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I am suffering from Irritable bowel syndrome and colitis like problem since last 10 11 years. Either it is constipation or loose multiple motion. Did many treatments but nothing lasted long again I am at the same place. My gall bladder was removed 15 years ago. Is it permanently curable or not I am also suffering from heavy anxiety issues.
I am 22 years male. I can't digest my food and feel heavy stomach and bloated stomach every time. This problem is from past 6 years.
I am suffering from pain in lower abdomen by two days. As I suppress that area, the pain increases. Please suggest me treatment?
I was having burping, farting one month back and started diarrhea after that. Doctor advised me for rifagut 400 and I taken it for 10 days. I feel better after that. But I was feeling pain for few seconds. Later now I again started suffering high pain in lower obdiman with diarrhea. I started rifagut 400 for 3 days but pain is not getting low. Then I consulted gastronologist he refer me VSL3, OFLOS O2. I am taking these medicine for 4 days. My pain is still same. After 2-3 hour I am going toilet and pain get released. Pls suggest:
For past one week facing severe gas trouble .had belching and flatulence for two days after that facing heartburn and stomach cramps some times. Belching and flatulence has been reduced. Also taking homeopathic medicines for these.
Suffering from acidity past one week sometimes heartburn or stomach cramps having homeo medicine for this any suggestion.
Excessive secretion of stomach acids brings about the problem of acidity with heartburn and dyspepsia being its common symptoms. There are foods as well as home remedies that can help you to get rid of this problem.
Some of them are:
1. Bananas - Being an excellent source of potassium, this fruit helps to keep acid production in balance. Moreover, certain elements in bananas aid in increasing the production of stomach mucus that helps to protect the organ from adverse effects of excessive acid production. Even its high fiber content promotes digestion, preventing the occurrence of acidity once again.
2. Ginger - Consuming ginger can help to bring about a significant improvement in digestion, superior absorption as well as proper assimilation of important nutrients. This root is helpful in protecting your body from stomach ulcers by enabling mucus production, thereby decreasing the negative effects of acid on the stomach.
3. Melons - Melons are also extremely good for fighting acidity. They have a pH of 6.1 and can be had as whole or as fruit juice. Whether it is watermelons or honeydew, these are refreshing fruits filled with nutrients. Each bite of a watermelon, for instance, contains high levels of Vitamins A, C, and B6, amino acids, antioxidants and lycopene as well as potassium.
4. Mint leaves - Even mint leaves are helpful in slowing down the acid buildup in the stomach while improving digestion. Its cooling effect can help to cut down the pain as well as burning sensation associated with acid reflux.
In addition to having these foods, there are certain home remedies that you can try for fighting acidity:
- It's wise to have your last meal about 2-3 hours before your bedtime to allow time for digestion of the food matter.
- You should always have your meals at regular fixed intervals. Keeping too wide a gap between meals can cause you to suffer from acidity.
- To curb instances of acidity, it's best to avoid spicy foods and caffeinated beverages.
- Having a glass of lukewarm water daily can also help in combating acidity.
The liver is an extremely instrumental organ in the human body. It not only aids in proper digestion but also fights outside infections that threaten the immune system in the body. Liver cancer and failure of it to perform its assigned functions are extremities of diseases faced by the liver. Hence, to avoid further complications such as spread of cancer, liver cancer surgery is the best option available.
Why is Liver Cancer Surgery Required?
Liver cancer surgery usually is for life-saving purposes. In some cases, cancer is totally removed from the liver, but in some cases, surgery helps in making the patient survive for longer than expected. Also, surgery is useful in stopping the advancement of cancer to the remaining parts of the body from liver. Depending on the condition, doctors decide the type of surgery method to be adopted.
When doctors come to a conclusion that surgery is the only respite left for treating cancer, the surgery decision is confirmed for the patient. There are certain diagnostic tests that the patient is made to undergo before surgery. Few of them are as follows:
- Biopsy: Entails excision of a small amount of liver tissue for analysis. It is ordered so that the extent of progression of the tumor before the surgery is known.
- ECG: An electrocardiogram is ordered before the surgery for examining the overall functioning of the heart.
- CBC: A Complete Blood Count (CBC) provides an idea of the platelet count along with red and white blood cell count. A difference in the CBC from the normal range may alert the doctor about any possible infections and so he/she may reschedule the surgery totally.
- Blood sugar testing: Blood sugar levels are also needed to check before the actual surgery.
Following given are the instructions patient needs to follow once surgery date is decided. The date for surgery is also then scheduled.
Day Before Surgery
Having to undergo surgery for liver cancer or for that matter any other cancer is a very distressing time for the person and his family members. Therefore having an idea as to what goes into the preparation stage can brace the person for taking precautions and then going in for the surgery. Following given are some other steps you can take to help ensure a better surgical outcome on your end:
- Rest and diet: Make sure to get plenty of rest. A healthy diet can help prepare your body for surgery.
