Gallstones are solid deposits/stones of digestive fluids that form in the gall bladder. The size of these stones varies from person to person. While some people may develop only one stone in the bladder, others may develop multiple gallstones simultaneously.

Signs you must watch out for-

Abdominal pain
Pain in the back or between the shoulder blades
Vomiting and nausea
Heartburn
Bloating and indigestion
Change in bowel movement
Dark urine
Fever and chills
Rapid heartbeat
Yellowish skin and pale eyes (Jaundice)
These are the most common symptoms that a person with gallstones encounters. One should consult the doctor right away upon experiencing these symptoms. If ignored for long, these signs can aggravate and lead to further complications.

Complications that may arise from gallstones-
There are quite a few complications of gallstones, including the following-

Cholecystitis- when gallstones become stuck at the neck of the gallbladder, it causes inflammation.
Obstruction in the pancreatic duct- a gallstone blocking the pancreatic duct can cause pancreatitis followed by intense abdominal pain.
Blockage in the bile duct- if the gallstones create a blockage in your bile duct, the outcome may be an infection or jaundice.
Gallbladder cancer- people, who have a history of gallstones, are more likely to develop gallbladder cancer.
Treatment of Gallstones-
Gallstones can certainly be treated, if diagnosed early in time. To confirm the diagnosis, your doctor may perform a CT scan, X-ray, Ultrasound or an ERCP. Once the condition is diagnosed, your doctor will recommend a surgery to remove the stones in the gallbladder (known as Cholecystectomy). The preferred choice of surgery includes the following-

Laparoscopic removal- In most of the cases, the doctor adopts this minimally invasive approach to remove gallstones. First, he makes a small incision in the abdomen. He will then insert a tube-like instrument with an attached camera into the gallbladder to have a clear sight of the gallstones, and surgically remove them from the gallbladder.
Open surgery- This is performed under general anesthesia. During this procedure, a single, long incision of roughly 3-6 inches is made on the upper side of your right abdomen. The tissues and muscles are pulled back to divulge the gallbladder. The gallstones are then removed, and the incision stitched up. Open surgery is performed when laparoscopic surgery is not suitable for the patient.
Gallstones cannot be managed with just diet and medications. A surgery is usually needed to remove the stones and cure the patient. For Laparoscopic surgery, the rate of success is nearly over 95%. Identify the symptoms before it aggravates, and consult a doctor for treatment.

Gall Stones - Is Surgery The Only Treatment?

Hemorrhoids can be very painful and are impossible to ignore. They can be defined as internal or external swollen veins. In some cases, making a few lifestyle changes such as eating fiber-rich foods and drinking plenty of water may be enough to relieve the problem. In other cases, surgery may be required. Surgery for hemorrhoids depends on the severity of the case. There are many different types of surgeries that may be performed.

Banding
Banding or rubber band ligation is a surgical process used to treat internal hemorrhoids. This involves placing a tight band around the hemorrhoid base to cut off its blood supply. This procedure does not involve the use of anesthesia.

Sclerotherapy
This is also used to treat internal hemorrhoids. It involves injecting a particular chemical into the hemorrhoid that makes the hemorrhoid shrink and keeps it from bleeding. This procedure does not involve the use of anesthesia.

Coagulation therapy
Coagulation therapy is also referred to as infrared photocoagulation. The procedure involves the use of infrared light and extreme heat and cold. The aim here is to help the hemorrhoid shrink and retract. It may be performed with an anoscopy. An anoscopy is a procedure that allows the doctor to look inside the rectum with the help of a scope. This procedure does not involve the use of anesthesia.

Hemorrhoidal artery ligation
Hemorrhoidal artery ligation (HAL) or transanal hemorrhoidal dearterialization (THD) is often used to remove hemorrhoids. It involves using an ultrasound to locate the swollen blood vessels and then closing these off. This procedure does not involve the use of anesthesia.

Hemorrhoidectomy
Large external hemorrhoids can be treated with a hemorrhoidectomy. Internal hemorrhoids that have prolapsed and are not responding to other forms of treatment can also be treated with this procedure. The procedure is performed while the patient is under general anesthesia or local anesthesia. The hemorrhoids are then cut off surgically. Hospitalization may be required for a few days after this procedure.

