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Overview

Colic: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Colic is also referred to as abdominal pain in continuously crying infants below the age of 3 months.

How is the treatment done?

Colic pain usually occurs in infants that are very young, about 6 weeks old and is usually associated with long episodes of crying. The baby keeps crying endlessly and parents usually cannot figure out the reason why such a thing is happening to the child. At the peak of the sixth week, the crying becomes largely uncontrollable and parents throw themselves in a helpless state. Parents usually take their children to a doctor to undermine the reason behind the terrible crying bouts and are usually given simple remedies for the time being. Children may start crying even more persistently after evening times, throwing parents into anxiety zones.

As soon as you take your child to a doctor, the first thing they do to alleviate his condition would be to look into his physical details. These include examining his body parts, a quick temperature check, looking out for any possible rashes on the body, listening to vital functionalities of the body parts, sensing his reactions to light, touch and hearing, measuring his height and weight and making note of these factors. Usually after an overall check-up, your doctor must be able to guide with proper medication and as part of the process, you wouldn’t need complex tests and lab x-rays to be conducted.

Who is eligible for the treatment? (When is the treatment done?)

Doctors would suggest simple help that could be achieved at home for the baby by just comforting it, giving it a warm bath, gently massaging its abdominal area, taking it for a light walk by seating it in a stroller, comforting it by rubbing your arms gently around its abdominal area etc. These gentle messages and movements around its abdominal area help create a soothing effect and provide relief to a large extent. Once it’s relieved of the colic pain, it will stop crying and will sleep in peace for a long period of time. Colic drops are effectively administered at regular intervals to relieve the pain.

The onset of colic usually takes place in the sixth week. So normally mothers would be breast feeding their young ones at this stage. The onset of colic to a large extent also depends on the food intake of its mother. Generally vegetables such as cabbage and onions are pretty hard on the baby’s digestive system and may cause irritability. So, avoiding such vegetables along with frequent consumption of coffee/tea can avoid this situation to a certain extent. Some mothers feed their babies with formula milk, which could also be a reason for the cause of colic in babies. So, doctors would recommend intake of hydrolysate formula in place of the earlier formula milk. The hydrolysate formula is known to contain good amounts of protein is small chunks, easily digestible by infants and therefore can provide relief in such situations.

Children usually get relieved of colic pain as they grow older and usually by 3 or 4 months they do not experience colic pain of any form. While handling babies with colic pain, parents need to keep calm and understand that it’s just a temporary scenario and would reduce with time. Handling the baby with ease and maintaining one’s calm will help alleviate the baby’s pain to a large extent.

Who is not eligible for the treatment?

Children in the infancy stage, around 3 or 4 weeks old, who have been crying continuously and are unable to sleep due to colic pain should seek remedial treatment from doctors. If pain persists after simple massaging or rubbing in the abdominal area, it is good to change the diet course for the mother as well as the child, in case of breastfed babies. In any case, it is best to consult a doctor before proceeding with dietary changes for your infant.

Are there any side effects?

Infants who aren’t crying continuously, but are doing so occasionally when they require care and seek their mother’s attention shouldn’t be mistaken for a colic condition. Children tend to cry more when they are at the infancy stage and its best to observe their movements before deciding on their ailments.

What are the post-treatment guidelines?

Generally colic drops are used to quickly bring down colic pain in infants. Though they are not known to have any serious side effects on infants, parents should look out for symptoms of an allergic reaction on the infant’s body. Reactions such as rashes or skin infections could be some of the side effects. If the allergy is found in the neck or the face region, it may show up as a swelling at times. The child may even develop difficulty in breathing in rare cases. Therefore, it’s good to discuss these side effects with your doctor before administering it to your baby.

How long does it take to recover?

There are no specific after treatment care that should be followed once the colic pain is relieved. Generally small infants tend to develop their pain in their infancy and as they grow older, the problem fails to recur. Majority of the infants depend on their mother’s feed at that stage and hence avoiding irritating foods such as onions and cabbages will prevent the pain from recurring. Intake of low dairy products during the colic phase will also avoid pain and consumption of eggs and wheat can provide help to a certain extent. Following proper food guidelines by the mother is a must.

What is the price of the treatment in India?

The first and foremost thing to know about colic is that it’s only a temporary phase and as the infant grows into five or six months, the phase of colic just diminishes day by day. Babies experience colic at the height of their sixth week but that’s exactly when appropriate care needs to be taken. Once the child is over 3 or 4 months of age, this condition almost vanishes, leaving a sigh of relief for the parents.