- Smoking: You need to stop smoking at once when you get a go ahead for the surgery. Smoking can really delay recovery and slow the healing process. Lung complications can also be an after effect of the surgery.
- Pre-surgery tests: The doctor will make you undergo few requisite tests before surgery to know the levels of your physical well-being.
- Instructions: It is better to ask your doctor beforehand about the things necessary for looking after the incisions post surgery and the dosage of medication. Follow these instructions carefully. Know which side effects after surgery are normal and which may be signs of a complication.
- Leg exercises: The physiotherapist will teach you few leg exercises you need to immediately start doing post surgery for preventing formation of blood clots in your legs along with the medication prescribed.
- Breathing exercises: Knowing few exercises for breathing correctly post surgery is necessary to prevent contracting lung infections.
The probability of getting back to a fit and fine body like before depends on many factors like - the progression and growth of the tumors to other parts of the body, whether the person is having cancer for the first time, or whether his earlier cancer has relapsed. It also has got a lot to do with the person's general health, whether he has any other liver condition, and lastly if the person is a likely candidate for liver transplant if the cancer is not possible to go away by removal of the affected part of liver.
While the above mentioned were the types under which cancer is classified and the chances of recovery, the line of treatment varies according to patient. There are few types of standard treatments that are used for treating any person suffering from liver cancer. They are as follows:
Methods/Techniques of Liver Cancer Surgery
Liver Resection: Surgery for resection of the liver to remove affected parts is called liver resection. The surgery for it is also referred to as partial or full hepactectomy. Surgical resection of liver is feasible because liver is an organ that has regenerative capacity. A liver transplant becomes compulsory when the liver function is very poor and not up to the mark. At such times, removing the affected portion of liver would only result in liver failure, transplant from a donor is helpful. In such liver cancer cases, the old liver is removed and fitted with a new one.
Minimally-Invasive Laparoscopic Liver Tumor Resection A laparascopic procedure is decided based on the size and location of the tumors. In this minimally invasive approach of surgery for liver cancer. One or multiple incisions are made for being able to insert the laparascope. The incisions enable the doctor to insert the cameras and surgical instruments for performing the resection surgery. The minimally-invasive surgery involves faster recovery, less blood loss and lesser postoperative pain, fewer and smaller scars as compared to an open surgery. Depending on your condition, you may need only a short hospital stay.
Cryosurgery: This technique commences with the patient getting a general anesthetic injected. A thin metal probe then freezes the tumor with the help of cold gases that destroy the cancerous cells. The probe is inserted through the abdominal skin during this technique which is used for treating liver cancer. This method is also called as Percutaneous technique. The metallic probe may sometimes be inserted in the abdominal cavity for operating on the tumor. This technique is termed as intra-abdominal surgery.
Liver Transplant: A liver transplant is another surgical technique for elimination of liver cancer from the body. This method is not advisable for people suffering from bile duct cancer. Also, only people with one or multiple small liver tumors are considered for this treatment. It involves removing the entire liver for eventually replacing it with a healthy liver taken from a donor. People suffering from liver cancer and those who qualify for a liver transplant need to wait for a long time for getting the correct donor. As a result, cancer continues to grow and at that time, tumor ablation therapy is considered suitable for the patient till time being.
Isolated Liver Perfusion: This method is only used in rare liver cancer cases wherein the cancer is failing to respond to other surgical techniques. The name comes from, the procedural step wherein highly concentrated chemotherapeutic drugs are infused into the liver. As a result, hepatic circulatory system is separated from other sources that supply blood to the body.
Other than the above treatments, targeted therapies, chemotherapy, palliative treatment and radioembolization are used for treating patients suffering from liver cancer. That is decided of course on the basis of type, staging and progression of tumors.
The surgery duration depends on the complications and progression of the liver cancer inside. The time will differ from patient to patient.
- Recovery area - You will be moved to the recovery area from the operation theater once your surgery is done.
- IV-drip - An intravenous fluid drip is connected to a vein in your neck for giving you fluids and medicines.
- Oxygen mask - An oxygen mask is attached externally to your body to maintain a constant oxygen supply.
- Catheter - A catheter is left in your bladder for proper urinary functioning for 2-3 days from the surgery. Thereafter, the patient is kept in a High Dependency Unit to be kept under observation for few more days till he is declared fit to go home.
Do's and Don'ts... Post-Liver Cancer Surgery
Following listed are the recovery tips to be followed in the period post undergoing any of the above treatments listed for liver cancer of any stage.
- Incision care - The dressing placed to seal the incisions used during procedure need to be kept clean and infection free.
- Fatigue - It is normal to feel tired and upset over the few days post surgery. Memory retention and concentration is also very difficult; let it pass.
