Submit a review for Hormone Tumour CliniqYour feedback matters!
Colon cancer as indicative of the name is cancer primarily affecting the colon or the large intestine. While colon cancer is considered the third most common type of cancer affecting people worldwide, it is also one of the most preventable types of cancer, if diagnosed and treated on time.
Colon cancer does not suddenly turn malignant and life-threatening. In quite a few cases, the tumor appears benign, also known as Adenomatous Polyps. With the passage of time, the adenomatous polyps (some, if not all) progress into colon cancer. In this article, I will emphasize upon the causes and proper management of colon cancer.
What acts as the trigger for colon cancer?
Like most of the other cancer forms, the exact cause of colon cancer is hard to decipher. However, in many cases, gene mutations have been found to play a pivotal role resulting in cancer formation in the colon. The mutations, as expected, is often an inheritable trait that can be passed on to subsequent generations. The following inheritable mutations make a person as well as their immediate family more susceptible to developing colon cancer.
1. FAP or Familial Adenomatous Polyposis is characterized by the formation of many polyps within the lining of the rectum and the large intestine. These polyps though start off as a noncancerous mass of cells have the potential to develop into cancerous cells over a time period. Thus, the condition should be treated at the earliest as people (FAP left unattended) stand a near 100% risk of suffering from colon cancer before reaching 40.
2. Lynch syndrome is another inheritable medical disorder that results from the mutation in the gene that is responsible for DNA mismatch repair. With the gene unavailable for the repair, the DNA undergoes damage with deleterious consequences. Also known as Hereditary nonpolyposis colorectal cancer, the condition often plays a significant role in the development of colon cancer, especially in people below 50 years.
3. Further, an unhealthy diet comprising primarily of high fat and low fiber foods can wreak havoc, with colon cancer being one of the possible consequence. Increased consumption of red meat, processed meat as well as alcohol can also act as a catalyst triggering colon cancer.
4. Obese as well as diabetic patients also stand a higher risk of suffering from colon cancer.
Management and Proper Care
As per reports, colon cancer is one of the least prevented types of cancer worldwide. There can be a myriad of factors responsible for the late detection and treatment. Proper care and management can go a long way to reduce the incidence of colon cancer.
2. People above 40 years and those with a family history of colon cancer should undergo regular health checkups and screenings.
4. Take care of the diet. Avoid eating fatty foods on a regular basis. Consume more dietary fiber.
5. Lead an active and healthy lifestyle. Be involved in any active exercise/sports or at the minimal walking.
Ovarian cysts are common and most women will have at least one during their life. In most cases they do not display any symptoms and are discovered only during routine physical exams and ultrasounds. In most cases, it is nothing to worry about but in rare cases it can lead to complications and hence it is best to get an ovarian cysts checked out by a doctor.
Ovarian cysts usually affect women in their child bearing years. They can be described as fluid-filled sacs that develop in either of the ovaries. In an ultrasound image, these can look like small bubbles. Problems usually arise when these cysts grow larger or rupture.
In such cases, you may experience symptoms that include:
- Pain in the lower abdomen
- Painful intercourse
- Irregular menstruation
- Painful urination and bowel movement
- Pelvic pain after exercising
- Nausea and vomiting
- Spotting between periods
- Heartburn and indigestion
If the doctor suspects ovarian cysts, an ultrasound is usually used to confirm the diagnosis. A pelvic ultrasound or a sonograph as it is also known is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the body’s internal structure. In some cases, an endovaginal ultrasound may also be required. This involves inserting a covered wand or probe into the vagina through which a clearer image of the ovaries can be seen.
If the cyst does not trigger any of the above symptoms, it usually does not require treatment. Instead a pelvic ultrasound may be scheduled after a month to check on the size of the cyst. In most cases, these cysts resolve themselves within a month or two. In the case of larger cysts, a biopsy may be required to rule out the chances of the cysts being cancerous. Birth control pills may be prescribed to address the pain associated with this condition. These pills are also used to stop ovulation and reduce the risk of developing further cysts.
