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St James hospital, chalakudy, Thrissur

St James hospital, chalakudy

  4.6  (44 ratings)

General Surgeon Clinic

Sholai (H), Gandhigram Road, Irinjalakuda Thrissur
1 Doctor · ₹100 · 3 Reviews
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St James hospital, chalakudy   4.6  (44 ratings) General Surgeon Clinic Sholai (H), Gandhigram Road, Irinjalakuda Thrissur
1 Doctor · ₹100 · 3 Reviews
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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 St James hospital, chalakudy
St James hospital, chalakudy is known for housing experienced General Surgeons. Dr. Rahul Jawahar, a well-reputed General Surgeon, practices in Thrissur. Visit this medical health centre for General Surgeons recommended by 88 patients.

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MON-SAT
07:00 AM - 09:00 PM

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Sholai (H), Gandhigram Road, Irinjalakuda
Irinjalakuda Thrissur, Kerala - 680121
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Doctor in St James hospital, chalakudy

Dr. Rahul Jawahar

MS - General Surgery
General Surgeon
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
89%  (44 ratings)
5 Years experience
100 at clinic
₹300 online
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07:00 AM - 09:00 PM
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Fissure Or Fistula - Know The Difference Between The Two!

MS - General Surgery
General Surgeon, Thrissur
Fissure Or Fistula - Know The Difference Between The Two!

If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.
 

Types Of Haemorrhage & How It Can be Treated!

MS - General Surgery
General Surgeon, Thrissur
Types Of Haemorrhage & How It Can be Treated!

In simple language, Hemorrhage is when the blood escapes from veins or blood vessels. This escape may happen because of various reasons like, for example, injury, low platelet count, threatened abortion, piles (Hemorrhoids), cancersurgeryliver disease, brain trauma, acute bronchitis, menstrual problem and so on.  

Types of Hemorrhage: 

As a matter of fact, Hemorrhage is grouped into several categories. Hemorrhage can occur post surgery, and such a Hemorrhage is called as postoperative Hemorrhage. Similarly, for various reasons Hemorrhage can occur from the artery (Arterial Hemorrhage), vein (Venous Hemorrhage) or capillary (Capillary Hemorrhage). If Hemorrhage happens because of an injury, it is called primary Hemorrhage.  

Other types of Hemorrhage are delayed bleeding post injury (Reactionary Hemorrhage), bleeding following childbirth (Postpartum Hemorrhage), delay in bleeding following Sepsis popularly called as septic (Secondary Hemorrhage), bleeding from urine (Haematuria), bleeding while coughing (Hemoptysis) and bleeding caused in the stomach (Hematemesis). 

Further, Hemorrhage can be broadly classified into two namely internal and external:

  1. It would be needless to mention that excessive bleeding may lead to several complications. It can result in organ failure and there are instances that excessive bleeding can be fatal. On the other hand, blood loss can be external or visible Hemorrhage like those caused during an injury. There are also instances of blood loss occurring internally in which case the patient may notice blood either in the urine or stools, vagina or while coughing or through the nostrils or even from the mouth. In such cases, the patient should be rushed to a doctor who after careful examination, and tests would be able to identify the causes of the internal bleeding. 
  2. In case of external bleeding or external Hemorrhage like those caused due to an injury, you may provide the necessary first aid. When the bleeding is noticed, do not get alarmed and also try to keep the patient calm. Hemorrhage caused due to external injury would normally stop within one or two minutes. However, if the bleeding persists even after two or three minutes, such cases would require medical attention, and therefore, you should rush the patient to the doctor at the earliest. 

Remedies

There are several remedies to tackle the problem of Hemorrhage. Some of the normal procedures followed are IV fluid, oxygen, administering medicines like vitamin B12 and so on. In complicated cases, the physician may suggest bone marrow surgical procedure, Endogenous EPO or such other procedures. If Hemorrhage is left unattended, it can result in several complications. Therefore, you should rush the patient to the physician urgently.

I'm having plantar warts on my feet. How do I treat them them. It feels like I stepped on a thorn whenever I walk. Please do not give google answers I need help.

MS - General Surgery
General Surgeon, Thrissur
I'm having plantar warts on my feet. How do I treat them them. It feels like I stepped on a thorn whenever I walk. Pl...
Plantar wart is caused by hpv virus. They are prone for recurrence. They are treated with salicylic acid application at night or by surgical excision.

