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Hlo Dr. Few months ago I had anal fissure I got treatment from a local Dr. Now again sometimes uncomfortable when I pass stool. Today when I touched my anal to clean it, I felt a bump on the outside of the anal and when it touched it softly it pained me. M scared. I do not want to go for operation as I want to join yhe army please help me out. Waiting for your reply.
Dear Doctor, I am 46/M. Height is 5'9" weight is 95 kg. My tummy is tight always. Even after small amount of meals it becomes hard. Is it obesity or some other medical condition. I have 1st condition controlled asthma also. Please reply. Thanks.
What is an Appendectomy?
An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical elimination of the organ known as the appendix. Appendectomy is mostly performed as an emergency surgical procedure, when patients suffer from appendicitis.
How is Appendectomy Performed?
Appendectomy can be performed both as an open operation as well as laparoscopically. An appendectomy is most often performed laparoscopically, if the diagnosis is in doubt, or if the patients feel that they need to hide their telltale surgical scars near their umbilicus or in the pubic hair line.
However, although laparoscopic appendectomy has its cosmetic advantages, and its recovery time is a little quicker, this procedure is more expensive than conventional open surgery.
Conventional Open Appendectomy-
In the conventional open surgery, the surgeon makes an incision which is less than 3 inches in length in the lower right section of the abdomen. Once the infected appendix is identified, the surgeon separates the infected appendix from its surrounding tissues and removes it surgically from the cecum (an intraperitoneal pouch that forms the junction of the small and large intestine). After that, the cecum is closed and is returned back into the abdomen. In the end, the muscle layers and the skin are sewn together and the incision is closed.
Laparoscopic Appendectomy (LA)-
While performing appendectomy laparoscopically, which is also known as LA, four incisions of 1 inch in length are made in the abdomen. One incision is made near the umbilicus, while another one is made in an appropriate region between the umbilicus and the pubis. The other two incisions, which are even smaller in size, are made in the right side of the lower abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and after identifying, frees the appendix from its surrounding tissues. Next, the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body of the patient through any one of the two 1 inch incisions. In the end, the laparoscopic instruments are removed and the incisions are sutured and closed. During this whole procedure, the intraperitoneal space is filled with medical grade carbon dioxide gas, to inflate the abdomen, which is released after the surgery.
Recovery Time For Appendectomy-
The recovery time for appendectomy depends on and varies with the type of procedure and anesthesia used during the surgery. While laparoscopic appendectomy can be done on an outpatient basis so that the patients can recover back at home, an open surgical procedure will require an overnight or even longer hospital stay.
Normally patients after appendectomy can resume their normal daily activities within a few days. However, for full recovery, it may take four to six weeks. Patients are advised to avoid strenuous activities during this period of time.
Risk and Long Term Consequences of Removing the Appendix-
While wound infections are the most common complications of this surgery, formation of an abscess in the area of the surgical incision and also in the area close to the removed appendix has also been noticed as an aftermath of appendectomy.
Other rare complications may include lack of intestinal peristalsis (ileus), gangrene of the bowel, injuries to the internal organs and infections in the peritoneal cavity (peritonitis).
Major long-term consequences of appendectomy include increased risks of bowel obstruction, stump appendicitis (infection in the retained portion of the appendix still stuck with the cecum) and development of incisional hernia at the site of the scar. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Hii even I lyk most other ppl believed tht medical science have reached the sky but it ws just a short lived friction cuz the reality is far from this. U get PanCan or gallbladder Cancer (stage 4) and docs start assuming your lyf expectancy 4 to 6 months and whts funny is tht pancreatic cancer is 11th most common cancer and it seems tht science is taking it very lightly which is nt gud so many awareness campaigns are done fr other cancers but wen it cmes to PanCan there is no such thing as awareness campaigns.
I am suffering from motions from yesterday afternoon. From the 4th I went to bathroom blood also coming what I had to do.
Yesterday I was having pain in my pancreas so doctor told me take out report of lipase and my report shows me lipase level 140 out of 60.
Hello sir, I feel pain upper abdomen, previously I did ultrasound for my abdomen buy doctor said I have little fatty liver so doctor recommend me udiliv 300mg for 15 days It's been more then 3 months now still I feel bloated and feel uncomfortable while sitting as I feel numbness in my right upper abdomen Kindly suggest what is the exact reason?