Surgery is considered only if the cyst grows in size or continues to pain. In such cases, surgery can be of two kinds: laparoscopy or laparotomy. Laparoscopy involves the removal of cysts through a telescope like an instrument that is inserted through a small incision made in the abdomen. This is usually used to remove small cysts. Larger cysts and ovarian tumours are treated with a laparotomy. This involves making a bigger incision in the stomach and may also involve the removal of the ovaries, fallopian tubes and uterus depending on the tumour.
I had gall bladder operation on 8th April, 2017 (calculi measures 3.4 mm to 4.0 mm). Since then I am suffering from acidity and chronic indigestion, I took advice from so many docs and everyone prescribed ppis. Lastly I did UGIE and report says I have hiatus hernia (sliding) & GERD. My symptoms are indigestion whatever I eat, it also happens when it totally veg meals, vomiting tendency all the day, headaches, dry cough at night, breathing shortness, burping with acidic taste of last food I took, loss of appetite day by day. I Suffering this last 6/7 months and didn't experience any improvement by taking of ppi throughout this phase. Additionally I would like to mention one more thing I totally changed my lifestyle such as I use take small meals, do not lie down within 2 hrs after taking food, started yoga. But still facing early mentioned prob. Is there any chances of get rid of this problem? Because as time goes by it becomes a psychological problem as it affects my daily and private life.
The lifestyle factors like keeping a gap of more than 2 hours between meals and sleeping or lying down can help you to reduce acidity.
Hernia is generally an effect of intense physical exertion and the chances of ailing from hernia largely depend on genetics. It is a condition when a specific organ pushes through a muscle wall or any membrane inside a human body and is treated via surgical procedures.
Post-operative hernia care is very critical to avoid any potential complications. People treated via a surgical technique for hernia need to give themselves sufficient days of bed rest, followed by weeks of relaxation to avoid straining the body in any way. During the recovery phase, it is essential to follow the advised post-operative care like to avoid smoking, running up the stairs, or following any strenuous exercise regime. One can definitely go for a walk and drink lot of fluids or consume a lot of fibre and vegetables.
A big no to smoking and yes to fluids!
ncreased intake of fluids is recommended after patients who have undergone a surgical treatment to treat hernia. We receive a good amount of fluid before and during surgery, however post-surgery the fluid intake typically decreases. Minimizing fluid consumption can lead to constipation. Avoiding fluids after hernia surgery can interfere with the bowel movements as the stools become dry and hard. Higher fluid intake will soften the stools and make bowel movements easier. As the body passes the unwanted food via large intestine, water re-absorption occurs here. If consumption of nicotine and narcotic pain medications is increased, it affects this process further. If the body does not replenish the fluids adequately it is known to cause dehydration and further drying and hardening of the stools. To restore proper hydration to all aspects of the body, is it imperative to re-establlish the adequate fluid intake soon after surgery. One should also limit nicotine intake after hernia surgery. Risk of complications post-surgical treatments are heightened to a great extent if one stays on a smoking regime. Possibilities of developing an infection in the surgical incision are increased. It is also known to cause acid reflux symptoms. Smoking after hernia repair should be avoided until six to eight weeks post-surgery.
Exercise to maintain a healthy weight
Though strenuous workouts are not encouraged after hernia surgery, physical activity under guidance can stimulate bowel movements and relieve constipation. Light exercises such as walking are encouraged to promote weight loss. Exercises focused on muscle movement of legs, arms and shoulders and chest and back help burn calories and enhance metabolism. This aids in weight reduction. Try to begin with an exercise plan at least consult your therapist immediately. You can start walking to the extent you feel comfortable after surgery. With no specific limitation, always remember to listen to your body. One should avoid lifts and exercises like squatting. You can work out on your abs gradually with minor sit-ups. Strengthening abdominal muscles is advised by conducting exercises like lifting the knees in the air and shoulders slowly off the ground. If there is no pain, this exercise can be repeated. Deep breathing exercise should also be practiced to oxygenate the blood flow thereby expediting the healing process.
