All’s well if hind’s well

proctology in Bangalore

We are all living in a world of technology where goal, passion, success and commitment are the key ingredients for achieving the destination and adding to it we also make sure that whatever we do, we do it with a smart way then going a hard way. But these also take a toll on the overall balance and many times gets us to indulge in food habits that can hurt the digestive system. Coupled with low activity and stress the metabolism can be an issue leading to problems which are typically classified as ano-rectal disorders.

It is proven that having an improper diet, less of physical activities, irregular sleeping, smoking and sometimes consumption of alcohol have caused lot of issues in the human body and also have caused a long term effect as well.

It is therefore suggested to have meals regularly and on time. Fibre rich food is very useful in keeping the bowel movement and digestive system in order to help in the morning routine

But certainly if these things are not taken care and not kept under control then probability is very high that it can cause severe implications. Neglecting these can lead to problems such as piles, fissures, fistula, colorectal infection, and other disorders.  Ano-rectal disorders can however be treated.  Proctlogists can help treat the issue and many times surgery is advised.


What is Proctology? How is it done?

It is a branch of medicine which deals with surgery related upon the colon, rectum and anus.

Two types of instruments which can help doctors check medical procedure:-


While, Proctoscopy is a very simple and advanced medical procedure in which an instrument, proctoscope is used to examine the anal cavity of the rectum, or sigmoid colon. The instrument is generally small and handy, straight, rigid, with a hollow metal tube, and usually has a small light bulb mounted at the one end.

Sigmoidoscopy  is mostly a medical examination of the large intestine from the rectum through the colon. There are two types of sigmoidoscopy: flexible sigmoidoscopy, which uses a flexible endoscope and which can rotate giving the most accurate details possible, and rigid sigmoidoscopy, which uses a rigid device. Flexible sigmoidoscopy is generally the preferred procedure by the doctors.



Different types of Surgeries in Proctology?

Following are the surgeries which are counted as a part of Proctology and practised under it.

  • Piles; incisions made around the anus to remove the haemorrhoids also known as Haemorrhoidectomy.
  • Fistula; an abnormal or surgically between the two hollow tubular organs.
  • Anal Fissures;bleeding during bowel movements due to hard stools.
  • Colectomy ; Colon resection which is a procedure to remove all or part of the large intestine.
  • Inflammatory Bowel Disease Surgery; primarily includes ulcer issues related to disease, that effect the lining of the digestive tract. Causes flare-ups of intense and intestinal pain that may require hospitalization.
  • Colostomy; a surgical procedure in which a hole is created in the abdominal wall or through the large intestine.
  • Internal Sphincterotomy; to treat chronic anal fissures that are small tears in the mucous lining of the rectum and the sphincter muscle.
  • Rectopexy; surgical procedure to treat rectal prolapse.
  • Resection; the anus, rectum and part of the sigmoid colon are removed to include the attending vessels and the tissue attaching the lymphnodes.
  • Haemorrhoidectomy; incisions made around the anus to remove the haemorrhoids.(piles)
  • Ileal Pouch Anal Anastomosis; the J-pouch procedure, to create a pouch from the end of the small intestine and attach the pouch to the anus
  • Endoscopic Surgery; is performed using a scope, a flexible tube with a camera and light at the tip. It easily glides in to allow the surgeon to see inside the colon and perform procedures without making major incisions.
  • Inflammatory Bowel Disease Surgery; surgery to remove the colon to treat ulcerative colitis.


Symptoms for undergoing the surgery?


Listed below are some of the symptoms which might be the cause of a colorectal infection:-

  • Inflammationof veins in the rectum and anus
  • Unnatural cracks or tears in the anus or near to the walls
  • Abnormal passage ways between the rectum and other anorectal areas
  • Severe constipationconditions
  • Anal cancer
  • Birth defectssuch as the imperforate anus
  • A lump on the walls of the rectum
  • Treatment of the severe pain in the large intestine
  • Cancer of the colon and the rectum
  • Any injuries occurring to the anus


What is the recovery time after the surgery?

Most patients can spend around 1 to 5 days in the hospital. A typical average for a laparosocopic procedures is somewhere in between 2 -3 days, were as it is about 3-5 days for the open procedures. Patients are generally discharged when they feel energetic and able to discharge at regular intervals. On the other hand they have to make sure they can tolerate a diet without needing much fluid, and the pain is reasonably in control. At home, most patients might require 2-4 weeks before getting back to their regular activities. The most common complaint can be to get a fatigue or getting tired very easily but this will improve with time and medications. There may be events that occur after surgery that may include but are not limited to infections, digestion problem which might cause the intestines to swell, or anesthesia-related problems etc. and there is no way doctors can predict or prevent these occurrences as they are natural in nature.


