Dr. Bhairavi Sita Balram – Gastroenterologist | Edmonton, AB

Dr. Bhairavi Sita Balram is a dedicated Gastroenterologist specializing in the diagnosis and treatment of a wide array of disorders affecting the digestive system in adult patients, and may also see older adolescents for certain conditions. Practicing at a reputable gastroenterology clinic in Edmonton, AB, she is a key member of the local medical community. She provides comprehensive care for a wide range of digestive system disorders, including conditions affecting the esophagus, stomach, intestines, liver, and pancreas, utilizing diagnostic and therapeutic endoscopy. Her approach emphasizes patient-centered care, ensuring that each individual receives tailored treatment plans grounded in the latest medical evidence.

Dr. Balram graduated with a Doctor of Medicine (MD) from McGill University in Canada. She has completed extensive post-graduate training in gastroenterology and holds specialty certification as a Gastroenterologist. She has the necessary qualifications and certifications to practice in Alberta, adhering to the standards set by the College of Physicians and Surgeons of Alberta (CPSA). Her training includes advanced procedural skills and a focus on evidence-based digestive health care, enabling her to address complex gastrointestinal conditions with expertise.

With a commitment to excellence and compassionate patient care, Dr. Balram emphasizes early and accurate diagnosis through the use of advanced diagnostic procedures. Her clinical philosophy centers on patient education regarding GI conditions and lifestyle modifications, empowering her patients to participate actively in their health journey. Fluent in English, French, and Hindi, she strives to communicate effectively with diverse patient populations in Edmonton, ensuring clarity and understanding in all aspects of care.

Dr. Bhairavi Balram diagnoses and treats a wide range of digestive system disorders, including:

Small & Large Intestine (Colorectal) Disorders

• Microscopic Colitis (Lymphocytic & Collagenous Colitis): Inflammation of the colon that is only visible under a microscope when biopsies are examined, a common cause of chronic watery diarrhea, particularly in older adults.
• Diverticular Disease (Diverticulosis, Diverticulitis, Diverticular Bleeding): Diverticulosis is the presence of small pouches (diverticula) in the colon wall. Diverticulitis is inflammation or infection of these pouches. Diverticular bleeding can also occur.

Functional Gastrointestinal & Motility Disorders

• Cyclic Vomiting Syndrome: A disorder characterized by recurrent, stereotypical episodes of intense nausea and vomiting lasting for hours or days, with symptom-free intervals in between.
• Gastroparesis (Delayed Gastric Emptying): A condition that affects the normal spontaneous movement of the muscles (motility) in your stomach, preventing proper and timely emptying of stomach contents, leading to nausea, vomiting, and fullness.
• Functional Dyspepsia & Epigastric Pain Syndrome: Persistent or recurrent pain or discomfort centered in the upper abdomen (dyspepsia) or specifically in the epigastric region, without an identifiable structural cause after investigation.

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Non-Alcoholic Fatty Liver Disease (NAFLD) & Non-Alcoholic Steatohepatitis (NASH): A spectrum of conditions characterized by excessive fat accumulation in the liver not caused by alcohol. NASH involves liver inflammation and cell damage and can progress to cirrhosis.
• Cirrhosis & Management of Its Complications (Ascites, Varices, Encephalopathy): Advanced stage of liver scarring (fibrosis) impairing liver function, leading to complications such as fluid accumulation in the abdomen (ascites), enlarged veins that can bleed (varices), and brain dysfunction (hepatic encephalopathy).

This list is not exhaustive. For personalized advice regarding your specific digestive condition, please consult with Dr. Bhairavi Balram.

• Interpretation & Correlation of Advanced Digestive Health Diagnostic Tests: Expert analysis and clinical correlation of results from endoscopies, biopsies, imaging studies (CT, MRI, MRCP, ultrasound), breath tests (e.g., for H. pylori, SIBO, lactose intolerance), stool tests (e.g., calprotectin, FIT), motility studies, and genetic testing for GI conditions.
• Helicobacter pylori (H. pylori) Testing & Eradication Therapy: Diagnosis of H. pylori infection using breath tests, stool tests, or endoscopic biopsies, and providing appropriate antibiotic regimens for eradication to treat ulcers and gastritis.
• Chromoendoscopy & Advanced Imaging Techniques (e.g., NBI, FICE): Use of special dye sprays (chromoendoscopy) or electronic light filters (Narrow Band Imaging, Fuji Intelligent Chromo Endoscopy) during endoscopy to enhance visualization of mucosal patterns and improve detection of subtle lesions or precancerous changes.
• Irritable Bowel Syndrome (IBS) Comprehensive Diagnosis & Management (including subtypes IBS-D, IBS-C, IBS-M): Multifaceted approach to managing IBS symptoms (abdominal pain, bloating, diarrhea, constipation, mixed pattern) including thorough exclusion of other conditions, dietary modifications (e.g., low FODMAP diet), lifestyle changes, stress management, and targeted medications.
• Enteroscopy (e.g., Double-Balloon, Single-Balloon, Spiral Enteroscopy): Advanced endoscopic techniques allowing deep visualization, biopsy, and therapy within the small intestine, beyond the reach of standard endoscopes, for conditions like obscure bleeding or small bowel tumors.
• Capsule Endoscopy (Small Bowel & Colon): Non-invasive procedure where the patient swallows a vitamin-pill sized camera that takes pictures of the small intestine (for obscure GI bleeding, Crohn's disease) or colon (as an alternative to colonoscopy in select cases).
• Endoscopic Ultrasound (EUS) with Fine Needle Aspiration/Biopsy (FNA/FNB): Procedure combining endoscopy with ultrasound to obtain high-resolution images and tissue samples (FNA/FNB) of the digestive tract wall, surrounding organs (pancreas, liver, adrenal glands, gallbladder), and lymph nodes for staging cancers or diagnosing lesions.

