MANKINDD - Gastro, Liver & Pancreas Centre

Here are health-related tips of Appendicitis

Hello friends! Now I am going to talk about an entity about which way you and everyone has been hearing since our childhood an ‘’Appendicitis’’, and Appendicectomy, an operation for that. We all hear this thing right since our childhood. It is one of the most commonly affecting disease in general population whether it is male or female. The incidence is right from the first decade of the age and it goes on till almost 50, 55 years. Thankfully, the appendicectomy after late fifties is not much and therefore the population below fifty is definitely vulnerable for it. Why we see a lot of patients with appendicitis nowadays? I think one of the reason is our bad to worse lifestyle. Less water intake, constipating foods like all junk and fast foods, absence or minimal presence of green leafy vegetables, vegetables in general, a sedentary lifestyle and so and so forth are all the factors which induce constipation and situations even like appendicitis.

We see a lot of children who have gained a lot of weight, thanks to the food habits. And this also is one section of the society in which we see a lot of appendicitis. How does a patient feel? How does a patient present with appendicitis? Well the cardinal, most important thing is pain, severe pain usually starting from the middle of your tummy and ,then probably in sometime, over a period of 12 to 24 hours, localizing to the right lower side of your abdomen, wherein it will remain constant. The pain can be quite unnerving needing immediate medications, injections, sometimes even hospital admission and this will be associated with lot of dyspepsia, nausea, in some patients even severe vomiting. This is one of the most classical way in which appendix presents and it is also called as Acute Appendicitis.

Well we have a small section of patients where all these dramatic symptoms may not be there and patients may complain mainly of dyspepsia, fullness of tummy, bloating, especially after eating food. Few hours after consuming the food pain will be dragging sometimes dull sometimes severe, but we will keep localizing to the right lower quadrant of the right lower side of the abdomen. Appendicitis is a clinical diagnosis which a doctor makes after examining the patient. We see a lot of patients coming to us with CT scans, ultrasonic abdomen, MRI and things like that. Trust me in even 21st century the best diagnosis for appendicitis is made by clinician, a doctor who examines the patients and thereby a lot of appendicitis patients, they don't need CT scans and things like that, unless and until a complication has happened or we are dealing with something else or there is a diagnostic dilemma.

So what does a patient need to have? Well he needs to have some basic blood tests that complete blood picture. We also need to show and be sure that there is no urinary tract infection especially in young women and thereby we also ask for a urine examination. In young fertile or what we call as, you know menstruating age group women, we need to be very sure about the genic history and things like that. Before we come to a diagnosis, an ultrasound helps in appendicitis as a way what we call by diagnosis by exclusion wherein exclude that there is no right kidney stone, There is no right electric stone and in women the right ovary and fallopian tubes are clean, but mainly and I would reinforces is this that appendicitis still demands a clinical diagnosis.

All the investigations which we do, they aid the diagnosis they don't make the diagnosis really. The second important factor is appendicitis can be dramatic and can present with complications like number 1 ,wherein a patient who is having abdominal pain will suddenly become sick ,his pulse rate will go and start having high grade fever and so and so forth. The pain will not be relieved by any analgesic. Conventionally, you should always suspect a perforation of appendix. Likewise a patient can also present to us with what we call as an appendicular abscess, wherein it has perforated and there is a nice pus collection around the appendix. So a small disease ignored at that particular time can present to us in a very dramatic way and with a lot of complications. Well the treatment of appendicitis in one sentence is an appendicectomy an operation. All the medicines which are used to treat appendicitis or associated conditions will give a temporary relief, will alleviate the pain for some time, will reduce the infection, but will not take away the problem. I strongly recommend that a simple operation is the best remedy. This surgery can also be done by conventional method, an open surgery or a laparoscopic method. And appendicitis is a situation which can grow from simple to bad and worse within no time. Thereby, don't waste time, try and seek and early treatment. Number 2, don't get feared by the fact that you will need an operation, because in the final run a simply done timely nice operation will save you from all the possible complications and the drama you go through.

Thereby I request you to make use of me through this wonderful medium or you are free to consult me at my consultation rooms at your wish and will. Thank you.

Here are causes, symptoms, treatment of Gall Bladder Stones

Hello everyone. Basically, I’m a trained surgical gastroenterologist. And I’m also trained in liver surgery pancreatic surgery and surgery is related to the bile duct and liver transplantation. Basically, I offer all the surgical services in advance laparoscopy. We even do what we call commonly as a weight-loss surgery or bariatric surgery. And we are an extremely experienced team when it comes to dealing with complicated liver surgery gastrointestinal surgery and pancreatic surgery and things like that. The occurrence and incidence of gallbladder stones what we call them as also called in little bit medical terms as cholelithiasis or calculi in the gallbladder. Surprisingly is quite more than all of us think it is a disease or a situation is very common in urban society now. I think it has also changed with a period of time because with the changing habits of eating our lifestyles stress and everything the in general incidence of GA this gone up and we see a large number of patients with what we call as gallbladder stones.

