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Kidney Stones Treatment
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My baby of 9 months have diaper rash around rectum and it is spreading, my friends ask me to apply talc on this and wear diaper is it get relief? What is the remedy for diaper rash. I only use diaper on night.
I have black spots as well as pimples on my back. I used scar removal cream for 4 months but didn't see any changes. What should I do.
I have got folliculitis on my back, the pimple got burst and puss came out. The area is red with scar in between. What medication should be taken to heal it?
I was diagonized with cancer of intestine in September 2012 and was under surgical and chemotherapy treatment which have been successful and now I am free from this problem. 1. SKIN PROBLEM : For the last couple of months I have developed some skin problem on the sole of my Left foot. There appear cra cks/cuts on my left foot sole and skin too started peeling but did not come off. This problem is now spreading to right foot as well on my hand. We first consulted a family physician who prescribed an antifungal cream and tablet. The problem did not subside so we consulted a skin specialist according to whom this is allergic eczema. She stopped anti fungal cream and tablets. Instead she prescribed a cream containing steroid and salicylic acid. Even with this the problem persists. Please help. 2. DENTAL PROBLEM : I had front protruding tooth. For the correction of this one irresposible dentist had removed two upper and two lower teeth about forty years ago and I had wear dentures in their place. I have been visiting various dentists for dental problems including this and other teeth problems. For the last few months I am having pain while eating and upper molar teeth are sensitive to cold drinks etc.X rays have been taken and examined by two good dentists. They opine that this is no dental problem but is due to weak gums. They adivsed applying gumex etc. What should I do? 3. While I was operated for cancer I developed hernia which according to the operating surgeons is not threatening. I have been going for periodic tests and check ups. Pleae advise.
The gall bladder, which sits just below the rib cage to the right of the stomach, is very tender to touch. It is a little sac or storage compartment for bile, which is produced by the liver. The gallbladder emits bile into the small intestines via a duct referred to as the cystic duct. The entire process is meant to break down foods (namely fatty foods).
Gallbladder attack symptoms may include one or more of the following:
- Pain in the back right shoulder blade: Sometimes, pain radiates through to the back shoulder blade on the right side or in the middle between the shoulder blades. This is pain from the gallbladder affecting the back of the shoulder. This back shoulder blade chest pain is one of the most common yet unknown symptoms of a gallbladder disorder. This can come and go or be constant. It may be sharp, excruciating or dull. It may also occur especially at night. A gallbladder attack will typically last for one to four hours.
- Pain in the stomach: The most common symptom of a gallbladder problem is pain. This pain usually occurs in the mid to upper-right section of your abdomen. It can be mild and intermittent, or it can be quite severe and frequent. In some cases, the pain will begin to radiate to other areas of the body, including the back and chest.
- Nausea or vomiting: Nausea and vomiting are common symptoms among all types of gallbladder problems. But only a chronic gallbladder disease may cause digestive problems, such as acid reflux, gas, nausea, and vomiting.
- Diarrhea: Having more than four bowel movements a day for at least three months may be a sign of chronic gallbladder disease.
- Fever or chills: An unexplained fever may signal that you have a bile duct infection. If you have an infection, you need treatment before it worsens and becomes dangerous. The infection can become life-threatening if it's allowed to spread to other parts of the body.
- Unusual stools or urine: Lighter-colored stools and dark urine are possible signs of a common bile duct block. If you wish to discuss about any specific problem, you can consult a general physician.
My face become dull day by day. I'm washing my face with hot water is this a reason behind my problem or hot water effects it or not.
My son is an atopic. He has breathing problem, as well skin problem From last 15 day he is facing problem of skin infection. To whom we have to go: pediatrician or skin specialist I was told to us that by the age of 7, all these disease will be cured, but it is not happening.
Gall bladder is a very important digestive gland, which is located on the right side of your abdomen, just beneath your liver. Its main function is to collect, store and release bile, a digestive fluid produced in your liver, essential for metabolizing fats, into your small intestine.
Sometimes, small hard stones comprising of cholesterol, bile pigments and calcium salts in the shape of a pebble, can form in your gall bladder. Gallstones may cause no symptoms but when the gallstone lodges in ducts and blocks the flow of bile, it can cause persistent high-intensity pain which requires gallstone surgery.
