Hernia is the name given to the condition where an internal part of your body pushes itself into another area of the body where it does not belong. A hiatal is the opening in the muscular wall which is called the diaphragm. This usually separates the abdomen from the chest cavity. In the human body, the food pipe, which is called the esophagus passes through this hiatal and joins the stomach area. Hiatal hernia is a condition when the stomach bulges up through this opening, into the chest.

Causes of Hiatal Hernia:
The main cause of hiatal hernia is not known at present, but there are certain factors that can cause it. It could occur when there is an increased pressure on the abdomen area such as during a pregnancy, coughing, obesity, too much straining at the time of bowel movement. Some people are also born with a wide hiatal opening.

Who needs surgical treatment for Hiatal Hernia?
In most of the cases, hiatal hernia does not show any kind of serious signs and hence you need not have to worry about it, When you experience symptoms such as acid reflux, gastroesophageal reflux disorder or heartburn, then you can treat them with mild medication and with the help of your doctor. But when the symptoms are severe and interferes with the quality of your life, or if the symptoms are not responding to medication, when the blood flow to the herniated tissue is blocked, causes ulcers, or heavy bleeding, you will need a surgery.

There are three types of surgeries for hiatal hernia.

Nissen Fundoplication: This is the most common surgery done for hiatal hernia. This is also called keyhole surgery or laparoscopic surgery. Small incisions are made in the abdomen area and the hernia is repaired. The surgeon also tightens the stomach in order to avoid the reoccurrence of this condition. It is a less painful and minimal scar process. Recovery time is also less compared to other surgical techniques and you also need not have to stay for a long period in the hospital.
Open repairs: For the repair of the hernia, a large incision is made in the abdomen area. The stomach is pulled back to its original place from the chest area. A small tube is also inserted in certain cases in order to keep the stomach in its original place and prevent it from moving towards the chest area. This kind of surgery has a lot of risks.
Endoluminal Fundoplication: This is the latest surgery technique and rarely used. No incisions are made in this procedure. Only a tube and camera are passed through the throat. The stomach is tightened and acid reflux is prevented.

Hiatal Hernia - 3 Types Of Surgeries That Are Often Recommended!

When the thyroid gland is affected, leading to the thyroid disorder of an underactive nature, it is termed as hypothyroidism. The thyroid gland which is found in the lower portion of the neck is critical to the proper functioning of the human body s metabolism. In simple words, the thyroid hormone being released by this gland has to travel throughout the body to help in the use of energy gained from the food consumed and to keep the vital parameters such as the heartbeat in the right condition. When some antibodies attack the thyroid gland, and don t permit it to release adequate amounts of hormones into the system, the hypothyroid condition results.

The Causes for Hypothyroidism
An inflammation caused to the thyroid gland can result in this condition. This is an auto-immune disorder, in the sense that some internal factors can trigger this inflammation. Medically, the inflammation is termed  thyroiditis . There are also other factors that can cause hypothyroidism. These include radiation therapy. If the therapy has been administered near the neck area and the rays have penetrated to the thyroid gland, the inflammation can occur. Even those suffering from hyperthyroidism, the overactive form of thyroid and given radioactive iodine treatment can suffer from this condition due to the damage caused to the gland. Lastly, certain specific medications, if consumed regularly, can cause the condition.

Particular Sections of the Community at Risk
While there is no strict division among the population on vulnerability to be affected by hypothyroidism, research has indicated that women, and that too older women, may be more at risk. Men may be at a lower risk. Besides this, there are other profiles such as race and age which can also have a bearing on the level of risk. Of particular significance is that people who already suffer from autoimmune disorders are more likely to suffer from hypothyroidism than others.

Symptoms and Diagnosis
Many symptoms might not be unique to the hypothyroidism condition and can be misleading. Constipation, depression, hair loss and fatigue are some of them and an experienced medical practitioner will weigh the other factors, including the profiles explained above to reach the proper conclusion. The conventional TSH (thyroid-stimulating hormone) and T-4 (thyroxine) blood tests will be advised by the physician and the results should provide a reasonable confirmation of the condition. If doubts still persist an ultrasound or scan can also be ordered.

Hypothyroidism Treatment
As mentioned, for the body s metabolism to function normally, it is essential that the thyroid gland releases the thyroid hormone in sufficient quantities. Treatment of hypothyroidism is therefore very essential. The most frequently followed treatment is to prescribe regular intake of the synthetic thyroid hormone called T4. It is usually available in the form of a pill and has to be taken daily. The physician will know the concentration and dosage to be advised. Periodically testing your blood is necessary to monitor the levels.

Inflammation Of The Thyroid Gland - Can It Be Safely Controlled & Treated?

When you experience a pain on the side and back just below the ribs that at times radiates to the lower abdomen and is fluctuating in intensity, it is quite unlikely for you to think that the reason could be a kidney stone. One of the early symptoms of kidney stone, when you experience such pain, you must seek medical advice. However, there is no need to panic as it is completely curable. Read on to understand more about this condition.