Now for quite a few of these patients, the gallbladder stones may be present in the body but the patient or the person himself may or may not be aware of it. The very fact that the person becomes aware of it is because the gallbladder stones start producing symptoms. Now we divide these patients broadly into two categories the first category is a very what we call as classic presentation were in a patient will have abdominal pain retching sometimes vomiting. The pain is so excruciating that it will not subside with one or two tablets may need some injections and a few of them also need hospitalization. Treatment of gall stones now let me make it very clear that there is no definite to curative treatment of gallstones through any medicine or injection. When we see this the symptoms of cholelithiasis or gallbladder stone pain they can be taken off by medicines this will give a temporary relief to the patient but the curative treatment is not available in terms of medicine.

So what do we do next? The simplest thing is we need to do an operation and remove the gallbladder. In medical terms, this is called as a cholecystectomy and in the modern era or simple operation than to a laparoscope called laparoscopic. Cholecystectomy is an ideal treatment for this problem. The moment I shared this with my patients I tell them that you have to remove your gallbladder for gallbladder stones. The question asked is that “what will happen when you remove the gallbladder?” As in kidneys, we remove the kidney stones we don’t remove the kidney but in gallstones, we have to. One of the simplified answers which I have given to my patients is that presence of a stone in kidney won’t affect the function of the kidney at the latch. But the presence of gallstones and gallbladder the function of the gallbladder goes down it becomes a bag of infection it invites infection and repeated attacks of pain and there by a surgical removal of the gallbladder with stones is an ideal treatment. It is done through a laparoscope as I’ve already mentioned to you with minimal cuts on your body.

In less than five percent situations due to medical reasons, anesthesia fitness related issues are some other problems intraoperatively this operation is also done in a conventional way which is called as an open cholecystectomy. The most important thing here to remember is that gallstones are best treated when they have not produced complications and thereby I request all my viewers my patients and followers to not take this entity lightly don’t ignore gallstones be alert and get treated comprehensively by a simple operation.

I would be very happy to share all my parts and use with my viewers through Lybrate which is a wonderful medium. Patients needing further assistance can always come to my consultation and we can treat them the best of the ability. Thank you

Here are cause,symptoms and treatment of Piles or Hemorrhoids

"Hi friends! Nice to be with you through this wonderful medium called “Lybrate”. Today I am here to discuss with you one of the most common, irritating and nagging problem which we in common language call as “Piles” or in medical terminology we call them as “Hemorrhoids”.

Bleeding Piles or Hemorrhoids is one of the most common problem in our society. It has evolved, the presentation has changed and the number of patients getting effected by this problem continues to be very high. It effects males as well as females in equal number. Early age group and late age group, both are included in this irritating problem. The main issue with this particular disease is that a lot of people in our country still feel a little bit inhabited and ashamed to discuss this problem.

Now what are basically Hemorrhoids or Piles? They are basically nothing but Venus or small veins which are there in our rectum and anal canal, which over a period of time for some reasons, known and unknown, become prominent, dilated thin walled and then with every episode of passage of stools there is bleeding. One of the most important symptom, bleeding, whenever it occurs more than once or twice is never to be ignored because we could be dealing with what we call as Hemorrhoids. Classically, Hemorrhoids never cause pain, it will be a painless bleeding and if it is associated with pain then we must keep an option of fissure in association with Hemorrhoids.

Fissure is nothing but a cut onto the tracheal wall or the anal canal wall, which at every time of passage of motion will produce pain, bleeding and after that some variable amount of burning sensation. This problem does not need high funda stuffs like CT scans and MRI, we can do away with a diagnosis of Hemorrhoids and fissure with a good clinical examination. In some patients with extreme age groups we do recommend Sigmoidoscopy or a Colonoscopy which are basically an outpatient endoscopic tests. No higher level of investigations are required in these particular patients.

Well, the treatment of Hemorrhoids varies. It comprises of some medical treatment in terms of medication tablets, syrups, other things, and surgery. Small Hemorrhoids what we medically call them as Grade-1 Hemorrhoids, rarely require treatment. Grade-1 and Grade-2 Hemorrhoids, they may settle down with medical treatment in terms of some syrups which reduce constipation, antibiotics and some analgesics. The remaining patients of Grade-3 and Grade-4 definitely need operation.

Surgery can be done in various methods. There are newer techniques, one of the popular newer technique is what we call as a stapled Hemorrodectomy and then there are conventional techniques. In our mammoth experience of last ten to fifteen years, irrespective of technique if the surgery is performed safely in experienced hands, it rarely produces symptoms again, recurrences are less and complications are fewer. I recommend all the patients who are in regular working hassles not to delay these symptoms. Try and see at which level your hemorrhoids are and choose an appropriate treatment from a good competent doctor. As I have said earlier and in many instances, simple diseases become complicated when they are ignored or they are wrongly treated.

My sincere request to all of you is, do not ignore bleeding per rectum, have a quick correct diagnosis through a good doctor and don’t get unnecessary jitters by listening to the word surgery. Hemorrhoid surgery has become safe and is very very complication free in safe and experienced hands. Thank you. "