Gastroenterology

Gastroenterology

Gastroenterologists are specialists who treat diseases of the digestive system and those affecting the gastrointestinal tract including the organs from mouth to anus ranging from indigestion to abdominal pain, appendicitis, jaundice, gallstones, lactose intolerance, hepatitis, reflux, ulcers, and hemorrhoids

Signs and Symptoms for Gastroenterological Conditions

Haemorrhoids

Stage 1 and 2 hemorrhoid development may require lifestyle changes and minor medical treatment which may include diets with high fibre foods, the usage of topical treatments, warm water soaks and anal area cleanliness. Haemorrhoid symptoms often go away within one or two weeks.

However, if persistent bleeding and painful haemorrhoids occur, our specialist team may perform rubber band ligation, in which one or two small bands are placed at the base of the haemorrhoid to cut off blood circulation. Alternatively, injections (sclerotherapy) and coagulation via infrared and/or lasers may be recommended for haemorrhoid size reduction.

If surgery is recommended, the two main options include:

  • Haemorrhoidectomy - the most effective and complete way to treat severe or recurring haemorrhoids.
  • Stapled haemorrhoidectomy or stapled haemorrhoidopexy - where blood flow to haemorrhoidal tissue is blocked off. This process is typically used for internal haemorrhoids. Though causing less pain, this procedure has a greater recurring risk as compared to a regular haemorrhoidectomy

Inflammatory Bowel Disease (IBD)

Changes in your diet, or completely removing foods that cause bloating may be recommended by your doctor. Depending on your range of symptoms, fibre supplements, laxative or diarrheal medication may be prescribed to you.

Certain drugs may be prescribed to:

- Ease diarrhea via reduction of muscular contraction and secretion of fluids in the intestine, while increasing rectal muscular tone

- Decrease overgrowth of bacteria

- Increase fluid secretion in small intestines to help bowel movement

Diverticulitis

The easiest path to treatment for this condition would be diet improvement and sometimes antibiotics. Mild cases of diverticulitis infection may only require rest, a liquid diet, stool softeners and antibiotics. However, surgery may be recommended for more severe cases along with a course of antibiotics and intravenous nutrition.
Irritable Bowel Syndrome (IBS)

Changes in your diet, or completely removing foods that cause bloating may be recommended by your doctor. Depending on your range of symptoms, fibre supplements, laxative or diarrheal medication may be prescribed to you.

Certain drugs may be prescribed to:

- Ease diarrhea via reduction of muscular contraction and secretion of fluids in the intestine, while increasing rectal muscular tone

- Decrease overgrowth of bacteria

- Increase fluid secretion in small intestines to help bowel movement

Gastroesophageal Reflux Disease (GERD)

Prescription drugs to neutralise, reduce and block excessive stomach acid production may be prescribed. Drastic measures include surgery and procedures such as these listed below may be recommended:

- Fundoplication to tighten the muscle and prevent reflux by wrapping the top of the stomach around the lower esophageal sphincter.

- Insertion of a LINX device, a string of magnetic beads, around the stomach allowing for the magnetic elements of the beads to draw the junction closer together yet still enable food to move through.

Colorectal Cancer

The typical main treatment method for this would be surgery to remove the cancer. Your doctor may also recommend chemotherapy as well as radiation therapy before and after successful surgery.

Tips to Keep Your Gut Healthy

The gastrointestinal tract plays many vital roles in sustaining health and wellness, starting with water and food. Our digestive process provides us with the foundation to live and carry out daily functions while staying healthy and happy. These few important factors should be taken into consideration to maintain healthy gastrointestinal health:

- Eat healthy foods

- Keep hydration levels optimal

- Include adequate fibre in your diet

- Thoroughly chew food before swallowing

- Keep a healthy and active lifestyle

- Manage lifestyle stress

- Get routine medical screenings

- Maintain a healthy sleep schedule

- Consider probiotic supplementation

Are you or a loved one facing any of these gastrointestinal concerns? Our dedicated team of multidisciplinary healthcare professionals are eveready for consultation. Learn more at your nearest Gleneagles Hospital.

Treatments for Gastroenterological Conditions

We aim to get you back on track to your regular healthy daily life activities. Each treatment option like these listed below will be recommended by our medical team largely depending on your individual condition, and health and medical history.
Gastroesophageal Reflux Disease (GERD)

Prescription drugs to neutralise, reduce and block excessive stomach acid production may be prescribed. Drastic measures include surgery and procedures such as these listed below may be recommended:

- Fundoplication to tighten the muscle and prevent reflux by wrapping the top of the stomach around the lower esophageal sphincter.