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Balram for care relevant to your specific condition.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Alberta (CPSA) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Balram practices at a well-equipped gastroenterology clinic located within a hospital department in Edmonton's S Central neighborhood, near the University of Alberta, Garneau, and Windsor Park. The facility is conveniently situated close to landmarks such as World Waterpark and is easily accessible via public transit, including Edmonton Transit Service (ETS) light rail transit (LRT) and bus routes. The clinic is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, making it accessible for patients traveling by car.

Are consultations and procedures like endoscopies with Dr. Balram, a Gastroenterologist, covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Balram, as well as most diagnostic procedures (e.g., endoscopies for investigating symptoms, biopsies for medical reasons) and treatments for provincially insured digestive conditions (e.g., IBD, celiac disease, screening colonoscopies as per provincial guidelines, liver disease management), are generally covered by Alberta Health Care Insurance Plan (AHCIP) in AB when a referral from a family doctor or another specialist is in place. Procedures considered purely for screening outside of guidelines, or for non-medical reasons, and some advanced technologies or specific drug therapies might have different coverage. It's crucial to discuss coverage specifics for any proposed treatment or procedure with Dr. Balram's office, the hospital/clinic's financial services, or Alberta Health Care Insurance Plan (AHCIP) beforehand.

Do I need a referral from my family doctor to see Dr. Balram, a Gastroenterologist?

Yes, in nearly all cases, a referral from your family physician or another specialist (such as an internist or surgeon) is required to schedule an appointment with a Gastroenterologist like Dr. Balram for services covered by the provincial health plan. Gastroenterological issues often require initial assessment and preliminary investigations by your primary care provider. The referral ensures that a specialist consultation is appropriate, helps with prioritizing appointments, and facilitates coordinated care, including the transfer of relevant medical information.

What are some common procedures a Gastroenterologist like Dr. Balram typically performs?

Gastroenterologists like Dr. Balram are highly skilled in performing a range of endoscopic procedures. The most common are upper endoscopy (also called EGD or gastroscopy) to examine the esophagus, stomach, and duodenum, and colonoscopy to visualize the entire colon. During these procedures, She can take biopsies (small tissue samples for analysis), remove polyps (which can prevent colon cancer), dilate narrowed areas (strictures), control bleeding, and place feeding tubes. Other procedures may include flexible sigmoidoscopy (examining the lower colon), capsule endoscopy (swallowing a tiny camera to see the small intestine), and more specialized interventions like ERCP or EUS depending on their training and practice focus. Many also specialize in managing specific areas like hepatology (liver disease) or IBD.

What's the difference between Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)? Can Dr. Balram diagnose and treat both?

Yes, a Gastroenterologist like Dr. Balram can diagnose and treat both IBS and IBD, but they are very different conditions. IBD, which includes Crohn's disease and ulcerative colitis, is characterized by chronic inflammation and physical damage (like ulcers and strictures) to the digestive tract, visible during endoscopy and on biopsies. It's an autoimmune-related condition. IBS, on the other hand, is a functional gut disorder, meaning the GI tract doesn't work correctly, but there's no visible inflammation or damage on standard tests. IBS causes symptoms like abdominal pain, bloating, and altered bowel habits. While IBS can significantly impact quality of life, it doesn't cause the destructive inflammation seen in IBD. Diagnosis involves different criteria and investigations for each.

8440 112 ST NW
Edmonton, AB T6G 2B7

The facility is wheelchair accessible.

Dr. Balram is a licensed Gastroenterologist regulated by the College of Physicians and Surgeons of Alberta (CPSA) under the Health Professions Act in AB. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Balram for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=361a42a2-072e-4af1-bf5f-a603d0b974e0&i=133