Kidney, Urinary, Gastro Intestinal, Liver

Principles of a lifestyle free of gluten will entail: Avoid all foods made from wheat, rye and barley. Examples – daliya, wheat roti, paratha, noodles, pasta, naan, kulcha, poori, breads, biscuits, buns, patties, cookies, all sooji, vermicelli and maida items. Be aware of hidden sources of gluten and make your choice.  Condiments such as soy sauce, salad dressing, cheese spreads, bottled smoothies and milk shakes, malt vinegar also contain gluten. Processed foods are most likely to…

There is no cure for celiac disease. The only treatment is gluten-free diet which does not contain wheat, rye, barley and their derivatives. Gluten is found in biscuits, bakery items, saucesbread, pasta, breakfast cereals, snacks and other processed foods. Don’t forget to read food labels and see for gluten free alternatives. The disease severity will be varying depending on the patient’s immune response. Some patients can ingest small amounts of gluten without developing symptoms, while others…

Doctors often use Modified Marsh classification based on histopathology to understand various levels of intestinal damage identified in biopsy. Stage 0 – Pre infiltrative mucosa considered as normal. Stage 1 – Increase in the number of intraepithelial lymphocytes (IELS) to more than 25 per 100 electrolytes with a normal crypt/villi ratio. Stage 2 – In addition to the increased IELS, there is an increase in crypt depth without a reduction in villus height. This is known as crypt hyperplasia.…

Consultation of gastroenterologist and dietitian is important for diagnosing and managing this disease. In order to diagnose the condition, the doctor may suggest some of the following: Physical examination and review of medical history. Blood tests– To measure levels of antibodies and to detect nutritional deficiencies (iron levels). Antibodies such as immunoglobulin A (IgA) anti tissue transglutaminase (tTG) antibodies, IgA anti endomysial antibodies (EMA) and IgA anti deamidated gliadin…

Here are some of the symptoms of Celiac Disease: Digestive problems – Abdominal bloating, pain, gas, diarrhea, pale stools and weight loss Dermatitis herpetiformis – Severe skin rash Iron deficiency anaemia – Low blood count Growth problems and failure to thrive Musculoskeletal problems – Bone and joint pains, muscle cramps Seizures Tingling sensation in the legs – Caused by low calcium levels and nerve damage  Apthous ulcers – Sores in the mouth Missed menstrual periods. Digestive…

Normally, the body’s immune system is designed to protect it from foreign invaders. But when people with celiac disease eat foods containing gluten, their immune system forms antibodies to gluten, attacking the intestinal lining, causing inflammation in the intestine and damaging the villi (hair-like structures seen on the lining of the small intestine). If the villi are damaged, the person cannot absorb nutrients properly and ends up with malnourishment. Are you at risk of developing celiac…

What is celiac disease? Celiac or Coeliac Disease is also known as celiac sprue or gluten sensitive enteropathy. This is a digestive and inherited autoimmune disorder that causes damage to the lining of the small intestine (villi) when foods with gluten are eaten. Villi are finger like projections that protrude from the lining of small intestine. They help in digestive process by maximizing the nutrient absorption.    Image 1: Normal villi and villous atrophy in celiac disease Gluten…

Urologist Dr Ananthakrishnan Sivaraman answers all your prostate cancer questions – what to look out for and when to see the urologist.  What are the symptoms of Benign Prostate Hyperplasia (BPH)? As men grow older, they may have problems with the prostate gland. Benign Prostatic Hyperplasia is a condition of enlarged prostate gland. As it grows bigger, it presses on the urethra causing the need for frequent trips to the restroom. Some symptoms are: Increase in…

Prevention Researchers are trying to develop a vaccine to prevent recurrent UTIs. In the meantime, there are simple steps you can take to help prevent UTIs. Health departments recommend: Wiping from front to back after urinating or having a bowel movement. Drinking six to eight glasses of water daily. Drinking water after having sex. Not holding urine for long periods of time. Cleaning your vaginal and rectal areas daily. Taking showers instead of baths. Wearing comfortable underwear, tight…

Here are some useful tips on management of Urinary Tract Infection including dietary guidelines, your UTI management team and what to watch out if you have frequent UTI infections If you are getting frequent infections, try to identify specific triggers as they can be avoided. For women, behavioural modifications such as avoiding use of spermicides, proper perineal care like wiping front to back and postcoital voiding  is recommended. In post-menopausal women, vaginal estrogen application…