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Dr. Senthil Kumar

MS - General Surgery, MCh Endocrine SURGERY

Robotic Surgeon, chennai

18 Years Experience  ·  500 at clinic  · ₹1000 online
Dr. Senthil Kumar MS - General Surgery, MCh Endocrine SURGERY Robotic Surgeon, chennai
18 Years Experience  ·  500 at clinic  ·  ₹1000 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 18 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 37 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.

Info

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

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Health Benefits Of Barley

Diploma in Diet n Nutrition, BHMS
Homeopath
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Did you know barley water is good for kidney stones?
Barley (jau), a member of grass family, is a cereal that has been cultivated for over 13, 000 years. Packed with carbohydrates (78%), fat (1%), protein (10%) and water (10%), barley is a rich source of essential nutrients, dietary fiber, vitamins such as niacin, manganese, phosphorus and vitamin B6.

With several health benefits to its name, barley water is termed as the elixir to good health. It has been found to be beneficial in reducing chances of heart disease, soothing bowels, reducing blood cholesterol levels, improving blood sugar regulation in the body and acts as nutritive broth for fever, cold and cough. Additionally, studies support that barley water has also been found to play an integral role in maintaining renal health.

What is a renal stone?
A renal stone is a solid stony piece consisting of crystal forming substances in the urinary tract. They are usually formed when the urine is abundant in substances such as calcium, oxalate and uric acid and lack substances that inhibit their accumulation. While small kidney stones can pass through the urinary system without any symptoms, a stone larger than 5 mm can result in blockages in the urinary tract causing severe pain in the back and lower abdomen.

What causes renal stones?
- A family history for stones, lack of adequate water in the body, high BMI, excessive intake of diets rich in protein, sodium and sugar have been found to be some of the common causes for stone formation.

Try protein foods & supplements
-medical conditions such as hyperthyroidism, inflammatory bowel syndrome and renal tubular acidosis have also been found to alter the digestion of calcium.

How does barley water aid the dissolution of renal stones?
Studies show that regular use of barley water can dissolve and eliminate existing kidney stones and prevent the occurrence of stones and other kidney problems. Use of diuretics either natural or synthetic can help speed up the expulsion of the stone.

Diuretic in nature, barley water helps to flush toxins from the kidneys by creating bladder pressure and increasing the frequency of urination.

- It helps maintain the PH levels in the body, making it alkaline, preventing various urinary tract issues, including kidney stones.

- The vitamin B6 and magnesium in barley helps break down the masses of toxic calcium oxalate (primary cause for stones) in the kidney.

Dietary fiber in barley reduces the amount of calcium that is excreted by the body through urine, restoring renal health and cleansing the kidneys.

Ways to prepare barley water:
- Boil 1 litre of water with a tablespoon of barley pearls and boil on a low flame for about 30 minutes or until the water has reduced to half.
- Strain and cool this mix and drink it through the day.
- Add lemon juice or honey to make the mix tasty

Regular use of barley water ensures that the renal system is hydrated, healthy and free of depositions such as renal stones. So, go ahead and add this elixir to your diet to ensure a healthy renal system and a healthier you. Eat healthy, stay healthy!
Health Benefits Of Barley

Bladder Tumor and Its Common Causes

MBBS, MS - General Surgery, DNB - Urology
Urologist
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The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.

Causes of Bladder Tumors

In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.

1. Hereditary: A strong family history of cancer predisposes a person to cancer.
2. Gender: Men are 3 times more prone for bladder cancer than women.
3. Ethnicity: White people are more prone for bladder cancer black people.
4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.

Types of Bladder Tumor

Depending on the extent of the cancerous spread, it can be of two types:

1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.

The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.

Diagnosis

From the most noninvasive to the most invasive diagnostic test, these include:

1. Urine microscopy to detect cancer cells in the urine
2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.

Treatment

Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.
Bladder Tumor and Its Common Causes

5 Myths About Ovarian Cysts

MHA, PGDPMC, DGO, MBBS
Gynaecologist
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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.

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.

Myth - It causes infertility
Being 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.

Myth - They are cancerous
With ovarian cysts, every case is unique. However, in most cases, the cysts to 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.

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.

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.
5 Myths About Ovarian Cysts

Hi i Small cyst in right breast at 12 o click position Clarified lesion in the right breast at 3 o click position BIRADS - II Few small well defined hypoechoic areas seen in the left lateral chest walls BIRADS -II.

General Surgeon
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Dear lybrate-user BIRADS 2 Indicates that mostly its a benign lesion, hypoechoic generally means a fluid filled cavity. Consult a surgeon. If it's bothering you, it is best to get it removed.

