Obesity Doctor

Obesity Doctor is a speciality Bariatric & Weight Loss Surgery center which provides the best medical care and guidance to patients suffering from obesity and weight loss problems.

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Crohn's Disease - OVERVIEW | CAUSES | RISK FACTORS | SYMPTOMS | COMPLICATION | DIAGNOSIS | TREATMENT | PREVENTION | REFERENCES -obesitydoctor.in

Know about the Crohn's Disease- Symptoms, Causes, Treatments and more.

OVERVIEW

Crohn's disease is a type of inflammatory bowel disease (IBD). It causes inflammation of your digestive tract, which can lead to abdominal pain, severe diarrhea, fatigue, weight loss and malnutrition.

Inflammation caused by Crohn's disease can involve different areas of the digestive tract in different people. This inflammation often spreads into the deeper layers of the bowel.

Crohn's disease can be both painful and debilitating, and sometimes may lead to life-threatening complications.

While there's no known cure for Crohn's disease, therapies can greatly reduce its signs and symptoms and even bring about long-term remission and healing of inflammation. With treatment, many people with Crohn's disease are able to function well.

CAUSES

The exact cause of Crohn's disease remains unknown. Previously, diet and stress were suspected, but now doctors know that these factors may aggravate, but don't cause, Crohn's disease. Several factors, such as heredity and a malfunctioning immune system, likely play a role in its development.

Immune system. It's possible that a virus or bacterium may trigger Crohn's disease; however, scientists have yet to identify such a trigger. When your immune system tries to fight off the invading microorganism, an abnormal immune response causes the immune system to attack the cells in the digestive tract, too.

Heredity. Crohn's is more common in people who have family members with the disease, so genes may play a role in making people more susceptible. However, most people with Crohn's disease don't have a family history of the disease.

RISK FACTORS

Risk factors for Crohn's disease may include:

Age. Crohn's disease can occur at any age, but you're likely to develop the condition when you're young. Most people who develop Crohn's disease are diagnosed before they're around 30 years old.

Ethnicity. Although Crohn's disease can affect any ethnic group, whites have the highest risk, especially people of Eastern European (Ashkenazi) Jewish descent. However, the incidence of Crohn's disease is increasing among Black people who live in North America and the United Kingdom.

Family history. You're at higher risk if you have a first-degree relative, such as a parent, sibling or child, with the disease. As many as 1 in 5 people with Crohn's disease has a family member with the disease.

Cigarette smoking. Cigarette smoking is the most important controllable risk factor for developing Crohn's disease. Smoking also leads to more-severe disease and a greater risk of having surgery. If you smoke, it's important to stop.

Nonsteroidal anti-inflammatory medications. These include ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve), diclofenac sodium and others. While they do not cause Crohn's disease, they can lead to inflammation of the bowel that makes Crohn's disease worse.

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Why it is important to make Protein a priority after Weight Loss surgery.

Make Protein A Priority After Weight Loss Surgery

If you have had weight loss surgery or know someone who has, then you know that eating enough protein is one of their key nutritional goals after surgery.

THE IMPORTANCE OF PROTEIN

Protein affects the human body in many different ways. It helps build and maintain muscle mass and acts as a source of energy. Eating enough protein will also help keep your hair, skin and nails strong.

If your diet doesn't include enough protein, you might notice thinning hair about 6 months to a year after weight loss surgery. That’s because the human body can’t make protein without food – and also has no way to store protein – making it important to consume enough daily.

When you lose weight, it isn’t just fat, but muscle, as well. The goal of eating 60 to 80 grams of protein every day is to help minimize muscle loss (source). Holding onto more muscle can also help minimize sagging skin that is common after surgery.

PROTEIN FIRST

When sitting down to a meal or snack, start with protein. While fruits, vegetables and other carbohydrates are still part of a healthy diet, the priority is always protein.

For the first few weeks after surgery, you'll get most of your protein from shakes. However, as you reintroduce more solid foods into your diets, you'll need to make sure you're eating protein with every meal and snack.

