Hello to everybody. I am Dr Vandana Hegde. I am practising reproductive medicines in the Hegde Medical Centre from the last 10 years.
As I had explained the entire cycle. Two important things are there for the couple to plan pregnancy
One is the Ovulation time. When the ovulation happens, the female eggs that releases out. Its life is approximately 24 hours. And the male's sperm, once the ejaculation happens, its life span is 3-5 days upto the maximum of 7 days. So for couples to plan fertility naturally, it is important to conceive during the period of female ovulation time. And now ideally the female ovulation happen around the 14th day, it is best for the couple to plan intercourse atlreast 3days prior to the ovulation time. So, if they are ovualating on 14th day, so they can start planning the intercourse on around 10th day and upto a period of 16th day. Ideally, intercourse beyonf the period of Ovulation does not help the couples in conceiving. So, it is always better to plan before the ovulation time. Alternate intercourse is much better than having a daily intercourse during the ovulation time.
Now, coming to the Evaluation of Fertility.
When a couple comes to us when they are unable to conceive a child naturally even after one year. Then we do certain basic things as I have mentioned that it is very important to fid out that how the egg is finally to form an embryo. Yu need egg from the female partner and sperm from the male partner which are diffused internally. So what is important is the normal sperm and a normal tube in the uterus. So we do assessment in that order. So ideally we get the male partner 7 testing time to see the sperm count, the sperm motality and the sperm morphology. The sperms should be genetically fit to give a healthy child. So this is assist by doing semen analysis where the male partner will give the semen sample for about 3-4 days. And this semen sample is examined under the micrscope where the assessment is done on the basis of count, mortality and Morphology. If the semen criteria is normal then we evaluate the female partner.
Now the female partner, if she has regular cycle, we assume that the ovulation is happening normally. But there are certain girls who has irregular periods. Some have early periods and sme have quite delayed cycle. Now, what is the main issue here is Ovulation. Probably they are not ovulating around the 14th day. But there are 2 disfunctions.
- One is anovulatory, there are certain girls whoch are not ovulating at all. There is no egg formation, there is no ovulation. Now this criteria of girls manage in a different way.
- Now there are other type of girls, who are probably having a shorter cycle, they are ovulating very early.
Now, we need to differentiate between these two types. The whole management depends upon correcting these abnormality.
Now, coming to the other part of the tubes. Once the sperm is there and the egg is there, one should have patent fallopian tube for them to meet. So, ideally what we do is, when the couple comes to us, we evaluate the spem parameters, the female ovum parameters and then we do a time intercourse for them.
We start basic tracking of the follicle growth. The best thing is the follicle is seen in the ultrasound reports. So the basic ultrasound is done initially to diagnose. If the female uterus, the ovaries are normal then they should not be ahving any fiberoids and ovarian cyst. So Fiberoids are basically tumours in the uterus which can prevent implantation of the embryo and there may be some ovarian cyst which may be preventing normal ovulation and there are other cyst which require surgical removal. We do basic ultrasound scan to roll out all other major thing and then proceed to Folliculat tracking.
Follicular tracking is seen on the scan. Though the egg can not be seen on the scan so follicles can be seen. So, when the couple ccomes to us in initial part, we track the follicle growth and this is the time, the female is ovulating and we give them the dates to meet. This is done on the monthly basis for atleast 2-3 cycles. Now, inspite of tracking natural cycle follicular growth and at the time intercourse if the couple is not able to conceive then we go for other evaluations. Like, is the tube open? Is the uterine cavity normal?
So there are tests to check if the fallopian tubes are open. Now it is very important for the tube to open because all the activities are happening inside the tube. so there is a test called "Hysterosalpingographie", where the die is pushed through the uterine end. This die is travelling around the cavity and coming into the tubes and then comes out.
All this is recorded in teh X-ay film. This film records this passage of the dia nd we find out the tubal blocks. If the tube is blocked then the egg and the sperm do not meet. So there comes fertility issues.
