Problems of the large intestine are very common and patients should usually consult gastroenterologists for the proper diagnosis and treatment

1. Bleeding per rectum: Bleeding through the anal canal or rectum is usually the most common problem of the patients. It can be due to following reasons: 

A. Piles also known as Hemorrhoids: Hemorrhoids are dilated venous channels of the anal canal. They occur due to long term constipation or chronic cough or due to less fibre intake in the diet. Sigmoidoscopy or proctoscopy is required for diagnosis. Treatment options include medicines and high fibre intake, Injection therapy(Sclerotherapy) for stopping bleeding from piles and Stapler hemorrhoidectomy if the piles are large.

B.  Polyps: Polyps are soft tissue growths seen in the large intestine. They are usually silent but can present with bleeding or anaemia. Polyps usually grow slowly in size and large polyps can turn into cancer of large intestine also known as colorectal carcinoma. Colonoscopy is required for the diagnosis. The gastroenterologists can diagnose the presence of polyps by colonoscopy. Smaller polyps can be removed by polypectomy by gastroenterologists without the need for open surgery. However large polyps or those polyps with suspicion of cancer require surgery.

C. Large intestine Ulcer: They can occur due to early cancer, SRUS, Infections or drugs. They require colonoscopy for the diagnosis. The gastroenterologists usually take Biopsy from the ulcer to know the cause of the ulcer. The mere taking of biopsy does not mean cancer and biopsy samples are seen in the microscope for better diagnosis.

D. Ulcerative Colitis and Crohn s disease: Ulcerative colitis is one form of Inflammatory bowel disease (IBD). The other IBD is known as Crohn s disease. Whereas ulcerative colitis involves only large intestine, Crohn s disease can involve any part of the gastrointestinal tract including small intestine. Ulcerative colitis and Crohn s disease present with Loose stools(diarrhea), bleeding , abdominal pain, weight loss, Anemia and Perianal fissures and  fistula. The diagnosis of IBD is challenging and involves blood tests, CT Scan abdomen, Colonoscopy with biopsy and clinical history. Management includes Medicines which control the inflammation such as Pentasa, Rowasa, Mesacol etc. Severe disease requires additional drugs such as Azathioprine and Anti TNF sich as Infliximab and Adalimumab. Occasional cases require surgery such as those with tight stricture of the intestine, severe dilatation of Large intestine (also known as Toxic megacolon), excessive bleeding, the disease not responding to medical management, or presence of cancer with IBD.

E. Anal fissures: Cut in the anal skin (fissure) causes severe pain in the anal area during passing motions. It is usually due to constipation or straining. It is usually treated by Gastroenterologists initially by medicines and ointments. If the pain continues Surgery is required named as Lateral internal sphincterotomy (LIS).

2. Loose motions or Diarrhea: Excessive passing of liquid motions is known as diarrhea or commonly lose motions. It is usually due to Infections caused by contaminated food and water. It is usually self-limiting. Severe cases with dehydration require admission for IV fluids and antibiotics for the infection. Loose motions for more than 6 to 8 weeks is known as chronic diarrhea. It is evaluated by blood tests and colonoscopy. Usual causes include tuberculosis, celiac disease, ulcerative colitis, microscopic colitis, Malabsorption such as chronic pancreatitis and small bowel bacterial overgrowth.

3. Irritable bowel syndrome (IBS): IBS is very common and at least 20 to 30 percent of Indian patients suffer from it. Symptoms include altered bowel habits such as diarrhoea or constipation, abdominal pain which is usually relieved or increased by defecation. Weight loss or bleeding is not the feature of IBS. Few simple blood tests are required and good medicines are now available for IBS. Few cases may require colonoscopy to rule out alternative causes of the symptoms.

Understanding colonoscopy: Colonoscope is a flexible tube with a camera at its tip to see the inside of the large and small intestine. Bowel preparation is required at least 8 hours before the procedure so that the inside of the large intestine can be seen clearly without the interference of stools.colonoscopy is an OPD based procedure where the patients are discharged the same day. A colonoscopy helps in evaluation symptoms of the large intestine such as loose stools, bleeding and abdominal pain.

