Kamlesh Agrawal

<h1> </h1>Hyperthyroidism is a condition characterized by the overproduction of thyroid hormones by the thyroid gland, leading to an accelerated metabolism and various health complications. Understanding hyperthyroidism, its causes, symptoms, and treatment options is essential for maintaining optimal health. <h2>What is Hyperthyroidism?</h2>Hyperthyroidism occurs when the thyroid gland, located in the front of the neck, produces excessive amounts of hormones, primarily thyroxine (T4) and triiodothyronine (T3). These hormones play a crucial role in regulating the body's metabolism, energy levels, and overall growth and development. When the thyroid is overactive, it can lead to a range of symptoms affecting multiple body systems. <h2>Causes of Hyperthyroidism</h2>Several factors can contribute to hyperthyroidism. The most common cause is Graves’ disease, an autoimmune disorder in which the immune system mistakenly attacks the thyroid gland, causing it to become enlarged and produce excess hormones. Other potential causes include:<ol><li>Thyroid nodules: Benign lumps that form on the thyroid gland can sometimes produce too much hormone.</li><li>Thyroiditis: Inflammation of the thyroid gland can lead to the release of excess hormones.</li><li>Excessive iodine intake: Consuming too much iodine, often from supplements or medications, can stimulate hormone production.</li><li>Certain medications: Some drugs, particularly those used to treat heart conditions, can also lead to increased thyroid hormone levels.</li></ol>Understanding these causes can help individuals take preventive measures and seek appropriate treatment. <h2>Symptoms of Hyperthyroidism</h2>The symptoms of hyperthyroidism can vary widely from person to person and may develop gradually or suddenly. Common symptoms include:<ol><li>Unexplained weight loss despite normal or increased appetite.</li><li>Rapid or irregular heartbeat (palpitations).</li><li>Increased sweating and sensitivity to heat.</li><li>Nervousness, anxiety, and irritability.</li><li>Tremors (shaking hands or fingers).</li><li>Fatigue and muscle weakness.</li><li>Difficulty sleeping (insomnia).</li><li>Changes in menstrual patterns in women.</li></ol>Due to the wide range of symptoms, hyperthyroidism can often be mistaken for other conditions. Recognizing the signs early can lead to timely diagnosis and treatment. <h2>Diagnosis of Hyperthyroidism</h2>Diagnosing hyperthyroidism typically involves a combination of medical history, physical examination, and laboratory tests. A healthcare provider may conduct blood tests to measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH). In hyperthyroidism, TSH levels are usually low, while T3 and T4 levels are elevated. Additional tests, such as a radioactive iodine uptake test or thyroid scan, may be performed to determine the cause of hyperthyroidism and assess the function of the thyroid gland. <h2>Treatment Options for Hyperthyroidism</h2>The treatment for hyperthyroidism depends on its underlying cause, severity, and the patient's overall health. Common treatment options include:<ol><li>Antithyroid medications: Drugs such as methimazole and propylthiouracil help reduce the production of thyroid hormones. These medications are often the first line of treatment and may take several weeks to show results.</li><li>Radioactive iodine therapy: This treatment involves administering radioactive iodine to destroy overactive thyroid cells. It is a common and effective option for many individuals with hyperthyroidism.</li><li>Beta-blockers: While not directly treating hyperthyroidism, beta-blockers can help manage symptoms such as rapid heart rate, anxiety, and tremors.</li><li>Surgery: In some cases, surgical removal of part or all of the thyroid gland may be necessary, especially if there are large goiters or concerns about cancer.</li></ol>Regular monitoring and follow-up with a healthcare provider are essential to ensure effective management of the condition and prevent complications. <h2>Living with Hyperthyroidism</h2>Managing hyperthyroidism often requires lifestyle adjustments. Individuals may benefit from adopting a balanced diet rich in whole foods, vegetables, and lean proteins. Regular exercise, stress management techniques, and adequate sleep can also contribute to overall well-being.It's important for individuals with hyperthyroidism to stay informed about their condition and adhere to their treatment plans. Regular check-ups with a healthcare provider can help monitor hormone levels and adjust treatment as necessary. <h2>Frequently Asked Questions about Hyperthyroidism</h2>As individuals seek to understand hyperthyroidism, several common questions arise:<ol><li>What is the difference between hyperthyroidism and hypothyroidism? Hyperthyroidism is characterized by excessive hormone production, while hypothyroidism involves insufficient hormone production.</li><li>Can hyperthyroidism cause weight gain? While hyperthyroidism usually leads to weight loss, some individuals may experience weight gain due to hormonal fluctuations.</li><li>Is hyperthyroidism hereditary? There may be a genetic component, as family history can increase the risk of developing hyperthyroidism.</li><li>How is hyperthyroidism treated during pregnancy? Treatment options for pregnant women are limited, and antithyroid medications are typically preferred to manage the condition.</li><li>What complications can arise from untreated hyperthyroidism? Untreated hyperthyroidism can lead to serious complications, including heart problems, bone loss, and a life-threatening condition known as thyroid storm.</li></ol> Hyperthyroidism is a manageable condition with proper diagnosis and treatment. By understanding its causes, symptoms, and available treatment options, individuals can take control of their health. If you suspect you may have hyperthyroidism or are experiencing related symptoms, it’s important to consult Dr. Kamlesh Agrawal, an experienced healthcare professional who can provide expert guidance tailored to your needs. Don’t hesitate to seek help; taking action today can lead to a healthier tomorrow!<h2> </h2>