What is urinary bladder stone?
Vesical calculus, which is more commonly referred to as bladder stones, are formed due to a buildup of minerals. It may occur when the bladder is not entirely emptied after urinating. In the course of time, the residual urine becomes concentrated, and the minerals start forming crystals. When the stones are in a miniature state, they can easily pass out, but at times, when they are quite big, they may get stuck in the walls of the urinary tract and cause severe pain and discomfort.

What are the causes of urinary bladder stones?
Bladder stones start growing when the urine is left in the bladder for a long span of time. This may happen due to some underlying medical condition which can prevent the bladder from completely emptying. Conditions which are responsible for causing stones in the urinary tract are as follows

Enlargement of the prostate: When the prostate is enlarged, it may exert pressure on the urethra and disrupt the flow. It leads to retention of urine and creates an ideal environment for the formation of stones.
Diverticula and enlargement of bladder: Sometimes, pouches form within the bladder, and when they become too large, they can retain urine and prevent the bladder from being emptied completely.
Usage of medical devices: Bladder stones may form when an individual uses catheters or other medical devices.
Inflammation of the bladder: Radiation therapy or infection in the urinary tract that causes inflammation or enlargement of the bladder can lead to the formation of stones. Also, if a person has kidney stones, they can come down to the ureters, and in case they become too large to pass, they would stay in the bladder and cause substantial obstruction. Kidney stones are more common than stones in the urinary bladder.
How are kidney stones treated?
Specific lifestyle changes such as drinking enough liquids, taking calcium supplements, limiting the amount of caffeine and alcohol and reducing body weight are some of the simplest yet effective means of treating urinary stones at earlier stages.

Use of specific medicines can also reduce the calcium and uric acid stones by controlling the amount of alkali or acid in the urine. These medications reduce the amount of calcium released by the kidneys so that they can be retained in the bone. If these treatment options do not work, you must consider undergoing surgical intervention.

Stones In Urinary Tract - 4 Particular Reasons Behind It!

An anorectal condition can be difficult to live with and often remains undiagnosed, due to it being perceived as an embarrassing ailment. Fistulas are conditions where two body parts, that are not meant to be connected, become linked as part of the disorder. Rectal fistulas can be painful and standard treatments are available, which can cure the condition. However, these treatments come with serious side effects.

Most people prefer Ayurvedic fistula treatments over the conventional medications for the lack of side effects as such. Ksar sutra is one such branch of treatment in Ayurveda, which has shown tremendous results against fistulas. Here is a look at all that you need to know about Kshar Sutra.

What does Kshar Sutra mean?
Kshar Sutra is a form of treatment, which uses threads laced with the juices of medicinal herbs to treat rectal fistulas.  Kshar  refers to the herbs and  Sutra  stands for the thread used for the treatment. It is a minimally invasive surgical procedure with almost no side effect or danger. The Kshar Sutra form of treatment was first discovered by Sushruta, Vagbhata and Charak. In recent times, BHU s Shalya Tantra Department has once again proved its efficacy in case of rectal disorders.

How is the treatment done?
Once the thread has been coated with the medicinal herbs, the same thread needs to be inserted into the fistula in ano. The patient is anaesthetized and the thread is inserted into the fistula using a probe. The thread is then taken out from the other side and the two ends of the thread are tied together. This thread is changed after every 7 days. This thread insertion effectively cuts the tract and unhealthy tissue is removed from the region.

Why is Kshar Sutra beneficial?
Benefits for this form of treatment include-

Lower risk of anal incontinence, which may occur in case of conventional medicine and surgery.
Lower risk of the anal canal getting narrower after the treatment is completed.
Minimally invasive treatment, which is why patients can resume normal life after just 3-4 days of recovery.
Apart from the treatment, patients should also follow a diet rich in fibre, fruits and vegetables. Drinking large quantities of water will also result in a better prognosis. Lastly, engaging in daily walks will also help you deal with the condition. 

Ksharsutra in the Treatment of Fistula in Ano, Anorectal Disorders!

 Thyroid is a small gland situated in front of the neck and secretes hormones like thyroxine (T4) and tri-iodothyronine (T3). These hormones control various functions of our body like heart, blood pressure, digestion, metabolism, growth, blood formation, brain function etc. Any fluctuation in the functioning of the thyroid gland can have a great impact on health. The thyroid gland is primarily responsible for energy and metabolism. This gland triggers the genes that make all the cells in the body conduct their specific jobs. But over a period of time, the optimum functioning of the thyroid may reduce because of specific reasons. The gland may start to under-produce or overproduce the thyroid hormone, which may lead to conditions known as hypothyroidism or hyperthyroidism, respectively. 

