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Goverment Hospital

General Surgeon Clinic

7th Ward, Gandhi Chowk, Rehli Sagar
1 Doctor
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Goverment Hospital General Surgeon Clinic 7th Ward, Gandhi Chowk, Rehli Sagar
1 Doctor
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About

It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Goverment Hospital
Goverment Hospital is known for housing experienced General Surgeons. Dr. Mukesh Kumar Jain, a well-reputed General Surgeon, practices in Sagar. Visit this medical health centre for General Surgeons recommended by 47 patients.

Timings

MON-SAT
10:00 AM - 06:00 PM

Location

7th Ward, Gandhi Chowk, Rehli
Sagar, Madhya Pradesh - 470227
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Doctor in Goverment Hospital

Dr. Mukesh Kumar Jain

MS - Surgery
General Surgeon
24 Years experience
Available today
10:00 AM - 06:00 PM
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Gastroesophageal Reflux Disease - What Causes It?

MBBS, MD - Medicine, DM - Gastroenterology
Gastroenterologist, Ghaziabad
Gastroesophageal Reflux Disease - What Causes It?

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

  • Heartburn
  • Regurgitation of food or sour liquid
  • Dysphagia
  • Sensation of a lump in the throat

Extraesophageal symptoms include:

  1. Coughing and/or wheezing
  2. Hoarseness, sore throat, or
  3. Otitis media
  4. Noncardiac chest pain
  5. Enamel erosion or other dental manifestations
  6. New or worsening asthma
  7. Disrupted sleep

Risk Factors

  1. Obesity
  2. Pregnancy
  3. Hiatus hernia
  4. Scleroderma and systemic sclerosis
  5. The use of medicines such as prednisolone
  6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
  7. A high blood calcium level which can increase gastrin production, leading to increased acidity
  8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

  1. Smoking habit
  2. Eating heavy meals or eating late at night
  3. Eating fatty or fried foods
  4. Drinking certain beverages, such as alcohol or coffee
  5. Medications, such as aspirin
  6. Tight clothes
  7. Increased intra-abdominal pressure

Differential Diagnosis

  1. Heart disease causing chest pain
  2. Laryngopharyngeal reflux OR extraesophageal reflux disease
  3. Infection
  4. Peptic ulcer
  5. Esophageal spasm

Complications

  1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
  2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
  3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
  4. Anemia

How to arrive at the diagnosis?

  • Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
  • Esophageal manometry
  • Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications. Lifestyle modifications include the following:

  • Losing weight (if overweight)
  • Eating small and frequent meals instead of large meals
  • Waiting 3 hours after a meal to lie down
  • Elevating the head end of the bed by 8 inches
  • Avoiding bending or stooping positions

Medications

  1. H2 receptor antagonists (ranitidine, cimetidine)
  2. Proton pump inhibitors (omeprazole, pantoprazole)
  3. Prokinetic agents (aluminum hydroxide)
  4. Antacids (magnesium hydroxide)

Surgery

  1. Transthoracic and transabdominal fundoplication
  2. Placement of a device to augment the lower esophageal sphincter

In case you have a concern or query you can always consult an expert & get answers to your questions!

Causes And Risk Factors Of Colon Cancer

MBBS, Post Graduate Diploma In Medicine, Fellowship In Medical Oncology
Oncologist, Kolkata
Causes And Risk Factors Of Colon Cancer

Cancer in colon forms due to uncontrolled cell growth in the large intestine cells. Most colon cancers originate from the healthy cells in the lining of the colon that grow into tumors called adenomatous polyps. These polyps can be cancerous or benign. A cancerous tumor is malignant and may spread to the other parts of the body by traveling through blood and lymph systems, this process is known as metastasis. Whereas a benign tumor can grow but don’t necessarily spread to other parts of the body. It takes years for these changes to develop depending upon both genetic and environmental causes.

