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Dr. Senthil Kumar

MS - General Surgery, MCh Endocrine SURGERY

Robotic Surgeon, chennai

19 Years Experience  ·  500 at clinic  ·  ₹1 online
Dr. Senthil Kumar MS - General Surgery, MCh Endocrine SURGERY Robotic Surgeon, chennai
19 Years Experience  ·  500 at clinic  ·  ₹1 online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Senthil Kumar
He has helped numerous patients in his 19 years of experience as a Robotic Surgeon. He has done MS - General Surgery, MCh Endocrine SURGERY . Book an appointment online with Dr. Senthil Kumar on Lybrate.com.

Find numerous Robotic Surgeons in India from the comfort of your home on Lybrate.com. You will find Robotic Surgeons with more than 26 years of experience on Lybrate.com. Find the best Robotic Surgeons online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MS - General Surgery - MADRAS MEDICAL COLLEGE, CHENNAI - 1998
MCh Endocrine SURGERY - MADRAS MEDICAL COLLEGE - 2014
Languages spoken
English

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Does Heartburn Lead to Esophageal Cancer?

MCh HPB Surgery, Fellow, European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
Does Heartburn Lead to Esophageal Cancer?

Heartburn or acid reflex is a burning sensation that is felt in the throat or chest region after the intake of certain foods. While many of us must have felt heartburn once in our lifetime, too many occurrences such as this could be a fair indication of esophageal cancer.

How an acidburn is related to esophagus?
Esophagus is the tube which carries food from the throat to the stomach. In the case of an acid reflux, the acid from the stomach jumps to the esophagus leading to a condition known as the Barrett’s esophagus. This is a condition which replaces the tissue present in the esophagus with a similar kind of tissue found in the lining of the intestine. This being said, Barrett’s esophagus doesn’t necessarily lead to esophageal cancer.

Key symptoms of Esophageal Cancer
Difficulty swallowing is a key symptom of esophageal cancer. This condition is known as dysphasia. As the tumor grows bigger, it becomes more difficult to swallow food. Esophageal pain is also a common symptom reported by many patients. Loss in appetite and an unexplained weight loss are some of the other symptoms of this type of cancer. Although esophageal cancer does not show any visible signs in the early stage, some of the key indicators are chronic couch, indigestion and hoarseness of voice.

Key risk factors:
Some of the key risk factors for this type of cancer are as follows:

  1. Men tend to run a higher risk of getting this cancer than women.
  2. Esophageal cancer are often detected in people above the age of 55 or more
  3. Chronic tobacco users have higher chances of getting esophageal cancer
  4. Consumption of alcohol increases the risk of esophageal cancer
  5. Obesity increases the risk of acid flux thereby, leading to esophageal cancer
  6. Radiation treatment in the abdomen or chest area might also lead to esophageal cancer

How an esophageal cancer is detected?
Primarily there are 3 ways by which this cancer is detected. The first step for an oncologist to detect this cancer is to perform an endoscopy. If this fails, doctors often try a barium swallow on suspected patients and take an X-ray to understand the esophagus lining. If all this fails, doctors rely on a CT scan to detect this cancer.

How is esophageal cancer treated?
If a patient is lucky and the cancer gets detected in a very early stage, the tumor along with the infected cell can be surgically removed. Apart from surgery, some other alternatives are radiation and chemotherapy. A combination of radiation and chemotherapy or a surgery followed by radiation can also be suggested by the doctor. The treatment plan depends on the stage of detection.

1825 people found this helpful

GERD - 6 Ways You Can Manage It!

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
GERD - 6 Ways You Can Manage It!

Feeling acidic after eating a heavy meal can often make you regret those last few morsels. This acidic sensation is known as acid reflux or Gastroesophageal reflux disease, better known as GERD. GERD occurs when the functioning of the lower oesophagus muscles is restricted. This makes the undigested food in the stomach and stomach acids leak back into the oesophagus.

Thankfully, this is not something you have to live with and a few simple lifestyle changes can help resolve the situation.

  1. Do not lie down after eating: When your body is in a horizontal position, there are higher chances of food being regurgitated into the oesophagus. To avoid this, finish your meals at least 3 hours before going to bed. Sit upright while eating and do not lie down or slouch immediately after eating. This gives the food time to be digested and move out of the stomach.
  2. Limit your food intake: Overeating is one of the most common triggers of GERD. Cutting down your portion sizes can instantly reduce the number of GERD occurrences. Instead of eating large, heavy meals, shorten the duration between meals and have more frequent small meals.
  3. Avoid foods that trigger acidity: With time, you will soon realise which types of foods trigger an acidic reaction. Some common triggers are onions, peppermint, caffeine, citrus fruits etc. Keeping a diary can help identify such foods and ease your problem.
  4. Quit Smoking: Nicotine not only harms your lungs, but can affect your digestive system as well. It is responsible for weakening the muscles that control the opening between the stomach and oesophagus. This allows stomach acids and food from the stomach to re-enter the oesophagus. Alcohol can also worsen GERD symptoms and hence it is better to avoid alcohol is you suffer from frequent bouts of acid reflux.
  5. Lose weight: Overeating, obesity and acid reflux go hand in hand. Being overweight can put extra pressure on your stomach and abdomen, thus pushing food and gastric juices into the oesophagus. Losing this extra weight should effectively resolve your acid reflux problem if you are overweight.
  6. Look at your medications: Some types of medication too can cause acid reflux by interfering with the digestive system and irritating the oesophagus. These types of medication include blood pressure medication, asthma medication, Non-steroidal anti-inflammatory drugs, bisphosphonates, sedatives and painkillers. Do not simply stop taking these medications, but talk to a doctor about replacing them with something else.
6481 people found this helpful

