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I have a 10+ year old anal fistula problem, doctors had advised for surgery. As it is not troubling me much, and due few concern, I am not considering an operation to remove fistula. Would it be dangerous if it is untreated. Also is there any medicine as an alternative surgery. Thanks.
Is there any treatment for gallbladder stone ? If yes then give details of full treatment.My age is 62.
My father is having a few gall bladder stones the largest being 13 mm. He is 54 years old and is having pain of no sort. The doctor has suggested a TMT. Is it necessary to have an operation?
Sir I am facing this disease from the last 2 years and I am still unable to understand what it is. Its symptoms vary with time to time and they keep on repeating. 1 :- sometimes its bloating+little stomach or intestinal cramps+hard stools that lead to anal fissures. 2 :- sometimes its rectal pain that remains almost upto 10 minutes after bowel movement and it feels like I didn't empty my bowel completely. 3 :- sometimes its like I ate breakfast and when I ate dinner I have to empty my bladder immediately after dinner and sometimes 3 times washroom a day. 4 :- now a days I am facing bloating+ black stools twice a day and simple stool once a day. I am really worried about this black stool. These are four conditions that I am facing from recent 2 years and still I am unable to understand whether its ibs, ibd,stomach ulcer or anything else because symptoms are bit confusing.
The diagnosis as well as management of pancreatic cystic lesions is a general problem. Nearly 1% of the patients in the chief medical centers have been observed to have pancreatic cystic lesions on cross sectional imaging. It has also been observed that a quarter of all pancreas scanned in an autopsy series contain pancreatic cysts. Earlier, these cystic lesions were regarded benign but with increasing evidence made available from the cystic lesions, they are regarded as origin of pancreatic malignancies.
Information on Asymptomatic Neoplastic Pancreatic Cysts
The most vital medical tools that are used in the diagnosis and management of pancreatic cystic lesions include the endoscopic ultrasound and cross sectional imaging. These are used to distinguish non-mucinous cysts from mucinous cysts. The identification of pancreatic cysts creates a lot of anxiety for the clinicians as well as the patients related to the probable presence of a fatal tumor. The findings of a macro cystic lesion that enclose viscous fluid loaded in CEA are helpful in the analysis of a mucinous lesion.
The most common pancreatic cysts are the non-neoplastic inflammatory pseudo cysts, and they can be detected easily by imaging. The identification of pancreatic irregularity with probable association with malignant cells is a vital source of referral for the specialist. The set of guidelines that have been proposed for the management and diagnosis of patients with asymptomatic neoplastic pancreatic cysts are based specifically on the analysis of the quality of the data. It is also designed to address the most important and frequent clinical scenarios. The diagnostic suggestions are provided based on the clinical problem as well as the risk of malignancy.
Imperative Guidelines to Follow
To achieve accurate diagnosis of asymptomatic neoplastic pancreatic cysts is indeed a great challenge. It is all the more important to find the reproducible methods that can be used to stratify threat of cancer for the patients. The main guidelines include a two year screening interval of cysts that can be of any size as well as stopping observation after 5 years, in case there is no change. The new guidelines, for the most part, recommend surgery if more than one concerning feature is confirmed on the MRI by use of endoscopic ultrasound. The new guidelines even suggest discontinuation of inspection after the surgery if no dysplasia or invasive cancer is identified. The guidelines have mainly been developed by use of Grading of Recomendations Assessment, Development and Evaluation. In case you have a concern or query you can always consult an expert & get answers to your questions!