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Discover everything you need to know about hyperthyroidism, including its causes, symptoms, and treatment options. Take control of your health today.

Hyperthyroidism 

<h3> </h3>Obesity is more than just an increase in weight - it’s a complex condition that significantly impacts overall health and quality of life. Defined by a body mass index (BMI) of 30 or higher, obesity is linked to various health issues and can be influenced by multiple factors. In this blog, we’ll delve into the causes of obesity, its associated risks, and practical strategies to address and manage this prevalent condition. <h4>What is Obesity?</h4>Obesity is characterized by an excessive amount of body fat that poses health risks. It is often measured using the BMI scale:<ul><li>Class 1 Obesity (BMI 30-34.9)</li><li>Class 2 Obesity (BMI 35-39.9)</li><li>Class 3 Obesity (BMI 40 or higher) - also referred to as severe or morbid obesity.</li></ul> <h4>Causes of Obesity</h4>Understanding the root causes of obesity is crucial for effective management. Here are some common factors contributing to obesity:<ol><li>Genetics - Your genetic makeup can influence how your body stores fat and processes food. Genetic predispositions can make some individuals more susceptible to obesity, although they interact with lifestyle factors.</li><li>Diet and Nutrition - Consuming high-calorie, low-nutrient foods can lead to weight gain. Diets rich in processed foods, sugary drinks, and unhealthy fats contribute to an energy imbalance, where calorie intake exceeds expenditure.</li><li>Physical Inactivity - Sedentary lifestyles, including prolonged sitting and lack of exercise, play a significant role in obesity. Regular physical activity is essential for burning calories and maintaining a healthy weight.</li><li>Medical Conditions - Certain medical conditions, such as hypothyroidism or polycystic ovary syndrome (PCOS), can contribute to weight gain. Some medications may also cause weight gain as a side effect.</li><li>Emotional and Psychological Factors - Emotional stress, depression, and anxiety can lead to overeating or unhealthy eating patterns. Psychological factors can significantly impact weight and eating behaviors.</li></ol> <h4>Risks Associated with Obesity</h4>Obesity poses several health risks that can affect various aspects of your well-being:<ol><li>Cardiovascular Disease - Obesity increases the risk of heart disease, high blood pressure, and stroke. Excess body fat can lead to the buildup of plaque in the arteries, impairing cardiovascular health.</li><li>Type 2 Diabetes - Obesity is a major risk factor for type 2 diabetes. Excess fat can lead to insulin resistance, resulting in elevated blood sugar levels and potentially developing diabetes.</li><li>Joint Problems - Carrying excess weight puts additional stress on joints, particularly the knees and hips. This can lead to conditions such as osteoarthritis and chronic pain.</li><li>Sleep Apnea - Obesity can cause or worsen sleep apnea, a condition where breathing repeatedly stops and starts during sleep. This can result in daytime fatigue and other health complications.</li><li>Mental Health Issues - Obesity can impact mental health, leading to low self-esteem, depression, and anxiety. The social stigma associated with obesity can further exacerbate these mental health challenges.</li></ol> <h4>Effective Strategies for Managing Obesity</h4>Addressing obesity requires a multifaceted approach, including lifestyle changes, medical interventions, and support systems:<ol><li>Healthy Eating - Focus on a balanced diet that includes fruits, vegetables, whole grains, and lean proteins. Reducing the intake of processed foods, sugary beverages, and unhealthy fats can help manage weight effectively.</li><li>Regular Exercise - Incorporate physical activity into your daily routine. Aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous exercise per week. Activities like walking, swimming, and cycling are beneficial.</li><li>Behavioral Therapy - Engage in behavioral therapy to address emotional eating, improve self-control, and establish healthy habits. Therapy can support long-term lifestyle changes and weight management.</li><li>Medical Treatments - In some cases, medications or weight-loss surgery may be necessary. These options should be considered in consultation with a healthcare provider and are typically used when other methods are not effective.</li><li>Support Systems - Seek support from family, friends, or support groups. Working with a dietitian or counselor can provide additional guidance and motivation.</li></ol> <h4>Frequently Asked Questions</h4>1. What are the most common causes of obesity?Obesity is often caused by a combination of genetic factors, poor diet, physical inactivity, medical conditions, and emotional factors. 2. How does obesity affect health?Obesity increases the risk of several health conditions, including cardiovascular diseases, type 2 diabetes, joint problems, sleep apnea, and mental health issues. 3. Can obesity be managed without surgery?Yes, obesity can often be managed through lifestyle changes, such as a healthy diet, regular exercise, and behavioral therapy. Surgery is usually considered when other methods are not effective. 4. What role do genetics play in obesity?Genetics can influence how your body stores fat and processes food. While you can’t change your genes, understanding their impact can help in managing obesity. 5. How can I find support for managing obesity?Support can come from family, friends, support groups, or healthcare professionals such as dietitians and counselors. Engaging with these resources can provide motivation and guidance.﻿Ready to take control of your weight and improve your health? Dr. Kamlesh Agrawal offers specialized care and support to help you achieve your weight management goals. With extensive expertise in treating obesity, Dr. Agrawal provides personalized plans that include dietary recommendations, exercise strategies, and medical interventions. Don’t let obesity dictate your life—contact Dr. Kamlesh Agrawal today to start your journey towards a healthier, more active lifestyle. Reach out now to schedule your consultation and make the first step towards a better you!