Increased usage of laxatives
To stimulate and hydrate the intestinal tract and avoid constipation, one should enhance the usage of laxatives and stool softeners. Consult your medical expert to opt for an over-the-counter laxative for hernia repair. One should not hesitate take an over-the-counter laxative for the first week after surgery. Use bulk-forming laxatives. They help in easier defecation of stools. It should take about three to five days to see positive results. Some examples of bulk-forming laxatives include methylcellulose, oat bran and polycarbophil. The dosage of such laxative should be increased gradually for the digestive system to adjust to this change. Other laxative agents such as Milk of Magnesia, Metamucil and Dulcolax tablets are also available in the market, which can be consumed after consulting the medical expert. These agents are safe and effective. Common problem after an an inguinal hernia repair is constipation which may also be worsened by pain killers. Consequently, they also help with post-operative constipation.
Consumption of fibre and vegetables
Fibre to an individual’s diet should be added slowly post hernia surgery as it can lead to complications varying from gas and bloating to abdominal cramps. Since hernia operation involves intestines to be pushed back inside the abdominal wall, intake of diet rich in fibre and fruits and vegetables will ensure smooth and easy bowel movements. This also helps to relieve the pain post inguinal surgery. Any excessive intake of dairy products should be avoided to ward off constipation. Some examples of foods rich in fibre are beans, whole grains, fruits and green leafy vegetables which are also known to prevent irritable bowel syndrome. Fibre rich food also helps to maintain the integrity of collagen and elastin of the abdominal wall along with lubrication of the intestines.
Keep the wound clean
Cleanliness is the key to quick recovery after surgical treatment of hernia. It is advisable to use a sponge or a towel for the first few days. This will help to keep the wound clean and avoid any kind of infections. Always follow your doctor’s instructions. Precautions like covering the wound while coughing helps. Surgical treatments can get contaminated too soon, therefore always follow stringent measures to keep the area clean and sterilized at all times. Until the incision heals, hygiene is of utmost importance. Before taking a shower, cover the surgical area with a plastic bag or use another technique to keep it dry. Keep a watch for any signs of infection. The use of non-absorbable mesh grafts could lead to infections or foreign body reactions if sanitation is not taken care of. Any kind of swelling or bluish discoloration at the incision site should be treated with an ice pack for 24-48 hours to relieve the swelling and discomfort. You may opt to keep a small pillow with you to avoid any discomfort while coughing. Taking a shower is advisable only after 24 hours after you go home unless you have drains. In case of metal clips or sutures not being visible, they are under the skin and will dissolve after 3 – 4 weeks.
Resuming activity after hernia repair
You will be able to mobilize post hernia surgery depending upon your surgical treatment. Hernia can be treated with various medical techniques like conventional surgery or laparoscopic surgery depending on the condition of the patient. The hernia which has been treated laproscopically allows the patient to return to their regular routine faster as compared to recovery from the conventional surgery which takes a little longer due to pain and soreness around the wound. Generally a doctor advises the patient on the amount of discomfort they might experience and precautions that need to be taken before resuming to daily routine. Precautions like standing up slowly should be taken care of Activities such as swimming or driving need to be avoided as they put a strain on the incision. The same holds true for office routine. Individuals who are in a desk job can usually can return to work within a week or two but where work require strenuous activity or heavy lifting require several more weeks of rest before they return to their job.
