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Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid produced in the stomach starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, among others.
So what does one do to deal with GERD? Here's a brief list:
- Control weight: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.
- Avoid alcohol and smoking: The LES or the muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing, in order to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.
- Go gluten free: Adopting a gluten free diet can help you cut ingredients, including grains and dairy products that contain more protein than what your digestive tract can handle.
- Other dietary measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit, so that food can pass through the digestive tract faster.
- Smaller and well timed meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing stomach acids.
- Exercise: Ensuring that you do not take a nap or lie down right after a meal and doing exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.
Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required. If you wish to discuss about any specific problem, you can consult a General Physician.
I am 44 and had to have a hysterectomy at 24. I have lost all my sex drive but not the desire to want to. I have tried every type of single dose pills from adult stores as well as some OTC ones. I'm getting so discouraged and feel like I'm losing my husband. I need help and/or advice please!
Any kind of injury on the surface of the skin is immediately noticed by us, but when something happens to one of our internal organs, it can take a little longer to get to your notice for example, an obstruction in the bile duct. The bile duct is a tubular structure responsible for carrying bile from the liver and gall bladder through the pancreas to the small intestine. This bile helps the digestion process and the absorption of fat.
An obstruction in the bile duct can be triggered by a number of factors. Some of these are:
- Inflammation of the bile ducts
- Traumatic accidents
- Bile duct or pancreatic tumors
- Hepatitis infections
- Cirrhosis or severe liver damage
- Abnormal narrowing of the bile duct
This can affect anyone, but the people who have a history of gall stones or tumors in the abdomen are at a higher risk of suffering from bile duct obstruction. Chronic pancreatitis, sudden weight loss or obesity can also increase this risk. The symptoms of biliary obstruction include light coloured stool, dark urine, pain in the upper right abdomen, nausea, vomiting and fever. Your doctor will also probably need an X-ray of the bile ducts, blood tests, a hepatobiliary iminodiacetic acid scan and ultrasonograph to confirm a diagnosis before they can start treating you for the same.
If not treated in time, bile duct blockages can lead to a dangerous buildup of bilirubin in the body and trigger a number of life threatening diseases. Treatment for biliary obstruction can be through medication or surgery with surgery being the more preferred mode of treatment. It is aimed at resolving the underlying cause of the obstruction and alleviating the blockage. Treatment for biliary obstruction can be two common forms of treatment include a cholecystectomy and ERCP. The former involves the removal of the gall bladder and is suited to obstructions caused by gallstones. The latter is a procedure to remove small stones from the bile duct or place a stent inside the duct.
There are many ways bile duct obstruction can be prevented which first and foremost includes following a healthy lifestyle. If you are overweight, exercise for at least half an hour a day to regulate your weight and reach a healthy BMI. Decrease your intake of sugar and saturated fats as both these can cause gall stones. Also, increase the amount of fibre in your diet. All the above mentioned tips will certainly help you in preventing bile duct obstruction. If you wish to discuss about any specific problem, you can consult a gastroenterologist.
45 years old lady and having a very bad ulcer problem not only in my mouth but also in the stomach. Most of the time feel something warm in the mouth and stomach. I have completely avoid spicy food from 4 month but nothing improve. Pls let me know what should I do and what is exactly this problem called? My test report shows: observation scope passed till D2 D1, D2: duodenitis at D1, Normal D2 stomach- Antral gastritis, normal body and fundus of the stomach. GE Junction - 35 cm with hiatus hernia. Esophagus - esophagitis Impression- Antral Gastritis and duodenitis with hiatus hernia.
The cancer of the ovaries is known as ovarian cancer. In women there are two ovaries present on each side of the uterus. These ovaries are as big as an almond in size and produce egg also known as ova. They also secrete the hormones progesterone and estrogen.
Ovarian cancer goes undetected until it spreads to the abdomen and pelvis. When detected at this stage then it might be fatal and the treatment gets difficult. An early stage ovarian cancer where the cancer is restricted in the ovaries is much easier to treat with high success rates.
Risk Factors of Ovarian Cancer
1. Age - With increasing age the risk of ovarian cancer is higher and is more common in women who are 60 and above. It is less common in women below 40 years of age and develops often after menopause.
