Doctor in Shri Siddhi Vinayak Clinic
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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My face look not much glowing I am planning to apply extra virgin olive oil to my face. Please suggest best extra virgin olive oil. Please suggest me.
Is black and blue stains inside cheeks is pigmentation of oral mucosa? please advice what medicines to be taken for black and blue stains on left interior part of my cheeks. With no itching and pain?
Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostrate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chances of developing BPH increase after one crosses the age of 50. But it is yet not know, why some men experience more severe symptoms than others.
Causes of BPH
This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.
Symptoms of BPH
Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarge prostate gland may do not complain of any discomfort.
Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion.
There are certain medicines which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example- diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.
The symptoms of BPH are related to issues with bladder emptying and issues with bladder storage. Symptoms related to the urine drainage from the bladder are
1. Strain while urinating
2. Weak urine flow
3. Some dribbling after urination
4. Sudden urge to urinate
5. Pain while urinating
Symptoms related to storage of urine in the bladder are
1. Waking during the night to urinate
2. Urinating frequently during the day and at night
3. Sudden urge to urinate, which may be hard to control
It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but may be the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.
Is kojivit ultra safe to use. Because I see some negative feedback about it. Can you elaborate its advantages?
When it comes to a bride than to have a flawless skin is a must for her. So here in this article, we’ll share some handy ways for pre-bridal skin treatment which will fulfil your dream of getting spotless skin on your D-DAY. The treatments range from granny ingredients which are easily found in the kitchen to cosmetic treatments.
1. Pre Bridal Treatment for Dry Skin - Form a mixture by mixing equal amount of Olive oil or Vitamin E capsule, glycerin rose water and aloe vera gel. Apply the mixture to your face before going to bed. This mixture gives miraculous effects of not only softens the skin but also makes it lustrous within just seven days.
2. Pre Bridal Treatment for Oily Skin - If you’re also grappling with the stickiness of skin then this treatment is for you. Do face wash twice daily. You can apply either of them including cucumber juice, aloe vera gel, honey and curd mask, tomato juice, etc. These ingredients will not only reduce oil secretion from the skin but also will lighten the skin complexion.
3. Pre-bridal treatment for tanning - Almost every woman likes outing. Be it shopping, hanging out with friends or window shopping but while the enjoyment they forget that sun rays are harming their skin because of which they grapple with skin tan. This is, in fact, a matter of concern for a bride to be. Some of the handy ways to de-tan the skin include-
Rubbing a slice of lemon on the affected area.
By applying the mixture of cucumber juice, lemon juice, and rose water.
Orange juice, yogurt and tomato pulp.
The mixture of Bengal gram (besan) and turmeric.
Apply any of these mixtures and wash it off after 10-15 minutes to de-tan your skin and get the radiant glow.
4. Pre Bridal Cosmetic treatment- There are different types of cosmetic treatments which are dermatologically tested and proven safe and effective. There are different types of Pre Bridal Cosmetic treatment plans in the market from which you can choose an ideal one for yourself by consulting cosmetic physician he’ll better guide you according to your need, budget and time duration.
Some of the best cosmetic treatments for to be bride include-
- Clear and brilliant laser for spotless skin
- Hollywood laser facial for a heavenly glow
- Hydrafacials to cleans and hydrate the skin
- Herbal peels to soothe and radiate skin
- Coolsculpting for shaping
- laser hair removal, so you can start your new life without the botheration of monthly waxing
- Hyaluronic filler injections to fill the hollow under your eyes or give your lips a perfect pout
- Micro-needling RF for a scar-free tightened face
These cosmetic treatment aids to reduce or remove fine lines, patches, large pores, blemishes and acne scars to give you spotless radiant glow. Consult your cosmetic dermatologist and use these pre-bridal treatments to be a confident and beautiful bride.
HI, I sleep well. Though I have dark circles all around my eyes. It never goes. My face is getting pimples always .one comes and goes then the other .that seems to be like a routine and and my face is ruined. When my cheeks gets rid of pimples then starts on the forehead. Then the marks .it completely ruins my confidence though I try to ignore things. Any advice I can have?
Facial spray water has a quality of providing your skin with an instant freshness and removing dryness. Use it once on a hectic day and obtain the best results.