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Discover the causes, risks, and management strategies for obesity. Learn about the impact of genetics, diet, and physical activity, and find effective solutions for managing weight.

Understanding Obesity - Causes, Risks, And Solutions

Omega-3 fatty acids are more than just a dietary trend; they are vital nutrients with profound benefits for heart health. These essential fats, primarily found in fish and certain plant sources, play a crucial role in maintaining cardiovascular function and reducing the risk of heart disease. This blog delves into the significant benefits of omega-3 fatty acids, how they contribute to heart health, and practical tips for incorporating them into your daily diet.<h3>What Are Omega-3 Fatty Acids?</h3>Omega-3 fatty acids are a type of polyunsaturated fat essential for various bodily functions. They are categorized into three main types:<ul><li>Alpha-Linolenic Acid (ALA): Found in plant sources such as flaxseeds, chia seeds, and walnuts. ALA is an essential fatty acid that the body converts into EPA and DHA, although this conversion is limited.</li><li>Eicosapentaenoic Acid (EPA): Predominantly found in fatty fish like salmon, mackerel, and sardines. EPA plays a critical role in reducing inflammation and supporting heart health.</li><li>Docosahexaenoic Acid (DHA): Also present in fatty fish and essential for brain and eye health. DHA is vital for maintaining cardiovascular health and reducing the risk of heart disease.</li></ul><h3>How Omega-3 Fatty Acids Benefit Heart Health</h3><ul><li>Reduction in Inflammation: Omega-3 fatty acids are known for their anti-inflammatory properties. Chronic inflammation is a key risk factor for heart disease, as it can lead to damage of the blood vessels and arteries. By reducing inflammation, omega-3s help lower the risk of developing cardiovascular conditions, including heart attacks and strokes.</li><li>Lowering Blood Pressure: High blood pressure is a significant risk factor for heart disease. Omega-3 fatty acids help relax blood vessels and improve blood flow, which can lead to a reduction in blood pressure levels. Studies have shown that regular consumption of omega-3s can result in a modest decrease in both systolic and diastolic blood pressure.</li><li>Decreasing Triglyceride Levels: Elevated triglyceride levels are linked to an increased risk of heart disease. Omega-3 fatty acids are effective in lowering triglyceride levels in the blood. They work by decreasing the liver’s production of triglycerides and enhancing the breakdown of fats in the body.</li><li>Preventing Arrhythmias: Arrhythmias, or abnormal heart rhythms, can lead to severe cardiovascular complications. Omega-3 fatty acids help stabilize the electrical activity in the heart, reducing the likelihood of arrhythmias and promoting a regular heart rate. This stabilization contributes to overall heart health and reduces the risk of sudden cardiac events.</li><li>Improving Cholesterol Levels: Omega-3s can positively impact cholesterol levels by increasing high-density lipoprotein (HDL) cholesterol, commonly known as “good” cholesterol. Higher levels of HDL cholesterol are associated with a lower risk of heart disease, as HDL helps remove excess cholesterol from the bloodstream and protect against arterial plaque buildup.