MS - General Surgery, Post-doctoral Fellowship in Surgical Gastroenterology, Fellowship in Minimal Access Surgery
General Surgeon, Mumbai
Hi, poem is a relatively new procedure which involves cutting one layer of the muscular coat of the esophagus so as to relive the pressure at the junction between the food pipe and stomach when food passes down. Since this is a newer procedure, skills and results are variable. If you have not been relieved by the poems procedure, I would recommend you repeat a manometry and check the pressure at the ge junction. If the pressure is still high and doesn't reduce on swallowing, you will need a formal surgery, known as a cardiomyotomy, with possible extended myotomy of the esophagus. This can be done by keyhole surgery. However, you need a thorough evaluation before surgical intervention.
Recurrent viral infection can be a cause of frequent swelling of the parotid glands and the node although allergy has been implicated as a cause of recurrent parotid gland swelling, there are no previous reports of such a phenomenon occurring in the submandibular gland.
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
You need to improve the tone of the muscles in a rhythmical manner. If you do that with proper diet restriction nothing will happen to you. Body pain is there after gym activity due to tiredness and you need to consume good protein and iron diet in your body which will help you to break the fatigue and body pain.
You have to reduce the weight by walking minimum 3-4 kms per day. Slowly reduce the weight and slowly avoid adding salt in the diet which will help you to prevent water retention in the body. Excess salt in general leads to water in the body which might be the reason for you legs to pain as the leg will automatically become oedematous.
Do not do any thing, do not take tension just start taking trifala qwath mouth gargale, take swamala compound, kamdudha ras if you feel relief then you can proceed for further treatment with me best of luck for you.
-Do warm salt water gargles three times a day
- have plenty of warm fluids including water, tea, coffee, soup, avoid all cold fluids & refrigerated foods
- take cough lozenges twice a day
- take pain relief tablet after meals if pain is there
- avoid fried, spicy & sour foods
- if not much improvement in 2-3 days then consult a doctor as you may require a course of antibiotics.
Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet 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 I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks over the buttocks through a health professional