Surgery is then prescribed to remove the gall bladder. This surgery is called cholecystectomy. It’s done when there are
- Gallstones in the gallbladder
- Gallstones in the bile duct
- Gallbladder inflammation
- Inflammation in pancreas
Gallstone surgery or cholecystectomy is a common surgery, and it comes with only a small risk of complications and you can walk out of the hospital on the day of the surgery itself.
- Minimally invasive or laparoscopic cholecystectomy
- During this procedure, the surgeon makes 4 tiny incisions in your abdomen and inserts a tube with a tiny video camera inside it.
- Through a video monitor, the surgeon watches while he inserts surgical tools through the other 3 incisions to remove your gallbladder.
- After the surgery, the surgeon confirms that there are no gallstones left. Once this is done, he sutures your incisions and you are taken to the recovery area. A laparoscopic cholecystectomy takes just 2 hours or so.
- But the problem with this procedure is that it’ not appropriate for everyone. Sometimes, what happens is that, the surgeon may start with a laparoscopic surgery and then may decide to go for an open gallstone surgery because of scar tissue or complications.
- Traditional or open cholecystectomy
- This procedure requires a bigger incision of about 6-inches in your abdomen, below your ribs on the right side. The liver and gallbladder are exposed and the surgeon removes the gallbladder.
- An open cholecystectomy takes one or two hours.
Single-incision Laparoscopy Surgery
Traditional laparoscopic surgeries use a telescopic rod attached to a video camera called a laparoscope, which is inserted through a small incision. Apart from this, 3 to 5 additional small cuts are made to insert the other surgical instruments to perform the surgery.
However, single-incision laparoscopy surgery (SILS) is a revolutionary minimally invasive surgical procedure conducted through a single incision. It provides a better cosmetic outcome, as a small incision is made through the patient’s navel or belly button, resulting in an almost scarless outcome.
Most patients who are good candidates for laparoscopic surgery are eligible for single-port procedures. Some of the surgeries that single incision laparoscopy is indicated for include cholecystectomy (removal of gall bladder), appendectomy (removal of appendix), splenectomy (removal of spleen), hepatectomy (removal of liver) and adrenalectomy (removal of adrenal glands). SILS can also be used for diagnostic purposes.
However, patients who have previously undergone multiple major surgeries to the abdominal region and those who are morbidly obese are not considered for SILS.
Single Incision Laparoscopy is usually performed as day surgery either in the hospital or outpatient surgery center under general, regional, or occasionally local anesthesia depending on the type of procedure performed and the surgeon’s preference.
The patient is made to lie down in a tilted position so that the feet are placed higher than the head. The surgeon makes a single incision of about 3/4th of an inch at the belly button and injects a harmless gas to expand the area and obtain a clear view of the operative site. A tube called a trocar or port is placed through the incision, through which the laparoscope (a narrow telescope having a light source and camera) and tiny surgical instruments are inserted. The laparoscope guides your surgeon with images of the abdominal contents that can be viewed on a large screen. Once the diseased organ is excised, your surgeon removes the instruments, releases the gas, and closes the incision with a small bandage.
Common post-operative guidelines following Single Incision laparoscopy include the following:
- You will need someone to drive you home after you are released as the anesthesia may make you feel groggy and tired
- Do not remove the dressing over the incision for the first two days and keep the area clean and dry. No showering or bathing during this time. The incision usually heals in about 5 days
- Your surgeon may give you activity restrictions such as no heavy lifting. It is very important that you follow your surgeon’s instructions for a successful recovery
- You may feel soreness around the incision area. Your surgeon may give you a prescription pain medicine or recommend NSAID’s (non-steroidal anti-inflammatory drugs) for the first few days to keep you comfortable
- If the abdomen was distended with gas, you may experience discomfort in the abdomen, chest, or shoulder area for a couple days while the excess gas is being absorbed
You must be very careful with your diet after gallstone removal as your body will not be able to digest fats well. You will of course be sticking to a liquid diet for a week or two and then introduce solids back into your diet. When you do so, you have to stick to a low fat diet. Stay off fried foods and gas-forming foods. Also make sure that you consume no more than 60 gm of fats per meal to avoid discomfort. Stay off spicy foods to avoid bloats and abdominal pains. If you wish to discuss any specific problem, you can consult a general surgeon.