Achalasia - Symptoms + Treatment

MBBS, MS - General Surgery, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellowship in Hepatobiliary Surgery & Liver Transplantation, International Visiting Scholar
Gastroenterologist, Hyderabad
Achalasia - Symptoms + Treatment

Achalasia is a serious disorder of the esophagus in which your nerves and muscles fail to work properly. This disorder causes problems in your body such as chest pain, difficulty to swallow food and excessive coughing.

You will also face problems in breathing in case the food enters in to the lungs. There is a valve in your lower esophageal splinter, which closes the esophagus from your stomach. If you have problems like achalasia then perhaps your lower esophageal splinter fails to open while swallowing food it can lead to accumulation of food in esophagus. In this condition the nerves in your body gets damaged and hence cause health complications.

You are at risk of achalasia when you are middle aged, but it can also occur during childhood. Auto immune disorder often places you at risk for achalasia.

Symptoms of achalasia:
The major symptom of achalasia is dysphagia in which you face problems while swallowing food. You may feel that the food is struck in your esophagus which causes choking and problems when you breathe. There may be other symptoms of achalasia which includes:
1. Loss of weight
2. Heart burn
3. Discomfort or pain while you eat food
4. Chest pain
5. Risk of esophagus cancer

Treatment for achalasia:
Esophageal manometry is a technique your doctor may use, if he suspects achalasia when the symptoms include difficulty while you eat and swallow foods. A tube measures the muscular activity in your stomach and reports about the functioning of your esophagus. Another way to diagnose is through X- ray of the esophagus or endoscopy.

The treatment for achalasia generally starts with oral medications. Sphincter nitrates and calcium blockers often help to relax the muscles. Botox can also help to relax your sphincter and help you swallow food.
Esophagomyotomy also helps to treat achalasia in which your doctor can use an incision to access the sphincter and also alter it to enable better flow into the stomach. It’s a generally successful procedure, but sometimes can cause Gastroesophageal reflux disease (GERD) which causes heart burn and would require intensive care. Sometimes surgery can also help to give relief but it can also cause acid reflux, respiratory problems, tearing of esophagus along with other serious complications.

Laparoscopic surgery is a simple and effective way of treating this problem .The tight lower esophageal sphincter is released to make way for easy passage of food.The patient recovers in one day and is discharged home following this operation. If you wish to discuss any specific problem, you can consult a gastroenterologist.

2977 people found this helpful

Keep Track Of Your Obesity And Avoid The Health Risks Associated With Obesity!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Keep Track Of Your Obesity And Avoid The Health Risks Associated With Obesity!

The word obesity in itself isn't a very pleasant sound. Being one of the most common problems in the world, it is become an epidemic in recent years. The best way to deal with it is to control it and to understand the symptoms and causes of obesity, one must know what exactly obesity is. Although there are multiple definitions of obesity, in general, obesity indicates weight that is greater than what is considered healthy. Even though a certain amount of body fat is necessary for storing energy, heat insulation, and shock absorption, an excess amount of body fat leads to obesity.

Causes of Obesity
A person’s weight is determined by a balance between calorie intake and energy expenditure. The body stores the excess calories in the form of body fat. The hormone leptin is responsible for the mechanism of fat regulation. If a person is suffering from leptin deficiency, then he can suffer from obesity. Also, diseases such as hypothyroidism and polycystic ovary syndrome contribute severely to obesity. Furthermore, body weight is determined by several factors such as an individual’s genetics, diet, metabolism, environment, culture, and behavior.

Obesity and Associated Health Risks
Obesity is not merely a cosmetic consideration but is also very harmful to a person’s health. Life expectancy is significantly reduced for people with BMI over 40. Obesity leads to insulin resistance which is a pre-diabetes condition that often leads to Type 2 (adult-onset) diabetes.Another major health risk of obesity is high blood pressure. Most obese people suffer from hypertension and increase in blood pressure is found more commonly in women than in men as a result of weight gain. Other health risks of obesity are cholesterol, stroke, heart attack and various forms of cancer such as breast and colon cancer.

How is Obesity Diagnosed?
Your doctor will give you a series of tests to confirm if you are obese. He will analyze your medical history taking into account your weight history, eating and exercise habits, your family’s health history, heart rate, and examination of heart, lungs, and abdomen.

Obesity is generally measured by calculating the body mass index (BMI). Body mass index takes into consideration a person’s height and weight as the two determining factors to calculate an individual’s appropriate weight. Body mass index is calculated by dividing a person’s weight in kilograms (kg) by their height in meters (m) squared. BMI shows high correlation with body fat content in adults since it exhibits a ratio between weight and height.

A full-grown adult with a BMI ranging from 25-29.9 is considered overweight while an adult with BMI over 30 is considered obese. An individual with BMI ranging from 18.5-24.9 is of normal weight. Waist circumference is measured to know the amount of abdominal or visceral fat stored around your waist. Women with over 35 inches waist circumference and men with over 40 inches waist circumference are prone to high risks of contracting diabetes and heart ailments.

It is a good practice to measure your BMI and Waist circumference once in a year. If they are more than the normal, it is best to consider a physician to get diagnosed with obesity and plan the best treatment option.

1 person found this helpful

Ovarian Cysts - 3 Ways it Can Treated

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Ovarian Cysts - 3 Ways it Can Treated

Ovaries are a part of a woman’s reproductive system. The primary function of ovaries include producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.

There are primarily two types of ovarian cysts:

1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.

2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.

Symptoms

Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.

Treatment

The treatment options for ovarian cysts are:

  1. Laparoscopy: Laparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
  2. Birth control pills: For chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
  3. Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.

Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition.

2556 people found this helpful

Bariatric Surgery: How It Is Helpful For Diabetics?

MBBS, MS - General Surgery, M.Mas, Diploma In Minimal Access Surgery, Fellowship in Minimal Access Surgery, FRS, FICS, F.I.A.G.E.S, FAMASI
Bariatrician, Chennai
Bariatric Surgery: How It Is Helpful For Diabetics?

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?

Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?

Diabetes can be of three basic kinds;

Type 1 diabetes in which the body produces no amount of insulin.

Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.

2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.

3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.

4. It successfully takes care of ailments resulting from diabetes.

5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take. If you wish to discuss about any specific problem, you can consult a Bariatrician.

3147 people found this helpful

Rectal Problems in Women - Doctor Recommended Tips

MCh HPB Surgery, Fellow European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
Rectal Problems in Women - Doctor Recommended Tips

Rectal problems in women are quite common. It is experienced by many women in some form or the other such as rectal itching, pain or bleeding. Rectal problems are more common in women than in men. These conditions need to be attended to immediately as severe rectal problems may cause several health problems. There are many ways to deal with rectal problems in women.

Treating rectal itching: Rectal itching is a common rectal problem. These can be treated by

  • Improve hygiene: You should clean the rectum area gently using cotton balls moistened with water. You should apply mild ointments to prevent irritation and soothe the skin.
  • Unscented toilet paper or unscented lotions and creams: You should use white toilet paper that does not have any scent. Scented soaps, creams or lotions should be avoided as it may cause further irritation. You can also apply ointments containing 1% hydrocortisone.
  • Control excessive sweating: Rectal problems may occur due to excess sweating. You should avoid sweating too much by wearing light clothes and using talcum powder for the absorption of moisture.

In case of excessive itching, you should follow the following tips:

  • Do not scratch the area as scratching may lead to further itching. You can take an oral antihistamine during the night to get better sleep.
  • You can take a warm sitz bath after every bowel movement, for at least three days, every day. The anus should be dried properly after the bath.
  • Abstain from foods that stimulate rectal itching like tea, coffee, aerated drinks, alcohol, chocolate, spicy food, tomatoes and excess vitamin C, for a period of two weeks.
  • You must maintain short fingernails to avoid injuries during scratching. To prevent unconscious scratching during sleep, wear cotton gloves.
  • Stress should be managed as increased stress may lead to enhanced rectal itching. When you are anxious, do not scratch the rectal area.

Treating rectal bleeding: Rectal bleeding is another problem, which may be accompanied by other rectal problems. In case of rectal bleeding, avoid taking aspirin or any other non-steroidal, anti-inflammatory drug. These drugs may cause bleeding in the digestive tract. This will increase the blood amount in your stool. Bleeding hemorrhoids can worsen by the intake of these medicines. For soothing pain, opt for an acetaminophen. Constipation and diarrhoea may also lead to rectal bleeding. However, it is advised to consult a doctor before consuming any medicine.

Prevention
For prevention of rectal problems, you must have a good sense of hygiene. Keep the rectum region clean and avoid sitting in the toilet for a long time. You should have a fiber-rich diet including fresh fruits and vegetables. Avoid food items, which may cause rectal problems. General rectal problems are not very serious and can be treated using simple measures. Maintaining proper rectal hygiene is very important to avoid rectal problems. It is highly recommended to visit a doctor if the problem persists.

6 people found this helpful

6 Symptoms of Gallbladder Attack!

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
6 Symptoms of Gallbladder Attack!

The gall bladder, which sits just below the rib cage to the right of the stomach, is very tender to touch. It is a little sac or storage compartment for bile, which is produced by the liver. The gallbladder emits bile into the small intestines via a duct referred to as the cystic duct. The entire process is meant to break down foods (namely fatty foods). 