All about Menorrhagia

Fellowship In Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Menorrhagia is menstrual condition characterized by an abnormal loss of blood or heavy, prolonged bleeding. Although heavy bleeding is not uncommon in premenopausal women, menorrhagia is a severe condition which generally interferes with your daily activities. If your vagina bleeds irregularly or between periods, in addition to such heavy bleeding that at least one pad or tampon gets soaked every few hours, it is highly recommended that you seek medical attention.

Symptoms
Signs and symptoms of menorrhagia include:

Soaking through more than one tampon or sanitary pad for every few hours
The need to use double sanitary protection
Heavy bleeding for weeks on end
The need to wake up at night to change your sanitary protection
Restriction of daily activities due to heavy menstrual flow
Symptoms of fatigue, such as excessive tiredness as well as shortness of breath

Causes
Although the exact causes are unknown, here are a few causes that may be responsible:

Hormonal imbalance is when there is an hormone imbalance, the endometrium develops in excess and sheds away with menstruation
In Ovary dysfunction, if your ovaries do not ovulate, your body won't be able to produce the hormone progesterone resulting in a hormonal imbalance which may lead to menorrhagia
Uterine fibroids are benign tumors which start appearing in your childbearing years
Polyps are small benign growths found on the uterine lining
Adenomyosis occurs when your glands from the endometrium becomes embedded in the uterine muscle
By using Intrauterine device (IUD) menorrhagia may occur as a side-effect
Pregnancy complications, for instance, an ectopic pregnancy can cause it
Inherited bleeding disorders, such as von Willebrand disease
Certain medications like anti-inflammatory drugs
Other medical conditions, like pelvic inflammatory disease or endometriosis

Treatment
Treatment for menorrhagia depends on a number of factors like the cause and severity of the condition, or your tolerance for specific therapies or medications.
Some drug therapies for menorrhagia include:

Iron supplements
Tranexamic acid
Oral progesterone
Non steroidal anti-inflammatory drugs
Oral contraceptives
Hormonal IUD

If drug therapy is ineffective, other treatment options may include:

Dilation and curettage
Focused ultrasound ablation
Uterine artery embolization
Endometrial ablation
Myomectomy
Endometrial resection
Hysterectomy
All about Menorrhagia

Health Quote of the Week

DM in Nephrology, MD in Internal Medicine, MBBS
Nephrologist
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Blueberry is loaded with special compounds that helps reverse free radical kidney cell damage.
Health Quote of the Week

Hysterectomy

MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS
Gynaecologist
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Here are symptoms,types and treatment of Hysterectomy
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The Symptoms and Treatment of Gallbladder Attack

M.Ch ( Surgical Gastro), M.S (Gen Surg), MBBS
Gastroenterologist
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The gallbladder can be found under the liver and is a pear shaped organ. This four inch organ is responsible for storing bile, which is a combination of the various fluids as well as fat and cholesterol. These are essential for the body and its metabolism, as the bile helps in breaking down the food that enters the digestive system. With the help of the gallbladder, this bile divides the food into smaller parts within the intestine. This ensures that the energy released by the food is more easily absorbed into the bloodstream. There are a host of problems that can attack the gall bladder including stones, infection and more.

Let us find out the symptoms of a gallbladder attack and the various ways in which it may be successfully treated.

Pain: One of the most common symptoms of a gallbladder attack includes pain. This can be felt in the section that lies in the middle and the upper right portion of the abdomen. The patient may initially experience mild pain that comes and goes intermittently. Eventually, if the pain is not treated, it can start to radiate on a constant basis and hold the patient in its grip.
Nausea: Nausea and vomiting are also common symptoms of any gallbladder related problem. Chronic cases usually end up experiencing these symptoms. Nausea and vomiting in such conditions are a result of digestive problems like acid reflux which can be caused due to the gall bladder condition.
Fever: If there is an infection in the gall bladder, then the patient may also experience fever and chills. This will require immediate treatment and the prescription of antibiotics. If it is not treated on time, the problem can become serious and dangerous.
Loose Motions: Diarrhoea is a problem faced by many patients suffering from this condition along with jaundice and lighter coloured stools.

Treatment: Mostly, doctors will recommend surgical methods to deal with gall bladder attacks and conditions. A laparoscopic surgery may be conducted to remove the gallbladder. Also, medication will be prescribed to dissolve the gallstones that may have been caused by cholesterol. The patient will also have to undertake many lifestyle changes in order to successfully treat this condition over a period of time.

