Colorectal & Lower GI Care
Intestines & Colon Conditions
Specialized clinical management of Irritable Bowel Syndrome (IBS), Ulcerative Colitis & Crohn’s (IBD), Celiac Disease, Colon Polyp Resection, and painless non-surgical piles therapy by Dr. Ankita Gupta in Greater Kailash, Delhi.
PainlessSedation Colonoscopy
SIBO TestHydrogen Breath Analyzer
Pill CameraHD Capsule Endoscopy
Non-SurgicalPainless Piles Banding
Heading 01
Irritable Bowel Syndrome (IBS)
IBS is a disorder of gut-brain interaction characterized by recurrent abdominal pain, cramping, bloating, and marked changes in bowel habits (IBS-Diarrhea, IBS-Constipation, or IBS-Mixed) without structural organic disease.
Symptoms & Warning Signs
- Abdominal cramping and spasms relieved or exacerbated by bowel movements
- Excessive trapped gas, abdominal distension, and bloating peaking toward evening
- Alternating bouts of unpredictable loose stools and hard infrequent pellets
- Feeling of incomplete bowel evacuation (tenesmus) and urgency
Clinical Workup
- Hydrogen Breath Test to rule out Small Intestinal Bacterial Overgrowth (SIBO)
- Fecal Calprotectin test to strictly differentiate IBS from inflammatory IBD
- Serological screening for Celiac Disease (IgA anti-tTG)
- Screening Colonoscopy for patients with warning flags (age >45, family history, anemia)
Treatment & Protocol
- Clinically monitored 3-phase Low-FODMAP dietary protocol
- Targeted antispasmodics and neuromodulators for visceral gut hypersensitivity
- Customized probiotic and microbiome-modulating therapy
- Microbiome restoration and lifestyle stress-reduction counseling
Protocol curated by Dr. Ankita Gupta (DM Gastroenterology, Gold Medalist)
Heading 02
Inflammatory Bowel Disease (IBD)
IBD consists of chronic immune-mediated relapsing inflammation of the intestinal tract: Ulcerative Colitis (confined to colon mucosal lining) and Crohn's Disease (patchy, transmural inflammation anywhere from mouth to anus).
Symptoms & Warning Signs
- Frequent bloody stools with mucus and fecal urgency
- Crampy lower abdominal pain, often worse in the left lower quadrant
- Unintentional weight loss, persistent fever, and chronic fatigue
- Joint pains, skin rashes (erythema nodosum), and eye inflammation
Clinical Workup
- High-definition colonoscopy with segmental serial mucosal biopsies
- Fecal Calprotectin to monitor mucosal inflammation and healing
- MR Enterography or CT Enteroclysis for Crohn's small bowel mapping
- Complete blood counts, iron studies, and inflammatory markers (CRP/ESR)
Treatment & Protocol
- 5-ASA medications (Mesalamine) for induction and remission maintenance
- Advanced biologic therapies and targeted small-molecule oral immunomodulators
- Short-course steroid taper for acute flare stabilization
- Annual surveillance colonoscopy to protect against long-term dysplasia
Protocol curated by Dr. Ankita Gupta (DM Gastroenterology, Gold Medalist)
Heading 03
Celiac Disease & Gluten Enteropathy
Celiac disease is a severe autoimmune reaction to dietary gluten (a protein found in wheat, barley, and rye) that attacks and blunts the microscopic absorptive villi of the small intestine, causing widespread nutrient malabsorption.
Symptoms & Warning Signs
- Chronic chronic diarrhea, bulky foul-smelling stools, or chronic gas
- Refractory iron-deficiency anemia unresponsive to oral iron pills
- Unexplained weight loss, stunted growth in children, and chronic fatigue
- Early osteoporosis, mouth ulcers (aphthous stomatitis), and vitamin D deficiency
Clinical Workup
- IgA Anti-Tissue Transglutaminase (anti-tTG) serological blood antibody test
- Upper GI Endoscopy with multiple mucosal biopsies from D2 (duodenum)
- Histopathological staging using the Marsh Classification (villous atrophy grading)
- HLA-DQ2 / HLA-DQ8 genetic testing for inconclusive cases
Treatment & Protocol
- 100% strict, lifelong Gluten-Free Diet (GFD) education
- Clinical dietitian counseling on cross-contamination and hidden gluten
- Micronutrient repletion (iron, vitamin B12, folate, calcium, and vitamin D)
- Serial serology testing at 6 and 12 months to verify complete mucosal healing
Protocol curated by Dr. Ankita Gupta (DM Gastroenterology, Gold Medalist)
Heading 04
Colonic Polyps & Cancer Screening
Colon cancer almost invariably begins as a small, benign mucosal polyp (adenoma). Routine screening colonoscopy identifies and removes these polyps years before they have any opportunity to turn into cancer.