Follow-up on your appointment
It is imperative to schedule a follow-up visit 7-10 days after your surgery. Your doctor will check if the wound has healed completely or in case you need some special care including dosage of anti-biotics for few more days. He will also let you know in case any special precautions need to be taken to expedite the healing. In case of any change in your diet is required, your medical expert will guide you through it. In case your insision has not healed or if there is any kind of discomfort, talk to your doctor about it. If all is well, your doctor will remove your stitches in case they are not the ones that dissolve on their own. Or maybe your dressing will be changed depending upon the wound healing and the swelling and bruising checked. At this stage the doctor will also discuss the post-operative care and assess your condition to return to work. It is highly unlikely to suffer from any severe post-operative snags. Mild complications like blood clots or urinary problems may persist, for which your doctor will advise required medications, but these are extremely rare. You should also consult your doctor about when you can resume specific activities such as sports, heavy labor and lifting. Post your initial check-up, you should plan on weekly checkups to further avoid any risks until next four weeks. It is important to get regular medical checkups while following the precautions.
The gallbladder is a small organ found beneath the right side of the liver and it works by collecting and concentrating BILE, a digestive fluid produced by the liver. The bile helps in digesting fats in the small intestine.
Gallbladder problems are usually caused due to the presence of gallstones in the gall bladder. These are small and hard stones made up of cholesterol and bile salts. You are more prone to get gallstones if you are-
- Over 40
- Are pregnant
- Have a family history of gallstones
The gallbladder is not an essential organ, and its removal is one of the most common surgical procedures performed on patients today. This is a low risk surgery and can even be performed on pregnant women.
In short, the primary advantages of surgically removing the gallbladder over nonsurgical treatment are that it can rule out gallstones and prevent gallbladder cancer in the future. And the removal of this organ is not associated with any impairment of digestion in people.
Benefits of Gallstone surgery
There are no known means through which you can prevent gallstones. And once you get gallstones, you will suffer from:
These symptoms present themselves as the gallstones block the flow of bile out of the gallbladder, causing it to swell. You may also become more prone to jaundice.
Disadvantages of non-surgical treatments-
Non-surgical treatments are available for gallstones, but these are temporary. They include dietary adjustments and reduction of fat intake.
These treatments have a low success rate and symptoms usually continue unless the gallbladder is removed. Hence, surgical removal of the gallbladder is the time-honoured and safest treatment of gallbladder disease.
Types of Gallstone surgery
- Open procedures- Until the early 1990s, gallstone removal was done through open cholecystectomy, in which the gallbladder was removed through a wide incision in the abdomen.
- Nowadays, laparoscopic cholecystectomy is the standard procedure. In this, small incisions are made to remove the gall bladder.
- This type of surgery is done in patients who have inflammation in the gallbladder, but they have no gallstones. It is also being done in those who have gallstones, but no symptoms.Laparoscopy has replaced open cholecystectomy as it offers some significant advantages: shhort down time- You can leave the hospital and resume normal life much earlier, compared to open surgery.
- Smaller incisions and less postoperative pain and disability.
- Fewer complications.
- Less expensive in the long term.
However, a few experts believe that the open procedure has a number of advantages over laparoscopy, like:
- Faster to perform.
- Less of a risk for bile duct injury compared with laparoscopy.
But all said and done, open surgery has more overall complications than laparoscopy. Another point to note, is that bile-duct injury rates with laparoscopy are declining steeply.
Plz tell me about the post laparoscopic hysterectomy precautions. What things are taken care by patient after laparoscopic hysterectomy surgery.
I have left side inguinal hernia also feeling the symptoms of hiatal hernia tell me about best laparoscopic surgeon at Patna and Jamshedpur and what would be the cost for operation?
Prostate cancer is a very painful disease to go through. However, what some people do not realize is that prostate cancer is equally disturbing from a psychological view point, both for the patient and the family. Here are some psychological impacts of prostate cancer:
1. Shock, fear or anger
These are immediate reactions and you could feel any or all of these feelings when the disease is first reported to you. These feelings may continue for some time but if the patient is unable to come out of the state of the anger for a long time, then he may need psychological help.
Sometimes you may feel well and deny the fact that you have prostate cancer or not realize you really do. Accept it. This is the first step to curing it.
