Irritable bowel syndrome (IBS) and constipation care at Mar Sleeva Medicity Palai in Kottayam, Kerala covers the common functional bowel problems that cause abdominal pain, bloating, irregular bowel habit and difficulty passing stool. IBS is not inflammatory bowel disease and does not damage the bowel, and diagnosis is based on the pattern of symptoms, with appropriate evaluation to identify other causes where indicated.
Assessment includes colonoscopy where warning features are present, high resolution anorectal manometry where difficulty in evacuation needs to be measured, and breath testing where indicated. Treatment is tailored to the pattern of symptoms, with long term follow up so the plan can be adjusted as symptoms change.
The Department of Gastro Sciences provides comprehensive care for gastrointestinal, liver and pancreatic conditions, with advanced endoscopy, colonoscopy and hepatology services
Diagnosis and long term management of IBS, with treatment matched to whether diarrhoea, constipation or pain predominates.
Assessment and treatment of persistent constipation, including causes related to bowel motility and evacuation.
Assessment of the muscles and reflexes of the rectum and anus, used in chronic constipation and difficulty with evacuation.
Tests that assess how the digestive tract moves food along, used when symptoms suggest a functional or motility problem.
Non invasive test used in the evaluation of bloating and other digestive symptoms.
Examination of the colon and rectum where warning features such as bleeding or weight loss are present.
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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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