High protein foods include meat, chicken, fish, tofu, milk, yogurt, eggs, cheese, beans, nuts, quinoa and soy products (source). Buying low-fat or non-fat milks, cheeses and yogurts will help reduce the amount of calories and fat in your diet. It is also important to look for added sugars in yogurt- opt for Greek yogurt to maximize protein while minimizing sugar. Choosing leaner cuts of meat- free of fat and skin- is another easy way to save on calories.

Adding protein powder to foods that may not otherwise contain high amounts of protein can be an easy way to change up your day-to-day diet.

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Weight-loss surgery helps you lose weight and lowers your risk of medical problems associated with obesity.

Weight-loss surgery helps you lose weight and lowers your risk of medical problems associated with obesity.

Bariatric surgery contributes to weight loss in two main ways:

Restriction. Surgery is used to physically limit the amount of food the stomach can hold, which limits the number of calories you can eat.

Malabsorption. Surgery is used to shorten or bypass part of the small intestine, which reduces the amount of calories and nutrients the body absorbs.

Types of weight-loss surgery:

Gastric Balloon Surgery

Gastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster.

Biliopancreatic Diversion

Biliopancreatic Diversion (BPD) creates a smaller stomach (similar to gastric bypass surgery), but in addition there is less absorption of ingested food inside the intestine (malabsorption).

Mini Gastric Bypass

A mini gastric bypass surgery functions just like a traditional gastric bypass surgery bun that the stomach is divided into upper and lower pouches and the small intestine is rerouted. This allows for both restrictive and malabsorption weight loss.

Gastric Bypass

Gastric bypass is surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat. After the surgery, your stomach will be smaller. You will feel full with less food. The food you eat will no longer go into some parts of your stomach and small intestine that absorb food.

Sleeve Gastrectomy

Gastric sleeve surgery involves removing or reducing the size of your stomach which typically leads to rapid weight loss. Medical professionals usually call it vertical sleeve gastrectomy.

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Colon Rectum Cancer Surgery in Ahmedabad - Obesitydoctor.in

Colon Rectum Cancer often requires more than one treatment type, an approach known as multimodal therapy. In general, the treatment modalities used are the same ones used to treat many other types of cancer.

The colon and rectum are parts of the digestive system. They form a long, muscular tube called the large intestine (also called the large bowel). The colon is the first 4 to 5 feet of the large intestine, and the rectum is the last several inches. Partly digested food enters the colon from the small intestine. The colon removes water and nutrients from the food and turns the rest into waste (stool). The waste passes from the colon into the rectum and then out of the body through the anus.

WHAT IS COLON / RECTUM CANCER

Tumors can be benign or malignant:

Benign tumors are not cancer:

Malignant tumors are cancer:

Benign tumors are rarely life-threatening.

Most benign tumors can be removed. They usually do not grow back.

Benign tumors do not invade the tissues around them.

Cells from benign tumors do not spread to other parts of the body.

Malignant tumors are generally more serious than benign tumors. They may be life-threatening.

Malignant tumors often can be removed. But sometimes they grow back.

Malignant tumors can invade and damage nearby tissues and organs.

Cancer cells can break away from a malignant tumor and spread to other parts of the body. Cancer cells spread by entering the bloodstream or the lymphatic system. The cancer cells form new tumors that damage other organs. The spread of cancer is called metastasis.

When colorectal cancer spreads outside the colon or rectum, cancer cells are often found in nearbylymph nodes. If cancer cells have reached these nodes, they may also have spread to other lymph nodes or other organs. Colorectal cancer cells most often spread to the liver.

When cancer spreads from its original place to another part of the body, the new tumor has the same kind of abnormal cells and the same name as the original tumor. For example, if colorectal cancer spreads to the liver, the cancer cells in the liver are actually colorectal cancer cells. The disease is metastatic colorectal cancer, not liver cancer. For that reason, it is treated as colorectal cancer, not liver cancer. Doctors call the new tumor "distant" or metastatic disease.

WHAT IS COLON-RECTUM CANCER SURGERY?

The choice of treatment depends mainly on the location of the tumor in the colon or rectum and the stage of the disease.

Treatment for colorectal cancer may involve surgery, chemotherapy, biological therapy or radiation therapy. Some people have a combination of treatments. These treatments are described below.