Foods That Promote Quick Recovery After A Surgery!

MS - General Surgery
General Surgeon, Thrissur
Foods That Promote Quick Recovery After A Surgery!

It is always sensible to know what are the things that can be done or practised practiced after an operation so as to heal fast because as that it is the most crucial time when certain bad habits and food might have a negative reaction in our body thereby causing slow progresslowing the s in healing process and in certain cases even harming our body. While simultaneously on the other hand if consumed proper food is consumed after a surgery, it helps in fast recovery as well as provides remedial healing to a person.

So, if possible then it is sensible to follow the list of foods given below to getfor a quick recovery.

  1. Lean proteins: Foods with lean protein in them have a high quantity of a substance known as collagen which is extremely essential in a the post- surgery stage. It is the collagen that helps to knit our muscles together and much faster in case the person has incisions from the surgery. These protein- rich foods will only help in gaining the right amount of energy required to heal fast as well as to help the muscles knit together faster. It does not mean though that a person has to increase the intake of only meat. Protein rich foods like such as fish, eggs and , beans can be takenconsumed.
  2. Fermented dairy products: These foods are extremely essential in these times as during the surgery and well after it, the body has to take in a lot of antibiotic medicines. These medicines kill the harmful bacteria in our body but simultaneously kill the good bacteria along with it which our body needs. Foods like such as milk, butter, paneer help in the regrowth of these essential bacteria.
  3. Fibre: After all the intake of medicines, our the normal elimination system of our body gets disturbed which can cause many further problems. It is thus always sensible to eat a certain amount of fibre rich foods like such as starchy vegetables or prunes which are easily soluble and will help in proper elimination.
  4. Deep coloured vegetables: In the post-operative stage, the body requires a lot of antioxidants to kill the oxidative load on the body for which deep coloured vegetables like such as bell peppers or spinach or carrots are very helpful.
  5. Orange fruits and vegetables: They provide pro- vitamin A to the body which when consumed converts itself to vitamin A. This is essential for the fast repair of tissues and mucus membranes in our body.
  6. Mushrooms: Mushrooms provide energy and help in the reduction of inflammatory proteins by advancing boosting our immune system.
  7. Cruciferous vegetables: Food like such as cabbage and cauliflower boost the immune system and helps to fight off the infections in our body.

Thus we can see how the intake of certain foods will not only accentuate our healing but also renew our system positively.
 

2993 people found this helpful

VNUS Closure - Why Is It Performed?

MS - General Surgery
General Surgeon, Thrissur
VNUS Closure - Why Is It Performed?

A VNUS closure procedure is a medical minimal invasive treatment that offers an efficient and non- surgical alternative for treating varicose veins. Varicose vein is a medical condition where the veins become large and swollen and begin to appear on the skin especially on the legs. The condition arises when the valves do not function properly and the blood begins to flow in the opposite direction. This often results in pooling of the blood in a certain area which makes the vein enlarge. As a result, they begin to appear on the skin as blue or dark purple and the most commonly affected areas are the legs. Apart from treating them with medicines, there are two distinct methods to treat them- invasive and non- surgical methods. VNUS closure is one non-surgical procedure that can treat and cure varicose veins.

The twisted and bulging chords in case of varicose veins can burst and give rise to ulcers. Before conditions get worse, one must get it treated and as proven, non-surgical methods are best to treat them. The VNUS procedure uses radioactive frequency to heat and close the vein from within. These heat waves contract the collagen found inside the vein walls and causes them to collapse and shut down.

There are several reasons why this is the best process to treat varicose veins. Some of which are:

  1. This is not an open surgery and is minimally invasive.
  2. The treatment does not require a very big setting such as other surgeries. It can be performed on the patient under local anesthesia and patients are often allowed to walk out of the clinic after a few hours of the procedure.
  3. The patients can resume normal activities within two days of the procedure being performed.
  4. The treatment is effective and provides long-lasting relief for the problem.
  5. There is nothing scary about this treatment and it is a very simple procedure.

Before the procedure begins, the doctor using an ultrasound marks the position at the end of the groin. After the patient has been sedated using a local anesthesia, a special catheter is then inserted into the vein through a small 2-3mm cut just below the knee. Once that has been done, radiofrequency energy is used to seal the faulty veins. At the end of the procedure, a small dressing is applied, along with a special compression stocking which the patient needs to wear for the next 7 to 10 days. The process provides instant relief from the symptoms.