In Detail About Colorectal Disorders!

One of the most severe forms of pain is the pain that a woman experiences during the process of childbirth. On a scale of 1 to 10, with 10 being the most severe, it is believed to be 8 to 10. In the earlier days, a number of women would die during childbirth and survival was considered as a second lease of life. This belief has however, changed with the advancements in medical science. The delivery has now become an almost painless procedure.

How it works: The pelvis and the lower limbs receive nerve supply through the nerves coming out of the spinal cord. A strong anesthetic is injected into the lower back to numb the pelvis and down below. This ensures that the mother is comfortable and awake during the whole procedure and is able to see the child being delivered but has reduced pain in the lower half of the body.

What are its benefits?

The mother has a painless delivery and is conscious and able to see the process of delivery.
Significant relief from the painful experience of childbirth. The pain induces secretion of stress hormones in the mother, which adversely affects both the mother and the child.
Blood pressure is better controlled using this procedure.
Additional instruments can be used during the delivery if required without the need for additional anesthesia.
If required, the procedure can be converted to a cesarean section too, by adding an epidural catheter.
The duration of childbirth has been significantly decreased.
Suitable for patients who have preeclampsia and heart disease
It has some disadvantages too

There are minor complications, including:

This can develop after the painless delivery and the onset and intensity vary from one individual to another
Post-procedure headache
Pain at the site of injection
Difficulty during urination
The normal pushing effect by the woman is reduced due to the numbness and so vacuum may be used or delivery may have to be converted to a cesarean one.
In rare cases, there could also be a sudden drop in the blood pressure
Certain indications

In the following cases, the doctor would advise the mother to go for a painless delivery

Medical conditions like preeclampsia, high BP, or other heart conditions
Subsequent births after having had a cesarean section (VBAC   vaginal birth after cesarean)
People who have previously had prolonged or complicated labor, a painless delivery is easy on both the mother and the child
When it should be best avoided

In some cases, like the ones listed below, the painless delivery should be avoided

Women with bleeding disorders.
Women who are on blood thinners like aspirin, heparin, etc.
Women who have had prior low back surgeries
Women with neurological conditions
A detailed discussion with your gynecologist is the best way to identify, if this would work for you.

Painless Normal Delivery - Is it Possible?

The human body is an intricate mechanism that functions amazingly. And when there is any trouble it does not fail to show signs of trouble, and all we need to do is, to notice it and solve our problems. This is applicable to all types of health issues, including a perianal abscess.

What is Perianal abscess?
Perianal abscess is an extremely painful condition of anal abscess that occurs when one cavity in the anus starts getting filled up with pus. Very often it appears as a painful swelling similar to boil just near the anus. Usually, it appears red in color as well as slightly warm to touch. If the location of the anal abscesses is in the deeper tissue, then it might be less visible and it occurs in people suffering from inflammatory bowel disease.

The worst part is that in certain cases, anal abscesses might lead to more painful anal fistulas. Generally, fistulas occur only if the abscesses fail to heal and break open on the skin s surface. Therefore, it is important that the abscess heals properly or else it may lead to intolerable pain and may even require surgery.

Symptoms of Perianal Abscess
The immediately noticeable and probably the most common anal abscess symptom is constant and throbbing pain around the anal area. Swelling accompanies the pain and its rate increases during bowel movements.

Various common signs of Perianal abscess are:

bleeding or rectal discharge
constipation 
fatigue
Swelling or tenderness,
Skin irritation all around the anus.
Patients with deeper abscess might also show symptoms such as chills, fever, malaise, etc. Various reports state that certain people also feel a lump or nodule at their anus s rim. Facing difficulty while urinating might also be experienced by some people affected by perianal abscess.

HOW TO DIAGNOSE PERIANAL ABSCESS?
One must immediately seek medical if they experience any of the above-mentioned signs or symptoms. Clinical evaluation along with digital rectal exam is sufficient for the proper diagnosis. But, in some cases, patients might need other tests to screen for rectal cancer, diverticular disease, inflammatory bowel disease and sexually transmitted infections. Your physician might also suggest a CT scan, an MRI, or an ultrasound.