Colon cancer sometimes is treated differently from rectal cancer. Treatments for colon and rectal cancer are described separately below.

Your doctor can describe your treatment choices and the expected results. You and your doctor can work together to develop a treatment plan that meets your needs.

Cancer treatment is either local therapy or systemic therapy:

Local therapy: Surgery and radiation therapy are local therapies. They remove or destroy cancer in or near the colon or rectum. When colorectal cancer has spread to other parts of the body, local therapy may be used to control the disease in those specific areas.

Systemic therapy: Chemotherapy and biological therapy are systemic therapies. The drugs enter the bloodstream and destroy or control cancer throughout the body.

Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects depend mainly on the type and extent of the treatment. Side effects may not be the same for each person, and they may change from one treatment session to the next. Before treatment starts, your health care team will explain possible side effects and suggest ways to help you manage them.

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Rectum Surgeon Doctor For Rectum Surgery In Ahmedabad -Obesitydoctor.in

Laparoscopic colon resection surgery is an advanced minimally invasive procedure to remove a diseased section of the colon.

Rectum Surgery

The colon is the large intestine; it is the lower part of digestive tract. The intestine is a long, tubular organ consisting of the small intestine, the colon (large intestine) and the rectum, which is the last part of the colon.

After food is swallowed, it begins to be digested in the stomach and then empties into the small intestine, where the nutritional part of the food is absorbed. The remaining waste moves through the colon to the rectum and is expelled from the body. The colon and rectum absorb water and hold the waste until you are ready to expel it.

SYMPTOMS

Although laparoscopic colon resection has many benefits, it may not be appropriate for some patients. Colon stricture due to tuberculosis, Crohns disease and early stage cancer of colon are usually treated with laparoscopic surgery. Our health care team with discuss with you in detail and you are encourage for active discussion regarding appropriate procedure for you.

DIAGNOSIS

Most diseases of the colon are diagnosed with one of two tests: a colonoscopy or barium enema. A colonoscope is a soft, bendable tube about the thickness of the index finger which is inserted into the anus and then advanced through the entire large intestine. A barium enema is a special X-ray where a white milk-shake fluid is flushed into the rectum and by using mild pressure is pushed throughout the entire large intestine. These tests allow the surgeon to look inside of the colon. In case of malignancy, CT scan of abdomen is required to know about local spread of disease.

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Gastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach.

Gastric Balloon Surgery

Gastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster.

The intragastric balloon procedure may be an option if you have concerns about your weight, and diet and exercise haven't worked for you.

Like other weight-loss procedures, an intragastric balloon requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of the procedure.

HOW IT IS DONE

1. A soft balloon is placed by surgeon using endoscope through mouth into stomach. The balloon is then inflated inside the stomach by using a saline solution.

2. Once inflated, the balloon occupies space in stomach thus helps to reduce the capacity of the stomach. It gives feeling of fullness, thus you eat less without feeling hungry.

3. This procedure generally takes 30 minutes and performed under sedation to keep you pain free.

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Stomach being a part of GI Tract, different stomach diseases and their treatments are a part of the gastrointestinal disorders and their surgeries.

Stomach Surgery

The stomach is a hollow organ in the upper abdomen, under the ribs. It's part of the digestive system. Food moves from the mouth through the esophagus to the stomach. In the stomach, the food becomes liquid. Muscles in the stomach wall push the liquid into the small intestine.

The wall of the stomach has five layers:

Inner layer or lining (mucosa): Juices made by glands in the inner layer help digest food. Most stomach cancers begin in this layer.

Submucosa: This is the support tissue for the inner layer.

Muscle layer: Muscles in this layer contract to mix and mash the food.

Subserosa: This is the support tissue for the outer layer.

Outer layer (serosa): The outer layer covers the stomach. It holds the stomach in place.

WHAT ARE THE DIFFERENT STOMACH SURGERIES FOR?

