In recent years there has been a rise in gastrointestinal disease due to lifestyle changes. Conditions like irritable bowel syndrome, gastroesophageal reflux disease, nonalcoholic fatty liver, cancer of colon, liver and pancreas have been affecting the young and the elderly equally.

The advancement of medical science has given rise to a series of laparoscopic surgeries relating to gastrointestinal diseases. These surgeries are minimally invasive compared to open surgeries. Let s have a look at the various forms of gastrointestinal surgeries.

Conditions Cured through Gastrointestinal Surgeries:

Gastrointestinal surgery can be used to prevent and treat the following health disorders.

  Peptic ulcer disease
  Barrett s Esophagus
  Hiatal hernia
  Radiation bowel injury
  Gastrointestinal tumours
  Inflammatory bowel disease
  GERD
  Achalasia
  Malignant disease of the pancreas
  Malignant disease of the biliary tract
  Infectious disease of the colon and rectum

Types of Gastrointestinal Surgeries:

Some examples of gastrointestinal surgeries include  

  Colon Cancer Surgery   It may involve local excision which is done in the early stage of colon cancer. Here the doctor inserts a cutting tool into the colon to remove the cancerous growth. Colectomy is the next stage that is performed only when the cancer has spread to the nearby tissues.

  Oesophagal Cancer Surgery   It includes esophagectomy or removing the oesophagus partially leaving the patient with the ability to swallow.

  Gall Bladder Cancer Surgery - It involves four stages of treatment namely Cholecystectomy, Surgical Biliary Bypass, Endoscopic Stent Placement and Percutaneous Transhepatic Biliary Drainage. Each procedure is performed at different stages depending on the severity of the condition.

  Liver Disease Surgery   Liver disease surgery involves Partial Hepatectomy, Liver Transplant and Ablation used at different stages of cancer.

  Pancreatic Cancer Surgery   The four stages of pancreatic cancer surgery includes Whipple procedure, Total Pancreatectomy, Distal Pancreatectomy and Gastric Bypass.

Apart from these open surgeries, the laparoscopic procedures include  

  Laparoscopic Adrenalectomy
  Laparoscopic Appendectomy
  Laparoscopic Nephrectomy
  Laparoscopic Splenectomy

Benefits of a Gastrointestinal Surgery:

  Minimally invasive due to which scarring is less
  Shorter recovery period
  Reduced chances of infection
  Reduced chances of reoccurrence of the disease

Most of these benefits apply specifically to the gastrointestinal surgeries performed using the laparoscopic technique.

With the rampant increase in gastrointestinal diseases among the masses the wide ranges of gastrointestinal surgeries have made treatment and prevention easier and more accessible.

Gastrointestinal Surgery - Everything About It!

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

Pain- Constant pain which gets worse when sitting down
Irritation around the anus, like swelling, redness and tenderness
Discharge of blood or pus
Constipation or pain while evacuation
Fever
Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.
Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

Fistula-in-Ano or Anal Fistula - How It Can Be Treated?

Stomach produces gastric juices (acid and enzymes) for the digestion process. Acid reflux is a medical condition in which there is back flow of gastric juices/ acids from the stomach to esophagus. Too much reflex can cause the stomach acids to burn the esophagus and can result into serious complications. The esophageal sphincter lies at the junction where the stomach and the esophagus join; lower esophageal sphincter plays a most important role in acid reflux condition. This sphincter allows food to enter the stomach and it prevents the reflux of acidic stomach contents back into esophagus, as a result of malfunctioning of lower esophageal sphincter, condition like acid reflux develops.

Triggers of heart burn

Hiatal hernia
Pregnancy
Heavy meals
Certain medications
Alcohol
Chocolate
Spicy or fatty food
Peppermint
Carbonated drinks
Smoking
Exercise just after meal
Stress
Obesity
Lying just after meal
Acid Reflux Symptoms

Heart burn
Acid regurgitation
Dysphagia or difficulty swallowing
Dyspepsia
Stomach pain
Black stools
Sleep disturbance
Weight loss without any reason
Hoarseness or sorethroat
Chronic cough
Laryngitis
Asthmatic symptoms
Dental erosion
Recurrent aspiration
Otitis media
Non-cardiac chest pain
When it comes to the digestive system, heart burn and acidity are probably two of the most common medical complaints. These conditions may be often be considered synonymous. It is affected by the acid levels in the stomach. Heartburn refers to an irritation in the esophagus by this stomach acid. It is characterized by a burning sensation in the upper abdomen. You may also experience a bloating sensation in the stomach. An antacid can provide relief in cases of acidity but this relief is temporary and superficial. It does not address the root cause of acidity and hence does not reduce the frequency of heartburn attacks.

