The abdomen houses multiple organs and pain in the abdomen could indicate a problem with any of these organs. From a medical point of view, the abdomen and associated pain can be divided into nine areas or quadrants the right, middle and left sideways and the upper, middle, and lower quadrants from top to bottom. The doctor would usually ask the patient to point to the area of the problem for instance, right lower quadrant or upper left quadrant.

With a mental mapping of the organ in each of these quadrants, the diagnosis is arrived at, with confirmation by imaging if required. Some of the most common causes for lower abdominal pain are listed below, and the kidneys are important organs in this area.

Lower left abdominal pain is caused because of the problems in the large intestine, small intestine, spleen, left kidney, ureter, ovaries, fallopian tube, urinary bladder and their associated structures.
Some of the common issues in this area could be menstrual cramps, urinary tract infections (UTIs), left kidney stones, uterine disorders, intestinal obstruction, ectopic pregnancy, constipation, colon cancers, pelvic inflammatory disorder, Crohn s disease, inguinal hernia, and a ruptured spleen.
Lower right abdominal pain can be due to appendicitis, right inguinal hernia, UTI, right kidney stones, colon cancer, menstrual cramps, uterine disorders, intestinal obstruction, ectopic pregnancy, pelvic inflammatory disorders, diverticulitis, Crohn s disease, endometriosis, and lymph node inflammation.
As is evident from this list, many of these are related to the urinary tract and kidneys. Whether it is the kidneys per se, the urinary bladder, the ureters, or the associated nerves and blood vessels, UTIs are very common. And if one of these organs is affected, then the chance of the infection spreading to the surrounding organs is very high. There is a constant flow of urine through these structures, and so the infection can pass through easily.
A person who has had kidney problems would have very characteristic symptoms. The pain would be in the lower back, on either side of the spine, depending on which side is affected. While the pain experienced due to kidney stones is acute and can be stabbing in nature, the UTI would appear in bouts. The associated symptoms should always be kept in mind when identifying and treating kidney problems.
There could be nausea, diarrhoea, blood in the urine, fever, profuse sweating and severe fever, which could help in discovering the problem.
These should not be ignored and diagnosis should be confirmed with blood tests and imaging including X-rays and CT scans. The treatment would depend on the condition, and early identification of the problem leads to better prognosis and a simpler treatment.

Lower Abdomen Pain - Can It Be A Sign Of Kidney Problem?

Food is one of the most common ways of getting an infection, and so the stomach is more prone to infections than other body parts. Whether it is eating raw or uncooked foods or unhygienic foods, the stomach bears the brunt of one s bad food practices. The only consoling factor is that it is equally easy to treat a stomach infection if some simple measures are adhered to. 

Read on to know some of the easiest and most effective ways to treat a stomach infection.

Drink it right: What you drink and how you drink makes a lot of difference to the way your stomach infection will respond. The vomiting, diarrhoea and sweating is robbing the body of a lot of fluids, and so replenishing this fluid along with minerals is very essential. Ensure you drink a lot of clear liquids like water, coconut water, clear soups, sports drinks, and other energy drinks. Electrolyte replacement can be added to improve their efficacy. Herbal teas like ginger tea and peppermint tea are highly recommended to soothe the stomach too. At the same time, avoid caffeine, strong black tea, alcohol, and chocolate as they are detrimental to the already affected stomach.
Eat right: Even on a regular basis, you are what you eat. So, when your stomach is already infected, eating right assumes a lot more importance. Go easy on the stomach and give it something easy to digest, yet of high nutritional value. Banana, rice, apple, and toast (abbreviated as BRAT) is very easy and packs in good nutrition for the recovering stomach. Avoid a lot of fibres, fatty foods, greasy foods, sugars, and dairy products which are hard for the stomach to digest. Eat small meals, but eat a lot more frequently than you otherwise would.
Rest well: With the body losing a lot of fluids and nutrition along with it, the body would naturally feel very tired and fatigued. Let the body run its course, and give it the rest it demands. In the next couple of days, once the virus has run its course, this will resolve.
Medications: Stomach infection is usually caused by a virus, and so antibiotics do not play a curative role here. However, if you have high fever or body aches, Tylenol or acetaminophen can be used sparingly. If diarrhoea or vomiting is severe, loperamide or promethazine can also be used. However, this should be substituted with sufficient rest and nutrition (solid and liquids).
If these are not helping and you are not able to keep the food down, visit the doctor. Sometimes, a day or two in the hospital may be required for complete cure and recovery.

Stomach Infection - Easy Tips To Help You Treat It!

Gallbladder removal, termed as cholecystectomy, is regarded as one of the most commonly opted surgical procedures. Laparoscopic surgery for cholecystectomy is the process of removing the gallbladder with laparoscopic techniques. It is a minimally invasive surgery where the surgical procedures are performed with the assistance of different minute instruments and a video camera.

Advantages of Laparoscopic surgery for cholecystectomy
The most commendable reason why people favour laparoscopic surgery is that in place of having to undergo a five to seven-inch incision, this surgical process requires only four small incisions in the abdomen. Moreover, there is minimal post-operative pain and the patients are able to recover faster than patients who have undergone open gallbladder surgery. Most patients can go home the same day as the surgery and can have a quick return to day to day activity.

