Dr Muhammad Qaiser Panezai, Consultant Hepatologist and Gastroenterologist

24/02/2026

Protein is not all about meat. Kidney beans have same amount of protein with additional ingredients very beneficial for our health.

18/02/2026

تین سالہ بچے نے غلطی سے بٹن بیٹری نگل لی تھی، جسے اینڈوسکوپی کے ذریعے کامیابی سے نکال لیا گیا۔

بروقت علاج کی بدولت بچے کو غذائی نالی میں سوراخ اور دیگر خطرناک پیچیدگیوں سے بچا لیا گیا۔

والدین کے لیے اہم پیغام: بٹن بیٹریاں ہمیشہ بچوں کی پہنچ سے دور رکھیں کیونکہ یہ نہایت خطرناک ثابت ہو سکتی ہیں۔

05/02/2026

I will not be available at my clinic until 10th February due to my convocation in Karachi.
Regular clinic services will resume from 11th February

08/01/2026

“Despite all available oral and injectable weight-loss medications for Fatty Liver Disease, the most effective remedy remains lifestyle modification and healthy weight reduction.

This patient lost 9 kg, and his FibroScan showed clear improvement — liver stiffness reduced from 14.5 to 11.3 kPa, and fat deposition improved from 349 to 256.
Lifestyle works. Results speak.”




جگر کی چربی کی بیماری (فیٹی لیور ڈیزیز) کے لیے دستیاب تمام ادویات کے باوجود، سب سے مؤثر علاج طرز زندگی میں تبدیلی اور صحت مند وزن میں کمی ہی رہتا ہے۔ اس مریض نے 9 کلو گرام وزن کم کیا، اور اس کے فائبرو اسکین نے واضح بہتری دکھائی — جگر کی سختی 14.5 سے کم ہو کر 11.3 کے پی اے (kPa) ہو گئی، اور چربی کا جمع ہونا 349 سے بہتر ہو کر 256 ہو گیا۔

لائف اسٹائل بدلیں… نتائج خود گواہی دیتے ہیں۔”

25/11/2025

I have started endoscopic procedures on health card at Sajid Hospital Quetta.

میں نے ساجد اسپتال کوئٹہ میں ہیلتھ کارڈ پر اینڈوسکوپی کرنا شروع کر دی ہے۔

20/10/2025

A middle-aged male was evaluated for chronic loose motions. He was reportedly diagnosed with celiac disease 11 years ago based on mildly elevated TTG IgG, with negative TTG IgA, and normal duodenal biopsy. Serum IgA was not checked at that time. Despite the absence of strong diagnostic evidence, he was kept on a gluten-free diet (GFD) for the past 11 years with reportedly good compliance.

Over the years, he experienced intermittent loose motions during summer, typically lasting a few months, with abdominal cramps relieved by defecation and mucus in stool, but no weight loss or failure to thrive.

On current evaluation:

Serum IgA: Normal

TTG IgA: Normal

No nutritional deficiencies or systemic features of celiac disease.

Given these findings, celiac disease seems unlikely, and the prior diagnosis was likely erroneous.

He was restarted on a gluten-containing diet. An EGD with duodenal biopsies is planned after 4 weeks to assess for any histological changes following gluten reintroduction.

Currently, his symptoms are more in keeping with irritable bowel syndrome (IBS) – diarrhea-predominant type (IBS-D), particularly given:

Crampy abdominal pain relieved by defecation

Change in stool consistency and caliber

Mucus in stool

Association with mood issues

No weight loss or malabsorptive features

He has been counseled about the possible misdiagnosis, reassured regarding gluten intake, and provided supportive management for IBS.

Plan:

1. Continue gluten-containing diet for 4 weeks.

2. EGD + duodenal biopsy to reassess mucosa.

3. IBS management: dietary modification (low FODMAP if needed), stress reduction, symptomatic relief.

4. Follow-up via phone for symptom monitoring.

Impression:
Likely Irritable Bowel Syndrome (IBS-D); prior false diagnosis of celiac disease.

20/09/2025