Are the results of the treatment permanent?

Colic drops, the easiest way to cure colic pain is available at all pharmaceutical shops at prices as low as 80 to 100 for a 30 ml bottle. They are available in different variants and the prescribed drops by the doctor should be used.

What are the alternatives to the treatment?

There is no guarantee that a child which has developed colic at the moment is not going to develop the same pain a few days later. The mother’s diet is a big deciding factor. As time passes and the child grows older, the pain itself vanishes from the baby’s abdomen. Colic drops do provide relief to a large extent and help the baby to have a peaceful sleep for a long period.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: High Time For Recovery: High Price Range:

Rs 80 - 100

Popular Health Tips

Urinary Incontinence in Men - Treatment Options!

MBBS, MS - General Surgery, M. Ch. (Urology), DNB (General Surgery), MBA
Urologist, Noida
Urinary Incontinence in Men - Treatment Options!

Urinary incontinence is a health condition in men, which is caused by loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson’s disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured. There are several ways to treat this condition which include home remedies as well as medications and surgery. 

Here are several methods used to treat urinary incontinence: 

  1. Caffeine, soda and carbonated drinks cause irritation in the bladder and worsen the symptoms of urinary incontinence. Alcohol is a diuretic and increases the amount of urine too. So abstain from coffee, alcohol and soft drinks to make a difference. 
  2. Dietary adjustments are required for the treatment of urinary incontinence. Several spicy and acidic food items can make urinary incontinence worse. Hence, you should avoid having such foods for some time. 
  3. Urinary incontinence can lead to stress and you must get rid of it for better health. You can try relaxation techniques, such as meditation and breathing exercises. Biofeedback is another option by which you can observe your bladder muscle contractions on a monitor. 
  4. You should try a behavioral technique known as bladder training. This would require you to urinate every half hour, in spite of not having the urge. Slowly try to increase the time in between the bathroom breaks. 
  5. You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as they boost the strength of your pelvic muscles. 
  6. You should find the right muscles that are required to stop the passing of gas. 
  7. Pads and disposable undergarments can be used by men. These help in containing leaks and also protect the skin from irritation and odor. 

There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking and treatment of an enlarged prostate are also used as blocked by prostate lead to bladder irritation. Now-a-days, more than 80% cases of incontinence in males respond well to medications.

Surgery may be the ultimate option for the treatment of urinary incontinence. Options depend on the cause of incontinence. If it is because of obstructing prostate, prostate surgery by TURP / HOLEP is curative. If it is because of bladder overactivity, BOTOX injection in bladder is useful. If it is TRUE incontinence after radical prostate surgery then treatment include a male sling or artificial urinary sphincter implantation. In sling operations, a type of material is wrapped around the urethra for compressing it. In Artificial sphincter implantation, a cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A Interstim device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor. If you wish to discuss about any specific problem, you can consult an urologist.

2816 people found this helpful

Irritable Bowel Syndrome - 6 Signs You Are Suffering from It!

MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Irritable Bowel Syndrome - 6 Signs You Are Suffering from It!

A chronic condition, Irritable Bowel Syndrome (IBS) is a disorder of the large intestine that exhibits symptoms such as bloating, abdominal cramps, gas and diarrhea. The symptoms of IBS can be controlled by making lifestyle changes such as incorporating certain modifications to your diet and reducing or managing stress levels. For severe symptoms, you may require medications.

Symptoms
The symptoms of IBS can vary; some of them are:

  1. Bloated stomach
  2. Abdominal cramps
  3. Flatulence
  4. Constipation or diarrhea
  5. Presence of mucus in the stool
  6. Some other severe symptoms of IBS include sudden loss of weight and rectal bleeding.

Causes
The exact cause of IBS is not known, but there are certain factors that may act as triggers. There are muscles lining the walls of the intestine that relax and contract in a proper rhythm, thus allowing the passage of food through the intestine. In case of IBS, these contractions tend to be irregular, resulting in gas, bloating and diarrhea.

Some of the factors that can trigger this condition are:

  1. Hormones: Hormonal changes can play a role in triggering IBS. For a woman, the symptoms can worsen during her menstrual cycles.
  2. Stress: Studies show that symptoms of IBS considerably increase if you are subject to increased stress levels over a prolonged period of time.
  3. Foods: Certain foods such as spices, chocolate, milk and broccoli can act as triggers.
  4. Other Disorders: In some cases, other underlying conditions such as bacterial overgrowth or infectious diarrhea can cause IBS.