Gallbladder attack symptoms may include one or more of the following: 

  1. Pain in the back right shoulder blade: Sometimes, pain radiates through to the back shoulder blade on the right side or in the middle between the shoulder blades. This is pain from the gallbladder affecting the back of the shoulder. This back shoulder blade chest pain is one of the most common yet unknown symptoms of a gallbladder disorder. This can come and go or be constant. It may be sharp, excruciating or dull. It may also occur especially at night. A gallbladder attack will typically last for one to four hours.
  2. Pain in the stomach: The most common symptom of a gallbladder problem is pain. This pain usually occurs in the mid to upper-right section of your abdomen. It can be mild and intermittent, or it can be quite severe and frequent. In some cases, the pain will begin to radiate to other areas of the body, including the back and chest.
  3. Nausea or vomiting: Nausea and vomiting are common symptoms among all types of gallbladder problems. But only a chronic gallbladder disease may cause digestive problems, such as acid reflux, gas, nausea, and vomiting.
  4. Diarrhea: Having more than four bowel movements a day for at least three months may be a sign of chronic gallbladder disease.
  5. Fever or chills: An unexplained fever may signal that you have a bile duct infection. If you have an infection, you need treatment before it worsens and becomes dangerous. The infection can become life-threatening if it's allowed to spread to other parts of the body.
  6. Unusual stools or urine:  Lighter-colored stools and dark urine are possible signs of a common bile duct block. If you wish to discuss about any specific problem, you can consult a general physician.
5391 people found this helpful

Adrenal Cancer - What Are The Symptoms?

Diploma in Diabetology
Endocrinologist, Mumbai
Adrenal Cancer - What Are The Symptoms?

Adrenal cancer is a rare and aggressive disease that causes abnormal cell growth inside the adrenal cortex. This cancer usually appears as tumors at the outermost layer of the adrenal glands and gradually develops cancerous cells. In the majority of the cases, adrenal cancer is diagnosed only after it has been growing for several years.

Symptoms
While most of the adrenal cancer patients have the common symptoms, often some people feel just fine, unless until their doctors find the presence of cancerous cells in the adrenal cortex through CT scan. Generally, the symptoms of this life-threatening disease depend on three factors, which are:

  1. The particular type of overproduced hormone
  2. The tumor producing hormones excessively
  3. And, type of the tumor

However, it is the overproduction of particular hormones, that makes the majority of the symptoms visible. Below are the common symptoms of adrenal cancer, depending on hormone types that are overproduced during the presence of this disease.

Symptoms of cortisol overproduction
When the presence of adrenal cancer leads to excess production of the cortisol hormone, people start experiencing different types of symptoms. The accumulation of fat behind the shoulders and neck, gradual weight gain in the stomach and chest portions irregular periods, and hair growth on the chest, face and back (in women) are the most prominent ones. One can also suffer from depression, weakness in legs, and easy bruising as other signs of cortisol overproduction.

Symptoms of aldosterone overproduction
As a result of the overproduction of the aldosterone hormone, people generally have feelings of excessive thirst, feelings of tiredness and weakness and sometimes high blood pressure. The desire of urinating frequently and painful muscle cramps too become evident due to the excessive production of aldosterone.

Symptoms of testosterone overproduction
When as a result of malignant tumors in the adrenal cortex the production of the testosterone hormone goes to higher than normal levels, it is considered to be overproduction. The voice becoming deeper, excessive invasion of acnes, irregular periods become prominently visible symptoms of this kind of adrenal cancer. Even, excessive growth of body hair or the facial hair and heightened muscle mass are some of its common symptoms.

Symptoms of estrogen overproduction
The growth of the breast in males and the early puberty in females are the most common symptoms of adrenal cancer where the malignant tumors overly produce estrogen hormone. Even decreased sex drive or impotence in males can be considered as its other serious symptoms.

Apart from the above mentioned adrenal cancer symptoms, in some cases, the adrenal tumors become so big that they start pressing the nearby organs which leads to signs of abdominal pain or feelings of fullness in the belly. The moment one identifies having any one of the signs discussed here, he or she should look for medical attention immediately. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

1935 people found this helpful

I am having peculiar main, I feel colon is not cleaned, I was having PAN-D, BECELAC and HIFENAC for last 5 days after I told my doctor about gastric, loose stools and pain. I had simple food these past days, still I have this pain, undigested food particles in stool and quantity is less. I feel some matter is still stuck inside causing me pain. Any pointers for some cleansing medicine or any other observation from this. I have discontinued the usage of the above medicines now.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
1.Take 2/ 3 glass of warm water in the morning 2.Take little more water in the day 3.Eat more fruits and green vegetables 4.No fried/ spicy/ junk/ processed/ fast food, no maida products 5.No tea/ coffee/ cold drinks 6.No alcohol 7.Reduce wt 8.Daily morning walk for 30 mts 9.Deep breathing exercise for 10 mts daily 10.Fiber Foods that are high in insoluble fiber include whole grains, fruits, and vegetables. Try wheat bran, brown rice, or whole grain bread. Soluble fiber- Prunes and figs can be added to breakfast or eaten as a snack. 12.Take a glass of hot milk with sugar at night before sleeping For medicine contact on private consultation Good luck.
1 person found this helpful
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Ovarian Cancer - 4 Highly Effective Treatment Options Available

MBBS, DGO, MD - Obstetrics & Gynaecology
Gynaecologist, Mumbai
Ovarian Cancer - 4 Highly Effective Treatment Options Available

Ovarian cancer takes place when the cells in either of your ovaries have an abnormal growth. The ovaries are two small organs, situated on either side of your uterus. They deliver female sex hormones and store and discharge eggs (ova) that help a woman reproduce. Ovarian cancer is a serious disease that emerges from various sorts of cells and growths inside the ovary.

