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Healing Hands Clinic

Proctologist Clinic

Mangalmurti Complex, 105, First floor, Near Hirabaug, Tilak Road pune
1 Doctor
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Healing Hands Clinic Proctologist Clinic Mangalmurti Complex, 105, First floor, Near Hirabaug, Tilak Road pune
1 Doctor
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About

By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Healing Hands Clinic
Healing Hands Clinic is known for housing experienced Proctologists. Dr. Ashwin Porwal, a well-reputed Proctologist, practices in pune. Visit this medical health centre for Proctologists recommended by 47 patients.

Location

Mangalmurti Complex, 105, First floor, Near Hirabaug, Tilak Road
Tilak Road pune, Maharashtra - 411002
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Gall Bladder Stone

Fellowship in Minimal Access Surgery, FACRSI (Colo-Rectal Surgery), Ph. D - Gastrointestinal Surgery, FAIS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , MBBS
Gastroenterologist, Bangalore
Gall Bladder Stone

Gall Bladder Stone

Courtesy -Dr.Kumar Parth (MBBS; MNAMS; FMAS; FAIS; FACRSI (Colo-Rectal Surgery) DNB; FSGE (Surgical Gastroenterology)

(Consultant Surgical Gastroenterologist), drkparth9@gmail.com, www.drparthgastro.com

Definition:   Presence of stones in the gallbladder is referred to as cholelithiasis.               

PredisposingFactors:

  • Genetics , Gender (more in women)
  • Body weight (Obesity), or rapid loss in weight , Fasting
  • Decreased motility (movement) of the gallbladder
  • Diet
  • Drugs : Cholesterol / Lipid lowering drugs , Estrogen
  • Diseases: Diabetes, blood disorder (Hemolytic anemia etc.)

Composition of Gall Bladder Stone:

Cholesterol Stone: Found in western world, causes accounted to diet rich in cholesterol.

Pigmented stone: generally found in diseases related to blood disorder

Mixed stone: Contains Calcium, magnesium, sodium phosphate ( most common type found in Asian population (India).

Symptoms :

  • (70–85%) are asymptomatic or "Silent Gall Stone"
  • Pain in right upper and central part of abdomen (may radiate to inter-scapular region) mostly after half an hour of food (seen more symptomatic after a fatty diet.)
  • post meal fullness, belching, upper abdominal discomfort
  • Jaundice (yellowing of the skin or eyes)
  • Clay colored stools or dark urine

Investigations required:

  • Blood - Liver Function test , Complete Blood Count,
  • Imaging -Ultrasound Of abdomen and if required MRI (MRCP) abdomen.
  • Complications of Gall Stone
  • Infection of gall bladder {Empyema(pus) / Mucocele of Gall bladder}
  • Perforation of gall bladder
  • Stone slipped in Common Bile Duct resulting in obstruction in the passage of bile leading to Jaundice
  • Stone from gall bladder slipped to common bile duct and entering into pancreatic duct through common channel of opening in Duodenum (small bowel) leading to Pancreatitis.

Indications for Surgery:

  • Symptomatic Gall stone with typical history of pain as mentioned above and proven with Imaging (ultrasound)
  • Asymptomatic or Silent gall stone (Found Incidentally during Ultrasound abdomen) - "DOES NOT REQUIRE SURGERY".

Asymptomatic or Silent gall stone requiring surgery in special circumstances are:

  • Pregnant lady diagnosed with gall stone during first trimester (incidental finding)
  • Any blood disorder and patient is going for any abdominal surgery for any reason.
  • Diabetes mellitus - as chances of infection are high on by ground of diabetes
  • Gall bladder polyp (a soft tissue growth in lumen of gall bladder) size > 1 cm or single stone measuring > 3 cms, as risk of Gall Bladder cancer increase by 10 fold in these cases.

Treatment: Surgery - Laparoscopic Cholecystectomy (Key Hole Surgery) is Gold standard worldwide.

  • Safe surgery, there are no side effects of removing of gall bladder as one has to weigh the complication arising from a "symptomatic" gall stone disease.
  • Can be done as a day care surgery
  • Post surgery patients are advised to refrain from fatty meal for a week so as to acclimatize the body to a diluted bile. Normal activity is allowed from day 1 of post surgery.

Hi, I'm 18 years old In my stools there was an lot pain from past 5 Days and suddenly it started bleeding today allot of blood was excreted. Please help​ me out, as soon as possible. Thank you.

BPTh/BPT, MIHS
Physiotherapist, Surat
Hi, I'm 18 years old In my stools there was an lot pain from past 5 Days and suddenly it started bleeding today allot...
Was it black colored then it's melena ie from upper gastrointestinal tract. And if it is red colored then it is from lower git. Ie Piles or from colon. Do the following investigation ie stool examination from a good pathological laboratory. And let me know.
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We had done Sonography yesterday and it has shown stone in gall bladder of 8-10 cms. We are going for surgery asap. Would like to know in one of my friends case he had cancer cells in gall bladder but they didn't know and had done laparoscopic surgery and the cancer spread to whole body. As a precaution what should be done to avoid such situation. Pls your urgent advise is required.

