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Dr. Jyotirmoy Mukherjee

General Surgeon, Kolkata

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Dr. Jyotirmoy Mukherjee General Surgeon, Kolkata
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Jyotirmoy Mukherjee
Dr. Jyotirmoy Mukherjee is one of the best General Surgeons in Garden Reach, Kolkata. You can consult Dr. Jyotirmoy Mukherjee at Sadan Medica in Garden Reach, Kolkata. Book an appointment online with Dr. Jyotirmoy Mukherjee and consult privately on Lybrate.com.

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Hindi

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Sadan Medica

Sadan Medical,R B Ameve,Front Of Sadan Market, Garden Reach, KolkataKolkata Get Directions
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Benign Anorectal

Fellowship in Minimal Access Surgery, MNAMS (Membership of the National Academy) (General Surgery) , FAIS, FACRSI, Fellowship in GI Surgery, DNB (General Surgery), MBBS
General Surgeon, Delhi
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Hello friends, I am Dr. Sandip Banerjee, and I am a consultant laparoscopic surgeon, bariatric and colorectal surgeon. I am practicing in my clinic, named as Pelvinic. I am also a head surgeon in Apollo Spectra Kailash Colony.

Today I am going to talk about benign anorectal conditions which are problems involving your anus and rectum, and which is involving a large amount of population in our country. So the primary problem arising out of this is because of a constipation. Constipation is affecting almost 13 % of the population, much higher than what diabetes and hypertension are affecting our population. So because of a constipation there are few problems which day in day out in the routine life, and involves any group, any class of patients.

The first thing I’m going to discuss is a fissure in anus. Fissure is a painful condition in anus which mostly is because of an ulcer formation, or the breach of skin in the anus which develops due to the passage of hard stool. And the main symptoms of this is a painful difficulty to sit, postural problems, and painful defecation, with a minimum association of passage of minimum amount of fresh amount of blood during defecation. The solution lies in the treatment with medical management mostly. And 70 to 80 percent of the patient benefit out of the medical management. Only the remaining of the patients who develop a chronic fissure, who are not being cured by medical management, they are the one fit for surgery.

The second one is in hemorrhoids, which are called piles. So all of us do have an anal cushions normally, and which once gets prolonged due to chronic straining developed pathological piles. Now, the piles were graded according to the size, and the type of problems which patients are facing. It can be graded from grade one to grade four. The initial grade piles, which are grade one and two, in which the patients do have problems related to like bleeding or mucous discharge or some sort of difficulty while passing stool. But there is no history or no complaints of something coming out of the anus. So they are the early grade piles. In early grade piles, either they need some sort of a treatment in terms of medicine, or at times when it is really bothersome, then we do advise some nonsurgical treatment like laser radiofrequency ablation, cryotherapy, and even banding. But for the haemorrhoids which are quite big, like grade three and four, in which the patients mainly complain of something coming out of the anus, and they need to manually reposition it. So, they are the one which needs a definitive surgery. And the surgery which has come late in a high success rate is the stapler surgery for haemorrhoids. The stapler surgery which has been used for last 10-15 years is seen with a lot of success, that has revolutionized the piles surgery, in which the patients only need a day in a hospital, goes back to home, without any pain, without any problems thereafter. The chances of recurrence even less than 0. 001%. Then there are some acute conditions in which you develop an abscess in the anus, and you must know that abscess in the anus should always be drained. It should always be surgically drained, and there is no other way just to linger it on with medication.

Because if an abscess in the anus or the perianal region is being neglected, that abscess may develop into a tract which is called a fistula, and once you have developed a fistula then it’s very difficult to treat. Now, fistula in anus is a tract which is connecting the outer skin with the inner anus. So what happens is that a patient, once they develop a fistula, they have typical complaints of persistent perianal discharge in forms of pus, and then suddenly the discharges end, and then patients are quite okay. For few days, the patient may develop some swelling, there is severe pain, and then sudden discharge again comes back. So in this way the cycles goes on and develops into a complex tract.

It’s very important to know what is the tract of a fistula. While treating fistula we see whether it’san high or a low fistula. So low fistula need not need any further imaging things, because out of experience we can find it out while doing proctological examinations that it’s a low fistula. Low fistula has a very high success rate of surgical cure. Whereas in high fistula it requires some sort of an MRI imaging. MRI imaging helps us to know the different kind of tracts, and once knowing the tracts we need to perform some different forms of surgery based on the tract. It can be a laser, it can be radio frequency ablation, it can be a vaaft surgery, it can be a lift surgery. Based on the complex nature of the fistula, the cure rate is quite. The cure rate is having a recurrence rate of 3-7% world over. And I have been using radio frequency ablation for different types of fistulas. Even laser has been applied, and I’ve met with a quite a good amount of success in my patients.

