Doctor in Home of Healing Surgical Centre
Treatment of Abdominal Pain
Treatment of Swelling
Treatment of Hemorrhoids
Treatment of Colic
Treatment of Black eye
Treatment of Blood in Urine
Treatment of Breast Cancer
Treatment of Gallstones
Treatment of Burns
Treatment of Bladder Stones
Treatment of Keloid
Treatment of Stomach Cramps
Treatment of Breast lumps
Kidney Stones Treatment
Treatment of Appendicitis
Treatment of Urine Stone
Submit a review for Home of Healing Surgical CentreYour feedback matters!
The last stretch of the digestive system is the large intestine. Cancer of the large intestine is called colonic cancer. Like all cancers, in its initial phase, colonic cancer show up as a small benign lump of cells called adenomatous polyps. Gradually these polyps become cancerous.
What are the symptoms of colonic cancer?
Some common symptoms include-
• A break in the usual bowel routine like constipation or diarrhea
• In some cases, the consistency of the stool may change. This change lasts for more than a month.
• Bleeding during defecation or the presence of blood in stool
• Unexplained weight loss
Sometimes, not all the symptoms manifest themselves in the early phase of colon cancer. That is why, as soon as you experience even one of the symptoms, consult your doctor. If benign polyps are detected, doctors advise patients to undergo regular screening to keep tabs on the polyps.
What are the causes of colonic cancer
The exact cause of colonic cancer has not yet been identified. Healthy cells multiply following a particular code. When a cell’s DNA mutates abnormally, it becomes cancerous. The new cells that develop from it are also cancerous. This is how colonic cancer spreads. Cancerous cells even destroy healthy cells and tissues.
Is colonic cancer hereditary?
Gene mutations responsible for colonic cancer can be passed down along the blood line. These gene mutations do not make cancer inescapable but do raise the risk of cancer. In fact, very few cases of colonic cancer are actually hereditary.
The two common types of hereditary colonic cancer are-
Hereditary nonpolyposis colorectal cancer (HNPCC)- It is also called the Lynch Syndrome. This type of cancer develops by the time a person reaches the 50s.
Familial adenomatous polyposis (FAP)- people with this condition develop innumerable polyps along the lining of the colon and rectum and if left untreated progress to cancer.
• If someone in the family has colonic cancer, then a person should consider cancer screening in her/his 30s.
• A diet comprising leafy vegetables, whole grains, fruits is ideal. Vitamins, minerals, anti-oxidants can help prevent colonic cancer.
• Smoking and alcohol consumption should be limited.
• 30 minutes worth of exercise at least four days a week is recommended. At the same time, keep an eye on your weight.
Surgery for colonic cancer:
In the more advanced stages, a doctor may recommend surgery to remove the cancer affected segment of the large intestine. The type of surgery depends on the stage when the cancer is detected. Surgery could be either an open surgery or a laparoscopic surgery.
• Local resection: in the early stages of colonic cancer, the surgeon uses a colonoscope to scrape away the cancerous cell from the lining of the large intestine.
• Hemi Colectomy: removing a part of the colon is called hemi colectomy. Either the left side of the transverse colon and the descending colon are removed (left hemi-colectomy) or the right transverse colon and the ascending colon are removed (right hemi-colectomy).
• Total Abdominal Colectomy: the entire large intestine is removed from the lowest part of the small intestine. The rectum and the anus remain in their places. The ends of the small intestine are sewn together.
The symptoms of colonic cancer should not be overlooked. Worldwide, colonic cancer is the second largest killer among men and women combined.
A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat.
There are three types of tumors:
- Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
- Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
- Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.
The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.
What is a biopsy? How does it relate to a tumor?
A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.
- Excisional biopsy: In this method the entire lump of excess tissue is removed.
- Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
- Needle aspiration biopsy: Here the sample is extracted with the help of a needle.
After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.
When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides, it is called as hernia.
Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia. It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime.
Types of hernias:
Inguinal hernia - The groin is the most common area, where the abdomen pushes through a weak spot in the lower abdominal wall, causing a protrusion into the inguinal canal. More common in men than women.
Hiatal hernia - The abdomen has the diaphragm separating it from the thoracic cavity in the upper border. When it pushes through the diaphragm, a hernia is caused and there is almost always associated food reflux in these cases. Though the most common cause is associated old age, due to muscle weakness, there also are cases of congenital hiatal hernias.
Umbilical hernia - The abdomen finds a weak layer along its length and protrudes through the skin on the stomach. Most commonly seen in babies around the bellybutton, it gradually corrects itself on its own. Quiet rare in adults, seen during pregnancy and in chronic obese people.
