Best Gastroenterologist in Kuala Lumpur | Expert Gastroenterology Services
What Does a Gastroenterologist Do?
A gastroenterologist is a medical specialist who focuses on diagnosing and treating diseases of the digestive system, affecting the gastrointestinal tract, including the organs from mouth to anus. They treat conditions such as indigestion, abdominal pain, appendicitis, jaundice, gallstones, lactose intolerance, hepatitis, reflux, ulcers, and hemorrhoids, along with diseases of the oesophagus, stomach, intestines, liver, and pancreas.
Treatments for Gastroenterological Conditions at Gleneagles Hospital Kuala Lumpur
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 the top gastroenterologist at Gleneagles Hospital Kuala Lumpur. Our medical team will base these recommendations on your condition, health status, and medical history.
Treatment for Inflammatory Bowel Disease (IBD) may involve various drugs that 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.
The treatment of Stage 1 and 2 hemorrhoid development may require lifestyle changes and minor medical treatment, which may include:
- A high-fiber diet to ease bowel movements
- Topical treatments to reduce swelling and discomfort
- Warm water soaks for soothing relief
- Maintaining anal area cleanliness to prevent further irritation
In many cases, symptoms of haemorrhoids improve or resolve within one to two weeks with these basic measures.
However, if persistent bleeding and painful symptoms occur, more advanced treatments may be required:
- Rubber Band Ligation: A procedure where small bands are placed at the base of the haemorrhoid to cut off its blood supply, leading to shrinkage.
- Sclerotherapy: An injection therapy that helps shrink haemorrhoids.
- Coagulation: Infrared or laser treatment to reduce haemorrhoid size.
For severe or recurring haemorrhoids, surgery might be recommended:
- Haemorrhoidectomy:The most effective and complete treatment for large or recurring haemorrhoids.
- Stapled Haemorrhoidectomy or Stapled Haemorrhoidopexy: It is a less invasive option, 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.
Treatment for Irritable Bowel Syndrome (IBS) typically involves 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.
Depending on your specific symptoms, certain drugs may be prescribed to:
- Anti-diarrheal drugs to ease diarrhea via reduction of muscular contraction and secretion of fluids in the intestine, while increasing rectal muscular tone.
- Antibiotics to Decrease overgrowth of bacteria.
- Medications to increase fluid secretion in small intestines to help bowel movement.
The most effective treatment for this diverticulitis typically involves dietary improvements and, in some cases, 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.
The primary treatment for colorectal cancer is usually surgery to remove the cancerous tissue. Additionally, your doctor may also recommend chemotherapy as well as radiation therapy before and after successful surgery.
Prescription drugs to neutralise, reduce, and block excessive stomach acid production may be prescribed to treat GERD. Drastic measures include surgery, and procedures such as those 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.
Gastroenterological Diagnosis by Tests
At Gleneagles Hospital Kuala Lumpur, we offer advanced diagnostic and screening services to accurately assess your gastrointestinal health. Our state-of-the-art facilities and comfortable environment ensure a smooth experience throughout the process Your results will be reviewed by the top gastroenterologists, 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:
Stool analysis is 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, malabsorption, and infection.
Endoscopy is a minimally invasive procedure that allows doctors to closely examine the stomach, small intestine and other parts of the digestive tract. A long instrument resembling a long tube with a camera called an endoscope is used to take images of the intergastrointestinal environment. For further diagnosis, biopsies may be taken to be microscopically examined to help in cancer cell detection.
An abdominal ultrasound is a non-invasive diagnostic procedure that uses high-frequency sound waves to produce dynamic images of organs that may not be accessed via other conventional means, such as the gallbladder, pancreas, and liver.
Blood tests play a crucial role in assessing digestive health. Key tests include liver function tests, blood counts, and pancreatic enzyme tests. These tests help identify conditions such as parasitic, viral, or bacterial infections, lactose intolerance, celiac disease, and diarrhoea. These blood tests often help exclude other serious illnesses.