The other 2 things which I want to discuss is about rectal prolapse. Now the patients do complain of something coming out as a chunk through the anus while defecation, and it’s a quite a big amount as compared to hemorrhoids. Patients do have a problem associated with rectal prolapse, either they have chronic diarrhoea, or constipation. So it can be either constipated prolapse or a diarrheal prolapse, and for that too it needs a treatment, and definitive surgery. Definite treatment is a surgery, and it involves a laparoscopic cure from the abdomen. And the last is pilonidal sinus. And pilonidal sinus develops as a small chronic discharging fissure in between the anus…buttocks, and that also needs a very good flap surgery. So hope you will like this information, and for any type of solution, any type of cure, you can contact me either in Pelvinic, or through Lybrate, or in Apollo Spectra Kailash Colony. Thank you.

And the last is pilonidal sinus. And pilonidal sinus develops as a small chronic discharging fissure between the buttocks, and that also needs a very good flap surgery.

I hope you like this information, and for any type of solution or any type of cure, you can contact me either in Pelvinic, or through Lybrate, or in Apollo Spectra Kailash Colony. Thank you.

3721 people found this helpful

I am 18 year old. There are very dark spot below my eyes. What I do to remove them,

BHMS
Homeopath, Faridabad
I am 18 year old. There are very dark spot below my eyes. What I do to remove them,
Hello, I think you mean dark circles then follow the below:- take healthy balanced diet including whole grains, green leafy vegetables, fruits and nuts. Drink 10 to 12 glasses of water daily. Take a sound sleep of 8 hours minimum. Apply bakson's under eye cream on the dark circles. Apply ramdev's aloe vera gel on the whole face at night. Home remedy:-1. Cucumbers have skin-lightening and mild astringent properties that help fix those raccoon eyes naturally. Plus, they have a soothing and refreshing effect. Cut a fresh cucumber into thick slices and chill them in the refrigerator for 30 minutes. Put the slices onto the affected skin area for about 10 minutes. Wash the area with water. Repeat twice daily for about a week or more. Another option is to mix cucumber juice with lemon juice in equal amounts. Use a cotton ball to apply the mixture on the affected skin. Leave it on for 15 minutes and then wash it off with water. Follow this remedy daily for at least one week. 2. Raw potato:-there are natural bleaching agents present in potato that can help lighten dark circles and get rid of puffiness around the eyes. Grate one or two raw potatoes to extract the juice. Soak a cotton ball in the juice and place it over your closed eyes. Make sure the juice covers the dark circles under your eyes as well as the eyelids. Allow the juice to sit for 10 to 15 minutes. Rinse your eyelids well with cool water. Repeat once or twice daily for a few weeks. Instead of potato juice, you can also use thick potato slices to remove dark circles.
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How should I take care of my oily skin and how I prevent from high acidity also I have some bone problem can it due to acidity?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
How should I take care of my oily skin and how I prevent from high acidity also I have some bone problem can it due t...
1. Drink 100-500 ml of tender coconut water twice a day for relief from hyperacidity Mix equal parts of powdered fennel, licorice root, basil leaves and coriander seeds. Have ½ teaspoon of this mixture with ½ teaspoon of powdered rock candy (or unrefined sugar) 15 minutes before lunch and dinner. 2.Make a powdered mixture of equal parts of rock candy (or unrefined sugar), fennel, and green cardamom. Whenever you feel heartburn, mix 1 teaspoon of the mixture in a glass of cold milk and drink. 3.Avoid tea, coffee, and carbonated or alcoholic beverages. 4.Avoid using garlic, ginger, onions, tomatoes, and vinegar in cooking. 5.Curd should be strictly avoided at night. 6. Practice Yoga and Pranayama such as Vajrasana, Bhujangasana, Salabhasana, Bhastrika Pranayama,Shitali Pranayama and Shitkari Pranayama. 7.Drink plenty of fluids and water. 8. Avoid constipation. 9. Take 1 tsf avipattikar churna empty stomach twice a day with water/ 20 days and 2 tab soothshekhar ras twice a day 30 min after meals with little water/10 days. 10. Revert back after 10 days. Take Care. Plz elaborate ur ques regarding bone problem..
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Blackheads around my nose are becoming worse day by day, pores getting bigger and used scrubs and facewash but has not worked so can u please suggest me some methods or cream I should use

