Tummy tuck also known as an abdominoplasty, a tummy tuck surgery is a form of cosmetic surgery, which is used to remove excess fat and skin from the abdomen as well as tighten the muscles in your abdominal regions. Similar to 'mommy makeovers' (a procedure applicable after pregnancy, which helps women restore their figure). 


Tummy tuck surgery is used to help patients treat that loose and sagging skin who have experienced excessive weight loss within a relatively short period of time. Although, it is usually done for cosmetic reasons, it does provide a large number of medical benefits, such as:


1. Reduction in stress urinary incontinence: Stress Urinary Incontinence is a bladder control problem that is characterized by involuntary urination because of exercises or normal bodily functions such as sneezing or coughing which might put pressure on the bladder. In some women, (SUI) can develop after a vaginal birth. The condition does not generally require a surgery. However, research has shown that in severe cases, abdominoplasty is helpful in patients who do not have a caesarean section. A slight bladder obstruction is made during the procedure using soft tissue which reduces the incontinence.


2. Better posture and improved abdominal tone: Strong muscles tend to become weak after multiple pregnancies and extreme weight loss. In these cases, diet and exercise are not enough. Abdominoplasty surgically removes excess fat and skin thereby, tightening weak muscles and flattening the abdomen. It is noticed that after the surgery, the patients develop an improved posture due to the tightened muscles supporting the spine. This helps in relieving a variety of back pains.


3. Correction of ventral hernia: Ventral Hernia is the bulging out of tissues through a defect, opening or past incisions within the wall muscles of the abdomen. In such a case, the surgeon may opt for Abdominoplasty to support the abdominal wall and prevent recurrences.


Medical Benefits of Tummy Tuck Surgery 

Inflammatory Bowel Disease needs to be controlled in the initial stage only so that severe symptoms can be prevented. There are a few easy treatments that need to be followed for getting instant relief and quickest recovery. 

What are the commonest signs of Inflammatory Bowel disease?

Fatigue and fever: Low-grade fever can be experienced, which might invite fatigue, tiredness and weakness. Your energy levels will become too low, and thus you will lose your concentration to work. 
Diarrhea: This is regarded as the commonest signs of all, and it can be quite severe in a few cases. 
Stool with blood: If you find blood with stool, then it is a serious case, and this sign confirms clearly that you have got IBD.
Cramping and abdominal pain: Ulceration and inflammation within digestive tract might invite both cramping and abdominal pain. Vomiting and nausea are the other two symptoms that are associated with the same.
Weight loss: Your digestive system can get disturbed as a result of which you might lose weight on a frequent note. On the other hand, your appetite will get disturbed, and you will suffer from malnutrition.
What are the best ways to treat Inflammatory Bowel disease? 

Lifestyle change: Proper diet should be maintained, and you should include foods with low fats, high fiber and others. Non-spicy and non-dairy foods are quite suitable in this case. Smoking, alcohol drinking and other bad habits should be curtailed from the diet. Eat healthy and drink water in abundance. 
Surgery: Only for dealing severe conditions, especially ulcerative colitis and crohn's disease, surgery is chosen as the best option but this decision is normally taken by the doctor. 
Medications: Specialized medications are being used like anti-diarrhoeal medications, pain relievers, and iron supplements, Vitamin-d and calcium supplements, vitamin-12 supplements and many more.
Home remedies: There are few commonest homemade therapies that can treat IBD, and they are meditations, probiotics, acupuncture, turmeric, aloe Vera, fish oil and others. These remedies are the safest of all, and thus no side-effects will be faced.
Doctor's assistance: Without doctor's help, you will not be able to get the quickest recovery from IBD. Therefore, you got to visit the clinic regularly in order to get the perfect treatment. There are a few therapists who can help you to get rid of unwanted emotional difficulties. A support group can also be joined for receiving moral support.

Inflammatory Bowel Disease - Symptoms and Treatment

The largest internal organ in the body, the liver, is also one of the silent heroes, which performs close to 500 functions. It produces energy, fights infections, gets rid of wastes, and is a metabolic factory.

There are four major types of liver diseases out of which alcoholic liver disease accounts for about 40% of them. Other types include non-alcoholic liver disease, viral hepatitis and autoimmune (chronic) hepatitis.

Risk factors: The severity of drinking habit is directly proportional to the chances of developing alcoholic liver disease. People who consume more amount of alcohol are more likely to develop the disease. However, it is also not necessary that every person who consumes alcohol develops liver disease.

Following are obvious risk factors for developing alcoholic liver disease.

1. Alcohol dependency: While enjoying a drink is not barred, getting the body dependent on alcohol for regular functioning is definitely a no-no. The rate of developing the disease in people dependent on alcohol is as high as 70%.

2. Females: The way alcohol is metabolized in females could have an effect on the higher risk they face in developing alcoholic liver disease.

