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Lactose intolerance

About the Disease

People with lactose intolerance are unable to fully digest the sugar (lactose) in milk. As a result, they have diarrhea, gas and bloating after eating or drinking dairy products. The condition, which is also called lactose malabsorption, is usually harmless, but its symptoms can be uncomfortable.A deficiency of lactase — an enzyme produced in your small intestine — is usually responsible for lactose intolerance. Many people have low levels of lactase but are able to digest milk products without problems. If you're actually lactose intolerant, though, your lactase deficiency leads to symptoms after you eat dairy foods.Most people with lactose intolerance can manage the condition without having to give up all dairy foods.

The signs and symptoms of lactose intolerance usually begin 30 minutes to two hours after eating or drinking foods that contain lactose.

Common signs and symptoms include:

  • Diarrhea
  • Nausea
  • Vomiting
  • Abdominal cramps
  • Bloating
  • Gas

Lactose intolerance occurs when your small intestine doesn't produce enough of an enzyme (lactase) to digest milk sugar (lactose).Normally, lactase turns milk sugar into two simple sugars — glucose and galactose — which are absorbed into the bloodstream through the intestinal lining.If you're lactase deficient, lactose in your food moves into the colon instead of being processed and absorbed. In the colon, normal bacteria interact with undigested lactose, causing the signs and symptoms of lactose intolerance.There are three types of lactose intolerance. Different factors cause the lactase deficiency underlying each type.Primary lactose intoleranceThis is the most common type of lactose intolerance. People who develop primary lactose intolerance start life producing plenty of lactase — a necessity for infants, who get all their nutrition from milk. As children replace milk with other foods, their lactase production normally decreases, but remains high enough to digest the amount of dairy in a typical adult diet.In primary lactose intolerance, lactase production falls off sharply, making milk products difficult to digest by adulthood. Primary lactose intolerance is genetically determined, occurring in a large proportion of people with African, Asian or Hispanic ancestry. The condition is also common among those of Mediterranean or Southern European descent.Secondary lactose intoleranceThis form of lactose intolerance occurs when your small intestine decreases lactase production after an illness, injury or surgery involving your small intestine. Among the diseases associated with secondary lactose intolerance are celiac disease, bacterial overgrowth and Crohn's disease. Treatment of the underlying disorder may restore lactase levels and improve signs and symptoms, though it can take time.Congenital or developmental lactose intoleranceIt's possible, but rare, for babies to be born with lactose intolerance caused by a complete absence of lactase activity. This disorder is passed from generation to generation in a pattern of inheritance called autosomal recessive, meaning that both the mother and the father must pass on the same gene variant for a child to be affected. Premature infants may also have lactose intolerance because of an insufficient lactase level.

Factors that can make you or your child more prone to lactose intolerance include: Increasing age. Lactose intolerance usually appears in adulthood. The condition is uncommon in babies and young children. Ethnicity. Lactose intolerance is most common in people of African, Asian, Hispanic and American Indian descent. Premature birth. Infants born prematurely may have reduced levels of lactase because the small intestine doesn't develop lactase-producing cells until late in the third trimester. Diseases affecting the small intestine. Small intestine problems that can cause lactose intolerance include bacterial overgrowth, celiac disease and Crohn's disease. Certain cancer treatments. If you have received radiation therapy for cancer in your abdomen or have intestinal complications from chemotherapy, you have an increased risk of lactose intolerance.

    Dr. Randhir Sud

    Dr. Randhir Sud

    Chairman - Institute of Digestive & Hepatobiliary Sciences

    Medanta The Medicity, Gurgaon

    Dr. Avnish Seth

    Dr. Avnish Seth

    Director & Head

    Fortis Memorial Research Institute, Gurgaon

    Dr. Hitendra K Garg

    Dr. Hitendra K Garg

    Consultant

    Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi

    Dr.  Amitabha Dutta

    Dr. Amitabha Dutta

    Consultant

    Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi

    Dr. Sudeep Khanna

    Dr. Sudeep Khanna

    Senior Consultant

    Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi

    Dr. Deepak Govil

    Dr. Deepak Govil

    Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi

    Dr. Sohan Lal Broor

    Dr. Sohan Lal Broor

    Consultant

    Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi

    Dr. D K Bhargava

    Dr. D K Bhargava

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    Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi

    Dr. Subrat Kaul

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    Senior Consultant - Gastrointestinal Surgery

    Paras Hospital, Gurgaon

    Dr. Anukalp  Prakash

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    Paras Hospital, Gurgaon

    Dr. Neeraj Saraf

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    Medanta The Medicity, Gurgaon

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    Fortis Escorts Heart Institute, Okhla Road, New Delhi

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    Dr.  M P Sharma

    Dr. M P Sharma

    Head of the Department, Gastroentrology

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    Dr. Suneel Chakravarty

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    Dr. Deepak Lohati

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    Dr. Muthu Kumaran

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    Apollo Speciality Hospitals, Vanagaram, Chennai

    Dr. Thayumanvan L

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    Apollo Speciality Hospitals, Vanagaram, Chennai

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    Apollo Speciality Cancer Hospital, Teynampet, Chennai

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    Fortis Malar Hospital, Adyar, Chennai

    Dr. Premkumar K

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    Apollo Speciality Cancer Hospital, Teynampet, Chennai

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    Senior Consultant - Gastroenterology and Bariatric Surgery

    Apollo Spectra Hospitals, Kailash Colony

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    Consultant - Gastroenterology - Hepatology & Endoscopy

    Bhatia Hospital, Tardeo Road

    Dr. Prasanna Sharad Shah

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    Consultant - Gastroenterology

    Jaslok Hospital & Research Centre, Mumbai

    Dr. Amit Prabhakar Maydeo

    Dr. Amit Prabhakar Maydeo

    Director - Baldota Institute of Digestive Sciences

    Kasthuri Hospital, Chennai

    Dr. Manish Kak

    Dr. Manish Kak

    Consultant - Gatroenterology

    Columbia Asia Hospital, Ghaziabad

    Dr. Hansa Shahi

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    Consultant - Gastroenterology

    Columbia Asia Hospital, Palam Vihar, Gurgaon

    Dr. Ayush Dhingra

    Dr. Ayush Dhingra

    Senior Consultant - Gastroenterology

    Max Hospital, Gurgaon

    Dr. Rakesh Aga

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    Senior Consultant - Gastroenterology

    Max Hospital, Gurgaon

    Dr. Rahul Kothari

    Dr. Rahul Kothari

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    Columbia Asia Hosptial, Pune

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    Consultant - Gastoenterology

    Columbia Asia Hosptial, Pune

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    Consultant - Gastoenterology

    Columbia Asia Hosptial, Pune

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    Consultant - Gastroenterology

    Columbia Asia Hospital, Salt Lake City, Kolkata

    Dr. Sabyasachi Ray

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    Consultant - Gastroenterology

    Ruby General Hospital, Kolkata

    Dr. Subhabrata Ganguly

    Dr. Subhabrata Ganguly

    Consultant - Gastroenterology

    AMRI Hospitals, Salt Lake City

    Dr. Vidyasagar Ramappa

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    Consultant - Gastroenterology

    Columbia Asia Hospital, Whitefield, Bangalore

    Dr. N K Anupama

    Dr. N K Anupama

    Consultant - Gastroenterology

    Columbia Asia Referral Hospital, Yeshwanthpur, Bangalore

    Dr. Naresh Bhat

    Dr. Naresh Bhat

    Consultant - Gastroenterology

    Columbia Asia Referral Hospital, Yeshwanthpur, Bangalore

    Dr. George Alexander

    Dr. George Alexander

    Consultant - Gastroenterology

    Columbia Asia Referral Hospital, Yeshwanthpur, Bangalore

    Dr. Santosh Kumar Enaganti

    Dr. Santosh Kumar Enaganti

    Senior Consultant - Gastroenterology & Hepatology

    Continental Hospitals, Gachibowli, Hyderabad

    Dr. Sreekanth Appasani

    Dr. Sreekanth Appasani

    Consultant - Gastroenterology

    Continental Hospitals, Gachibowli, Hyderabad

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    Dr. Nishant Nagpal

    Senior Consultant - Gastroenterology.