However, one must consult a doctor who can advise the patient on the best procedure for varicose veins after an examination to determine the intensity of the problem. In case you have a concern or query you can always consult an expert & get answers to your questions!

3130 people found this helpful

Surgical & Non-Surgical Treatment Options For Varicose Veins - Which Is Better?

MS - General Surgery
General Surgeon, Thrissur
Surgical & Non-Surgical Treatment Options For Varicose Veins - Which Is Better?

Varicose veins is a medical condition where the veins become large and swollen and begin to appear so especially on the legs and feet though any vein can become varicose. This happens when the valves do not function properly and allow the blood to flow in the opposite direction or to pool. Due to this, the veins enlarge, and they begin to appear blue or dark purple on the skin. Legs and feet are the most commonly affected areas because standing or walking increases the pressure on the veins in the lower part of the body.

Symptoms of Varicose Veins
Apart from the twisted and bulging appearance like cords in blue and dark purple, varicose veins may include other painful symptoms as well such as-

  • Throbbing feeling and aching, heavy feeling in the legs.
  • Muscle cramping and swelling in the legs.
  • Severe pain after sitting or standing for a long period of time.
  • Bleeding varicose pains.

Treatment for Varicose Veins
In severe cases, varicose veins may rupture and form varicose ulcers on the skin. To avoid complications, it is best to get varicose veins treated before it worsens. Varicose veins can be treated in two ways- either by surgeries or by non-surgical methods, that is, by home remedies, medicines or non-invasive methods.

Surgical methods to treat Varicose Veins
Vein Stripping - Under general anesthesia, two cuts are made one below the groin and one behind the knee joint. The affected vein is then tied or clamped off at the top incision using a technique called vein ligation

Phlebotomy is another method where smaller incisions are made along the vein and using surgical instruments, the vein is pulled out.
Though treating varicose veins by surgeries is the most effective method, it involves several risks. Patients take a longer time to recover from surgeries than non-surgical methods. The sedation may cause complications. Chances of nerve injuries cannot be negated which may lead to fatal conditions such as deep vein thrombosis.

 

Non-surgical methods to treat Varicose Veins

  • Radiofrequency ablation is a method in which heat generated electromagnetic waves are used to close off the veins.
  • Endogenous laser ablation- in this case, lasers are used to close off veins.
  • Sclerotherapy is another method where a liquid or foam is injected into the affected vein to close it off.

Although big veins cannot be treated by these methods or additional treatments may be required, these methods are not only effective but also free from cuts and stitches or anesthesia. Performance of these treatments need not always take place in hospitals, special clinics can cure varicose veins using these methods. It is always advisable to consult doctors for treating varicose veins who can suggest the best treatment needed to cure varicose veins.
 

3054 people found this helpful

Haemorrhoids - Why To Go For Surgery?

MS - General Surgery
General Surgeon, Thrissur
Haemorrhoids - Why To Go For Surgery?

The symptoms of haemorrhoids are quite painful, annoying, and uncomfortable, whether they are internal (inside the rectum) or external (outside the rectum). Most of the people having haemorrhoids recover from the symptoms with some mild treatment options such as applying some creams and ointments, drinking plenty of water or eating a fibre diet. But if the symptoms become severe, resulting in more complications that can’t be treated with mild treatment options, then surgery is recommended.

Following are some important reasons to go for haemorrhoid surgery:

  1. When haemorrhoid symptoms still persist: The most common reason why a majority of patients go for surgery is that their haemorrhoid symptoms continue even after having undergone a conservative medical treatment. The affected individuals experience pain, swelling, bleeding, and itching.
  2. When serious complications develop: Some patients may develop serious complications of haemorrhoids, which may include thrombosed haemorrhoids and prolapsed haemorrhoids. When a clot (thrombus) develops in the external haemorrhoids giving a feeling of a lump near the anus, the condition is called thrombosed haemorrhoids. When internal haemorrhoids prolapse through the rectum and bulge outward from the anus due to excessive straining, the condition is called prolapsed haemorrhoids. Both these conditions cause severe irritation and can become infected. Therefore, they require a surgical treatment.
  3. When haemorrhoid symptoms become worse: Some patients may experience symptoms of haemorrhoids even at the time of diagnosis. This may require immediate medical treatment including a surgery, if needed. These symptoms include anaemia (occurs due to excessive bleeding), strangulated haemorrhoid (develops when internal haemorrhoid becomes constricted due to loss of blood supply) and extreme pain.

