Gastroenterology in Metro Manila

Gastroenterology is the field of medicine focused on the normal function and diseases of the digestive system or the gastrointestinal (GI) tract, including the esophagus, stomach, small intestine, pancreas, gallbladder, bile ducts, liver, as well as colon and rectum. Doctors who specialize in gastroenterology are called gastroenterologists. They are trained to diagnose and treat conditions of the digestive system. Some of the conditions that these specialists can treat include:

• Ulcers
• Acid reflux
• Irritable Bowel Syndrome (IBS)
• Polyps or growth that can occur in the large intestine (colon)
• Hepatitis C
• Jaundice (yellowing of the skin)
• Bloody stool
• Hemorrhoids
• Colon and bowel cancer
• Pancreatic cancer
• Esophageal cancer
• Gastric cancer
• Colitis
• Pancreatitis 

While gastroenterologists can treat diseases of the digestive system, they do not perform surgery. If surgery is required they will work with or refer patients to a gastrointestinal surgeon. The following are a range of nonsurgical procedures that gastroenterologists perform:

• Colonoscopy to detect colon polyps and colon cancer
• Endoscopic ultrasound to examine the upper and lower GI tract
• Sigmoidoscopy to assess blood loss or pain in the bowel
• Endoscopic retrograde cholangiopancreatography to identify tumors, gallstones, or scar tissue in the bile duct
• Capsule endoscopy to examine the small intestine
• Liver biopsy to examine fibrosis and inflammation
• Polypectomy to remove a polyp.

How Long Should I Stay in Metro Manila?

The type of procedure that you undergo determines your length of stay in Metro Manila. Most procedures are performed on an outpatient basis, meaning you can leave the hospital or clinic on the same day. However, you generally need to stay in Metro Manila for around a week for follow up appointments and to let your body recover before you can travel. If you undergo a diagnostic procedure, your doctor will discuss the results and create a treatment plan during the follow-up appointment.

What's the Expected Recovery Time?

Recovery time for gastroenterology procedures range from a day to 2 weeks, or sometimes longer, depending on the type of procedure. During the recovery period, it is important to avoid any strenuous activities. Your gastroenterologist will let you know the specific time you can resume your normal activities, go back to work, and perform vigorous exercises.

What Aftercare is Required?

It is crucial that you follow all of the instructions closely, to prevent the problem from getting worse or from reoccurring, you may need to make some dietary and lifestyle changes. You may also need to attend follow-up checkups to monitor your condition. You can have the checkups at home with your local doctor, or with your gastroenterologist in Metro Manila.

What's the Success Rate?

Advances in gastroenterology have increased the safety and success rate of treatments. The diagnostic procedures offer high accuracy in finding problems within the gastrointestinal tract, and the treatments are found to be highly successful to treat conditions in the digestive system. For example, a colonoscopy now has a 94% success rate in capturing all colorectal cancer. Still, there are some risks to the procedures that you will need to be aware of, such as a tear in the intestine’s lining, excessive bleeding, adverse reaction to the equipment or medication used during the procedure, organ perforation, infection, and incomplete removal (for removal of polyps).

Are there Alternatives?

In most cases, there is no alternative to seeing a gastroenterologist if you experience problems in your digestive system and it is found to be caused by something else that is outside the gastroenterologists’ scope of practice, they will refer you to the relevant specialist.

Gastroenterology in and around Metro Manila

About Manila

Manila is the capital of the Philippines and is divided into 16 districts; it is one of the densest and populated cities of the world. Each district has its own history and cultural legacy. The city was under the rule of Spanish conquerors for almost three centuries. You can see the remains of that era in the ruins of the historical buildings. Today, the City is very modern with tall skyscrapers and modern architecture.

The Philippines is developing into one of the top countries in the world for medical tourism. Approximately 15 million people globally travel to other countries in search of quality medical care at affordable prices. Manila is a favorite destination due to the following reasons:

• It provides state-of-the-art procedures at affordable prices.
• With excellent infrastructure, the City can handle the large numbers of foreigners who visit Manila.
• The Hospital and clinic staff are very competent, friendly, and educated and have a good knowledge of English to communicate with their patients.  
• The doctors are very well-qualified and hold international certifications.
• The city has a reputation in providing excellent post-surgical care by the nurses and physiotherapists.
• The Medical Industry provides many alternative therapies at some of the best spa resorts. You can combine a surgical procedure with alternative healing therapies at the same time.

