IBD Treatment in South Delhi — Ulcerative Colitis & Crohn's Disease
Inflammatory bowel disease — ulcerative colitis and Crohn's disease — is chronic inflammation of the gut that needs a specialist for life, not a course of antibiotics. Dr Paliwal has managed IBD for over two decades, from first diagnosis through biologic therapy, and works to keep patients in deep remission with the fewest medicines possible.
Symptoms
- Diarrhoea with blood or mucus
- Abdominal cramps, urgency, night-time stool
- Weight loss, fatigue, anaemia, fever
- Mouth ulcers, joint pain, eye redness, skin lesions
- In Crohn's: perianal fistula, abscess, obstruction
See a doctor urgently if
- Severe or worsening abdominal pain
- Vomiting blood, black stool or fresh bleeding with dizziness
- Jaundice with fever
- Unexplained weight loss, difficulty swallowing, persistent vomiting
PSRI Hospital emergency is open 24×7 — call +91 98104 55542.
Causes Dr Paliwal looks for
- Immune system attacking the gut lining
- Genetic susceptibility
- Environmental triggers, gut microbiome changes
- Smoking (worsens Crohn's)
- Note: intestinal tuberculosis mimics Crohn's in India and must be distinguished before treatment
Tests that settle it
Chosen for your case — never a fixed panel.
Colonoscopy
Full examination of the large intestine with polyp removal in the same sitting
How it worksCapsule Endoscopy
Swallow a pill camera to photograph the whole small intestine — no sedation, no tube
How it worksBalloon Enteroscopy
Deep endoscopy of the small intestine to biopsy and treat what capsule finds
How it worksUpper GI Endoscopy
Camera examination of food-pipe, stomach and duodenum — with biopsy and treatment in the same session
How it works
How it is treated
- Colonoscopy with biopsies; MR enterography, capsule endoscopy or enteroscopy for small-bowel disease
- Careful differentiation from intestinal TB — treating the wrong one is dangerous
- Step-up therapy: 5-ASA, steroids for flares, immunomodulators
- Biologics (anti-TNF, vedolizumab, ustekinumab) and JAK inhibitors when needed, with infection screening
- Nutrition support, anaemia correction, bone health and cancer surveillance colonoscopy
- Coordination with colorectal surgeons for complications
Why Dr Paliwal for ibd (ulcerative colitis & crohn's)
- 22+ years managing IBD at Medanta, Artemis and PSRI
- Capsule and balloon enteroscopy for the small bowel — essential in Crohn's
- Structured surveillance to prevent long-term complications
What to expect
Send your reports
WhatsApp scans, prescriptions and previous endoscopy pictures. The team books PSRI or the CR Park clinic.
Consultation
A proper history, examination and reports on screen. You leave knowing the likely cause and the plan.
Only the tests that matter
Breath test, FibroScan, endoscopy, manometry — chosen for your case, most done in-house.
Treatment & follow-up
Cause-directed treatment, diet plan from our dietitian, and review at the clinic or hospital.
Searching for "IBD specialist Delhi" or "ulcerative colitis treatment South Delhi"? Dr Paliwal consults at PSRI Hospital, Sheikh Sarai (near Saket, Malviya Nagar) and at the Gut Liver Obesity Clinic, Chittaranjan Park (near Greater Kailash, Kalkaji, Nehru Place, Alaknanda) — with evening appointments for working patients from across South Delhi, Faridabad and Noida.
Questions patients ask about ibd (ulcerative colitis & crohn's)
Is IBD curable?
Not curable, but controllable. Modern therapy achieves long remission in most patients; the goal is healed mucosa on colonoscopy, not just fewer symptoms.
Are biologics safe?
With proper screening for TB and hepatitis before starting, biologics are safe and life-changing for moderate-to-severe disease.
Can I get IBD treatment without surgery?
Most patients never need surgery. It is reserved for complications or disease that fails all medical therapy.
Is IBD treatment expensive in India?
Costs vary widely by drug. Dr Paliwal chooses the least costly effective option and uses biosimilars where appropriate.
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Bring your reports. Dr Paliwal finds the cause, explains it, and orders only the tests that matter.