Causes and risk factors:
In a healthy body, the cells normally grow, divide and then die. Cancer is the result of uncontrollable cell growth where the cells do not die. Aging is one of the important risk factors for colon cancer; other risk factors include a family history of colon cancer. As per Johns LE and Houlston RS individuals with a family history of colon cancer have a high risk of developing this form of cancer as compared to those with no such history. A study conducted by Giovannucci and others in 1995, successfully established the relation between physical activity, obesity and colon cancer. As per the research lack of physical activities elevates the chance of getting colon cancer. Individuals who regularly smoke, are obese and use aspirin have a higher risk of developing this form of cancer. Diet is also an important factor, diets that are high in fat and low in fiber may elevate the risk.

Symptoms:
The symptoms of colon cancer are varied, depending upon the condition of the tumor. At the early stage, patients may experience no symptoms. However, as cancer grows, symptoms arise. Diarrhea or constipation are common; patients may see changes in stool consistency and narrower stool. Abdominal discomfort, bloating, fullness and cramps may also indicate colon cancer. Sudden weight loss and unexplained iron deficiency (anemia) are also associated with this form of cancer. If these symptoms last for several weeks, don’t hesitate to consult your physician.

Treatment:
Colon cancer is highly treatable and depends on the type and the stage of cancer along with health and other characteristics of the patient. However, there is no single treatment; the most common options are – surgery, chemotherapy and radiation therapy. The surgery for colon cancer is known as colectomy and involves removing the affected part of the colon and the adjoining areas including nearby lymph nodes. Chemotherapy involves killing the cancer cells by utilizing certain chemicals that interfere the cell division process and damage the proteins or DNA. In the radiation therapy, high-energy gamma rays are used to target and destroy the cancer cells. Radiotherapy can be used both as a standalone treatment and also along with other treatments.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2 people found this helpful

I have accidental scar mark on my face left side this side beard is not come what should I do.

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
I have accidental scar mark on my face left side this side beard is not come what should I do.
Hello, Wound scars usually do not respond to creams after a long time. Surgical scar revision and lasers are good options. You can consult in private with photographs for better opinion.
1 person found this helpful
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I have black spots on my back neck region pimples/acne I used to apply face creams but can't see any change please help me madam/sir wt should I do for this problem?

BHMS
Homeopath, Indore
I have black spots on my back neck region pimples/acne I used to apply face creams but can't see any change please he...
Hello, No face cream help you to treat Acne, it only help you to brightening scars ,Till you have not treat it internally .Start taken proper Homoeopathic treatment for a cure n also focus on good healthy diet with plenty of water .Acne is normal in Pubertic age groups due to hormonal changes. But it requires a treatment when its more n leaves a scar .Acne occurs due to many conditions like if you have excessive Dandruff, Pcod,stress, Dietry habits etc.
1 person found this helpful
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Blood Stools? An Alarming Sign

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ghaziabad
Blood Stools? An Alarming Sign

Black stools! An alarming sign.

Black stool is a condition in which the feces are very dark or black in color. Black stool may be normal in some cases and caused by ingesting certain substances or medications, such as iron supplements. However, black stool can also be caused by a serious condition, such as bleeding in the digestive tract caused by a peptic ulcer.

Black stool that is tarry in texture and foul smelling is often a symptom of upper gastrointestinal bleeding from the esophagus, stomach or small intestine. This is called melena.

Very small amounts of blood in the stool may be seen by the naked eye and not significantly change the color of stool. This is called fecal occult blood, which can be a symptom of a serious disease and may be found with regular, routine medical examination. Black stools can be a symptom of a serious condition, such as esophageal varices or peptic ulcer. Seek prompt medical care if you have unusually dark stools or any change in the color or texture of your stool. Black stool may be accompanied by other symptoms, which vary depending on the underlying disease, disorder or condition. 

Symptoms that may accompany black stool include:

  • Abdominal pain or cramping
  • Abdominal swelling or bloated feeling
  • Change in bowel habits
  • Diarrhea
  • Flatulence, gas or indigestion
  • Flu-like symptoms (fatigue, fever, sore throat, headache, cough, aches and pains)
  • Foul-smelling stool
  • Nausea and vomiting
  • Poor appetite
  • Rectal pain or burning sensation
  • Unexpected weight loss

Serious symptoms that might indicate a life-threatening condition:

In some cases, black stool can indicate a life-threatening condition that should be immediately evaluated in an emergency settings.