One will have to avoid greasy and oily food. Also, the fat intake of the patient will have to be reduced so that the cholesterol build up does not affect the gallbladder again. The patient will also have to add fibre to his or her daily diet, in the form of fruit and oats. This will help in improving the bowel movements as well.
The Symptoms and Treatment of Gallbladder Attack

GERD / Heartburn - 3 Reasons Why You Should Not Ignore it

MD - Paediatrics, MBBS
Pediatrician
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Heartburn is a common symptom experienced by many people, but is often overlooked as indigestion. Besides making you uncomfortable, this can be a sign of a much bigger health problem. While the occasional heartburn can be treated with antacids, chronic heartburn can be a sign of gastroesophageal reflux disease (GERD) or acid reflux. Here are three important reasons you should not ignore heartburn.

It can promote tooth decay:The acid regurgitated might not necessarily stop in the esophagus. It can often also make its way into your mouth. When this happens frequently it can promote tooth decay and wear out enamel. This can also leave your mouth with a sour taste. Acid reflux induced tooth erosion can easily be prevented by the early treatment of acid reflux,but in most cases is noticed only after the damage has been done.
It can cause cancer of the esophagus:Chronic acid reflux that persists for years can lead to changes in the cells of the esophagus. This can lead to a cancerous condition known as Barrett's esophagus. The condition has no other symptoms can if left untreated can develop into cancer of the esophagus. Women are at a higher risk of this form of cancer than men. Though esophageal cancer is relatively rare, it is not something to be trifled with. The survival rate of esophageal cancer is very low in comparison to other forms of cancer. Only 15-20% patients live longer than 5 years after this condition is diagnosed.
It can lead to breathing problems:Heartburn is caused by stomach acid flowing back into the esophagus. If it is inhaled after regurgitation, it can worsen asthmatic conditions and pneumonia. At the same time, treating acid reflux with medication like PPIs can also increase the risk of pneumonia as it can promote bacterial growth and suppress coughing. Thus, when consulting a doctor for acid reflux treatment ensure that you mention any existing asthmatic conditions so that you can be treated with your lung functioning in mind.
In addition, acid reflux can also impact a person's health and quality of life. To prevent heartburn people often find themselves avoiding certain foods. This can impact their social lives and in turn make them withdrawing into themselves. A person's sleep can also be affected by heartburn. Hence, it is important to treat heart burn as early as possible and not wait for it to become a chronic problem.
GERD / Heartburn - 3 Reasons Why You Should Not Ignore it

7 Things You Should Know About Ovarian Cysts

DNB (Obstetrics and Gynecology), FICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist
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Ovarian cysts are fluid-filled sacs that develop on a woman's ovary. A patient might experience abdominal and pelvic pain, abnormal bleeding, menstrual irregularities, pain during intercourse or irregular bowel movements. These symptoms indicate an ovarian cyst developing inside you. Ovarian cysts are common in women and may develop during menstruation. In many cases, symptoms are not observed, and you may get ovarian cysts without knowing. Usually being harmless, ovarian cysts may sometimes lead to severe health conditions.

Here are 7 important things you should know about ovarian cysts:
1. You should know the reason behind the formation of ovarian cysts. When the follicle does not release the egg, it may grow bigger in size and take the form of a follicular cyst. A corpus luteum cyst may also develop, which is a cavity that gets formed after the egg is ruptured and released from the follicle. The cysts may bleed and cause pelvic pain.

2. It is important for you to know if you have an ovarian cyst. Many ovarian cysts do not show symptoms and go away by themselves. Follicular cysts do not change your menstrual cycle, but corpus luteum cysts may cause bleeding.

3. You should know how to detect an ovarian cyst. You should visit a gynecologist regularly for diagnosis. Bigger cysts can be diagnosed via a pelvic examination. Ultrasound is also used for detection.

4. You should have an idea about all the symptoms associated with ovarian cysts. These include fever, nausea and vomiting. These symptoms indicate that you have an infection. Sometimes, a cyst might twist an ovary, which may cut off blood supply to the ovary, causing permanent damage.

5. In case you are at a risk of twisting of the ovaries, you have to undergo a surgery. Surgery is also considered when the cyst lasts longer than three menstrual cycles and it is bigger than four inches in size. The cyst may also pose the risk of being a tumor. The common surgical procedures for ovarian cysts are laparoscopy and laparotomy.

6. You can prevent ovarian cysts be taking birth control pills, which help in suppressing ovulation and prevent the formation of a cyst. Birth control pills may help only if you are not pregnant.

7. Ovarian cysts are more common in premenopausal women. However, these are possible in postmenopausal women as well, especially in the early postmenopausal stage.

