Merkel Cell Carcinoma Questions

1.Fistula is a chronic abnormal communication between anal canal and peri anal skin.
2.It occurs due to non healing of Ano rectal abscess and spread of infection to peri anal skin. 3. There is an External Opening in perianal skin and internal opening in anal canal.
4.Diagnosis- Proctoscopy/sigmoidoscopy. 5.Treatment of fistula-Fistulectomy under G.A. 6.Symptoms- chronic discharge of pus/blood/stool from the external opening, Itching, pain while passing stool, Constipation 7. Consult a go...more

Mr. lybrate-user Kumar, Thanks for the query.
Usually following any surgery a patient needs about 10 to 15 days to recover. As regards the cost it depends on the type of procedure, surgeon and the hospital that one is going. Because in government hospitals cost will be much less. Difficult to give a figure. Which surgery will be decided by the surgeon, based on the specific situation. Call on any good surgeon he should be able to do that.

Anal fistula natural treatment along with home remedies for fistuls in ano both works side by side wonderfully to manage the condition.
Diet plays a very important role in the treatment of fistula in ano. Constipation is the reason that aggravates the condition further so it has to be avoided.
Diet with high fiber is highly recommended. Fiber works by increasing the amount of stools in the intestines. Regular use of high fiber diet can be useful to manage the condition. Person should tak...more

Hello lybrate-user
lovely report. Congratulations.
Hopefully a partial Nephrectomy has been done saving the rest of the kidney.
This report suggests you have a low risk less aggressive tumor although Lymphovascular invasion may signify some nodal Mets.
Just keep a good follow up every 6 months with USG abdo pelvis for the next 3 years
Regards.

Dear lybrate-user
treatment depends upon the etent of disease in the pancreas. If surgery not possible combned pain killers along with suitable chemotherapy and adjunctive radiotherapy will shrink the disease and reduce the pain. This will also increase the survival time of the patient.

hi,
go for surgery to remove that kidney, followed by chemotherapy and/or radiotherapy according to stage of cancer

Hi. Hope you are doing well after the surgery. Alcohol intake after surgery would be dependent on multiple factors. Smoking is best avoided completely. Please let me know if you should need more help.

CLL is slow growing disease. There is option of only observation in this patients. But you need to do regular follow up. There are some conditions in CLL when we can start chemo. Please consult me privately for more details.

Treatment of anal fistulas depends on (1) the location of the fistula, (2) evidence of sepsis or a large abscess, or (3) worrisome findings on physical examination. If an abscess is present, drainage is indicated. Intravenous antibiotics, antipyretics, and analgesics are provided as needed. However, simple rectal abscesses do not typically need antibiotics.

Please If lethargic life style is avoided, regular exercise, diet control is maintained. Less chance of recurrence.