Colorectal & Intestinal Health Center
Intestines & Colon Conditions
Specialized evidence-based protocols for Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), Celiac Disease, and Colonic Polyps.
PainlessHD Screening Colonoscopy
IBD BiologicsMucosal Healing Protocols
SIBO Breath LabHydrogen & Methane Testing
Capsule ImagingDeep Small Intestine Camera
Jump To Heading:Irritable Bowel SyndromeInflammatory Bowel DiseaseCeliac Disease & Gluten SensitivityColonic Polyps & Cancer Screening
Heading 01
Irritable Bowel Syndrome (IBS)
IBS is a functional disorder involving visceral hypersensitivity, altered bowel motility, and gut microbiome dysbiosis, resulting in recurring abdominal pain and bowel irregularities.
Symptoms & Warning Signs
- Abdominal cramping and pain frequently relieved after bowel movement
- Alternating bouts of diarrhea, constipation, or mixed bowel patterns
- Excessive abdominal bloating, visible distension, and flatulence
- Sensation of incomplete bowel evacuation
Diagnostic Workup
- Hydrogen & Methane Breath Testing for SIBO (Small Intestinal Bacterial Overgrowth)
- Fecal Calprotectin to rule out organic bowel inflammation
- Celiac serology (anti-tTG IgA) and routine stool comprehensive analysis
- Colonoscopy to confirm normal mucosal architecture
Treatment & Protocol
- Targeted gut microbiome modulation and non-absorbable antibiotic therapy (Rifaximin)
- Customized low-FODMAP dietary roadmap guided by clinical dietetics
- Antispasmodics and neuromodulators for visceral pain relief
Protocol curated by Dr. Randeep Rana(AIIMS & PGIMER Trained, Max Smart Hospital)
Heading 02
Inflammatory Bowel Disease (IBD)
IBD comprises Ulcerative Colitis and Crohn’s Disease — chronic autoimmune inflammatory disorders requiring precise immunosuppressive and biologic therapies to induce deep mucosal healing.
Symptoms & Warning Signs
- Frequent loose stools with visible blood, mucus, or pus
- Urgent, painful need to defecate (tenesmus)
- Persistent abdominal cramps, fever, fatigue, and weight loss
- Extraintestinal manifestations including joint pain or mouth ulcers
Diagnostic Workup
- High-definition colonoscopy with chromoendoscopy and targeted biopsies
- Fecal Calprotectin biomarker tracking for flare monitoring
- MR Enterography or CT Enterography for small bowel Crohn’s evaluation
Treatment & Protocol
- Targeted biologic therapies (anti-TNF, anti-integrin, IL-12/23 inhibitors)
- Small molecule JAK inhibitors and immunomodulators (Azathioprine)
- Topical and oral 5-ASA preparations for long-term remission maintenance
- Colorectal cancer surveillance protocols with high-definition imaging
Protocol curated by Dr. Randeep Rana(AIIMS & PGIMER Trained, Max Smart Hospital)
Heading 03
Celiac Disease & Gluten Sensitivity
An autoimmune enteropathy triggered by ingestion of gluten in genetically susceptible individuals, leading to small intestinal villous atrophy and severe malabsorption.
Symptoms & Warning Signs
- Chronic diarrhea, fatty pale stools, and excessive abdominal bloating
- Unexplained iron deficiency anemia unresponsive to oral iron pills
- Unintended weight loss, nutritional deficiencies, and osteopenia
- Skin rashes (Dermatitis Herpetiformis) and chronic fatigue
Diagnostic Workup
- Serum Tissue Transglutaminase (anti-tTG IgA) and total serum IgA
- Upper GI Endoscopy with multiple duodenal biopsies (Marsh histological grading)
- HLA-DQ2 / HLA-DQ8 genetic typing when serology is ambiguous
Treatment & Protocol
- Strict lifelong 100% gluten-free diet (GFD)
- Nutritional supplementation (Iron, Vitamin D, B12, Calcium)
- Follow-up serological antibody monitoring to ensure mucosal recovery
Protocol curated by Dr. Randeep Rana(AIIMS & PGIMER Trained, Max Smart Hospital)
Heading 04
Colonic Polyps & Cancer Screening
Colorectal polyps are fleshy growths on the colon lining. Removing adenomatous polyps during screening colonoscopy prevents colorectal cancer development entirely.
Symptoms & Warning Signs
- Usually completely asymptomatic in initial stages
- Occult or visible rectal bleeding during bowel movements
- Unexplained change in bowel habits or persistent iron deficiency anemia
Diagnostic Workup
- Painless Screening Colonoscopy under gentle conscious sedation
- Japanese HD Narrow Band Imaging (NBI) for pit-pattern micro-classification
- Fecal Immunochemical Test (FIT) for stool occult blood
Treatment & Protocol
- Endoscopic Polypectomy using cold/hot snare electrocautery during colonoscopy
- Endoscopic Mucosal Resection (EMR) for large flat lateral spreading tumors
- Personalized surveillance intervals based on histopathology findings
Protocol curated by Dr. Randeep Rana(AIIMS & PGIMER Trained, Max Smart Hospital)
Max Smart Super Speciality Hospital, Saket, New Delhi
Take the First Step Towards Digestive Wellness
Consultant Gastroenterologist, Hepatologist & advanced endoscopist at Max Smart Saket