Through it is not easy to judge what is the best we can do to reduce the impact of colorectal disorder but what doctors and many practitioners have suggested is to follow 80-20 rule that means by spending 20 percent of the day on productive activities such as exercise, proper nutrition and on family, prospects are that 80 percent of the time we will be not be facing any health related nor medical problems. Adding to this following a proper time table, leading a discipline life and adhering  good sleeping patterns can still further improve the chances and also enhances the overall immunity, endurance power and strength.


Does your gall, often give a painful call?


Gall Bladder Surgery In Bangalore
Gall Bladder Surgery

Have we all, ever wondered, what all our human body can do? There are so many biological systems which are connected with one another intertwined to form one human body, yet each one is so different from the other in functionality.


There are organs which are essential for our survival such as the brain which is the body`s control system and helps in sending and receiving signals from the nervous system, the heart which is responsible for pumping the blood throughout the human body, the kidneys to remove the excess waste and extra fluid from the blood, the liver for detoxifying the harmful chemicals and the lungs for removing the oxygen from the air and transferring to the bloodstream.


But with these vital organs which we have, there are few organs which can be completely separated from the body without any issue as well.

According to CNN Health; there are 10 organs which can be removed entirely without affecting the body and Gallbladder ranks the top of the list. This truly means that Life can still go without a gallbladder isn’t it?


According to a study in USA and Canada, 1 in every 15 undergoes a surgery on gallbladder and chances are very high that doctors advised them to go for a removal. Most of the doctors and practitioners believe that once the surgery is done people don’t notice any changes in their overall daily activities but a little attention, in the long run, will reap wonders.


Living without a Gallbladder

Now, this is something which is amazing but it is true that most animal species in the world don’t have gall bladders. As most of the animals eat on a regular basis and in a continuous manner they don’t require bile (i.e. a liquid that helps in digestion of fatty foods) for storage. Examples such as cow, sheep, deer and many other herbivorous animals.

But obviously, living without a gallbladder means that there is no production of bile juice as it can no longer be able to store bile.


However, when the gallbladder is removed, the reservoir is also removed so practically speaking, even though we will have the same amount of bile in our body, but we will not have as much bile in our intestine after the gallbladder is gone.


Reasons to remove gallbladder?

Gallbladder problems usually occur due to the presence of gallstones which are uniquely very small and hard, consisting of cholesterol fats and bile salts that form in the gallbladder or in the duct.

These gallstones can block the flow of bile out of the gallbladder through the duct, causing it to swell and also result in, vomiting, indigestion, sharp abdominal pain and, high fever.

Gallstones are also more common as you get older, during pregnancy and some people may have a family history of gallstones. Many times there is no known means to prevent gallstones inside the body thus doctors encourage to go for gallbladder removal surgery.




How the Gall Bladder removal surgery takes place?

Gallbladder removal surgery or cholecystectomy is a process of removing the gallbladder through to possible methods.

  • Open Method.
  • Laparoscopic method.


Open (traditional) method; One incision of 3 to 6 inches long is made on the upper right-hand side of your belly just below the rib cage area. The surgeon finds the gallbladder which will be present below the pancreas in a shape of a pear, properly cut along the top making sure the nerve ending is taken care and then carefully remove it.


Laparoscopic method; This method uses 3 to 4 very small incisions in different areas. It is called as a laparoscopic method because it uses a long, thin tube called a laparoscope. The tube has a small camera attached to it which reaches the location and gives a projection on the TV monitor to the doctor which helps them reaching to the right area with the surgical tools. Then finally the gallbladder is removed through one of the incisions which were done initially during the surgery.


Precautions needed after Gall Bladder surgery?

  • Restricting to go on a diet which is high in fats and stick with clear liquids, broths, and gelatine.
  • In total don’t keep more than 20 percent of the daily intake as fats.
  • Slow reintroducing of high-fiber foods, as those are known for causing gas and diarrhea, but will help in curing the wounds faster.
  • Drinking plenty of water to stay hydrated. Drinks with sodium, chloride, and potassium are best after any surgery and for avoiding dehydration. Also, proper intake of juices also helps in faster recovery.
  • Try to avoid/restrict alcohol, drinking containing caffeine and if possible, try to quit smoking habit for about few months, as this can impact central nervous system and also the respiratory system. Caffeine and alcohol can also cause an upset stomach in some people and can cause severe health issues.
  • Last but not the least, Stay positive. Do not be disheartened by stomach discomfort at regular intervals and the limited diet if required or as prescribed by the doctor after gallbladder removal surgery. The probability of getting back to your normal diet within a few weeks is high. Chances are also good that you might continue with the same diet plans as it was before.


Even if, despite following all the medical advice, the medical prescriptions and taking sufficient amount of rest makes you feel uncomfortable at times then it’s suggested to be in contact with your doctor, further he/she can give you a personalized solution for your problem if required.

So if anybody is planning for a gallbladder surgery in the near future then chances are high that they can go for a safe removal of the same without any worries.


