Surgery is basically the most important treatment for majority of kidney cancer and without undergoing surgery, the chances of survival for the patient are very small. Surgery for kidney tumor is also beneficial for the people who has cancer in different other organs of the body. People also live longer with the help of the removal of the kidney which contains cancer thus even if cancer has spread beyond just the Kidneys, the doctor might suggest kidney surgery.

The removal of kidney tumor can also be used to prevent or reduce symptoms like abnormal bleeding or pain. Some of the tissues surrounding the kidney or the entire kidney might be removed depending on the location or other factors involving the tumor for cancer.

Risks or Side-effects of the Surgery
Surgery of any type might have some risks which can be short term like abnormal bleeding, blood clots which will eventually lead to infection. Majority of people does tend to have pain after undergoing the operation which usually could be benefited with the help of pain medicines. Some other possible risks are:

Some internal organs such as spleen, pancreas, large or small bowel or some blood vessels might be damaged after undergoing the operation.
Internal organs might observe some bulging near the area of surgery because of the issues with the healing of the wound which is known as incisional hernia
If the remaining kidney is unable to operate then there might be the risk of Kidney failure.
Is the chest cavity lets in unwanted air then there is a risk of Pneumothorax.
There is always a risk of urine leaking into the abdomen.
Advantages of Kidney Surgery
Transplantation surgery tends to have some benefits. Which minimises the need for dialysis and helps the patients enjoy life at its best which more freedom productivity and energy. Although majority of the patients before being first evaluated for surgery are on dialysis. But the patients who are undergoing end stage renal disease might be referred for surgery even ahead of dialysis.

A successful kidney surgery can provide you with more than just your health back. It can also provide you with an even better quality of life. There are several cases where the majority of patients return home and also good work and still lead a quality life after the transplantation therefore this treatment is preferable for several patients.

Surgery For Kidneys - Know The Benefits!

GERD or acid reflux is caused by the regurgitation of acidic liquid stomach contents back up into the esophagus. It is a long-term condition where stomach contents come back upwards from the gastro-intestinal tract resulting in either symptoms or complications. It is a commonly occurring digestion condition. A burning sensation in the chest is usually caused by acid reflux which radiates up from the stomach to the mid-chest or throat. This condition is also known as the heartburn. A sour taste in the back of the mouth is a common experience amongst the patients. Long term reflux of gastric contents causes the condition to become chronic which can lead to difficulty in swallowing. In some cases the erosion of the tract lining can also cause breathing problems.

Symptoms:

Heartburn is a burning sensation felt in the retrosternal area. Most commonly it occurs post-prandial or nocturnally. Consumption of fatty foods, spicy foods, acidic foods aggravates the condition. Burning sensation is relieved with antacids, water or milk.
Perception of gastric content reflux in the mouth or hypopharynx is termed as acid regurgitation. It is also known as water brash. A bitter or acidic taste is felt in the mouth.
Other symptoms include dysphagia, odynophagia, nausea, chest pain, dyspepsia, epigastric fullness, bloating, frequent belching
Extra-esophageal symptoms like chronic cough, hoarseness, laryngitis, dysfunction of the vocal cords, bronchospasm can also be observed.
Complications:

Peptic stricture
Ulcers of the esophagus
Metaplastic disease (Barrett s esophagus)
Dysplastic disease (Adenocarcinoma)
Laryngitis or bronchitis
Pulmonary disease
Fluid in the sinuses and the middle ear
Diagnosis:
The diagnosis of GERD is made by its most commonly presenting symptom- heartburn. To confirm the diagnosis of GERD, the physicians treat patients with medications for suppression of the production of acid by stomach. If heartburn diminishes to a large extent by the medications, diagnosis of GERD is considered confirmed.

Conditions like an ulcer caused by bacterial infection, mimic the symptoms of GERD. To get a clearer diagnosis, an endoscopy is then performed. The common diagnostic modality for GERD is Upper intestinal gastro-endoscopy. A tube containing an optical system for visualization is swallowed, the tube progresses down the gastrointestinal tract, and then the lining of the esophagus, stomach, and duodenum can be examined. A normal esophagus is observed in most patients with symptoms of reflux. 