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Use multani mitti with chandan and apply in rose water along with walnut scrub and neem face wash post steam(bhap).
1 person found this helpful

Hello Sir or Mam I am 24 Years old Male I have skin Fungal infection Problem Near Anal Around Area Please Suggest Me how To Cure fungal And Which is Best ointment Cream For Fungal infection Please Reply MeThank you.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
Hello Sir or Mam I am 24 Years old Male I have skin Fungal infection Problem Near Anal Around Area Please Suggest Me ...
U have fungal infection It spreads to other areas also Have to use a course of tablets and creams for that to heal completely and permanently Improve personal hygiene Bath twice daily Wear fresh cloths after bath Reduce inner wear to increase ventilation to that area Change towel frequently Use seperate antifungal soap Use cotton pants rather than jeans
6 people found this helpful

Is chemical peel good for extreme oily skin with acne scars? What kind of chemical peel suits for oily skin with pimple scars and pigmentation.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Is chemical peel good for extreme oily skin with acne scars? What kind of chemical peel suits for oily skin with pimp...
Chemical peel is good for extremely oily skin with acne scars and the type is decided by the dermatologist doin the l peeling.
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Due to cold the skin on fingers is breaking and shredding into pieces and happens in large amount after a bath with warm water. What's exactly the reason and how to cure?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Due to cold the skin on fingers is breaking and shredding into pieces and happens in large amount after a bath with w...
It's due to dryness.. Apply coconut or Vaseline over it in night daily... Drink plenty of fluids daily Eat lots of fresh fruits
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I am suffering from diabetic Hypertension.& each & black skin ,ring worm on both side between heep what can I do. I am very sad. For black and each skin ring warm.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am suffering from diabetic Hypertension.& each & black skin ,ring worm on both side between heep what can I do. I a...
Mr. lybrate-user, If you have diabetes and if it is not in good control, then fungal infections of the skin are quite often seen. Hence, primary need is to achieve a very strict blood glucose control with FBS closer to 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Plus appropriate antifungal treatment should be taken both local and systemic to control fungal infection. BP also should be maintained between 120 to 130 ?70 to 80 mm Hg. There is no reason to feel sad, because if correct treatment is taken and all precautions are observed one can remain absolutely fit these conditions. However, because of your excess rather morbid obesity (BMI 53.57 kgs/M2) it is very difficult to bring all these conditions in control. Best option for you is to consider bariatric surgery, which will reduce weight and even control diabetes and hypertension. Thanks.
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Sir/mam, I had unprotected sex with my fiance on 2nd may. 26 april was the first day of her periods. She has a 35 day cycle. Within two hours of sex she had taken i-pill. But till today she didn't got periods. 50 days over. After 30 and 37 days of sex she checked herself by pregnancy kit at home which came negative both time. She sometimes notices the signs of periods like swollen breast and abdomen pain, back pain but didn't got periods. Is this due to that I pill? Please guide us what to do. And what if she is pregnant as we are not married . Is there any medicine to to cure this irregularity of periods. Please guide us. Thanks.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Sir/mam,
I had unprotected sex with my fiance on 2nd may. 26 april was the first day of her periods. She has a 35 day...
Hi Pawan definitely this period problem can be solved. however first the cause must be found out. IN your case there are 2 possibilities, pregnancy and hormonal disturbance due to Ipill. I suggest you repeat the test again but with an early morning sample of urine for accurate results. if still negative we can start with medicines to resume her periods.
1 person found this helpful
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I am 26 years old male. I am suffering from swelling in anus. Doctors told me, there is a problem in anus. The problem is FISSURE in anus like that they told. My question is, 1. How to come out from this problem? 2. Which types of food should I take? 3. What is the main solution for this kind of disease? And also I am suffering from pain while sitting only other wise there is no pain at all. Pls tell me correct solution for this. Thanking You Raj.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hi 1. Avoid hard stools to come out from this problem 2. Have light diet avoid oily spicy stuffs have more green leafy vegetables liquids fiber content curd etc for better digestion 3. Along with this you continue medi prescribed by doctor & then if problem consult anytime dear thanks regards.
1 person found this helpful
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