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Shyam Polyclinic

  4.2  (31 ratings)

General Surgeon Clinic

UGF - 20, Ajnara Orchid, Raj Nagar Extension Ghaziabad
1 Doctor · ₹300 · 1 Reviews
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Shyam Polyclinic   4.2  (31 ratings) General Surgeon Clinic UGF - 20, Ajnara Orchid, Raj Nagar Extension Ghaziabad
1 Doctor · ₹300 · 1 Reviews
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About

We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Shyam Polyclinic
Shyam Polyclinic is known for housing experienced General Surgeons. Dr. Ayush Agarwal, a well-reputed General Surgeon, practices in Ghaziabad. Visit this medical health centre for General Surgeons recommended by 53 patients.

Timings

MON-SAT
06:00 PM - 08:30 PM
SUN
10:00 AM - 01:00 PM

Location

UGF - 20, Ajnara Orchid, Raj Nagar Extension
Raj Nagar Extension Ghaziabad, Uttar Pradesh - 201002
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Doctor in Shyam Polyclinic

Dr. Ayush Agarwal

MBBS, MS - General Surgery
General Surgeon
84%  (31 ratings)
8 Years experience
300 at clinic
₹200 online
Available today
06:00 PM - 08:30 PM
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"Practical" 1 review "Thorough" 1 review "knowledgeable" 1 review "Sensible" 1 review "Very helpful" 4 reviews

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Anal Fistula - Can Surgery Be Of Help?

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Anal Fistula - Can Surgery Be Of Help?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2522 people found this helpful

Colostomy And Ileostomy - Which Is Temporary In Nature?

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Colostomy And Ileostomy - Which Is Temporary In Nature?

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!

On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2535 people found this helpful

How Best Can You Take Care Of Your Stitches?

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
How Best Can You Take Care Of Your Stitches?

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2524 people found this helpful

Sir my wife is suffering from umbilical hernia. Please tell me the cost of laparoscopic surgery and how days she want to stay in the hospital.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Cost can vary from Rs 70000 to Rs 150000 in a private Hospital. If patient has no other problems other than Hernia then the patient can be discharged in 1-2 days.
1 person found this helpful
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My friend has met an accident and the spectacles gone inside her skin and but it doesn't made a deep wound but still it's a long and Little deep. The doctor has applied a glue and covered the wound by doctor tape and said that if after 3 days the gap doesn't filled then they will do a plastic surgery so that the marks of wound doesn't appear. So my question is, Is there any other way to treat with this and if we go for surgery then how it will cost and how much time it will take.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
My friend has met an accident and the spectacles gone inside her skin and but it doesn't made a deep wound but still ...
Cost and time for the surgery depends on the wound size and depth. If it is a small wound then it can be treated in a local anesthesia where the charges would be less and a large wound treatment would cost you more. Basically all depends on the wound dimensions and features like depth, location. Please share the info if possible.
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Sir, my testis are one up and one down. I don't know what happened. I have had masturbation many times by lying on my back on bed. Had done a mistake in childhood that I inject one syringe many times in my hips, resulting semen came from my penis. Without doing any masturbation activity. I am afraid. I don't want to spoil my sex life.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Sir, my testis are one up and one down. I don't know what happened. I have had masturbation many times by lying on my...
Usually the testis are normally 'one up and one down' If you have normal erection and can masturbate normally then there is no need to worry. If you have pain or swelling in one of the testis then it needs visit to a doctor for further evaluation/check up.
1 person found this helpful
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Hi, All time I am feeling pressure inside me throat. Reflux. major problem I can't sleep even. Abdominal pain sometimes HYPERACIDITY. My period is irregular due to polycystic ovary. Taking macrabonik Dsr. Still it is there. What should I Do.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Hi, All time I am feeling pressure inside me throat. Reflux. major problem I can't sleep even. Abdominal pain sometim...
If reflux is the major problem then most likely you have GERD, that can can also explain other symptoms you have (except Polycystic ovary). However only way to confirm this is by getting an Upper GI endoscopy done. Also should get an Ultrasound done to rule out Gall Bladder stones since they can also present with similar symptoms. You can continue with Mac Rabonik DSR capsule. It should be taken empty stomach, there should be a gap of at least 45 mins between taking the medicine and your breakfast. The best way is to take it with a Sip of water in morning immediately after getting up from bed then you can perform your routine activities like washroom, bathing. So by the time you finish up 45 mins would have been passed and then you can have your Tea or breakfast. This medicine can be taken twice a day once in morning as explained and evening dose around 2 hrs before dinner. You should also follow some lifestyle changes like regular exercise, avoiding tea/coffee, oily, spicy meal, avoiding food with high sugar content like sweets, juices. Also maintain a gap of at least 2 hrs between your dinner and laying down in bed, try lying in bed with your head end slightly raised by around 20-30 degrees or you can lay in left lateral position (i.e. Left side down). Try the above instructions and if you are not relieved then you can go for the investigations mentioned before. Please feel free to contact me for any additional queries.
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I was diagnosed with gerd 4 years back and before a month redone endoscopy showed gerd with mild antral gastritis, I am taking pantop 40 for that, but from few days I have pain in lower right left dull pain in abdomen, and in side ribs ,sometimes near the belly button, sometimes nausea and bloated stomach, can ribs pain due to kidney stones as mild pain radiates around stomach and sometimes in pelvic region.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
I was diagnosed with gerd 4 years back and before a month redone endoscopy showed gerd with mild antral gastritis, I ...
Get an Ultrasound of Whole abdomen done. That will look for Gall bladder stones, Kidney stones and any other significant problem in the abdomen. Also instead of plain Pantop 40 tablet prefer taking a combination of Pantaprazole with Domperidone which is to be taken empty stomach. Also you can add an Antacid solution thrice a day after meals. GERD requires certain lifestyle changes like frequent small meals, avoiding spicy/oily/sugary meals, avoiding meals immediately before sleeping (at least 2 hrs gap between meals and sleeping), sleeping with slightly head up, regular exercise. The pain which you are describing can be due to a Kidney/ureter stone. Ultrasound is the first investigation you should get done.
2 people found this helpful
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Urinary tract infection bar bar thode thode Dino me ho jata he halka fevar rahta he hath per dard hote he.

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Urinary tract infection bar bar thode thode Dino me ho jata he halka fevar rahta he hath per dard hote he.
Males me Urinary tract infection uncommon hai. Agar aapko baar baar infection ho raha hai to apna Blood sugar check karaye aur Ultrasound (KUB Region) bhi karaye. Urine Culture & Sensitivity report se maloom padega ki kaunsi antibiotic aapke urine infection k liye sahi hai.
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Hello doctor. M 21 year old. I am getting urinary tract infection often. I have conducted a 10 day antibiotics course after which it cured but its again happening. Whats the cause? What should I do to prevent it later?

MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Hello doctor. M 21 year old. I am getting urinary tract infection often. I have conducted a 10 day antibiotics course...
Females have more chances of getting a Urinary tract infection. To avoid that you should maintain proper hygiene of your Genital region, avoid using public toilets/urinals, drink plenty of water/liquids so that you pass at least 2 liters of urine per day. If the UTI persists then get an Ultrasound of KUB region, Urine Culture and Sensitivity, blood sugar levels. Also if you have any vaginal discharge then get investigated and treated for the same.
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