Change in level of consciousness or alertness, such as passing out or unresponsiveness

Change in mental status or sudden behavior change, such as confusion, delirium, lethargy, hallucinations and delusions

Dizziness: High fever (higher than 101 degrees fahrenheit)

Palpitations: Rapid heart rate (tachycardia). Respiratory or breathing problems, such as shortness of breath, difficulty breathing, labored breathing, wheezing, not breathing, or choking

Complications include: Anaemia, cardiomegaly, shock, generalised body edema.

I am boy 18 years old and I am confuse which cream to use bajaj no marks or vivo WSO cream? Which is better to get rid of acne scars or marks .i have oily skin and little pimple and acne scars so what will be the better choice among two please tell me? Which to buy?

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
I am boy 18 years old and I am confuse which cream to use bajaj no marks or vivo WSO cream? Which is better to get ri...
For people with severe acne oral retinoids helps control sebum production and pimples. You may need actibiotics to control active acne like oral doxycycline and local clindamycin creams. Once the acne is under control then you can start treatment for pimple marks which may be pigmentation or scars. There are various treatments for acne scars which include creams, chemical peels, microdermaabrasion, microneedling, radiofrequency, surgery, fat fill laser etc. Creams work only for superficial pigmentation not for scars. You can start initially on milder depigmentation creams which contain kojic acid, arbutin, niacinamide like Melaglow at night and use sunscreen (SPF 35 and above) three times a day. There is options of glutathione injections to oral tablets with vitamin C, also laser toning also gives good results. Laser toning using Q switch Nd Yag laser is an option but results variable. You may need 6-8 sessions at 3 weeks gap. And depending on type of skin whether oily or dry you can choose a face wash. It need examination and personalised plan. You can consult in private with photographs.
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My right breast was paining at night yesterday. I felt a small lump today. Should I be worried?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Sometimes it is the pain which makes you feel the breast and brings to notice a long standing lump. At other times, it is an acute lump which is painful. The common causes of acute painful lump are sebaceous cyst, Breast cyst, abscess, some times fibroadenoma or phylloides and rarely cancer. It is better to see a breast surgeon or a surgical oncologist who would examine you and may ask for an ultrasound to confirm the diagnosis. If you want to discuss this further, feel free to contact me directly.
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I am 25 year old I have pain in my breast there are knot in my both breast this problem are 8 years old.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
If you have felt nodules in both the breasts, it is better to show it to a Breast Surgeon or a Surgical oncologist. They would take a detailed history and examine you and if need be, ask for an ultrasound examination. Since the lump has been present since 8 years, it is more likely to be non cancerous. Fibroadenoma is the most common cause, but could be due to various other causes like phylloides tumor, traumatic fat necrosis, cysts and also the Fibrocystic changes, which are very common and are common cause of breast pain especially cyclical. Some times some of the cysts may enlarge causing a lot of pain, which need to be aspirated. Also they need to rule out other causes of pain like ill fitting bra, trauma, abscess amongst a few. If you want to further discuss the symptoms, feel free to contact me directly.
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Can you please help me with my dark underarms. Tried all the home remedies, nothing worked.

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Can you please help me with my dark underarms. Tried all the home remedies, nothing worked.
There are various treatment for pigmentation. From creams containing hydroquinone to milder ones of Kojic acid, niacinamide, arbutin. There is options of glutathione injections to oral tablets with vitamin C, also laser toning also gives good results. Laser toning using Q switch Nd Yag laser is an option but results variable. You may need 6-8 sessions at 3 weeks gap and usually charged per sitting or as a package. Consult a dermatologist.
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Hello Doctor, I have noticed that blood in my stool and I often experience pain in my abdomen. Other than these I am feeling ok. Can you please advise what could be the problem.

BHMS
Homeopath, Delhi
Hello Doctor,
I have noticed that blood in my stool and I often experience pain in my abdomen. Other than these I am ...
Yes, there are many reasons behind dysentry. It is due to prolonged constipation, taking highly spicy food, and many more things in diet which leads to fissures and later bleeding .homoeopathy will heal you completely .consult online for treatment.
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