In medical terms, Gastroesophageal Reflux Disease, commonly termed as GERD, is a prolonged recurrence of gastroesophageal reflux. It is a disorder in which the acid available in the stomach moves to the esophagus and retains there for a longer duration. Esophagus is a ring of muscle and is the part of the tube that connects the throat with the stomach. Gastroesophageal means something related to the esophagus and the stomach.
Reflux refers to flowing back or returning of some liquid or fluid from its expected place or position. So, GERD is defined as a condition in which the liquid (acid) flows back from the stomach to the esophagus and causes adverse effects. When the acid from the stomach reaches the esophagus, it may damage the vital tissues.
Most of us suffer from acidity often. In case an individual suffers from acidity for more than twice a week for a prolonged period, the condition may be associated with GERD. Normally, a valve, known as Lower Esophageal Sphincter (LES), is placed between stomach and esophagus, which relaxes only to swallow food, water and saliva.
This LES valve prevents the stomach juices and flowing back of acid to the esophagus and the throat, especially when we lay down on the bed. When this valve stops functioning as expected and relaxes unnecessarily, the acid from the stomach may reach the esophagus. GERD is a common disease. It is believed that almost every individual experience GERD at least once in the lifetime.
As per the reports from American College of Gastroenterology, more than 15 million individuals from America experience suffer from heartburn almost every day. This count is around 20% of the America’s population. Note that the individuals of any age group may suffer from GERD. Although GERD is mainly a digestive disorder, but it is identified that individuals suffering from Asthma are more prone to suffer from it.
The reason being, since Asthma causes the LES to relax more frequently. This might allow the stomach to reflux the digestive juices along with the acid to the esophagus. Additionally, some of the asthma medicines, like theophylline, may raise the tendency of LES reflux, which could trigger GERD.
Symptoms of GERD
The various symptoms of GERD include:
- Burning sensation in the chest and throat
- Excessive burping
- Stomach bloating
- Observing the acid taste in the mouth while burping
- Eaten food reaching to the mouth while burping
- Difficulty in swallowing food
- Constant pain in the chest for few hours after the meals
- Chest pain while swallowing the food or water
- Excessive production of saliva in the mouth
- Constant throat soaring for several days
- Hoarseness of voice
- Inflammation in the gums
- Cavities of teeth
- Bad breath even after proper brushing of teeth
- Difficulty in breathing
- Lack of appetite
- Lump feeling in the throat
- Disturbed sleep with uneasiness in the throat
- Wheezing sound while breathing
Causes of GERD
Normally, GERD is a common problem, which may occur due to numerous reasons. However, at times it occurs due to unknown reasons. The primary probable causes of this disease are mentioned below:
- Lying on the bed immediately after eating
- Eating too spicy food
- Weakening of esophagus due to poor muscle control or weakness in the body
- Due to certain medication comprising antihistamine, calcium channel blocker, sedative, antidepressant, and those for the treatment of asthma
- Being overweight, which induces more pressure on the stomach and abdomen causing LES to open unexpectedly
- Pregnancy also causes more pressure on the stomach and opens LES inappropriately
- Direct and passive smoking
- Overconsumption of alcohol
- Hiatal hernia, in which the diaphragm builds pressure on the stomach
Prevention of GERD
Although you may observe GERD due to multiple reasons, there are several measures that you may take to prevent it to some extent. Some of those are discussed below:
- The patients of Asthma or those who would have suffered from GERD must quit smoking.
- Elevate or raise the head side of your bed to around 6 inches than the feet side.
- Maintain a healthy weight. Take measures to lose weight in case it is beyond the prescribed body-mass index. The excessive fat on your belly would increase the pressure on your stomach. This would forcibly open the LES on often basis, which will then allow the acid to reach at the esophagus.
- Limit the consumption of alcohol.
- Avoid heavy meals, especially in the evening. Do not go to the bed for at least three to four hours from your dinner or any other meal.
- Limit the consumption of caffeine-based products like coffee.
- Avoid consuming the theophylline drug, if possible.
- Exercise every day. However, do not work out immediately after your meals.
- Avoid eating over-spicy and junk foods.
- Consult a good dietician and eat accordingly during the pregnancy.
- Do not wear very tight clothes near to the belly. This may again increase the pressure on your stomach and open the LES, which may then allow the acid to reach at the esophagus.
How is it diagnosed?
GERD is a common disorder that individuals often tend to ignore. Many of them assume it as a digestion disorder. The maximum that they do is to take an over the counter antacid tablet or syrup, which would ease the symptoms for a shorter duration. However, if those recur frequently or if the symptoms persist for several days, you visit your doctor.
