Gallstones may cause no signs or symptoms.Gallstone pain may last several minutes to a few hours.Seek immediate care if you develop signs and symptoms of a serious gallstone complication, like abdominal pain so intense that you can't sit still or find a comfortable position or high fever with chills and so on.read more
Doctor in Sai Health Care
Treatment of Hemorrhoids
Sleeve Gastrectomy Treatment
Treatment of Gallstones
Treatment of Liver Disease
Treatment of Appendicitis
Treatment of Ulcerative Colitis
Treatment of Colon Cancer
Treatment of Liver Cancer
Treatment of Acute Pancreatitis
Treatment of Gastric Cancer
Weight Loss Treatment
Treatment of Stomach Doctor
Hernia Repair Surgery
Treatment of Pancreatic Cancer
Treatment of Gastroesophageal Reflux
Gastric Bypass Surgery
Acute Pancreatitis Treatment
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Excellent Bariatric Surgeon
Obesity can shorten your lifespan by decades and also limit and reduce the quality of your life. Obesity cannot always be controlled by dieting and exercise and thus more complicated means such as bariatric surgery has to be employed.
Types of bariatric surgery
Most bariatric surgeries either limit your ability to consume food and thus make you feel fuller quickly or limit the absorption of nutrients from the food you eat. Certain surgeries use a combination of the two in varying degrees. Mentioned below are the most commonly employed forms of bariatric surgery –
- Gastric Balloon – This is a form of surgery wherein a specially made balloon is inserted into the stomach. In certain cases even two balloons are inserted into the stomach to reduce the room left for food. This causes you to have less food resulting in weight loss over a period of time.
- Gastric Sleeve – This is a form of surgery wherein a major portion of the stomach is removed through the procedure. Also known as Vertical Sleeve Gastrectomy, the surgeon creates a pouch within the stomach which essentially becomes a connecting tube between the esophagus and the large intestine. The reduced stomach size causes fewer hunger related enzymes and hormones to be secreted, causing less hunger and also reducing your food intake capability. This results in weight loss over a period of time.
- Gastric Bypass – Gastric bypass uses the combination of two techniques, lesser absorption of minerals as well as reduced intake capacity. In this method, a part of the stomach is rearranged akin to the gastric sleeve. However the leftover portion of the stomach is not removed as it can continue to secrete stomach acids. Because of the reduced size of the stomach, you would eat less and if you happen to over eat, it would cause dumping syndrome (quick and repeated bowel evacuation) which would deter you from eating more.
- Lap band surgery – This is one form of surgery where the stomach is not reduced or cut but rather limited by a band that is put around it. This band constricts the stomach and causes the upper part to become smaller. Hence you would feel fuller from eating less, thus resulting in weight loss.
- V-bloc therapy – This is a very modern approach to bariatric procedures which works in a very similar way to a pacemaker. A device is placed just under your skin and two leads or wires are connected to the vagal nerve. This nerve is responsible for sending the hunger signals to the brain from the stomach. This device acts as a block to the nerve signals and thus ensures you eat less.
- Duodenal switch – This surgery is also known as a Biliopancreatic Diversion wherein the surgeons cut out the part of the stomach similar to a gastric sleeve surgery but also make adjustments to the pancreatic chain and the small intestine to reduce the absorption of minerals.
Gallstones may cause no signs or symptoms.Gallstone pain may last several minutes to a few hours.Seek immediate care if you develop signs and symptoms of a serious gallstone complication, like abdominal pain so intense that you can't sit still or find a comfortable position or high fever with chills and so on.
Gallstone disease is common and the worldwide standard treatment is Laparoscopic Cholecystectomy (gallbladder removal). Although, the gall bladder is an important structure but it is not vital and the body can still function well in its absence.
Myth: Fatty food has to be avoided for life long
Fact: Bile is produced in the liver and stored in the gallbladder and function of bile is fat digestion so while eating a meal high in fat content bile stored in the gallbladder is released but after the gallbladder is removed bile is still produced by the liver but is released in a continuous slow trickle into the intestine. Thus there may not be an adequate amount of bile in the intestine for the normal absorption process initially and patient may develop diarrhea and bloating . The body needs time to streamline the digestion process in the absence of the gall bladder. Thus, we need to consume low-fat diet for few weeks after the surgery till our body gets used to the new situation of gall bladder absence.
Myth: Gall bladder removal only removes gallstones
Fact: Stones formation in the gallbladder reflect a poor and abnormal function of the gall . So, there is no way of keeping the gall bladder because it is inflamed and function improperly and its removal will avoid subsequent stones formation and complications.
