Dr. Shivakumar Varakanahalli

A 65-year-old retired school teacher from a lower-income background arrived with jaundice and abdominal swelling. Dr. Shivakumar identified autoimmune hepatitis cirrhosis through comprehensive testing. Despite limited family support, the patient responded well to corticosteroid therapy and nutritional counseling, showing stabilized liver function after 3 months of treatment.

A 42-year-old construction worker presented with severe rectal bleeding. Colonoscopy revealed angiodysplasia lesions. Dr. Shivakumar performed argon plasma coagulation during the procedure. The blue-collar worker recovered completely within two weeks and returned to work with no recurrence, requiring only periodic follow-up.

A 19-year-old college student from an affluent family came with chronic diarrhea and malnutrition. After capsule endoscopy and specialized testing, Dr. Shivakumar diagnosed Crohn's disease. Treatment involved biologic therapy and nutritional support. With strong family involvement, the patient achieved remission within 6 months and resumed studies.

A 57-year-old street vendor presented with difficulty swallowing and regurgitation. High-resolution manometry confirmed achalasia cardia. Dr. Shivakumar performed peroral endoscopic myotomy (POEM). The economically disadvantaged patient recovered remarkably within 10 days and returned to vending with normal swallowing function.

A 28-year-old software engineer from a middle-class family presented with persistent abdominal pain and unexplained weight loss. Dr. Shivakumar diagnosed eosinophilic esophagitis through endoscopy and biopsy. Treatment involved dietary elimination and swallowed topical steroids. The patient showed significant improvement within 4 weeks and returned to normal activities with continued dietary management.