HOW DO YOU TREAT PERIANAL ABSCESS?
Just after the diagnosis, prompt surgical drainage would be carried out by the doctor before the abscess erupts. A deeper or larger abscess might require hospitalization as well as an anesthesiologist s assistance. In most cases, patients are prescribed certain medications for pain relief just after the procedure. Antibiotics are mainly given to those people who have comparatively weaker immunity or suffer from diabetes.

Know More About Perianal Abscess!

Dealing with Dysmenorrhoea (Painful Periods)

Dysmenorrhoea is a medical condition where a woman has extremely painful periods. While menstruation is normal, it is very painful. This is caused by disorders like fibroids, pelvic inflammatory disease, adenomyosis, endometrial polyps, use of intrauterine contraceptive device or endometriosis. Many women assume that pain is normal and must be tolerated.

Few ways to deal with dysmenorrhoea are:

1. It’s Ok To Take Pain Relievers: To relieve the pain, simple analgesics like paracetamol and aspirin can be taken.

2. Anti-inflammatory Drugs Can Taken: Non-steroidal anti-inflammatory drugs are also prescribed to deal with dysmenorrhoea and most women are known to feel relief from the pain.

3. Fish Oils Capsules: Fish oil capsules which contain Omega 3 fatty Acids are also a good option to use when troubled with severe menstrual pain.

4. Prefer Light Diet: A few minor dietary changes can also help. Eating low fat vegetarian food especially on the days of the periods can prove to be helpful.

5. Avoid Sedentary Lifestyle: It is said that exercise can reduce the pain of dysmenorrhoea. Sedentary lifestyle is not good for the uterus region and it is advisable to indulge in regular exercises.

6. Use Heat Therapy: Heat therapy is a common and effective way to deal with dysmenorrhoea. Keeping a hot water bag on the region of the pain is known to soothe the pain and help relax the muscles.  

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Why Do Some Girls Have Extremely Painful Periods?

Mommy Makeover

Pregnancy can take a toll on your body. If you had a nice figure, you might find yourself having a flabby tummy after your child is born. Even if you lose the pregnancy weight, certain areas of your body may still have excess fat.

Mommy makeover is a process that rids you of those worries. The process is aimed at reshaping the body and reducing the excess fat that has accumulated post-pregnancy. This process has gained popularity among women in recent years.

However, the traditional methods of a mommy makeover are time-consuming and include many processes like liposuction, tummy tucking, breast augmentation, and labiaplasty. That is why moms today are opting for nonsurgical mommy makeover methods.

Nonsurgical mommy makeover

A nonsurgical makeover is vastly different from the traditional methods as there are no surgeries. The treatments involved in the process may vary from one woman to another. The common makeover treatments include the following  

  Cool sculpting   This process aims to remove the excess fat from the body, especially the abdomen region. It takes around an hour to treat a particular area of the body. Here two sculpting paddles are placed on the area and gently pulled upwards using light suction. The fat cells are frozen and then destroyed.

  Thermage   This is a laser-based treatment that helps to tighten the undesired loose, sagging skin. This process boosts the production of collagen in the body that tightens your skin.

  Fraxel   This process is used to minimize the stretch marks on the abdomen. A non-ablative laser called Fraxel is used for the process.

  Hair removal   Many women find hair growth in unusual areas of their body that did not occur before pregnancy. As taking care of their little ones takes time, they might not have enough time to wax and shave. Laser hair removal can permanently remove unwanted hair from the body.

  Spider vein removal   During pregnancy, many women develop spider veins or varicose veins. Spider vein removal therapy reduces the appearance of these spider veins. Depending on the type of veins and the location in the body, processes like Sclerotherapy are commonly used.

  Stretch marks removal   Stretch marks appear in the abdomen, breasts, thighs, arms and buttocks and slowly fade to grey or white. During the latter half of the pregnancy, these usually appear. They can be removed by many methods such as Tretinoin cream   it helps to build collagen and tone the marks to look like normal skin. Laser therapy is also used to develop more collagen or enhance melanin production, which helps in fading the marks over time. Other methods like Microdermabrasion and Micro needling are also used.

  Scar correction   C-section scars that are observed among women after pregnancy can be removed through a topical gel called Mederma. Curad Scar Therapy Cosmetic Pads are also
used to lighten the redness of the scars.

  Breast sagging correction   After pregnancy, your breasts might sag and lose volume. Enhancement techniques like augmentation or breast lifts will help in restoring size and
shape to the breasts making them look fuller.

  Localised fat correction   Excess fat can be removed using Carboxytherapy where carbon dioxide is injected into the fat area through a very small needle. As a result, the fat cells burst and the liquefied fat is removed naturally from the body. Carbon dioxide stimulates collagen production and increases blood flow.

  Radiofrequency   This is used to break down a part of fat cells and stimulate collagen formation. This helps in making the skin look smoother, reduces stretch marks and fat, and
helps with skin tightening.

  Mesotherapy   This method is performed by injecting small quantities of vitamins, pharmaceuticals, and natural extracts in the skin. This is used for improving sagging skin,
rejuvenating the skin, and reducing fat or cellulite.

Things to keep in mind
Usually, the nonsurgical treatments do not require much recovery time and you can get back to your usual routine quickly. However, the Fraxel laser treatment takes about a week to recover. If you are seriously opting for this procedure, make sure you know all the details beforehand. Talk to your doctor and get to know all the steps you need to take before and after the makeover. It is advised that you go for this procedure after you have decided not to have kids anymore.

Post Delivery Non Surgical Mommy's Makeover!

How turmeric can help you lose weight this winter season

Weight gain and winters go hand in hand as it’s the holiday season, full of weddings or parties, both of which can result in the piling up of calories and kilos. Turmeric in winters is a must have, at least for its medicinal properties, which help you in dealing with the common winter woe of weight gain. 

Why is turmeric most effective in winters?
Turmeric has plenty of health benefits like reducing the effects of arthritis, increasing the immunity of your body etc. besides being a natural remedy for weight loss. The benefits of turmeric can be enjoyed to the fullest during winters as its consumption during summers in excessive amount can cause some side effects. Turmeric has a heating effect on your body, so consuming it in excess during the summer months adds to the heat your body generates and may result in indigestion or heartburn.

How can turmeric help in losing weight?
Turmeric is rich in curcumin (an orange pigment), which is instrumental in breaking dietary fibres, and consequently in helping you to lose weight. Curcumin can stop the fat tissues from being created in your body by regulating your blood vessels, which are responsible for formation of these fat tissues. 

Turmeric also lets you manage your weight by aiding in the reduction of cholesterol levels in your body. Moreover, it’s also effective in lowering lipid content in your body by reducing the presence of adipose (fat) tissues to prevent weight gain.

Additionally, curcumin present in turmeric can help in the burning of fat as well, thereby triggering weight loss.

How can you make turmeric a part of your daily diet?
You can either add turmeric to your food while cooking or you can have a glass of turmeric milk daily to enjoy its multiple health benefits. Also, you can add turmeric to your tea or have turmeric supplements that are available in the form of powder-filled capsules, fluids or tinctures. 

To get the most out of the weight loss benefits of turmeric, limit your turmeric consumption to 2-3 grams a day during the winter season. 

Here’s an easy a tasty turmeric milk recipe to get you started:

Turmeric golden milk recipe-
Ingredients:  
1 inch long stick of turmeric, coarsely crushed
½ cup water
1 cup low fat milk
Pepper, according to taste
1 tablespoon honey

Directions:
Combine the milk and the water and bring to boil. Add the crushed turmeric and pepper. Heat the mixture on a low flame for about 20 minutes. Remove from flame and strain the mixture. Pour in a glass and stir the honey into it. Consume the drink while it’s still warm.

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Turmeric: an Ultimate Winter Weight Loss Weapon 

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