread to other areas of the body. CT scans are a valuable tool in diagnosing oesophageal cancer and can help guide treatment decisions.

Treatment of Esophageal Cancer

There are multiple ways to treat oesophageal cancer, and the course of treatment will be determined by several factors. These include the stage of the cancer, the location of the tumor, and the patient’s overall health.
Surgery is often the first line of treatment for oesophageal cancer. The type of oesophageal cancer surgery will depend on the stage of the cancer. For early-stage cancers, a minimally invasive surgery called endoscopic mucosal resection (EMR) may be an option. This procedure removes the tumor through a scope inserted down the throat.

For more advanced cancers, a traditional open surgery may be necessary. This involves making an incision in the chest or abdomen to remove part or all of the esophagus. In some cases, surgery may also involve removing nearby lymph nodes and part of the stomach.
In addition to surgery, radiation therapy and chemotherapy are often used to treat esophageal cancer. Radiation therapy uses high-energy beams to kill cancer cells and shrink tumors. Chemotherapy uses drugs to kill cancer cells. These treatments can be given alone or in combination with each other or with surgery.

treatment of esophageal cancer

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Prevention of esophageal cancer:

Avoid smoking and excessive alcohol consumption, both of which increase the risk of esophageal cancer.

Maintain a healthy weight through diet and exercise, as obesity has been linked to an increased risk of the disease.

Eat a healthy diet rich in fruits, vegetables, whole grains, and lean proteins to provide essential vitamins and minerals that support a healthy immune system.

Reduce exposure to acid reflux by avoiding large meals, eating slowly, and avoiding foods that trigger symptoms, as acid reflux can cause damage to the esophagus that can lead to cancer.

Regularly visit a doctor for check-ups and screenings, which can help detect any early warning signs of oesophageal cancer and allow for prompt treatment if necessary.

How to Spread Awareness During April

If you or someone you know has been diagnosed with oesophageal cancer, you may be wondering how you can help spread awareness during April, which is Esophageal Cancer Awareness Month. There are a few things you can do to help raise awareness and educate others about this disease.

One way to spread awareness is to share your story. If you are a survivor, share your experience with others and offer hope. If you have lost someone to oesophageal cancer, tell their story and help others understand the importance of early detection. You can also use social media to share information and resources about oesophageal cancer.

Another way to help spread awareness is to get involved with local events or fundraisers. Many communities hold walk/runs or other events during April to raise money for research and support those affected by the disease. You can also donate to organizations working to fight esophageal cancer.

Finally, simply talking to people about oesophageal cancer can help increase understanding and knowledge about the disease. Start a conversation with friends, family, or co-workers and let them know why raising awareness is important to you. By spreading the word, we can all work together to make a difference in the fight against esophageal cancer.

FAQs

What if anyone have esophageal cancer stage 4?

At this point, treatment options become more limited and may be focused on palliative care to help manage symptoms rather than curing the disease itself. This can include chemotherapy, radiation therapy or a combination of both.

It’s important for patients with stage 4 esophageal cancer to work closely with their healthcare team to determine the best course of action moving forward. They may also benefit from support groups or counseling services to help them cope with the emotional impact of their diagnosis.

While a diagnosis of stage 4 esophageal cancer can be overwhelming, it’s important to remember that everyone’s journey is unique. Seeking out resources and connecting with others who have been through similar experiences can provide much-needed comfort during this difficult time.

Is esophageal cancer curable?

Esophageal cancer is usually challenging to cure once it has progressed to advanced stages. However, early detection and treatment increase the chances of survival significantly. In most cases, surgical removal of tumors in combination with radiation therapy or chemotherapy is used to treat esophageal cancers.

Unfortunately, not all patients diagnosed with this type of cancer respond well to traditional treatments like surgery and chemotherapy due to several reasons such as age or general health conditions. As a result, there are ongoing clinical trials for new treatments for those who don’t respond well to conventional therapies.

While some people may survive esophageal cancer with proper treatment, others may not have a positive outcome due mainly because they were diagnosed at advanced stages when symptoms become more severe and difficult to manage. Therefore it’s essential always to seek medical attention promptly if you experience any symptoms associated with this type of cancer.

What are the stage 1 esophageal cancer symptoms?

Stage 1 esophageal cancer is characterized by the presence of a small tumor located in the lining of the esophagus. This early stage of cancer may not present any noticeable symptoms, which can make it difficult to detect and diagnose.

However, as the tumor grows and spreads, some patients may experience difficulty swallowing or discomfort when eating. They may also notice unexpected weight loss or feel like food is getting stuck in their throat.

Other potential symptoms include chest pain, chronic coughing or hoarseness that doesn’t go away. If you notice any of these signs, it’s important to seek medical attention promptly to receive an accurate diagnosis and determine your treatment options.

It’s worth noting that while these symptoms may be indicative of Stage 1 esophageal cancer, they can also be related to other conditions such as acid reflux or gastroesophageal reflux disease (GERD). That’s why it’s crucial to undergo diagnostic tests such as endoscopy examinations and biopsy procedures for an accurate diagnosis.