Homeopathy is a holistic form of medication that can be quite effective in the treatment of heartburn and acidity. This form of treatment does not address only the symptoms present but also looks into the overall physical, mental and emotional health of the person. In doing so, it addresses the root cause of the acidity and treats the problem as a whole. Unlike antacids and other allopathic medications, homeopathy does not follow a one size fits all approach. Though the symptoms may be similar, medication for each case must be customized to suit the patient s overall health. These are known as constitutional remedies.

According to homeopathy, heart burn and acidity is not a problem in itself but is a symptom of a larger problem. It may be indicating an allergy to a certain food, stress or overeating unhealthy food. Though homeopathy has negligible side effects, in case your heartburn is accompanied by vomiting, nausea, extreme pain or dehydration, you must seek advice from a homeopathic doctor and not try to treat yourself. Homeopathic medication can relieve the symptoms of acidity as well as strengthen your digestive system so as to reduce the chances of recurrent acidity attacks. If your acidity is triggered by an allergy, it can also help treat this allergy.

Homeopathic medication is derived from natural sources. These medications are usually mild and do not overtake the body s immune system to treat a condition but support and strengthen it. Some of the common homeopathic remedies used to treat heart burn include Nux Vomica, Arsenicum, Ipecacuanha, and Podophyllum. The best medication for you will depend on the intensity of your symptoms, the food you feel it has been triggered by and any other symptoms you may be experiencing. Along with knowing the right medication, it is also important for it to be consumed in the right dosage and frequency.

Homeopathic Treatment of Heartburn and Acidity Accompanied By Bloating!

Colon polyps are growths that are typically found in the large intestine. Although the causes behind the occurrence of colon polyps are not known, this condition is usually seen to affect adults.
These colon polyps might turn into colon cancer over a period of time; the development of cancer can happen over a number of years.
Colon polyps are usually symptomless; hence it becomes difficult to diagnose the condition. They are commonly found as additional results of screening tests for colon cancers. Screening tests are conducted when there is a suspicion of a disease but it displays no significant symptoms. The symptoms can only be visible if the polyps are enlarged. Typical symptoms include:
Rectal bleeding.
Changes in bowel conditions such as diarrhoea and constipation.
Changes in urination patterns.
Change in appearance of stool.
As the presence of most polyps becomes evident only during colon cancer tests, it is recommended that regular tests for colon cancer be conducted for adults over the age of 50. Some of these tests include:
Colonoscopy: This is highly recommended for detecting colon polyps. A small tube used for viewing is inserted into the colon by the doctor.
Flexible Sigmoidoscopy: It is similar to colonoscopy with the only difference being that the tube is smaller.
Computed Tomographic Colonography (CTC): Also known as virtual colonoscopy, various computer systems and X-rays are used to create a detailed picture of the colon so that the doctor can search for polyps.
The size of the colon polyps helps to identify if the polyp is cancerous or not. Chances of the polyp being cancerous are high if the size of the polyp is higher than 1 cm or 0.4 inches. Hyperplastic polyps (smaller polyps) do not become cancerous and hence, do not need to undergo a colonoscopy. Another form of polyp is the sessile polyp which is usually a flat growth without a stalk and grows on the inner wall of the colon. Similar to other polyps, these polyps can be found and removed using a colonoscopy or a sigmoidoscopy.

Causes and Symptoms of Colonic Polyps

Are you experiencing a sudden pain in the right upper part and at the center of your abdomen? This might be an indication of the presence of gallbladder stones. These stones are deposits of digestive fluid which may form in your gallbladder.