Specialists do not know precisely what causes ovarian cancer. Hereditary qualities, for example and other DNA changes, are a danger element for few ladies. Around 10 out of 100 ovarian cancers are thought to be brought about by quality transformations in the BRCA1 or BRCA2 genes. Women who go through changes due to these carrier genes are more at risk of contracting ovarian cancer.

The earliest symptoms of ovarian cancer are as follows

  • Frequent bloating in the uterus or stomach area.
  • Pain in your pelvis or belly.
  • Inconvenience while eating, or feeling full quickly.
  • Urinary issues, for example, a critical need to urinate or urinating more frequently than expected.


Treatment options for ovarian cancer

The decision of treatment and the long-term result for ladies who have ovarian cancer relies upon the sort and phase of cancer they are in. Your age, general wellbeing, personal satisfaction, and wish to get pregnant should be considered. The primary treatment methods for ovarian cancer are:

  1. Surgery to see whether you have cancer or not and to treat it. This may include taking an ultrasound and biopsies to check for the spread of cancer.
  2. Chemotherapy, which uses medications to kill the cancerous cells. It is suggested after surgery for most phases of ovarian cancer.
  3. Women who are in a more progressive stage of ovarian cancer may have a portion of their chemotherapy before surgery and whatever is left of it after surgery. This can make the surgery more secure for these women.
  4. Radiation treatment might be utilized to pulverize the cancer cells with the help of high-measurement X-ray beams or other high-vitality beams.

Side Effects of Treatment Methods:

Most medications for ovarian cancer cause reactions. They may vary, depending upon the kind of treatment, your age and general well-being. Reactions of surgery rely on the degree of your surgery and spread of the disease. In case your specialist removes your ovaries, you lose the capacity to bear children or get pregnant. Furthermore, in case you were all the while bleeding before your surgery, you will begin with your menopause.

Symptoms of chemotherapy may incorporate loss of appetite and weight, queasiness, fatigue, vomiting, nausea and hair loss. There is also a possibility of getting a very serious infection. One should get regular or annual check-ups done to see if there are anomalies in either parts of the bodies since natural symptoms of cancer are only visible after a certain stage. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3835 people found this helpful

3 Ways To Treat Ovarian Cysts!

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
3 Ways To Treat Ovarian Cysts!

Ovaries are a part of a woman’s reproductive system. The primary function of ovaries includes producing ‘ova’ or eggs and secreting hormones such as progesterone and estrogen. Cysts are fluid-filled sacs that form the ovaries; they usually do not cause any symptom and are not painful.

There are primarily two types of ovarian cysts:

1. Follicle cysts: During a woman’s menstrual cycle, the egg develops in a sac known as the follicle. Under normal circumstances, the sac breaks open and releases the egg. When this doesn’t happen, fluids start accumulating in the follicle to form a cyst.

2. Corpus luteum cysts: Follicle sacs dissolve after releasing the egg, but in some cases, these sacs remain and the opening of the sacs gets sealed. It again results in fluid accumulation, leading to the formation of corpus luteum cysts.

Symptoms

Usually, cysts do not cause any symptom. If the size of the cysts increases, they may cause symptoms such as stomach pain, pain during bowel movements and sex as well as pelvic floor pain. The breasts may become tender and one may experience rapid breathing. Other symptoms of ovarian cysts are fever, nausea and dizziness. Usually, rupturing of a cyst leads to these symptoms surfacing; hence you would know when exactly to call the doctor.

Treatment

The treatment options for ovarian cysts are:

  1. Laparoscopy: Laparoscopy is carried out if the cysts are small in size. An incision is made close to the navel, through which an instrument is inserted to get rid of the cyst.
  2. Birth control pills: For chronic ovarian cysts, oral contraceptives are prescribed to stop the ovulation process in order to arrest the formation of cysts.
  3. Laparotomy: In case of large cysts, this procedure is recommended. A relatively bigger incision is made in the abdomen, through which the cyst is removed.

Ovarian cysts, if left untreated, can certainly cause infertility. Pre-menopausal women and who suffer from frequent hormonal imbalances in the body are the most vulnerable to this condition. If you wish to discuss about any specific problem, you can consult a gynaecologist.

How Anal Fissures are Diagnosed?

MS - General Surgery, MBBS
General Surgeon, Jaipur
How Anal Fissures are Diagnosed?

An anal fissure is a small tear or crack in the lining of the anus which causes sharp pain, bleeding, itching, or burning.

An anal fissure can affect people of all ages, and it’s often seen in infants and young children. Constipation is a common problem in this age group and it is a major cause of this problem.

An anal fissure usually isn’t a serious condition. In most cases, the tear heals on its own within four to six weeks. In cases where the fissure persists beyond eight weeks, it’s considered chronic, or long term.