Fellowship in Minimal Access Surgery, FACRSI (Colo-Rectal Surgery), Ph. D - Gastrointestinal Surgery, FAIS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , MBBS
Gastroenterologist, Bangalore
We had done Sonography yesterday and it has shown stone in gall bladder of 8-10 cms. We are going for surgery asap. W...
First of all, any incidental finding of a gall stone is not an indication for surgery. Your stone size may not be 8-10 cms, which you have written, it would have 8-10 mm I feel. Asymptomatic gall stone should not be touched. If one is willing to go ahed of surgery, A Laparoscopic approach is gold standard. If in histopathology its, a cancer, then one will have to find out the limit of spread (thickness/layer of gall bladder involvement, depending upon next surgery needed.
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Please help me out with gap of time between ayurvedic tablet and allopathic tablets. Need specific gap for 1) thyroid tab eltroxin 112.5 mcg and gandhak rasayan tablet + mahamanjashthadi Kadha. 2) bp tablets betatrop + enam 5 and gandhak rasayan tablet + mahamanjashthadi Kadha.My Age 77 yrs. Thanks.

Homeopath, Hyderabad
Please help me out with gap of time between ayurvedic tablet and allopathic tablets. Need specific gap for 1) thyroid...
Hello Eltroxin tablet must be taken on empty stomach at the start of day followed later by any other medication Give a gap of an hour before taking g any other system of medicines alternately.
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My thyroid TSH is 5.6 and T4 is 4.4. What does it mean. I am thinking for family planning, will it have any adverse effect on pregnancy?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
No, family planning won't have any adverse effect on your future prospective pregnancy or on your thyroid control.
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Hi Mujhe kahi bhi dard nhi hota Maine colonoscopy test karvaye tha jisme ulcer paye gaye the lekin 1 month ke davai ke baad ve theek ho gaye the lekin loose motion Abhi bhi vaise he hote hai Please help me.

Homeopath, Hyderabad
Hi Mujhe kahi bhi dard nhi hota Maine colonoscopy test karvaye tha jisme ulcer paye gaye the lekin 1 month ke davai k...
Hello These shots. S suggest that your GIT is still not strong enough Timely food habits and simple less oily and less spicy food helps you lot. Foods prepared with olive oil or coconut oil helps your stomach a lot.
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I am thyroid patient and rate 12.5.I am taking medicine regularly but would like to opt for alternative one so as to control on permanent base.

MD-Pharmacology, MBBS
Sexologist, Delhi
Dear lybrate-user, Your TSH level is very high. Only medicine could not help alone, you have to take care of your diet along with exercise. Get yourThyroid free levels and normal test done on every 3 months. For more queries elated to thyroid you can consult me on private questions. Thank you.
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How to prevent the recurrence of hernia in male.(previously get surgery done right inguinal hernia. Now having some feeling in left side what to do?)

MBBS
General Physician, Jalgaon
Please Tone up your body Do yogasanas and pranayam daily Go for jogging daily Take Amway protein powder regularly Avoid oily spicy and fast food, non veg food, processed food, rice,
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Hi, previously my mom gone through surgical hernia of belly button ,the belly button has been removed. Its almost 9 years when she went through surgical hernia. Now from few months I noticed, the same part of one side has been swollen ,may I know whether it's the again the symptoms of reoccurring of hernia?

MBBS
General Physician, Jalgaon
Please It is due to weakness in abdominal wall Wear abdominal belt regularly Go for morning and evening walk daily Do yogasanas and pranayam daily Take salads and fruits more Take milk regularly These points will help to avoid surgery.
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What are the causes of anal fistula? Do they repeat after clearing also? I already undergone surgery but it looks like again fistula on the other side of anus.

MBBS
General Physician, Cuttack
1.Fistula is a chronic abnormal communication between anal canal and peri anal skin. 2.It occurs due to non healing of Ano rectal abscess and spread of infection to peri anal skin. 3. There is an External Opening in perianal skin and internal opening in anal canal. 4.Diagnosis- Proctoscopy/sigmoidoscopy. 5.Treatment of fistula-Fistulectomy under G.A. 6.Symptoms- chronic discharge of pus/blood/stool from the external opening, Itching, pain while passing stool, Constipation 7. Consult a good anorectal surgeon for advice and treatment.
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Can I sleep after taking thyronorm 50 mcg on empty stomach early in the morning. Will it effect in slowing down my TSH level coming normal. My TSH level is 5.970 and I am a 26 year normal woman.

C.S.C, D.C.H, M.B.B.S
General Physician,
You can sleep after taking thyronorm 50 mcg on empty stomach. It will not effect in slowing down my TSH level coming normal
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Hi, I had thyroid problem from 2005. I am having 100 mg tablet daily now am 6 weeks pregnant checked 2 days back my tsh level has been increased to 16.41. I need a suggestion how much dosage I have to take to control my tsh level. Will my baby effects now.

