1760304?1316457159
Poorna Chandra, SMD, DM  
Male
India

Specialties: Gastroenterology, Therapeudic Endoscopy

Fortis Hospitals
Consultant Surgical Gastroenterologist
My Posts
Dear DPM111, Thanks for writing in. Hunger prangs with pain in the right upper quadrant especially with delayed meals is classical of acid peptic disease - ulcer or gastritis. Not all people have heartburn or epigastric pain. However, pain below the shoulder blade is rare in acid peptic disease but is classical of gallstone disease. But symptoms o...
Dear spitshaw, I do understand your concern. I would like to reassure you that you don't have to worry if all your tests are normal. I would suggest the following Go back to your normal diet. Your diet should have about 45-55% carbohydrates, 15-25% protein, and 20-25% fat. You should also be consuming 5-6 servings of fruits and vegetables in a d...
May 03, 2012 in the Hepatitis Expert Forum - 4
Dear scorpion1999, I would say that your chances of acquiring hepatitis B in such a scenario would be minimal ( as I assume there was no bleeding when the clippers hit you). Hepatitis B is usually transmitted through infected body fluids and blood. Sharing of sharp instruments like razors can also transmit this virus. The chance of acquiring HBV infect...
May 02, 2012 in the Liver Disorders Community - 4
Dear tjaz, Thanks for writing in. Most of the Candida infections are treated with azoles. Even though azoles have hepatotoxicity, they are still the drug of choice for fungal infections in Cirrhotics and acute liver failure. So I think that a 7 day course of Monistat cream would be safe for use in early Candida infection in a person with liver disease (...
Dear yellowfin10, Thanks for writing in. There are a few terms that I would like to explain so that I can put across the situation in a more coherent manner to you. 1) Barretts mucosa - An intestinal columnar type of mucosa with absorptive and or goblet cells interposed in between the squamous epithelium of the esophagus. This is now termed as Co...
May 02, 2012 in the Hepatitis Expert Forum - 2
Dear masoudgc, Thanks for writing in. HCV antibodies usually develop within 3-6 weeks after acquisition of the virus. Hence the ELISA test done after this period is pretty reliable provided there are no co-existing autoimmune disorders or immunosuppression. However, RIBA is a more specific test and a positive RIBA with a negative ELISA may suggest a low...
Dear ForEvaUrz, Thanks for writing in. I would first like to clarify that reflux esophagitis and Barrett’s oesophagus are a continuum of the pathology associated with gastroesophageal reflux disease. Repeated injury to the lining of the oesophagus secondary to reflux causes a change in the type of the lining epithelium to the intestinal type of columna...
Apr 03, 2012 in the Hepatitis Expert Forum - 3
Dear EIowa, Thanks for writing in. I do understand your predicament. I would first like to clarify the role of the tests in detecting a HCV infection. In the tests that are done for HCV, anti HCV tells us about the exposure to HCV (either present or past) and HCV RNA confirms the on-going infection. Anti HCV usually takes around 6-12 weeks to appear af...
Dear JoeN733 , Thanks for writing in Blood and mucus in stools is a marker of colitis ( an inflammation of the colon). In your case, it could either represent a random infection or a side effect of the medications that you are currently receiving. Clindamycin is known to be associated with antibiotic associated colitis caused by the bacterium Clostr...
Dear GKGK, Thanks for writing back. If diarrhoea is not a predominant symptom, you could be possibly suffering from a condition called tropical enteropathy. Here, there are some absorptive defects. Anemia, as such, may take some time to develop and diarrhoea could be intermittent as well. I would suggest you get your stool checked for three days and ...