However, sometimes the lining of the esophagus appears inflamed. If erosions (superficial breaks in the esophageal lining) or ulcers (deeper breaks in the lining) are seen, a diagnosis of GERD can be made definitely. Other complications of GERD like ulcers, strictures, and Barrett's esophagus are also identified. Biopsies also may be obtained. Other common problems that may be causing GERD like symptoms can be diagnosed (for example ulcers, inflammation, or cancers of the stomach or duodenum) with EGD. Previously, barium meal x-ray was undertaken to diagnose GERD. It is now discontinued.

Other tests that are carried out are esophageal acid testing, esophageal motility testing, gastric emptying studies and acid perfusion test.

Treatment:

Lifestyle modifications   Avoiding acidic foods, quitting smoking, weight loss, abstaining from alcohol consumption improves symptoms in people with GERD.
Medications   Proton pump inhibitors (Pantoprazole, Omeprazole, Rabeprazole), H2 receptor blockers (Ranitidine, Cimetidine) and antacids.
Surgery   In cases where the proton pump inhibitors are unsuccessful in relieving symptoms of GERD, a surgical procedure called Nissen fundo-plication is done.

GERD - Complications Associated With It!

A hernia occurs when a weakened area of muscle in the abdominal wall gives way and the internal organ/tissue bulges out through this weakened are or  defect'. This can happen in many different areas of the abdomen. A hernia that develops in the groin region is called "inguinal hernia". It may be very painful especially if a part of the intestine gets trapped in the bulge.

The only treatment option is surgical repair as the weakened area "defect" needs to be repaired and will likely need reinforcement by a prosthetic material called a "mesh". Doctors may resort to Open Surgery or Laparoscopic Inguinal Hernia Repair depending on his/her evaluation of the patient. 

Who is a candidate for Laparoscopic surgery?

Laparoscopic surgery is the preferred treatment option for most people with inguinal hernia. Special situations in which laparoscopic surgery is much superior to open are

  Failure of a previous open surgical repair. Laparoscopic surgery is performed from "behind" the hernia and abdominal wall in comparison to open surgery which is performed from "the front". So, in case of failure of the open surgery, laparoscopic surgery is done through a fresh, non-scarred area and is technically safer and easier than doing an open surgery once again.

  If there are hernias on both sides and both need to be repaired at the same time, laparoscopy has a great advantage as both the hernias can be tackled and repaired through the same three tiny cuts, and two separate large incisions need not be made. 

Who is Not a Candidate for Laparoscopic Surgery?

The person is not a candidate for Laparoscopic Surgery if he has:

  Some patients who have undergone previous Abdominal Surgery or prostate surgery may not be suitable candidates for laparoscopic inguinal hernia surgery.

  Some underlying medical conditions, that make him unfit for general anaesthesia, as usually laparoscopic surgery can only be done under general anaesthesia.

How Laparoscopic Inguinal Hernia Is Carried Out?

In a Laparoscopic Intervention, two to three small incisions are made in the lower abdominal area. The laparoscope is passed through one of these incisions and the surgical instruments are inserted through the other incisions. The abdominal cavity is inflated using Carbon Dioxide to help the surgeon visualize the lower abdominal area clearly. Using the laparoscope, the surgeon visualizes the Hernia and uses long instruments to operate on it. She covers the hernia with a mesh and may fix the mesh to abdominal muscles using either stitches or stapler-like instruments.

Benefits of Laparoscopic Surgery

1. Two or three tiny cuts (5-10 mm in size), hence there is less pain after laparoscopic surgery

2. Better cosmetic results

3. Quicker recovery

4. Early return to daily activities like walking, working, etc

5. Shorter hospital stay 

Role of Laparoscopic Surgeon In comparison to many other minimally invasive surgeries:

Laparoscopic Inguinal Hernia Repair is more demanding in terms of technical capability of the surgeon. In general, Laparoscopic Inguinal Hernia Repair is more difficult to carry out in obese people than others. However, if the doctor is well trained and technically advanced with long experience, he can carry out such minimally invasive surgeries smoothly irrespective of the BMI of the patient. Everybody is not a candidate for Laparoscopic Inguinal Hernia Repair.

It is the doctor who decides if a particular patient is suitable for such surgery or not. However, the conclusive factor in any such repair is the experience and expertise of the doctor. This is why there are not many Laparoscopic Surgeons who carry out Laparoscopic Inguinal Hernia Repairs. Owing to the complexity of this procedure, it is important to get it done from an expert surgeon only.

Laparoscopic Inguinal Hernia Repair !

Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1.  It may feel like you are suffering from indigestion or gas or fullness and pressure.

2.  It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4.  If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

If you would like to consult with me privately, please click on 'Consult'.