The physician would assess the symptoms and may recommend the patient to visit the gastroenterologist for specialized treatment and investigations. One or more of the following investigations may be prescribed for the patient to confirm the occurrence of GERD:
- Esophageal pH and Impedance Monitoring: This test identifies the quantity of the acid content available in the esophagus in different states of the patient’s body, like before and after eating or sleeping.
- Upper Gastrointestinal or GI Endoscope: In this test, a camera attached with a tube is passed through the food pipe of the body. This camera captures pictures within the food pipe and the esophagus. The same process may also be used to extract a smaller piece of tissue, which would be sent to the laboratory for investigations.
- Upper Gastrointestinal or GI Series: In this test, X-ray captures pictures near to the esophagus that identify the causes of GERD.
- Esophageal Manometry: This test is based on measuring the contraction of muscles in the esophagus while swallowing food or water. It identifies the strength of the LES. In case it is found to be weaker, the individual is more likely to suffer from GERD.
- Bravo Wireless Esophageal pH Monitoring: This test involves attaching a small capsule to the esophagus for near to two days or 48 hours. This capsule measures the acidity level at the esophagus caused by the acid reflux from the stomach. In case the acidity near to the esophagus is higher continually for around two days, the individual is suffering from GERD.
Treatment of GERD
If GERD is confirmed by the doctors once after assessing the reports of the prescribed investigations, they would treat the patient based on the severity of symptoms. In normal cases, those are treated through certain course of medication. Many of these medicines focus on reducing the acid content in the stomach of the patient, which may relieve the patients from the symptoms of GERD.
Some of the common medicines used for the treatment of GERD are mentioned below:
- Proton Pump Inhibitor: These drugs are formulized to reduce the acid content in the stomach. The least acid is available in the stomach, lesser will be the chances to get it refluxed to the esophagus, which may cause GERD.
- H2 Blocker: This is another class of drugs, which would reduce the production of acid in the stomach.
- Antacid: Antacids are very common and over the counter medicines, which act by reversing the impact of acid in the stomach through multiple alkaline ingredients. Those are quite useful in the acidity and heartburn. However, those may cause multiple side effects such as constipation and diarrhea.
- Prokinetic: This medicine stimulates the digestion process of the body, which would empty the stomach faster than normal. Once the stomach is empty, the acid could not reflux to the upper side and reach the esophagus, which would avoid GERD. Since these medicines enhances digestion in the patient’s body, the individual may suffer from diarrhea. Those also cause other side effects such as anxiety and nausea.
- Erythromycin: These are the antibiotics, which treat the bacterial infection causing indigestion. Once the infection is treated, the acid formation in the stomach of the patient will be normalized, and GERD may be avoided.
In some severe cases, the patient would not be relived from the symptoms of GERD by changing the lifestyle and following the course of prescribed medication. In such cases, the gastroenterologist might recommend the patient to undergo a surgical treatment. The surgeries could be of following types:
- Fundoplication: In this process, the surgeon stitches some part of the stomach’s top near to the esophagus. This minimizes the passage between the stomach and esophagus, which reduces the chances of acid reflux. In most of the cases, this process helps in reducing the symptoms caused by GERD.
- Endoscopic Surgery: This process involves endoscopic stitching of the LES, which tightens the muscles involved in closing the valve near to the esophagus. The surgery is carried out using radiofrequencies, which produce heat for creating a burning effect for tightening of the LES muscles.
Complications of GERD
Most of the individuals suffering from heartburn take it very lightly. They often follow some home remedies or consume the over the counter medicines to get relieved from it. However, some patients of prolonged GERD may be at risk of complications. Some of such major complications are discussed below:
- Oesophageal Ulcers: This is the condition in which the acid floating from the stomach to the esophagus damages the lining of the esophagus. This further causes formation of ulcers, which may bleed and cause pain. The patients may even find it very difficult to swallow their chewed food because of the formed ulcers.
- Scarred and Narrowed Esophagus: In case a patient suffers from GERD for a long duration, the continual impairment of the esophagus caused by the refluxed acid may narrow it. This will further make very difficult for the patient to swallow anything. In such a case, a small balloon looking device is used for the widening of esophagus to ease the condition.
