Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your adam's apple. Hormones produced by the thyroid gland do everything from maintaining your heart rate to regulating your body temperature to controlling your body weight. 
Millions of people worldwide suffer from thyroid dysfunction and several don't know about it. This is primarily because people don't tend to link the common symptoms first with a thyroid disease. Some people suffer from mood swings, trouble with memory, weight gain or fatigue, all of which they look upon individually as a problem and hence not piecing together the puzzle of their real medical condition. Here are a few insights that'll help you cope:
How does the thyroid gland work?
About 85% of the hormone produced by our thyroid gland is t4, which is an inactive form of the hormone. After t4 is made, a small amount of is converted into t3, which is the active form of thyroid hormone. T3 is then converted to free t3 or reverse t3. It is the free t3 that forms the base of thyroid functions. 
What is hypothyroidism?
Hypothyroidism, or an underactive thyroid, accounts for 90% of all thyroid imbalances. The signs and symptoms of hypothyroidism develop slowly, often over a number of years, which is why it is often missed from regular treatment charts. For instance, fatigue and weight gain are often attributed to stress, lifestyle changes and natural ageing process. But as time goes by, some of the symptoms show a higher level of manifestation like muscle weakness, elevated blood cholesterol, thinning hair, puffy face, hoarse voice and slowed heart rate. 
If left untreated, hypothyroidism may lead to goiter (enlarged thyroid), increased memory problems, low blood pressure, decreased breathing and in extreme cases, unresponsiveness and coma. 
This disease may also occur in newborns, infants and children. Symptoms include excessive sleepiness, poor muscle tone and constipation. It is important to diagnose and treat it early, as in severe cases it may lead to mental and / or physical retardation. In children and teens, it can result in stunted growth, and delayed puberty.
What is hyperthyroidism?
It's the opposite of hypothyroidism, which means in this case the thyroid overproduces hormones. Common symptoms include lack of sleep, weakness, irregular heartbeat, elevated blood pressure and hand tremors. While genetics are partially responsible for it, it is also triggered by autoimmune disorder. Hyperthyroidism can be treated with medication, radioactive iodine (not the first or best choice as it harms white cells too) and surgery. Keeping a focus on your calcium and sodium intake is crucial to curb the disorder.
Treatments: 
Conventional treatments rely mainly on drugs and surgery. Alternative treatments involve diet and lifestyle changes. Taking multivitamins, going gluten free, getting a good night sleep, and reducing stress is all said to help heal your thyroid gradually.

Thyroid Dysfunction and Treatment

Hernias are mostly treated by surgeries as definitive care. Post-operative period has become comfortable with the invention of minimal-invasive surgeries. Postoperative recovery is smoother and faster after laparoscopic and robotic surgeries. 

Yes, the patient has to go for a surgery, if hernias spreads to quite an extent. In such cases, there are several steps that need to be taken as a part of the post-operative care for this surgery. Hernia surgery is quite common in today s medical world. All you need to have is a good medical practitioner who would operate on you and you need to have complete trust on the expert and their methods of treatment. There are several ways to take care of yourself after the surgery. Some of these are explained below.

Diet includes liquids at first: During the first few days after the surgery, the patient is offered only liquids. Due to the anaesthesia, it becomes difficult to consume solid food initially. Only when the doctor sees that the patient is fit enough to consume solids, will solid foods be given to the patient. This is also an indicator that the patient is recovering well and might be let off soon from the hospital.
Patient is discharged only after anaesthetic effects are completely gone: For some time after the surgery, the patient is under the effects of the anaesthesia. If it is a local one then it would take a few hours for its effects to completely subside. But if it is a complex one, then it might take some more time for its effects to completely withdraw. Only after the patient is completely out of the effects of anaesthesia, will he/she be allowed a discharge.
Avoid headache: Patients are made to lie down flat on their back for at least a few hours after the surgery so that they do not experience anaesthetic headache. This can be painful and unbearable at times. But this can be avoided if the patient lies down for quite some time till the effects of it have worn off.
Shower: Usually there is a restriction in getting the operated area wet. But a shower can be carefully taken after at least two days of the operation.
Thus, these are some of the most important post-operative hernia surgery care tips. If you adhere to these points, your recovery process will speed up and it would prevent you from getting affected by any other health problems in your recovery period.