- Insertion of a LINX device, a string of magnetic beads, around the stomach allowing for the magnetic elements of the beads to draw the junction closer together yet still enable food to move through.
Haemorrhoids

Stage 1 and 2 hemorrhoid development may require lifestyle changes and minor medical treatment which may include diets with high fibre foods, the usage of topical treatments, warm water soaks and anal area cleanliness. Haemorrhoid symptoms often go away within one or two weeks.

However, if persistent bleeding and painful haemorrhoids occur, our specialist team may perform rubber band ligation, in which one or two small bands are placed at the base of the haemorrhoid to cut off blood circulation. Alternatively, injections (sclerotherapy) and coagulation via infrared and/or lasers may be recommended for haemorrhoid size reduction.

If surgery is recommended, the two main options include:

  • Haemorrhoidectomy - the most effective and complete way to treat severe or recurring haemorrhoids.
  • Stapled haemorrhoidectomy or stapled haemorrhoidopexy - where blood flow to haemorrhoidal tissue is blocked off. This process is typically used for internal haemorrhoids. Though causing less pain, this procedure has a greater recurring risk as compared to a regular haemorrhoidectomy
Colorectal Cancer

The typical main treatment method for this would be surgery to remove the cancer. Your doctor may also recommend chemotherapy as well as radiation therapy before and after successful surgery.

Inflammatory Bowel Disease (IBD)

In order to treat this condition, various drugs may be prescribed to reduce inflammation and suppress the immune system that is causing the inflammation, using antibiotics to treat any related infections. Pain relief as well as anti-diarrhoea medication may also be prescribed.

As bowel rest may reduce inflammation, nutrition through feeding tube inserts or via intravenous injections may be recommended for more severe cases.

For drastic measures, surgery to remove diseased parts of the large and/or small intestine may sometimes be required for much more severe cases.

Diverticulitis

The easiest path to treatment for this condition would be diet improvement and sometimes antibiotics. Mild cases of diverticulitis infection may only require rest, a liquid diet, stool softeners and antibiotics. However, surgery may be recommended for more severe cases along with a course of antibiotics and intravenous nutrition.

Irritable Bowel Syndrome (IBS)

Changes in your diet, or completely removing foods that cause bloating may be recommended by your doctor. Depending on your range of symptoms, fibre supplements, laxative or diarrheal medication may be prescribed to you.

Certain drugs may be prescribed to:

- Ease diarrhea via reduction of muscular contraction and secretion of fluids in the intestine, while increasing rectal muscular tone

- Decrease overgrowth of bacteria

- Increase fluid secretion in small intestines to help bowel movement

Gastroenterological diagnosis by tests

Gleneagles' range of hospitals provides you with the best diagnostic and screening services, all wrapped up in a modern and comfortable setting. Your results will be reviewed by doctors who will explain and offer the necessary treatment options based on your ailment, lifestyle and/or risk factors.

Due to the nature of gastrointestinal conditions, a wide variety of symptoms may surface thus a proper diagnosis should first begin with a gastroenterologist questioning family medical history prior to a physical examination. Additional lab tests and imaging may be required such as these below:

Endoscopy

This diagnosis allows for the close scrutiny of the stomach and digestive tract. A long instrument resembling a long tube with a camera called an endoscope is used to take images of the inter gastrointestinal environment. For further diagnosis, biopsies may taken to be microscopically examined to help in cancer cell detection.

CT and MRI Scans

Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans help give specialists a cross-sectional view of the abdominal organs. This then helps them visualize the conditions of the internal structures of the body.

Stool analysis

Often used to check faecal occult blood tests for colorectal screening, this test can help assess the patient's gut health by taking into consideration the change in acidity (pH), colour and consistency of stools. The presence of mucus, red and white blood cells, sugar, fat and bile can help further understand the causes of indigestion, constipation, diarrhea, mal-absorption and infection.

Blood Tests

Liver function tests, blood counts and pancreatic enzyme tests can help determine conditions such as parasitic, viral or bacterial infections, lactose intolerance, celiac disease and diarrhoea. These blood tests may often help exclude other serious illnesses.

Abdominal Ultrasound

Sound waves are used to produce dynamic images of organs that may not be accessed via other conventional means such as the gallbladder, pancreas and liver.

Colonoscopy

As medical test used to detect polyps and other various abnormal gastrointestinal growth, a camera is embedded at the end of a flexible tube, which is then inserted via the anus. This allows specialists to visually examine the large intestine and parts of the small intestine for any abnormalities.

Our Specialists

Dr. Firdaus Salleh
Specialty
Internal Medicine
Gastroenterology
Hepatology
Location
Gleneagles Hospital Medini Johor
Dr. Lua Guan Way
Specialty
Internal Medicine
Gastroenterology
Hepatology
Location
Gleneagles Hospital Medini Johor

If you have any question, do send us an enquiry

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Gleneagles Hospital Medini Johor
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+607 560 1111
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