A colonoscopy is a key medical procedure used to examine the large intestine and parts of the small intestine for signs of abnormalities, such as t polyps, tumors and other various abnormal gastrointestinal growth. During the procedure, a camera is embedded at the end of a flexible tube, which is then inserted via the anus allowing gastroenterology specialists to visually examine the gastrointestinal tract. Early detection through colonoscopy can help identify conditions like colorectal cancer or inflammatory bowel disease (IBD), ensuring prompt treatment and better patient outcomes.
Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans provide specialists with a cross-sectional view of the abdominal organs. This then helps them visualise the conditions of the internal structures of the body.
Signs and Symptoms for Gastroenterological Conditions
Diverticulitis occurs when small pouches (diverticula) in the digestive system become inflamed or infected, typically in the colon.
Common Symptoms of Diverticulitis:
- Abdominal pain on the lower left side, starting mild and worsening
- Constipation or diarrhea (less common)
- Nausea, vomiting, and abdominal tenderness
- Fever and chills
- Rectal bleeding in some cases
Irritable Bowel Syndrome (IBS) is a digestive disorder that causes discomfort but does not affect bowel tissue or increase colorectal cancer risk.
Common Symptoms of IBS:
- Stomach cramps and pain, typically worse after eating and relieved after a bowel movement
- Diarrhea, constipation, or alternating between both
- Bloating, excess gas, and mucus in stool
Serious Signs to Seek Immediate Treatment:
- Unexplained weight loss
- Nighttime diarrhea
- Rectal bleeding
- Unexplained vomiting
- Iron deficiency anemia
- Persistent stomach pain even after a bowel movement
GERD occurs when stomach acid flows back into the oesophagus, causing irritation and acid reflux.
Common GERD Symptoms:
- Heartburn or burning sensation in the chest, often after eating and worsened at night
- Chest pain and difficulty swallowing
- Lump sensation in the throat and regurgitation of sour liquid or food
Nighttime GERD Effects:
- Laryngitis, chronic cough, and asthma
- Sleep disruptions
IBD includes chronic inflammatory disorders of the digestive tract, such as ulcerative colitis and Crohn’s disease. If left untreated, IBD can lead to severe, life-threatening complications.
Common IBD Symptoms:
- Diarrhea and blood in the stool
- Abdominal pain or cramps
- Fatigue, weakness, and loss of appetite
- Unintended weight loss
IBD symptoms vary based on the severity and location of inflammation. People with IBD may experience remission periods and flare-ups when the disease is active.
Haemorrhoids (or piles) are swollen veins in the lower rectum or anus, which can develop inside the rectum or around the anus.
Common Haemorrhoid Symptoms:
- Itching or irritation around the anus
- Swelling and bleeding
- Discomfort or pain near the anus
- Lumps around the anus
- Feeling of incomplete bowel movement after using the toilet
- Mucus on toilet paper or underwear
Seek immediate medical help if you experience heavy rectal bleeding, dizziness, or light-headedness.
Colon cancer begins in the large intestine and is part of colorectal cancer, which affects both the colon and rectum. While more common in older adults, colorectal cancer can develop at any age.
Common Symptoms of Colorectal Cancer:
- Changes in bowel habits, including diarrhea, constipation, or altered stool consistency
- Blood in the stool or rectal bleeding
- Abdominal discomfort (cramps, pain, or bloating) that persists
- A sensation of incomplete bowel emptying
- Unexplained weight loss and fatigue
Many individuals may not experience symptoms in the early stages, and symptoms can vary. Regular colorectal cancer screenings are crucial, especially for those with a family history or other risk factors.
Tips to Keep Your Gut Healthy
The gastrointestinal tract plays a vital role 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 rich in vitamins and nutrients
- Keep hydration levels optimal
- Include adequate fibre in your diet to promote digestion
- Thoroughly chew food before swallowing to aid digestion
- Keep a healthy and active lifestyle
- Manage lifestyle stress to prevent digestive disturbances
- Get routine medical screenings for early detection
- 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 ready for consultation.
Clinical Excellence: Value-Driven Outcome (VDO)
Colonoscopy is a crucial procedure for maintaining digestive health and preventing serious gastrological conditions. At Gleneagles Hospital Kuala Lumpur, the experienced gastroenterologists use advanced techniques to examine the inner lining of the colon and rectum. This procedure helps detect polyps, tumors, and other abnormalities early, allowing for prompt intervention.