Myth: Scarring at the surgical site
Fact: Nowadays surgery is done laparoscopically which requires only 3-4 small cuts in the abdomen and the gall bladder is removed through these small hole so scarring will be almost nil. Patients typically have less post-operative pain and experience a faster recovery period than open surgery.
These Gallstones don’t cause any problems in most cases. But prompt treatment is required if stones block ducts and cause infections and inflammation in the pancreas. This may lead to the removal of the gallbladder through a surgery, known as cholecystectomy, which further includes techniques such as laparoscopic (keyhole) cholecystectomy or open surgery.
Although it is a less vital organ, the body can cope up even after removal.
Procedure of surgery:
- The surgery involves removal of gallbladder and gallstones through several incisions in the abdomen. In order to see clearly, the surgeon inflates the abdomen with air or carbon dioxide.
- A lighted scope attached to a video camera is inserted into one incision near the belly button. The video monitor is used as a guide for inserting other surgical instruments into the other incisions to remove the gallbladder.
- Intraoperative cholangiography is the X-ray procedure which shows the anatomy of bile ducts. This is done before the surgeon removes the gallbladder.
- Bile flows from the liver through the common bile duct after the surgery into the small intestine. As the gallbladder has been removed, the gallbladder can no longer store bile between meals but has no effect or little effect on digestion.
- In case of open surgery, the surgeon reaches the gallbladder through a large, single incision in the abdominal wall.
Complications after gallbladder surgery:
This surgery carries some degree of risk like any other surgery. Complications such as internal bleeding, infection, injury to nearby digestive organs, injury to the bile duct and injury to blood vessels.
Types of gallstones:
There are three main types of gallstones. They are
- Mixed stones: They are made up of cholesterol and salts. They tend to develop in batches.
- Cholesterol stones: Mainly made of cholesterol, which is crucial to many metabolic processes. They can grow large enough to block the bile ducts.
- Pigment stones: The colour of bile is greenish-brown, due to some particular pigments.
Medical factors to consider before cholecystectomy:
The most important factor is a consideration of your medical history. This is because the pre-existing conditions influence decisions on surgery and anaesthetic and information about any bad reactions or side effects from any medications would be helpful for surgery.
Self-care after the surgery:
Taking rest is the most important thing after surgery. Avoid things such as heavy lifting and physical exertion. The usual recovery period after the surgery is one week.
(A) Maintain a healthy weight.
(B) Eat a balanced diet.
Avoid high calorie-meals, saturated fat, refined carbohydrates (such as white bread, white rice and regular pasta) and sugars. For a well-adjusted diet, eat fiber, which you can obtain from fresh fruits, vegetables, whole grain breads, rice and cereals.Hydration is essential, so drink a lot of water.
(C) Take care and protect yourself against Hepatitis B or C
Hepatitis B and C can be transmitted sexually or if there is a chance of blood-to-blood contact.Practice safe sex and avoid unnecessary sharing of toothbrushes, razors, needles and other personal care items – these can also transmit hepatitis B or C. If you are a Hepatitis B or C carrier, consult your doctor for a screening program to detect problems early. If your parents are carrier and/or you are not sure, get a Hepatitis screen.
Get vaccinated for hepatitis A and hepatitis B.
(D) Avoid toxins
Toxins can injure liver cells. Limit direct contact with toxins from cleaning and aerosol products, insecticides, chemicals, and additives. When you do use aerosols, make sure the room is ventilated, and wear a mask.
(E) Use alcohol responsibly.
Alcoholic beverages can damage or destroy liver cells and scar your liver. Talk to your doctor about what amount of alcohol is right for you. You may be advised to drink alcohol only in moderation or to quit completely
(F) Cut down smoking or stop smoking
(G) Avoid the use of illicit drugs.
Illicit drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics (pain relievers, tranquilizers, stimulants, and sedatives) used non-medically
(H) Follow directions on all medications.
When medicines are taken incorrectly by taking too much, the wrong type or by mixing medicines, your liver can be harmed.
Screening is used to look for cancer before you have any symptoms or signs.If you know you have risk factors for liver cancer such as cirrhosis most commonly caused by alcohol abuse, other causes are Obesity, NAFLD, and diabetes, viral hepatitis (types B and C), too much iron in the liver from a disease called hemochromatosis, and some other rare types of chronic liver disease,then it is extremely important to talk with your doctor about whether you should be regularly screened for liver cancer.Finding a cancer before any symptoms have developed will increase the chance of successful treatment, Screening options include testing the blood for a substance called alpha-fetoprotein (AFP), which may be produced by cancer cells, or having imaging tests like an ultrasound.
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.
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. In case you have a concern or query you can always consult an expert & get answers to your questions!
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 of 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and maybe 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?
- 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. In such an instance, it is always wise to seek advice of a medical practitioner.