    Fortis Flt Lt Rajan Dhall Hospital, Vasant Kunj, New Delhi

    Dr. M S Paul

    Dr. M S Paul

    Sr. Consultant - Gastroenterology

    Fortis Flt Lt Rajan Dhall Hospital, Vasant Kunj, New Delhi

    Dr. Amit R Gharat

    Dr. Amit R Gharat

    Consultant - Gastroenterology

    MGM New Bombay Hospital, Vashi

    Dr. Meghraj A Ingle

    Dr. Meghraj A Ingle

    Consultant - Gastroenterology

    Fortis Hiranandani Hospital, Vashi, Mumbai

    Dr. Poornachandra K S

    Dr. Poornachandra K S

    Consultant - Gastroentrology & Hepatology

    Fortis Hospital, Bannerghatta Road, Bangalore

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    Dr. Veerendra Sandur

    Consultant - Gastroentrology & Hepatology

    Fortis Hospital, Bannerghatta Road, Bangalore

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    Consultant - Gastroenterology

    Fortis Hospital, Mulund, Mumbai

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    Dr. Mukta Bapat

    Consultant - Gastroenterology

    Jupiter Hospital, Thane

    Dr. Surya Prakash R Bhandari

    Dr. Surya Prakash R Bhandari

    Consultant - Gastroenterology and Interventional GI Endoscopy

    Global Hospitals, Mumbai

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    Dr. Purushottam Vashistha

    Consultant - Gastroenterology and Hepatology

    S. L. Raheja Hospital, Mahim

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    Senior Consultant - Gastroenterology & Hepatology

    Fortis Hospital, Noida

    Dr. Ajay Bhalla

    Dr. Ajay Bhalla

    Senior Consultant & HOD - Gastroenterology

    Fortis Hospital, Noida

    Dr. Mukul Rastogi

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    Senior Consultant - Gastroenterology

    Fortis Hospital, Noida

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    Senior Consultant - Gastroenterology

    Fortis Hospital, Noida

    Dr. Vivek Bhatia

    Dr. Vivek Bhatia

    Consultant - Gastroenterology

    Fortis Hospital, Shalimar Bagh, New Delhi

    Dr. M Bhagat

    Dr. M Bhagat

    Principal Consultant - Gastroenterology

    Fortis Hospital, Shalimar Bagh, New Delhi

    Dr. Arvind Khurana

    Dr. Arvind Khurana

    HOD & Senior Consultant - Gastroenetrology

    Fortis Hospital, Shalimar Bagh, New Delhi

    Dr. P Basumani

    Dr. P Basumani

    Consultant - Gastroenterology.

    Fortis Malar Hospital, Adyar, Chennai

    Dr. Srinivas M

    Dr. Srinivas M

    Consultant - Medical Gastroenterology

    Global Hospital, Chennai

    Dr. Rajesh R

    Dr. Rajesh R

    Consultant - Gastroenterology

    Prashanth Superspeciality Hospitals, Velachery

    Dr. Jayanthi V

    Dr. Jayanthi V

    Consultant - Medical Gatroenterology

    Dr. Kamakshi Memorial Hospital, Chennai

    Dr. Ravi R

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    HOD - Medical Gastroenterology and Therapeutic Endoscopy

    Global Hospital, Chennai

    Dr. Joy Varghese

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    Senior Consultant - Medical Gastroenterology

    Global Hospital, Chennai

    Dr. B Mahadevan

    Dr. B Mahadevan

    Consultant - Gastroenterology

    Kasthuri Hospital, Chennai

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    Consultant - Surgical Gastroneterology

