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Dhananjoy Kr Nath
Dr. Ashok Gupta provides answers that are very helpful. Doctor already advise me to do endoscopy, I will do it next month... Write now Iam taking Ganaton total....I am suffering from hyper acidity whenever Im taking heavy food and Mucus with stool is a issues.. As per my last test fatty lever is not much alarming.
Dr. Ashok Gupta provides answers that are well-reasoned, very helpful, inspiring, knowledgeable and caring. Actually I already maintaining what you says... walking 3-5km a day is reasonable, but I'm really feared of getting fallen on road by unwanted gastric effects on my head.
I found the answers provided by the Dr. Ashok Gupta to be sensible. What ever doctor advised, she does no smoking,no alcohol, no any bad habit except she doesn't walk but busy with household chores through out the day.Will try Nexpro-1 as advised. thanks a lot.
Dr. Ashok Gupta provides answers that are very helpful, well-reasoned, inspiring, practical and professional. I would like to thank Dr for his immediate response
Dr. Ashok Gupta provides answers that are helped me improve my health, sensible, well-reasoned, knowledgeable and nurturing. Thank you doc. Will follow These!
Dr. Ashok Gupta provides answers that are practical and well-reasoned. Thanx ... i m having headache.. could gas be the reason of headache?
Dr. Ashok Gupta provides answers that are knowledgeable. Thanku Sir. However I have already done endoscopy n usg... But everything is normal
I found the answers provided by the Dr. Ashok Gupta to be very helpful. Thankyou so much doctor. I will adhere to your instructions
Pardip Kisanrao Bhagat
I found the answers provided by the Dr. Ashok Gupta to be knowledgeable and very helpful. Good advice. I will follow it..
Dr. Ashok Gupta provides answers that are knowledgeable. Will surely try to avoid spicy food as thats what i love to eat
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Dr. Ashok Gupta provides answers that are knowledgeable, professional and helped me improve my health. Thanks sir
Dr. Ashok Gupta provides answers that are very helpful. Thanks for your response with in such a short time frame.
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I found the answers provided by the Dr. Ashok Gupta to be very helpful. Thanks Dr. for your valuable comments
I found the answers provided by the Dr. Ashok Gupta to be helped me improve my health. Thank u very much sir
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I found the answers provided by the Dr. Ashok Gupta to be very helpful. Thanks Dr.Ashok Gupta sir
Thyroid is a small butterfly shaped gland, which is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.
Why do you need surgery?
- The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
- Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
- Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.
Types of Surgery
- Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
- Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
- Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue. If you wish to discuss about any specific problem, you can consult an endocrinologist.
In simple language, Hemorrhage is when the blood escapes from veins or blood vessels. This escape may happen because of various reasons like, for example, injury, low platelet count, threatened abortion, piles (Hemorrhoids), cancer, surgery, liver disease, brain trauma, acute bronchitis, menstrual problem and so on.
Types of Hemorrhage:
As a matter of fact, Hemorrhage is grouped into several categories. Hemorrhage can occur post surgery, and such a Hemorrhage is called as postoperative Hemorrhage. Similarly, for various reasons Hemorrhage can occur from the artery (Arterial Hemorrhage), vein (Venous Hemorrhage) or capillary (Capillary Hemorrhage). If Hemorrhage happens because of an injury, it is called primary Hemorrhage.
Other types of Hemorrhage are delayed bleeding post injury (Reactionary Hemorrhage), bleeding following childbirth (Postpartum Hemorrhage), delay in bleeding following Sepsis popularly called as septic (Secondary Hemorrhage), bleeding from urine (Haematuria), bleeding while coughing (Hemoptysis) and bleeding caused in the stomach (Hematemesis).
Further, Hemorrhage can be broadly classified into two namely internal and external:
- It would be needless to mention that excessive bleeding may lead to several complications. It can result in organ failure and there are instances that excessive bleeding can be fatal. On the other hand, blood loss can be external or visible Hemorrhage like those caused during an injury. There are also instances of blood loss occurring internally in which case the patient may notice blood either in the urine or stools, vagina or while coughing or through the nostrils or even from the mouth. In such cases, the patient should be rushed to a doctor who after careful examination, and tests would be able to identify the causes of the internal bleeding.
- In case of external bleeding or external Hemorrhage like those caused due to an injury, you may provide the necessary first aid. When the bleeding is noticed, do not get alarmed and also try to keep the patient calm. Hemorrhage caused due to external injury would normally stop within one or two minutes. However, if the bleeding persists even after two or three minutes, such cases would require medical attention, and therefore, you should rush the patient to the doctor at the earliest.
There are several remedies to tackle the problem of Hemorrhage. Some of the normal procedures followed are IV fluid, oxygen, administering medicines like vitamin B12 and so on. In complicated cases, the physician may suggest bone marrow surgical procedure, Endogenous EPO or such other procedures. If Hemorrhage is left unattended, it can result in several complications. Therefore, you should consult a physician urgently.
Traditional open surgery requires an 8-10 cm incision to expose the surgical area of the abdomen, which needs to be operated. This large incision is a major post-operative side-effect which results in longer recovery period.
The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5 - 1.5 cm are made far from the location of the operation. One or more such holes on the abdominal wall serve as passageways for a specialised instrument called a laparoscope. A long, thin tube headed by a high-resolution camera and a high-intensity guiding light is inserted through the incision. As the instrument moves along, the camera transmits images to a video monitor enabling your surgeon to see inside without opening up your body for surgery.
This process is used to diagnose unidentified abdominal or pelvic pain. Minimally invasive surgery (MIS) is usually performed when all non-invasive alternatives have been tried. Imaging techniques like ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) are sometimes unable to provide enough data for diagnosis. Laparoscopic surgery is used for the removals of an inflamed appendix, gall bladder, hernias, and cancer-affected organs, fibroids from the uterus, the womb (hysterectomy) and also for performing weight loss surgeries.
Laparoscopy has a lot of advantages over the more common, open procedure. They are:
1. Less post-operative pain
2. Smaller scars
3. Reduced haemorrhaging and blood loss
4. Shorter recovery period
5. Less pain medications and analgesia requirements
6. Reduced exposure to internal organs
7. Faster return to normal activity
8. Reduced risk of infection
Laparoscopy is a proven safer choice with a fast-healing process side-stepping conventional surgery! If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.