We do other assessments also like Diagnosis hysteroscopy and laparoscopy for infertility. So this is a surgical process which we do when couples are not able to conceive even after 6 months of fertility planning.
There are small tumours in the cavity which can prevent embryo from Implanting and these are absolutely necessary to be removed if the couple is not conceiving with these.
And the other things we diagnose is the laparoscopy in which we put the camera inside to record if te tube and ovary are in normal position and HYsteroscopy is a process done under the anesthesia only. Then we proceed with further treatment with fertility planning.
Good morning everybody. I am Dr Vandana Hegde. I am practising reproductive medicine, the department of Hegde fertility centre for the last 10 years. Today I would be speaking about the various aspects of fertility. So I will start from the basics to know what happens exactly and what are the problems that arise.
So here is a normal menstrual cycle of the female. There are certain things you need to know. What happens is during the onset of the periods, when the menstrual cycle starts, the eggs start maturing. Now, this egg grows in a wall filled substance which is called Follicle. So normally when the egg starts maturing, it reaches the complete maturity level on the 14th day of the cycle, an average of 12-16 days. As the egg starts maturing, the follicle size increases. Now when the maximum diameter of an egg is reached, the follicle burst and egg comes out. This process is called Ovulation.
If this ovulation happens on the correct 14th day of our cycle, over the next 14th day if there is no pregnancy then a girl will resume her menses which is a failure to conceive. If it happens regularly then the girl will have a regular menstruation cycle of 28-30 days. And if a girl is having the irregular menstrual cycle, then the ovulation is not happening correctly on time. So this is known as Ovulatory disorders. Now, what happens after the ovulation round.
Once the egg is released, it is caught by fallopian tubes. Fallopian tube has finger like projection and the eggs are normally kept on the last part of the tubes. Now when the couples meet, the sperm is released in the vagina. The sperms have basically the head, body and the tale. As I had mentioned earlier, once the ovulation happens, the eggs do not have any tale, so it needs a tube to collect it an d store it in the tube. The sperms will move into the uterine cavity and move into the fallopian tube and have to reach the other part of the tube. So at this point, the sperms will be reaching the egg.
There are certain criteria for normal semen. So when do we know that it is a fertile semen for which there are some criteria like the volume should be atleast more than 1.5 ml ejaculate.And the sperm count should be more than 15 million per ml of sperm. Because of the tale fraction of the mortality, there should be active mortality of the sperm for more than 30%. So when the sperm enters the egg, the process is called Fertilization. And the egg and the sperm will fuse to form an Embryo. The early embryo is called Zygote which is a single cell. So when this forms, the embryo has to divide. In that tube the embryo undergoes division. So in that cell, the embryo will divide into 2 cells, 4 cells, 8 cells. As the embryo is progressively dividing, the tube is going to push the embryo back slowly into the uterine cavity. During this process of egg maturation, the follicle growth, the ovulation, there is another process happening in the uterus.
So here is the uterus and this is the Uterine bed. So, as the follicles are increasing in size, so it produces a hormone called estrogen which is actually acting on the uterine bed. And the uterine bed is ready, there is an increase in thickness for an embryo to come here. And once the ovulation happens, there is a pregnancy favouring hormone called Progesterone which is increasing in the second half of the menstrual cycle. When this comes, there is a lot of blood flow coming to the uterine bed. So this is the time when the embryo is actually reaching the uterine bed. This process, when the embryo reaches the uterine bed and when the embryo sticks to the uterine bed, this process is called Implantation. Basically what is happening here is the blood collection between the uterus and the embryo. That is how the nutrients from the mother's body are transferred to the embryo which grows further and establishes a pregnancy.