Risk Factors Associated With Gall Stones:

Family history of gallstones

Women are twice as likely as men to develop gallstones

Overweight

High cholesterol

High-fat diet

Rapid weight loss

Over age 60

In the case of gallbladder stones, you need to dissolve and remove them. Among the different modes of treatment of gallbladder stones, homeopathy is considered to be an ideal method.

Homeopathy successfully dissolves small and medium-sized gallstones and help you avoid the gallbladder removal. Homeopathy also provides fast pain relief in gallbladder attacks and can be used for prevention and treatment of biliary colic. The medicines are natural, effective and have no side effects. In patients with gallbladder removal homeopathy can alleviate the digestive disorders after surgery. Here is a list of the top homeopathic medicines, which help in dissolving and removing gallbladder stones:

Chelidonium: This is an effective homeopathic medicine used in the treatment of gallbladder stones. It treats the pain caused because of the stones and jaundice when the bile ducts are obstructed. The medicine is used when the skin turns yellowish, stool turns clay colored and the urine becomes dark. The patient may have an urge for having hot drinks. This medicine is also ideal for gall bladder problems in women during pregnancy.

Lycopodium: This medicine is the best natural cure for gall bladder stones when accompanied by gastric symptoms such as acidity, a bloated abdomen, or gas in the abdomen. Distension in the abdomen may occur even after taking a small meal. Gas rolls in the abdomen and it is difficult for it to pass out. Acidity is likely, which worsens after taking flatulent food containing starch. The patient s appetite may decrease and the craving for sweet and hot drinks increases.

Calcerea Carb: This is another effective homeopathic medicine for gallbladder stones. It is mostly used in case of obese patients who have a flabby and fatty constitution. The abdomen is full of excess fat with hardness and distension. Profuse sweating on the head and an increased sensitivity to cold air are other symptoms. The patient might crave for boiled eggs or unusual things such as lime, chalk and pencils. He may avoid hot food and crave for sweet drinks. The medicine is also used in relieving sour belching and sour vomiting.

Carduus Marianus: This is a very effective medicine in case of an inflamed gallbladder. Pain is experienced in the right upper abdomen and it is also accompanied by nausea and vomiting of burning fluid. It treats jaundice in gall stones as well.

Phosphorus: This homeopathic medicine is used in case of gall bladder stone patients who experience sour belching and vomiting after any meal. The patient will love cold drinks, chicken, ice cream and fish in his diet.

Homeopathic medicines treat gallbladder stones effectively without any side effects. In case you notice the symptoms of gallbladder stones, you should consult a homeopathic practitioner.

Can Homeopathy Help In Dissolving And Removing Gallbladder Stones?

Lactose intolerance is a condition wherein you are not able to digest lactose, which is a sugar found in milk. Other foods that contain lactose include cheese and ice-cream. Inadequate production of the lactase enzyme in children causes lactose intolerance. This enzyme is produced in the intestine that helps in the digestion of lactose.


Lactose intolerance is often confused with milk intolerance. The symptoms are similar but they do not share the same cause. Milk allergy is an adverse reaction towards milk and it is a problem of the immune system, whereas lactose intolerance involves the digestive system.


Symptoms-
The symptoms of lactose intolerance are:
Bloating; on consumption of milk over a period of time
Diarrhea is also very common
Stomach pain
Nausea


Diagnosis-
It is self -diagnosable; just strike out foods containing lactose from your child s diet and see if the symptoms get better with time. If the symptoms happen to fade away gradually, then it certainly must ve been lactose intolerance.
However, it can be tricky as many non-dairy products also contain lactose.
If the child is lactose intolerant, then he/she might have to undergo a lactose breath test. This is used to test the levels of hydrogen in the child s breath after the child consumes a lactose solution. Usually, hydrogen levels are low in one s breath. However, if the lactose solution is not digested properly, then it will lead to a temporary increase in the levels of hydrogen in the breath, thus indicating lactose intolerance.


Treatment-
This disorder does not have a cure; so in case your child has lactose intolerance, you need to adjust his/her diet accordingly. Over-the-counter lactase is also available that helps in digesting lactose based foods. You can also go for the  lactose- free  milk variety for your child.


Lactose Intolerance in Kids

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