Vomiting blood, passing black tarry stools, or severe abdominal pain with fever needs emergency care now. Gastrointestinal bleeding and cholangitis are treated in hours at the nearest hospital. Do not wait and do not arrange travel.
Hepatitis B and C treatment, endoscopy and ERCP, gallbladder and bowel surgery, inflammatory bowel disease, and major liver and pancreatic surgery at accredited hospitals in Delhi NCR.
This is the specialty where India offers something genuinely exceptional. Generic antivirals cure hepatitis C for a small fraction of what the same treatment costs elsewhere — and much of that treatment can be taken at home rather than here.
Free. No obligation. A written opinion within 48 hours.
Hepatitis C is curable in the great majority of patients with a course of tablets, and generic antivirals manufactured in India cost a small fraction of the original prices. It is prevalent across Egypt, Pakistan, parts of India and several of the countries our patients travel from, and a great many people carry it without knowing.
Direct-acting antivirals taken for eight to twelve weeks, with few side effects. The old interferon treatments — long, difficult and frequently unsuccessful — have been obsolete for years.
Sustained clearance of the virus twelve weeks after finishing treatment is regarded as cure, and relapse afterwards is uncommon. This is genuinely different from suppression.
Treatment lowers the risk of progression to cirrhosis and of liver cancer. Where cirrhosis has already developed, six-monthly cancer surveillance continues even after cure.
Assessment and the first prescription in India, then the tablets taken at home on a written protocol your local doctor can monitor. Staying for the whole course would be an expensive way to swallow a tablet.
If you have ever been told you carry hepatitis C and were never treated, or were treated with interferon years ago and it failed, this is worth revisiting now. The treatment available today bears no resemblance to what existed a decade ago.
This distinction matters more for our patients than for almost any other group, and getting it wrong causes serious harm.
On endoscopy, on CT and MRI, and frequently on biopsy. Both cause ulceration of the terminal ileum, thickening of the bowel wall and enlarged lymph nodes.
Crohn's disease is treated by suppressing the immune system. Tuberculosis is treated with antibiotics. Suppressing immunity in undiagnosed tuberculosis allows it to disseminate, and that can be life-threatening.
Across South Asia, the Middle East and Africa, intestinal tuberculosis is a genuine and frequent consideration. Protocols written in Europe do not prioritise excluding it because there it is rare.
Tissue sent specifically for tuberculosis testing — culture, PCR and GeneXpert — alongside standard histology, plus chest imaging. Where doubt remains, a trial of anti-tuberculous treatment before immunosuppression is the safer sequence.
If you have been diagnosed with Crohn's disease in a region where tuberculosis is endemic and never had tissue tested for it specifically, that is worth raising before starting a biologic drug.
Each has its own page explaining the condition, what can be treated at home, and what genuinely requires travelling.
Liver cirrhosis, liver cancer and digestive cancers are covered on the cirrhosis, liver cancer and colorectal cancer pages.
A great deal of gastroenterology is investigation and medication rather than surgery, and much of it can continue near your home.
Examining the oesophagus, stomach and duodenum from above, or the colon from below, with the ability to take biopsies, remove polyps, stop bleeding and band varices in the same session. Colonoscopy is both a diagnostic test and a cancer prevention procedure, because removing a polyp prevents the cancer it would have become.
An endoscope passed to where the bile duct enters the duodenum, allowing stones to be removed and strictures stented without any incision. It is the standard treatment for bile duct stones and obstructive jaundice. It carries a real risk of pancreatitis afterwards, which is why it should be therapeutic rather than purely diagnostic.
Full assessment of hepatitis B and C — viral load, fibrosis stage, and whether treatment is indicated. Hepatitis C is cured in the great majority of patients with a course of direct-acting antiviral tablets, and generic versions manufactured in India cost a small fraction of Western prices. Hepatitis B is suppressed with a daily tablet.
Diagnosis and treatment of Crohn's disease and ulcerative colitis, including biologic therapy. The essential first step for our patients is distinguishing Crohn's disease from intestinal tuberculosis, which looks almost identical and is treated in the opposite way — suppressing the immune system in undiagnosed tuberculosis is dangerous.
Gallbladder removal, hernia repair, anti-reflux surgery and bowel resection, performed through small incisions with quicker recovery than open surgery. Gallbladder removal is among the most commonly requested operations by our patients and is usually a short admission with a rapid return to normal activity.