Types of haemorrhoid surgeries:
The two most common types of surgeries performed nowadays to treat haemorrhoids include:

  1. Haemorrhoidopexy: It is also called stapled haemorrhoidectomy or haemorrhoid stapling. This is used for the treatment of prolapsed haemorrhoids. During the procedure, the prolapsed haemorrhoid is surgically stapled back inside the rectum to its place and the blood supply cuts off so that the tissue shrinks.
  2. Haemorrhoidectomy: Also called haemorrhoid removal, it is used for the treatment of large external haemorrhoids and prolapsed internal haemorrhoids that don’t respond to other treatment options. During the procedure, the surgeon cuts out the large haemorrhoid.

There are various factors that a doctor considers while deciding on the right surgical treatment option for haemorrhoids. The degree of the symptoms, place, type of haemorrhoids, diagnosis and the individual patient’s conditions are determined before deciding to go for a haemorrhoid surgery. Hence, it is crucial that you discuss the treatment options with a specialist to get the best possible recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

2921 people found this helpful

Open Or Laparoscopy Surgery - Which Is Better In Case Of Intestine?

MS - General Surgery
General Surgeon, Thrissur
Open Or Laparoscopy Surgery - Which Is Better In Case Of Intestine?

In order to maintain a healthy digestive system, your small intestine plays a major role. This is also called as the small bowel. The major function of the small intestine is that it absorbs fluids and nutrients from the food that you take in and discharges waste material to the large intestine. When there is a problem with the small intestine’s functioning, then your health is at total risk. It will not be able to absorb the essential elements from the food and will not send waste to the large intestine. You will need immediate intestine surgery for this. The doctor may even remove the damaged part of the small intestine if there is a blockage or any other infection inside. This surgery is also called as Small bowel resection.

Why do you need an Intestine Surgery?
There are many conditions that can cause some damage to the small intestine. Mostly, the damaged part of the small intestine is removed, but in rare cases, a small part of the same intestine is also removed to do some tests. When you have a severe ulcer, infection or bleeding in the small intestine, intestine cancer, any injuries to the small bowel or blockage in the small intestine then these can be some of the conditions which need an Intestine surgery.

Intestine Surgery procedure:
Usually, Intestine Surgery is performed in two different ways:
Open Surgery: Initially, you will be given anesthesia so that you will not feel the pain. Usually, depending on the severity of the problem, the surgery may take from one hour to eight hours also.

In Open Surgery, the abdomen part of the body is used to make an incision. The doctor will find the affected part of the intestine and will clamp it. Then the required part of the intestine is removed and stitched back to normal.
Laparoscopic Surgery: Coming to Laparoscopic Surgery, you will have small incisions compared to the incisions in Open surgery. Initially, the gas is sent inside the abdomen area in order to inflate the abdomen area. This will allow the surgeon to see things clearly inside. When small tools, camera, and lights are sent in the body and with the help of all these the affected part of the intestine is clamped. Now, that part is removed and the incisions are closed.

To finish the surgery, usually the two ends of the left out intestine are stapled or sewed together to make it into one. But in some cases, this may not be possible and hence they will make a new opening and that is called as Stoma. The intestine will discharge through the Stoma into a drainage bag. This entire process is called as an ileostomy.
You will have to stay on a liquid diet for at least seven-days post-surgery. If it was an emergency or a major part of the intestine gets removed, then you will need to stay in the hospital for two weeks.

 

2980 people found this helpful

Different Types Of Hernia & The Surgical Treatment Options Available!

MS - General Surgery
General Surgeon, Thrissur
Different Types Of Hernia & The Surgical Treatment Options Available!

Hernias are quite common and occur more in men than in women. When left untreated, the condition gets very painful, and sometimes become life-threatening. Hence, ignoring a painful hernia is a bad idea, and seeking medical assistance is necessary. To know more about the condition and the treatment available, read on.

What is a hernia?
A hernia refers to an abnormal exit of an organ or tissues. When a fatty tissue or an organ squeezes or penetrates through a weak spot of the surrounding connective tissues or muscles, the condition hernia appears. Though there are various types of a hernia, it is an inguinal hernia and the ventral hernia that are two of the most common types.

Inguinal hernia
When the bladder or the intestine protrudes into the groin's inguinal canal or extends through the abdominal wall, it is referred to as an inguinal hernia. Around 96% of the groin hernias that occur are usually inguinal hernia. It is due to the weakness in the groin area of men that men commonly suffer from this kind of a hernia.

Ventral hernia
A ventral hernia is a type of a hernia that develops in the abdominal wall's front. Usually, it occurs at the weak areas of the abdomen such as the location of a previous surgery. Varying in sizes, it may be small to complex and large, these hernias may appear weeks or months or sometimes years after surgery. The various types of a ventral hernia are an epigastric hernia, umbilical hernia, incisional hernia, Spigelian hernia and parastomal hernia.

Complications, if left untreated...

If left untreated, your hernia may grow and become more painful. A portion of your intestine could become trapped in the abdominal wall. This can obstruct your bowel and cause severe pain, nausea, or constipation. An untreated hernia can also put too much pressure on nearby tissues. This can cause swelling and pain in the surrounding area. If the trapped section of your intestines doesn’t get enough blood flow, strangulation occurs. This can cause the intestinal tissue to become infected or die. A strangulated hernia is life-threatening and requires immediate medical care.

Treatment Options

Open surgery
Open surgery for treating hernia is the most traditional and old surgical practice. To perform this common type of hernia surgery, local anesthesia is required, while an incision of around 4 to 5 cm is made in a hernia affected area. Even the most complex and large hernias can be easily treated through such surgeries. Open hernia surgery usually takes 30 to 45 minutes.

Laparoscopic surgery
Compared to the open surgery, laparoscopic surgery requires more time, around an hour or so and is one of the modern surgical processes. Though long-standing or chronic or large hernias cannot be removed through laparoscopy as easily as in open surgery, still, when it comes to smaller incision and quicker recovery time, it is definitely the laparoscopic hernia surgery that is chosen by many. But the costs for laparoscopic surgery is a bit higher than that of the open surgery.

Remember, both women and men can get a hernia at any age. People can even be born with a congenital hernia or develop a hernia over time. A hernia neither goes away all by itself, nor it gets healed over time. Getting operated, in the majority of cases, is usually considered to be the best option to get rid of this condition.

2835 people found this helpful

Lung Surgery - Tips That Will Help You Prepare For It!

MS - General Surgery
General Surgeon, Thrissur
Lung Surgery - Tips That Will Help You Prepare For It!

Nobody likes anything that is related to the term hospital. It’s bad enough that due to all the pollution and our stressful lifestyle, people nowadays consume more medicine than actual food. On top of that if a person has to go through the trouble and trauma of an operation, then that is really horrible. But nevertheless, if and when a person has to go through the elaborate procedure of a surgery then it is sensible to know what preparations are required to be made for aiding the procedure and for it to be a successful surgery.

There are a few basic steps that should be kept in mind before the operation.

  1. It is the duty of the patient and the family of the patient to get a clear picture of the entire operation procedure in full detail from the doctor. A thorough and detailed research has to be made regarding what exactly is the process that will be performed, the medications that will be prescribed before and after the surgery etc..
  2. The patient needs to have a clear idea about the doctor and the hospital. Feel free to enquire about the credibility of the doctor. Ask them about their previous cases and their success rate. It is also important to get a second opinion. Just to be sure. What has to be understood is that the patient should develop a cordial relation with the doctor. Only if there is a transparency between both, the operation will be successful.
  3. The patient needs to know the types of food that should be avoided before the procedure and this should be strictly followed. Certain kinds of food affect the body in a wrong way. It is advisable to avoid them if you want to avoid complications. If the patient has some addictions, needless to say, it has to stop. If the person has the habit of smoking then he needs to stop immediately. That will further the damage already done.
  4. Lastly, the patient needs to ask the doctor about post-operative care. The medicines that have to be taken before and after the procedure, the things that need to be avoided, the procedures that have to be followed for a proper recovery, are a few things that need to be asked, kept in mind and followed.

Lung surgery is a very complicated and complex procedure for both the doctor and the patient. Either be it the case of simply removing a nodule or be it removing the entire organ, proper precautions must be taken so that success is achieved.

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

2779 people found this helpful
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