Incisional - These are post-surgical, and happen when the organ protrudes through the weakened wall due to surgery. The abdomen is again the most common area and the hernia can happen either onto the external surface or internally, when they are called ventral hernias.
These are the most frequent types, though hernia affects other organs like the spine, brain, appendix, etc.
Treatment - This includes a combination of constant monitoring followed by a decision to do surgical treatment. Hiatal hernias and umbilical hernias can be monitored for a while before deciding on surgery. Inguinal hernias may require surgery earlier in the stage. Post-surgery, a mesh is placed to hold back the tissue in its corrected place. The umbilical hernia in children could be self-limiting. If it does not get auto-corrected in the first year of life, that also would qualify for a surgical treatment.
Dependent on each patient, hernias need to be managed under medical supervision.
There are many kinds of conditions and symptoms that require different kinds of surgery for treatment as well as diagnostic management. One such procedure is called a laparoscopy or the laparoscopic surgery. This is a surgical diagnostic management procedure that is known to be a low risk process with minimal invasion and suitable for various types of ailments.
- Definition: A laparoscopic surgery is one where small incisions are made and an instrument called a laparoscope is used in order to take a look at the organs in the abdominal region. This tool is a long tube shaped one that comes with its own high intensity light and a high resolution camera that can easily move along the walls of the organs while the camera sends back imagery that will be displayed on a video screen in front of the doctor. This avoids the need for an open surgery and helps the doctors in getting samples for a biopsy on an outpatient basis.
- Need for Laparoscopy: This procedure is performed when the patient complains of persistent pain that is also sharp and shooting, in the abdomen region and surrounding areas like the pelvic cavity. This non-invasive method helps in diagnosis where other imaging methods like an ultrasound and CT or MRI scans would have failed to give a conclusive reason for the pain and suffering of the patient. When these tests do not supply enough reason for proper diagnosis, then the doctors usually resort to this kind of procedure.
- The Organs it can be used for: The laparoscopic surgery can be used for many organs including the appendix as well as the gall bladder, the pelvic region and the reproductive organs, the small and large intestines, the spleen, the stomach, the liver and the pancreas.
- What all can it Detect: The laparoscopic surgery can help in detecting a number of issues including any abnormal growth or mass that may be a tumour. It can also point at the presence of any disease in the liver, as well as the proper functioning of certain treatments. Also, it can show the amount of fluid that may or may not be present in the abdominal cavity and the extent of cancer's progression in the body.
- Risks: There are a few side effects or risks of this method including fever, chills, swelling, bleeding or redness of the site where the incision was made for the surgery, and shortness of breath. All these symptoms must be reported to the doctor immediately as they may point at the presence of an infection. Also, there is a risk of organ damage in this procedure.
The word 'surgery' is often dreaded by most patients. Be it an invasive oral surgery or a keyhole gallbladder surgery, it does not evoke a ready "yes" in most patients. There are too many patients who are ready to be on long-term medications if they could avoid the surgery and its complications. While there could be swelling, bruising, tingling, and many other symptoms, the one feared by most is the postoperative pain. What happens after the effect of the anesthetic wears off can leave many patients in a very anxious and fearful state. The trick is to prepare oneself - not just for the surgery but for the after effects.
Before the surgery, a detailed discussion with the doctor on the following is very important:
- Complete list of medications including supplements so that the medications used during and after surgery to avoid any potential drug interactions
- Type and severity of the pain - This will help you anticipate and be prepared for the pain after the surgery.
- Pain tolerance/threshold - Letting your doctor know your tolerance levels can help them prescribe an appropriate pain killer
After the surgery, the following are some ways to cope with the pain:
- Pain killers - Don't wait for the anesthesia effect to completely wear out. Take the pain killer much before the pain starts so that the onset of pain is delayed or nullified. For severe cases, opioids may be used to manage immediate postoperative pain. However, in most cases, non-steroidal anti-inflammatories like ibuprofen are used. They may also be used up to a few days after surgery to ease the pain and inflammation, depending on the type of surgery.
- Topical creams/lotions - In cases involving skin incisions, these help reduce the pain in the skin along the incision.
- Compression stockings - In addition to reducing blood clot, they also reduce pain in the legs.
- Physiotherapy - If there is a joint involved, doing physiotherapy after surgery is extremely beneficial. In addition to reducing pain, they also help improve mobility.
- Sleep - Sufficient sleep (more than you normally would) promotes healing and helps your ability to cope with the pain.
- Heating pads and ice packs - If these are your regular remedies for pain, feel free to use them even in postsurgical pains.
- Reduce Stress - This will help you cope better with the pain and heal faster.
A given patient and a given surgery are a unique combination. No two patients will react the same way to a particular surgery. Postsurgical pain can be managed very effectively with a little planning.