Bleeding in intestine: Gastrointestinal bleeding (GI bleed), is all forms of bleeding in the gastrointestinal tract, from the mouth to the rectum. Bleeding is typically divided into two main types: upper gastrointestinal bleeding and lower gastrointestinal bleeding. Causes of upper GI bleeds include: peptic ulcer disease, esophageal varices (due to liver cirrhosis) and cancer. Causes of lower GI bleeds include: Diverticulosis, Angiodysplasia, inflammatory bowel disease (Ulcerative colitis & Crohn’s colitis), haemorrhoids & cancer. Obscure bleeding is defined as haemorrhage that persists or recurs after negative endoscopy. Occult bleeding is not apparent to the patient until presentation with symptoms related to the anaemia.

Know More About The Treatment.

Corrosive Acid Injury: The ingested corrosive substances are either alkalis or acid. Acids and alkalis produce different types of tissue damage. Acids cause coagulation necrosis, with scar formation that may limit substance penetration and injury depth conversely, alkalis combine with tissue proteins of body, and penetrate deeper into tissues.

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Mini Gastric Bypass Surgery & Surgeon In Ahmedabad  - obesitydoctor

The Mini Gastric Bypass is a short, simple, successful, reversible laparoscopic gastric bypass weight loss surgery. The operation usually takes shorter time, with lesser or similar hospital stay as regular bypass.

Mini Gastric Bypass Surgery

A mini gastric bypass surgery functions just like a traditional gastric bypass surgery bun that the stomach is divided into upper and lower pouches and the small intestine is rerouted. This allows for both restrictive and malabsorption weight loss.

The primary difference between mini gastric bypass surgery and a full gastric bypass is that the mini version of the surgery is performed in a modified manner that involves less intestinal rerouting and a shorter overall surgery time.

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Weight-loss surgery helps you lose weight and lowers your risk of medical problems associated with obesity.

Weight Loss Surgery

Weight-loss surgery helps you lose weight and lowers your risk of medical problems associated with obesity.

Bariatric surgery contributes to weight loss in two main ways:

Restriction. Surgery is used to physically limit the amount of food the stomach can hold, which limits the number of calories you can eat.

Malabsorption. Surgery is used to shorten or bypass part of the small intestine, which reduces the amount of calories and nutrients the body absorbs.

Types of weight-loss surgery:

Gastric Balloon Surgery

Gastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster.

Biliopancreatic Diversion

Biliopancreatic Diversion (BPD) creates a smaller stomach (similar to gastric bypass surgery), but in addition there is less absorption of ingested food inside the intestine (malabsorption).

Mini Gastric Bypass

A mini gastric bypass surgery functions just like a traditional gastric bypass surgery bun that the stomach is divided into upper and lower pouches and the small intestine is rerouted. This allows for both restrictive and malabsorption weight loss.

Gastric Bypass

Gastric bypass is surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat. After the surgery, your stomach will be smaller. You will feel full with less food. The food you eat will no longer go into some parts of your stomach and small intestine that absorb food.

Sleeve Gastrectomy

Gastric sleeve surgery involves removing or reducing the size of your stomach which typically leads to rapid weight loss. Medical professionals usually call it vertical sleeve gastrectomy.

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Gastric Bypass Surgery In Ahmedabad - Gastric Bypass Surgery Cost - obesity Doctor

A gastric bypass is one way to treat obesity and help a person lose weight. Keep reading to learn about the procedure and its effects.

Gastric bypass is surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat. After the surgery, your stomach will be smaller. You will feel full with less food. The food you eat will no longer go into some parts of your stomach and small intestine that absorb food.

To undergo the surgery you must first qualify for it and understand the risks and benefits involved. Those who are eligible are typically more than 100 pounds overweight or have a body mass index (BMI) over 40. You may also be eligible if your BMI is between 35 and 40 and your health is at risk due to your weight. To be a viable candidate, you should also be ready to relearn your dietary habits. New dietary habits can help the surgery have positive and lifelong effects.

Before your surgery, you need to make plans for a special diet to follow before and after the surgery. The presurgery diet is geared towards reducing the amount of fat in and around your liver. This reduces the risk of complications during the surgery. After the surgery, your doctor with tailor the general diet guidelines to you. The diet consists of several weekly phases. It helps you recover, meet the needs of your now-smaller stomach, and gain healthier eating habits.