Treatment
The initial step to manage the symptoms of this condition is to make prompt changes in your diet, such as eliminating spicy foods and dairy products, at least till the symptoms subside. It is advised to resort to medications only if the dietary changes fail to yield results.

The various treatments are:

  1. Anti-diarrheal Medications: Anti-diarrheal medication such as ‘loperamide’ is used to control and manage diarrhea.
  2. Fiber Supplements: Certain fiber supplements such as ‘methylcellulose’ and ‘psyllium’ can help in managing constipation.
  3. Antibiotics: Antibiotics are prescribed only if the symptoms result from bacterial overgrowth in the intestine. 

    If you wish to discuss about any specific problem, you can consult a gastroenterologist.

2847 people found this helpful

Adverse Respiratory Events in Anesthesia

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Adverse Respiratory Events in Anesthesia

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you,
  2. Block pain,
  3. Make you sleepy or forgetful,
  4. Make you unconscious for your surgery.

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:
Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  • Airway Obstruction
  • Inadequate inspired oxygen delivery
  • Aspiration
  • Endobronchial Intubation
  • Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  • Pulse Oximetry
  • Capnometry
  • Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome. If you wish to discuss about any specific problem, you can consult a general surgeon.

1941 people found this helpful

Pollution - How it Has Increased the Risk of Cancer?

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Pollution - How it Has Increased the Risk of Cancer?

Cancer today is not as rare as it once was. Today, cancer affects the young and old alike. One of the reasons for this is the pollution in particular air and water pollution that we are exposed to on daily basis.
The air we breathe in today is a mixture of smoke, particulate matter and noxious gases that causes great harm to our bodies. Amongst these, particulate matter that is smaller than 2.5 millionths of a metre is the worst.

These particle matters are emitted into the air from car exhausts, industrial exhausts, coal fires, wood stoves etc. While the body’s natural defences help keep larger particle matter out of the system by sneezing or coughing it out, smaller particle matter enters the body easily. These then get trapped in the lungs and enter the bloodstream. Particle matter has in particular been linked to increasing number of lung cancer cases. Apart from lung cancer, coal tar particle matter has been linked to bladder cancer, soot to oesophageal cancer and benzene and other pesticides to leukaemia.

Radon is another source of air pollution that is emitted from the ground. In some cases, radon can also be emitted through the water. As this gas decays, it releases tiny particles that when inhaled bombard the lung cells with radiation that can cause radiation. Smoking can worsen this effect and increase a person’s risk of suffering from lung cancer. Both first-hand and second-hand smoking have also been linked to breast cancer. Apart from trying to reduce emissions to lower air pollution, it is also important to clean filets of air conditions, etc. regularly to lower indoor air pollution. Preventing the smoking of tobacco in public spaces can also help improve air quality.

All pollutants emitted by us eventually find their way into the water we drink. Even if you are not drinking contaminated water, merely, showering or swimming in contaminated water can make your body more vulnerable to the carcinogens in it. Common water pollutants include arsenic, hazardous waste, animal waste, radon, chemicals and asbestos. Drinking water with concentrated amounts of arsenic has been linked to cancer of the lungs, liver, kidney and bladder while the chlorine used to treat drinking water increases the risk of bladder and rectal cancer.

To reduce the risks of cancer caused by polluted water, it is essential to reduce disinfectant by products by keeping water treatment facilities updated and promote green chemistry and alternative assessments to reduce pollution as a whole. If you wish to discuss about any specific problem, you can consult an oncologist.

2130 people found this helpful

Can Severe Gas be a Sign of Irritable Bowel Syndrome?

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Mahabubnagar
Can Severe Gas be a Sign of Irritable Bowel Syndrome?

Irritable bowel syndrome is a disorder, which generally affects the colon (large intestine). It usually shows symptoms like abdominal pain, cramping, bloating, diarrhea, gas and constipation. IBS is a long-term condition. It can result in sudden mood swings, depression and thus holds you back from living your life to the fullest. IBS can be controlled by managing lifestyle, stress and managing your diet. Medication and counseling could also be required to manage IBS.

Symptoms of IBS:

  1. Immense cramping and pain
  2. A feeling that your belly is bloated all the time
  3. Severe gas
  4. Alternating and sudden bouts of constipation and diarrhea
  5. Presence of mucus in the feces

Whenever you experience such kind of symptoms, it is always advisable that you must consult a doctor, so that it doesn't lead to a serious condition.

When should you consult a doctor for IBS?
IBS is not a chronic disorder and can be controlled by home remedies. It may also require medical treatment if the symptoms become acute and persist for too long. If you experience certain symptoms like rectal bleeding, weight loss and heavy abdominal pain that might increase at night, you may be at a risk for colon cancer. If such symptoms persist, you should consult a doctor as soon as possible.

Causes of IBS:

  1. Foods: Most people are susceptible to IBS if they consume foods like spices, fats, fruits, cabbage, beans, broccoli, cauliflower, carbonated beverage, milk or alcohol. These foods irritate the lining of the stomach and trigger IBS. However, the trigger may vary from person to person.
  2. Stress: Signs and symptoms of IBS can also increase if you are very stressed out. Stress makes your muscles too worked up and this may result in IBS. However, you should know that stress aggravates or triggers the symptoms but doesn’t cause IBS.
  3. Hormones: Women are more likely to develop IBS. Fluctuations in the hormonal cycle can trigger IBS. This usually occurs around or during menstruation.
  4. Other illnesses: Sometimes illness such as gastroenteritis (infectious diarrhea) or bacterial overgrowth in the intestines can trigger symptoms of IBS.
  5. Age: You will be more likely to develop IBS if you are 45 years of age or above.
  6. Hereditary: People having a family history of IBS are more susceptible to develop IBS.
  7. Mental problems: Depression, personality disorder, anxiety and a history of sexual abuse can also trigger symptoms of IBS.
1945 people found this helpful

Popular Questions & Answers

My son is 27 days old. He is suffering from colic. I am giving him bonissan, neosmile lactase enzyme. And colic aid sos. The pain peaks in night and is uncontrollable. If we give colic aid it calms for while. But cries whole night. Its been 2 weeks now and colic is not going. Please suggest something my baby is in pain.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Paediatrics
Pediatrician, Mohali
Hello sir, first of all colic is a normal phenomena and we normally do not give any medicine for that. Some things which increase colic are if your baby is bottle fed or formula fed. Exclusively breast fed babies do not cry so much at night. Still there are other reasons for a baby's crying. Lot of times babies just want a parent to take them in their laps. They will then stop crying and go to sleep. Sometimes baby is wet, hence cries excessively. Avoid using diapers at home.

My 3 years old daughter is suffering from stomach related issues for 1.5 Months. She feels stomach ache (two or three times in a day, last for 10-30 minutes). She is also suffering from gas. She is refusing milk and all time complaining that I have gas. When we supply her meal forcefully she have it but some time he vomit with gas. Apart from it she is also suffering from cold and cough. I have consulted 3 doctors and finally she is under a pediatrician Gastroenteritis. We did following tests and results found normal. 1. Ultrasound whole abdomen 2. Urine and Stool routine 3.Urine and Stool culture Medicine she is taking rit now are: Muout Plus Jar powder- Twice in a day Rantac Syrup- 3.5 ml twice in a day Nizonide syrup- 2.5 ml twice in a day Drotin- 2.5 ml sos if pain Ambrolite syrup-2.5 ml thrice in a day Some test suggested my pedi are: 1. Xray abdomen 2. 25 Hydroxy D3 3. Serum Iga Level 4.CBS 5.TTG (IGA) I am disappointed that she was pretty good till July last week and why her condition is not improving after 1.5 months. Am I missing anything or doing something wrong. Please advise. I can send her all history if required.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
U r doing all the best you can do. With all description, you have not mentioned her present wt and wt 1& 1/2 month ago before her illness. Initially her problem was stomach ache two or three times in a day, last for 10-30 minutes. This is usually nonspecific ache/ pain of abdomen which probably is in your daughter as all tests are negative. I presume all suggested test may be normal, may be a little variation in 25 Hydroxy D3 which has no relation with symptoms your daughter is experiencing. If her wt is about 14 kg, you need not to worry. I suggest- to stop all medicine, NO FORCE FEEDING, give her well nourished diet well cooked at home of her choice/ taste and desire irrespective to quantity & frequency of food She prefers. Under care and over care is not ideal rearing. Remain in touch with your pediatrician. If you like, may get back.

I have a slight pain on my left chest, its seems to be gastric because I'm burping alot, but thought of still checking for advice.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Take tablet Pan-D before breakfast on empty stomach for three months and always to take a gap of a week before starting it again only if necessary and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet

I am 23 years old. I am gastric problem Dr. Advice me not eat junk food. But now pain in left breast for 7 months .dr. Said that is gas pain. I am not eat many medicine.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Take tablet Pan-D before breakfast on empty stomach for three months and always to take a gap of a week before starting it again only if necessary and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet

I am suffering through indigestion problem since last week. Continued indigestion is also causing bloating, gas, pimples too. Please suggest some medicine and diet to help me improve my digestive system. Home remedies will also come handy.

MBBS
General Physician, Mumbai
Dear lybrate-user, - Your problem is due to acidity - avoid fried, spicy, sour & junk food, also limit tea, c! offee to 1-2 cups per day - chew your food well, do not skip meals, have meals on time, have 4-5 small meals rather than three large meals, take a walk for 5-10 min after meals, have dinner 2-3 hrs before bedtime - have 7-8 glasses of water along with other fluids for proper hydration & digestion - take tablet Pan 40, 1 tab daily half an hour before breakfast - do regular exercise like walking, jogging, yoga for proper digestion & to keep fit.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Gallstones Disease
Types, symptoms, and treatment for Gallstones

Hi, I m Dr. Nimesh Shah. I m a consultant endoscopic, laparoscopic and G.I surgeon. I m attached to Global Hospital Parel and SL Raheja Fortis Hospital at Mahim, and I m also a director and partner at Sanjeevani Hospital, which is our hospital at Dadar. We have talked about gallstone disease as of now. Gallstone disease is a very common phenomenon observed in the Indian population. There are various types of gallstones that are available, that is either a pigment stone or a cholesterol stone. Pigment stone occurs because of hereditary spherocytosis or something wrong with your blood cells, which get destroyed more, and that causes gallstones.

The other cause of gallstones is a cholesterol inborn error. The other type of gallstones are cholesterol stones, which are due to inborn errors of metabolism of a cholesterol as either the cholesterol that is secreted by the liver is much more, or the water that is secreted by the liver is less. So the gall bladder which whose function it is to super-concentrate the bile concentrates much more than what is necessary, and you get crystallites of cholesterol stones formed. These are most common stones seen in the Indian population.

The symptomatology of this is usually bloating, a fullness of abdomen, a lot of flatulence, also some patients have a lot of refluxes, we call it a which is associated with gallstones hydro semi a. And also some patients develop severe pain which is called as a biliary colic, which may need medical intervention. The diagnostic modality that is used for gallstone disease is doing an ultrasound. An ultrasound will tell us on the thickness of the gallbladder, the type of stones, the multiple stones, or multiple small stones, or a single large stone. So the number of stones, if you have multiple stones, you may develop a biliary colic. If it s a large stone you may develop acute inflammation of the gallbladder, which will need hospitalization.

The gold standard of treatment is surgery. Surgery is usually done laparoscopically, wherein small holes are made in the tummy and the gallbladder is removed completely. If y=remove your gallbladder, there is no problem in your digestion or anything like that, because effectively, the bile that is secreted by the liver is a waste product of our body, it has no role to play in digestion. It only activates the enzymes of the pancreas when it mixes with the pancreatic juice in the pancreas in the intestine. The liver secretes about two and a half to three liters of bile every day, out of which 150 to 200 ml goes in the gall bladder. Out of the 200 ml, it is emptied every time you eat. So roughly about 800ml is concentrated by the gall bladder and is emptied into the intestinal...intestinal tract. Now vis- -vis, 2.5 liters is flowing straight into your intestinal tract. So it does not really hamper your digestion in any way.

Again going back to treatment as laparoscopic surgery is the preferred and gold standard of treatment worldwide, wherein three four small holes are made and the gall bladder is completely extracted. Some patients at some centers are doing the single port, that is a single hole through the umbilicus, which is technically much more difficult. There is always a percentage chance of having to cut open a patient during surgery that may be because of bleeding or abnormal abnormality, which is quite common in the gall bladder region.

The above information is a limited information. If you need to further know about the disease then you can contact me directly through Lybrate. Types, symptoms, and treatment for Gallstones

Hi, I m Dr. Nimesh Shah. I m a consultant endoscopic, laparoscopic and G.I surgeon. I m attached to Global Hospital Parel and SL Raheja Fortis Hospital at Mahim, and I m also a director and partner at Sanjeevani Hospital, which is our hospital at Dadar. We have talked about gallstone disease as of now. Gallstone disease is a very common phenomenon observed in the Indian population. There are various types of gallstones that are available, that is either a pigment stone or a cholesterol stone. Pigment stone occurs because of hereditary spherocytosis or something wrong with your blood cells, which get destroyed more, and that causes gallstones.

The other cause of gallstones is a cholesterol inborn error. The other type of gallstones are cholesterol stones, which are due to inborn errors of metabolism of a cholesterol as either the cholesterol that is secreted by the liver is much more, or the water that is secreted by the liver is less. So the gall bladder which whose function it is to super-concentrate the bile concentrates much more than what is necessary, and you get crystallites of cholesterol stones formed. These are most common stones seen in the Indian population.

The symptomatology of this is usually bloating, a fullness of abdomen, a lot of flatulence, also some patients have a lot of refluxes, we call it a which is associated with gallstones hydro semi a. And also some patients develop severe pain which is called as a biliary colic, which may need medical intervention. The diagnostic modality that is used for gallstone disease is doing an ultrasound. An ultrasound will tell us on the thickness of the gallbladder, the type of stones, the multiple stones, or multiple small stones, or a single large stone. So the number of stones, if you have multiple stones, you may develop a biliary colic. If it s a large stone you may develop acute inflammation of the gallbladder, which will need hospitalization.

The gold standard of treatment is surgery. Surgery is usually done laparoscopically, wherein small holes are made in the tummy and the gallbladder is removed completely. If y=remove your gallbladder, there is no problem in your digestion or anything like that, because effectively, the bile that is secreted by the liver is a waste product of our body, it has no role to play in digestion. It only activates the enzymes of the pancreas when it mixes with the pancreatic juice in the pancreas in the intestine. The liver secretes about two and a half to three liters of bile every day, out of which 150 to 200 ml goes in the gall bladder. Out of the 200 ml, it is emptied every time you eat. So roughly about 800ml is concentrated by the gall bladder and is emptied into the intestinal...intestinal tract. Now vis- -vis, 2.5 liters is flowing straight into your intestinal tract. So it does not really hamper your digestion in any way.

Again going back to treatment as laparoscopic surgery is the preferred and gold standard of treatment worldwide, wherein three four small holes are made and the gall bladder is completely extracted. Some patients at some centers are doing the single port, that is a single hole through the umbilicus, which is technically much more difficult. There is always a percentage chance of having to cut open a patient during surgery that may be because of bleeding or abnormal abnormality, which is quite common in the gall bladder region.

The above information is a limited information. If you need to further know about the disease then you can contact me directly through Lybrate.
Play video
Acute Kidney (Renal) Failure
Good morning!

I m Dr. Sunil Prakash. I m director and head of nephrology of renal transplant services at BLK super specialty hospital, New Delhi.

Today I would like to share with you some newer things that are happening on nephrology. You all know that if somebody has a kidney failure they will eventually land up on dialysis. Dialysis is of 2 types: peritoneal dialysis which is done at home by person themselves or your relatives. It is also called colo-colic or water dialysis. Another is blood dialysis. This can also be done at home which is called home hemodialysis and there are simple machines which are available and there are people who can be trained who can come at home and do dialysis for such patients. Or these patients come to hospitals or dialysis centers for regular dialysis. Dialysis is normally give it to 2-3 times a week. Itis certainly a cumbersome procedure and it is also costing money. But at the end of the day the decision is either dialysis or death. So if somebody reaches the end stage kidney disease then he/she will require dialysis. The other option is to go for kidney transplant. The biggest problem of kidney transplant is how to get donors? How to get kidneys? Now friends everybody has 2kidneys. And if somebody is healthy and he doesn t have diabetes, blood pressure or stone in the kidney and he is leading a good healthy life then by doing some test it can be found that person may be able to live on one kidney. So if we are certain that a donor if he can give one kidney to its relative to make him rehabilitate then he can live on one kidney and the recipient or the patient who gets the kidney will live on another kidney. This is called life-related donor program. This is a legal program. Now what is not legal? What is totally illegal is when somebody tries to buy kidneys for poor people by force or money or greed or whatever. This is illegal act and it is punishable by law. Another thing in transplant which we must encourage and our country is lacking very badly is deceased donor transplant. What is deceased donor transplant? It means unfortunately if somebody gets an accident. Young person leaves his house on bike or going for a job or something meets with the accident sometimes if the brain is irreversibly damaged but the organs like heart kidney and liver are functioning well these are called brain death patients. They are basically cadavers. Cadavers means death although technically, legally they are living at that point of time because there heart is beating but if somebody s brain is death then that person ceases to be that person. And certainly within a day the all organs will also stop functioning because their master is gone the command center is gone. And all the organs of the body requires impulses from brain to survive. So now in such a situation a person s heart is beating but it is certain to die in next 6-8-10 or maximum24 hours. So in this interim the organs of the patients are taken out and give it to people who are waiting on the organ list to be able to get these organs and get rehabilitated. In Spain the rate of donation is 50/million. In India it is 0.5/million. So we can very well imagine that how much organ shortage we are having and Indians or top of it have more proclivity of having kidney diseases and end stage kidney stages. So we badly needs these kidneys. So I request to all my listeners that let us join hands, let us do more social work, advertise and tell people that unfortunately if somebody has got brain damage then he/she is about to die then they must pledge their organs to people who are waiting below. Nothing can be better than this act of altruism and donation. Friends let us not take our organs to heaven because heaven knows that we need these organs here. Thank you for your time. I m available at BLK super specialty hospital. For any issues, consulting dialysis refers to blood pressure and transplantation center.

Thank you! Again.
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Kidney Stones and Renal Calculi
Causes, Symptoms and Treatment for Kidney Stones and Renal Calculi

Hello everyone I'm Dr. Pallavi Mehta. I'm a homeopathic physician practicing in Mulund area since the last 5 and half years now. In my practice. I come across many cases which are succesfully treated with homeopathy. One of the cases in which I've seen very good results is kidney stones or renal calculi. Renal calculi is basically hard deposits of urine which are majorly composed of minerals and acid salts. The most common form of kidney stones is calcium oxalate stone. However, calcium phosphate, stru white and uric acid stones are also seen very commonly. There are other varieties as well.

The primary symptom which is faced by the people with urinal calculi is pain in the upper back region which radiates in the front. This is also called renal colic. There are other symptoms as well like nausea, vomiting or difficulty in passing urine, difficulty in passing frequent and small parts of urine and tehre might be some blood in urine etc. The commonest cause of having renal calculi or kidney stone is having a concentrated urine. Basically this happens because of insufficient drinking of water. However at this point i would also like to mention one thing that consuming enough calcium from natural food sources does not usually effect the formation of renal calculi but at the same time consumption of high oxalates can definitely cause renal calculi. The richest source of oxalate is spinach, beet, nuts, potato chips etc.

Uric acid stones are commonly found in people having gout and they can also be seen in people who are undergoing chemotherapy. Easiest way to diagnose kidney stones is by doing an X-ray or an ultrasound. A routine examination of the urine can also help us identify the kind of stone we have. Treatment of the kidney stones needs a Holistic approach, proper diet and proper intake of water is as important as taking proper medication. With homeopathic treatment we can also prevent the complications which can happen due to kidney stones and also prevent the recurrences which are commonly seen in stones.

In my experience I've come across and also treated a teenage female who used to have renal calculi since the age of 10yrs. She had also undergone two operations for the same situation and when she came to me she was also having a condition known as hydronefrosis which is basically a situation where in the stone gets implanted in the ureter leading to accumulation of urine in kidneys and swelling of the bladder ultimately. Within 6 months of the treatment, not only the stone was dissolved, the hydro nefrosis was reduced, it was almost gone and now it's been 3yrs that she has been out of treatment and she has not had even one problem related to urine and no stones at all.

In another case in a female of 70yrs old, she used to have frequent renal calculi and frequent urinary infections since almost as high as 20yrs. She used to have infections as frequently as twice every month. But within a month of starting the treatment, the urine culture report started dropping drastically which indiactes the number of bacteria in the urine, and it has been one and a half years since she has started the treatment in October 2015 and she has not had calculi at all and had only once urinal tract infection that too beacuse of some travelling issues and her personal issues of drinking insufficient water. Basically such are the good results we get in homeopathic treatment for conditions as important as renal calculi. Many people tend to rush to the urologist for such conditions and they tend to ignore alternate therapy.

I would really like to recommend that you can also consider alternate therapy like homeopathy for such conditions. For more information you can definitely contact me at librate.com. Thank you.
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Stones: Remedies To Dissolve Kidney Stones
I am Dr Waheed Zaman principal consultant neurology and renal transplant Max Shalimar Bagh and Max Pitampura. I have got clinic in Rohini Sector 13 that is Care Multispeciality Clinic and we are dealing complete urology specially pertaining to all urology problems specially stone disease, prostate problem then genitals urinary tract, cancers we are dealing, then infertility and about the importance and male infertility specially we are doing in our centres and my main topic of interest is renal transplant.

