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Dr Neil B Palkhiwala, Consultant Hepato-Gastroenterologist & Endoscopist

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Dr Neil B Palkhiwala, Consultant Hepato-Gastroenterologist & Endoscopist

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Providing complete solutions for all gastrointestinal, liver and pancreas diseases such as hepatitis, liver cirrhosis, GERD, IBD, IBS, pancreatitis, gallstones, fatty liver, etc.

21/08/2025

✨ Fasting is powerful — but is your gut ready for it? ✨
During Paryushan, our focus shifts to the soul 🕊️, but the stomach also needs care 🍲.

⚖️ Sudden changes in diet, fasting, or heavy meals after a fast can lead to acidity, bloating, or weakness. The good news? With a few mindful steps, you can protect your gut and honor tradition at the same time.

👉 Swipe through this post to learn:
✅ The Do’s of fasting wisely
❌ Common mistakes to avoid
🌿 Easy remedies for acidity, bloating & weakness
🧘 A reminder that health is also dharma

💬 Have you ever faced acidity or bloating during fasting? Share your experience in the comments — your tip might help someone else! Save this post so you can revisit these tips during Paryushan!

12/08/2025

🔥 When “Acidity” is More Than Just Acidity

A 38-year-old man had 6 months of burning upper abdominal pain, not improving with PPIs.
Endoscopy was normal — but serum calcium was 13.6 mg/dL and iPTH 848 pg/mL.

🔍 Diagnosis: Primary hyperparathyroidism (parathyroid adenoma) causing hypercalcemia-induced hyperacidity.

💡 How it happens:
High calcium can stimulate gastrin release, increasing acid production and mimicking peptic disease.

✅ Treatment: Surgical removal of the adenoma → complete relief, no medicines needed.

⸻

🧠 Takeaway for Physicians:
Refractory upper abdominal pain + normal endoscopy?
Check serum calcium — sometimes the stomach pain starts in the neck!

— Dr. Neil B. Palkhiwala
Gastroenterologist & Hepatologist
Aryav Superspeciality Hospital, Ahmedabad

03/08/2025

💚 Happy Friendship Day! 💚
Here’s to celebrating our real best friend… 🦠 The Gut!
It never leaves us, always listens (to what we eat), and throws a tantrum when ignored 😅

👉 Probiotics (like curd, kanji, pickles) and fibre (fruits, veggies, whole grains) = the BFFs your gut deserves!
Feed them well, and your gut will love you back 💩❤️

30/07/2025

🧠 Did you know?
Not all bile duct strictures are due to stones or cancer.
One rare but treatable cause is IgG4-related cholangiopathy — an autoimmune condition where the body’s immune system causes inflammation and narrowing in the bile ducts.

This condition often mimics cancer or PSC (primary sclerosing cholangitis), but the treatment is dramatically different.
💊 With timely diagnosis and oral steroids, most patients recover completely — no stents or surgery needed.

👉 If someone has unexplained jaundice, weight loss, and multi-level bile duct narrowing, IgG4 levels must be checked.

📍Early detection prevents unnecessary procedures.

— Dr. Neil B. Palkhiwala
Gastroenterologist & Hepatologist
Aryav Superspeciality Hospital, Ahmedabad

15/07/2025

🔎 CASE SPOTLIGHT: Hidden Celiac Disease in an Overweight Young Woman

Sometimes, diseases hide in plain sight.

A 24-year-old woman came to us with complaints of chronic bloating and fatigue. She had no diarrhea, no acidity, and her periods were regular — but her hemoglobin remained low despite supplements. Her reports showed iron deficiency, but routine tests and scans were normal.

We decided to look deeper.

📍 An upper GI endoscopy showed changes in the small intestine, and her biopsy confirmed Celiac Disease — a condition where the body reacts to gluten (found in wheat, barley, and rye). Surprisingly, she was overweight, and didn’t have typical symptoms like loose motions.

✅ After starting a gluten-free diet, she showed dramatic improvement in both symptoms and hemoglobin within 6 months!

⸻

🧠 Key Message for Doctors and Patients:
Celiac disease doesn’t always present with diarrhea or weight loss. Even overweight individuals with unexplained anemia or bloating may have silent celiac.
✔️ A simple blood test (anti-TTG IgA) can help detect it early.

👨‍⚕️ Dr. Neil B. Palkhiwala
Gastroenterologist & Hepatologist
Aryav Superspeciality Hospital, Ahmedabad

02/07/2025

🌞 Eat with the Sun – Heal with the Sun! 🌿

In the ancient Vedas and Ayurvedic texts, it was said:
“Yatha Agni, Tatha Pachan” — As is your inner fire, so is your digestion.

That fire 🔥 is strongest when the sun is highest in the sky — around noon.
Our ancestors ate their largest meal at midday and kept dinner light, syncing perfectly with nature’s rhythm.
⠀
⚡ Modern science agrees!
Your body’s circadian rhythm governs everything — including digestion.
✔️ Strongest metabolism at midday
✔️ Late-night eating leads to fat gain, poor gut health, and sluggishness
✔️ Early, light dinners improve sleep and insulin sensitivity
⠀
🕉️ What the Vedas knew thousands of years ago, chronobiology confirms today.
Eat with the sun, and your gut — and entire body — will thank you.
⠀
🌅 Try this for a week:
✅ Big lunch by 1 PM
✅ Light dinner before sunset
And feel the ancient science work its magic.
Connect via DM for any questions. Available for online consultations.

Address

Sola Road
Ahmedabad
380061

Telephone

+919106995254

Website

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