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Acid Reflux (GERD) and Swallowing Disorders

      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.

      Our Clinical Expertise

      The Department of Gastro Sciences provides comprehensive care for gastrointestinal, liver and pancreatic conditions, with advanced endoscopy, colonoscopy and hepatology services

      Reflux and GERD Management

      Diagnosis and treatment of acid reflux disease, including assessment of heartburn, regurgitation and difficulty swallowing.

      24 Hour pH and Impedance Monitoring

      Measurement of acid and non-acid reflux over a full day, confirming whether symptoms are caused by reflux.

      High Resolution Oesophageal Manometry

      Examination of the lower colon and rectum, used when assessment is limited to the left side of the bowel.

      POEM (Per Oral Endoscopic Myotomy)

      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.

      Oesophageal Stricture Dilatation

      Widening of a narrowed oesophagus to relieve difficulty swallowing.

      Anti Reflux Surgery

      Surgery to restore the barrier between the stomach and oesophagus for reflux that does not respond adequately to medication.

      Management of Dyspepsia

      Assessment and treatment of persistent indigestion, including endoscopic evaluation where indicated.

      Peptic Ulcer Disease Management

      Diagnosis and treatment of peptic ulcers of the stomach and duodenum, with endoscopic evaluation where indicated.

      Frequently Asked Questions

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

      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.

      More Medical Gastroenterology FAQs +
      Affordable Treatment

      Affordable Treatment

      We provide the most affordable treatment in the health sector.

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      Holistic Care

      Full-fledged Modern medicine, Ayurveda and Homoeopathy under one roof

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      Critical Medical Care

      Critical medical care for people who have life-threatening injuries and illnesses.