    Global Hospitals, Lakdi-ka-pul

    Dr. Anil Kumar C H

    Dr. Anil Kumar C H

    Senior Consultant - Medical Gastroenterology

    Global Hospitals, Lakdi-ka-pul

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    Dr. Kiran K Peddi

    Consultant - Gastroenterology

    Global Hospitals, Lakdi-ka-pul

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    Dr. K Ravindranath

    Senior Consultant and HOD - Surgical Gastroneterology

    Global Hospitals, Lakdi-ka-pul

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    Dr. Raja Prasad

    Consultant - Gastroenterology - Minimal Access & Bariatric Surgery

    Global Hospitals, L B Nagar, Hyderabad

    Dr. Pradeep Kumar Panigrahi

    Dr. Pradeep Kumar Panigrahi

    Consultant - Institute of Advanced Gastroenterology & Therapeutic Endoscopy

    Global Hospitals, L B Nagar, Hyderabad

    Dr. Nageshwar K

    Dr. Nageshwar K

    Consultant - Institute of Advanced Gastroenterology & Therapeutic Endoscopy

    Global Hospitals, L B Nagar, Hyderabad

    Dr. Neeraj Chaudhary

    Dr. Neeraj Chaudhary

    Executive Consultant - Gastroenterology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Rajesh Kapoor

    Dr. Rajesh Kapoor

    Director - Gastroenterology and Hepatology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Pankaj Tyagi

    Dr. Pankaj Tyagi

    Senior Consultant - Gastroenterology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Vikas Singhal

    Dr. Vikas Singhal

    Executive Consultant - Gastroenterology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Malay Sharma

    Dr. Malay Sharma

    Director - Gastroenterology and Hepatology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. E Ramanjaneyulu

    Dr. E Ramanjaneyulu

    Consultant - Gastroenterology

    Kamineni Hospital, LB Nagar, Hyderabad

    Dr. Subhash Agal

    Dr. Subhash Agal

    Consultant - Gastroenterology

    Kokilaben Dhirubhai Ambani Hospital, Mumbai

    Dr. Gaurav Mehta

    Dr. Gaurav Mehta

    Consultant - Gastroenterology

    Kokilaben Dhirubhai Ambani Hospital, Mumbai

    Dr. Lorance Peter

    Dr. Lorance Peter

    Consultant - Gastroenterology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Raj Vigna Venugopal

    Dr. Raj Vigna Venugopal

    Consultant - Medical Gastroenterology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. K N K Shetty

    Dr. K N K Shetty

    Consultant - Medical Gastroenterology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Dheeraj Karanth C

    Dr. Dheeraj Karanth C

    Consultant - Gastroenterology

    Vikram Hospital, Millers Road

    Dr. Sandeep Bhagat

    Dr. Sandeep Bhagat

    Consultant - Medical & Interventional Gastroenterology

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Shanti Swaroop Dhar

    Dr. Shanti Swaroop Dhar

    Consultant- Gastroenterology.

    Max Medcentre, Panchsheel, New Delhi

    Dr. Arvind Kumar

    Dr. Arvind Kumar

    Consultant - Gastroenterology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Vishal Garg

    Dr. Vishal Garg

    Consultant - Gastroenterology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Vibhu V Mittal

    Dr. Vibhu V Mittal

    Consultant - Gastroenterology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. V K Gupta

    Dr. V K Gupta

    Senior Consultant - Gastroenterology

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

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    Dr. Dipika Kedia

    Consultant - Gastroenterology

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    Dr. T Arun

    Dr. T Arun

    Consultant - Gastroenterology

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    Dr. S Arulprakash

    Consultant - Gastroenterology

    MIOT International, Chennai

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    Consultant - Gastroenterology

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    Dr. Somnath Mukherjee

    Consultant - Gastroenterology

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    Dr. Dilip Todi

    Consultant - Medical Gastroenterology

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    Dr. Subhayu Banerjee

    Dr. Subhayu Banerjee

    Consultant - Gastroenterology

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    Dr. K P Niranjana

    Dr. K P Niranjana

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    Dr. Anil Galle

    Dr. Anil Galle

    Consultant - Gastroenterology

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    Dr. Shashidhara G Matta

    Dr. Shashidhara G Matta

    Consultant - Gastroenterology

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    Dr. Rupesh Kalyan

    Dr. Rupesh Kalyan

    Consultant - Gastroenterology

    Narayana Multi Speciality Hospital, Whitefield, Bangalore

    Dr. Saubhik Ghosh

    Dr. Saubhik Ghosh

    Consultant - Gastroenterology

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Sandip Pal

    Dr. Sandip Pal

    Consultant - Medical Gastroenterology

    Rabindranath Tagore International Institute of Cardiac Sciences, E M Bypass Mukundapur

