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Paediatric Gastroenterology & Hepatology

Pediatric Gastroenterology is one of the major subspeciaity of Pediatrics, which specialises in management of diseases of the gut, liver, pancreas and nutritional abnormalities. The various diseases that come under the speciality are usually chronic and evolving conditions and at times requires a multidisciplinary approach. 

Pediatric gastroenterology department at ASTER MIMS, Calicut deals with the diagnosis and treatment of following conditions in children of age group from newborn to 17 years. 

  • All functional GI disorders like constipation, dyspepsia, functional abdominal pain, eating disorders. 
  • All causes of nutrition and growth issues like failure to thrive, malabsorption syndromes like cystic fibrosis, celiac disease. 
  • Swallowing disorders and feeding issues especially in neurologically impaired children. 
  • Chronic diarrhoea, protein-losing enteropathies.  
  • Allergic and eosinophilic diseases of the gut including cow’s milk protein allergy of infancy (CMPA). 
  • Gastroesophageal reflux disease (GERD). 
  • Caustic ingestion and foreign bodies. 
  • Various causes of both upper and lower GI bleed like esophgeal varices, polyps. 
  • All luminal GI diseases including achalasia and other motor disorders and infections. 
  • Inflammatory bowel disease - Crohn´s disease and ulcerative colitis. 
  • All causes of Pediatric cholestatic liver disease, metabolic liver disorders and genetic conditions affecting the liver. 
  • Non-alcoholic fatty liver disease, acute and chronic hepatitis. 
  • Gall bladder diseases like gallstones. 
  • All causes of acute and chronic pancreatitis.  
  • All types of enteral nutrition solutions for children are provided for acute and chronic conditions.  

The department also provides various endoscopy services for both diagnostic and therapeutic purposes as mentioned below 

Diagnostic: Upper endoscopy, colonoscopy and flex sigmoidoscopy. 

Therapeutic: Foreign body removal, stricture dilatation, achalasia balloon dilatation, variceal bleed management, polypectomy and Percutaneous endoscopic gastrostomy (PEG) tube placement including Low profile G tube placement, Nasojejunal tube placement. 

Motility studies: Oesophageal manometry, anorectal manometry. 

It works closely with the adult gastroenterology team in certain interventional endoscopy procedures like ERCP and stent placement for pancreatic diseases.

Our Doctors

We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.

Health condition speciality

  • Varicose veins, commonly affecting the legs and feet, are a prevalent condition characterized by swollen and twisted veins. In rural India, more than 30% of senior citizens suffer from varicose veins, posing a significant strain on healthcare resources. These veins often cause discomfort, pain, and aesthetic concerns for those affected. In severe cases, varicose veins can lead to complications such as skin ulcers or vein rupture, exacerbating the impact on an individual's health and overall well-being.

    Using Cyanoacrylate Glue Embolization (CAE) therapy to treat varicose veins is a relatively new development in vein care. Comparing this novel process to conventional treatment procedures, there are several clear advantages:

    1. **Minimally Invasive Procedure**: Compared to traditional surgery, CAE causes less stress to the body because it just requires little skin incisions or punctures. Patients find this feature especially appealing because it frequently results in shorter recovery times and reduced pain following surgery.

    2. **Local anesthetic**: CAE is carried out under local anesthetic, as opposed to conventional surgery, which can call for general anesthesia. This lessens the dangers of general anesthesia while enabling patients to stay conscious and awake during the entire process.

    3. **Painless Post-operative Period**: Patients usually have little pain during the healing phase after receiving CAE treatment. Compared to traditional surgical methods, which may cause greater agony during the healing phase, this is a major improvement.

    4. **No danger of Nerve harm**: When compared to conventional surgical techniques, CAE therapy reduces the danger of nerve harm. This is so that other tissues and nerves won't be needlessly injured during the operation, which specifically targets the afflicted veins.

    5. **Elimination of Postoperative Compression Stockings and Activity Restrictions**: CAE does away with the necessity for patients to wear compression stockings and limit their physical activity throughout the healing phase, in contrast to traditional treatments that frequently call for these measures. Following the surgery, patients can return to their regular activities rather quickly, which expedites their return to their daily routines.

    All things considered, the advent of CAE therapy is a noteworthy development in the treatment of varicose veins, providing patients with a more effective, efficient, and safe option. For those afflicted with this prevalent vascular ailment, CAE offers the potential to improve overall patient experience and improve outcomes by addressing the shortcomings of standard surgical procedures.
     

  • Renal stones, affecting approximately 10% of the global population, pose significant health risks and challenges worldwide. These crystallized deposits within the kidneys not only cause renal damage but also induce excruciating symptoms such as colic pain, fever, haematuria, and potentially life-threatening complications like sepsis. Hence, prompt diagnosis and intervention are crucial imperatives in mitigating the adverse effects of renal stones.