Remember: early detection is key when it comes to managing esophageal cancer effectively. Don’t hesitate to speak with your doctor if you have any concerns about your health or are experiencing unusual symptoms.

What is the new treatment for esophageal cancer

Recent research has shown that immunotherapy may be an effective treatment option for esophageal cancer patients. This type of therapy harnesses the power of the body’s own immune system to fight off cancer cells, offering a more targeted and less invasive approach than traditional chemotherapy or radiation therapies.

Other promising treatments being studied include gene therapy, which involves manipulating genes within cancer cells to stop them from growing and spreading; as well as targeted molecular therapies, which seek out specific molecules within cancer cells to inhibit their growth.

Despite these new treatment options, it’s important to note that early detection and prevention are still key factors in fighting esophageal cancer. Regular check-ups with your doctor can help catch any signs of the disease before it progresses too far.

While there is still much work to be done in terms of treating and curing esophageal cancer, these new developments offer hope for those currently battling this devastating illness.

How long people have esophageal cancer and not know?

It is estimated that people who have esophageal cancer may have had the disease for anywhere from six months up to several years before experiencing any noticeable symptoms. This is especially true if they do not undergo regular screenings or if their medical history does not suggest a higher risk of developing esophageal cancer.

Esophageal cancer tends to be asymptomatic until it has reached an advanced stage. The most common signs and symptoms of esophageal cancer include difficulty swallowing (dysphagia), painful swallowing (odynophagia), chest pain or discomfort, weight loss, hoarseness in the voice and persistent coughing.

How does esophageal cancer kill you?

One way esophageal cancer kills you is by blocking or narrowing your esophagus due to an accumulation of tumor tissue. This blockage can make it difficult for food and liquids to pass through, leading to malnutrition, dehydration, and weight loss.

In some cases, esophageal cancer spreads beyond its original site and affects nearby organs like the lungs or liver. When this happens, symptoms such as difficulty breathing or jaundice may occur.

Esophageal cancer also has a high chance of spreading throughout the body via metastasis. The spread usually occurs through lymph nodes located near the affected area but can also travel through blood vessels directly into other vital organs like our lungs or brain.

The pain associated with advanced Esophageal Cancer could be unbearable making end-of-life care essential for all patients suffering from it.

Esophageal cancer progression timeline?

The progression of esophageal cancer varies from person to person and depends on many different factors such as age, health status, lifestyle habits and family history. The timeline can range anywhere from a few months to several years.

It’s important to remember that early detection is key when it comes to treating esophageal cancer successfully. If you notice any symptoms or changes in your body, make sure you speak with your doctor right away.

What are the signs of dying from esophageal cancer?

Some common signs of dying from esophageal cancer include:
1) Difficulty swallowing
2) Pain
3) Fatigue
4) Respiratory issues
Dr. Harsh Shah is the best oncologist in Ahmedabad

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Dr. Harsh Shah

MS, FMAS, FALS, DNB, MCh Pancreas, Liver, Gastro & Cancer Surgeon

Dr. Harsh Shah is a highly experienced and skilled esophageal cancer doctor in Ahmedabad, with over 15 years of experience in the field. He has a strong reputation for providing comprehensive and compassionate care to his patients, and is committed to ensuring the best possible outcomes for each and every individual he treats. Dr. Shah is well-versed in the latest diagnostic and treatment techniques for esophageal cancer, and is known for his expertise in minimally invasive surgical procedures that help to minimize pain, scarring, and recovery time for his patients. With his extensive knowledge and dedication to his patients, Dr. Harsh Shah is widely considered to be one of the top esophageal cancer doctor in Ahmedabad.

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Filed Under: Cancer Tagged With: esophageal cancer, esophageal cancer awareness month, esophagus, esophagus cancer

પેટમાં દુખાવો અને પેટ પરેશાન (Stomach ache and stomach upset)

March 25, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

English
ગુજરાતી
हिंदी
જ્યારેતમનેપેટમાંદુખાવોથાયછેત્યારેશુંથાયછે?
  • જ્યારેતમનેપેટમાંદુખાવોથાયછે, ત્યારેતમારાપેટમાંદુખાવોઅથવાઅસ્વસ્થતારહેછે. કેટલીકવારતેજએકમાત્રલક્ષણહોઈછે. અન્યલક્ષણોપણહોઈશકેછેજેમકે:

    • છાતીમાંબળતરાજેનેહાર્ટબર્નતરીકેઓળખવામાંઆવેછે.
    • ઓડકારઆવવા
    • પેટનુંફૂલવું (એવુંલાગેછેકેતમારુંપેટહવાથીભરેલુંછે).
    • જ્યારેતમેખાવાનુંશરૂકરોછોત્યારેખૂબઝડપથીભરાઈજવાનોએહસાસ
પેટમાંદુખાવામાટેમારેડૉક્ટરનેમળવુંજોઈએ?