3. Obesity: Excessive weight puts additional stress on the metabolic effects of the liver and therefore has a higher tendency to develop alcoholic liver disease.

4. Family history: Strong familial history increases the risk of developing alcoholic liver disease.

Symptoms: The difficulty in diagnosing the disease lies in the fact that there are no clear-cut symptoms that can indicate the diagnosis. Initial general symptoms include fatigue, poor appetite, abdominal pain, nausea, weight loss, loss of energy, and red spider nevi (spider-like blood vessels) on the skin.

As the liver function continues to worsen, there are additional symptoms like swelling of the legs due to fluid accumulation, swelling of the abdomen, jaundice (yellow mucous membranes and skin), redness of palms, impotence, breast swelling, easy bruising, cognitive problems and clay-colored stools. This stage will see liver scarring and subsequent cirrhosis. The second set of symptoms is more diagnostic. An experienced practitioner will be able to suspect and diagnose the alcoholic disease with a detailed history and some liver function tests.

Treatment: If identified early and alcohol habits are reversed, the damages of the liver can be completely reversed. In addition, the following lifestyle changes are suggested:

1. Low-salt diet

2. Hepatitis vaccines (A and B)

3. Medications to manage fluid retention, spontaneous bleeding and infections as the case may be

4. Excessive fluid accumulation in the abdomen may require removal

5. Shunt in the liver to repair blood flow

6. If cirrhosis stage is reached, a liver transplant may be required

While there are many ways to manage alcoholic liver disease, prevention is the best way. Limiting alcohol consumption can definitely help in the prevention of the disease.

All About Alcoholic Liver Disease

The food you eat plays an important role in your gastrointestinal health. Some foods can be difficult to digest and lead to bloating and heartburn while others increase the healthy bacteria in your gut and make digestion easier. 

Here are ten things you should include in your diet for a healthy digestive system.

1. Bananas: Bananas help regulate bowel movements and help bind food waste together thus helping with irritable bowel syndrome and diarrhea. They also help restore the electrolyte and potassium balance in the stomach.

2. Oats: Oats are rich in fiber and low in calories. It is also a rich source of phosphorus, vitamin E and Zinc. Oats helps with the proper functioning of the digestive system and the extraction of waste.

3. Curd: Curd rice is the most well known home remedy for an upset stomach. Curd is a rich source of probiotics that helps restore the balance of healthy gut bacteria and eases digestion.

4. Coconut oil: Coconut oil is an excellent substitute for normal cooking oil or butter. Coconut oil has antimicrobial properties and fatty acids that ease the digestive system and boost immunity and energy levels.

5. Lentils: Lentils are rich in prebiotics and fiber. These prebiotics promote the growth of healthy gut bacteria and prevent harmful bacteria from causing stomach infections.

6. Ginger: Herbs and spices are very helpful with digestion. Amongst these, ginger is foremost. It can be used to treat a number of stomach infections such as bloating, nausea and diarrhea. Ginger also helps 
speed up the movement of food from the stomach to the intestines.

7. Vegetables: Vegetables are rich in fiber and probiotics. While beetroots help relieve constipation, sweet potatoes help treat ulcers and bowel problems. Other vegetables that aid digestion include cucumbers, tomatoes and carrots.

8. Brown rice: A certain amount of carbohydrates are essential for a well balanced diet. Brown rice has a high calorific value but is less fattening. Brown rice helps food move smoothly through the digestive system and hence promotes regularity.

9. Peppermint: Peppermint helps ease indigestion and symptoms of irritable bowel syndrome. Peppermint can be had on its own as a flavoring agent in salads and on fruits or taken as a supplement.

10. Water: Water is crucial to healthy digestion. It helps smooth the movement of food through the digestive system and out of the bowels. Inadequate water is one of the most common causes of constipation. Ideally, you should have a minimum of 8 to 10 glasses of water a day.

10 Foods That Support Your Digestive Health

Ibs is a common intestinal disorder causing pain in the stomach, gas, diarrhea and constipation. The condition affects millions of people around the world, mostly women. It may not fully be cured, but the condition can be kept under control diet and lifestyle changes and in severe cases with medication and treatment. The most common affected age groups are between 6 to 18 and 41 to 60. 

Causes: there are several triggers to ibs although doctors are yet to determine a specific cause. Because ibs happens more in women than men, some people believe that hormones are responsible for it. Other studies suggest that ibs is triggered when
A. The colon becomes hypersensitive reacting to an external stimulation
B. The bowel muscles spasm causing diarrhea or constipation
C. The muscles in the bowel don't squeeze normally, causing diarrhea or constipation
D. There is an imbalance in chemicals like serotonin and gastrin which are responsible for the communication between the brain and the digestive system
E. Certain bacteria in the bowel can cause this condition
So far, there are no extensive studies to back any of these theories. 