</li><li>Supporting Overall Heart Function: Regular consumption of omega-3 fatty acids is linked to improved heart function. Omega-3s support the structural integrity of cell membranes in the heart, enhance blood vessel elasticity, and contribute to overall cardiovascular health. They also play a role in reducing the risk of heart disease and related complications.</li></ul><h3>Sources of Omega-3 Fatty Acids</h3>Incorporating omega-3 fatty acids into your diet can be achieved through various sources:<ul><li>Fatty Fish: Salmon, mackerel, sardines, and trout are excellent sources of EPA and DHA. Aim to include fatty fish in your diet at least twice a week to reap the cardiovascular benefits.</li><li>Plant-Based Sources: Flaxseeds, chia seeds, hemp seeds, and walnuts are rich in ALA. These can be easily added to salads, smoothies, and baked goods.</li><li>Fortified Foods: Some products, such as eggs and dairy items, are fortified with omega-3s, providing an additional way to increase your intake.</li><li>Supplements: Omega-3 supplements, including fish oil and algae oil, are available for those who have limited access to omega-3-rich foods. Consult with a healthcare provider before starting any supplement regimen.</li></ul><h3>Incorporating Omega-3s into Your Diet</h3>Adding omega-3s to your diet can be both enjoyable and straightforward. Here are some practical tips:<ul><li>Include Fatty Fish Regularly: Incorporate fatty fish into your meals at least twice a week. Try grilling, baking, or steaming fish for a heart-healthy dish.</li><li>Add Seeds to Your Meals: Sprinkle flaxseeds or chia seeds on yogurt, cereals, or salads. These seeds can also be blended into smoothies for an easy omega-3 boost.</li><li>Snack on Nuts: Walnuts make for a convenient and heart-healthy snack. They can also be added to salads or used in baking.</li><li>Choose Omega-3-Fortified Products: Look for products like omega-3-enriched eggs or dairy items to increase your intake.</li><li>Consider Supplements: If you’re not getting enough omega-3s from your diet, supplements can help. Discuss with your healthcare provider to find the right option for you.</li></ul><h3>Conclusion</h3>Omega-3 fatty acids offer a multitude of benefits for heart health, from reducing inflammation and lowering blood pressure to improving cholesterol levels and preventing arrhythmias. By incorporating omega-3-rich foods into your diet or considering supplements, you can support cardiovascular health and reduce the risk of heart disease.Prioritizing omega-3 fatty acids is a proactive step towards maintaining a healthy heart and overall well-being. For personalized advice and more information on integrating omega-3s into your diet, consult with a healthcare professional.Discover the life-changing benefits of omega-3 fatty acids with guidance from Dr. Kamlesh Agrawal, a renowned specialist MBBS, MD(Medicine), FICP,FIMA in CHOUDHARY ROAD TALWANDI, Rajasthan. Enhance your heart health through expert dietary advice and personalized care. Take the first step towards a healthier heart today

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Discover how omega-3 fatty acids can boost heart health. 