મોટાભાગનાલોકોનેપેટમાંદુખાવામાટેડૉક્ટરનીજરૂરહોતીનથી.પરંતુનીચેમુજબપરિસ્થિતિઓમાંતમારેતમારાડૉક્ટરનેમળવુંજોઈએ:

  • તમનેઝાડાઅથવાઉલ્ટીથતાહોય.
  • તમારોદુખાવોતીવ્રહોયઅનેએકકલાકકરતાવધારેરહેછેઅથવા 24 કલાકકરતાવધારેસમયમાટેદુખાવોઆવેઅનેજાયછે.
  • તમેકલાકોસુધીકંઈખાઈકેપીશકતાનથી.
  • તમને 102 ° F (39 ° C) કરતાવધારેતાવછે.

પ્રયાસકર્યાવિનાઘણુંવજનઓછુંથાય, અથવાખોરાકમાંરસઓછોથાય

પેટમાંદુખાવાનુંકારણશુંછે?

કેટલાકકિસ્સાઓમાં, પેટમાંદુખાવોકોઈચોક્કસસમસ્યાનેકારણેથાયછે, જેમકેપેટનીઅલ્સર (પેટનીઅંદરનાભાગમાંદુખાવો) અથવા “ડાયવર્ટિકુલાયટીસ” નામનીસ્થિતિ, જેમાંતમારામોટાઆંતરડામાંનાનાપાઉચમાંચેપલાગેછે. પરંતુકેટલાકકિસ્સાઓમાં, ડોકટરોખબરનથીહોતીકેપેટમાંદુખાવાનુંકારણઅથવાતેમનીસાથેથતાંઅન્યલક્ષણોશામાટેછે. તેમછતાં, ડોકટરોસામાન્યરીતેપેટમાંદુખાવાનાલક્ષણોનીસારવારકરીશકેછે.

પેટનાલક્ષણોમાંકઈસારવારમદદકરેછે?

જોતમારાલક્ષણોકોઈઅલ્સરજેવીકોઈચોક્કસસમસ્યાનેકારણેથાયછે, તોતેસમસ્યાનીસારવારથીતમારાલક્ષણોમાંરાહતથશે. પરંતુજોતમારાડૉક્ટરનેખબરનહોયકેદુખાવાનુંકારણશુંછે, તોતેએવીદવાઓનીભલામણકરીશકેછેજેતમારાપેટમાંએસિડનુંપ્રમાણઘટાડેછે. આદવાઓઘણીવારપેટમાંદુખાવોઅનેતેનીસાથેઆવતાલક્ષણોનેદૂરકરેછે. આમાંનીકેટલીકદવાઓકોઈપ્રિસ્ક્રિપ્શનવિનાઉપલબ્ધછે.

શું હું પેટમાંદુખાવો અટકાવવામાટે જાતેકંઈકરીશકુંછું?

હા, તમેજેભોજનકરોછોઅનેતમેજેરીતેખાવછોતેનીદુખાવાઉપરખુબજઅસરથતીહોયછે.

પેટમાંદુખાવોથવાનીશક્યતાઓઓછીકરવામાટે:

  • લાલમાંસ, માખણ, તળેલાખોરાકઅનેચીઝજેવાચરબીયુક્તખોરાકનેટાળો
  • દરરોજબેથીત્રણવખતપેટભરીનેજમવાકરતાદિવસમાંથોડીથોડીમાત્રામાંભોજનલેવું.
  • એવાખોરાકથીદૂરરહોજેતમારાલક્ષણોનેવધુખરાબબનાવેછે.
  • ઓવર-ધ-કાઉન્ટરદવાઓલેવાનુંટાળોજેતમારાદુખાવાનેવધારેછે – જેમકેએસ્પિરિનઅથવાઆઇબુપ્રોફેન (નમૂનાનાબ્રાન્ડનાનામો: એડવાઇલ, મોટ્રિન) શામેલછે.

કેટલાકલોકો – ખાસકરીનેબાળકો – ક્યારેકદૂધપીધાપછીઅથવાચીઝ, આઈસ્ક્રીમ, અથવાતેમાંદૂધહોયતેવાઅન્યખોરાકખાધાપછીપેટમાંદુખાવોથાયછે. તેમને “લેક્ટોઝઅસહિષ્ણુતા” (lactose intolerance) કહેવાતીએકસમસ્યાછે, જેનોઅર્થછેકેજેમાંદૂધહોયતેવાખોરાકનેતેઓસંપૂર્ણપણેપચાવીશકતાનથી.

લેક્ટોઝઅસહિષ્ણુતાવાળાલોકોજોલેક્ટેઝનામનીદવાલેતાહોયતોદૂધથીથતીસમસ્યાઓથીબચીશકેછે. લેક્ટેઝ (સેમ્પલનુંબ્રાન્ડનામ: લેક્ટેઇડ), તમારાશરીરનેદૂધપચાવવામાંમદદકરેછે. કેટલાકખોરાકતેનીસાથેપહેલાથીજઉમેરવામાંઆવેછે.