- Barrett's Esophagus: In case GERD is repeated frequently and not treated well, the cells in the LES lining are impacted. There is a little risk that the patient’s suffering from this condition or Barrett's Esophagus may suffer from oesophageal cancer due to the impaired cells. Around 10% of the GERD patients attain the Barrett's Esophagus condition. Further, 5 – 10% of the Barrett's Esophagus patients may suffer from the oesophageal cancer.
Myths of GERD
Myth #1: The only cause of GERD is eating spicy food.
There are lots of reasons causing GERD. Eating spicy food may be one of those.
Myth #2: Heartburn is a normal condition, which would heal either by its own or consuming the antacids.
Heartburn could be a symptom of GERD. If not treated on time, it may cause complications to the patient suffering from it.
Myth #3: Acidity is always caused by indigestion.
Acidity or heartburn could be caused by multiple reasons other than indigestion. It could also be a symptom of GERD, which must be treated by the doctor on time.
Myth #4: GERD may only affect kids and aged people
GERD can impact people of any age.
Myth #5: GERD is more likely to take place in the winters.
The patients may suffer from the symptoms of GERD in any season or month.
Myth #6: Healthy people with a robust immune system could not suffer from GERD.
Healthy immune system is not an important criterion for preventing the development of GERD in the body. However, those individuals whose esophagus muscles are weaker, are more prone to develop this disease.
Overview - INGUINAL HERNIA
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.An inguinal hernia isn't necessarily dangerous, however, it can lead to life-threatening complications. Inguinal hernia repair is a common surgical procedure.
- A bulge in the area on either side of your pubic bone, which becomes more obvious when you're upright, especially if you cough or strain .
- A burning or aching sensation at the bulge
- Pain or discomfort in your groin, especially when bending over, coughing or lifting
- A heavy or dragging sensation in your groin
- Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum
- You should be able to gently push the hernia back into your abdomen when you're lying down.
If you aren't able to push the hernia in, the contents of the hernia can be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that's trapped. A strangulated hernia can be life-threatening if it isn't treated.
Signs and symptoms of a strangulated hernia
- Nausea, vomiting
- Sudden pain that quickly intensifies
- A hernia bulge that turns red, purple or dark
- Inability to move your bowels or pass gas
Signs and symptoms in children
- Inguinal hernias in newborns and children result from a weakness in the abdominal wall that's present at birth. Sometimes the hernia will be visible only when an infant is crying, coughing or straining.
- In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period.
- Seek immediate medical care if a hernia bulge turns red, purple or dark.
- Some inguinal hernias have no apparent cause.
- Increased pressure within the abdomen
- A pre-existing weak spot in the abdominal wall
- Straining during bowel movements or urination
- Strenuous activity
- Inguinal hernias develop later in life when muscles weaken or deteriorate due to aging, strenuous physical activity or coughing that accompanies smoking.
- Male. Men are eight times more likely to develop an inguinal hernia than are women.
- Old age
- Family history.
- Chronic cough, such as from smoking.
- Chronic constipation.
1. Pressure on surrounding tissues
Most inguinal hernias enlarge over time if not repaired surgically. In men, large hernias can extend into the scrotum, causing pain and swelling.
2. Incarcerated hernia
If the contents of the hernia become trapped in the weak point in the abdominal wall, it can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas.
An incarcerated hernia can cut off blood flow to part of your intestine. Strangulation can lead to the death of the affected bowel tissue. A strangulated hernia is life-threatening and requires immediate surgery.
A physical exam is usually all that's needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area.
.If the diagnosis isn't readily apparent, your doctor might order an imaging test, such as an abdominal ultrasound, CT scan or MRI.
If your hernia is small and isn't bothering you, your doctor might recommend watchful waiting.
Enlarging or painful hernias usually require surgery to relieve discomfort and prevent serious complications.
There are two general types of hernia operations — open hernia repair and laparoscopic repair. Open hernia repair - In this procedure, which might be done with spinal anesthesia or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh (hernioplasty). The opening is then closed with stitches, staples or surgical glue.After the surgery, you'll be encouraged to move about as soon as possible, but it might be several weeks before you're able to resume normal activities.
COMPARISON OF OPEN AND LAPAROSCOPIC SURGERY
In this minimally invasive procedure, which requires general anesthesia, the surgeon operates through several small incisions in your abdomen. Gas is used to inflate your abdomen to make the internal organs easier to see.A tiny camera (laparoscope) is inserted into one incision. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair the hernia using synthetic mesh.People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities.
It also might be a good choice for people with hernias on both sides of the body (bilateral).