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Why You Must Not Dismiss Chest Pain as a Minor Affair!

As men enter their middle age, many of them develop issues with their prostate gland. There are certain symptoms that would tell you that your prostate glands have stopped functioning smoothly. It is recommended that you opt for a thorough check up when you suspect something wrong. This is because untreated prostate issues can lead to prostate cancer later in life. To avoid such a situation, it is best to get it treated as soon as possible.

Here are certain common symptoms which would make you aware of the issues that might affect your prostate gland.

Bladder Discomfort: When you frequently start experiencing the feeling of your bladder not emptying completely, then it is time to consult an urologist for the problem. Such bladder discomforts are linked to prostate gland malfunctioning.
Increased frequency of urination: Ideally a person urinates around six to eight times a day. Depending on the intake of liquid or water it can even rise up to ten times. But if you are urinating more than ten to twelve times, then it is definitely a matter of concern and you should approach medical help for it.
Dribbling of urine: when you notice that the flow of urine is not stable and it starts dribbling for a long time, then you must understand that the prostate gland is not functioning properly. This is one of the earliest signs of prostate disorders.
Waking up frequently at night to use the washroom: It is not very normal to wake up frequently at night to use the washroom. But when you notice an increase in your trips to the washroom at night, it can be a sign of prostate malfunctioning.
Pain in penis or blood in the flow of urine: If you feel pain when you are trying to empty your bladder or anytime during the day, then it is a matter of concern. Similarly, if there is a flow of blood, even in the slightest, in your urine, then it is time to opt for a check up with your medical practitioner.
Hence, these are the major symptoms which reflect that the functioning of your prostate gland is not as smooth as it is supposed to be. If you can relate with any of these symptoms, ideally you must immediately consult your medical practitioner and take an expert opinion. Medical science has progressed a lot in contemporary times and prostate disorders are very much treated by medicines and procedures. It is a very much curable problem provided you get the right help at the right time.

Prostate Enlargement - 5 Signs You Are Suffering From it!

Mushroom is a type of fungi that hails from the Agaricus family. It is estimated that there are close to 1,40,000 types of mushroom, out of which science has been able to classify only 100 odd mushrooms for health benefits. From cutting down cholesterols to preventing cancers, increasing the strength of the immune system to helping in weight loss, there are numerous health benefits of mushroom. This article will explore why mushrooms are regarded so highly by health practitioners across the globe:

Cholesterol levels: Mushroom does not possess any fat or cholesterol. They are rich in lean protein, fiber, and some very important enzyme. The lean protein found in mushroom helps to burn down the LDL cholesterol. Furthermore, it creates a good balance of LDL and HDL cholesterol so that the body can refrain from stroke, atherosclerosis etc.
Preventing cancer: Mushrooms are mighty effective in blocking certain cancer types such as the breast and prostate cancer. Owing to their high linoleic acid and beta-glucans, they act as a very good anti-carcinogen. While linoleic acid can successfully suppress the excess estrogen which leads to breast cancer in women, the beta glucans can suppress the growth of cancer cells in the case of a prostate cancer.
Diabetes: Mushroom is an ideal food for a diabetic patient. They do not possess cholesterol, consists of low fat, have high protein and a lot of minerals and vitamins. Apart from this, mushrooms possess a lot of fiber and water. The most critical component, however, is the natural insulin that mushroom has within itself. They help to break down the starch found in food items. Mushrooms have certain components that help in the proper functioning of the liver, endocrine gland etc. It ensures that the proper balance of insulin is maintained in the body.
Bone health: Mushroom is a very good source of calcium. They ensure that adequate strength of various bones is maintained in the body. Regular intake of mushroom can ensure safeguard an individual from conditions such as osteoporosis, joint pain, and immobility.
Blood Pressure: Mushroom variety such as the maitake and the shitake has a high amount of potassium content. The latter can successfully relax the blood vessels thereby, reducing the blood pressure. Increased potassium content also helps in knowledge retention and an improved memory. High blood pressure, on the other hand, can cause severe damage such as strokes, heart attacks etc.
Selenium content: Selenium component is mushroom is one of the key ways to receive selenium for a vegetarian. Selenium helps in strengthening the bone, nail, tooth and hair. Selenium is also considered to be a very powerful antioxidant that can successfully get rid of free radicals in the body and strengthen the immune system.

Mushrooms - 6 Reasons Why You Should Start Eating Them Today!

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