HOW IT IS DONE

In this procedure, stapling creates a small (15 to 20cc) stomach pouch. The remainder of the stomach is not removed, but is completely stapled shut and divided from the stomach pouch. The outlet from this newly formed pouch empties directly into the lower portion of the jejunum, thus bypassing calorie absorption. This is done by dividing the small intestine just beyond the duodenum for the purpose of bringing it up and constructing a connection with newly formed stomach pouch.

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Biliopancreatic Diversion (BPD) creates a smaller stomach, but in addition there is less absorption of ingested food inside the intestine.

Biliopancreatic Diversion

Biliopancreatic Diversion (BPD) creates a smaller stomach (similar to gastric bypass surgery), but in addition there is less absorption of ingested food inside the intestine (malabsorption).

A biliopancreatic diversion with duodenal switch (BPD/DS) entails two major steps.

The first step is sleeve gastrectomy in which about 80 percent of the stomach is removed, leaving a smaller tube-shaped stomach, similar to a banana. However, the valve that releases food to the small intestine (the pyloric valve) remains, along with a limited portion of the small intestine that normally connects to the stomach (duodenum).

The second step bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach. A BPD/DS both limits how much you can eat and reduces the absorption of nutrients, including proteins and fats.

BPD/DS is generally performed as a single procedure; however, in select circumstances, the procedure may be performed as two separate operations — sleeve gastrectomy followed by intestinal bypass once weight loss has begun.

While a BPD/DS is very effective, it has more risks, including malnutrition and vitamin deficiencies. This procedure is generally recommended for people with a body mass index (BMI) greater than 50.

HOW IT IS DONE

This procedure is a variation of BPD in which stomach removal is restricted to the outer margin, leaving a sleeve of stomach with the pylorus and the beginning of the duodenum at its end. The duodenum, the first portion of the small intestine, is divided so that pancreatic and bile drainage is bypassed.

While these operations also reduce the size of the stomach, the stomach pouch created is much larger than with other procedures. The goal is to restrict the amount of food consumed and alter the normal digestive process, but to a much greater degree. The anatomy of the small intestine is changed to divert the bile and pancreatic juices so they meet the ingested food closer to the middle or the end of the small intestine.

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Appendix Cancer Surgery & Appendectomy Surgery - Ahmedabad, India

Appendix cancer Surgery or Appendectomy is the standard treatment for appendicitis. It’s crucial to remove the appendix right away, before the appendix can rupture. Once an appendectomy is performed, most people recover quickly and without complications.

Appendix Cancer Surgery

Appendix is a vestigial organ in human being, attached to right colon.

The appendix produces a bacteria destroying protein called immunoglobulins which help fight infection in the body. Its function, however, is not essential. People who have had appendectomies do not have an increased risk toward infection. Other organs in the body take over this function once the appendix has been removed.

Appendicitis (infection of appendix) occurs when the appendix becomes blocked, often by stool or as a result of infection in body, since the appendix swells in response to any infection in the body. In elderly person, it may be blocked by tumor, thus requiring proper evaluation before going for surgery.

Appendix cancer is a rare type of cancer that grows in the appendix. There are several different types of appendix cancer, and a person often experiences no symptoms in the early stages.

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Cancer Surgeon Doctor In Ahmedabad ,Gujarat - Obesitydoctor.in

Obesity Clinic is a Super Speciality Surgery Center specializing in Bariatric Surgery procedures. We specialize in laparoscopic (key-hole surgery) surgery, Single incision or Scar-less surgery. These techniques are much kinder to the patients as compared to open surgery. Laparoscopy leads to less pain, early recovery and faster return to work.

Appendix Cancer Surgery

Appendix is a vestigial organ in human being, attached to right colon.

The appendix produces a bacteria destroying protein called immunoglobulins which help fight infection in the body. Its function, however, is not essential. People who have had appendectomies do not have an increased risk toward infection. Other organs in the body take over this function once the appendix has been removed.

Appendicitis (infection of appendix) occurs when the appendix becomes blocked, often by stool or as a result of infection in body, since the appendix swells in response to any infection in the body. In elderly person, it may be blocked by tumor, thus requiring proper evaluation before going for surgery.