જોતમારાપેટમાંદુખાવોકબજિયાતસાથેસંબંધિતલાગેછે,જેનોઅર્થછેકેતમારીપાસેઆંતરડાનીપૂરતીમુવમેન્ટનથી, તોતમનેવધુરેસાઅથવારેચકનામનીદવાનીજરૂરપડીશકેછે. (લેક્સેટીવ્સ એદવાઓછેજેતમારીપાસેઆંતરડાનીમુવમેન્ટનીસંખ્યામાંવધારોકરેછે.)

ઘણીબધીફાઇબરલેવાથીતમારીપાસેઆંતરડાનીમુવમેન્ટનીસંખ્યાવધારવામાંમદદમળેછે. તમેનિમ્નલિખિતતરીકેવધુફાઇબરમેળવીશકોછો:

  • પુષ્કળફળ, શાકભાજીઅનેઆખાઅનાજખાવાથી
  • ફાઇબરગોળીઓઅથવાપાઉડરલેવાથી
શુંબાળકોઅનેપુખ્તવયનાલોકોનાપેટનાદુખાવાનાકારણોએકસરખાજહોયછે?

સામાન્યરીતે, હા. પુખ્તવયનાલોકોનાસમાનકારણોસરબાળકોનેપેટમાંદુખાવોથાયછે. પુખ્તવયનાલોકોનીજેમ, ડોકટરોહંમેશાંજાણતાનથીકેબાળકોમાંપેટમાંદુખાવાનુંકારણશુંછે. પરંતુબાળકોમાં, પેટમાંદુખાવોહંમેશાંતાણઅથવાઅસ્વસ્થતાદ્વારાથાયછે. તેમનામાટે, મનોવૈજ્ઞાનિકઅથવાભાવનાત્મકસમસ્યાઓપરધ્યાનઆપવુંખુબજમહત્વપૂર્ણછેકેજેદુખાવાનેવધારીશકેછે.

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Filed Under: Stomach, Symptoms

Nausea and vomiting in adults

March 25, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

English
ગુજરાતી
हिंदी
What are nausea and vomiting?

Nausea is that feeling you get once you think you would possibly throw up. Vomiting is once you actually throw up. These 2 symptoms can happen together. But sometimes people feel nauseous without throwing up, and a few people throw up without feeling nauseous first.

What causes nausea and vomiting?

The most common causes include:

  • Food poisoning – this could happen if you eat food that has gone bad. It’s basically an infection in your stomach. Infections like these often also cause diarrhea. Different kinds of infections that affect the stomach or intestines may cause nausea and vomiting.
  • Dizziness or motion sickness – this could happen if you’re on a ship or in a car, or something else that moves. It may happen if there’s something wrong inside your ears that affects your balance.
  • Medicines – Many different medicines can cause nausea or vomiting. Some examples are antidepressants, antibiotics, vitamins, contraception pills, and pain medicines. People who are on chemotherapy for cancer treatment or who are under anaesthesia also often have nausea or vomiting. Sometimes, those who use cannabis (marijuana) over a long time have repeated episodes of vomiting.
  • Pregnancy – many ladies who are pregnant have nausea or vomiting. People sometimes call this “morning sickness,” but it can happen at any time of day.
  • Gastroesophageal reflux disease (GERD) – GERD is a condition that causes the juices that are within the stomach to leak back up into the esophagus, the tube that connects the throat to the stomach. It can sometimes cause nausea.
  • Problems with the stomach or intestines – In some people, the stomach or intestines don’t move food along the way that they are supposed to. In others, the intestines can get blocked. Both of these problems can cause nausea or vomiting.
  • Migraine headaches – Some who get migraine headaches have nausea during their headaches.
  • Alcohol – Drinking too much alcohol can cause nausea and vomiting.
Should I see a doctor?

Call your doctor if your symptoms last longer than each day or 2, otherwise you have severe symptoms. you should also call if you:

  • Have chest or belly pain
  • Throw up blood or something that appears like coffee grounds
  • Have a bowel movement with blood, or a bowel movement that is black and looks like tar
  • Have a fever beyond 101ºF
  • Have a severe headache or stiff neck
  • Feel very tired or have trouble getting up
  • Show signs of dehydration (meaning that your body has lost an excessive amount of water).
What can I do on my own to feel better?
  • You can:

    • Drink plenty of fluids, if possible
    • Try eating, but start with foods that have lots of fluid in them. If this goes well, you can try soft, bland foods. Foods that are high in carbohydrates (“carbs”), like bread or saltine crackers, can help settle your stomach. Some people also find that ginger helps with nausea. you must avoid foods that have lots of fat in them. they’ll make nausea worse. Call your doctor if your symptoms come back once you attempt to eat.
    • Avoid strong smells, like the smell of perfume
How are nausea and vomiting treated?

If you have been vomiting lots for more than a day, your doctor will ask you lots of inquiries to attempt to learn what could be causing your symptoms. He or she might also:

  • Give you fluids through a thin tube that goes in a vein, called an “IV”
  • Give you medicines that control nausea and vomiting. Some examples include:
  •  Prochlorperazine
  • Promethazine (brand name: Phenergan)
  • Metoclopramide (brand name: Reglan)
  • Ondansetron (brand name: Zofran)
  • Schedule tests for you to assist learn why you have nausea or vomiting, such as a stomach X-ray
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Filed Under: Stomach, Symptoms

Stomach ache and stomach upset

March 25, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

English
ગુજરાતી
हिंदी
What happens when you have a stomach ache?

