Dr P.K.Kohli

Firstly, it may or may not be a consequence of the hernia surgery. Secondly since it is asymptomatic for 6 years, it can be left alone. No problems getting an ultrasonography done.

Some soddening of nipple does occur off & on while feeding a baby. Observe proper breast hygiene, before & after the feed. Keep the nipple dry. You may apply some soothing cream after the feed (to be removed with clean water before the next feed). Avoid rough handling of the nipple. If these measures don't work, consult a general surgeon.

Generally your symptoms are suggestive of fibroadenosis. This is a harmless condition related to hormonal activity at this age. All that you need is a good breast support (a tight bra or sometimes even a crepe bandage around the chest). Medicines are generally not recommended unless it is very troublesome. If breast support doesn't help in 3-4 days, consult a general surgeon. Occasionally a fine needle biopsy or ultrasound / mammography may be required.

This may be due to piles or fissure, with some degree of constipation. I would suggest some general measures like 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Antiworm tablets (eg zentel) once a week for 4-6 weeks 8. Apply some oil or cream on the skin around the anal verge with gentle massage, once or twice a day 9. Atleast once get it examined by a general surgeon to rule out specific conditions.

This may be due to piles or fissure in ano. I would suggest some general measures like 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Antiworm tablets (eg zentel) once a week for 4-6 weeks 9. Atleast once get it examined by a general surgeon to rule out specific conditions.

This may be due to worm infestation or piles or fissure in ano with a skin tag. I would suggest some general measures like 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Antiworm tablets (eg zentel) once a week for 4-6 weeks 8. Apply some oil or cream on the skin around the anal verge with gentle massage, once or twice a day 9. Atleast once get it examined by a general surgeon to rule out specific conditions. Doctors are professional people. Should have no hesitation on being examined by a male or female surgeon. You have the liberty to have your female attendant supervising the check up.

It may or may not be a sign of cancer. An ultrasound examination nd a check up by a general surgeon will clear the picture. If required a fine needle biopsy may be required.

Most likely it is fibroadenosis of breast. Breast support by a tight bra or crepe bandage might help. General surgeon should be consulted. He might get ultrasound or mammography or fine needle biopsy done. Sometimes hormone treatment might be advised.

This looks like anal fissure. Take sitz bath 3 to 4 times a day. This means sitting in a basin of warm water. Also do anal exercises during sitz bath nd even otherwise. This means alternately contracting nd relaxing the anal area between your buttocks. Also increase leafy vegetables fruits salad in diet. Take plenty of fluids. Avoid spices nd chillies. If constipated take some laxative or isabgul in warm milk. Also get examined by a general surgeon.

You need not worry about ejaculation if the fluid content is less. Ignore it. However, for the prostate must take lot of fluids in day time & restrict fluid late evenings & night so that you are not disturbed at night.

You seem to be having gerd plus fissure / piles. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Colonoscopy or sigmoidoscopy or proctoscopy should be done to make a proper diagnosis.

Prostatitis is a clinical diagnosis. It is infection / inflammation of prostate. Yes it is curable. Antibiotics + sitz bath + anti-inflammatory agents + sometimes prostatic massage may be required.

It could be a polyp or prolapsed pile. The proper option is to get a physical examination by a general surgeon to see what it is. You may require surgery once a proper diagnosis has been made. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon.

It appears to be prolapse pile or fissure with sentinel pile or a combination of both. A general surgeon must examine you to arrive at the correct diagnosis & plan treatment, which may include the option of surgery. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon.

Your problem looks like fissure in ano or anal piles or both. Physical examination by a general surgeon will confirm the diagnosis. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon. He will decide whether surgery is required or not, depending on the condition and its stage.

The limited information provided indicates a condition called fibroadenosis. This is due to hormonal influence and becomes more during or just before the monthly menstrual cycle. Of course a physical examination by a general surgeon is a must to confirm the diagnosis and rule out other conditions. As general measures, breast support with a tight bra or crepe bandage can be helpful symptomatically. Painkiller medicines are of little help.

This pain and irritation during defecation could be due to piles or fissure. It will need to be physically examined. However, anal problems improve with general measures but may require surgery. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon.