INGUINAL HERNIA

One of the most common surgical conditions which effects the general population, predominantly males.

INGUINAL HERNIA?

One of the most common surgical conditions which effects the general population, predominantly males

So what is Inguinal Hernia?

An inguinal hernia is a profusion of abdominal cavity contents through the inguinal canal which is located in the lower abdomen or the groin.

Both men and women have inguinal canals.

In men, the Testis usually descends into the scrotum just before birth. In women it harbors the round ligament of uterus.

Symptoms

  • Majority of inguinal hernia's are symptomless but noticeable by their appearance-bulges around the groin or pubic Area.
  • Some patients experience increase in size of swelling when exertion or standing
  • Pain in groin during Coughing/Exercising etc.
  • Dragging or Heavy sensation in the groin
  • Swelling/Pain/heaviness in the scrotum
  • Complications of Inguinal Hernia

    IRREDUCIBILITY

    It means that the contents of hernial sac get stuck at the neck resulting in increase in the size of swelling, severe pain, discomfort

    OBSTRUCTED INGUINAL HERNIA

    • This is one step ahead of IRREDUCIBILITY
    • The stuck contents of the sac, can result in obstruction of the intestines or sometimes cut off the Blood supply to the intestines which are struck in the inguinal sac (Strangulation)
    • An Irreducible/Obstructed/Strangulated hernia is a SURGICAL EMERGENCY
    • DIAGNOSIS

      • Usually a good clinical examination is a good enough to diagnose Hernia
      • USG ABDOMEN AND HERNIA
      • CT SCAN OF ABDOMEN in certain situations will help in further diagnosis.

      TREATMENT

      • We need to understand that treatment of the predisposing factors is as equally important as treating Hernia itself
      • Constipation should be treated correctly before planning Surgery. Treatment of constipation is long term and so it should be correctly monitored after surgery also
      • Factors which predispose to chronic cough (Asthma, Bronchitis, Allergic Cough, TB, etc.)Should be adequately controlled
      • Patients should be treated for Prostate problems, urinary structure etc.
      • A good counselling is needed for patient regarding the weight loss, regular diet and exercise and to give up smoking
      • Treatment of Inguinal Hernia is essentially surgical. No medical/Injections can cure Hernia

      Principles of Surgery are

      • Push the contents inside the abdomen
      • Closure of the abdominal wall to close the defect
      • Use of a Mesh(Synthetic Material) to reinforce the repair
      • This can be done effectively through a conventional surgery or LAPROSCOPICALLY
      • The post operation course is usually uneventful
      • Patients are discharged within 24-48hrs after operation, in either form of surgeries. They are usually able to resume work in 3-4 days
      • Don't Neglect your health, don’t delay, Consult your Family doctor or nearest hospital or MANKINDD HOSPITAL



**HEART BURNS**

Literally burns your HEART!!

Some call it ACIDITY!

Some call it HYPERACIDITY!!

Some people call it RETRO STERNAL BURNING!

All these things translate into a problem which is experienced by lot of people.

More than15% people between age group of 35-40 years in INDIA face this problem-scientifically called as REFLUX DISEASE

Common causes are:-

-PEPTIC ULCERS.

-GALL BLADDER PROBLEMS.

-HIATUS HERNIA..etc..

Commonest and Simplest investigation is an UPPER GASTRO INTESTINAL ENDOSCOPY.

Please Avoid:-

-High Fat,Junk foods.

-Spicy foods.

-Smoking.

-High Doses of Analgesics.

-Bad Food Timings.

-Avoid Stress.

-Eat on Time.

-Avoid Big Quantity Meals.

-Exercise Daily.

-Check for your BLOOD SUGARS.

-Don't lie down immediately after eating.

-Avoid Smoking & Alcohol.

Remember, We are One Phone call away to ease your HEART BURNS..



Gall Bladder Stones.

Gall bladder is a tiny bag attached to the lower surface of Liver which stores bile in it. The bile is released in the small intestine as and when required which helps in digestion of food.

The most commonly problem affecting the Gall bladder is what we call as Gall bladder stones /Calculi/Cholelithiasis.

Common symptoms associated with Gall bladder calculi are :-

•Dyspepsia

•Bloating & Belching

Severe pain in the right upper part of the abdomen with vomiting,nausea also called as Biliary Colic resulting in ACUTE CHOLECYSTITIS.

Dull,intermittent upper abdominal pain and discomfort.

Some common complications associated with gall bladder stones are :-

What are some common conditions treated by stomach doctors?

Jaundice -usually as one of the small calculus slips in the bile duct and gets stucks there.

Gall bladder Cancer is associated in patients when Gall bladder stones are left untreated for long duration

Best and simplest treatment for gall stones is a Surgery.

Cholecystectomy -removal of gall bladder. Only removal of stones is not advisable.

It can be done with a Laparoscopic approach --Lap. Cholecystectomy .

Sometimes a conventional/Open Cholecystectomy is done.

*Gall stones are unpredictable.

So don't ignore the symptoms of gall stones because Gall bladder stones complications are many and dangerous

*Treat Gall bladder stones and be happy..

Liver Care & Prevention
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Liver is a vital organ which is responsible for synthesis of various proteins, coagulation factors, cholesterol, triglycerides and bile including glycogenesis. It is also responsible for detoxification of drugs, alcohol and control of infections.

Most symptoms of liver damage do not present themselves till very late.

Diseases such as hepatitis A, B, C, Hepatocellular cancer and cirrhosis often occur because of bad lifestyle choices, excessive consumption of alcohol and drugs, continuous intake of unhealthy food over a long period of time, sedentary lifestyle and lack of exercise.

Currently there is no cure for a severely diseased liver and therefore it is critical to take care of this multi-functionary organ and gland, because the only way to manage a failed liver is to get a liver transplant.

Here are a few things you need to know about this important organ so you can take care of it.

Causes for liver disease

  • Unhealthy lifestyle and eating habbits
  • Hepatitis A, B and C infections
  • High intake of alcoholic drinks, high cholesterol foods
  • Long standing DM, metabolic disorders, steatohepatitis.
  • Obesity
Symptoms of liver diseases and liver cancer
  • Sudden weight loss
  • Nausea and vomiting
  • General weakness and fatigue
  • Pain in upper abdomen
  • Enlarged liver (hepatomegaly)
  • Enlarged spleen
  • Abdominal swelling (ascites), swelling over the legs
  • Jaundice
  • Or a combination of above symptoms
How to care for your liver
  • Adopt a healthy lifestyle, have a balanced diet and exercise regularly
  • Eat foods from all the food groups. Include grains, proteins, dairy products, fruits, vegetables and fats.
  • Don't miss out on green leafy vegetables, broccoli, cauliflower, cabbage, carrot, apple and walnut in your diet.
  • Eat foods that have lots of fibre in them such as fresh fruits and vegetables, whole grain breads, rice and cereals.
  • Ensure safe blood transfusions to avoid contracting hepatitis A, B, C.
  • Alcohol, tobacco and drugs are absolute no.

Liver is the most important chemical factory in the digestive system of the human body. It is also susceptible to viruses, toxic substances, contaminants present in food and water.

Another important point to remember is, even if a large portion of liver is damaged or is malfunctioning, the symptoms of liver diseases occur very late.

Consumption of more than 21 small drinks a week in males and 14 small drinks in a week in females increases the chances of developing liver disease.

Accordingly, one should not exceed 2 drinks a day in men and 1 drink a day in women and it is good to have two days off in a week to allow the liver to regenerate.

Once fatty liver has developed it makes sense to avoid alcohol completely.

Similarly it is important to abstain from alcohol after acute viral hepatitis to allow for complete recovery.

Stay healthy and liver fit! While there have been major advances in treating liver diseases, there is no complete cure. Remaining alert and getting health check-ups done regularly can help in the early detection of liver cancer.

A second factor to remember is that liver cancer occurs almost always in diseased livers.

The importance of checking and screening for Hepatitis B and C as well as taking early and sustained care of the liver through a healthy, active lifestyle, therefore, cannot be over-emphasised.

Annual health checks should include a clinical examination, liver function blood test and ultrasound of abdomen.

By directing sheer waves through the liver with an ultrasound-like probe, the liver stiffness can be determined from the velocity of wave transmission.

Fibroscan is recommended for individuals who have raised liver enzymes in the liver function tests and in patients with obesity, fatty liver on ultrasound, alcohol intake or those at risk of developing chronic liver disease due to conditions like Hepatitis B or Hepatitis C.

One should opt for the newer versions of fibroscan with CAP (Controlled Attenuation Parameter) facility that can also quantify the fat content in liver.

Advanced investigations like a CT scan, MRI are recommended in certain patients.
Remember a healthy liver ensures that you live fit for long time

INGUINAL HERNIA
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HEART BURNS
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Gall Bladder Stones.
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