We prioritise patient safety and comfort at every step of the process. Our dedicated team ensures a sterile and controlled environment, adhering to stringent safety protocols to minimize any risk of infection or complications. Regular colonoscopies are key to early detection and treatment, providing you with peace of mind and better health outcomes.
At Gleneagles Hospital Kuala Lumpur, achieving international benchmarks for several important quality indicators underscores our dedication to providing top-tier colonoscopy services:
- Cecal Intubation Rate
The cecal intubation rate refers to the percentage of colonoscopies reaching and visualizing the whole cecum and its landmark. A complete bowel examination is a prerequisite for thorough and reliable inspection of the mucosa in search of suspicious lesions. A low cecal intubation rate is commonly associated with increased risk of interval colorectal cancer. An incomplete colonoscopy causes an increase in treatment cost and patient comfort as the examination needs to be repeated [1].
- Adequate Bowel Preparation Rate
Past studies have demonstrated that the quality of bowel preparation affects the cecal intubation rate and detection of adenoma (benign tumours). An inadequate bowel preparation causes increased costs and patient inconvenience as the procedure needs to be rescheduled to a later date. An adequate bowel preparation rate is defined as achieving a Boston Bowel Preparation Rate Scale (BBPS) score of ≥ 6, with each segment of the bowel (ascending, transverse and descending) registering a score of ≥ 2 [1].
- Adenoma Detection Rate for patients ≥ 50 years old
The aim of colonoscopy is to reduce the complications and death from colorectal cancer via early detection of tumours at an earlier and more treatable stage and through removal of pre-cancerous adenomas [2]. Adonomas are non-cancerous (benign polyps) that have the potential to develop into cancerous adenomas (adenocarcinoma) [3]. Hence, the Adenoma Detection Rate (ADR) is utilized to gauge the sufficient inspection at screening or diagnostic colonoscopy in patients aged 50 and more. ADR is defined as the proportion of colonoscopies that detect at least one histologically confirmed colorectal adenoma or adenocarcinoma [1,2].
Inclusion factors of Colonoscopy are as follow:
- Colonoscopy procedures (fiber optic colonoscopy plus/ minus excision/ destruction lesion and colonoscopy with polypectomy)
- Patients who are going through gastroscopy and colonoscopy in the same session
- Elective/ daycare colonoscopies
Exclusion factors of Colonoscopy are as follow:
- Inpatient referrals
- Emergency Colonoscopy
- Patients less than 18 years old
- Patients with hemicolectomy
- Absconded/ AOR (“at own risk’) discharge
Colonoscopy: Overview of 2023 Data Analysis
Reference
- Kaminski MF, Thomas-Gibson S, Bugajski M, Bretthauer M, Rees CJ, Dekker E, Hoff G, Jover R, Suchanek S, Ferlitsch M, Anderson J. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. United European gastroenterology journal. 2017 Apr;5(3):309-34.
- Corley DA, Jensen CD, Marks AR, Zhao WK, Lee JK, Doubeni CA, Zauber AG, De Boer J, Fireman BH, Schottinger JE, Quinn VP. Adenoma detection rate and risk of colorectal cancer and death. New england journal of medicine. 2014 Apr 3;370(14):1298-306.
- UpToDate. Patient education: Colon polyps (Beyond the Basics). [Online].; 2019 [cited 2022 August.
Protect Your Digestive Health with Expert Care
If you or a loved one are experiencing symptoms related to gastrointestinal conditions, don’t wait to seek help. At Gleneagles Hospital Kuala, the experienced gastroenterologists specialise in treating a wide range of digestive disorders, from inflammatory bowel disease (IBD) to colorectal cancer, GERD, IBS, and more. With cutting-edge diagnostic tools like endoscopies, colonoscopy, and CT scans, we ensure accurate diagnoses and personalised treatment plans tailored to your needs.
Maintaining a healthy digestive system is crucial for overall well-being. Our expert team is committed to providing compassionate care and effective treatments to help you return to your daily life with confidence. Book your consultation today and take the first step towards better digestive health at Gleneagles Hospital Kuala Lumpur. Let us help you achieve optimal wellness!
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