Conditions We Treat

Gallbladder & Bile Duct Disease

• Gallstones causing pain, vomiting or jaundice
• Infected gallbladder (acute or chronic cholecystitis)
• Stones slipping into the bile duct (CBD stones)
• Gallbladder polyps and suspected cancer

Standard pathway:

• Clinic evaluation and ultrasound / blood tests
• Endoscopy / ERCP where indicated
• Laparoscopic cholecystectomy (keyhole gallbladder removal) as the standard of care in most symptomatic cases

Liver Disease & Cirrhosis

• Fatty liver (alcoholic and non‑alcoholic)
• Hepatitis B–related liver damage
• Cirrhosis, portal hypertension and varices
• Suspected liver tumours / lesions

Here the focus is on:

• Staging liver disease accurately
• Managing complications (ascites, variceal bleed, encephalopathy)
• Planning surgery safely in patients with compromised liver function
• Determining when transplant evaluation is needed

Pancreas & Bile Duct

• Acute and chronic pancreatitis
• Pancreatic cysts and tumours
• Bile duct narrowing or blockage

We use cross‑sectional imaging and endoscopic procedures to diagnose and, where possible, treat these problems with minimally invasive techniques.

Stomach, Intestine & Colon

• Chronic upper abdominal pain, ulcers, GERD
• Unexplained weight loss, change in bowel habits
• Ulcerative colitis, Crohn’s disease
• Suspected or confirmed cancers of the stomach, small intestine, colon and rectum

We combine endoscopy, colonoscopy and biopsy to pick up disease early and plan surgery with a clear map.

Constipation, Piles, Fissure & Fistula

• Long‑standing constipation or painful stools
• Fresh blood per rectum, piles (haemorrhoids)
• Chronic anal fissure
• Fistula‑in‑ano, recurrent perianal abscesses

Management options:

• Medical treatment and diet correction
• Rubber band ligation or other endoscopic procedures
• Surgical haemorrhoidectomy, fissure surgery and fistula repair where needed

Hernia & Abdominal Wall

• Inguinal (groin) hernia
• Umbilical and epigastric hernia
• Incisional hernia after previous surgeries
• Complex or recurrent hernias

Whenever possible, we repair hernias using mesh‑based laparoscopic techniques, which usually mean less pain and faster recovery.

Appendicitis & Acute Abdomen

• Suspected appendicitis
• Sudden severe abdominal pain
• Suspected perforation, obstruction or internal bleeding

Important: acute severe pain, vomiting, fever or inability to pass stool/gas can be an emergency. Patients are directed straight to the nearest emergency department (often Ruby Hall or Poona Hospital), where Dr Rajesh can be involved in surgical decision‑making as needed.