Dr. BS Ramakrishna

A 72-year-old retired school teacher from a lower-income family arrived with jaundice and itching. Dr. Ramakrishna identified primary biliary cholangitis through specialized antibody testing and liver biopsy. Treatment with ursodeoxycholic acid was initiated. The patient's symptoms gradually resolved over 8 months, with her daughter providing daily care and support throughout recovery.

An 18-year-old college student from an affluent family presented with severe rectal bleeding during exams. Colonoscopy revealed solitary rectal ulcer syndrome. Dr. Ramakrishna prescribed biofeedback therapy and dietary modifications instead of surgery. The bleeding stopped completely within 3 weeks, and the student returned to studies with preventive strategies.

A 45-year-old construction worker with limited healthcare access came with chronic diarrhea and malnutrition. Dr. Ramakrishna diagnosed tropical sprue through duodenal biopsy and initiated antibiotic therapy with nutritional support. The worker recovered fully in 3 months and returned to work, with the hospital providing subsidized follow-up care.

A 33-year-old pregnant woman in her second trimester developed acute liver inflammation. Dr. Ramakrishna diagnosed autoimmune hepatitis flare-up and carefully managed it with pregnancy-safe corticosteroids. She delivered a healthy baby at term and continued maintenance therapy, with her husband attending all appointments for support.

A 28-year-old software engineer from a middle-class background presented with persistent abdominal pain and unexplained weight loss. Dr. Ramakrishna diagnosed eosinophilic esophagitis through endoscopy and biopsy. Treatment involved dietary elimination and swallowed corticosteroids. The patient showed significant improvement within 6 weeks and returned to normal weight with continued management.