- Plenty of rest - You should allow yourself plenty of rest once you get the discharged from the hospital.
- Heavy physical activities - Avoid lifting heavy objects and attempting any pressuring tasks anywhere in the house.
- Driving - Avoid driving your vehicles for at least 6 weeks after surgery.
- Return to work - 3-4 weeks time is enough for cooling off the effects of surgery and returning to work thereafter. However, your doctor can be the best judge to advice about getting back to work.
- Alcohol - You should stay away from alcohol consumption for at least 6 weeks after surgery.
- Diet - It is advisable that you avoid eating hard or crunchy foods in the early part of your recovery period. Prefer juices, soups and related fluids that will keep you hydrated as well as energetic.
- Frequency of food intake - The gaps between food intake in the entire day should not be too much. This is so as to not disturb the liver functioning further more, as the functioning post surgery is obviously disturbed.
- Adequate nutrition - Make sure to include a balanced diet and nutrition categories in your everyday food post surgery. This is helpful not only in improving liver functioning but also in promoting regeneration of liver post any surgery for cancer elimination.
- Laxatives - You may be requiring laxatives for the first few days to have a smooth bowel movement. Emphasize on eating specific fruits like kiwifruit and prunes to clear the bowel properly without medication.
Risks and Complications
There are few complications associated with liver cancer surgeries mentioned above.
Liver Resection Risks
Bleeding post surgery is a common complication. Also, development of blood clots in legs post operation which is also known as deep vein thrombosis is another possibility. Infections developing at the site of surgery and leakage of bile from liver are 2 other complications coming with the liver resection procedure.
Liver Transplant Risks
Liver rejection is the most common side effect. It happens because the transplanted liver is relatively new to the body and also to the immune system. As a result, diarrhea, reduced energy levels, yellowing of skin and fever with high temperature are experienced by the patient. Also, there are likely side-effects because of medicines used during transplant that may cause high cholesterol, high blood pressure, weakened bones and kidneys etc.
Cryosurgery done for treating the liver cancer may cause hemorrhage, infection, damage to major blood vessels and bile ducts and at times also relapse of the cancer
This page included information on liver cancer surgery types and every detail a patient ought to know about what happens during, before and after surgery. The treatment method; whether surgical or non-surgical, depends on the age, grade of tumor, overall health and extent of progression of the tumor in the person's body. It is highly recommended that timely action is taken post consultation with your doctor and instruction are followed for fast recovery.
Sir have the fissure in anal reason. That's why ive problem for bleeding while waste excretion. My age is 23 can I treated naturally or required surgery. If required in how many days I recovered. If not required what treatment I should be do.in this reason I've faced problem of skin disruption how I can protect it.
Hello doctor. Am 22 years Female. I suffer from lower left abdominal pain. Pain is only on left side. Thou its not severe I could not be normal. Is this due to pcos?
Dear Doctors, I am 32 Year old Male, weight 78 kg. I am having gastric and acidity problem. Due to religious reason, I keep fast fortnightly, in which I do only dinner, and in morning and noon, I take fruits. My regular diet is 2 chapati in morning and 4 chapati at noon. Please suggest me substitute Quantity of fruits and milk for morning and evening diet, so that I couldn't feel acidic or any fatigue. Please answer.
I have done fibroscan test and result shown that my liver is fatty & present status is grade 2. What can I do to reduce fatty liver. Dr. Had prescribed medicine ie. Rifaximin-550 for 2 months. Kya mera treatment sahi ho raha hai. Koi aur upay hai to please help me.
Hello doctor. Am 22 years old. I have lower left abdominal pain. (Only left side). Thou its not severe I could not be normal. What it could be? Is it due pcos?
Gallstones are a medical condition in which the formation of stones takes place in the bile duct or the gallbladder. One of the major factors responsible for the formation of gallstones is an elevated excretion of cholesterol by the liver, most of which remains undissolved by the bile. The undissolved cholesterol may crystallize resulting in the formation of gallstones (yellow cholesterol stones, a condition termed as Cholesterol Gallstones). In some cases, increased level of bilirubin in the bile (triggered by a liver problem, liver damage or other medical conditions), which doesn't undergo a breakdown, may lead to stone formation (known as Pigment Gallstones). Here, the stones appear black or dark brown in color.
Gallstones are common among women, especially those who are 40 years and more. Obesity, diabetes, liver disorders, unhealthy diet (rich in fats and cholesterol), certain medications (those containing estrogen) can also trigger the formation of gallstones. Gallstones left untreated and unattended can give rise to serious complications such as blockage of the pancreatic duct (resulting in Pancreatitis) or the bile duct. There may also be inflammation of the gallbladder. In extreme cases, a person may even suffer from something as serious as Gallbladder Cancer.