I have got experience of more than 1000 transplant and I am very much interested and I helped in people, I have given many lectures for cadaveric transplant and we try to promote it. But today I am discussing on different topics that is stone disease, this is very common in India, especially in North India. We get large number of kidney stone patient they usually present with the brain in emergency with a flying plane, radiating down, blood in urine and majority of the times in emergency severe colic pain. So immediately we give pain Killers, we settle this patient and we ask for ultrasound, urine test and kidney function test. On Ultrasound majority of the stones can be detected or indirect evidences maybe there are life dilatation of the kidney, kidney me sujan ho sakta hai or yadi doubt ho toh definitely hum log CT-SCAN karate hain, plain CT-SCAN se 99% stone detect kiya Ja sakta hai. Ek bar stone detect hua phir uske size pe cocern hota hai, jaise general public mein thinking hoti hai ki sab stone nikal jate hain dawai se ya pani se, yeh sahi nahi hai yadi aap dekhenge ki char millimeter se kam size ke jo stone hote hain almost 80 to 90% nikal sakte hain medicine pani se, mainly pani se aap nariyal pani le, pani piye kafi aur nimbu pani, shikanji yeh 3 apne indian drinks jo hain woh best drinks maane jaate hain, wo chote stone ko aaram se flush kar deta hai. 4 se 7 millimeter ke jo stone hote hain almost 50-50 chance hota hai nikalne ka, 7 millimeter se 10 millimeter ka jo stone hota hai around 10 to 20% chance hai or 8 centimetres se jayada 10 percemt se bhi kum chance hota hai ki nikale, par hamare log jayadatar yehi galat dharna bani rehti hai ki nai medicine se sab nikal jayega even ek-daid centimetre ka stone nikal jayega, yeh commonly hamhe OPD main kuch log puchte bhi hain log, sir aap toh medicine do bade se bade stone mein aur galado usko. Aise stone bahut kum hai jo medicine se galte hain specific uric acid stone wagairah hote hain, jo aur excess pani peene se chhote stone to niklenge hee, definitely. Ab ek baar yadi diagnosis ho gaya ki stone kis level pe hai kidney mein kya changes ho rahi hai yadi back pressure changes jyada hai kidney even phat jati hai itna back pressure rehta hai, infection ho jata hai, bleeding hoti hai, toh aise condition bukhar rehta hai infection ki wajah se, toh hum patient ko salah dete hain ki better hai aap operation ki ke liye jaiye aur wait mat kariye. Kyunki yadi do hafte se jyada yadi kidney block rehti hai stone ki wajah se toh reversible kidney damage start ho jata hai. So we have to be very careful, very judicious, listen to your doctor and there are many myths associated with the kidney stone disease, so try to be more judicious. Kidney stone nikalne ki kai padhatian aajkal adhunik lithotripsy ho sakti hai par ab utni popular nahi rahi hai, uske alawa ureteroscopy hai jisse ureter ke stone nikale ja sakta hain. Kidney stone hum log keyhole surgery se karte hain PCNL, mini PCNL techniques hain, aur aaj kal jo latest aagaya RIRS, that is Retrograde Internal Surgery, aaram se hum log peshab ke raste se hi bahut hi patle sukshm yantra aagye hain jisko flexible urteroscope bolte hain, woh peshab ke raste se bladder hote huye ureter or wahan se kidney per pahunchte hain, aur aise even ded-do centimetre ke stone hum log laser se tod sakte hain, aur ekdum dhul ke kann jaise ho jate hain aur woh peshab ke sath nikal jate hain. Bade kann hum log retreat karte hain, uska stone analysis karte hain aur based on that hum log ye plan karte hain ki aage kya treatment diya jaye. So iska follow-up bahut zaroori hai ek baar kisi ko stone banna hai to 70% chance hai ki dubara banega apna lifestyle change kijiye, salt kam le, fast food kam kare, pepsi wagera bilkul minimum karde, it is full of obsolete chai kam kare, coffee kam kare, chocolate band kare aur pani jyada piyen din mein barah se pandrah glass pani peena chahiye, shkanji piye, ek nimbu daily piye, shikanji uska istemal kare uske alawah anaras hai, kele hain inka sevan kare, karele ki sabji zaroor le isse kidney swasth rehti hai, kuch fruits hain jaise especially maine bataya banana and pineapple yeh kafi useful hota hai, jo sabjiya kam leni hai umne bhindi hai, baingun hai, gobhi, palak inka kam kare istemal band nahi karna hai. Sabse badi dawa pani hai, pani piye one lemon day keeps the stone away , aur iska sahi upchar kare otherwise kidney stone may lead to kidney failure even. So aap bade sachet rahey issme, doctor ki sune mein baar baar request karta hoon, hum log daily yrh a problem face karte hain hum log sahi salah denge aapko koi misguide nahi karta hai, yddi kidney damage ho raha hai toh definitely intervene hona chahiye otherwise medical management bhi possible hai chote stone ke liye.

Dhanyavad.
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