Question 1

When should I see a gastroenterologist?

Accepted Answer

You should consult a gastroenterologist if you experience persistent digestive symptoms such as abdominal pain, chronic heartburn, difficulty swallowing, changes in bowel habits, unexplained weight loss, or blood in your stool. Additionally, routine screening like colonoscopy starting at age 45 is recommended even without symptoms.

Question 2

How do I book an appointment?

Accepted Answer

The easiest way is through our appointment request form, which sends your details straight to us on WhatsApp. You can also message us directly on WhatsApp or call the clinic.

Question 3

What are your opening hours?

Accepted Answer

Sun–Fri: 7–9 AM, 1–2 PM, 4–7 PM · Sat: 7–11 AM

Question 4

Where is the clinic located?

Accepted Answer

Newroad, Street No. 12, Opposite Pokhara Metropolitan City Office (Mahanagarpalika), Pokhara–8, Kaski, Nepal. We're centrally located and easily accessible from all parts of Pokhara and surrounding districts.

Question 5

What is an endoscopy and is it painful?

Accepted Answer

An upper GI endoscopy (gastroscopy) is a procedure where a thin, flexible tube with a camera is used to examine your esophagus, stomach, and duodenum. The procedure is performed under sedation, so you will be comfortable and relaxed throughout. Most patients report no pain or discomfort during the procedure.

Question 6

Is colonoscopy painful?

Accepted Answer

Colonoscopy is performed under IV sedation, which means you will be asleep and comfortable during the entire procedure. Most patients have no memory of the procedure and report no pain. The bowel preparation the day before is typically the most challenging part, not the procedure itself.

Question 7

How should I prepare for endoscopy?

Accepted Answer

For upper GI endoscopy, you need to fast (no food or drink) for at least 6-8 hours before the procedure. Your doctor will provide specific instructions regarding any medications you take. Generally, the preparation is straightforward and less involved than colonoscopy preparation.

Question 8

What causes fatty liver disease?

Accepted Answer

Fatty liver disease occurs when excess fat accumulates in liver cells. Common causes include obesity, type 2 diabetes, high cholesterol, excessive alcohol consumption, and metabolic syndrome. Non-alcoholic fatty liver disease (NAFLD) is increasingly common and can be assessed non-invasively with Fibroscan technology.

Question 9

What is the difference between a Gastroenterologist and a Hepatologist?

Accepted Answer

A gastroenterologist treats all digestive system disorders including the esophagus, stomach, intestines, colon, pancreas, and liver. A hepatologist specifically focuses on liver diseases. Dr. Shankar Baral is trained in both — he is a Consultant Gastroenterologist & Hepatologist.

Question 10

Do I need a referral to see Dr. Shankar Baral?

Accepted Answer

No, you do not need a referral. You can book an appointment directly with our clinic. However, if you have been referred by another doctor, please bring any relevant medical records, test results, or referral notes to your consultation.

Question 11

What should I bring to my first appointment?

Accepted Answer

Please bring any previous medical records, test results, imaging reports (CT scans, ultrasounds), a list of current medications, and your insurance information if applicable. It's also helpful to write down your symptoms, their duration, and any questions you have for the doctor.

Question 12

Is Fibroscan safe? Can it replace a liver biopsy?

Accepted Answer

Fibroscan is completely safe, non-invasive, and painless. It uses ultrasound-based technology with no radiation. For many patients, Fibroscan can provide sufficient information about liver fibrosis and steatosis to guide treatment decisions, potentially avoiding the need for a traditional liver biopsy.

Question 13

How much do procedures cost?

Accepted Answer

Procedure costs vary depending on the specific test or treatment required. We strive to provide affordable, transparent pricing for all our services. Please contact our clinic directly at 061-590978 or 9856088019 for current pricing, or discuss during your consultation.

Question 14

What is ERCP and when is it needed?

Accepted Answer

ERCP (Endoscopic Retrograde Cholangiopancreatography) is an advanced therapeutic procedure that combines endoscopy and X-ray to diagnose and treat conditions of the bile ducts and pancreas. It's typically needed for bile duct stones, strictures, certain types of jaundice, and pancreatic duct problems.

Question 15

What should I do if I have urgent or severe symptoms?

Accepted Answer

Do not wait for a WhatsApp reply. Go to the nearest emergency department or call emergency services immediately.

Question 16

How can I contact the clinic?

Accepted Answer

You can reach us on WhatsApp, by phone at 061-590978 (Clinic) or 9856088019 (Mobile), or by email at pokharagastroinfo@gmail.com.

Frequently asked questions

Appointments & Visits

Procedures Explained

Conditions & Costs

Urgent Care

We're happy to help