Sometimes, there might be chances of an ovarian cyst being cancerous in nature, which may lead to ovarian cancer. The risk of cancerous ovarian cysts increases with age. It is recommended to consult a gynecologist for the proper diagnosis and treatment of ovarian cysts in women. Pain medications and heating pads are used as alternative treatment methods for less serious ovarian cysts.
7 Things You Should Know About Ovarian Cysts

Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care
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Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
Know All About Gynae Laparoscopy Surgery

When Should You Start Having Colonoscopies?

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist
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Screening for cancer of the colon or large intestine and rectum is a proven way of saving a person from the impacts of colorectal diseases. This is partly because colon cancer is something that can be prevented if detected at an early stage and the polyps which may advance to cancer are removed properly. Thus if you are turning 50 soon, be prepared to present yourself for a screening colonoscopy that will help you ensure good health and well-being. It may sound uncanny, but do you know that 50,000 people across the world die from colorectal cancer every year, and it is ranked second in terms of cancer-centric deaths.

Understanding the importance of having colonoscopy
You may wonder how a painful, invasive, embarrassing, uncomfortable and time-consuming health test may be called a present. There are reasons enough. A screening colonoscopy is able to expose a cancerous tumour that's presently under way and cast light on the chances and risk factors that may precede it. When you choose to intervene early, you have the power to nip those risks at their budding stage, much before those malicious cells become malignant.

Spreading of the colorectal cancer
Your large intestine is really a big and last organ of the gastrointestinal system where the small intestine discontinues. Its primary function is to remove the water out of the leftover solids of digestion and get rid of them in the form of stool. Cancer may start to develop anywhere within the tube that expands 5 feet long and squares the vacant area of the abdomen. The large intestine expands up towards the right side, i.e. the ascending colon and then turns left through the liver, i.e., the transverse colon, bending down right at the spleen on its left, i.e. descending colon and loops to the middle, i.e., the sigmoid colon before it runs across the rectum and ends at the anus.

People who need a colonoscopy
To simplify matters, it can be said that all adults are at a potential risk of the colorectal cancer, including those people who lead a healthy life. But some people are at a higher risk. Those individuals have a specific gene mutation that predisposes them to develop into numerous polyps. The risk is also high with people who are first-degree relatives of a person diagnosed with cancer before the age of 50. People with Ulcerative colitis, various types of inflammatory bowel diseases and Crohn's disease are also at a higher risk.

Colorectal cancer is a serious ailment and screening colonoscopy is a feasible means of detecting any polyps that may be cancerous in the future. Speak with a reputed gastroenterologist today to stay ahead of the disease.
When Should You Start Having Colonoscopies?

I am 58 years old and have been having Reflux esophagitis. Periodically have undergone 5-6 endoscopies I'm Delhi as well as in Kashmir. I take Tab. Pantop 40 daily in the morning. Recently have felt excessive saliva excretion in the mouth which sometimes chokes to the extent of tears in the eyes. Kindly advice.

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist
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Dear Patient, you need to change your medication, before starting you need to do basic investigations.so kindly consult doctor once .thanking you

5 Facts About Kidney Disease You Should Know

DM in Nephrology, MD in Internal Medicine, MBBS
Nephrologist
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Chronic kidney disease or CKD is the decreased function of the function of the kidney for a minimum of three months or more. In this the end stage renal disease usually refers to the end of the kidney function where the kidneys work for less than 15% of what they are supposed to. The kidneys play a vital role in the human body and if they do not function properly then a person can die. The functioning of many organs depends on the kidneys. However, the main function of the kidneys is to remove the products and regulate blood and water, control blood pressure, promote healthy and strong bones, and produce hormones.

Here are 5 facts about kidney disease you should know about:

1. Causes of the kidney disease: There are two main common causes of the end-stage kidney disease. These are preventable causes. These are diabetes and high blood pressure, but then kidney disease can be caused by other inherited diseases such as infection, trauma or polycystic kidney disease.