Signs and symptoms: people with ibs have symptoms that can include diarrhea and /or constipation, sometimes alternating with each other, stomach cramps, gas and bloating and a belly that sticks out. Stress may, in some cases, aggravate the problem.

Diagnosis: unfortunately there are no specific tests to identify ibs as the causes itself can vary in a big spectrum. Using your symptoms as a guide, the doctor may run tests to check for food allergies, lactose intolerance, reactions to any medications you may be taking like blood pressure drugs, infection in the stomach, enzyme deficiencies where the pancreas isn't releasing enough enzymes to digest the food properly and inflammatory bowel diseases like ulcerative colitis or crohn's disease. You may have to undergo a colonoscopy or endoscopy, blood tests, stool tests and allergy tests for your doctor to devise a treatment that can best treat your specific symptoms.

Treatment: because the symptoms and causes are so varied, there is no one specific treatment of ibs. You will need to identify and understand your specific triggers to isolate it and then make changes accordingly in conjunction with lifestyle change and medication.

Lifestyle changes: look at ibs as a trigger to make you move into a healthier lifestyle and improved diet. Here are some basic changes that your doctor may prescribe
- avoid coffee tea and sugary sodas
- drink 8 glasses of water per day and time your water intake as per your food
- limit fatty foods, milk and cheese
- add wholesome fiber to your food. 
- relax and get some me time
- add a good quantity of regular exercise

There is nothing here that you already didn't know can lead to a healthier life. It's just that you'll have to take it seriously now that the doctor has prescribed it for you. If you suspect that you are suffering from ibs, consult your expert medical practitioner today!

Irritable Bowel Syndrome (IBS): Who Is at Risk?

Anal fistula, a challenge for modern surgery, but can be cured with grade ksharsutra in Ayurveda (Indian system of medicine).  Anal fistula is a disease for which different methods of treatment have been advocated time to time, even today when we are talking about robotic surgery, this disease has no satisfactory method of treatment in modern surgery. The latest method of video assisted anal fistula treatment (VAAFT) is not satisfactory due to high incidences of recurrence after the surgery. But at Sushruta Anorectal Institute New Delhi; with the help of Graded KsharsutraTM all these patients of complex Anal fistula are being successfully treated.

In Ayurveda about 2000 yrs ago Acharya Sushruta has indicated ksharsutra treatment to treat fistula-in-ano. Late professor P J Deshpandey at the faculty of Ayurveda Institute of Medical Sciences B H U; had done extensive research in this field and established a treatment module to cure this disease. In 1990 Indian council of medical research has clinically evaluated this Ayurvedic treatment module at four premiere institutes in our country including AIIMS Delhi & PGI Chandigarh. Subsequently, it was concluded by I.C.M.R. that in the patients of fistula in ano, ksharsutra treatment is more effective& convenient as compared to modern surgery.

Ksharsutra is a thread coated with certain Ayurvedic medicines known for their antiseptic, debridement & healing properties. After u v sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients. The patient is routinely investigated with special reference to any other associated disorder like hypertension, diabetes mellitus, tuberculosis etc. The next step lies in the proper identification& evaluation of the fistulous tract. It is mandatory to define the fistula tract wrt its depth, direction & branching pattern. This may be achieved by careful probing under expert hands using malleable probes& if required help may be taken from other investigations like x-ray fistulogram or MRI fistulogram. 

Once the tract has been clearly defined the Ksharsutra is placed in it with the help of certain instruments, under local anesthesia. This entire procedure is usually completed in ten to fifteen mins. As there is no cutting of tissues hence no bleeding, no pain & patients can go home after half an hr rest in the daycare room. The medicine-coated on the thread is gradually released in the tract. The cumulative effect of the coated drugs exerts a powerful debridement effect on the fistula tract & induces healing by the fresh & healthy granulation tissues. Thus Ksharsutra is the mechanism of drug delivery precisely at the tissues involved. 

Every seventh or tenth day the old sutra is replaced with a new Ksharsutra till there is a final cut through. It has been observed that the tract heals @ 0.5-1 cm per week. The post-operative complications like recurrence of the disease, fecal incontinence, bleeding is not seen with Ksharsutra treatment. Further, this therapy is performed as an OPD procedure. No general anesthesia & no hospitalization is required. Patient maintains his normal routine activities as usual during the treatment period. 

 At Sushruta Anorectal Institute; Rohini - New Delhi, we have been working on this disease including piles fissures & pilonidal sinus for the last 30 yrs. Here we have developed the concept of Graded KsharsutraTM which has given us a more effective & convenient way to treat anal fistula. At Sushruta Anorectai Institute we have treated on record thousands of patients of anal fistula from different states including overseas patients. We have records to prove that the patients of high anal complex fistula, those have been operated two or three times but failed to heal were successfully treated at this institute.

How to Treat Anal Fistula Naturally without Surgery

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