Hernia Surgery - Post Operative Care Tips 

Diet and other lifestyle factors such as lack of exercise and high waist-hip ratio are seen to be the significant contributing factors of certain medical conditions, gallstones one among them. Gallstones have become a highly prevalent issue in India, with an increasing number of patients reporting abdominal pain and discomfort. And it is also seen to be more common in females than in males. If your doctor suspects this problem, then he would proceed with the diagnosis and treatment as applicable.

How are gallstones treated?
If gallstones are not leading to any signs or symptom, then in such cases the treatment is not required. However, if an individual suffers from any symptoms or a gallbladder attack, then the health care provider normally recommends undergoing surgery. This surgery is used for removing the gallbladder. Sometimes, the individual may not be in a condition to undergo surgery and, in such cases, conventional treatment may be used for curing the disorder.

The surgery for the removal of the gallbladder is known as the cholecystectomy and is one of the most common surgical interventions performed for people with gallstones. The gallbladder is not considered to be a significant organ in the human body. This means that an individual can easily survive without the gallbladder. As the gallbladder is removed, bile starts flowing out of the liver through common and hepatic bile ducts without creating any issues.

What are the surgical options required for removal of gallstones?
There are two types of surgeries used for removal of stones in the gallbladder. These are explained below.

Laparoscopic cholecystectomy: In this surgery, the surgeon makes small incisions in the abdomen for the insertion of a laparoscope, which has a tiny camera attached to it. This camera enables a magnified image to be sent to the video monitor so that the surgeon can see the tissues and organs clearly. At the same time, the surgeon uses certain instruments for carefully separating the gallbladder from the liver, bile ducts and other organs. Then the gallbladder is carefully removed through one of the small incisions. This is the most suitable options for the removal of the gallbladder since it is performed on an outpatient basis, which means that the patient can go home the same day.
Open cholecystectomy: This is done when the gallbladder has severe inflammation or infection or scars from different operations. This may also be performed at the time of the laparoscopic cholecystectomy. In such cases, the surgeon switches to open cholecystectomy as a safety means for the patient.
What to expect after the procedure?
A small percentage of the patients have softer and more frequent stools after the removal of the gallbladder. These changes in bowel habits are normally temporary, and they are required to be consulted with the expert.
Since the incidence of gallstones is found to be related to gallbladder cancer, it is essential to work with your doctor to avail proper treatment and avoid such dire complications.

Surgical Option To Remove Gallstones - Know Which One Will Be Better For You!

Anti-reflux surgery (Fundoplication) is a procedure for treating gastroesophageal reflux disease (GERD) incorporated in hiatus hernia operation. GERD occurs when stomach contents reflux and enter the lower end of the esophagus (LES) due to a relaxed or weakened sphincter or a hiatus hernia. GERD is very much treatable and can cause serious complications if left untreated. 

GERD symptoms
The main symptom of GERD is heartburn or indigestion, along with other symptoms, such as 

Acidic sour taste in the mouth
Burning pain in the throat
Difficulty in eating
Bloating and belching
Stomach pains
Regurgitating food
Nausea
Vomiting blood
Dark tarry stools
Laparoscopic Anti-Reflux Surgery
Laparoscopic surgery reinforces the lower oesophageal sphincter s ability to prevent gastroesophageal reflux from occurring. The surgery involves wrapping the top part of the stomach around the lower end of the esophagus and suturing it in place. Since the esophagus passes through the hiatus, suturing is done to narrow the hiatus as it helps in the prevention and treatment of concurrent hiatal hernia.

Laparoscopic Surgery Procedure
A laparoscope, a long, narrow telescope with a light source and a video camera at the end, is inserted through a tiny incision into the abdomen. Images from the camera are projected onto a large high definition monitor for the surgeon to view enlarged images as it helps the surgeon perform surgery with precision.

The patient is placed under general anesthesia
The surgeon makes a small incision in the upper abdomen and inserts the laparoscope into the abdomen.
The surgeon introduces carbon dioxide into the abdominal cavity near the belly button to expand the viewing area of the abdomen giving the surgeon a clear view and room to work.
Additional small incisions are made for a variety of surgical instruments to be used during the procedure.
After the identification of critical structure, the hole in the diaphragm, through which the esophagus passes, is then tightened with sutures.
The surgeon wraps the upper part of the stomach around the lower esophagus guided by the images on the laparoscope, then creates a valve which is precisely sutured in its place.
The laparoscope and other instruments are removed and the gas is released.
The tiny incisions are closed and covered with waterproof dressings to avoid any kind of infections.
The patient is usually discharged within 1-2 days of the surgery.
Post-surgery, hospitalization is required just for one day - no bed rest is required after that. The patient can quickly return to all normal activities and immediate relief from symptoms also happen. 