Major resections for tumours of the liver, pancreas and bile ducts, including the Whipple procedure. These are among the most demanding operations in general surgery and outcomes correlate strongly with how many the centre performs each year — more so than for almost any other procedure we arrange.
Pancreatic and liver surgery show one of the strongest volume-outcome relationships in all of surgery. For a Whipple procedure, the number the unit performs each year matters more than any other single factor.
For colonoscopy, adenoma detection rate and caecal intubation rate are the recognised quality indicators. A unit that measures them is a unit taking quality seriously.
A laboratory that routinely sends tissue for tuberculosis culture and PCR alongside standard histology, rather than only on request. In our patient population this is not optional.
For pancreatic or liver resection, ask how many the unit performed last year and what their mortality rate is. For endoscopy, ask about the adenoma detection rate. These questions identify serious units quickly.
Endoscopy carries small risks of bleeding and perforation. ERCP carries a real risk of pancreatitis, which is why it should be performed for treatment rather than for diagnosis alone. Major liver and pancreatic resections carry substantial risk including bile leak, pancreatic fistula and death, and those risks fall considerably at high-volume centres. Biologic therapy for inflammatory bowel disease suppresses immunity and carries a risk of serious infection, including reactivation of tuberculosis — which is precisely why the distinction from intestinal tuberculosis must be made before starting.
Upper gastrointestinal bleeding is an emergency treated within hours. Variceal bleeding in liver disease is particularly dangerous and needs endoscopy where you are.
The first days determine the outcome and require intensive fluid management and monitoring. This is not a condition to fly with.
Cholangitis is a surgical emergency. The blocked duct needs draining urgently, locally.
Confusion, tense fluid or deep jaundice all need stabilising before travel. Assessment for transplant follows stabilisation, not the reverse.
Weight loss, difficulty swallowing, or blood in the stool need investigating promptly rather than waiting weeks for a planned trip.
Much of gastroenterology is investigation and medication rather than surgery, and a good deal of it can be arranged closer to home. Where that is true, we will say so.
A patient travelling for hepatitis C assessment and treatment — the shortest and most cost-effective journey we arrange.
Yes. Direct-acting antiviral tablets cure hepatitis C in the great majority of patients, usually over eight to twelve weeks, with few side effects. Generic versions manufactured in India cost a small fraction of the original prices, which is why treating hepatitis C is one of the clearest examples of Indian medicine offering something transformative at a price that makes it accessible.
For hepatitis, no. The assessment — viral load, genotype where relevant, and fibrosis staging — takes about a week here, and the tablets are then taken at home with monitoring by your local doctor on a written protocol we provide. Staying for three months of tablets would be an expensive way to do something you can do at home.
It depends entirely on why it is being done. Blood in the stool, a change in bowel habit lasting weeks, unexplained anaemia or weight loss all warrant prompt investigation rather than a planned trip in three months. Routine screening in someone without symptoms is a different matter and can be scheduled at convenience.
Because intestinal tuberculosis and Crohn's disease look almost identical on endoscopy, imaging and even biopsy, and they are treated in opposite ways. Suppressing the immune system in an undiagnosed tuberculosis infection allows it to disseminate, which is dangerous. In patients from our source markets this distinction must be made deliberately rather than assumed.
Rarely in practice. Dissolution therapy works only for small cholesterol stones in a functioning gallbladder, takes many months, and stones frequently return. For symptomatic gallstones, laparoscopic removal of the gallbladder remains the definitive treatment, with a short hospital stay and quick recovery.
Yes, at high-volume centres, and outcomes at those centres are good. This is a procedure where volume matters more than almost any other — the difference between a unit doing fifty a year and one doing five is substantial. We verify that specifically before recommending anywhere for pancreatic surgery.
Every endoscopy and imaging report you have, ideally with the images themselves, and any biopsy slides or blocks — these can frequently be reviewed here rather than repeating the procedure. Bring your full medication list, and for liver disease, the trend of your blood results over time rather than a single set.
Related pages: Liver and digestive treatment cost · Organ transplant · Cancer treatment · Bariatric surgery · Medical visa guides
Send your blood results over time rather than a single set, along with any endoscopy or imaging reports. For liver disease, the trend tells us far more than one snapshot.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
WhatsApp +91 83035 86344 · Phone +91 83035 86344 · Email tibhind@gmail.com
Coordinators available 9:00–20:00 IST. We speak Arabic, English, Russian and Bengali.