Hemorrhoidopexy
This procedure is also known as stapling and may be performed while the patient is under local or general anesthesia. It is typically used to treat prolapsed hemorrhoids. During the procedure, the doctor staples the prolapsed hemorrhoid to the walls of the rectum and cuts of the blood supply to the affected vein. By doing this, the tissue is allowed to shrink and be reabsorbed into the body. As compared to a hemorrhoidectomy, stapling is less painful and has a quicker recovery time. 

Surgical Treatment Of Hemorrhoids!

Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

  Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

  Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

  Persistent upper abdominal pain

  Unexplained weight loss and loss of appetite

  Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient s needs.

Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

Thyroid disorders are conditions that affect the thyroid gland, which is a butterfly-shaped gland in front of the neck. There are specific kinds of thyroid disorders that include:

Hypothyroidism
Hyperthyroidism
Goiter
Thyroid Nodules
Thyroid Cancer
Epidemiology, Incidence, and Prevalence
It has been estimated that about 42 million people in India suffer from thyroid diseases.

Hypothyroidism

Hypothyroidism occurs when the thyroid gland produces an insufficient amount of thyroid hormone. It can develop from problems within the thyroid gland, pituitary gland, or hypothalamus. 

Symptoms of hypothyroidism can include:

Fatigue
Poor concentration or feeling mentally "foggy"
Dry skin
Constipation
Feeling cold
Fluid retention
Muscle and joint aches
Depression
Prolonged or excessive menstrual bleeding in women
Common Causes of Hypothyroidism

Hashimoto's thyroiditis (an autoimmune condition that causes inflammation of the thyroid gland)
Thyroid hormone resistance
Other types involving inflammation of the thyroid, such as acute thyroiditis and postpartum thyroiditis
Hyperthyroidism

Hyperthyroidism refers to the excessive production of thyroid hormone, a less common condition than hypothyroidism. Symptoms of hyperthyroidism are usually related to increased metabolism. In mild cases, there may not be apparent symptoms.

Signs and symptoms of hyperthyroidism can include:

Tremors
Nervousness
Fast heart rate
Fatigue
Intolerance for heat
Increase in bowel movements
Increased sweating 
Concentration problems
Unintentional weight loss
Common causes of hyperthyroidism

Graves' disease
Toxic multinodular goiter
Thyroid nodules that overexpress thyroid hormone (known as "hot" nodules) 
Abnormal secretion of TSH
Thyroiditis (inflammation of the thyroid gland)
Excessive iodine intake
Goiter: A goiter is an enlargement of the thyroid gland, regardless of cause. A goiter may be associated with hypothyroidism, hyperthyroidism, or a normal thyroid function. 

Thyroid Nodules: Nodules are lumps or abnormal masses in the thyroid. Nodules can be caused by benign cysts, benign tumors, or less commonly, by cancers of the thyroid. If nodules are excessively large, they may cause symptoms related to compression of nearby structures. 

Thyroid Cancer: Thyroid cancer is more common among adult women than men or youth. About 2/3rd of cases occur in people under age 55. There are different kinds of thyroid cancers depending upon the specific cell type within the thyroid that has become cancerous. Most cases of thyroid cancer have a good prognosis and high survival rates, especially when diagnosed in its early stages.

Investigations

Blood tests are done to measure levels of thyroid hormones. Blood tests are also done to identify antibodies against thyroid tissue, such as titers of antithyroglobulin, antithyroperoxidase, or TSH receptor-stimulating antibodies.

Treatment

Thyroid disorders can be treated with medications or, in some cases, surgery. The treatment will depend on the particular disease of the thyroid.Medications can be given to replace the missing thyroid hormone in hypothyroidism. Synthetic thyroid hormone is given in pill form by mouth. When hyperthyroidism is present, medications can be used to decrease the production of thyroid hormone or prevent its release from the gland. 

Thyroid Disorder - What All Should You Know 

The thyroid hormones, namely T3, T4 and TSH (Thyroid Stimulating Hormone) play a pivotal role in various metabolic processes in the body. Any imbalance in the level of these hormones can interfere with the normal body functions. While an elevated level of the thyroid hormones gives rise to Hyperthyroidism, a reduced level of the same thyroid hormones can lead to a condition medically termed as Hypothyroidism. A proper diagnosis and treatment can bring about a significant improvement. However, there are some common mistakes that many people with thyroid problems often make.

