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Treatment of Gastroesophageal Reflux
Gastric Bypass Surgery
Treatment of Gallbladder Cancer
Treatment of Gallbladder Disease
Reconstructive Surgery Procedures
Laparoscopic Cholecystectomy Procedure
Minimally Invasive Urology Surgery
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Patient Review Highlights
Excellentgastro & Laproscopic surgeon ! Best doctor in Patna and eastern india in the field of any type of stone and Laproscopy ....
He is a very good doctor and good experience...
The only and most effective way to treat gall stone is to go for laproscopy cholecystectomy! this is the best and most effective treatment available at present!
Cancer is a disease everyone dreads. It is not only difficult to come to terms with this but in many cases, it can be downright traumatic. Cancer is a medical condition wherein the growth of abnormal cells cannot be controlled. In some kind of cancers, the cells spread to other tissues making the situation worse.
Stomach cancer usually occurs across the lining of the stomach that is responsible for producing mucus. This form of cancer is known as adenocarcinoma. It has been witnessed that cancer occurring in the body of the stomach has drastically reduced. Instead, the cases of cancer occurring in the upper portion of the stomach have increased. This area of the cancer is termed as gastroesophageal junction.
What are the symptoms of stomach cancer?
Symptoms and visible signs of gastroesophageal junction cancer include the following:
- Fatigue throughout the day
- Feeling of bloating just after a meal.
- Loss of appetite or feeling full after consuming very little food
- Sharp to dull to constant pain in the stomach
- Frequent but unexplained nausea
- The persistent problem of indigestion.
- Frequent heartburn
- Frequent and persisting vomiting. This is applicable before and after dinner
- A feeling of weakness throughout the day
Causes of stomach cancer:
Stomach cancer like any other cancer occurs when there is a mutation occurs in a cell. The mutation forces the cell to rapidly divide and grow. Like other cells, they do not die. They also affect the nearby organ and thus spreads throughout the body. Gastroesophageal junction cancer is closely related to smoking, obesity and gastrointestinal reflux disease. Studies have shown a high correlation between cancer in the main body of the stomach and salted foods.
What are the risks involved?
The primary risk for this condition is obesity and GERD. Factors that can increase the risk of stomach cancer include the following:
- Smoked food or a diet that is rich in salt.
- A family history of stomach cancer.
- Polyps in the stomach.
- A long history of inflammation of the stomach.
- A diet that is not rich in vegetables and fruits.
- Food infection with a fungus called aflatoxin.
Diagnosis of Stomach Cancer:
Diagnosis is done by a series of tests. Th first one being upper endoscopy that involves the insertion of a tiny camera inside the stomach to find out the inner picture. In the case of any suspiciousness, a small tissue is taken out to inspect. Some other imaging tests include CT scan, barium swallow etc. There could be four stages of cancer depending on the advancement of the spread of the cancer cells in other organs of the body.
The treatment plan is decided depending on the stage of cancer. If a doctor feels that surgery is required to eradicate the infected tissue, he suggests the same along with radiotherapy. If, however, the surgery is not needed, doctors suggest chemotherapy followed by few dosages of radiotherapy. The dosage is decided on the extent of the spread of cancer and other factors such as future threat, the present medical condition of the patient etc. Surgery is the only best hope available in present world depending upon the stage !
Although gall bladder stones are normal and easily removable, in a small percentage of people it can become serious with complicated implications. From severe blockage to moving into another part of the digestive system, gall bladder stones can wreak havoc. Here is a brief overview of some of the complicated cases that can arise out of gall bladder stones:
- Acute cholecystitis: For few people, gall bladder can lead to complete blockage of the bile duct. This leads to accumulation of bile inside the gall bladder resulting in inflammation and infection of the gall bladder. The medical term for this condition is known as acute cholecystitis. Some typical symptoms of this condition include sharp pain the upper abdomen that can travel to shoulder as well. This can be followed by high temperature and rapid heart bit. Studies have shown that one amongst seven people suffering from this condition also tend to suffer from Jaundice.
- Jaundice: Jaundice occurs due to the complete blockage of the bile duct and accumulation of bile in the gall bladder. Some typical symptoms of jaundice include pale stools, yellowish skin, and eyes, brown urine and itching. Most times, the stone gets away from the bile duct automatically. If, however, it doesn’t happen, it must be removed surgically.
- Acute cholangitis: When the bile duct gets blocked, it is subjected to bacterial infection. The medical term for this condition is known as acute cholangitis. Some of the symptoms of this condition include pain in the upper abdomen, chills, itchy skin, high temperature, and jaundice. This is followed by a general feeling of un-wellness most of the time.
- Acute pancreatitis: This is a condition that develops when the gall stone jumps from the gall bladder and obstructs the opening of the pancreas resulting in inflammation of the pancreas. Some of the common symptoms of this condition include a dull pain in the center of the stomach. The pain might become dull and constant. Some other symptoms of this condition include diarrhea, feeling sick, abdomen tenderness, loss of appetite etc.
- Gall bladder Cancer: This is another complication of gall stone. It is estimated that 3 out of 4 people suffering from gall cancer has a complication of gall stone. In this condition, the gall bladder is removed as a precaution for the cancer-spread. Some of the common symptoms of this condition include high temperature, jaundice, and abdominal pain.
- Gallstone ileus: This is a rare condition that occurs when the bowel gets obstructed by the gallstone. The latter can do that because of the opening called fistula which helps the stone to float to the bowel and obstructs it for good. A surgical intervention is necessary to treat this condition.
