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Kidney Stones Treatment
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Varicose Vein Laser Treatment
Hernia Repair Surgery
Urinary Incontinence (Ui) Treatment
Stitching Of Wounds Procedure
Treatment Of Deep Vein Thrombosis - Dvt
Male Breast Reduction Treatment
Prostate Laser Surgery
Gastric Bypass Surgery
Vascular Surgery Treatment
Accident Injuries Treatment
Stem Cell Transplant
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Dr. Kanwaljit Chahl provides answers that are very helpful. But are you this is not harmful can you please explain how it is not harmful for her..
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I found the answers provided by the Dr. Kanwaljit Chahl to be very helpful. Thnku so much 4 ur advice
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Dr. Kanwaljit Chahl provides answers that are very helpful. thnk u
My mother (55 yrs) started to have brown dot type something in her ankle almost more than a year ago, earlier we thought that this is side effect of some medicine. But as the days passed by the dots became bigger. Several big patches appeared of same nature. Although it does not pain nor it causes any trouble, but what is that anyway, how to cure it. Please help doctor.
I have breast pain in my both breast before 10 days periods after periods I have pain in my left breast for 10 days.
I am 32 years old male. Having 6 cycle R-chop chemotherapy & 2 high dose methotrexate in 2015. Got lymphoma which was cured. I dint get my hair back as like before. And its density is not good like before. Can you suggest something?
One of the testicle is inside the body and one is outside. Noe it is paining and swelling getting pain. To which doctor we should consult.
I have got married 15 days back, I tried to meet my husband, bt I feel too tight, due to which I never allow him to penetrate, I feel tight & pain wen he enters, we both r still virgin, he got frustrated due to my avoidance, please suggest me something, I want to be happy with my husband,
Hi Doctor, I had total thyroidectomy due to Thyroid cancer Parathyroids were preserved, I am taking calcium supplement of 2000 mg, calcium was 8.6 post surgery, after 50 days now calcium reduced to 7.But I am "ASYMPTOMATIC" My albumin is normal. What could be the reason for low calcium and I am ASYMPTOMATIC not understanding this?.
I am feeling a small lymph under my right armpit. My age 40 yes old after touching it I feel that some mild pain. I am fearing about it, is it cancer or otherwise. If any treatment is required which kind of doctor?
Is oral submucous fibrosis a lesion or a condition? How much percent chance has it to develop into oral cancer? Are there any permanent cures? Or preventive remedies?
Hello sir. I am 37 and diagnosed with stage 1ovarian cancer. Operated .Got six sessions of chemotherapy. And now cancer free. Before operation I had a blood filled mole at the front of foot thumb as I read somewhere that it is a first symbol of cancer. As it is dried little bit. I want to know is there any problem with this mole? As I want to remove it. And secondly can I get marry?
Am suffering from stage 2 Hodgkin's lymphoma and going through chemotherapy and I want to know has my life span decreased because of it?
Stitches or sutures act as a closure for either surface wounds or deep wounds. Procedure to close a deep wound comprises of sewing the two edges and applying stitches under the skin surface.
Catagories of sutures
- Non absorbable stitches are applied in case of skin wounds or internal wounds. Such stitches heal quickly and are easy to remove. Non absorbable stitches are made of natural fibers or synthetic threads like nylon polypropylene. As the name suggests, these stitches are either permanent or persist for a long time.
- Absorbable stitches are applied on layers which have the property of healing quickly. They are very firm during the initial days. Then they start getting dissolved in the body.
Precautions taken by medical team before applying stitches to prevent infection
- Careful checking of nose for occurrence of germs before the start of operation.
- Skin must be cleansed prior to surgery.
- Sanitizing hands prior conducting the surgery.
- Usage of germ free gloves and sterile clothes while applying sutures.
- Prescribing antibiotics to the patients who may fear high risk of infection.
Precautions to be taken by patient to prevent infection
- Take a bath prior to surgery.
- Avoid using razor at the surgical site. The same can be carried out by using clippers by the surgery team itself.
- Keep all your jewellery aside before the operation starts. Do not apply nail polish.
- It is advised to cover up the wound. Try to keep the adjacent areas germ free. This is a crucial step in avoiding infection.
- Visit your doctor at once on finding redness around the wound.
When to see your doctor?
Pain up to a certain threshold is normal. In case pain gets unbearable, the scene can be alarming. It may be an indication of infection. Taking immediate remedial steps is necessary to avoid infection or any other side effects post the surgery. On meeting with any of the following signs, it is better to consult doctor at once.
- If the skin around the wound gets swollen.
- If you detect redness around the wound.
- If the pain becomes unbearable.
- If the wound starts developing pus.
- If your body temperature increases abnormally or if you have fever.
- If you observe red streaks around the wound.
- If in case a stitch gets opened up and the edges of the suture start widening. This is the most alarming sign. In case a suture gets opened, you must immediately seek for a remedy.
Ask your doctor for the precautions you can take to avoid experiencing any of the above signs. If unfortunately you come across such alarming symptoms, rush to the nearest hospital and get the appropriate treatment.
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 brief about thyroid surgery
It is one of the most common endocrine surgeries. Symptoms that suggest a person shall undertake a thyroid surgery
- 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 cough and 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. If you wish to discuss about any specific problem, you can consult a General Surgeon.
Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.
How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.
Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:
- Eat a lot of fibre: It is recommended to add fibre in the diet; may be a fibre supplement like Citrucel, Fibre con, etc. When you drink a lot of water along with loads of fibre, stools get softened making them effortless to pass, which will reduce the pressure on the swollen veins. Eating broccoli, wheat, oats, beans, fresh fruits every day will help in decreasing bleeding caused due to piles. It also reduces swelling and inflammation. If you feel digestive issues with a sudden splurge of fibre in your diet, you may start slowly and gradually increase the amounts.