Symptoms-

  1. A visible tear in the skin around the anus
  2. A small lump of skin just next to the tear
  3. A sharp pain in the anal area during bowel movements
  4. Streaks of blood on stools or on wiping
  5. Burning or itching around the anus

Causes-

  1. Straining during childbirth
  2. Straining during bowel movements as a result of constipation
  3. Chronic constipation
  4. Diarrhea
  5. Inflammatory bowel disease (IBD)
  6. Overly tight anal sphincter muscles

In rare cases, an anal fissure may develop due to:

  1. Anal cancer which occurs due mostly to ano-receptive sex without barrier protection
  2. HIV infection
  3. Tuberculosis
  4. Syphilis
  5. Herpes

Let’s take a closer look at these risk factors.

  1. Anal fissures are common in infants and young kids. Older adults also become prone to anal fissures as the blood flow to the anorectal region decreases.
  2. Women also become prone to these fissures due to straining during childbirth.
  3. The inflammation that occurs in the intestinal lining in people with IBD makes the tissue around the anus more prone to tearing, further causing fissures.
  4. People who frequently experience constipation are at an increased risk for fissures. Also, one can suffer from fissures due to straining and passing large, hard stools. In both these cases, one may experience tears in the anal lining.
  5. Frequent diarrhea can also tear the skin around the anus and so can ano-receptive sex without protection. This can lead to sexually transmitted diseases like genital herpes, HIV/AIDS and infection with HPV virus which causes anal cancer.

Treatment-

Treatment usually helps control anal fissures and the discomfort it causes. Your doctor will prescribe stool softeners and topical pain relievers to stem discomfort. However, if these do not make your anal fissure go away then surgery may be required. And in addition to this, your doctor will also need to look for other underlying causes that can cause anal fissures like for example anal cancer.

Diagnosis

  1. An anal fissure can be diagnosed by simple physical exam. The doctor looks at the area around your anus and follows it up with a rectal exam to confirm the diagnosis.
  2. This can mean the use of an anoscope. In this, the doctor inserts an anoscope into your rectum to be able to see the anal tear.
  3. An anoscope is a thin tube and it allows doctors to inspect the anal canal. An anoscope is also used to diagnose other causes of anal or rectal pain such as hemorrhoids or piles. If you wish to discuss about any specific problem, you can consult a General Surgeon.
3231 people found this helpful

Obesity - How It Impacts Your Sexual Life?

GAMS-Ayurveda, MD-TCM
Sexologist, Faridabad
Obesity - How It Impacts Your Sexual Life?

When a person makes choices which are not prudent when it comes to food and exercise, he or she is only causing himself or herself problems which are contained around the waistline. As a matter of fact, these problems can also manifest themselves into not so pleasant experiences in the bedroom.

It is believed that the more overweight a person is, greater will be the impact on his or her life span. This not only affects the life expectancy or quality of life of such a person over that period of time, but the ramifications can also be seen on his or her sexual life. Here are two important issues obese people are likely to face, if they don’t watch their weight.

  1. Problems in conceiving: A pregnancy is something which can be a matter of great joy or equally great consternation, or a mix of both these emotions. However, women who are obese are four times more likely to have an unplanned pregnancy in comparison with their relatively fit peers.
  2. Libido trouble: While ailments such as diabetes and heart disease may seem to be lifestyle diseases, it can be said that they do not even leave a person’s sex life unharmed. For men, the difficulty is felt when trying to get or maintain an erection, and this can seem to be insurmountable. Similarly, female libido or interest in sex can be greatly dulled.

Obesity is something that is a growing problem in today’s world and while getting up and going out for a run or being modest with portions of food, which are consumed may seem to be things which do require a lot of motivation. The benefits which are accorded to a person’s sex life can be said to make these sacrifices well worth it!

The effects of this in the case of a person who is in a relationship can be even greater, as a study conducted by the World Health Organisation or the WHO did conclude, rather interestingly, that when a person is in a relationship, there is a rather strong correlation between the body mass index (BMI) of the partner to what he or she has. So, an effort to get healthier and to free oneself from the onerous shackles of obesity, which are pretty much the biggest kill joys, can be a wonderful and greatly rewarding experience. If you wish to discuss any specific problem, you can consult a sexologist.

5476 people found this helpful

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.

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Have you tried changing your diet along with the medication? Are there any other symptoms you are experiencing? H pylori usually causes gastritis and ulceration. In most cases, taking antacids helps with the symptoms. Long term unhealed ulcers may shape up to become cancerous. Having an endoscopy done and if required a biopsy is not harmful.
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Hernia Surgery - What You Need To Know About It?

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Hernia Surgery - What You Need To Know About It?

Hernia is a small protrusion or escape of any structure or organ through nearby weak spot or muscle. There are several types of hernia like inguinal hernia (direct and indirect), femoral hernia, umbilical hernia, umbilical hernia, epigastria hernia and incision hernia. This hernia can be removed and relocated to its original position and secured with special type of hernia mesh to prevent the recurrence of hernia.

When hernia surgery is required?
Hernia is not a serious health issue that requires surgery immediately. But surgery is essential only during the following situation-

  1. Size of hernia is more than half an inch.
  2. Hernia causes severe pain and causes much physical discomfort.
  3. Hernia causes disfigurement.