I have been facing acidity problem for many years. I want to know which food make acid in my stomach.Please tell.
Acid Reflux or GERD (Gastroesophageal Reflux Disease) is caused when the valve between the esophagus and stomach becomes weak. Normally, this valve opens to allow food in and then it shuts tightly. With GERD, the valve stays open, allowing stomach acids to flow back up into the esophagus, causing heartburn and many other symptoms. It leads to a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. If you have heartburn that occurs more than twice a week and/or does not get better with over-the-counter antacids, you may have GERD.
Consumption of pitta (fire) aggravating foods and foods of incompatible nature (virudh aahar) vitiates all the doshas, predominantly pitta dosha. Vitiated doshas produce heating toxins that are expelled upwards into the food pipe causing heartburn. Increased intake of tea or coffee, or oily, spicy, or fried foods aggravates pitta and leads to acidity. An aggressive nature and hyperactivity are also causal factors. Pitta is aggravated by late night work schedules, irregular eating patterns, and/or drinking alcoholic and carbonated beverages. Increased intake of painkillers and antibiotics also cause acidity and heartburn.
Pain while swallowing food
According to Ayurveda, Acid Reflux is a result of aggravation of pitta Dosha. Pitta is an Ayurvedic humor that symbolizes heat or fire. It is hot, sharp, intense, acidic and pungent in nature and is located in the stomach. Aggravated pitta leads to increase of acidic content in stomach fluids. Actually, the reflux of the stomach's liquid contents into the esophagus occurs in most normal individuals. In such patients, refluxed liquid contains acid more often due to aggravated pitta, which leads to acid reflux.
Diet & Lifestyle Advice
Avoid tea, coffee, and carbonated or alcoholic beverages.
Avoid processed and fermented foods.
Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking.
Also avoid rich gravies, sour, salty, and spicy foods.
Curd should be strictly avoided.
Take meals in a relaxed atmosphere at regular intervals.
Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama, Shitali Pranayama and Shitkari Pranayama.
Make a powdered mixture of equal parts of rock candy (mishri), fennel, and green cardamom. Whenever you experience heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink.
Mix together equal parts of powdered fennel, licorice root, basil leaves, and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (mishri) 15 minutes before lunch and dinner.
50 year old female having pain abdomen 2 days mass par abdomen on Ct scan ovarian rumour 3rrd stage with ascites what is the best treatment modalities.
I am having digestion problem just after having food it doesn't take time and also having itching problem in anus.
I am 28 year old male. I am frequently suffering from acidity problems. I am taking ample amount of water intake but still. Can anybody guide.
I am a diabetic on the insulin I have bowel disorder and gas problem now my Alkaline Phosphatase is at 181 LDL is at 146 SGPT at 10.8 what would be problem and how to get rid of this situation.
My liver is mild enlarge with moderately and diffusers increased echogenecity without any focal lesion. Renal caliectasis with 28ml of post void residual urine. Mild hepatomegaly with moderate splenomegaly. Is any major problems, what should I do?
Diarrhea is a very common condition, which is associated with the passage of the ingested fluids and foods through your colon more frequently than usual or in huge amounts. This condition is mostly caused by the action of viruses, parasites, bacteria, medications like antibiotics, certain digestive disorders, abdominal surgery, lactose intolerance, and consumption of an excessive amount of alcohol etc. Here are some of the common symptoms, which indicate that you are suffering from diarrhea:
- Passing watery and loose stools
- Frequent bowel movements
- Pain or cramps in the abdomen
- Feeling of nausea
- Bloating in the stomach
If you are suffering from a more serious form of diarrhea, you might also experience symptoms like:
- Presence of mucus, blood and traces of undigested food in your stool
Diarrhea mostly gets cured even without consuming any medicines within a couple of days. However, you need to consult a doctor and get proper treatment for diarrhea in the following cases:
- If you are continuously experiencing the condition for more than two days
- Your stools contain blood or are black
- Severe pain in the rectum or abdomen is bothering you
- You experience signs of dehydration like excessive thirst, weakness, dizziness, dry mouth, urine of dark color or reduced frequency and amount of urination
- Your body temperature exceeds 102 F (39 C)