Popular Areas in Manila

Manila Bay has many tourist spots and you will find many monuments that depict the Spanish occupation of the country. There are many Baroque Colonial Churches that will enable you to appreciate the artistic designs.

The National Museum of the Philippines, Bahay Chinoy, the National Art Gallery, and the Metropolitan Museum of Manila are some of the popular museums that you must visit in Manila. Rizal Park also known as Luneta is a historical urban park that is worth visiting.

There are also many organized tours that can help you get the best out of your sightseeing, for example, the Intramuros Tour, Rizal Park Tour, or the Skyscraper Gazing Tour and more.

Manila is a very modern contemporary city as the historical buildings have been replaced by modern architecture with better planning and layout and the buildings are earthquake resistant.

The city has many cultural and religious festivals throughout the year. There are plenty of shops, both big and small where you can buy branded goods at affordable prices.

Weather and Climate in Manila

The Philippines is a tropical country and in Manila, you will not experience too much temperature variations. January is the coolest month while May is the warmest month. The average temperature remains between 14°C and 38°C. The rainy season is between May and November. The rest of the months are dry. Manila is a humid city and bad weather such as Typhoons may occur during the months of June and September.

Getting around in Manila

People traveling from nearby countries such as Malaysia and Indonesia can use the City’s sea entry points. For all other passengers, the best option is to take the air route.

The Ninoy Aquino International Airport is the City’s major international airport. It has four different terminals that connect via bus transfers. If you are taking a connecting flight, remember to keep some time as a buffer, as transfers may force you to travel through the busy streets of Manila. Terminal 1 caters to International flights and Philippine Airlines uses T2 and domestic carriers and international carriers use T3 with budget carriers largely using T4.

You can take a bus from the airport to the city. Taxis have meters and you can hail a cab outside the airport. Buses and small vans or jeepneys are popular modes of transport within the city.

Manila has three light rail systems and one heavy train line. The light rail systems are the LRT-1, LRT-2, and MRT-3. You can also use the pedicabs and tricycles for shorter distances. In some areas, you can even find horse-driven carriages called calesa.

Tourist Visas in Manila

The visa process is not a very complex system as the Philippines has a visa waiver program for certain countries. All European nations, South American countries, and many others form part of this program. Citizens from these countries can stay in Manila for up to 30 days, whereas nationals from Brazil and Israel may stay in Manila for 59 days. Hong Kong, Macau, and Portugal residents can stay for 14 days without a visa. Tourists belonging to other countries need to apply for a visa to enter the Philippines, in the consulate in their respective countries.

You must also have a valid return ticket. Passport must also be valid for at least six months and beyond to stay in the country. Visa-exempt people may extend their stay by one or two months after which they will have to apply for a visa.

Additional Information

• The currency of the Philippines is Peso (symbol: ₱). It is strong in the world market and the usual exchange rate is 1 Dollar equals 50 Pesos. Dollars are easy to exchange compared to other currencies.
• Credit cards are acceptable in almost every place. The city also has many ATMs from where you can withdraw money without difficulty. However, ATMs will charge you a minimal exchange fee on foreign cards.
• Bargaining and negotiating are acceptable in most places and it can get you better deals.
• Restaurants may add a service charge of up to 10%. You can pay a cash tip of 5 to 10 %. People often round off the taxi fare.
• Manila is a city full of people who speak English proficiently. Filipino and English are the two official languages. Filipino is a variety of Tagalog, Austronesian languages.
• Hindu, Muslim, Buddhism, and Christian religions have left their mark on the Philippines at different periods. Today, a majority of the population is Roman Catholic.
• There are many public holidays in Manila. Some of the important ones are Christmas Eve, Christmas, Eid al-Fitr (Ramadan), Labor Day, New Year, and Good Friday, etc. The Independence Day falls on June 12th and Manila Day on 24th June.