Obesity Women who have a body mass index of 30 are at a risk of developing ovarian cancer.
2. History of Reproduction - It is believed that women who conceive before 26 and carry the full term have a lower risk of ovarian cancer. However, the risk is higher in those women who get pregnant after 35 or who do not have a full term pregnancy. Also, breastfeeding the baby lowers the risk.
3. Gene Mutation - Inherited gene mutation causes some percentage of ovarian cancer. These genes are called breast cancer genes 1 and 2 (BRCA1 and BRCA2). These were initially found in cases with breast cancer but also pose great risk for ovarian cancer. Also, gene mutation leading to Lynch syndrome plays an important role in increasing the risk of ovarian cancer.
4. Family History - If a woman's mother, sister or daughter is suffering from ovarian cancer then she is at a higher risk of developing the same. The risk also increases if someone from the father&amp;#x2019;s side also has ovarian cancer.
6. Hormone Therapy and Estrogen Therapy - Long term use and large doses of estrogen can cause an increased risk. However, if estrogen is used in combination with progesterone then the risk is less.
7. Age of menstruation and menopause - If menstruation starts before 12 and menopause occurs before 52 then there is a higher risk of getting the cancer.
Hello i'm 28 years old lady suffering from both upper limb muscular weakness. As I can't do routine work esp above shoulder movement get easily fatigue. Also have problem of mild dyspnoea on little exertion and palpitations. I have hyperthyroidism since 1 years on was on treatment for 2 months. Since last 9 month reports are normal so not taking any medicine. My cpk is normal and ANA by If is weak positive. So I want to know weather I have myasthenia or what will be my diagnosis or which test I should do? My vit b12 n vit d3 normal as every 6 month i'm take supplements. So please kindly give me advice as what I have to do?
A general surgeon are expert at performing various surgeries of various body organs like gallbladder, gastric disorders, thyroid gland and soft tissue surgery. Here are best surgeons in Delhi, who you can consult:
FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
Dr. C.S. Ramachandran has 45 years of experience as laparoscopic and bariatric surgeon in Delhi. He is a member of Association of Surgeons of India (ASI). He is known for his services are- laparoscopic and endocrine surgery, fistula treatment , gastrointestinal and endo surgeries. He is associated with many hospitals and clinics like Sir Ganga Ram Hospital, Noble Medicare and Dr. Ramachandran Clinic.
Consultation fees: ₹1500
MBBS, DNB - General Surgery, FIAGES
Dr. Manish K Gupta has 14 years of experience and is an Advance Laparoscopic & Robotic Surgeon at Sir Ganga Ram Hospital, Delhi. His main area of interest is the laparoscopic management of gallbladder, hernia, colo-rectal surgery & Bariatric surgery (obesity or weight loss surgery). He has been awarded as best doctor award in 2008 at Fortis Hospital. He is an active member of various medical associations. He is also associated with New Life Clinic, Delhi.
Consultation fees: ₹800-2150
MS - General Surgery, MBBS
Dr Vijay Arora has over 50 years of experience surgeon in New Delhi. He specialises in laparoscopic procedures related to oesophagus, stomach, small bowel, colon, liver, pancreas, gallbladder and bile ducts. He is an active member of many prestigious organisations and associations. He is also associated with Sama Nursing Home, Delhi.
Consultation fees: ₹2000
MS, MBBS, Clinical Fellow Pancreatic Surgery, FMBS
Dr. Saket Goel has more than 21 years of experience and is currently associated with Indraprastha Apollo Hospitals and Goel's Clinic. He has done several fellowships at national and international level. He has performed several surgeries like- laparoscopic cholecystectomy, hernia repair, inguinal, ventral, appendicectomy. He is also known for his successful bariatric surgeries.
Consultation fees: ₹1000- 1500
MBBS, MS - General Surgery
Dr. Srikrishna Das is a General Surgeon with 15 years of experience and currently practices at Sir Ganga Ram Hospital. He has done fellowship in Laproscopic Surgery (Minimal Access Surgery) after completing his MBBS. He is an active member of Association of Surgeons of India (ASI), Association of Surgeons of India (ASI). He is known for his treatments and surgeries related to kidney stone treatment, pancreatic surgery and piles treatment.