This is also a natural feeling and will haunt you till this disease is gone. However, there are many ways to help reduce it.
This is usually related to the side-effects in the early stages of prostate cancer. Trust your doctor. Finding a support group or talking to people in similar conditions may help.
6. Mood swings
This is one of the side effects of the hormone therapy used to treat prostate cancer. It may cause you to get angry and anxious and then tearful and depressed.
Some men are overly worried about their prostate-specific antigen or PSA test results. The anxiety may continue even after the PSA test is over.
8. Sense of loss
Hormone therapy causes many physical changes in your body, including weight gain, changes in your sex life as well as reduced physical strength. Few things will be the same after prostate cancer in all honesty. Talking to the people around you can help more than you know.
While prostate cancer can cause all sorts of negative emotions, it is crucial that you use your family to stay strong and do not slip into depression. There are also a few patients who accept this diagnosis well, if properly counselled. In the majority of cases, prostate cancer grows slowly. In those cases, new drugs are available which help the patient lead a near normal life.
Its been 2 years suffering from Eosinophilic Esophagitis is there any permanent treatment for this. Please give some light on it with treatment ways.
Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid is produced in the stomach, it starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, amongst others. So what does one do to deal with GERD? Here's a brief list!
- Obesity: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.
- Alcohol and Smoking: The muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.
- Go Gluten Free: Adopting a gluten free diet can help you cut out ingredients including grains and dairy products that contain more protein than what your digestive tracts can handle.
- Other Dietary Measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit so that it can pass through the digestive tract faster.
- Smaller and Well Timed Meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing of stomach acids.
- Exercise: Ensuring that you do not take a nap or lie down right after a meal and putting in a small amount of exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.
Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required.
In case you have a concern or query you can always consult an expert & get answers to your questions!
GERD or gastroesophageal reflux disease is a chronic digestive disease which occurs when the stomach acid and at times the contents in your stomach flows backwards into the food pipe. The backwash or reflux irritates the esophagus's lining and hence causes GERD. Individuals may manage GERD's discomfort by changing their lifestyle and by taking over-the-counter or OTC medications. But, certain people might also require stronger medications or surgery for reducing the symptoms.
Some of the basic signs include chest pain, burning sensation in the chest, dry cough, difficulty in swallowing, sore throat, etc. If you experience such symptoms at least twice a week or if your physician notices damage in your food pipe, then you might undergo diagnosis. Though drugs are the primary GERD treatment yet, an individual can manage it by following certain tips which may give relief.
Few ways to manage GERD- self-care tips:
- One of the effective ways to help yourself is by consuming smaller meals. Instead of taking three big meals regularly, you may try having smaller meals frequently and avoid stuffing.
- Almost all individuals tend to have dinner just half an hour before sleep, but this might affect GERD patients. It is best to eat 2 hours before going to bed as by doing so your stomach will get enough time to digest the food.
- Due to a hectic schedule and fast paced lifestyle, people tend to eat as quickly as possible. To manage GERD, one must eat slowly and put down the spoon or fork in between each bite.
- Changing the daily diet by striking off the trigger foods is beneficial in managing GERD symptoms. Though the food triggers vary from one person to another yet, it includes coffee, chocolate, peppermint, alcohol, tomato, citrus juices, onions, spicy and high- fat foods, etc.
- Sleeping with the head end of the bed elevated by 6 inches is a very effective way of reducing night time reflux. It is also advisable to sleep on your left side . Never sleep on the right side as this position promotes reflux. Medications to reduce acid production are the mainstay of the medical treatment.
- One always has to ensure that they are following the various lifestyle changes along with the medication. Other medications include pro kinetic medicines which help the stomach empty. Surgery always remains the last resort in the treatment of GERD. Endoscopy is required for the diagnosis or GERD Prior to any surgery a Manometry and 24 hr ph merry test is compulsory.
If you are suffering from GERD symptoms frequently, then you may maintain a diary for figuring out which foods are giving you trouble.
