Apollo Spectra Hospital - Tardeo

Haemorrhoids, also known as piles, are swellings containing enlarged blood vessels that are found inside or around the bottom (the rectum and anus). Hemorrhoids become an issue only when they begin to swell, causing itching, pain and/or bleeding.

Rectal prolapse is a condition in which the rectum loses the normal attachments that keep it fixed inside the body, allowing it to slide out through the anal opening, turning it “inside out.” Rectal prolapse can range from mild to severe.

Hi,

I am Dr. Aparna Govil Bhasker, Bariatrician with an experience of about 13 years practicing in Mumbai. I deal with patients who are suffering from obesity. First thing I would like to share that obesity is a disease. Whenever we see the patient we see that somewhere they are also responsible for the weight that they are carrying. So, the first thing we need to realize that obesity is a disease like any other chronic disease. It is very similar to diabetes or heart disease and the progression is very similar to various stages. Today we define the stages on the basis of body mass index. That is the parameter that we use. So, if the BMI is between 23.5-27.5 then these patients are considered to be overweight. People between 27.5-32.5 suffers from grade 1 obesity. Any person with BMI more than 32.5-37.5 suffering from grade 2 obesity. Any person whose BMI is more than 37.5 suffering from grade 3 obesity.

When we talk about bariatric surgery, it is actually a treatment option for grade 3 obesity. And sometimes, for grade 2 obesity with 2 associated diseases like diabetes, hypertension, sleep apnea or say any other problem which is associated with obesity. The treatment will depend upon the grade of obesity. Now when we talk about bariatric surgery, it is basically a laparoscopic surgery, gastrointestinal surgery where we actually reduce the size of the stomach and some kind of surgeries where we re-route the intestines and join it to the stomach. There are 2 types of surgeries which are commonly performed in India: Laparoscopic sleeve gastrectomy. In this, we divide the stomach vertically. We create a small tube of the stomach. In this 65% of the stomach is removed out of the body. So, a small tube of the stomach remains inside the body. So, the amount of food gets reduced and they feel full early.

Another advantage, the person doesn't feel hungry much after the surgery. The other surgery is called a laparoscopic gastric bypass. This is one of the common and oldest surgery. It has one of the best results. In this small pouch of the stomach is created. So, here we are not removing any part of the stomach, we actually re-route the intestine to reduce the size of the stomach. This also has similar effects. The person is able to eat less. They don't absorb all the calories from the food. Now, it totally depends upon the patient's clinical profile. After a thorough evaluation, we see what surgery will be comfortable. All surgeries will lead to 65-75% of excess weight. Bariatric surgery also leads to very significant results and improves the quality of life. Associated diseases like diabetes, high blood pressures, sleep apnea, liver disease, lung disease, all these leads to a lot of improvement after bariatric surgery and overall health of the patient improves.

Weight loss happens over a period of about a year-year and a half. Most patients are able to maintain their weight. For the long term of weight maintained, a little bit of work is required from the patient's end as well. We do some degree of lifestyle and behavioral modification. Follow-up is a very important part of the whole program. Because good follow-up and great attendance keep the patient motivated. So, bariatric surgery is safe. In the end, I would like to say that when you are suffering from obesity, if you do not get treated properly, there are repercussions for that. And that can actually lead to a life-threatening problem. Doing surgery is always a risk and patients always think twice about it. But doing bariatric surgery for obese patients is much better than going into further risk. If you have any query regarding weight loss or bariatric surgery, you can contact me through Lybrate.

Thank You!

Hi,

I am Dr. Milind V. Wankhede, IVF Specialist. Our centre is equipped with evidence-based and research-oriented modern technologies which help us provide complete best and ethical solutions for patients of infertility both male and female. Cancer screening and cancer prevention procedures for ovarian, breast, cervical. Diagnosis and management of abnormal baby and the use of laparoscopy and hysteroscopy for female problems and diseases. We provide complete fertility solution such as evaluation of male and female partner, fertility test of the male and female partner. And fertility treatments like ovulation induction, follicular monitoring, IUI, IVF, ICSI, PGD, PGS, laser hatching and all other fertility treatments under one roof. All fertility treatments are personalized, confidential and with flexible payment skim.

Our main motto is to come as a couple but to leave as a family. In female cancer prevention, we provide screening and preventive procedures such as colonoscopy for cervix, hysteroscopy for uterus, sonography for breast and ovary and other various tests are required for prevention of cancer in females. We provide advanced laparoscopy and hysteroscopy approach for diseases such as infertility, fibroid, endometriosis, ovarian cyst, removal of the uterus, bleeding disorders and other various female problems. We provide facilities for diagnosis and management of abnormal baby, especially in couples who are having genetics disorder such as 3D, 4D sonography, marker test, fetal detection etc. So that the couple always has a healthy baby. We would like to serve all these services at our centre. So, do visit us.

Thank You.

Hi,

 I am Dr. Pravin Gore, Proctologist. Today I will talk about Constipation. It is a very common problem. What is constipation? Is it the hard stool which is difficult to pass? Or patient has to push the stool? Or is it the blockage which happens? So, there are various definition. Patient feels no urge to go to the toilet. And they have to take medications. Patient would never be able to understand since when he is suffering from constipation. So, there are various tests that can be done to treat constipation.

We do the lab testing to identify the problems. We have scientific methods to overcome this problem. It is not always surgery. We do holistic approach. Dietary and lifestyle changes are required. We do pelvic therapy. 70-80% of the patients have found relief by taking this therapy. We also offer different kinds of surgeries to the patient like Stapled transanal rectal resection (STARR). 2nd is laparoscopic surgery. We do botox to get rid of constipation. So, constipation is a surgically curable domain. So, it has to be investigated properly and diagnosed properly.

Thank You!

Hi,

 I am Dr. Pravin Gore, Proctologist. Today I will talk about Constipation. Iss mein aap ko stools mein problem aati hai. 100 mein se 60 people constipation se suffer kar rahein hote hain. Logon ke alag-alag concept hain constipation ke liye. Log medical store se medicines lete hain aur kuch log treatment lete hain. Is type ke treatments se kuch dino tak hi patient ko aaram milta hai. Lekin baad mein pressure banna band ho jata hai. Kuch logon ko itni problem ho jati hai ki kabhi-kabhi unhein finger se waste ko nikalna padta hai.

So iska treatment bahut important hai kyunki hume janna hai ki constipation kis type ka aap ko hua hai. Ek bar hume vajha pata chal jaye to iska ilaj bohot easy ho jata hai. Isiliye humne dietition rakhein hain aap ko solution dene ke liye. Ye aap ko help karte hain ki bina kisi operation ke aap ko kaise help mil sakti hai. Medicines and pelvic floor therapy aap ko kaise help kar sakti hai. Isliye hum confidence ke sath kehte hain ki hum patient ki life mein change la sakte hain. Operation ke 4 types hain jiss se constipation ki problem ko thik kiya ja sakta hai. 1st is Stapled transanal rectal resection (STARR). 2nd is laparoscopic surgery, isme hum aap ki constipation se related jo bhi problem ho jati hai vo sab hum thik kar dete hain. Childbirth bhi aap ko constipation ka problem deta hai. Aise patients ke liye pelvic floor therapy bohot achi hoti hai. So, constipation bohot common problem hai. Isiliye iska treatment bahut important hai and ye problem thik ho sakti hai.

Thank You!