Choose your diet with care: The health benefits of a balanced and nutritious diet are known to all. However, a food considered healthy may not be an ideal choice for a thyroid patient. Time and again, broccoli and kale have been recommended for its nutritive value. However, these vegetables may not be a good choice for thyroid health. Known to contain goitrogens, they may interfere with the production of the thyroid hormones. Gluten, a protein present in wheat, rye, and barley, though healthy should be avoided, especially in the case of Hypothyroidism.
Obesity may not be the trigger: While it is a healthy practice to maintain a healthy body weight, it is unfair to blame the extra kilos for every single disease that you suffer from. Many people believe that losing weight is the best way to deal with thyroid problems. However, the fact is quite different from what you believe. Thyroid problems can be an outcome of various triggers where losing weight may provide negligible or no assistance to reverse or improve the condition. In fact, rapid weight loss may give rise to some complications which may aggravate the condition further.
Thyroid glands are not always at fault: Many people associate thyroid problems with some abnormalities or improper functioning of the thyroid glands. There is no denying the fact that problems in the thyroid glands often trigger thyroid disorders. However, this is not the only cause. A host of other factors such as stress, medical conditions, certain medications and unhealthy lifestyle habits may be equally responsible for the thyroid problems. In some cases, the body may fail to utilize the thyroid hormones produced by the thyroid glands. In another condition, the thyroid hormone produced is unable to enter the cell (triggered by a problem in the cell receptor). It is important to identify the root cause of the problem rather than generalizing.
People with hypothyroidism do not need to gulp down tons of iodine. Always use the amount recommended by the doctor. Increased intake of iodine supplements (way above the recommended quantity) may result in unnecessary health complications such as Wolff-Chaikoff effect.
Many health organizations or individuals may promise instant relief and cure. They may lure you with some irresistible offers. However, it will be foolish on your part to fall for such claims. Always seek the help of experienced and genuine health professionals.

Thyroid - 5 Common Mistakes That Most People Do!

Cow urine therapy has been in practice for many health problems in india for centuries. In india, cow is a symbol of spirituality and cow urine is not only used in devotional practices, but also comes packed with a bunch of health benefits.

'kamadhenu' is worshipped for thousands of years as the goddess who fulfils desire. In ayurveda, cow is considered as the mother of all entities as the products obtained from cow are beneficial to all mankind in many ways. The milk, urine, curd, ghee and dung obtained from cow are beneficial in different ways as food supplement and medicine. Cow urine or gomutra destroys the poisonous effects of residues and makes body disease free. The medicinal usage of panchgavya, especially cow urine is practiced in ayurveda which is classified as complementary and alternative medicine.

The two indian epics, shushruta samhita and charaka samhita, have described that the consumption of cow urine produces body warmth. In modern medical science, it has been well established that the thyroid hormones are responsible for producing body warmth. The oral administration of cow urine has thyroid stimulating effect and therapeutic value of urinary iodine present in the cow urine is immense. Cow urine or gomutra contains iodine, which is easily absorbable from the gastrointestinal tract. The mean urinary iodine levels in dairy cows may vary from 79.2 to 94.8 micrograms of iodine per litre of urine depending upon their physiological conditions. Iodine is an essential element to produce thyroid hormones such as triiodothyronine and thyroxine. These are catabolic hormones that generate heat and cause body warmth. It has been proven that the cow urine contains iodine in required level for normal functioning of thyroid gland.

Urinary iodine concentration in cow urine varies depending upon its biological status and it could stimulate the patient's thyroid gland activity on oral administration of iodine. Thyroxine stimulates more oxygen utilization and heat production by many different cells of the body.

During iodine deficiency, the pituitary gland secretes enhanced amounts of thyroid stimulating hormone (tsh), which causes compensatory adjustment. This leads in the production of more extensive secretory epithelium which in turn will result in enlargement of the thyroid gland and loss of colloid material in the thyroid follicles. In this scenario, exogenous supplementation of iodine brings back the normal thyroid status.

The administration of cow urine, which contain good levels of iodine, can keep the thyroid gland activity on a better footing. We now have the support of scientific validation for the experience of warming up of the human body after consumption of cow urine or gomutra.

Cow Urine Therapy for Thyroid

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