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Top Health Tips on Managing a Herniated Disk

Hernia: Types and Treatment

iMAS Advanced Bariatric Surgery Excellence Centre
Bariatrician, Delhi
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Non-Surgical way to get relief from Hernia

I am Dr Mukul Khaitan, senior consultant at Institute of minimal access metabolic and bariatric surgery Sir Ganga Ram Hospital. I am having a vast experience of laparoscopic and bariatric surgery since last 20 years. Sir Ganga Ram Hospital is a prestigious Institute and is serving the society in the field of laparoscopic and bariatric surgery since last 3 or 4 decades. Today I am going to talk about hernia. I will be talking about hernia in terms of like whether a patient or you know that you are suffering from hernia? How hernia can be diagnosed? What are the signs and symptoms and then what is the treatment option?

Hernia is the protrusion or I will say a break in abdominal wall cavity. It is similar to a wear and tear in your tire. So your tube is coming out of the tire or maybe a hole in your cloth. When we repair a tire with the patch of tire or maybe when we repair a cloth with a piece of cloth, similarly hernia is to be repaired and it needs a surgical intervention. Now how to know that you are suffering from hernia or not. Any patient who is having a sudden onset pain in the abdominal wall or sudden onset appearance of a swelling in the abdominal wall or in the groin should consult a surgeon to look further the developing hernia. Hernia occur anywhere in your abdominal wall or groin starting from just below the chest wall upto near your junction of abdominal wall and thigh and can be divided into depending upon their sites. Like epigastric hernia occurs in upper abdomen. Umbilical hernia occurs near the umbilicus.

Inguinal hernia occurs in the groin area and there is other called the incisional hernia occurs at the site of previous surgery. Now once you know you are suffering from the hernia what complications you should expect from if you are not seeking a medical advice for your hernia. If the hernia slowly grows in size the contents of the abdominal wall like your intestines, your fat inside the abdominal wall or maybe abdominal organs can come out through that hernial defect and can get and trapped leading to surgical emergency. Hernia as I said earlier requires a surgical treatment. In the era maybe 4 or 5 decades prove that heading are required I repair in terms of open surgery. Now last two decades we have a vast experience and we are running a Indian hernia Academy over there at our Institute at Sir Ganga Ram Hospital.

ENT doctors from all over the India are coming to learn the laparoscopic hernia repair skills from us acme Institute of minimal access metabolism and bariatric surgery. Hernia requires a laparoscopic repair in terms of either it is abdominal wall hernia or groin hernia. We are having a vast experience off recurrent or we will say re-recurrent hernias. Re recurrent hernias means the hernia which have recovered after a open surgical repair over after laparoscopic surgical repair. In those cases we have a very vast experience and we do almost 30 to 40 such hernia as a month and we are getting referals all over the country. So in the last I'll say if you are having a sudden onset of pain in your abdomen or a sudden onset swelling which you are not able to understand the cause you should see the surgical advise and come to our clinic for getting a surgical advice.

If you want to consult me for your hernia or any such problems you can contact me either on my website or you can connect me on lybrate or you can visit my OPD at Sir Ganga Ram Hospital. It F42, 1st floor. You can come and meet me over there.
7550 people found this helpful

Antra Vriddhi - Understanding It In Detail!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MBA (Healthcare)
Ayurveda, Dehradun
Antra Vriddhi - Understanding It In Detail!
Hernia or what in Ayurveda is known as Antra Vriddhi , is a condition that takes place when an internal organ in your abdomen gets displaced and protrudes outward, giving rise to swelling in the abdominal region.

Even though you can develop a hernia anywhere in your body, it mostly occurs in the abdominal region and can affect both men and women at any age.

The causes of hernia:

Even though hernia can be a hereditary condition, certain factors can contribute in causing it. These are:

1. Persistent coughing
2. Putting excess pressure while passing faeces
3. Straining your abdominal muscles by exercising or lifting objects that are heavy
4. Obesity
5. Build-up of fluid in your abdominal cavity

Symptoms
Some of the symptoms that indicate you have hernia include a visible, hard protrusion, development of soft lumps and pain. However, some people may not experience any symptoms at all.

Hernia can be of many types, depending on the part of the body affected and even varying on the basis of your gender. In worst cases, you may require surgery but Ayurveda can cure your hernia completely without the need of you going through a surgical process.

How does Ayurveda help?

Ayurveda helps in curing your hernia by focussing on your diet. If you follow these rules, you can cure yourself of hernia completely.

1. Reduce the amount of food you eat in a day and take small meals frequently instead of the standard three meals
2. While eating, make sure you eat your food slowly
3. Drink lots of water and other fluids but do not consume aerated drinks
4. It is advised not to take water with your meals, but only to drink a glass of water an hour after and half an hour before each meal. By doing this, you reduce your chances of getting heartburn and aid in the proper functioning of the digestive system.
5. Eating any form of raw food such as uncooked meat and vegetables is strictly forbidden along with processed foods such as bread, cakes, cookies etc. However, when eating cooked food, make sure it's lightly cooked and not overcooked.
6. Having a glass of juice freshly squeezed from vegetables or fruits is recommended, especially carrot juice as it is enriched with calcium and vitamin A that help in the healing process
7. Make sure that whole grains, nuts, seeds, vegetables and fruits are a part of your diet
8. Lastly, go for a walk after each meal and do not sleep after eating, especially if you've had a heavy meal.
5231 people found this helpful

What To Know About Hernia Operation

MS, MBBS
General Surgeon, Gurgaon
What To Know About Hernia Operation
A Hernia may be defined as the protrusion of an organ into an adjacent connective tissue or muscle. The protrusion usually occurs through a tear or a weakened area in the muscle (Fascia). Hernia can be an Inguinal Hernia, Umbilical Hernia, Hiatal Hernia or Femoral Hernia. It can also originate from an incision (Incisional Hernia).

The Inguinal Hernia is commonly observed in males. Here, the intestine squeezes through a tear in the abdominal wall into the groin (Inguinal canal). At times, the small intestine bulges through the abdominal wall (weak spot) near the belly button, which results in Umbilical Hernia. In Hiatal Hernia, the upper part of the stomach passes into the chest through the diaphragm, and of all the hernia types, the Inguinal Hernia is the most common.

Severe strain and muscle tear or weakness can result in Hernia. Obesity, chronic constipation, chronic coughing and sneezing, ageing, damage caused by injury, medical conditions like Cystic Fibrosis, contribute to increased incidences of Hernia. In case of Hernia, the affected area tends to protrude or bulge out. If left untreated; Hernia can prove to be detrimental. One needs to consult a physician for proper diagnosis and treatment. Physical examination can help in the diagnosis of Inguinal Hernia. An ultrasound is needed to diagnose Umbilical Hernia. A Barium X -ray or endoscopy can be of great help in the diagnosis of Hiatal Hernia.

The severity of the Hernia depends upon its size. In case the Hernia is rapidly increasing in size, a surgery is needed for the repair. The surgery performed can be open or laparoscopic. In open surgery, Hernia is identified through an incision. Once located, the Hernia is removed from the adjacent tissues. In laparoscopic repair, small incisions are made in the affected region. Through these incisions, specialized instruments are inserted. It is through these instruments that the surgeon visualizes and performs the surgery.

In such repairs, a mesh, held in place by sutures is used as a scaffold. This facilitates the growth of new tissues in the affected person. This technique significantly lowers the chance of a recurrence. Certain factors must be well addressed, before performing a Hernia operation:

* Hernia operations, laparoscopic in particular, should be performed by experienced surgeons. Inexperienced surgeons will do you more harm than good.
* Laparoscopic Hernia operation should be avoided in case a patient has adhesions from previous surgery.
* Extreme care should be taken while performing a Hernia operation in infants and children.
* In some cases, Hernia surgery might affect or injure the vas deferens in men. This in turn can affect fertility in men.
4992 people found this helpful

Causes, Symptoms of Hernia And it's Ayurvedic Treatment

Bachelor of Ayurveda, Medicine and Surgery (BAMS), C.C.Y.P.
Ayurveda, Faizabad
Causes, Symptoms of Hernia And it's Ayurvedic Treatment
Hernia or what in Ayurveda is known as Antra Vriddhi, is a condition that takes place when an internal organ in your abdomen gets displaced and protrudes outward, giving rise to swelling in the abdominal region.
Even though you can develop a hernia anywhere in your body, it mostly occurs in the abdominal region and can affect both men and women at any age.

The causes of hernia are:
Even though hernia can be a hereditary condition, certain factors can contribute in causing it. These are:

Persistent coughing
Putting excess pressure while passing faeces
Straining your abdominal muscles by exercising or lifting objects that are heavy
Obesity
Buildup of fluid in your abdominal cavity
Symptoms:
Some of the symptoms that indicate you have hernia include a visible, hard protrusion, development of soft lumps and pain. However, some people may not experience any symptoms at all. Hernia can be of many types, depending on the part of the body affected and even varying on the basis of your gender. In worst cases, you may require surgery but Ayurveda can cure your hernia completely without the need of you going through a surgical process.

How does Ayurveda help?
Ayurveda helps in curing your hernia by focussing on your diet. If you follow these rules, you can cure yourself of hernia completely.

Reduce the amount of food you eat in a day and take small meals frequently instead of the standard three meals.
While eating, make sure you eat your food slowly.
Drink lots of water and other fluids, but do not consume aerated drinks
It is advised not to take water with your meals, but only to drink a glass of water an hour after and half an hour before each meal. By doing this, you reduce your chances of getting heartburn and aid in the proper functioning of the digestive system.
Eating any form of raw food, such as uncooked meat and vegetables is strictly forbidden along with processed foods such as bread, cakes, cookies etc. However, when eating cooked food, make sure it's lightly cooked and not overcooked.
Having a glass of juice freshly squeezed from vegetables or fruits is recommended, especially carrot juice as it is enriched with calcium and vitamin A that help in the healing process.
Make sure that whole grains, nuts, seeds, vegetables and fruits are a part of your diet.
Lastly, go for a walk after each meal and do not sleep after eating, especially if you've had a heavy meal.
4538 people found this helpful

Hernia Surgery: What You Need to Know About It

MS - General Surgery, MBBS
General Surgeon, Delhi
Hernia Surgery: What You Need to Know About It
It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia.

What causes it?

When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides in, it is called as hernia. Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury.

Types of Hernia

Hernia can be an Inguinal Hernia, Umbilical Hernia, Hiatal Hernia or Femoral Hernia. It can also originate from an incision (Incisional Hernia).The Inguinal Hernia is commonly observed in males. Here, the intestine squeezes through a tear in the abdominal wall into the groin (Inguinal canal). At times, the small intestine bulges through the abdominal wall (weak spot) near the belly button, which results in Umbilical Hernia. In Hiatal Hernia, the upper part of the stomach passes into the chest through the diaphragm, and of all the hernia types, the Inguinal Hernia is the most common.

Treatment of Hernia

In case of Hernia, the affected area tends to protrude or bulge out. If left untreated; Hernia can prove to be detrimental. One needs to consult a physician for proper diagnosis and treatment.

Physical examination can help in the diagnosis of Inguinal Hernia. An ultrasound is needed to diagnose Umbilical Hernia. A Barium X -ray or endoscopy can be of great help in the diagnosis of Hiatal Hernia.The severity of the Hernia depends upon its size. In case the Hernia is rapidly increasing in size, a surgery is needed for the repair.

The surgery performed can be open or laparoscopic. In open surgery, Hernia is identified through an incision. Once located, the Hernia is removed from the adjacent tissues. In laparoscopic repair, small incisions are made in the affected region. Through these incisions, specialized instruments are inserted. It is through these instruments that the surgeon visualizes and performs the surgery.In such repairs, a mesh, held in place by sutures is used as a scaffold. This facilitates the growth of new tissues in the affected person. This technique significantly lowers the chance of a recurrence.
4231 people found this helpful

Management of Gastroesphageal Reflux Disease (GERD)

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Management of Gastroesphageal Reflux Disease (GERD)
GERD is a digestive disorder that affects the lower esophageal sphincter, which is the ring of muscle between the esophagus and stomach. Gastroesophageal reflux is the backward flow of acids from the stomach into the esophagus. Doctors believe that some people usually suffer due to a condition called hiatal hernia. Pregnant women usually suffer from heartburn or acid indigestion caused by Gastroesophageal Reflux Disease.

The primary goals in the treatment of this disease are relief from symptoms, healing of erosive esophagitis and prevention of complications of esophagitis. The symptoms include heartburn and regurgitation. The setting includes a proton pump inhibitor (PPI). Patients suspected due to GERD with non-cardiac chest pain are recommended to have diagnostic evaluation before institution of therapy. For diagnosing GERD, barium radiographs should not be used.

The other points that must be remembered to diagnose GERD are
1. Endoscopy is recommended only in case of alarming symptoms. Even in typical symptoms, the upper endoscopy is not recommended.
2. For preoperative evaluation, esophageal manometry is recommended, but it has no role in diagnosing GERD.
3. Ambulatory reflux monitoring is a test that can assess association of reflux symptoms.

Management:
The suggested lifestyle modifications for the patients with GERD are

Weight loss is recommended for patients who are overweight. So, avoid large meals and decrease dietary fat intake.
Avoid alcohol, chocolate, onions, garlic, acidic foods and peppermint.
Do not lie down within 3 to 4 hours after meal (recommended for nocturnal GERD patients).
For symptom relief and to heal erosive esophagitis, a 8-week course of PPIs is the therapy of choice.
Medications that help in potentiating GERD symptoms, including alpha-adrenergic agonists, nitrates, calcium channel blockers and theophylline should be avoided.
For patients without diagnostic evaluation, therapy for GERD other than acid suppression, including prokinetic therapy should not be used.
For patients with partial response to PPI therapy, additional symptom relief can be achieved by increasing the dose twice daily or switching to a different PPI.
It is recommended to elevate the head of the bed 10 to 20 cm.
Avoid wearing clothes which are tight around the waist.
If patients experience heartburn relief, Histamine-receptor antagonists (H2RA) therapy can be used as a maintenance option in patients without erosive disease.

Some surgical options
1. For long-term therapy for patients suffering with GERD, surgical therapy is the best treatment option.
2. In patients who have no evidence of erosive esophagitis, preoperative ambulatory pH monitoring in mandatory.
3. Gastric bypass is the preferred operation for patients who are suffering with obesity and are contemplating surgical therapy for GERD.

Apart from these, there are potential risks that are associated with PPIs such as switching them can be considered in setting of side effects and the therapy can be a risk factor for Clostridium difficile infection.
4110 people found this helpful

Hernia - What You Should Know About It?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Hernia - What You Should Know About It?
When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides in, it is called as hernia.

Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia. It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime.

Types of hernias:

Inguinal hernia: The groin is the most common area, where the abdomen pushes through a weak spot in the lower abdominal wall, causing a protrusion into the inguinal canal. This is more common in men than women.

Hiatal hernia: The abdomen has the diaphragm separating it from the thoracic cavity in the upper border. When it pushes through the diaphragm, a hernia is caused and there is almost always associated food reflux in these cases. Though the most common cause is associated old age, due to muscle weakness, there also are cases of congenital hiatal hernias.

Umbilical hernia: The abdomen finds a weak layer along its length and protrudes through the skin on the stomach. Most commonly seen in babies around the bellybutton, it gradually corrects itself on its own. Quiet rare in adults, seen during pregnancy and in chronic obese people.

Incisional: These are post-surgical, and happen when the organ protrudes through the weakened wall due to surgery. The abdomen is again the most common area and the hernia can happen either onto the external surface or internally, when they are called ventral hernias.

These are the most frequent types, though hernia affects other organs like the spine, brain, appendix, etc.

Treatment

This includes a combination of constant monitoring followed by a decision to do surgical treatment. Hiatal hernias and umbilical hernias can be monitored for a while before deciding on surgery. Inguinal hernias may require surgery earlier in the stage. Post-surgery, a mesh is placed to hold back the tissue in its corrected place. The umbilical hernia in children could be self-limiting. If it does not get auto-corrected in the first year of life, that also would qualify for a surgical treatment. Hernias need to be managed under medical supervision.
3849 people found this helpful

Lower Back Pain - Do I Need Physical Therapy?

MD, FIPP
Pain Management Specialist, Kolkata
Lower Back Pain - Do I Need Physical Therapy?
Lower back pain is fast becoming an epidemic not just among elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be felt at a single point or over a broad area and could be accompanied by muscle spasms or stiffness or even shooting pain in one or both legs.

Back pain can also be differentiated according to time period:

Acute: Pain lasts for less than three months.
Recurrent: Acute symptoms reoccur over time.
Chronic: Pain lasts longer than three months.
Sometimes symptoms resolve on their own, but in many cases conservative treatment, such as physiotherapy, which often work better than surgery, becomes essential. Alternate therapies like surgery, acupressure, acupuncture as well as yoga and Ayurveda also help.

Physiotherapy - Exercises that work
Since the reason for low back pain is not always same, a patient s treatment too should be tailored for his specific symptoms and condition. This is what the physiotherapist will do design an exercise plan based on the patient s specific problem and its cause.

Physiotherapy treatments may include:

Manual therapy, which includes direct spinal manipulation aimed at improving the mobility of joints and soft tissues
Strengthening and flexibility exercises
Education about what do and what not to do
Training for proper sleeping positions, lifting, bending, and sitting as well as for working at home and at work
Use of heat/cold treatments or electrical stimulation to help relieve pain
Physiotherapy exercises help support the back and strengthen muscles so that the spine is cushioned properly. This is why physiotherapy is relevant as a treatment for backache. Treatments like traction help in lengthening the spine and relieving compression of nerves that cause sciatica, radiating pain into legs largely due to lumbar herniation. If back pain is extreme, a patient will require physical therapy along with medication, which will help in managing pain and bringing inflammation down. But in the long term, being physically active, going for walks, sitting properly and maintaining a good posture will help the most.
3793 people found this helpful

Hernia Surgery: What Should You Expect?

MBBS, MS - General Surgery
General Surgeon, Bangalore
Hernia Surgery: What Should You Expect?
A Hernia may be defined as the protrusion of an organ into an adjacent connective tissue or muscle. The protrusion usually occurs through a tear or a weakened area in the muscle (Fascia). Hernia can be an Inguinal Hernia, Umbilical Hernia, Hiatal Hernia or Femoral Hernia. It can also originate from an incision (Incisional Hernia).

The Inguinal Hernia is commonly observed in males. Here, the intestine squeezes through a tear in the abdominal wall into the groin (Inguinal canal). At times, the small intestine bulges through the abdominal wall (weak spot) near the belly button, which results in Umbilical Hernia. In Hiatal Hernia, the upper part of the stomach passes into the chest through the diaphragm, and of all the hernia types, the Inguinal Hernia is the most common.

Severe strain and muscle tear or weakness can result in Hernia. Obesity, chronic constipation, chronic coughing and sneezing, ageing, damage caused by injury, medical conditions like Cystic Fibrosis, contribute to increased incidences of Hernia. In case of Hernia, the affected area tends to protrude or bulge out. If left untreated; Hernia can prove to be detrimental. One needs to consult a physician for proper diagnosis and treatment. Physical examination can help in the diagnosis of Inguinal Hernia. An ultrasound is needed to diagnose Umbilical Hernia. A Barium X -ray or endoscopy can be of great help in the diagnosis of Hiatal Hernia.