Anal Cancer Surgery

The anus is formed partly from the outer, skin layers of the body and partly from the intestine. Two ring-like muscles, called sphincter muscles, open and close the anal opening to let stool pass out of the body. The anal canal, the part of the anus between the rectum and the anal opening, is about 1½ inches long.

Tumor formation in the anus is called Anal Cancer. The skin around the outside of the anus is called the perianal area. Tumors in this area are skin tumors, not anal cancer.

There are three ways that cancer spreads in the body:

1. Through tissue. Cancer invades the surrounding normal tissue.

2. Through the lymph system. Cancer invades the lymph system and travels through the lymph vessels to other places in the body.

3. Through the blood. Cancer invades the veins and capillaries and travels through the blood to other places in the body.

When cancer cells break away from the primary (original) tumor and travel through the lymph or blood to other places in the body, another (secondary) tumor may form. This process is called metastasis. The secondary (metastatic) tumor is the same type of cancer as the primary tumor. For example, ifbreast cancer spreads to the bones, the cancer cells in the bones are actually breast cancer cells. The disease is metastatic breast cancer, not bone cancer.

BOOK AN APPOINTMENT

WHAT IS ANAL CANCER SURGERY

There are three types of standard treatments for Anal Cancer:

Radiation therapy

Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactivesubstance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. The way the radiation therapy is given depends on the type and stage of the cancer being treated.

Chemotherapy

Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping the cells from dividing. When chemotherapy is taken by mouth or injected into avein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (systemic chemotherapy). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy). The way the chemotherapy is given depends on the type and stage of the cancer being treated.

Surgery

Typically there are two different procedures to remove anal cancer based on the stage of the cancer:

1. Local resection

2. Abdominoperineal resection

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Reflux (GERD) Surgery In Ahmedabad - Reflux Sergeon Doctor

Gastroesophageal reflux disease (GERD) is a chronic digestive disease that occurs when stomach acid or, occasionally, bile flows back (refluxes) into your food pipe (esophagus). The backwash of acid irritates the lining of your esophagus and causes GERD signs and symptoms.

Reflux (GERD) Surgery In Ahmedabad

Gastroesophageal reflux disease (GERD) is a chronic digestive disease that occurs when stomach acid or, occasionally, bile flows back (refluxes) into your food pipe (esophagus). The backwash of acid irritates the lining of your esophagus and causes GERD signs and symptoms.

In normal digestion, once we eat, food travels from mouth to stomach through a tube called the esophagus. At the lower end of the esophagus is a small ring of muscle called the lower esophageal sphincter (LES). The LES acts like a one-way valve, allowing food to pass through into the stomach. Normally, the LES closes immediately after swallowing to prevent back-up of stomach juices, which have a high acid content, into the esophagus.

GERD occurs when the LES does not function properly allowing acid to flow back and burn the lower esophagus. This irritates and inflames the esophagus, causing heartburn and eventually may damage the esophagus.

WHAT ARE THE DIFFERENT REFLUX TREATMENTS?

Medical Treatment

Treatment aims at decreasing the amount of reflux or reducing damage to the lining of the esophagus from refluxed materials.

Life style, dietary modification along with medication are cornerstone of medical treatment.

Avoiding foods and beverages that can weaken the LES is often recommended. These foods include chocolate, peppermint, fatty foods, coffee, and alcoholic beverages.

Foods and beverages that can irritate a damaged esophageal lining, such as citrus fruits and juices, tomato products, and pepper, should also be avoided if they cause symptoms.

Decreasing the size of portions at mealtime may also help control symptoms. Eating meals at least 2 to 3 hours before bedtime may lessen reflux by allowing the acid in the stomach to decrease and the stomach to empty partially.

Life Style Modifications

Weight reduction: Overweight often worsens symptoms. Weight loss is found to improve symptoms.

Stop Cigarette: Cigarette smoking weakens the LES. Stopping smoking is important to reduce GERD symptoms.

Elevation of Bed: Elevating the head of the bed on 6-inch blocks or sleeping on a specially designed wedge reduces heartburn by allowing gravity to minimize reflux of stomach contents into the esophagus. Do not use pillows to prop yourself up; that only increases pressure on the stomach.

