• Published on: Jul 14, 2021
  • 1 minute read
  • By: Raj Dwivedi

Telemedicine, COVID-19 And Liver Diseases

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  • For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
  • Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
  • Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
  •  We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
  • It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
  • In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
  • With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
  • Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
  • However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
  • Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.
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Best Treatment Options for IBS in India

Best Treatment Options for IBS in India

Irritable Bowel Syndrome (IBS) is a common digestive condition that affects millions of people across India. If you often suffer from stomach pain, bloating, constipation, or diarrhea, you may be dealing with IBS. While it can be frustrating and affect your daily life, the good news is that IBS can be managed effectively with the right approach.

In this blog, we will cover the best treatment options for IBS in India, from diet changes to ayurvedic solutions and advanced diagnostic tests.

 

What is IBS?

IBS (Irritable Bowel Syndrome) is a chronic digestive disorder that affects how your gut functions. Unlike other diseases, IBS doesn’t damage the digestive tract, but it causes uncomfortable symptoms that come and go.

 

Causes of IBS

The exact cause of IBS is not fully understood, but common factors include:

  • Gut-brain axis dysfunction
     

  • Stress and anxiety
     

  • Hormonal changes
     

  • Food intolerances (e.g., lactose, gluten)
     

  • Gut infections
     

  • Poor dietary habits
     

 

Common Symptoms of IBS

  • Abdominal pain or cramps
     

  • Gas and bloating
     

  • Diarrhea, constipation, or both
     

  • Changes in bowel movements
     

  • Mucus in the stool
     

  • Fatigue or sleep problems
     

Symptoms vary for each person and often get worse after eating or during times of stress.

 

Best Treatment Options for IBS in India

IBS treatment focuses on relieving symptoms, as there is no one-size-fits-all cure. Here are the top treatment approaches used across India:

 

1. Dietary Changes

One of the most effective ways to manage IBS is through food:

Follow the Low FODMAP Diet

FODMAPs are carbohydrates that are hard to digest and cause gas. The Low FODMAP diet helps reduce symptoms by eliminating:

  • Onions, garlic
     

  • Beans, lentils
     

  • Dairy
     

  • Wheat
     

  • Processed foods
     

Slowly reintroduce foods with the help of a nutritionist.

Eat Small, Frequent Meals

Instead of large meals, eat smaller portions 4–5 times a day.

Stay Hydrated

Drink 8–10 glasses of water daily to ease digestion and prevent constipation.

 

2. Probiotics and Supplements

Probiotics are good bacteria that help restore balance in your gut.

  • Brands like Darolac, Sporlac, VSL#3 are commonly used in India.
     

  • Fiber supplements (like Isabgol) help relieve constipation.
     

  • Peppermint oil capsules may soothe gut muscles.
     

Always consult your doctor before starting supplements.

 

3. Prescription Medications

Depending on the symptoms, doctors in India may prescribe:

  • Antispasmodics (e.g., Drotaverine, Mebeverine) – for cramps
     

  • Laxatives (e.g., Lactulose) – for constipation
     

  • Anti-diarrheal drugs (e.g., Loperamide) – for diarrhea
     

  • Tricyclic antidepressants – to reduce gut sensitivity
     

Medication should be used only under medical supervision.

 

4. Ayurvedic Treatment for IBS

India offers powerful traditional options through Ayurveda. Herbs used include:

  • Kutaj – for diarrhea
     

  • Bilva – for digestion
     

  • Triphala – for bowel regularity
     

  • Jeeraka and Musta – reduce bloating
     

Ayurvedic treatment focuses on balancing the vata, pitta, and kapha doshas. Always choose certified practitioners.

 

5. Stress Management Techniques

Since stress and anxiety worsen IBS, it’s important to care for your mental health:

  • Yoga – especially poses like Pawanmuktasana and Vajrasana
     

  • Meditation and Pranayama
     

  • Cognitive Behavioral Therapy (CBT)
     

  • Counseling for teenagers or working professionals under pressure
     

Mind-body techniques are especially useful in Indian urban settings.

 

Recommended Lab Tests (Available on SecondMedic with Thyrocare)

To rule out other conditions and get clarity on your gut health, the following tests are helpful:

  1. Thyroid Profile (T3, T4, TSH) – to rule out hypothyroidism
     

  2. Vitamin D & B12 Tests – deficiencies can mimic IBS
     

  3. Liver and Kidney Function Tests – rule out other digestive diseases
     

  4. Stool Occult Blood Test / Calprotectin – if symptoms persist
     

  5. Aarogyam C Panel by Thyrocare – a full metabolic and vitamin panel
     

These tests are available at affordable rates with home sample collection via SecondMedic.

 

When to See a Doctor

Consult a gastroenterologist if:

  • Your symptoms last more than 4 weeks
     

  • You see blood in stool
     

  • You have rapid weight loss
     

  • You're losing sleep due to stomach pain
     

Early diagnosis prevents long-term damage and reduces emotional distress.

 

IBS Products Commonly Found in India

  • Isabgol (Psyllium husk) – for fiber
     

  • Probiotic sachets – Darolac, Vizylac
     

  • Ayurvedic syrups – Baidyanath Abhayarishta, Himalaya Triphala
     

  • Peppermint capsules – natural antispasmodic
     

  • Stress-relief teas – chamomile, tulsi
     

 

Conclusion

IBS can feel overwhelming, but with the right approach, it is very manageable. From diet changes and probiotics to Ayurveda and stress relief, you have many tools to regain control.

India offers a unique blend of modern and traditional therapies. Whether you're in a metro city or a small town, access to affordable tests and holistic treatments is improving every day.

If you’re struggling with IBS symptoms, talk to a doctor, get tested, and explore a personalized treatment plan. You don’t have to live in discomfort.

Explore the best treatment options for IBS in India and take the first step toward a healthier gut today.

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