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Dr. Ravi Patel - Proctologist, Kalol

Dr. Ravi Patel

Proctologist, Kalol

150 at clinic
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Dr. Ravi Patel Proctologist, Kalol
150 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Lybrate.com has a number of highly qualified Proctologists in India. You will find Proctologists with more than 43 years of experience on Lybrate.com. You can find Proctologists online in Kalol and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr Ravi A Patel

Riddhi Siddhi Hospital Shop no 13. City Mall 2 Navjivan Mill CompoundKalol Get Directions
150 at clinic
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I am suffering from thyroid. And weight is too much so can I reduce my weight and which medicine can give me a slim body.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I am suffering from thyroid. And weight is too much so can I reduce my weight and which medicine can give me a slim b...
Relationship between thyroid and weight It has been appreciated for a very long time that there is a complex relationship between thyroid disease, body weight and metabolism. Thyroid hormone regulates metabolism in both animals and humans. Metabolism is determined by measuring the amount of oxygen used by the body over a specific amount of time. If the measurement is made at rest, it is known as the basal metabolic rate (BMR). Indeed, measurement of the BMR was one of the earliest tests used to assess a patient’s thyroid status. Patients whose thyroid glands were not working were found to have low BMRs, and those with overactive thyroid glands had high BMRs. Later studies linked these observations with measurements of thyroid hormone levels and showed that low thyroid hormone levels were associated with low BMRs and high thyroid hormone levels were associated with BMRs. Most physicians no longer use BMR due to the complexity in doing the test and because the BMR is subject to many other influences other than the thyroid state. Relationship between bmr and weight Differences in BMRs are associated with changes in energy balance. Energy balance reflects the difference between the amount of calories one eats and the amount of calories the body uses. If a high BMR is induced by the administration of drugs, such as amphetamines, animals often have a negative energy balance which leads to weight loss. Based on such studies many people have concluded that changes in thyroid hormone levels, which lead to changes in BMR, should also cause changes in energy balance and similar changes in body weight. However, BMRs are not the whole story relating weight and thyroid. Thus, the relationship between metabolic rates, energy balance, and weight changes is very complex. There are many other hormones (besides thyroid hormone), proteins, and other chemicals that are very important for controlling energy expenditure, food intake, and body weight. Because all these substances interact on both the brain centers that regulate energy expenditure and tissues throughout the body that control energy expenditure and energy intake, we cannot predict the effect of altering only one of these factors (such as thyroid hormone) on body weight as a whole. As a consequence, at this time, we are unable to predict the effect of changing thyroid state on any individual’s body weight.
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I have been having blood in stool since June this year. It occurred thrice between June till yesterday. It again started bleeding since morning. What should I do?

MBBS
General Physician, Mumbai
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and we have to rule out piles as the cause of bleeding
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I have 3 questions My thyroid hormone has increased from normal limit. Doctors say to have a tablet for whole life. Pl suggest me Ayurveda treatment for this. treatment for high cholesterol Treatment for Good Eye sight.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
I have 3 questions
My thyroid hormone has increased from normal limit. Doctors say to have a tablet for whole life.
P...
We will only suggest like kachnar guggulu arjun kwath or tab for thyroid and cholesterol, while good eye sight take saptamrit loh with honey, We will complete prescription after complete consultation
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I am suffering from hyper Thyroid. My T3 is 343, T4 is 17 and TSH is less than 0.01.l have not yet started any medicine. My throat has a swelling in low intensity since last 7 months. I have also gas problem. Please advice me what medicine I will take and any restrictions in my diet. I am 42 year old from Bhubaneswar. I was 65 kg in jan 17, now I am 56 kg.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Thanks for the query. Because of untreated hyperthyroidism you have lost weight. Therefore, it is essential to start appropriate treatment. There's no dietary restriction. But treatment has to be started. You will need anti - thyroid drug like Carbimazole. Thanks.
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How Fistula-in-Ano Can Be Treated With Surgery?

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery
General Surgeon, Lucknow
How Fistula-in-Ano Can Be Treated With Surgery?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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I have mistakenly given thyronorm 50 mcg tablet to my 7 months old baby in his formula milk I thought its was his calcium medicine as it has a similar bottle please suggest is it going to harm my baby. Please help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have mistakenly given thyronorm 50 mcg tablet to my 7 months old baby in his formula milk I thought its was his cal...
Hello, Thanks for the query. Giving Thyronorm 50 mcg just once is not going to cause any harm. But if one gives that repeatedly for more number of days, then can cause symptoms of excess thyroxine. Anyway, if you have realised the mistake and stopped it, then there is no need to worry. Thanks.
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I see blood in stool. It looks fresh blood and I get burning and itching sensation while motion.

General Surgeon, Hisar
I see blood in stool. It looks fresh blood and I get burning and itching sensation while motion.
Possibilities of Fissure in Ano or infected piles are very high Change your diet, more of water, No spice, No processed food, no non veg, more green leafy vegetables Apply Smuth ointment twice a day inside your anus If this fails, consultant any anorectal surgeon.
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I am 25 years old male. I have a discomfort and a mild pain in left leg and testicle for more than 2 months. Last week, while I consulted a doctor, he found the signs of hernia of early stage. I want to know that is there any relation of hernia with my pain and discomfort? I read somewhere that the only solution to hernia is operation. I don't want to operate now. Please tell me exact cause of my pain and discomfort and best remedies to cure hernia. Thanks.

MBBS, cc USG
General Physician, Gurgaon
Hello tell me is history of any trauma to testis is redness/ swelling also present avoid tight undergarment and trousers Maintain Hygiene Pain may or may not be due to Hernia. We need to rule out other causes like infection etc you need Physical examination so kindly consult Surgeon And for hernia Management Never let yourself constipated recurrent cough/cold need immediate attention as it will rise abdominal pressure and Hernia may reoccur Do not lift heavy weight, But Permanent treatment of hernia is Surgical repair
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Hypothyroid and latest test showed normal free T3 and T4 and Tsh was 8.5. Now on 50 mcg thyroxine. Previous test showed prolactin levels to be 29.8 and just completed 30 days course of MCBM 69 and B-Long. On cycle day 42 today and sexually active, no sign so early pregnancy and haven't taken a HPT yet. What is your advice? When should I repeat my tests?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypothyroid and latest test showed normal free T3 and T4 and Tsh was 8.5. Now on 50 mcg thyroxine.
Previous test show...
Lybrate-user, if you are having hypothyroidism and taking treatment, then it is essential to bring tsh levels down to <2 mu/l, otherwise conception may not occur. Further through out pregnancy tsh should be maintained as follows: 1st trimester 0.1 to 2 mu/l, 2nd trimester 0.3 to 3 mu/l & 3rd trimester 0.3 to 3.1 mu/l. If tsh levels go higher than above mentioned, then fetal development is affected, miscarriage may occur, pregnancy out come at full term may not good. So please take care of the tsh levels. Thanks.
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