Determining whether you are a good candidate for laparoscopic surgery
Even though there are numerous benefits of laparoscopic gallbladder surgery, the process may not be suitable for all candidates as it is generally not suggested for patients who suffer from severe and complicated gallbladder disease or have a history of undergoing upper abdominal surgery. A comprehensive medical evaluation by the physician and subsequent consultation with the surgeon is essential in determining whether a patient is a suitable candidate for laparoscopic removal of the gallbladder.

Undergoing the laparoscopic surgery for gallbladder removal
Once you are recommended to undergo laparoscopic gallbladder removal, your doctor will advise you certain preoperative measures that you must follow before the surgery. It is suggested to take a shower the night before the operation and not to eat anything from the night before the operation. Also, drugs such as anticoagulants, arthritis medicines, and Vitamin E medications must also be stopped temporarily for several weeks before the surgery.

The surgery is performed under general anaesthesia. Therefore, the patient is asleep all through the process. The surgeon first inserts the cannula into the abdomen and then a laparoscope is connected to a specific camera through the cannula. Subsequently, other cannulas are also inserted which help the surgeon to separate the gallbladder from the attachments and then remove it completely through one of the apertures. Once the surgeon removes the gallbladder successfully, the small incisions are closed with dissolvable surgical tape or glue.

It is an overall safe procedure, and the rate of complications is much lower which makes it the most effective and popular treatment option.

Laparoscopic Surgery For Cholecystectomy - Who Should Go For It?

Most people have experienced stomach ache at some point in their lives. People who are affected with digestive disorders suffer from reduction in the digestion potential, which leads to insufficient conversion of nutrients to usable forms. There is a wide range of stomach disorders that people suffer from, ranging from the functional disorders to irritable bowel syndromes to constipation and several others.

Functional disorders of the stomach
Functional disorders of the stomach occur when the bowel movement appears normal, yet they do not function in the proper way. It is one of the most common gastro-intestinal problems and affects the rectum and colon, including constipation. It is mainly caused due to various reasons like regular consumption of a diet containing low fibre content, not getting enough exercise, and consuming a large amount of dairy products. You are likely to suffer from functional disorders of the stomach when you are stressed or resisting the urge of a bowel movement. Some people have the tendency of consuming laxatives without following any kind of regulation, and it leads to weakening of the stomach muscles in the course of time, and gastro-intestinal issues.

Common problem of constipation
Constipation is basically the restricted bowel movement and is caused due to an insufficient amount of roughage or fibre in the diet. It causes an individual to strain while passing stools and leads to hard and small stools, and eventually causes chronic problems like fissures and haemorrhoids. You can avoid these issues by including more roughage in your diet and by exercising daily. Although laxatives can alleviate the condition, it is crucial to understand that it is not a permanent solution, and you must consult your doctor for a sustainable solution.

Getting rid of irritable bowel syndrome (IBS)
Also referred to as spastic colon, IBS is a clinical condition where the colon muscles can contract almost instantly. There are numerous factors that can lead to this problem, such as certain medicines and foods as well as emotional stress. The most commonly seen symptoms are abdominal cramps and pains, excessive gas formation and bloating, and alterations in bowel habits. If you are suffering from IBS, then it is important to stay away from caffeine at all cost. Also monitor the foods that trigger IBS and stay away from them.

If these remedies are not able to offer a solution to your suffering, then it is crucial to speak with your doctor and seek treatment to get rid of your stomach problems.

3 Common Types of Gastro-Intestinal Disorders

Your stomach is lined with a mucosal membrane known as the mucosa and due to a variety of factors, it may become inflamed. This inflammation may cause a lot of problems and complications which are grouped under gastritis.
Symptoms of gastritis

Upper abdominal pain,
Hiccups
Diarrhea,
Nausea
Heartburn
Constipation
Reduction of appetite
Blood in the stool amongst the others
Gastritis can be quite debilitating and limiting for the people affected by it.

The Ayurveda approach
Ayurveda is a holistic form of medicine which takes into account many factors rather than just the physical disposition and symptoms that strives to cure the patients of the illness in a well-rounded manner. To this effect, Ayurveda helps you treat this problem with multiple angles of attack such as herbal medications and special cleansing therapies among many others. Let s take a look at some of the methods usually employed in various combinations among the patients.

Changes in diet: Consuming any diet which has a lot of spicy and rich foods over prolonged periods may result in gastritis and other problems. If you already have gastritis, then certain other types of food also need to be excluded such as tea, coffee, sour foods, chilies and buffalo milk among others. These food groups are excluded as they may increase the acidity of the stomach which may cause an escalation of the problems. Some of the foods that may help with gastritis are grapes, pumpkins, bitter gourd, pomegranate, melons and cucumber, etc.
Natural remedies: Some natural remedies that can be very effective in dealing with the symptoms of gastritis are mentioned below
Ajwain and rock salt have been an age old remedy in treating multiple gastrointestinal disorders and can be effective in this case as well.
Lemon juice is also very effective in treating symptoms or gastritis and also reducing inflammation.
Take amla, ginger, and licorice either in a raw form or as a dried option or mixed with other things such as milk or honey. These help in regulating and reducing the acidity within the stomach.
Ayurvedic medications: There are many specialized Ayurvedic medications which can be used to treat gastritis such as:
Amalaki choorna
Avipattikara choorna
Sootashekhara rasa
Sukumara Ghrita
Dhatri Lauha
However, you should consult a specialist Ayurveda doctor as they can prescribe the correct medications for you after studying your specific symptoms.

Gastritis - How Ayurvedic Remedies are Helpful?

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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