The Benefits of Omega-3 Fatty Acids for Heart Health

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/gozcivgtyuahmqofjdnhni.jpg" alt="Diabetes-management.jpg">We specialize in helping patients manage their diabetes so they can stay healthy.Diabetes mellitus is a metabolic disorder characterized by high levels of blood glucose (blood sugar). Diabetes causes high blood sugar levels because the body does not produce enough insulin (the hormone that converts nutrients into energy), or because the cells do not respond to the insulin that is produced.Diabetes, if left undiagnosed and untreated, can lead to cardiovascular disease, kidney damage, stroke, amputations due to diabetic foot conditions, and blindness due to diabetic retinopathy.We have the knowledge and experience to accurately diagnose and effectively manage diabetes at our clinic. Our diabetes specialists assess and care for people with all types of diabetes and diabetes-related issues. Furthermore, our Diabetes Management Program provides comprehensive diabetes education to patients and families.&nbsp;CONTACT US IF YOU WANT TO LEARN MORE ABOUT THE DIABETES MANAGEMENT PROGRAM.

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Diabetes care in a multidisciplinary setting


Diabetes Management 

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/hqlfmdubtvyssexzvtdwix.jpg" alt="Thyroid-self-assessment-and-fact-sheet.jpg">The thyroid gland, which is located at the base of the neck, is in charge of releasing hormones into the bloodstream. This gland's malfunction can result in a variety of symptoms and complications. The highly experienced specialists at our clinic help diagnose and treat patients with thyroid disorders.Thyroid disease occurs when the thyroid gland produces either too much or too little hormones. Thyroid diseases include hyperthyroidism, hypothyroidism, thyroiditis, and Hashimoto's thyroiditis.We provide comprehensive, seamless, coordinated, and patient-centered care by keeping patients at the center of our program. From the initial evaluation to treatment and meticulous follow-up monitoring, we use a team approach to coordinate all aspects of patient care. Look no further and schedule a thyroid examination if you are facing any fertility issues, weight issues, or are seeing any recent bodily changes such as excessive sweating, hand tremors, or sleep problems.&nbsp;BOOK YOUR APPOINTMENT NOW !!!

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Get butterflies, not butterfly gland diseases




Thyroid Disease

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/fwlqhcy.jpg" alt="Heart-problems.jpg">Despite having a chronic cardiac condition, you can live a healthy, happy life if you have the right team in place, the right medications and devices prescribed as needed, and the right lifestyle changes.&nbsp;A chronic cardiac condition is usually caused by a diseased or damaged heart. Some common problems are:<ul><li>Coronary artery disease (CAD)</li><li>Heart attack</li><li>High blood pressure</li><li>Valve disease</li><li>Cardiomyopathy</li></ul>A chronic cardiac condition's symptoms can range from mild to severe and vary from person to person. Symptoms can appear suddenly or gradually, depending on the cause. A very mild condition may not have any visible symptoms at all. It is critical to recognize the signs as soon as they appear and to treat the condition as soon as possible with the assistance of your cardiac healthcare team. Treatment differs from one patient to the next.&nbsp; OUR CARDIAC HEALTHCARE TEAM WILL DETERMINE THE BEST TREATMENT PLAN FOR YOU.

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Heart Problems

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/wbiblwn.jpg" alt="B.P.-management.jpg">High blood pressure is usually caused by the narrowing of the arteries caused by the buildup of a sticky substance called plaque. Plaque forms as a result of excess cholesterol in your blood, which is typically caused by a diet high in certain types of fats and low in fibre.As plaque accumulates along the artery walls, the arteries become less flexible and less capable of efficiently transporting blood. This is referred to as artery "hardening."&nbsp;High blood pressure can also be caused by smoking, obesity or being overweight, excessive drinking or other substance abuse, and being physically inactive. Blood pressure is also more common in the elderly.Various medications can be used to keep blood pressure under control. Quitting smoking, reducing unhealthy fats, and consuming more fibre along with regular exercise are all important lifestyle changes.&nbsp;It's critical to have your blood pressure checked on a regular basis to ensure that your treatment is working. High blood pressure usually causes no symptoms until serious damage occurs, thus making regular checkups all the more important.&nbsp;&nbsp;BOOK AN APPOINTMENT NOW.&nbsp;