A stitch in time saves spine

best spine surgeons in bangalore
Lumbar Spine Surgery In Bangalore

Are you a sportsman, a traveler, a heavyweight lifter or does your work involve straining your back at the regular time? The chances might be high that you get regular back problems more often than others. Today, one in every five people are facing backache problems or issue related the to spine, the problem has often lead to making people feel lethargic, weak and also rupturing some of the internal body parts. In a recent study done it was told that the most important part of the body is not the brain, neither the heart but it is the spine as it helps our body in shaping and developing its posture, helping us to walk, run, and stand, also giving the whole body the strength and the endurance power to carry out day to day activities.


So keeping the back problems under control can help you increase you’re personal as well as professional life.

Some of the simple methods which you can always keep in mind are:-

  1. Of all the body parts our spine is the one which works hard all day and then they finally have an opportunity to relax and get rejuvenated. To make the most of this time, providing a great mattress will allow the spine to rest in a best and comfortable way. Choosing a mattress and pillow is largely based on personal preference and majorly depend upon your preferred sleep positions as well.
  2. Your lower back and abdominal muscles need to be strong in order to support the spine and take pressure from the lower back. But most of the core muscles are rarely used during everyday activities; that’s why it is suggested to exercise for 30 minutes to 1 hour a day in order to flex those muscles. For more information regarding the required exercises please visit a doctor to help you guide the right exercise.
  3. Whether we are walking or exercising the shoes which we wear plays a very important role in supporting our lower back. Great shoes provide a supportive base that helps the spine keep upright but you should also make sure that if fits your size and comfort level as well.
  4. Lastly but not the least the massage done at right place has a huge benefit. A good massage will help you increase the body’s own natural painkiller—which in turn may allow you to improve your back problems. A proper massage can also help you to encourage the blood flow, which in return brings healing nutrients helping in a speedy recovery.


But, if these things don’t work and the problem persists for a long time then there then, you may need a surgery.


What is Lumbar spine surgery? What are its types?

The lumbar nerves are the five pairs of spinal nerves which emerge from the lumbar vertebrae which are present on either side of the spinal cord. The lumbar spine is a remarkably well-engineered structure which connects the bones and the muscles, these all contribute together around the lumbar nerves creating strength and endurance to the whole structure. If the pain starts with lumbar nerve and gets too intense then generally speaking in medical terminology it’s time to for a surgery. This surgery about the spine is called as the lumbar spine surgery.

There are two types of surgeries in the lumbar spine:

Lumbar Decompression

The surgery helps get rid of symptoms such as unparallel pain and numbness in the lower body caused by pressure in the nerves of the spine.

Lumbar decompression surgery is often used to treat;

Spinal stenosis which is, narrowing of a section of the spinal column, which puts pressure on the nerves inside a slipped disc and sciatica.

Some spinal injuries such as a fracture or the swelling of tissues may cause metastatic spinal cord compression when not treated might end up with a permanent rupture in the area.

List of Surgeries

Lumbar Fusion

A spinal fusion surgery is done in order to stop the motion at a painful vertebral segment also keeping in mind that it should decrease the pain generated from the joint.

There are also many approaches to a spinal fusion surgery, and all this involves a process such as:

  • Adding up a segment of the backbone known as bone grafting.
  • Set up a biological response that can cause the bone graft to grow between the two vertebral elements to create a bone fusion.
  • The boney fusion – which is done to replace a joint bone area with a fixed bone.


Protections after the Lumbar spine surgery?

After you are done with the surgery, you will most likely be out of bed within 24 hours or more, and you can be on medications for at least 2 to 4 weeks. The traditional approach to recover with a back surgery has been to limit bending, lifting, or twisting for six weeks to close to three months. Healing of the opening and scars could take three to four months.

Lumbar Surgeries

Generally, after a surgery, you’ll receive instructions from the doctors on how to sit carefully, rise, and stand and do other activities. But it’s important to give your body time to heal, hence chances are your doctor will probably recommend you to restrict most of the activities which cause stress in the treated area.

After surgery, be vigilant. It is best to report every small problem which you face such as fever, nausea, increased pain, headache or any infection to your doctor right away.

Practice healthy habits by taking care of your body, and try to follow these basic steps:-

  • Follow a plan which might be given by the doctor.
  • Sit, stand, walk, move properly
  • Learn to lift smaller weights and see the implications.
  • Exercise regularly especially which is told by the doctor.
  • Use proper sports equipment also doesn’t try to use it for long it hurts you back.
  • Maintaining a healthy body weight.
  • Eat healthy as per the required diet.
  • Stop smoking and avoiding consumption of alcohol.

All said and done we should never forget that the spine is the central part of the nervous system, along with the brain, and the millions of nerves that send messages to the brain (which also controls the body’s function) are all connected to the spine. A healthy spine gives a way to the entire system, the strength of the body increases in endurance power, and provides support to the arms and legs, also helping in regular breathing and digestion.