So when the couples conceive, these are the things which have to happen in a natural way for them to conceive. Now what happens when they do not conceive when they try for more than a year after the marriage and still unable to conceive, so we evaluate the problems. Evaluation of problem depends on the steps which I have told.read more
Doctors in Hegde Hospital
Patient Review Highlights
I was in too much pain during my 3rd month of pregnancy. Someone from the office, referred Dr Vandana. She is not just friendly, but also is very motivating. She handled my case very patiently. It was getting very difficult for me to cope us with my pregnancy. The doctor suggested termination of pregnancy and I was very depressed due to my condition. But we had no other option do we had to follow her decision. I thank her for the best suggestion she gave.
From quite some time i was suffering from irregular periods, but never gave much importance to it. The problem was increasing day by day. She is very professional and is a really patient listener. I was amazed that other doctors before her were not able to even diagnose my problem, but Vandana Hegde did it immediately and started the irregular periods treatment for it. The overall atmosphere in the Hegde Nursing Home is very soothing.
Almost all doctors suggested surgery for it, but I did not wanted to go for it for my pregnancy. Overnite my pregnancy aggravated. No matter how critical be the situation, she is always very calm. Even though there was a long queue, still the staff was very pleasant. Vandana Hegde is well aware about innovative techniques to treat problems. I am almost my normal self post the treatment and for that my Vandana Hegde is the reason.
I was having very bad thoughts regarding my problem of no periods. I am amazed that she is such a sweet doctor, even though she is so busy all the time. Even though it's been more than a year after her treatment, still if I sometimes any issue and call her,Dr Vandana Hegde still takes my call in case of any emergency. The facilities available in the Hegde Nursing Home are very nice.
I have consulted so many doctors , but no one was able to my great dental implants..She ensures that she gives enough time to each patient. The atmosphere in the Hegde Maternity And Nursing Home is always so positive and full of life. Vandana Hegde has so much knowledge that for everything my family takes herreference. One of my neighbour's recommended therVandana Hegde.
dr Vandana Hegde does miracles. No medications helped me to avoid pregnancy. then I visited her at her clinc Hegde Maternity And Nursing Home in Hyderabad and I am so happy that I took the treatment from her and she solved my tension and now I am happy
Very good experience she have
The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.
Esophagectomy is commonly used to treat oesophageal cancer.
Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).
Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.
Some other conditions which require esophagectomy include:
Swallowing of cell-damaging, or caustic agents such as lye.
Problematic stomach disorders that make the passage of food to the stomach difficult.
A previously performed esophagectomy was unsuccessful.
There are three ways a surgeon may perform an esophagectomy, which include:
Transthoracic Esophagectomy (TTE)
In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:
Transhiatal Esophagectomy (THE)
In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:
To remove the cancerous oesophagus
To tighten or narrow the oesophagus in order to make swallowing easier
To fix issues in the nervous system
To repair frequent gastroesophageal reflux
Correct a hole in the oesophagus caused by any caustic agent
En Bloc Esophagectomy
In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.
Potentially curable tumours are treated by en bloc esophagectomy.
Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as you stomach size is reduced.
There are many kinds of conditions and symptoms that require different kinds of surgery for treatment as well as diagnostic management. One such procedure is called a laparoscopy or the laparoscopic surgery. This is a surgical diagnostic management procedure that is known to be a low risk process with minimal invasion and suitable for various types of ailments. Read on to know everything about laparoscopic surgeries.
Definition: A laparoscopic surgery is one where small incisions are made and an instrument called a laparoscope is used in order to take a look at the organs in the abdominal region. This tool is a long tube shaped one that comes with its own high intensity light and a high resolution camera that can easily move along the walls of the organs while the camera sends back imagery that will be displayed on a video screen in front of the doctor. This avoids the need for an open surgery and helps the doctors in getting samples for a biopsy on an outpatient basis.
Need for Laparoscopy: This procedure is performed when the patient complains of persistent pain that is also sharp and shooting, in the abdomen region and surrounding areas like the pelvic cavity. This non-invasive method helps in diagnosis where other imaging methods like an ultrasound and CT or MRI scans would have failed to give a conclusive reason for the pain and suffering of the patient. When these tests do not supply enough reason for proper diagnosis, then the doctors usually resort to this kind of procedure.
The Organs it can be used for: The laparoscopic surgery can be used for many organs including the appendix as well as the gall bladder, the pelvic region and the reproductive organs, the small and large intestines, the spleen, the stomach, the liver and the pancreas.
What all can it Detect: The laparoscopic surgery can help in detecting a number of issues including any abnormal growth or mass that may be a tumour. It can also point at the presence of any disease in the liver, as well as the proper functioning of certain treatments. Also, it can show the amount of fluid that may or may not be present in the abdominal cavity and the extent of cancer's progression in the body.
Risks: There are a few side effects or risks of this method including fever, chills, swelling, bleeding or redness of the site where the incision was made for the surgery, and shortness of breath. All these symptoms must be reported to the doctor immediately as they may point at the presence of an infection. Also, there is a risk of organ damage in this procedure.
Appendicitis, also commonly referred to as epityphlitis, is generally an inflammation that is triggered by bacterial, fungal, or viral infections. Since the appendix happens to empty into the colon with lesser efficiency and because the lumen is also small, it experiences some form of obstruction, being otherwise vulnerable to infections. This then manifests in the form of a primary factor that causes appendicitis. The pain that generates from this affected region remains localized primarily within the right lower quadrant of your abdomen.
The inflamed appendix then gradually fills up with pus. Appendectomy is considered to be the only curative procedure to treat a case of appendicitis. Pre-operative care is always stressed upon immensely so as to provide the best results to the patients:
- Complete bed-rest and relaxation is suggested to patients once the symptoms have been put under the light of clinical examination.
- Intubation is then provided if necessary.
- Patients also require to fast during the period right before the operation.
- Antibiotics must be prescribed in order to prepare the patient for surgery.
- Radiological and laboratory examinations are then carried out.
- Blood sugar levels must be established to decide if the patient is ready to undergo surgery or not.
- Patients who have any previous record of hypertension may be prone to experiencing some amount of anxiety right before the operation itself. If such a case arises, the surgery might be cancelled to avoid any incidence of complications.
- Mental preparation must be taken by the patient himself since psychological and physiological stress has a way of jeopardizing the operation.
- Presence of friends and family helps immensely to stabilize and relax the patients.
- The patient must be explained the very nitty-gritty of the surgery and how it’s going to take place so that he may not face anxiety.
- A sedative might be introduced to the patient to help him relax.
Along with the aforementioned factors, a number of things need to be taken care of if the question of appendicitis arises. Since operations are primarily carried out as emergency surgeries, there is little that can be done at the last moment itself. Ensure that the person has an empty stomach and is stable enough to undergo the procedure.
Thyroid, a small butterfly-shaped gland 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 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 is surgery required?
- 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 surgeries available
- Lobectomy: This procedure calls for the 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.
Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.
The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.
What Causes Gallbladder Problems?
Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.
It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.
These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.
- Ultrasound is most commonly used to find gallstones.
- In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.
Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.
Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.
What are the Advantages of Performing Laparoscopic Gallbladder Removal?
- Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
- Patients usually have minimal post-operative pain.
- Patients usually experience faster recovery than open gallbladder surgery patients.
- Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.
Are you a Candidate?
Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.
A liver transplant surgery involves surgically substituting a problematic liver with a healthy liver from a different person. Usually, the healthy liver is taken from a person who has recently passed away. In some cases, a living person may also give away part of the liver. Usually, living donors are members of the family or someone who has a good blood type match. The liver regenerates lost tissues after a surgery; hence, the donor’s liver becomes normal within a few weeks of surgery.
You may require a liver transplant if your liver does not function optimally, owing to the below mentioned conditions:
- Cirrhosis: This is a chronic disease of the liver wherein, scar tissues replace healthy tissues in the liver, thus, not allowing the liver to function optimally.
- Metabolic disease: Disorders that modify the activity of the chemicals in the body
- Acute hepatic necrosis: This is a disorder that causes the healthy tissues in the liver to die
- Autoimmune disorders or liver cancer: Autoimmune disorders can cause healthy tissues in the liver to die as the immune system in the body starts attacking healthy tissues. Formation of malignant tumors in the liver can impair liver functioning.
You have to undergo certain procedures before the surgery is conducted; a general health exam, imaging tests, blood tests and a psychological exam are conducted before the surgery. Based on the functioning of the liver and some other factors, your suitability for the transplant will be determined. The procedure begins with general anesthesia, following which an incision is made in the abdomen. The liver is then removed and replaced with a healthy one. Once the procedure is completed, the surgeon closes the incision with stitches.
Once the procedure is done with, you are kept in the intensive care unit for a few days. The doctor will monitor your progress and put you on medications. After the recovery, you will have to undergo check-ups at regular intervals. You may also have to take medications such as immunosuppressant to prevent your immune system from attacking the liver.
Abdominal Laparoscopy is a surgical diagnostic procedure, which is used to examine the organs inside the abdomen. It is an invasive procedure, but only small incisions are made.
The procedure is usually done in the hospital and the patient is given general anaesthesia to make the procedure pain free. The laparoscope is inserted through an incision in the abdominal wall. As it moves along, the image of the inside of your abdomen is then seen on the monitor. After the exam, laparoscope and instruments are removed and the cuts are closed. Laparoscopy is usually done as an outpatient procedure. This means that you will be able to go home the same day.
Why Is laparoscopy performed?
Laparoscopy is often used to identify the source of abdominal pain. It is usually performed when x-rays or ultrasound are unable to determine the root cause of the problem. Laparoscopy allows your doctor to see inside your body in real time and helps to diagnose or help discover what the abdominal problem is.
Tips to deal with laparoscopic surgery
- The first and the foremost thing is to prepare yourself for the surgery by watching some videos and going through some blogs on it as doing so will help you clear your doubts
- Do not eat or drink anything 8 hours before the procedure
- Make sure someone accompanies you on the day of the surgery
- Fix your Pre Op appointment to ask any questions or address any concerns regarding the surgery, anaesthesia, etc
- Shave the area where the surgery will be performed. This will substantially reduce itchiness
- Lastly, prepare your hospital bag and discuss it with the person who is going to accompany you so that he/she knows what all you packed
- Don’t lie down in bed all the time. Keep yourself active by moving every two hours as it promotes healing and helps eliminate gas pain
- Wear comfortable clothing
- Do not take bath for a week. However, you can take a shower 24 hours post surgery
- Drink at least 1.5 to 2 litres of water per day to prevent constipation. If constipated, take a stool softener.
- While sneezing or coughing, hold a pillow against your stomach to lessen the pain
- Roll onto your side and sit up using your arms for support and then stand up
- Don’t drive for two weeks
- Refrain yourself from intercourse, douching, and swimming
- Make sure to visit your doctor 2 to 3 weeks post surgery to make sure your wounds are healing
It might take some time for the wounds to heal, but in case of any prolonged pain do remember to consult your doctor immediately.
For people recovering from a back surgery, constipation is quite common and causes discomfort or pain. There are several aspects of a back surgery which may lead to constipation. They include anaesthesia, changes in diet, stress and the use of some pain relieving medicines.
- The symptoms of constipation are:
- Pain and bloating in the abdomen.
- Nausea and vomiting.
- Hard stools and the inability of bowel movement.
Ways to prevent constipation:
Here are several simple ways by which you can prevent or minimize pain or discomfort due to constipation after a back surgery.
- You should increase your daily activities as early as possible after a back surgery. You should walk regularly.
- You must reduce the use of narcotic medicines and use only what is needed for controlling pain. Narcotic medicines slow bowel movement and cause constipation. Use non-narcotic pain relieving medicines to prevent constipation.
- You can use fiber laxatives, stool softeners or combination products after a back surgery to prevent constipation.
- Drinking a lot of water and non caffeinated fluids is very important. You should also have apple cider juice and prune juice, which are effective natural laxatives.
- You should eat natural fiber-rich food for intestinal stimulation. These include whole grains, cereals, fresh fruits and vegetables. It is best to avoid cheese, meat and processed food. Instead of large meals, you must have frequent, small meals throughout the day.
Medicines for constipation:
Non prescription medicines can be taken for preventing or treating constipation after a back surgery.
Here is a list of some effective medicines that relieve constipation:
- Bulk fiber laxatives, which add bulk to stool and encourage water to stay in the colon. These medicines need up to three days to show effect.
- Stool softeners or emollient laxatives help in softening stool by making fluids mix with them.
- Stimulant laxatives take action by stimulation of bowel contractions for moving stool out. They are effective and start working very quickly.
- Combination laxatives perform the functions of laxatives and stool softeners together.
- Suppositories also perform the dual function of stool softening and acting as laxatives. The colon gets contracted, and stool is pushed out and as the stool gets softer, it can pass easily.
- Enemas perform the function of bowel movement stimulation. Liquids are injected into the rectum, up into the colon. This stimulates the colon, and stool is passed.
Constipation occurs commonly in patients after undergoing a back surgery. This may cause utter discomfort and pain. You should take proper precautions and remedies in case of constipation after a back surgery.
This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.
- Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
- Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
- Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
- Bleeding from the rectum: Bleeding can be observed while passing stools.
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.
- Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
- Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
- Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
- Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.
Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.
Lumps are usually harmless and do not raise serious concerns. However, if the lump persists for more than two weeks, it may be a serious issue. Lumps are categorized based on their place of occurrence and each of them demand separate treatment. Learn the signs of danger related to lumps and take action accordingly.
Reason behind formation of Lumps
Injury is one of the major causes behind lumps. If the lump is painful, one must consult a doctor immediately. There can be various other causes behind lumps, which depend upon its place of occurrence.
- Epidermoid and pilar cysts (sebaceous cysts) appear as small smooth lumps under the surface of one’s skin. Such cysts are non-cancerous, hence, can be treated easily.
- Swollen lymph glands generally occur in neck or in groin or under the armpit. Usually, any infection results in swollen lymph glands. However, in certain cases it may be caused by cancer.
- Skin abscess is a term given to collection of pus. e.g. boils. Symptoms of abscess consist of redness and swelling.
- Style or Chalazion causes swelling on the eyelids.
- Lump in the salivary glands happens due to mumps
- Swelling in the thyroid glands may cause lump in the neck region. This lump may encompass the entire third gland or a part of it.
- Breast lumps occur in both men and women. Generally, they do not indicate breast cancer. Any abnormal swelling in the breast must be immediately shown to the doctor.
- Hernia or enlarged lymph gland may result in a lump in the groin.
- If a person experiences swelling in the scrotum, he must immediately consult a doctor.
- Lump in the anus can be caused due to piles. The small vessels engulfing the anus may get swelled piling up more blood than usual. Other than a pile, abscess could also be the reason behind lump.
- Lump on the hand, wrist, finger may occur due to ganglion. Such cysts may develop around joints or tendons.
Signs which indicate you must get your lump checked by a doctor
- If the lump gets hard or firm
- If the lump gets sore
- If the lump gets enlarged
- If the lump doesn’t vanish within few days
- If your body temperature rises more than normal
- If you experience abnormal loss in weight
- If you experience any such abnormalities
- If the lump reappears post removal
If any of the above sign occurs, it is better to consult a doctor and get your lump checked. In most cases, lumps are harmless and non-cancerous. But it is better to take precaution. In case you have a concern or query you can always consult an expert & get answers to your questions!