Patients with hypothyroidism may feel extreme tiredness and fatigue even though they may be sleeping more than before. An unexplained gain in weight, constipation, inability to stand cold temperatures, and constant pain in muscles and joints are some of the other symptoms of hypothyroidism. 
Hyperthyroidism, or overactive thyroid, is an endocrine disorder. Patients with this disorder may experience excessive sweating, fatigue, and intolerance to heat. They may even experience restlessness, puffy or protruded eyes, hair loss, and muscle weakness. Such patients may lose weight and are unable to sleep properly at night. In some cases, palpitations or abnormal heart rhythm may also be experienced. 
Complications of Thyroid Disorder 

Hypothyroid and hyperthyroid can cause a number of complications if patients don t take medications. It is important for you to not to ignore any of the aforementioned symptoms and speak to your doctor as soon as possible. 

Hypothyroid complications

Myxedema: This condition is characterized by slowed thinking, swelling of tissues, and accumulation of fluid around major organs like brain, lungs and/or heart. This condition may prove life-threatening if not treated on time. 
Enlarged goiter: This is characterized by enlargement of the thyroid gland because of a constant increase in the TSH levels. High cholesterol and triglycerides: This may eventually pave way for heart disease and stroke. 
Sleep apnea: Sleep apnea is a disorder that affects nighttime breathing where the brain that temporarily stops sending signals to the muscles that control breathing, or by an obstruction in the airway. This may prove fatal if left untreated. 
Low blood pressure: This means not enough blood is getting to capillaries and tissues, particularly in your hands, feet, and brain. You may have chronic nail fungal infections and cold hands and feet if so. 
Hyperthyroid complications 

Heart disorders (cardiac arrest): If left untreated, excess thyroid hormones can lead to congestive heart failure and heart rhythm disorders. 
Osteoporosis: Too much thyroid hormones interfere with the body s ability to use calcium to build bone. This may lead to brittle bones and osteoporosis. 
Thyrotoxic crisis: This is a rare yet life-threatening complication characterized by high fever, vomiting, irregular heartbeat, and agitation. 
Hypertension or high blood pressure: It is a condition in which a patient has high blood force striking the walls of the artery An early diagnosis can help make the treatment of this disorder easier. 
Depending on the condition of the thyroid condition, it requires different ways to manage it. The conventional TSH (thyroid-stimulating hormone) and T-4 (thyroxine) blood tests will be advised and the results should provide a reasonable confirmation of the condition. If doubts still persist an ultrasound or scan can also be ordered. In case you have a concern or query you can always consult an expert & get answers to your questions!

Is Your Thyroid Gland Working Against Your Body? 

Anal Fissure is a small tear in the anal area. This can happen due to injury while passing hard formed stool or even by repeated bowel motion. It may be very painful especially at the time of passing hard stool. 

Symptoms

Most commonly sought symptoms in Anal Fissure are as given below: 

  A noticeable tear in the skin close to the anus. 

  Cutting or burning pain in anal passage while passing stool which may persist for a considerable time

  Sometimes pain is so severe that patient stops eating in an attempt to avoid defecation to avoid pain

  Blood stains on stools may also be there

  If not treated in time; skin starts growing from the lower end of fissure to form a tag known as sentinel tag/sentinel piles.

  At times; sentinel tag may get inflamed.

Causes

  Passage of hard stool through anus. 

  Chronic Diarrhoea

  Trauma to the anus and anal canal like during childbirth

  Inflammation in anus because of crohn's disease or some other inflammatory disease 

Anal Fissure treatment: Diet: High fiber diet like green leafy vegetables, salads, fruits like papaya, chikku are advised. Resins with milk can also be taken in night. Adequate quantity of liquids especially butter milk is advised. Banana, apple etc. should be avoided. 

Graded Kshar Karma & Ksharsutra: Anal Fissure can be completely treated by Graded Kshar Karma and Ksharsutra treatment. In acute anal fissure; stool softener along with Graded Kshar Karma is advised. In this treatment; Graded Kshar - a specialized Ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Usually pain subsides in a week or 10 days time period when fissure is still in healing phase.

Considering pain has subsided; some patients discontinue the treatment to further aggravate and complicate the problem. For complete healing of anal fissure usually 3-5 Graded Kshar Karma sittings are required at a weekly interval. In between these weekly sittings patients are advised to apply certain medicines in anal passage by themselves. If anal fissure has progressed to development of sentinel tag then Graded Ksharsutra TM treatment is the treatment of choice. 

In this treatment Graded Ksharsutra TM is ligated at the root of sentinel tag. Medicine released from Ksharsutra blocks the blood supply of sentinel tag and it sheds off in a week or 10 days time period. No hospitalization or bed rest is required in this treatment. Patient can continue his normal routine activities as usual during his treatment. So, you can say no to surgery in Anal fissure.

Anal Fissure - Say No To Surgery!

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