When is a surgery required?
If lifestyle changing tips and other medications fail to provide any relief, then physicians recommend undergoing surgery.
- Surgery is done for strengthening lower esophageal sphincter and also for reinforcing it. The surgery for reinforcing lower esophageal sphincter is performed by surgeons laparoscopically. The surgeon inserts instruments like a tiny camera and flexible tube by making 3-4 incisions in the abdomen. This surgery for managing GERD may be quite effective.
- Experts state that candidates who undergo GERD surgery are those who are unwilling to take GERD drugs or are not getting relief from them. While choosing a surgeon, it is better to consider one who possesses huge experience of the particular operation which you need and also with a good track record.
- So, you must visit a doctor if you experience frequent gastroesophageal reflux disease symptoms. It won't be a good decision to take OTC medications without your doctor's recommendation if you notice arm or jaw pain along with difficulty in breathing as these are signs of heart attack.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My mother is a case of esophageal cancer and I am diagnosed with h.pylori. Infection only on the basis of rapid blood test. No biopsy could be done due to swelling in my oesophagus, and after having medicines i. E lansoprazole, clarithromycin and tinidazole, no improvement is noticed. Need I go for biopsy of easophaegas. Please help.
Hello! My grandpa had esophageal cancer had has undergone a surgery one year back but we did not do the chemotherapy as her age is 65 above. Now she experiences loss of appetite, vomiting, regurgitation, indigestion, weakness. Doctor said that some part of her digestive tract has swollen up so are there any chances of growth of cancer cells once again?
The fallopian tubes are a couple of thin tubes that act as a vehicle in transporting a woman’s eggs (ova) from her ovaries (where they are housed) to her uterus (otherwise known as the ‘womb’) where they are either fertilized by the male sperm or disposed off during menstruation. Fallopian tube cancer, otherwise known as tubal cancer, forms in the fallopian tubes that connect the ovaries and the uterus.
It is hard to see a tumour or growth developing within a tube. This makes fallopian tube cancer hard to diagnose and complicated to manage as well.
If you do have fallopian tube cancer, it is vital to get a quick diagnosis as promptly as possible. This will help you to get effective treatment. However, diagnosing fallopian tube cancer can be challenging because of the following:
It is an uncommon kind of cancer.
The indications are vague and like those of different other conditions.
Discovering a tumour inside the Fallopian tube is troublesome.
In case you have symptoms that may point at fallopian tube cancer, your specialist will conduct a thorough physical examination and get some information about your lifestyle and your family history. A pelvic examination will be done to examine your uterus, ovaries, fallopian tubes and vagina. If a tumour is found, your specialist will do some more tests.
At least one of the accompanying tests might be utilised to see whether you have fallopian tube cancer and if it has spread. These tests additionally might be used to see whether the treatment is working. These diagnostic tests may include the following:
Ultrasound of the Pelvis: This test is helpful. However, in case that your specialist still suspects fallopian tube cancer, he or she will arrange a transvaginal ultrasound. During this test, a probe will be put into the vagina to deliver a photo of the inner organs. A transvaginal ultrasound is the best method for imaging the fallopian tubes.
CT or CAT (computed axial tomography) scan
MRI (magnetic resonance imaging) scan
Biopsy: A sample of cells is removed from the fallopian tube and examined closely, under a microscope. This is the best way to know for sure whether you have fallopian tube cancer. This will require surgery to extract the sample cells.
CA125 test: This blood test checks the levels of CA125, a known tumour marker for gynecologic cancers. An abnormal state of CA125 may mean you need to have more tests. However, it does not necessarily mean you have fallopian tube cancer. Serum levels of a marker called CA-125 can be unusually high in patients with gynecologic infections in cancer and non-cancer sorts, that is, pelvic inflammatory infection, endometriosis and early pregnancy. CA-125 can be non-specific and might be elevated because of numerous issues that are not cancer related.