Laparoscopic Surgery - How It Can Help With Anti-Reflux and Hernia?

Some people find it harder to lose weight as compared to others. Gastric sleeve surgery is a viable option for such people. This surgery involves reducing the size of the stomach to control the intake of food.

Here are 10 ways this surgery will affect you.

You ll need a special diet for the first few days: You will need to follow a special diet for 8 weeks after the surgery. This gives your stomach the time to heal properly. Normal food will have to be reintroduced slowly. However, alter, you can eat anything you like.
You can eat lesser: You ll find yourself taking smaller servings at all meals as your stomach is much smaller than it was. This does not mean that you ll be able to eat more frequently. It simply means that you will eat a lot lesser. A smaller stomach also means that you will feel less hungry.
Weight Loss: After a gastric sleeve surgery, patients typically lose up to 75% of their excess weight. In the first three months itself, you should see yourself lose up to 33% of excess body weight. Thus, it can help cure obesity and reduce your BMI.
Resolution of obesity-related health issues: As your weight reduces, so does the impact of other diseases. Patients suffering from diabetes, high cholesterol, high blood pressure and sleep apnea report a large amount of improvement in their conditions after this surgery.
Stronger joints: Excess weight puts additional pressure on your joints. This can cause joint pain and increase the wear and tear of joint cartilage. By reducing your weight, there is less pressure on your joints. Improved mobility and lesser knee pain are commonly experienced benefits.
Lowered cancer risk: The risk of some types of cancer is associated with the patient s weight. As a result of this surgery, the risk of colon cancer, pancreatic cancer, breast cancer and endometrial cancer reduces by up to 33%.
Improved fertility: Women with obesity of overweight issues typically find it difficult to conceive. A gastric sleeve surgery can improve these fertility rates. Studies have shown that more than 50% of the women who underwent this procedure could conceive a child successfully within the next year.
Improved mental health: Your weight also affects your self-confidence. In many cases being overweight or obese contributes to depression. Undergoing this surgery can improve a patients  self-image and relieve symptoms of depression, anxiety etc.
Better sleep: Losing body fat makes it more comfortable to get a good night s sleep. Weight loss also helps treat conditions such as sleep apnea that can keep you from sleeping restfully.
Your weight loss will plateau after 2 years: As time passes, your stomach will begin to expand. Hence you may not see yourself losing too much weight after the first year. If you are not careful, you may begin to put on weight again after the 2nd or 3rd year.

Sleeve Gastrectomy -  10 Ways It Is Beneficial For You!

When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides, it is called as hernia.

Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia. It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime.

Types of hernias:
Inguinal hernia - The groin is the most common area, where the abdomen pushes through a weak spot in the lower abdominal wall, causing a protrusion into the inguinal canal. More common in men than women.

Hiatal hernia - The abdomen has the diaphragm separating it from the thoracic cavity in the upper border. When it pushes through the diaphragm, a hernia is caused and there is almost always associated food reflux in these cases. Though the most common cause is associated old age, due to muscle weakness, there also are cases of congenital hiatal hernias.
Umbilical hernia - The abdomen finds a weak layer along its length and protrudes through the skin on the stomach. Most commonly seen in babies around the bellybutton, it gradually corrects itself on its own. Quiet rare in adults, seen during pregnancy and in chronic obese people.
Incisional - These are post-surgical, and happen when the organ protrudes through the weakened wall due to surgery. The abdomen is again the most common area and the hernia can happen either onto the external surface or internally, when they are called ventral hernias.
These are the most frequent types, though hernia affects other organs like the spine, brain, appendix, etc.

Treatment - This includes a combination of constant monitoring followed by a decision to do surgical treatment. Hiatal hernias and umbilical hernias can be monitored for a while before deciding on surgery. Inguinal hernias may require surgery earlier in the stage. Post-surgery, a mesh is placed to hold back the tissue in its corrected place. The umbilical hernia in children could be self-limiting. If it does not get auto-corrected in the first year of life, that also would qualify for a surgical treatment.

Dependent on each patient, hernias need to be managed under medical supervision.

Hernia - What Should You Know?

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