    Diagnosis and Treatment Strategies:

    Effective management hinges upon accurate symptom identification and the judicious use of diagnostic modalities. Among these, computed tomography (CT) scans play a pivotal role in confirming diagnoses and devising appropriate treatment plans. The evolution of treatment methodologies has ushered in advanced approaches such as percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS), both offering minimally invasive alternatives to traditional interventions.

    Conclusion:

    In essence, the management of renal stones necessitates a multifaceted approach that integrates timely diagnosis, advanced treatment modalities, and patient education. By prioritizing these principles, healthcare providers can mitigate the burdens imposed by renal stones, empower patients to make informed decisions about their care, and ultimately enhance the quality of life for individuals grappling with this prevalent and often debilitating condition.

  • Cervical spondylosis, also known as cervical disc disease, is a prevalent condition characterized by the degeneration of the cervical spine's discs and vertebrae. This degenerative process can result in a range of symptoms, including neck pain, stiffness, and radiating pain or numbness in the arms, along with occasional weakness of the limbs.

    Treatment Options:

    The management of cervical spondylosis varies depending on the severity of symptoms and the individual's unique circumstances. Initially, conservative approaches are typically recommended, which may include:

    Physical Therapy: Targeted exercises and manual therapy techniques can help improve strength, flexibility, and posture, reducing pain and enhancing overall function.

    Pain Medications: Non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics may be prescribed to alleviate pain and inflammation associated with cervical spondylosis.

    Lifestyle Modifications: Making adjustments to daily activities, ergonomic improvements, and practicing proper body mechanics can help minimize strain on the cervical spine and alleviate symptoms.

    Interventional Pain Management:

    In cases where conservative measures fail to provide sufficient relief, interventional pain management techniques may be recommended. These procedures, performed under local anesthesia as outpatient procedures, involve minimally invasive approaches to target specific areas of the spine affected by nerve compression or inflammation. Some common interventions include:

    Epidural Steroid Injections: Delivering anti-inflammatory medications directly into the epidural space can help reduce pain and inflammation around the affected nerves.

    Facet Joint Injections: By injecting a combination of anesthetic and steroid medications into the facet joints, pain relief and improved function can be achieved for patients with facet joint-related pain.

    Nerve Blocks: Blocking the transmission of pain signals along specific nerve pathways can provide temporary relief for individuals experiencing severe or persistent pain.

    Radiofrequency Ablation: This procedure involves using heat generated by radiofrequency energy to disrupt the function of targeted nerves responsible for transmitting pain signals, offering long-lasting pain relief for some patients.

    Advanced Surgical Options:

    In cases of severe or refractory cervical spondylosis, surgical intervention may be necessary to alleviate symptoms and restore spinal stability. Surgical options may include:

    Spinal Fusion: This procedure involves fusing two or more vertebrae together to stabilize the spine and reduce pressure on affected nerves.

    Disc Replacement: In selected cases, damaged cervical discs may be replaced with artificial implants to maintain spinal mobility while alleviating pain and dysfunction.

    Conclusion:

    Cervical spondylosis can significantly impact an individual's quality of life, but with timely diagnosis and appropriate treatment, many patients can find relief from their symptoms and regain function. At Aster MIMS Kannur, we offer a comprehensive range of conservative and advanced treatment options, including interventional pain management techniques and state-of-the-art surgical procedures, to help individuals effectively manage cervical spondylosis and achieve optimal outcomes. If you or a loved one are experiencing symptoms of cervical spondylosis, don't hesitate to reach out to our expert team for personalized care and guidance.

  • Lumbar spondylosis, also known as Lumbar Disc Disease or Disc Prolapse, is a degenerative condition that affects the lower spine, particularly the lumbar region. This condition is characterized by the wear and tear of spinal discs and facet joints, often resulting in a spectrum of symptoms including lower back pain, stiffness, numbness, reduced range of motion, weakness in the legs, and even urinary symptoms.

    Treatment Options:

    Treatment for lumbar spondylosis is tailored to the severity of the condition and the individual's specific needs. Initially, conservative approaches are typically recommended, including:

    • Physical Therapy: Targeted exercises and manual therapy techniques can help improve strength, flexibility, and posture, thereby reducing pain and enhancing overall function. 

    Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics may be prescribed to alleviate pain and inflammation associated with lumbar spondylosis.

    Lifestyle Modifications: Incorporating regular exercise, maintaining a healthy weight, and practicing proper body mechanics can help minimize strain on the lumbar spine and alleviate symptoms.

    Surgical Intervention:

    In cases where conservative treatments fail to provide adequate relief, or if there are neurological complications such as nerve compression, surgical interventions may be necessary. One advanced surgical technique for lumbar spondylosis is Percutaneous Endoscopic Lumbar Discectomy (PELD). This minimally invasive procedure involves inserting a thin tube with a camera and surgical tools through a small incision. PELD offers several advantages, including reduced tissue damage, faster recovery times, lower risk of infection, and less post-operative pain compared to traditional open surgery.

