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Dr. Harsh J Shah

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Center of excellence for Reflux Disease GERD Specialist, Ahmedabad

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Dr. Harsh J Shah

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

Dr Harsh Shah is an experienced Gastroenterologist & Reflux Disease specialist in India. He has 18 years of experience in treating GERD. He performs operations for GERD.

 

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Frequently Asked Questions

  • Acid reflux is when the acid that is usually within the stomach comes up into the food pipe. A small amount of acid reflux is normal. however, when it happens often, it will cause issues with the oesophagus.
  • Taste acid within the mouth, or feel it within the throat
  • Feel burning within the chest (known as “heartburn”)
  • Have trouble swallowing
  • Coughing
  • Having symptoms like these once in a while is normal. If any of those symptoms happen over once per week, this can be a symptom of GERD & will require reflux treatment.
     
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  • Endoscopy – The doctor uses a thin tube with a small camera on it to examine the inside of the food pipe & stomach.
    24-hr pH metry – A thin tube called pH probe will be inserted via nose to inside of the food-pipe. This will help the doctor detect the problem in the absence of endoscopic findings.

Raise the head end of your bed by six to eight inches – you’ll be able to do that by putting blocks of wood or rubber below two legs of the bed or a foam wedge below the mattress.

Reduce weight

Avoid smoking

Avoid late meals – Lying down with a full abdomen will make reflux worse. Try to set up meals for a minimum of two-three hours before bedtime.

Reduce intake of tea, coffee, chocolates

Medicines: There are three main kinds of medicines that may help: antacids, histamine blockers, and proton pump inhibitors. All of those medicines for reflux treatment & GERD treatment work by reducing or acid.

Surgery: A GERD specialist surgeon may advise an operation called Laparoscopic Fundoplication, if the reflux symptoms recur on stopping the medicines or when there is a hiatal hernia.

GERD (Gastroesophageal Reflux Disease)

GERD occurs when the valve at the lower end of food-pipe remains open, allowing acid from the stomach to move up the food-pipe. Sometimes, hiatal hernia also accompanies & aggravates the condition

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Symptoms of GERD

Symptoms of GERD are secondary to acid & fluid coming up the food pipe. The commonest symptoms are: heartburn, fluid regurgitation, chest pain & difficulty swallowing. The last symptom can be due to narrowing of the food pipe due to long term injury by acid.

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Endoscope is a small tube with camera passed down the food-pipe to examine the inner linings of food-pipe & stomach. It can also detect the valve & the hiatal hernia. The procedure takes 5 minutes.

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pH metry is a test in which a probe is placed down the food pipe to monitor acid reflux. It has to be performed for 24 hours. After the completion of the test, the readings are taken and a score is generated which helps the GERD specialist understand the quantity & quality of acid reflux.

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Manometry is a test in which a small probe is passed into food pipe. The probe is connected to the computer software. The operator will ask the patient to swallow few sips of water during the procedure. This will create few graphs inside the computer. The graph will depict the pressure generated within the food pipe & hence the problems with the function of the food-pipe & the valve.

Treatment of GERD

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The patients who could not be improved with life style modification & medicines or in whom a large hiatal hernia is present, surgery is considered to cure the problem.

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The concept of surgery is to recreate a valve around the lower esophagus in order to tighten to loose valve & correct the hiatal hernia. Various surgical procedures are as follows: Nissen Fundoplication, Toupet Fundoplication, Dorr Fundoplication.

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Life style changes are core components of treatment of GERD. Majority of patients can be treated with life style modification only.

Our Happy Patients!

“Very professional and polite handling of patients along with their family members.. cleaning of each and every doubt any minute of the day. Highly skilled in bringing the patient back on feet in justacoupleof days.”
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Alisha Tobwala
Patient
I've had personal experience with Dr. Harsh Shah. He'savery knowledgeable and experienced Gastro Surgeon. He'll explain you all the symptoms patiently and suggest the best route possible ata reasonable cost. He also works towards educating society on the different diseases related to Liver and Pancreas.
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Brijesh Nandani
Patient
"Best Hospital in Gujarat for Gastroenterology & Surgery My father Anil Patel cured by Dr. Harsh Shah best doctor, good service staff very helpful and most intelligent team of Doctors."
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Ankita Patel
Patient
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Dr. Harsh J Shah
Dr Harsh Shah - Surgical Gastroenterologist and GI Robotic Surgeon, Ahmedabad
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