Gastroenterologist in Nagpur — Liver, Endoscopy & Digestive Care

Upper GI endoscopy (gastroscopy) at Hope Hospital Nagpur costs approximately ₹3,000 to ₹6,000 for a diagnostic procedure. If therapeutic interventions are performed during the same session — such as biopsy, polypectomy, or haemostasis for bleeding — the cost is higher (₹8,000–₹20,000 depending on the procedure). The endoscopy is performed under conscious sedation. Patients eligible under Ayushman Bharat (PM-JAY) or MJPJAY may have the procedure covered. Call 071-22980073 for current pricing.

Colonoscopy at Hope Hospital Nagpur costs approximately ₹5,000 to ₹10,000 for a diagnostic procedure. If polyps are found and removed during the same sitting (polypectomy), the cost ranges from ₹10,000 to ₹20,000 depending on the number and size of polyps. Colonoscopy is performed under conscious sedation. Most patients go home the same day. It is recommended for all adults above 45, or earlier if there is a family history of colorectal cancer or any rectal bleeding.

ERCP (Endoscopic Retrograde Cholangiopancreatography) is an advanced endoscopic procedure used to diagnose and treat problems in the bile duct and pancreatic duct — including gallstones stuck in the bile duct, bile duct strictures, and pancreatic duct blockages. It avoids open surgery in most cases. ERCP at Hope Hospital Nagpur costs approximately ₹25,000 to ₹60,000 depending on complexity — stone extraction, stent placement, and sphincterotomy affect the final cost. It is covered under Ayushman Bharat (PM-JAY) for eligible patients. Call 071-22980073 for a specific estimate.

Non-alcoholic fatty liver disease (NAFLD) is treated primarily through lifestyle modification — structured weight loss (5–10% of body weight significantly reduces liver fat), dietary changes (reducing refined carbohydrates, sugar, and saturated fat), regular aerobic exercise, and tight control of diabetes and triglycerides. In advanced cases (NASH with fibrosis), the gastroenterologist monitors liver fibrosis with FibroScan and manages metabolic risk factors aggressively. Regular 6-monthly follow-up with liver function tests and ultrasound is recommended. Alcohol must be completely avoided regardless of severity.

See a gastroenterologist urgently if you have: blood in the stool or black tarry stools (possible bleeding in the GI tract), yellowing of the skin or eyes (jaundice), unexplained weight loss of more than 5 kg over 3 months, difficulty swallowing food or liquids, persistent vomiting, sudden severe abdominal pain, or swelling of the abdomen with visible fluid (ascites). These symptoms require same-day or next-day evaluation and should not be managed with over-the-counter medications alone.

Chronic Hepatitis B is managed with antiviral therapy — tenofovir or entecavir — which suppresses the virus, prevents progression to cirrhosis, and significantly reduces the risk of liver cancer. Not all patients require medication; the decision depends on viral load (HBV DNA), liver enzyme levels (ALT), and presence of fibrosis on FibroScan or liver biopsy. Patients on antiviral therapy require 6-monthly monitoring of liver function tests, HBV DNA, and periodic liver cancer screening with ultrasound and AFP. Hope Hospital's gastroenterologist provides complete Hepatitis B management from diagnosis through long-term monitoring.

IBS (Irritable Bowel Syndrome) is a functional disorder — the bowel is structurally normal but behaves abnormally, causing alternating constipation and diarrhea, bloating, and abdominal cramps without visible inflammation. IBD (Inflammatory Bowel Disease) — Crohn's disease and ulcerative colitis — involves actual inflammation of the bowel wall seen on colonoscopy and biopsy, and can cause complications like strictures, fistulas, and colorectal cancer over time. IBS is managed with dietary changes and specific medications. IBD requires specialist care with immunosuppressive or biologic therapy and regular endoscopic monitoring. A colonoscopy will clarify the diagnosis if you are unsure.

For upper GI endoscopy: fast for 6–8 hours before the procedure. Arrive 30 minutes early. Take essential morning medications with a small sip of water unless instructed otherwise. For colonoscopy: bowel preparation starts the evening before with a laxative solution prescribed by your doctor — complete bowel emptying is essential for a clear view. Fast from midnight before the procedure. Arrange for someone to drive you home as sedation will be used. Biopsy results are usually available within 5–7 working days.