Types:
There are two different methods used for hernia surgery:

  1. Open hernia repair: Open surgical incision is made near the herniated site and the surgical procedure is done and secured with a mesh work. This surgical procedure requires several preparatory measures to be done before surgery. There is also blood loss and recovery period after surgery is also more than other type of surgeries.
  2. Minimally invasive hernia repair: The surgery is done with a laparoscope which has small tiny camera, small synthetic hernia mesh and small tool with it. So the patient can return back to their normal routine earlier as the incision made is smaller.

Before undergoing hernia surgery:

  1. One week before surgery it is much essential to stop taking drugs that are causes the thinning of the blood. Drugs like aspirin should be stopped with the doctor’s advice.
  2. Stop herbal supplements and check the fitness of your cardio and diabetes
  3. Gain adequate knowledge about surgery and be prepared for the post surgical care

After hernia surgery:

  1. Avoid heavy weight lifting , exercises, and physical works with excessive strain few weeks after surgery
  2. Cough or laugh loud only with a support to the surgical site till one week after surgery. If you wish to discuss about any specific problem, you can consult a General Surgeon.
1885 people found this helpful

5 Myths About Ovarian Cysts

MHA, PGDPMC, DGO, MBBS
Gynaecologist, Delhi
5 Myths About Ovarian Cysts

Hearing a doctor diagnose you with 'ovarian cysts' can make your mind think of the worst case scenarios, but this is actually quite a common diagnosis. Almost all women are diagnosed with ovarian cysts at some point of their life. The difference lies in the type and size of cyst diagnosed. Hence, before you panic, read up and get informed. However, not everything you read online is trustworthy. Like every other health condition, ovarian cysts are surrounded by a number of myths.

Let's debunk five of the most common myths surrounding this condition:

  1. Myth - It requires a surgery: Contradictory to what you may initially think, not all ovarian cysts are harmful. In most cases, these cysts are small, non cancerous and will be resolved on their own. Surgery is needed only in cases where the cyst is abnormally large or where the cyst is diagnosed as a dermoid cyst or as endometriomas. Hence, if you have been diagnosed with an ovarian cyst find out how big the cyst is and what type of a cyst it is.
  2. Myth - It causes infertilityBeing diagnosed with a cyst in your ovaries will not make you infertile or restrict your ability to bear a child. However, it can lead to complications that may cause infertility. If these cysts become infected it could lead to scarring of the fallopian tubes. This is one of the most common causes of infertility. Another situation in which an ovarian cyst may lead to infertility is if it is associated with endometriosis.
  3. Myth - They are cancerous: With ovarian cysts, every case is unique. However, in most cases, the cysts do not develop into cancerous cells and neither are they cancerous to begin with. A pelvic ultrasound can help your doctor diagnose the type of cyst present in your body. If the doctor deems it cancerous, he or she will usually advise surgery to remove it immediately.
  4. Myth - It only affect women after menopause: A cyst can develop in the ovaries at any stage of a woman's life. A number of women could even develop cysts that they are not aware of. In some cases, women can even develop these cysts post a hysterectomy that does not involve the removal of the ovaries.
  5. Myth - It cannot be controlled: If you suffer from recurrent ovarian cysts, taking birth control pills can help the situation. This can suppress the development of cysts in future. Losing weight if you are overweight or quitting smoking can also lower the risks of developing ovarian cysts.
4396 people found this helpful

GERD - Reasons Why You Should Not Ignore The Signs!

MBBS, MD - Medicine, Masters in Evidence Based Medicine
General Physician, Delhi
GERD - Reasons Why You Should Not Ignore The Signs!

Are you experiencing frequent and extended heartburn on a regular basis? This might indicate that you are having gastroesophageal reflux disease (GERD). It is a type of digestive disorder that affects your lower esophageal sphincters. The condition involves the return of the stomach’s content back to your esophagus. Although heartburns are common, GERD involves chronic heartburns, which require an adequate treatment.

Here the some important reasons why you should not ignore the symptoms of GERD:

  1. Esophagitis: In case of GERD, the food, acid and digestive juices flow back from the stomach to the esophagus. This leads to irritation and swelling with time, which is called esophagitis. In case you have acid exposure in your esophagus for a few weeks, inflammation of the lining is indicated. This can be very painful and uncomfortable, making the esophagus more prone to scarring and further erosion.
  2. Esophageal stricture: If esophagitis continues for a long time, scar tissues can lead to the narrowing of the esophagus. This is known as a stricture, which makes swallowing very difficult and painful. Large chunks of food may get stuck and you are more likely to choke while eating or drinking. You may tend to avoid food and water because of esophageal stricture, which may result in weight loss.
  3. Throat and voice problems: Apart from heartburn, several other symptoms may also appear because of GERD. These are called cases of silent reflux where you may not experience heartburn. Instead, other issues are indicated which include voice hoarseness, voice changes, sore throat and chronic coughing.
  4. Breathing problems: If stomach acid is inhaled after regurgitation, the symptoms of asthma and pneumonia may worsen because of GERD. Shortness of breath and breathing difficulties are likely, even without any lung problem.
  5. Tooth decay: When the stomach acids and digestive juices go back to the esophagus and into the mouth, it leaves a sour taste. In case it occurs frequently, it wears away your tooth enamel and results in tooth decay. People experiencing acid reflux induced erosion may be unaware of the damage being caused until it reaches peak stages.
  6. Esophageal ulcers: Stomach acid may result in the wearing away of the esophageal lining, resulting in ulcers and sores. These esophageal ulcers are different from stomach ulcers, which occur from bacteria. Patients with esophageal ulcers may vomit blood, and notice blood in stool. It is usually darker than its usual shade and may have the texture of coffee ground like particles.