- Take a sitz bath: A sitz bath is a lukewarm water bath for the lower back portion of the body, which can help in relieving irritation, itching as well as spasms occurring in the sphincter muscle. You can either get small plastic tubs for a sitz bath or sit in a normal bath tub. Most physicians suggest a half an hour sitz bath after every bowel movement. Then tenderly dry the area and avoid wiping it hard.
There are several invasive treatments that can be opted if these conservative treatments are not able to help your condition. If you wish to discuss about any specific problem, you can consult a General Surgeon.
As soon as one is released from hospital after going through an abdominal surgery, the patient must make a checklist and an early recovery strategy before leaving home. Do follow the following tips and recover soon.
- Do make prior arrangements for a safe and comfortable journey back to home. Ensure that you have made transportation arrangements to go home safely. Use your own car or book any cab or take any friend’s help. Place a cushion over your abdomen to keep it safe from jerks.
- Do go for post-surgery checkup. Book an appointment with your surgeon post-surgery. This would ensure that surgery did not cause any side-effect.
- Understand the schedule for taking medicines. Usually the patients are given painkillers. If you think you are not getting relief from it then ask your surgeon to prescribe you an alternative. Patients are likely to suffer from constipation post an abdominal surgery. If that happens, intake more fibrous food, fluids and indulge in light physical activities. Patients can also ask for cheaper alternative medicines.
- Check for certain signs and symptoms and take adequate steps:
- Take adequate sleep. There are chances that you may feel dizzy and fatigue, therefore one must observe change in sleep patterns. Have patience. Things will become normal in due course of time.
- You will also be subjected to little pain from the incision. Take your medicines as directed in order to get an early relief from pain.
- Draining of yellow color liquid from the incision in little quantities post the surgery is normal. If the drainage continues even after 7 to 14 days with redness around incision, it is a clear symptom of infection. Consult your surgeon immediately for the cure.
- Removal of urinary catheter from the bladder may cause minor difficulties during urination. Situation will become normal in few days. If discomfort persists, consult your surgeon.
- Identify the following dangerous symptoms and call your doctor right away.
- Persistent vomiting or nausea
- Incapability to digest food or fluids
- Swelling in leg
- Abnormal body temperature
- Infection at the surgical site
- Maintain a healthy and supervised lifestyle post surgery.
- It will take few days to return to your normal routine life. So have patience until then.
- Go for morning and evening walks. Avoid heavy exercises as such activities may cause physical strain.
- Take care of your surgical incision
- Surgical incision should be regularly cleaned or washed gently. Try to keep the surgical site dry until the stitches are removed.
- After 5-7 days of surgery, the stitches would be removed by the surgeon. Avoid putting ointment on the stitches until then. It will take few weeks for the scars to fade.
Under proper care and supervision, the patient will soon recover post an abdominal surgery and will be able to get their life back on track. If you wish to discuss about any specific problem, you can consult a General Surgeon.
My grandfather is suffering from lung cancer from last 4 years. His age is 70 years. He had many chemotherapy and was recovered. But now again since last 7 months the disease is coming back. Now again his PET CT has been done and it says that A LARGE CALCIFIED CALCULUS IS NOTED IN GALL BLADDER (measuring 1.0AP × 3.18TR cm). The report is also saying about BRAIN METASTASIS. I want to know that now is this curable or not? I kindly request the doctors if they can share their e-mail ID so that I can send the whole report (as I cannot type the whole report over here) to you for your opinion.
Hernia surgery is performed for the correction of a hernia which refers to the bulging of internal organs or tissues through an abnormal opening. It is easy to detect hernia through any pain or discomfort while lifting heavy objects, cough and strain during urination or bowel movements or during prolonged standing or sitting. It can be found in both men and women. The Hernia can be congenital or can be developed over a period of time. If it doesn’t get better over time and also does not go away by itself, then surgery becomes the only option.
Types of Surgery
There are two types of surgery for hernia treatment. One is the conventional open method, which requires an incision in the skin directly over the hernia. The other one is the Laparoscopic hernia repair in which surgery is performed using a small telescope known as a laparoscope. In this type of surgery minimal invasions are made and the hernia is repaired with only small incisions adjacent to the hernia. Most hernia operations are performed on an outpatient basis, which means that you can go home the very same day.
Tips for early recovery
- Wear comfortable clothing with expandable waistbands.
- Keep yourself active by moving around as much as you can as it increases circulation, which further speeds up healing.
- Eat a diet rich in fibre, fresh fruits and vegetables.
- Drink lots of water and other fluids to avoid constipation.
- Do not lift any objects even if it is very light as it can bring back pain.
- Do not to pick up things from the floor as it will be difficult to bend.
- Hold a pillow against your stomach while sneezing or coughing to lessen the pain.
- Use stool softener for a few days before and after surgery to help you with your bowel movements.
- Avoid driving till the time you feel any pain and as long as you are taking narcotic pain medicines.
- Band-Aids which cover the incisions should be changed as and when needed.
- Refrain yourself from intercourse as it can be painful.
- Check with your doctor when to take a shower so as not to hurt your incisions, and make sure to gently dry your incisions and replace the Band-Aids after taking a shower.
- Do not consume any alcoholic drinks for at least 24 hours.
The tips mentioned above will definitely provide help to cope up with post surgery blues. However, in case of fever, excessive sweating, difficulty in urinating, bleeding or any prolonged pain consult your doctor immediately.
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.
The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.
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.