Laparoscopy to remove the gallstones
- While a lot of treatments and medications are available to deal with gallstones, most people opt for Laparoscopy. What makes laparoscopic surgery superior to the other open surgeries is that it is minimally invasive with a better and quick recovery. Also termed as Cholecystectomy, the laparoscopic surgery for the removal of gallstones as well as the gallbladder involves the following steps.
- General anesthesia is given to the patients before the surgery.
- The surgeon makes 3-4 small incisions in the abdomen.
- The surgeon then inflates the stomach to get a better view of the internal organs (including the organs affected). Carbon dioxide gas is passed into the stomach to inflate it.
- In the next step, the surgeon carefully inserts a laparoscope (a narrow and long tube that comes with a high-density light and a front camera with a high-resolution) through one of the incisions (usually the one close to the belly button) to aid in the surgery.
- Nex,t the surgeon inserts the surgical instruments needed to get the gallstones and the gallbladder removed.
- Before the surgical removal of the gallstones and the gallbladder, an important X-ray of the bile duct called the Intraoperative Cholangiography (shows the bile duct anatomy) is done.
- With the gallbladder and the stones removed, the laparoscope and the surgical instruments are then removed and the incisions stitched carefully.
- The gallbladder is known to store the bile pigment. With the removal of the gallbladder, there is a small rearrangement. The bile pigments now move from the liver into the small intestine via the bile duct.
- The patients may require spending 1-2 days in the hospital. The patient is expected to be in a better shape (less discomfort) within 2-3 weeks.
- In case complications arise during the surgery, the surgeon may have to switch onto an open surgery. If you wish to discuss about any specific problem, you can consult a General Surgeon.
A bladder is an organ that stores urine in the body. A prolapsed bladder occurs when the tissue present between the vagina and the bladder is stretched, resulting in a bulge in the bladder. This can result in complications such as leakage of urine and difficulty in passing the same. Based on the severity of the damage, it is classified into four categories -
- Mild: A small area of the bladder bulges in the vagina
- Moderate: The bladder bulges near the vaginal opening
- Severe: Protrusion of the bladder occurs through the vaginal opening
- Complete: The entire area of the bladder protrudes completely from the body via the opening of the vagina
The symptoms of a prolapsed bladder are:
- Feeling of intense pressure around the pelvic area
- Infections related to the bladder
- Pain during sexual intercourse
- Tissues bulging out through the vaginal opening
- Pain in the lower back region
Prolapsed bladder is caused by:
- Childbirth: It can cause ligaments and pelvic muscles to weaken thus increasing their vulnerability to a prolapsed bladder
- The chances of this disorder increases when one is overweight
- Lifting heavy things
- Strain caused by bowel movements
- In some cases, it may result from a chronic cough
- Menopause, as it limits production of estrogen which helps in maintaining healthy tissues in the vagina
It is advised to check with a medical professional if you experience these symptoms, as a prolapsed bladder can worsen with time if left untreated.
Your stomach is lined with a mucosal membrane known as the mucosa and due to a variety of factors, it may become inflamed. This inflammation may cause a lot of problems and complications which are grouped under gastritis.
Symptoms of gastritis
- Upper abdominal pain,
- Reduction of appetite
- Blood in the stool amongst the others
Gastritis can be quite debilitating and limiting for the people affected by it.
The Ayurveda approach
Ayurveda is a holistic form of medicine which takes into account many factors rather than just the physical disposition and symptoms that strives to cure the patients of the illness in a well-rounded manner. To this effect, Ayurveda helps you treat this problem with multiple angles of attack such as herbal medications and special cleansing therapies among many others. Let’s take a look at some of the methods usually employed in various combinations among the patients.
- Changes in diet: Consuming any diet which has a lot of spicy and rich foods over prolonged periods may result in gastritis and other problems. If you already have gastritis, then certain other types of food also need to be excluded such as tea, coffee, sour foods, chilies and buffalo milk among others. These food groups are excluded as they may increase the acidity of the stomach which may cause an escalation of the problems. Some of the foods that may help with gastritis are grapes, pumpkins, bitter gourd, pomegranate, melons and cucumber, etc.
- Natural remedies: Some natural remedies that can be very effective in dealing with the symptoms of gastritis are mentioned below
- Ajwain and rock salt have been an age old remedy in treating multiple gastrointestinal disorders and can be effective in this case as well.
- Lemon juice is also very effective in treating symptoms or gastritis and also reducing inflammation.
- Take amla, ginger, and licorice either in a raw form or as a dried option or mixed with other things such as milk or honey. These help in regulating and reducing the acidity within the stomach.
- Ayurvedic medications: There are many specialized Ayurvedic medications which can be used to treat gastritis such as:
- Amalaki choorna
- Avipattikara choorna
- Sootashekhara rasa
- Sukumara Ghrita
- Dhatri Lauha
However, you should consult a specialist Ayurveda doctor as they can prescribe the correct medications for you after studying your specific symptoms.