Consultation fees: ₹1000- 1500
MBBS, MS - General Surgery
Dr Ashish Pitale has 27 years of experience and has special expertise in Laparoscopic (key hole) Surgery including Bariatric ( Weight Loss) surgery. He is associated with many hospitals and clinics across Delhi- NCR.
Consultation fees: ₹500-900
MBBS, MS - General Surgery, Laparoscopic, Burns & Plastic
Dr. Binod Samal is a General Surgeon with 28 years of experience. He currently practices at New Life Centre For Surgery in IP Extension, Delhi. He is a specialist who deals with burn cases and plastic surgery. He is a member of Delhi Medical Council and Medical Council of India (MCI).
Consultation fees: ₹600
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Dr. Pankaj Sharma is amongst the leading Bariatric surgeon in Delhi, India with 25 years of experience. He is associated with Fortis Hospital Shalimar Bagh, New Delhi. His areas of expertise include Advanced Laparoscopic Bariatric Surgery (for Severe Obesity), Metabolic Surgery (for Diabetes) and GI Surgery.
Consultation fees: ₹800-1000
MBBS, MS - General Surgery
Dr. Shailendra Kumar Jain has 17 years of experience and is a very reputed name in West Delhi. He has performed thousands of successful surgeries with special focus on laparoscopic and endocrine surgery, fistula treatment , gastrointestinal and endo surgeries. He is currently practicing at Surgical Solution, Delhi.
Consultation fees: ₹400
10. Dr. Rahul Sinha
MBBS, DNB ( General Surgery )
Dr. Rahul Sinha has 21 years of experience as laparoscopic surgeon in Delhi. He is a member of Association of Surgeons of India (ASI). He is known for his services are- laparoscopic and endocrine surgery, fistula treatment , gastrointestinal and endo surgeries. He is associated with many hospitals and clinics like Apollo and Max Super Speciality hospital.
Consultation fees: ₹300- 850
All the surgical operations performed on any of the endocrine glands come under the roof of endocrine surgery. Endocrine glands function as hormone secretor and have a major impact on the normal functioning of all the cells of body. Endocrine surgeons expertise in treating and operating either thyroid glands or parathyroid glands or adrenal glands or endocrine pancreas or neuro-endocrine glands. Duties of Endocrine surgeons range from initial diagnosis to examination of endocrine disorders. They further collaborate with pathologists, geneticists, radiologists, anesthetists and contribute in higher researches related to endocrine glands.
- A lump which can be a malignant tumor in disguise. A fine needle biopsy of the lump is performed to detect the chances of tumor.
- A goitre which may be indicated by hindrance in breathing, persistent coughand difficulty in wallowing. This may cause load on adjacent organs.
- A retrosternal goiter.
Following operations are performed during thyroid surgery
- Bilateral subtotal thyroidectomy: For eleminating major part of thyroid except both part of lobes.
- Hemithyroidectomy: For eleminating half of thyroid
- Total thyroidectomy: For exclusion of entire thyroid
- Removal of thyroid nodule: Cutting out a lump from the thyroid
The procedure for thyroid surgery
The patient undertaking thyroid surgery is given either general anesthesia or local anesthesia. The surgery starts with making an incision, in front of the neck. This cut is made at about 2 - 3cm above collarbone. Then the muscles are divided so that the thyroid can be cut out. This entire operation is to be carried out with utmost care and attention so that parathyroid glands and voice box are unharmed.
Complexities involved in thyroid surgery
- While undergoing a thyroid surgery, chances of experiencing chest infection, infection due to anesthetics,heart problems, blood clotting, cut infections still persist.
- If bleeding continues post the surgery, it may result in swollen throat. Normal breathing may also be hampered. If during the operation, the voice box is damaged, it may result in hoarseness of the voice.
- Damage to the parathyroid glands may cause decrement in level of calcium in blood.
- If the scar tissue grows abnormally, it may result in surgical scar.
Remedies for the above complications
- Effects due to the damage to the voice box can be diminished by utilizing speech therapy. An additional surgery of the vocal cords can also be an option.
- One can overcome the drop in the level of calcium by taking calcium and vitamin D tablets.
- Surgical scars can be treated with the aid of steroid injections or silicone gel tape.