As per stomach doctor, when you have a stomach ache, you’ve got pain or discomfort in your belly. Sometimes that is the only symptom you’ve got. Other times, you can have other symptoms such as:
• Burning in your chest referred to as heartburn
• Burping
• Bloating (feeling like your belly is stuffed with air)
• Feeling full too quickly after you start eating

Should I see a doctor about my stomach ache?

Most people don’t need to see a stomach doctor for a minor stomach ache. But you should see your doctor if:
• You have bloody bowel movements, diarrhoea, or vomiting
• Your pain is severe and lasts more than an hour or comes and goes for quite 24 hours
• You cannot eat or drink for hours
• You have a fever above 102°F (39°C)
• You lose lots of weight without trying to, or lose interest in food

What causes stomach aches?

In some cases, stomach aches are caused by a particular problem, like a stomach ulcer (a sore on the within of the stomach) or gastritis or stones. But in some cases, stomach doctors don’t know what causes stomach aches or the other symptoms that happen with them. Even so, doctors can usually treat the symptoms of stomach ache.

What treatments help with stomach symptoms?
  • If your symptoms are caused by a particular problem, like an ulcer, treatments for that problem will likely relieve your symptoms. But if your stomach doctor does not know what is causing your pain, he or she might recommend medicines that reduce the amount of acid in your stomach. These medicines often relieve stomach aches and also the symptoms that come with it. Some of these medicines are available without a prescription.
Can I do anything on my own to prevent stomach ache?

Yes, the foods you eat and also the way you eat them can have a big effect on whether or not you feel pain.
To lower your chances of getting a stomach ache:
• Avoid fatty foods, such as red meat, butter, fried foods, and cheese
• Eat a bunch of small meals each day, instead of two or three big meals
• Stay away from foods that seem to make your symptoms worse
• Avoid taking over-the-counter medicines that appear to make your symptoms worse – Examples include aspirin or ibuprofen.

Some people – especially kids – sometimes get a stomach ache after drinking milk or eating cheese, ice cream, or other foods that have milk in them. They have a problem called “lactose intolerance,” which suggests that they cannot fully break down foods that have milk in them.
People with lactose intolerance can avoid problems caused by milk if they take a medicine called lactase. Lactase (sample brand name: Lactaid), helps your body break down milk. Some foods come with it already added.
If your stomach ache seems to be associated with constipation, meaning that you do not have enough bowel movements, you may need more fiber or a medicine called a laxative. (Laxatives are medicines that increase the number of bowel movements you’ve got.)
Taking in a very lot of fiber helps to increase the number of bowel movements you have. you can get more fiber by:
• Eating lots of fruits, vegetables, and whole grains
• Taking fiber pills, powders, or wafers

Is a stomach ache in children the same as it is for adults?

As per the stomach doctor, children get stomach aches for the same reasons that adults do. Unlike adults, doctors often do not know what causes stomach pain in children. But in children, stomach pain is commonly triggered by stress or anxiety. For them, it’s especially important to listen to psychological or emotional problems that may be making pain worse. To know more about stomach pain you can visit MedlinePlus & MayoClinic.

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Filed Under: Stomach, Symptoms

ઊબકા આવવા અને ઉલટીઓ થવી

March 25, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

English
ગુજરાતી
हिंदी
ઊબકા આવવા અને ઉલટીઓ થવી એટલે શું?
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શાને કારણે ઊબકા આવે છે કે ઊલટીઓ થાય છે?

પાચનતંત્રના ક્યા ભાગમાંથી (ઊપરના કે નીચેના ભાગ) લોહી નીકળે છે તે પ્રમાણે લક્ષણો પણ અલગ અલગ હોય છે. કેટલાક દદર્ીઓમાં કોઇ પણ લક્ષણો જણાતા નથી. જ્યારે ડૉક્ટર તેના મળાશયની તપાસ કરે કે લોહીની તપાસમાં જ્યારે ખબર પડે કે દદર્ીને એનેમિયા છે ત્યારે જ તેને પાચનતંત્રના અવયવમાંથી લોહી નીકળે છે તેની જાણ થાય છે. એનેમિયાના કેસમાં દર્દી ના લોહીમા રહેલા લાલ કણોની સંખ્યામાં બહુ ઘટી ગઈ હોય છે.

પાચનતંત્રના ઊપરના ભાગમાં રક્તસ્રાવ થતો હોય તેના લક્ષણો નીચે મુજબના હોય શકે છે.

  • લોહીની ઊલ્ટી થવી અથવા ઊલટી થાય તેનો રંગ કોફી-પાવડર જેવો હોય છે.
  • ઝાડો કાળાશ પડતા રંગનો હોય. (જ્યારે પાચનતંત્રના નીચલા ભાગમાંથી લોહી નીકળતું હોય ત્યારે આવી શક્યતા વધારે હોય છે.) જો કે આવા કિસ્સાની સંખ્યા ઓછી હોય છે.

પાચનતંત્રના નીચલા ભાગમાં રક્તસ્રાવ થતો હોય તેના લક્ષણો નીચે મુજબના હોય શકે છે.

  • ઝાડો લોહીવાળો હોય (પાચનતંત્રના ઊપરના ભાગમાં રક્તસ્રાવ થતો હોય ત્યારે પણ આવું થઈ શકે છે. જો કે આવા કિસ્સા બહુ જ ઓછા બને છે.)

પાચનતંત્રના કોઇપણ ભાગમાંથી લોહી નીકળતું હોય તેના લક્ષણો નીચે મુજબના હોય શકે છે.

  • નબળાઈ લાગવી, માથું હલકું લાગવું અથવા તો ચક્કર આવતા હોય તેવું લાગે કે શરીરનું સમતોલપણું જાળવવામાં થોડી તકલીફ લાગતી હોય. (જ્યારે રક્તસ્રાવનું પ્રમાણ વધી ગયું હોય ત્યારે આવી શક્યતાઓ વધી જાય છે.)
  • હૃદયના ધબકારા વધી જવા. (જ્યારે લોહી વધારે નીકળતું હોય ત્યારે આવું થવાની સંભાવના રહે છે.)
  • પગ ખેંચાય કે પેટના કોઇ પણ હિસ્સામાં દુઃખાવો થતો હોય.
  • ઝાડા થઈ જવા.
  • ચામડી નિસ્તેજ થઈ જવી.
શું મારે ડૉક્ટર ને બતાવવું જોઈએ?

જો નીચેનામાંથી કોઇ પણ લક્ષણ જણાય તો તરત જ ડૉક્ટર પાસે જવું જોઇએ.

  • લોહીની ઊલટી થાય કે ઊલટીનો રંગ કોફી-પાવડર જેવો હોય.
  • જો ઝાડાનો રંગ કાળાશ પડતો હોય કે તેમાં લોહી દેખાતું હોય.
  • નબળાઈ લાગવી, માથું હલકું લાગવું અથવા તો ચક્કર આવતા હોય તેવું લાગે કે શરીરનું સમતોલપણું જાળવવામાં થોડી તકલીફ લાગતી હોય.
  • હૃદયના ધબકારાની ગતિ એકદમ વધી જાય.
  • પેટમાં સખત દુઃખાવો થતો હોય.
  • સામાન્ય રીતે હોય તેના કરતા દર્દી ઘણો વધારે નિસ્તેજ દેખાતો હોય.
મને સારું લાગે તે માટે જાતે હું શું કરી શકું?

સામાન્ય રીતે નીચેના કારણો રક્તસ્રાવ માટે જવાબદાર હોય છે.

  • હોજરીમાં અથવા નાના આંતરડામાં ચાંદી પડી હોય (અલ્સર થયું હોય).
  • અન્નનળીમાં આવેલી નસોમાં સોજો આવી ગયો હોય. અંગ્રેજીમાં તેને ‘વેરાયસિસ’ કહે છે.
  • લોહીની નળીઓ અસામાન્ય હોય જેને અંગ્રેજીમાં ‘આર્ટિરિયોવીનસ માલફોર્મેશન’ કહે છે.
  • ડાયવર્ટિક્યુલોસિસ. આવું થાય ત્યારે આંતરડાની અંદરની લાયનિંગ પર ઝીણી ઝીણી ફોલ્લી થાય છે.
  • ક્રોહ્‌નનો રોગ અથવા અલ્સરેટીવ કોલાઇટીસ (આંતરડાની અંદર સોજો આવી જવાથી થતો રક્તસ્રાવ).
  • મળાશયમાં સોજેલી નસો હોય અથવા તો ગુદાની આસપાસ ચીરા પડ્યા હોય.
  • કેન્સર (કેન્સરને કારણે બહુ જ ઓછા કિસ્સામાં લોહી નીકળતું હોય છે).
ઊબકા અને ઊલટી ની સારવાર કઈ રીતે કરાય છે?

જો આપના ડૉક્ટરને શંકા જાય કે આપના પાચનતંત્રના કોઇ અવયવમાંથી લોહી નીકળે છે તો નીચે જણાવેલ ટેસ્ટમાંથી એક અથવા વધારે ટેસ્ટ કરાવવાની સલાહ આપશેઃ-