2. Serious Stages: The kidney disease has five stages and stage 5 is known as the end stage renal disease; this is the point where patients usually need dialysis or kidney transplant to lead a sane life. The stages of kidney disease are:

Stage 1 – Slight kidney disease
Stage 2 – Mild decrease in kidney function
Stage 3 – Moderate decrease in kidney function
Stage 4 – Severe decrease in kidney function
Stage 5 – End stage renal disease

3. Detection of the disease: Kidney disease is usually difficult to detect because of the presence of very few symptoms. Age, gender along with the blood test is one way to determine information regarding kidney function. The people who are at a risk of getting kidney disease are:

  • Over the age of 55 years
  • People who suffer from hypertension and diabetes
  • Ethnic groups such as Asians, Africans, Americans, Pacific Islanders and Hispanics

4. Signs and Symptoms: CKD is usually considered to be a silent disease and many people don’t know that they are suffering from the disease. The signs and symptoms of the disease are:

  • Fatigue and weakness
  • Nausea, vomiting and loss of appetite
  • Dizziness
  • Numbness and headaches in hand and feet
  • Frequent urination

5. Renal Replacement Treatment: This is the treatment for the end stage of the kidney disease. Dialysis involves the replacement of some part of the lost function of the kidneys and is usually continued throughout life. There are 2 types of dialysis:

  • Hemodialysis: This cleans the blood via an artificial kidney which is hooked to the machine
  • Peritoneal Dialysis: This removes the excess water and waste products and cleans the blood of the body by using the peritoneal cavity as a filter.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

5 Facts About Kidney Disease You Should Know

I'm 22 Years Old i'm having two Gallbladder Stone and mild fatty infiltration of liver is there any chance to clear by naturally?

PDDM, MHA, MBBS
General Physician
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I'm 22 Years Old i'm having two Gallbladder Stone and mild fatty infiltration of liver
is there any chance to clear b...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated. Kindly mention the size of stone and revert.

USG Sonography report shows 7 mm gall bladder stonehypoechoic anterior wall lesion seen in uterus 2 nosPlease advice.

MBBS
General Physician
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Gall bladder stone to be removed surgically only if symptomatic and lesion in uterus should be corelated clinically.

Gallbladder Stone

iMAS Advanced Bariatric Surgery Excellence Centre
Bariatrician
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How laprascopy can help in treating gallbladder stone and prevent you from severe medical conditions, which can happen because of it.
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Tummy Fat - Can Surgery Be Considered to Reduce it?

Fue Hair Transplantation, Advanced Aesthetics, RPSLH, SHS, MBBS
Cosmetic Physician
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Are your regular exercises and the strict diet proving futile on your quest for a tighter and a flatter tummy? You can consider getting an 'abdominoplasty' or 'tummy tuck' done. This cosmetic surgery helps in flattening your abdomen by taking off the extra skin and fat and tightening up the muscles in the walls of your abdomen.

The procedure
1. The first step involves choosing a surgeon for consultation.
2. There are two types of tummy tuck surgery, both carried out under general anesthesia. Complete abdominoplasty whereby, your surgeon would dissect your abdomen from one hipbone to the other and then give an outline to your muscle, tissue and skin. Mini or partial abdominoplasty are recommended for people whose fat deposits are underneath their naval region.

Complete Abdominoplasty
Complete Abdominoplasty involves making a big incision around the lower part of the tummy from one hip to another, making a second cut in order to free the belly of the tissue that surrounds that region, separating the skin from the walls around the abdomen, re-aligning the muscles in the abdomen, removing the supplementary skin and fat and then pulling forth the skin remains and stitching them too.

Partial Abdominoplasty
Partial Abdominoplasty requires making a large cut on the lower belly, separating the skin from your abdominal wall, cutting out the excess fat, removing the additional skin and holding the remaining part of the skin together and finally stitching it in place.

Time taken for the surgery
The surgery may stretch from one to about five hours.

Pre-requisites

You will have to cut down on the consumption of alcohol and especially smoking; smoking leads to more complication and slows down the healing process.
It is recommended to have a well-balanced meal before the surgery.
After-care

You may suffer from swelling and pain in the days after the surgery, for which your doctor would prescribe pain-killers.
Regardless of the type of surgery conducted, the portion that was operated on would be stitched and bandaged. Therefore, it is very important to abide by the surgeon s instructions about how you should take care of the dressing in the days to follow.
Tummy Fat - Can Surgery Be Considered to Reduce it?

I suffered from GERD from April 2016 to June 2016 then it again starting hitting me within short span of time till date I am suffering from the same, sometimes I have stomach bloating, gases, vomit sensation ,dizziness, loose motions ,sometimes burning sensation in chest, pricking sensation in chest, I take nexpro 20 in morning empty stomach to reduce the acidity, but motions are not clear, any suggestion.

General Surgeon
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I suffered from GERD from April 2016 to June 2016 then it again starting hitting me within short span of time till da...
lybrate-user, It would be a good idea to to get a oesophago-gastro-scopic examination done. It means a camera would enter your stomach from your mouth and the doctor can see if the stomach oesophagus junction is loose or not, which can cause GERD. So visit a surgeon and get examined.
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