Acid reflux and swallowing disorder care at Mar Sleeva Medicity Palai in Kottayam, Kerala covers gastro oesophageal reflux disease (GERD), difficulty swallowing (dysphagia), achalasia, persistent indigestion and other oesophageal disorders. Diagnosis is supported by high resolution oesophageal manometry and 24-hour pH and impedance monitoring, so treatment is based on measured oesophageal function rather than symptoms alone.
Treatment ranges from medical management and endoscopic procedures to POEM for achalasia and anti-reflux surgery for reflux that does not respond adequately to medication. POEM divides the abnormal muscle at the lower end of the oesophagus through the mouth without an external incision, and oesophageal dilatation is available where narrowing affects swallowing. Medical and surgical gastroenterologists work together to decide whether medical, endoscopic or surgical treatment is most appropriate, so care is coordinated within the same centre.
The Department of Gastro Sciences provides comprehensive care for gastrointestinal, liver and pancreatic conditions, with advanced endoscopy, colonoscopy and hepatology services
Diagnosis and treatment of acid reflux disease, including assessment of heartburn, regurgitation and difficulty swallowing.
Measurement of acid and non-acid reflux over a full day, confirming whether symptoms are caused by reflux.
Examination of the lower colon and rectum, used when assessment is limited to the left side of the bowel.
Endoscopic treatment for achalasia that divides the tight muscle at the lower end of the oesophagus through the mouth, restoring the passage of food without external incisions.
Widening of a narrowed oesophagus to relieve difficulty swallowing.
Surgery to restore the barrier between the stomach and oesophagus for reflux that does not respond adequately to medication.
Assessment and treatment of persistent indigestion, including endoscopic evaluation where indicated.
Diagnosis and treatment of peptic ulcers of the stomach and duodenum, with endoscopic evaluation where indicated.
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The department manages the full spectrum of gastrointestinal, hepatic, pancreatic and biliary conditions. This includes acid reflux disease, peptic ulcers, inflammatory bowel disease (Crohn’s disease and ulcerative colitis), irritable bowel syndrome, liver diseases, pancreatitis, gastrointestinal bleeding, gastrointestinal cancers and all conditions requiring diagnostic or therapeutic endoscopy.
Capsule endoscopy involves swallowing a small, vitamin sized capsule containing a tiny camera. As it passes through the digestive tract, it captures thousands of images of the small bowel, an area that is difficult to reach with conventional endoscopy. It is used to evaluate conditions such as obscure gastrointestinal bleeding, Crohn’s disease and small bowel tumours.
Most endoscopic procedures are performed under conscious sedation or short general anaesthesia, so patients typically experience minimal discomfort. The gastroenterology team at Mar Sleeva Medicity Palai ensures patient comfort and safety with ICU level monitoring during and after the procedure.
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