GI Motility Disorders — Delhi's First Luminal Gastroenterology Lab
Motility disorders are diseases of how the gut moves rather than what it looks like — which is why endoscopy and scans are often normal while the patient suffers. In 2010 Dr Paliwal established Delhi's first dedicated luminal gastroenterology and motility lab in a private hospital, and he remains one of the very few specialists in the country focused on these conditions.
Symptoms
- Difficulty swallowing, chest pain, regurgitation (oesophageal)
- Early fullness, vomiting undigested food hours later (gastroparesis)
- Severe bloating, distension, intermittent obstruction without a blockage (pseudo-obstruction)
- Chronic constipation with straining and incomplete emptying (dyssynergia)
- Faecal incontinence
See a doctor urgently if
- Severe or worsening abdominal pain
- Vomiting blood, black stool or fresh bleeding with dizziness
- Jaundice with fever
- Unexplained weight loss, difficulty swallowing, persistent vomiting
PSRI Hospital emergency is open 24×7 — call +91 98104 55542.
Causes Dr Paliwal looks for
- Achalasia, distal oesophageal spasm, hypercontractile oesophagus
- Diabetic and idiopathic gastroparesis
- Chronic intestinal pseudo-obstruction
- Dyssynergic defecation, rectal hyposensitivity
- Scleroderma and other connective tissue disease
- Post-surgical and post-infectious dysmotility
Tests that settle it
Chosen for your case — never a fixed panel.
High-Resolution Manometry
Oesophageal and anorectal pressure studies — the definitive test for motility disorders
How it works24-Hour pH-Impedance Study
Measures every reflux episode over a day — proves or disproves GERD
How it worksBiofeedback Therapy
Retrains pelvic-floor muscles — cures most cases of dyssynergic constipation
How it worksBreath Tests (H. pylori, SIBO, Lactose)
Non-invasive tests for H. pylori, bacterial overgrowth and sugar intolerance
How it works
How it is treated
- High-resolution oesophageal and anorectal manometry (solid-state, 3D)
- 24-hour pH-impedance, gastric emptying and colonic transit studies
- Antroduodenal manometry for suspected pseudo-obstruction
- Pneumatic dilatation for achalasia; prokinetics and dietary modification for gastroparesis
- Biofeedback for dyssynergia and incontinence
Why Dr Paliwal for motility disorders
- Founded Delhi's first luminal GI lab (2010); pioneered solid-state and 3D HRM in Indian private practice
- 3,500+ manometry, pH and biofeedback studies
- Published on antroduodenal manometry; national faculty on motility
What to expect
Send your reports
WhatsApp scans, prescriptions and previous endoscopy pictures. The team books PSRI or the CR Park clinic.
Consultation
A proper history, examination and reports on screen. You leave knowing the likely cause and the plan.
Only the tests that matter
Breath test, FibroScan, endoscopy, manometry — chosen for your case, most done in-house.
Treatment & follow-up
Cause-directed treatment, diet plan from our dietitian, and review at the clinic or hospital.
Searching for "motility disorder specialist Delhi" or "gastroparesis treatment Delhi"? Dr Paliwal consults at PSRI Hospital, Sheikh Sarai (near Saket, Malviya Nagar) and at the Gut Liver Obesity Clinic, Chittaranjan Park (near Greater Kailash, Kalkaji, Nehru Place, Alaknanda) — with evening appointments for working patients from across South Delhi, Faridabad and Noida.
Questions patients ask about motility disorders
What is a motility test?
A test that measures pressure and movement in the gut using a thin catheter with sensors — done awake, takes 20–40 minutes, and shows exactly how the muscles are working.
Can gastroparesis be treated?
Yes — with diet changes, prokinetic medicines, glucose control in diabetics, and endoscopic or surgical options in refractory cases.
Related conditions
Difficulty Swallowing (Dysphagia)
Food sticking, achalasia, strictures
Symptoms, tests & treatmentConstipation
Motility lab and biofeedback, not more laxatives
Symptoms, tests & treatmentIncomplete Evacuation
Straining and the sense of blockage
Symptoms, tests & treatmentGERD (Reflux Disease)
Chronic reflux, confirmed and controlled
Symptoms, tests & treatmentBloating
Distension with a mechanism, not just gas
Symptoms, tests & treatmentWhat patients say on Google
Not sure which doctor to see? Start here.
Bring your reports. Dr Paliwal finds the cause, explains it, and orders only the tests that matter.