Laproscopy cholecystectomy for cholecystitis ( acute / chronic )
Laparoscopic cholecystectomy has become the gold standard in the treatment of symptomatic gallstones. The common opinion about treatment of acute cholecystitis is initially conservative treatment due to preventing complications of inflamation and following laparoscopic cholecystectomy after 6- 8 weeks. However with the increase of laparoscopic experience in recent years, early laparoscopic cholecystectomy has become more common.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Taking a balanced diet not only helps in maintaining overall health also helps in curing indigestion. The right mix of carbohydrate, protein, water, fat, vitamin, salt and fiber is important for the body to function well. Apart from maintaining a healthy diet, it is also essential to refrain from food that triggers indigestion.
Here is a list of worst food for digestive health:
- Dairy Products: Dairy Products contain a protein called the casein. This protein can be highly allergic and inflammatory. Its strong insulin response can hold up fat and makes someone look fatter than his usual self. Lactose, the carbohydrate found in milk is extremely difficult to digest. If you are lactose intolerant, you should make it a point to stay away from dairy products such as kefir and yogurt to ensure smooth digestion.
- Gluten: This protein molecule is found in barley and wheat. Gluten is extremely difficult to break and has the capability to create a lot of damage. The unbroken molecules of gluten cause inflammation and bloating. People, who have GI issues, should definitely eschew gluten to ensure food digestion.
- Sugar: Patients suffering from indigestion should stay away from sugar related products such as candy, cake and crackers. Intake of sugar product increases the rate of inflammation, feeds harmful bacteria and suppresses the immune system. No wonder it is one of the worst food to consume, if you are suffering from indigestion.
- Fake fats: Fake fats are extremely difficult to digest and make the cell membranes more rigid. It can also show symptoms such as cramps, loose stools and bloating.
- Gums: Guar and xanthan gum are proved to be responsible for causing colitis. People with bowel disease are strongly suggested to stay away from gums and thickeners in order to avoid indigestion.
- Soy: Soy possesses protein inhibitors. It is an enzyme that restricts digestion. The carbohydrate content of the soy does not get recognized by the GI system. This leads to bloating, cramps and gas.
- Nightshade vegetables: Vegetables such as potato, bell pepper and tomatoes contain a compound called solanine. The latter is known to be responsible for indigestion. People with a compromised GI should not consume these vegetables at all.
- Red Dye: May fast food item contain a red dye which is known to decrease the production of energy, disturb nerve signaling and is an inflammatory agent.
- Sweeteners: Fake sweeteners show GI symptoms such as bloating and gas. Replacing this with sugar is not at all a good idea since it causes indigestion over a period of time.
- Legumes and beans: Legumes and beans contain compounds called saponins and lectins respectively. They are a major cause of a leaky gut and inflammation. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
Jaundice is a condition that results in excess of bilirubin in the blood. One of the first signs that become evident is the skin becomes yellowish in color. This article will reflect on the probable causes of jaundice and the way to detect them. While there are a lot of treatment options, the exact course of treatment depends on the underlying cause of the disease.
Causes of Jaundice:
Jaundice is the result of an underlying disorder that either cause overproduction of bilirubin or stops the liver from getting rid of it. In either case, the bilirubin gets deposited in the tissue. Some of the underlying causes of jaundice include the following:
- Liver inflammation: An acute inflammation of the liver can restrict the liver to conjugate resulting in accumulation of the bilirubin inside the liver.
- Inflammation of the bile duct: This is a serious condition that might result in non-secretion of the bile and failure to remove the bilirubin resulting in jaundice.
- Gilbert's syndrome: This is an inherited condition. It restricts the enzymes to excrete bile resulting in jaundice.
- Hemolytic anemia: This is a condition where a large amount of RBC is broken down resulting in an increased production of bilirubin. This lead to jaundice.
- Cholestasis: This is a condition that leads to an interruption of the flow of bile from the liver. As a result, the bilirubin gets accumulated in the liver resulting in jaundice.
- Dubin-Johnson syndrome: This is again an inherited condition that stops the bilirubin from draining out of the liver.
- Pseudojaundice: This is a harmless condition that might result in jaundice due to an excess of beta-carotene. People who tend to eat a lot of melon, carrot, and pumpkin have a high possibility of getting this type of jaundice.
- Crigler-Najjar syndrome: This is a genetic condition that impairs the ability of the tissue to excrete bilirubin from the liver resulting in jaundice.
Surgical Pathological Cause-
- CBD stone
- Periampullary carcinoma of pancreas
- Choledochal cyst
- Mirrizi syndrome
- Duodenal growth
How is it diagnosed?
- Urine Test: A urine test aims to measure the count of urobilinogen. The latter is produced when bacteria inside the body breaks the bile into smaller parts. A Higher count of urobilinogen certainly suggests the indication of Jaundice.
- Blood tests and Liver function: A liver function test can help a doctor diagnose certain liver ailment such as the cirrhosis, hepatitis and alcohol led diseases. Apart from these, the protein produced by liver and releases into the body tends to fall. A blood work will capture the reading and indicate towards jaundice.
- Imaging tests: Imaging tests are only required when post-hepatic or intra-hepatic jaundice is suspected. Some of the tests that are helpful include MRI, Ultrasound scan and CT scan.
- Liver Biopsy: A biopsy is recommended to witness the condition of the liver when the liver is affected by serious condition along with jaundice such as cirrhosis etc.