The severity of the Hernia depends upon its size. In case the Hernia is rapidly increasing in size, a surgery is needed for the repair. The surgery performed can be open or laparoscopic. In open surgery, Hernia is identified through an incision. Once located, the Hernia is removed from the adjacent tissues. In laparoscopic repair, small incisions are made in the affected region. Through these incisions, specialized instruments are inserted. It is through these instruments that the surgeon visualizes and performs the surgery.

In such repairs, a mesh, held in place by sutures is used as a scaffold. This facilitates the growth of new tissues in the affected person. This technique significantly lowers the chance of a recurrence.

Certain factors must be well addressed, before performing a Hernia operation:

Hernia operations, laparoscopic in particular, should be performed by experienced surgeons. Inexperienced surgeons will do you more harm than good.
Laparoscopic Hernia operation should be avoided in case a patient has adhesions from previous surgery.
Extreme care should be taken while performing a Hernia operation in infants and children.
In some cases, Hernia surgery might affect or injure the vas deferens in men. This in turn can affect fertility in men.
3676 people found this helpful

Problems Of Hernia

F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
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Here are some problems related to hernia

Dear Friends, I am Dr. Manish Kumar Gupta, I am consultant laparoscopic and robotic surgeon at Sir Ganga Ram Hospital. I have my own clinic with the name of New Life Clinic in Indirapuram, Ghaziabad. Friends, I will be talking about a very common problem today, which is Hernia. So we all sometimes hear about it that someone has got Hernia and got operated.

what is Hernia? Hernia is basically, whenever the content of the abdomen comes out through an opening, which is an abnormal opening or a normal opening and present as a swelling or a lump over the tummy. So whenever such sort of a swelling appears in the abdomen, patients get worried, what this type of swelling appeared over their abdomen. These hernia is usually present whenever patients walks, coughs, sneezes or strains, these swellings come out through these defects and whenever patients lie down these swellings go down into the tummy, so these are the initial symptoms and as the time passes these defects gets increases in sizes and more and more internal component like intestines or fat comes out through these opening and hernia swelling sizes keeps on increasing day by day.

What happens in hernia is that It can occur in any part of the abdomen, the most common site for developing these hernias are basically belly buttons and in the groin region. If a patient has undergone some surgery, some operation for some intestine or something like that in the abdomen, this is the weaker side and from this side a hernia can appear. So initially the symptom is like there is a lump, which comes out and goes in once you press or lies down.

The chances of complication can occur and the complication are initially irreducibility, it means that it doesn t go inside the abdomen and remains there because there are some additions in between the content of the hernia and the abdominal wall and the second complication is the obstruction, it means, that intestine has come into the hernial sac and there is non passage of any content like food or any fluid through the intestine and patient gets started vomiting, there distinction of abdomen and pain, the third complication is that whenever the blood supply of this intestine gets disrupted then there is strangulation, it means that it can lead to gangrene of the intestine. So these complications are like an emergency complication and one has to go and get operated as early as possible so that one doesn t develop any gangrene of the intestine.
The treatment for Hernia is basically surgery. Whenever one sees such hernial swelling, one should go and contact a surgeon so that he can advise you when to go for surgery but the earlier the better. One should not wait and watch to get the complications to occur.

Nowadays, the surgery for hernia is basically a laparoscopic surgery, it means that we make three holes which is like pencil size holes through which we put a mesh which is a polypropylene or a bio degradable mesh and put this mesh over the hernia defect and fix it with multiple tackers.
Nowadays, the chances for recurrence is quite less because of formation of application of these mesh over the hernial defect.
There are few precautions one can take. There are some precautions which a person can take, like one should not sneeze too much or cough too much so that these hernial swellings do not increase in size and don t get impacted into the defect.

So friends i have told you about hernia swellings today and if you have such problems then you should go and meet a surgeon or if you want to come to me, you can come at Ganga Ram hospitals, which is in central Delhi or you can come to me and meet me at my clinic which is in Indirapuram, Ghaziabad or you can talk to me through Lybrate, you can chat me or you can text me through Lybrate.com.
3549 people found this helpful