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B.P. Management  

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/dfdpqymxdsfhsmjtquhrksn.jpg" alt="Respiratory.jpg">Respiratory illness is a common problem in metropolitan cities. Certain factors and behaviours, such as smoking, air pollution, and environmental issues can contribute to respiratory diseases. Other causes include autoimmune diseases such as rheumatoid arthritis and genetic defects.&nbsp;Asthma, chronic obstructive pulmonary disease, cystic fibrosis, chronicbronchitis, tuberculosis, lung cancer, pulmonary edema, and pneumonia are examples of common respiratory diseases.Early symptoms of respiratory diseases include wheezing, difficulty breathing, chest pain, chronic cough with or without blood, and excessive mucus production. These symptoms are warning signs that necessitate immediate medical attention, so consulting a doctor is strongly advised.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;TO DETERMINE THE TYPE OF RESPIRATORY PROBLEM, IT IS BEST TO SEEK A CONSULTATION WITH OUR&nbsp;EXPERTS.

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Respiratory Problems

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/qfobijwkaolqnixalpzjyto.jpg" alt="Migrane.jpg">Migraine is characterized by throbbing pain on one side of the head. A migraine headache is triggered by a variety of factors, including stress, hormonal imbalance, and others. It may be accompanied by vomiting, nausea, eye pain, or light sensitivity in some cases. Migraine attacks cause excruciating headaches that can last for hours or even days.The cause of a migraine is unknown; however, it is linked to unusual brain activity. The unusual changes in the brain have an impact on the normal functioning of the nervous system and result in a chemical imbalance in the brain. The following are the primary migraine triggers:<ul><li>Stress</li><li>Hormonal imbalance</li><li>Diet&nbsp;</li><li>Physical ailments</li><li>Medications</li><li>Environmental triggers</li></ul>Furthermore, there is no single treatment that can completely eliminate migraines. The majority of available treatments are aimed at alleviating symptoms and preventing migraine attacks from occurring in the first place.&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;CONTACT US TO KNOW MORE.&nbsp;

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 Migraine

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/fydbcsy.jpg" alt="Pain-Management.jpg">Pain or chronic pain is a complete medical problem that has a significant impact on your immune system and can result in unexpected outcomes. We provide comprehensive pain management services for a wide range of chronic pain conditions, including back pain, neck pain, shoulder pain, facial pain, headache, neuropathic pain, slipped disc, failed back surgery pain, sciatica, and others. At our pain management clinic, you will receive the best pain treatment available.For our patients. we offer the most advanced pain treatment options available anywhere in the world. We care for our patients in a supportive and compassionate environment, allowing them to regain their independence and comfort while improving their quality of life.&nbsp;We guarantee a pain-free life in order to improve the overall quality of life.&nbsp; BOOK AN APPOINTMENT NOW.&nbsp;

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Pain Management 

<img src="https://d3t5ai5vcxyqte.cloudfront.net/media/nuexrccekqaqwclebpespt.jpg" alt="Gastric-Disorders.jpg">Gastrointestinal conditions are disorders of the digestive system, an extensive and complex system that breaks down food in order to absorb water and extract nutrients, minerals, and vitamins for the body's use, while also removing unabsorbed waste (feces).The symptoms of digestive disorders differ from one condition to the other and from one person to the other. However, some common symptoms include:<ul><li>Abdominal discomfort (bloating, pain or cramps)</li><li>Unintentional weight loss</li><li>Nausea and vomiting</li><li>Acid reflux (heartburn)</li><li>Constipation and diarrhea&nbsp;</li><li>Fecal incontinence&nbsp;</li><li>Fatigue</li><li>Appetite loss</li><li>Difficulty swallowing</li></ul>&nbsp;If you notice blood in your vomit or stool, contact your doctor right away. &nbsp;FIX YOUR APPOINTMENT WITHOUT ANY DELAY !!!