It is important for you to visit a doctor immediately after experiencing the symptoms of GERD. This condition may cause severe distress if you let it advance, and hence, early diagnosis and treatment are very important. If you wish to discuss about any specific problem, you can consult a General Physician.

3323 people found this helpful

Colonscopy

S.A.C.R surgeon
General Surgeon, Jaipur

What is a colonoscopy?
Colonoscopy is a procedure that enables your surgeon to examine the lining of the colon and rectum. It is usually done in the hospital or an endoscopic procedure room on an outpatient basis. A soft, bendable tube about the thickness of the index finger is gently inserted into the anus and advanced into the rectum and the colon.

Why is a colonoscopy performed?
A colonoscopy is usually done:
1) as part of a routine screening for cancer,
2) in patients with known polyps or previous polyp removal,
3) before or after some surgeries,
4) to evaluate a change in bowel habits or bleeding or,
5) to evaluate changes in the lining of the colon known as inflammatory disorders.

What preparation is required?
The rectum and colon must be completely emptied of stool for the procedure to be performed. In general, preparation consists of consumption of a special cleansing solution or several days of clear liquids, laxatives and enemas prior to the examination. Your surgeon and his or her staff will provide you with instructions regarding the cleansing routine necessary for the colonoscopy. Follow your surgeon’s instructions carefully. If you do not complete the preparation, it may be unsafe to perform the colonoscopy and the procedure may have to be rescheduled. If you are unable to take the preparation, contact your surgeon. Most medications can be continued as usual. Medication use such as aspirin, Vitamin E, non-steroidal anti-inflammatories, blood thinners and insulin should be discussed with your surgeon prior to the examination as well as any other medications you might be taking. It is essential that you alert your surgeon if you require antibiotics prior to undergoing dental procedures, since you may also require antibiotics prior to colonoscopy. You will most likely be sedated during the procedure and an arrangement to have someone drive you home afterward is imperative. Sedatives will affect your judgment and reflexes for the rest of the day. You should not drive or operate machinery until the next day.

What can be expected during colonoscopy?
The procedure is usually well tolerated, but there is often a feeling of pressure, gassiness, bloating or cramping at various times during the procedure. Your surgeon will give you medication through a vein to help you relax and better tolerate any discomfort that you may experience. You will be lying of your side or your back while the colonoscope is advanced through the large intestine. The lining of the colon is examined carefully while inserting and withdrawing the instrument. The procedure usually lasts for 15 to 60 minutes. In rare instances the entire colon cannot be visualized and your surgeon may request an additional test such as a barium enema or a CT colonography.

What if colonoscopy shows an abnormality?
If your surgeon sees an area that needs more detailed evaluation, a biopsy may be obtained and submitted to a laboratory for analysis. A biopsy is performed by placing a special instrument through the colonoscope. Most polyps can be removed at the time of the colonoscopy. The majority of polyps are benign (non-cancerous), but your surgeon cannot always tell by the appearance alone. They can be removed by burning
(fulgurating) or by a wire loop (snare).

It may take your surgeon more than one sitting to do this if there are numerous polyps or if the polyps are very large. Sites of bleeding can be identified and controlled by injecting certain medications or coagulating (burning) the bleeding vessels. Biopsies do not imply cancer, however, removal of a colonic polyp is an important means of preventing colon and rectal cancer.

What happens after colonoscopy?
Your surgeon will explain the results to you after your procedure or at your follow up visit. You may have some mild cramping or bloating from the air that was placed into the colon during the examination. This should quickly improve with the passage of the gas. You should be able to eat normally the same day and resume your normal activities after leaving the hospital. Do not drive or operate machinery until the next day, as the
sedatives given will impair your reflexes. If you have been given medication during the procedure, you will be observed until most of the effects of the sedation have worn off (1-2 hours). You will need someone to drive you home after the procedure. If you do not remember what your surgeon told you about the examination or follow up instructions. Call your surgeon’s office that day or the next to find out what you were supposed to do.
If polyps were found during your procedure, you will need to have a repeat colonoscopy. Your surgeon will decide on the frequency of your colonoscopy exams.

What complications can occur?
Colonoscopy complications include bleeding from the site of a biopsy or polypectomy and a tear (perforation) through the lining of the bowel wall. Other complications of the procedure include the possibility of missed polyps or other lesions.
Should a perforation occur, it may be necessary for your surgeon to perform abdominal surgery to repair the intestinal tear. Blood transfusions are rarely required. A reaction to the sedatives can occur. Irritation to the vein that medications were given is uncommon, but may cause a tender lump lasting a few weeks. Warm, moist towels will help relieve this discomfort.
It is important to contact your surgeon if you notice symptoms of severe abdominal pain, fevers, chills or rectal bleeding of more than one-half cup. Bleeding can occur up to several days after a biopsy.

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