M. sc Psychology, BHMS
Homeopath, Hyderabad
In general, People who does not have Hypothyroid also will find changes during pregnancy, then it is functional&will subside after delivery, But need to take Supplement during pregnancy as per report&Dosage. Whereas in your case, already as you r a Hypothyroid pt, your Tsh levels would obviously show the changes.&the rt now dosage you required should b as per your concern Gynaecologist or Endocrinologist. But, Its Harmless. Try to maibtain Mental peace/Balance by doing meditation, Taking proper nutritious diet without neglecting/Do not ggo for junk food&Take plenty if water/Fruits&With regular walking exercises.(Not brisk). Get regular followups&Suggestions by your concern Dr. Only.
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I have hiatal hernia how much its surgery can anybody have idea? Just ans approx.

MBBS
General Physician, Jalgaon
Avoid surgery at present To strengthen your diaphragm. Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do chest exercises daily Take salads and fruits more Take milk regularly Avoid oily spicy and fast food, non veg food, processed food Take Tab rablet 15 1 on empty stomach Reconsult after 15 days.
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Dear Doctors, I am having inlingua hernia at both side, it's middle stage now. I would request you to please suggest any medicine to recover it with out surgery.

MS - General Surgery, MBBS
General Surgeon,
Hi, you have Bilateral Inguinal Hernia. Your Abdominal contents like intestine and Ommentum are travelling through the Inguinal Canal into the groin on coughing. There is no medication for this. You need surgery and that too pretty quickly. The surgery is called Hernioplasty. A polypropylene mesh is also put after repair to avoid recurrence. It's not a big surgery and the there is no risk to life. Please show a General Surgeon and get it operated. Otherwise the contents might get stuck and become gangrene and that later causes risk to life.
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I have a regular headache issue with whole body pain, Some times I had stressed .I have a thyroid but it's control .I had checked blood sugar it is normal .I had consultant with physician and some body test as per advised by them .all test is negative. Pls suggest the medicine.

MBBS
General Physician, Cuttack
I have a regular headache issue with whole body pain, Some times I had stressed .I have a thyroid but it's control .I...
If you have recurrent attack of headache1.It could be a tension headache due to anxiety/stress, depression inadequate sleep, Low BP/High BP, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2.Avoid stress, physical and mental exertion, ,have adequate sound sleep for 7-8 hours daily in the night 3.Go for regular exercise 4.Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5.Check for refractive error, sinusitis Hemoglobin, BP 6. Avoid prolonged use of cell phone/computer 7.Consult Neurologist to rule out other causes of headache, if required take a CT scan /MRI of brain to exclude any brain lesion 8.If it is migraine you have to take migraine prophylactic drug after consulting neurologist.
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Hi i am 33 years old female anal fistula problem past 2 years I took all only for time being. It not permanent now what to do coz I have 2 month boy baby. I am scared for for operations. please tell any ointments or what food to have lots of fiber. please help dr.

BHMS .MD (HOMOEO), M.D (HOMOEO)
Homeopath, Gulbarga
Drink plenty of water. U need homoeopathy med for permanat cure. Start with nux vom .homeopathy med. It Wil give best result for cure.
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Hello doctors. It is to informed publically that I am suffering from painless skin rash with swelling which is spreading to whole anus. Which makes my anus tight difficult in passing stool. And I first feel this symptom in january 2017. I goes to numbers of doctors of surgeons and skin doctors. I am not a rich person I do not able to afford private appointments. Even now I am jobless due to my present medical condition. When I visit surgeon Dr. he says this reddish is normal inside as this is not paining. It is normal mucosa. And if some surgeon agrees that this infection then they prescribe antibiotics which further worse the problem. So after antibiotic course they also say this reddish is normal inside. I feel that this is fungus infection because previously I have fungus infection on top of anus and perineal area. Thats why antibiotics are not solving problem but increasing it. And when I go to skin doctor they say this anus area is of surgeon Dr. so go to surgeon Dr. As they cannot see inside too. I have clicked pictures of skin rash for online reference. When I show this pictures to personally skin Dr. or online Dr. they only it is internal hemorrhoids not a swelling. So I fed up from going to many Dr. with no result. I have gone to depression. I got suicidal thoughts. As now my condition is in last stage and I am not treating it just watching the worsening of condition. As I do not know what is my problem and what will be treatment. It is to be informed all that if something happens to me then all doctors are responsible for it to whom I personally visit to discuss my problem and they say it is normal condition and consult psychiatrist. From january to till now. If my condition is normal then why I am going to Dr. And why my anus is becoming tight and I have difficult in passing stool which further give fissures and even now I am facing difficult in urine. Due to all this I am not able to eat and drink well resulting to worsening of my health condition. Which I further not able to cope up with the situation. And I am just lying without treatment with mental agony. Thank you.

Homeopath, Anand
Hello doctors. It is to informed publically that I am suffering from painless skin rash with swelling which is spread...
Primarily relax and don't think extreme. U are suffering from a painful situation. You can take help of homeopathic medicines which are not that costly. Start meditation and deep breathing for easy absorption of food and medicines. Apply castor oil on the area which is red and burning. Avoid constipation by taking fibre rich and nutritious diet. Take lots of water and juices or fruits. There are certain home remedies which can help you heal faster.
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