Symptoms & Warning Signs
- Early polyps and early colorectal cancers have ZERO symptoms (silent growth)
- Visible dark red or bright red blood mixed in stools
- Unexplained change in normal bowel frequency lasting more than a month
- Narrow, ribbon-like stools or persistent feeling of incomplete emptying
Clinical Workup
- High-definition colonoscopy with water-assisted insertion for comfort
- Narrow Band Imaging (NBI) and chromoendoscopy for pit-pattern inspection
- Cold snare polypectomy and hot snare electrocautery resection during same session
- Histopathological examination to categorize tubular vs. villous vs. sessile serrated polyps
Treatment & Protocol
- Immediate endoscopic polyp removal with zero skin incisions or stitches
- Complete cancer prevention by eliminating pre-malignant adenomas
- Surveillance intervals customized to polyp size, number, and histology
- Screening recommended for all adults starting at age 45 (earlier with family history)
Protocol curated by Dr. Ankita Gupta (DM Gastroenterology, Gold Medalist)
Heading 05
Small Bowel Disorders & SIBO
Disorders of the 20-foot small intestine—including Small Intestinal Bacterial Overgrowth (SIBO), occult bleeding (angiodysplasias), and Crohn's ulcers—require specialized non-invasive pill cameras and breath analyzers.
Symptoms & Warning Signs
- Severe post-meal distension where the belly visibly swells like a balloon
- Intolerance to fiber, prebiotics, fruits, and garlic/onions
- Persistent unexplained anemia with normal stomach endoscopy and colonoscopy
- Chronic watery diarrhea or malabsorptive fat in stool
Clinical Workup
- Hydrogen and Methane Breath Testing with glucose and lactulose substrates
- Swallowable HD Capsule Endoscopy recording over 50,000 mucosal pictures
- Double Balloon Enteroscopy (DBE) for deep small intestine tissue biopsy and coagulation
Treatment & Protocol
- Targeted non-absorbable antibiotic therapy (Rifaximin) for SIBO eradication
- Prokinetic gut motility agents to prevent bacterial stagnation
- Argon Plasma Coagulation (APC) via enteroscopy for vascular bleeding lesions
- Microbiome optimization and dietary carbohydrate balancing
Protocol curated by Dr. Ankita Gupta (DM Gastroenterology, Gold Medalist)
Heading 06
Piles, Hemorrhoids & Rectal Bleeding
Swollen vascular cushions in the anal canal cause bleeding, prolapse, and discomfort. GLEC provides painless, modern outpatient non-surgical treatments that completely avoid painful open surgery.
Symptoms & Warning Signs
- Bright red, painless blood dripping into toilet bowl during bowel movements
- Itching, irritation, or swelling around the anal opening
- Lump or tissue protruding during straining that may retract spontaneously
- Discomfort and soreness while sitting for prolonged hours
Clinical Workup
- High-definition video proctoscopy to grade hemorrhoids (Grade I to IV)
- Sigmoidoscopy or full Colonoscopy to definitively rule out proximal polyps or rectal cancer
- Perianal digital evaluation to identify fissures or fistulas
Treatment & Protocol
- Endoscopic rubber band ligation (barron banding) - completely painless and quick
- Infrared coagulation (IRC) for early bleeding vascular cushions
- Stool softening, high-fiber dietary modifications, and sitz baths
- Return to normal office work the same afternoon with zero hospital stay
Protocol curated by Dr. Ankita Gupta (DM Gastroenterology, Gold Medalist)