    Minimally Invasive Pain Management:

    In addition to surgical options, minimally invasive pain and spine interventions can play a crucial role in managing symptoms associated with lumbar spondylosis. Procedures such as epidural steroid injections, nerve root blocks, radiofrequency ablation, and spinal cord stimulation target specific pain pathways or nerves, providing effective pain relief and improving overall function for individuals with lumbar spondylosis.

    Conclusion:

    Navigating lumbar spondylosis requires a comprehensive approach that considers the individual's symptoms, severity of the condition, and treatment goals. By incorporating conservative treatments, advanced surgical techniques, and minimally invasive pain management procedures, healthcare providers can effectively manage symptoms and improve quality of life for patients with lumbar spondylosis. If you or a loved one are experiencing symptoms of lumbar spondylosis, consult with a healthcare professional for personalized evaluation and treatment options.

  • Lumbar spondylosis, also known as Lumbar Disc Disease or Disc Prolapse, is a degenerative condition that affects the lower spine, particularly the lumbar region. This condition is characterized by the wear and tear of spinal discs and facet joints, often resulting in a spectrum of symptoms including lower back pain, stiffness, numbness, reduced range of motion, weakness in the legs, and even urinary symptoms.

    Treatment Options:

    Treatment for lumbar spondylosis is tailored to the severity of the condition and the individual's specific needs. Initially, conservative approaches are typically recommended, including:

    • Physical Therapy: Targeted exercises and manual therapy techniques can help improve strength, flexibility, and posture, thereby reducing pain and enhancing overall function. 

    Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics may be prescribed to alleviate pain and inflammation associated with lumbar spondylosis.

    Lifestyle Modifications: Incorporating regular exercise, maintaining a healthy weight, and practicing proper body mechanics can help minimize strain on the lumbar spine and alleviate symptoms.

    Surgical Intervention:

    In cases where conservative treatments fail to provide adequate relief, or if there are neurological complications such as nerve compression, surgical interventions may be necessary. One advanced surgical technique for lumbar spondylosis is Percutaneous Endoscopic Lumbar Discectomy (PELD). This minimally invasive procedure involves inserting a thin tube with a camera and surgical tools through a small incision. PELD offers several advantages, including reduced tissue damage, faster recovery times, lower risk of infection, and less post-operative pain compared to traditional open surgery.

    Minimally Invasive Pain Management:

    In addition to surgical options, minimally invasive pain and spine interventions can play a crucial role in managing symptoms associated with lumbar spondylosis. Procedures such as epidural steroid injections, nerve root blocks, radiofrequency ablation, and spinal cord stimulation target specific pain pathways or nerves, providing effective pain relief and improving overall function for individuals with lumbar spondylosis.

    Conclusion:

    Navigating lumbar spondylosis requires a comprehensive approach that considers the individual's symptoms, severity of the condition, and treatment goals. By incorporating conservative treatments, advanced surgical techniques, and minimally invasive pain management procedures, healthcare providers can effectively manage symptoms and improve quality of life for patients with lumbar spondylosis. If you or a loved one are experiencing symptoms of lumbar spondylosis, consult with a healthcare professional for personalized evaluation and treatment options.

FAQs

Want to find out more about the treatment? The answer to your questions can be found below.

Who is a Paediatrician?

 A paediatrician is a medical doctor who specializes in the care of children upto 14 years. Paediatricians have undergone special training in the health and illnesses of infants, teens, and young adults.

How often should my child see the paediatrician?

Your child should not only see the paediatrician for an illness. It is also important to schedule well-child-care exams regularly, beginning in infancy. Also called well-care visits or check-ups, these routine examinations provide the best opportunity for the doctor to observe the progress of your child's physical and mental growth and development; to counsel and teach parents; to detect problems through screening tests; to provide immunizations, and to get to know one another.

Are vaccines safe?

Vaccines are extremely safe and serious side effects are rare. Almost all sickness or discomfort after vaccination is minor and temporary, such as soreness at the injection site or mild fever.

What Does a Paediatrician Do?

They're also the first person to call whenever your child is sick., your paediatrician will:

  • Do physical exams
  • Give your child vaccinations
  • Make sure they meet milestones in growth, behaviour, and skills
  • Diagnose and treat your child's illnesses, infections, injuries, and other health problems
  • Give you information about your child's health, safety, nutrition, and fitness needs

Why is immunization important for a child's health?

Immunization is a simple and effective way of protecting children from serious diseases. Vaccines work by triggering the immune system to fight against certain diseases. If a vaccinated person comes in contact with these diseases, their immune system is able to respond more effectively, preventing the disease.

Why should I come to Aster MIMS hospital for Paediatric treatment?

Aster MIMS Hospital has a wide range of paediatric services and treatments that are available under one roof. We believe that children deserve to be treated with understanding and care and to receive the highest quality health care. Aster Mims is specifically designed to take care of the whole child through a family-centred approach to medicine.

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