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Gastroenterology Surgical Treatment

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What is Appendicitis ?

• Appendicitis is an inflammation of the appendix

• It is a finger-shaped pouch that projects from your colon on the lower right side of your abdomen

• Appendicitis causes pain in your lower right abdomen

• As inflammation worsens, appendicitis pain typically increases and eventually becomes severe.

• Standard treatment is surgical removal of the appendix.

Signs and symptoms of appendicitis may include

• Sudden pain that begins on the right side of the lower abdomen

• Sudden pain that begins around your navel and often shifts to your lower right abdomen

• Pain that worsens if you cough, walk or make other jarring movements

• Nausea and vomiting

• Loss of appetite

• Low-grade fever that may worsen as the illness progresses

• Constipation or diarrhea

• Abdominal bloating

Appendicitis can cause serious complications, such as

• A ruptured appendix

A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity.

• A pocket of pus that forms in the abdomen

If your appendix bursts, you may develop a pocket of infection (abscess). In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for two weeks, and you’re given antibiotics to clear the infection.

Once the infection is clear, you’ll have surgery to remove the appendix. In some cases, the abscess is drained, and the appendix is removed immediately.

Consult a doctor immediately if you have any of the above symptoms.

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Gallstones may cause no signs or symptoms. If a gallstone lodges in a duct and causes a blockage, the resulting signs and symptoms may include:

• Sudden and rapidly intensifying pain in the upper right portion of your abdomen

• Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone

• Back pain between your shoulder blades

• Pain in your right shoulder

• Nausea or vomiting

• Gallstone pain may last several minutes to a few hours.

Seek immediate care if you develop signs and symptoms of a serious gallstone complication, such as:

• Abdominal pain so intense that you can’t sit still or find a comfortable position

• Yellowing of your skin and the whites of your eyes

• High fever with chills

Gallbladder class=

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. For example, the intestines may break through a weakened area in the abdominal wall.

Hernias are most common in the abdomen, but they can also appear in the upper thigh, belly button, and groin areas. Most hernias are not immediately life threatening, but they don’t go away on their own and can require surgery to prevent potentially dangerous complications.

Common hernias

• Hiatal Hernia

• Umblical Hernia

• Incisional Hernia

• Ventral Hernia

HERNIA

Hemorrhoids also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids have a number of causes, although often the cause is unknown. They may result from straining during bowel movements or from the increased pressure on these veins during pregnancy. Hemorrhoids may be located inside the rectum (internal hemorrhoids), or they may develop under the skin around the anus (external hemorrhoids).

Tests and procedures to diagnose internal hemorrhoids may include examination of your anal canal and rectum:

• Digital examination During a digital rectal exam, your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths. The exam can suggest to your doctor whether further testing is needed.

• Visual inspection Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor may also examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope.

Treatment

• Holistic remedies

• Medication

• Surgical intervention

piles

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).

Anal fissures are very common and can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths. Some people with anal fissures may need medication or, occasionally, surgery.

Symptoms

• Pain, sometimes severe, during bowel movements

• Pain after bowel movements that can last up to several hours

• Bright red blood on the stool or toilet paper after a bowel movement

• Itching or irritation around the anus

• A visible crack in the skin around the anus

• A small lump or skin tag on the skin near the anal fissure

Fissure

Surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus. This reinforces the lower esophageal sphincter, making it less likely that acid will back up in the esophagus.

Fundoplication

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• Anti – Reflux surgery

• Esophageal strictures

• Surgery for cancer of the esophagus

• Surgery for Achalasia cardia

Surgeons at Prashanth Hospitals offer the latest in diagnosis and treatment of disorders of the colon, rectum and anus. Their expertise is in :

• Colon and rectal cancer and colon polyps

• Inflammatory bowel disease — Crohn’s disease and ulcerative colitis

• Diverticulitis and diverticular disease

• Anal problems such as hemorrhoids, fistula and fissure

• Motility problems of the colon, such as constipation

Colorectal

• Surgery for gall bladder stones

• Surgery for gall bladder cancer

• Biliary strictures

• Bile duct carcinoma ( Cholangiocarcinoma )

• Whipple’s procedure for pancreatic cancer

• Surgery for acute and chronic pancreatitis

• Surgery for neuro-endocrine tumours of the pancreas

• Liver resection for tumours

Hepatobiliary and Pancreatic Surgery

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Prashanth Hospitals-Multispeciality Hospital in Chennai, Best Hospital in Chennai

Prashanth Hospitals-Multispeciality Hospital in Chennai, Best Hospital in Chennai