    Dr. Rakesh Tandon

    Dr. Rakesh Tandon

    Head - Dept of Gastroenterology - Gastroenterology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Sanjay Chaurey

    Dr. Sanjay Chaurey

    Senior Consultant - Gastroenterology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Nripen Saikia

    Dr. Nripen Saikia

    Senior Consultant - Gastroenterology & Hepatology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Dinesh Kumar Singal

    Dr. Dinesh Kumar Singal

    Senior Consultant - Gastroenterology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Manoj Kumar

    Dr. Manoj Kumar

    Senior Consultant - Gastroenterology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Arun Kumar

    Dr. Arun Kumar

    Senior Consultant - Gastroenterology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Rajiv Baijal

    Dr. Rajiv Baijal

    Consultant - Gastroenterology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Sarath Gopalan

    Dr. Sarath Gopalan

    Consultant - Gastroenterology

    Saket City Hospital, New Delhi

    Dr. M A Mir

    Dr. M A Mir

    Director & HOD - Gastroenterology & GI Surgery

    Rockland Hospitals, Dwarka, New Delhi

    Dr. M P Sharma

    Dr. M P Sharma

    Head of the Department - Gastroentrology

    Rockland Hospitals, Qutub Institutional Area, New Delhi

    Dr. Brajendra Prasad Singh

    Dr. Brajendra Prasad Singh

    Consultant - Gastroenterology

    Saket City Hospital, New Delhi

    Dr. Dinesh Kini

    Dr. Dinesh Kini

    Diector - Medical Gastroenterology

    Sakra World Hospital, Varthur Hobli, Bangalore

    Dr. Rajesh Dogra

    Dr. Rajesh Dogra

    Consultant - Gastroenterology

    Wockhardt Hospital, North Mumbai

    Dr. Jayesh Soni

    Dr. Jayesh Soni

    Consultant - Gastroenterology

    Wockhardt Hospital, North Mumbai

    Dr. Praveen Kumar

    Dr. Praveen Kumar

    Consultant - Gastroenterology

    Wockhardt Hospital, North Mumbai

    Dr. Tariq A Patel

    Dr. Tariq A Patel

    Consultant - Gastroenterology

    Jaslok Hospital & Research Centre, Mumbai

    Dr. D Chandra Sekhar Reddy

    Dr. D Chandra Sekhar Reddy

    Consultant - Gastroenterology

    Yashoda Hospitals, Somajiguda, Hyderabad

    Dr. K Pandu Rangarao

    Dr. K Pandu Rangarao

    Consultant - Gastroenterology

    Yashoda Hospitals, Somajiguda, Hyderabad

    Dr. Prasanna K S

    Dr. Prasanna K S

    Consultant, Gastroenterology

    Apollo Hospitals, Bannerghatta Road

    Dr. Mohan A T

    Dr. Mohan A T

    Consultant, Gastroenterology

    Apollo Hospitals, Greams Lane, Chennai

    Dr. Piramanayagam P

    Dr. Piramanayagam P

    Consultant, Gastroenterology

    Apollo Hospitals, Greams Lane, Chennai

    Dr. Shanthi Vijayraghavan

    Dr. Shanthi Vijayraghavan

    Consultant, Gastroenterology

    Apollo Hospitals, Greams Lane, Chennai

    Dr. Sarojini Parameswaran

    Dr. Sarojini Parameswaran

    Consultant, Gastroenterology

    Apollo Hospitals, Greams Lane, Chennai

    Dr. Ubal Dhus

    Dr. Ubal Dhus

    Consultant, Gastroenterology

    Apollo Hospitals, Greams Lane, Chennai

    Dr. B Prabhakar

    Dr. B Prabhakar

    Consultant, Gastroenterology

    Apollo Emergency Centre, Hyderguda

    Dr. Rahul Gupta

    Dr. Rahul Gupta

    Senior Consultant - Gastroenterology

    Fortis Escorts Heart Institute, Okhla Road, New Delhi

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