Medicine

Patients who do not respond well to lifestyle changes or medications or

those who continually require medications to control their symptoms or

those develops complications of GERD Like Ulcer, Bleeding, Baretts Esophagus, Stricture or rarely Cancer etc

Surgical Treatment

Medicine (H2 blockers & Proton pump Inhibitors) that block secretion of acid is one the way to lower acid level in stomach thus minimises the reflux.

Medicine that increases the strength of the Lower Esophageal Sphincter (LES) and quicken emptying of stomach contents with motility drugs that act on the upper gastrointestinal (GI) tract, is also advised to get good response.

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Scarless Bariatric Surgeon In Ahmedabad - Best Scarless Bariatric Sergery  Hospital

Advancing technology has made surgical procedure as relatively painless and scarless. Bariatric surgery can also be performed through your navel, making it a surgery with no visible scars.

Scarless Surgery

Advancing technology has made surgical procedure as relatively painless and scarless. Where five or six holes (port) are required to perform advance surgical procedure by conventional laparoscopic approach, leaving smaller scar but still visible scar on tummy. This is a choice among young obese female, who want surgery but do not have revealing scar on her tummy.

Single Incision Laparoscopic Surgery, where single hole of 2 cm is made at naval (umbilicus) which itself is a scar since birth and specially designed port is inserted into abdominal (peritoneal) cavity. This specially designed port has 3 or 4 smaller hole and specially designed flexible instruments (rotaculating) are put inside the tummy through these smaller holes. This approach is usually performed by experienced laparoscopic surgeon who can complete surgery through single hole. In case of any difficulties arise during surgery, additional port may be placed to perform safe surgery.

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Hernia Surgery Doctor In Ahmedabad - Obesitydoctor.in

A surgical hernia repair involves pushing the bulge back inside the body part that should contain it, and keeping it there

Hernia Surgery Expert Doctor In Ahmedabad

Hernia is a bulging of abdominal organ through a weakened muscle area. Except for Congenital umbilical (naval) hernia, all hernia increase in size over a time.

There are several types of hernias:

Hiatus or diaphragmatic hernias occur when a part of stomach protrudes through the diaphragm (the muscle that separates the chest region from the abdominal area) via the opening through which the esophagus (food tube) passes into the stomach.

Incisional hernias occur when a piece of intestine protrudes through a weakness in the abdominal wall in an area where surgery has been performed.

Umbilical hernia is found in the area of the umbilicus (the navel or belly button area).

Inguinal or groinhernias occur when part of the abdominal contents (usually part of the intestine or a piece of bowel) protrudes into the groin area.

Femoral hernias occur when a piece of intestine protrudes though the passage that is normally used by large blood vessels as they pass between the abdomen and leg.

WHAT IS HERNIA SURGERY?

All type of hernia needs treatment, except for congenital small umbilical hernia, that subsides over a time.

Hiatus hernia need surgery if its associated with GERD and patient is symptomatic for GERD. Also If the hiatal hernia is in danger of becoming constricted or strangulated (so that the blood supply is cut off), surgery is needed to reduce the hernia.

Rest of hernia need surgery. The content of hernia is replaced back to its position and weak area of hernia is reinforced with mesh.

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Instapaper - obesitydoctor01 , Obesitydoctor.in

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WELCOME TO OBESITY DOCTOR

Your destination for weight loss and obesity solutions and information

Obesity Doctor is a speciality Bariatric & Weight Loss Surgery center which provides the best medical care and guidance to patients suffering from obesity and weight loss problems.

Obesity Doctor is the brain child of Dr Avinash Tank who is a Super Specialist (MCh) Laparoscopic Gastro-intestinal Surgeon (MBBS, MS, MCh (SGPGIMS)) (Surgical Gastroenterology & Liver Transplantation) with over 15 years of surgical experience and over 5000 Obesity and Gastro Surgery.

We specialize in laparoscopic (key-hole surgery) surgery, Single incision or Scar-less surgery. These techniques are much kinder to the patients as compared to open surgery. Laparoscopy leads to less pain, early recovery and faster return to work.