  • લોહીની તપાસ
  • રક્તકણોની સંખ્યા બરાબર છે કે નહીં તે જાણવા
  • લોહીની ગંઠાવાની પ્રક્રિયા બરાબર છે કે નહીં
  • લિવર બરાબર કામ કરે છે કે નહીં
  • પાચનતંત્રના ઊપરના ભાગની એન્ડોસ્કોપી – આ પરીક્ષણ (ટેસ્ટ) કરતા પહેલા ડૉક્ટર આપને દવા આપશે જેથી આપ તંદ્રાવસ્થામાં આવી જાઓ અને આરામદાયક સ્થિતિમાં રહો. ત્યાર પછી આપના મુખ વાટે એક નળી ગળાની નીચે ઊતારશે. આ નળીના આગળના ભાગે પ્રકાશ ફેંકતો નાનો ગોળો હોય છે અને એક કેમેરા પણ હોય છે જે પાચનતંત્રના અવયવના અંદરના ભાગના ફોટા પાડે છે જે ડૉક્ટરને તેના ટીવી પર દેખાય છે. આ ફોટાઓનો અભ્યાસ કરી ડૉક્ટર રક્તસ્રાવના કારણો જાણી શકે છે. કેટલાક કિસ્સામાં જો કોઇ ભાગમાં લોહી નીકળતું દેખાય તો ડૉક્ટર એક યંત્રનો ઉપયોગ કરી તે બંધ કરી શકે છે.
  • કોલોનોસ્કોપી – આ ટેસ્ટમાં પણ ઊપર મુજબની જ પ્રક્રિયા હોય છે પરંતુ નળીને ગુદા દ્વાર વાટે પાચનતંત્રના નીચલા અવયવોમાં દાખલ કરવામાં આવે છે.

(કોલોનોસ્કોપીના ટેસ્ટ દરમ્યાન ડૉક્ટર આપને પડખાભેર સૂવાનું કહે છે અને એક નળી જેના આગલા ભાગમાં એક કેમેરા હોય છે તે ગુદાદ્વાર વાટે મળાશયમાં દાખલ કરી મોટા આંતરડા સુધી લઈ જાય છે. નળીના આગલા ભાગમાં રહેલો કેમેરા અંદરના ફોટા પાડે છે જે ડૉકરના ટીવીના પડદા પર દેખાય છે. તેેને જોઇને આપના રોગના કારણની જાણકારી મળે છે અને નિદાન થઈ શકે છે.)

  • ઇમેજીંગ ટેસ્ટ – આ પ્રકારના ટેસ્ટમાં ડૉક્ટર એક પ્રકારની ડાય અથવા તો એકદમ જ હળવા પ્રકારનું રેડિઓ એક્ટીવ રસાયણ (રેડિયમ જેમ એકદમ આછા અજવાળામાં ચમકતો પદાર્થ) આપના લોહીમાં દાખલ કરે છે અને લોહી શરીરના જે જે અંગોમાં જાય તે ભાગનો અભ્યાસ કરવામાં આવે છે.
  • કેપ્સ્યુલથી ફોટા પાડવાનો ટેસ્ટ – વિટામીનની કેપ્સ્યુલ જેટલા માપનો એક કેમેરા આપને ગળી જવા માટે આપવામાં આવે છે. આ કેમેરા પાચનતંત્રની અંદરના ફોટા પાડી ડીવીડી અથવા પેનડ્રાઈવ જેવા રેકોર્ડ થઈ જાય તેવા સાધનને મોકલે છે. આ ફોટાનો ડૉક્ટર અભ્યાસ કરે છે. આ સાધનની ઉપયોગિતા એ છે કે નાનું આંતરડું જેની લંબાઈ વધારે હોય છે તેના દરેક ભાગ એન્ડોસ્કોપી કે કોલોનોસ્કોપીના સમયે પૂરેપૂરો જોવા મળતો નથી તેને પણ આ ફોટાઓ દ્વારા જોઇ શકાય છે. આ કેમેરા મળત્યાગના સમયે શરીરની બહાર નીકળી જાય છે અને ઘણા બધા દર્દી ને  તેની ખબર પણ નથી પડતી.
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Filed Under: Stomach, Symptoms

રેકટાવે જાઇનલ ફિસ્ટુલા

March 21, 2023 by Dr. Harsh J Shah – Pancreas, Liver, Gastro & Cancer Surgeon Leave a Comment

English
ગુજરાતી
हिंदी
રેકટાવેજાઇનલ ફિસ્ટુલા એટલે શું?
  • Ap fp¡Ndp„ dp¡V$p Ap„sfX$p„“p A„rsd cpN“y„ (dmpie“y„) ep¡r“ kp’¡
    AkpdpÞe Å¡X$pZ ’pe R>¡. Apd ’hp“p L¡$V$gpL$ L$pfZp¡ “uQ¡ S>Zpìep âdpZ¡“p lp¡e R>¡:

    • bpmL$“p S>Þd kde¡ ’e¡gu CÅ A¡L$ L$pfZ lp¡e iL¡$ R>¡ A“¡ Ap L$pfZ blº S> kpdpÞe R>¡.
    • L¡$Þkf S> ¡hp fp¡Np¡“u kpfhpf v$fçep“ Ap‘hpdp„ Aphsp qL$fZp¡“¡ L$pfZ¡ ‘Z Ap fp¡N ’C iL¡$ R>¡.
    • ¾$p¡lÞk fp¡N“¡ L$pfZ¡ ‘Z Ap budpfu gpN| ‘X$u iL¡$ R ¡. (¾$p¡lÞk“p fp¡Ndp„ v$v$}“¡ TpX$p ’C Åe, ‘¡V$dp„ v y$:Mphp¡ ’pe A“¡ ‘pQ“s„Ó“¡ gNsu AÞe sL$guap¡ Ecu ’pe R>¡. Ap fp¡N“¡ L$pfZ¡ fp¡NârsL$pf ìehõ’pdp„ NfbX$ Ecu ’sp s¡ kpfp L$p¡jp¡ ‘f lºdgp¡ L$fu s¡“p¡ ‘Z “pi L$fu “p„M¡ R>¡. ¾$p¡lÞk fp¡Ndp„ Ap‘“u rkõV$d ‘pQ“s„Ó“u A„v$f“u v$uhpg“p L$p¡jp¡ ‘f (gpet“N ‘f) lºdgp¡ L$fu“pi L$f¡ R>¡. Ap“p ‘qfZpd¡ kp¡Å¡ Aphu Åe R>¡ L¡$ Aëkf ’pe R>¡ (Qp„v$u ‘X¡$ R ¡) A“¡ gp¡lu ‘Z‘X¡$ R ¡.)
રેકટાવેજાઇનલ ફિસ્ટુલાના લક્ષણો શું હોય છે?

ગુદા કેન્સરમાં ક્યારેય પેહલીવખતમાં લક્ષણો જણાતા નથી. જે લોકોમાં લક્ષણો હોયછે તેમાં નીચે મુજબનાં હોઈ શકેછે:

  • ગુદામાં થી રક્તસ્ત્રાવ
  • ગુદામાં અથવાઆસપાસ દુખાવો
  • ગુદામાં વૃદ્ધિ
  • ગુદામાં ખંજવાળ

આ બધા લક્ષણો કેન્સર સિવાયની પરિસ્થિતિઓને કારણે પણ થઈ શકેછે. પરંતુ જો તમને આ લક્ષણો હોય, તોઆપના ડૉક્ટર ને જણાવો.

રેકટાવેજાઇનલ ફિસ્ટુલાના રોગ ના નિદાન માટે કય ટેસ્ટ કરાવવાના હોય છે?

હા. ગુદા કેન્સરની તપાસ માટે, તમારા ડૉક્ટર તમારા ગુદાને ચેક કરશે અને “ડિજિટલ રેક્ટલ એક્ઝામ” કરશે. ડિજિટલ ગુદા માર્ગની એક્ઝામ દરમિયાન, તમારા ડૉક્ટર અસામાન્ય વૃદ્ધિની તપાસ કરવા માટે તમારા ગુદામાં અને નીચલાગુદા માર્ગ માં ગ્લોવ્ડ આંગળી મૂકશે.

તે નીચે મુજબ એક અથવાવધુ પરીક્ષણો કરી શકેછે:

  • એનોસ્કોપી – એનોસ્કોપી દરમિયાન, ડોકટર તમારા ગુદાઅને ગુદા માર્ગમાં એક ટૂંકી ટ્યુબ (જેને “એનોસ્કોપ” કહેછે) નાંખેછે. તે અનો સ્કોપનો ઉપયોગ અસામાન્ય વિસ્તારો અથવા વૃદ્ધિ ચેક કરવામાટે કરશે.
  • બાયોપ્સી – ડોકટર ગુદા માંથી પેશીનાનાના નમૂનાને કાઢીશકેછે. બીજો ડોકટર માઇક્રોસ્કોપ હેઠળના સેમ્પલનેજો શે કે કેન્સર છેકે નહીં.

ડોકટરો કેટલીક વાર ગુદામાં એવા કોષો શોધીકાઢેછે જે કેન્સરનાં નથી હોતા, પરંતુ તેઅસામાન્ય હોયછે અને કેન્સરમાંરૂપાંતરિતથઇશકેછે. તમારા ડોકટર આ “પૂર્વ-કેન્સર” કોષોને અલગ રીતે સારવાર આપી શકેછે. તે કોષો ને કાઢી ને કેન્સર માં રૂપાંતરિત થતા અટકાવી શકે છે. અથવા તે સમયજતાં તેમને નજીકથી જોઈ શકે છે.

રેકટાવેજાઇનલ ફિસ્ટુલાની સારવાર કેવી રીતે થાય છે?

કેન્સર સ્ટેજીંગ એ એક એવી રીતછે જેમાં ડોકટરો શોધેછે કેકેન્સર જ્યાંથી શરૂ થયુંછે ત્યાંથી પેશી ના સ્તરની આસપાસ ફેલાઈગયુંછે કે નહીંઅને હા, તો ક્યાં સુધી.

તમારા માટે યોગ્ય ઉપચાર તમારા ગુદા કેન્સરના સ્ટેજ અને તમારી અન્ય તબીબી સમસ્યાઓ પર આધારીતછે.

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The Robotic cancer surgeon in Gujarat, India
Dr Harsh Shah is a well known GI & HPB Robotic Cancer Surgeon in ahmedabad. He treats cancers of esophagus, stomach, liver, pancreas, colon, rectum & small intestines. He is available at Apollo Hospital.
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