#chronic constipation doctors in Gurgaon

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Best Gastro and Stomach Doctor in DLF Phase 1 Gurugram

If you are looking for the Best Gastro and Stomach Doctor in DLF Phase 1, Dr. Monga Clinic is the ideal place for comprehensive digestive care.

Led by renowned specialist Dr. Jyoti Monga, the clinic offers expert treatment for a wide range of gastrointestinal problems, including acidity, constipation, IBS, hemorrhoids, and liver disease.

Dr. Jyoti's personalized approach and in-depth expertise ensure that each patient receives care designed to address the root cause of their stomach and digestive problems.

For those struggling with chronic digestive diseases or looking for regular GI care, Dr. Monga Clinic offers effective and lasting solutions. Focusing on holistic treatment, Dr. Monga combines medication, dietary changes, and lifestyle adjustments to deliver optimal health results.

Book your appointment today by calling +91 8010931122 for the best stomach and gastro treatment in Gurugram, Haryana.

[gastroenterologistingurgaon]

Signs You Might Have a Serious Gastro Problem

Digestive issues are common, but how do you know when your stomach troubles require medical attention? While occasional bloating, indigestion, or discomfort may be harmless, persistent or severe symptoms could signal a more serious gastrointestinal problem. Early detection and intervention are crucial for managing these conditions effectively. If you're experiencing any of the following signs, it may be time to consult a Gastroenterologist in Gurgaon.

1. Persistent Abdominal Pain

Occasional stomach cramps are normal, but persistent or intense abdominal pain should not be ignored. This can indicate underlying conditions such as ulcers, irritable bowel syndrome (IBS), or even inflammatory bowel diseases like Crohn’s disease or ulcerative colitis. If the pain is sharp, severe, or localized to one area of your abdomen, especially if accompanied by nausea or vomiting, it's best to consult a stomach doctor in Gurgaon for a thorough evaluation.

2. Unexplained Weight Loss

Losing weight without making changes to your diet or exercise routine could be a red flag for gastrointestinal issues. Conditions such as celiac disease, peptic ulcers, or even more serious concerns like stomach cancer could be behind this unexplained weight loss. A Gastroenterologist in Gurgaon will be able to run the necessary tests to determine the cause and provide appropriate treatment options.

3. Frequent Heartburn or Acid Reflux

Experiencing heartburn occasionally is normal, especially after eating spicy or fatty foods. However, if heartburn or acid reflux becomes a regular occurrence, it could indicate a more severe condition, such as gastroesophageal reflux disease (GERD). Chronic GERD can damage the esophagus and lead to complications if not managed correctly.

4. Changes in Bowel Habits

Frequent diarrhea, constipation, or noticeable changes in the consistency of your stool could signal a serious gastrointestinal problem. Conditions like IBS, diverticulitis, or even colon cancer can present through abnormal bowel habits.

5. Bloating and Excessive Gas

While occasional bloating or gas is common after eating certain foods, excessive or persistent bloating can indicate a more serious issue like food intolerances (such as lactose intolerance) or small intestinal bacterial overgrowth (SIBO). If bloating and gas are accompanied by other symptoms like pain or changes in bowel habits, it's wise to consult a Gastroenterologist to rule out more severe conditions.

6. Difficulty Swallowing

Difficulty swallowing, also known as dysphagia, could be a symptom of a gastrointestinal problem such as GERD or esophageal motility disorders. In some cases, it could be a sign of something more concerning, like esophageal cancer. If you frequently experience pain or difficulty when swallowing, it’s important to see a stomach doctor in Gurgaon for further evaluation.

7. Nausea and Vomiting

Nausea and vomiting that persist for days or weeks without an apparent cause may indicate a serious digestive problem. This could be related to stomach ulcers, infections, or even conditions affecting other parts of the digestive system, like the liver or pancreas.

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Piles Surgery Doctor, Surgeon | Laser Fistula Surgeon,Doctor | Fistula Doctor, Surgeon In Ahmedabad,Gujarat

Piles is one of the most popular problems seen in middle aged individuals to elderly adults. Apart from piles, some also face the serious problem of fissure. Most people with piles and fissures go to a general surgeon in Gurgaon or any other city for treatment. Most of the people fail to know the exact ailment for the discomfort or pain. They don't understand the difference between Fisher and Piles. The symptoms of both Piles or Fissure are interrelated. Hemorrhoids may be suspected when a person feels discomfort or pain around the anal area or sees blood on toilet paper or in the stool.

about hemorrhoids

 Swelling of tissue and blood vessels in the anal area, especially around the anal opening, is known as piles. This is caused by sitting on a hard surface for long periods of time, putting pressure or stretching on the blood vessels in the anal area.  It is also caused by chronic cough, constipation and pregnancy. The most common symptoms include painful bowel movements, blood in the stool, and painful lumps near the anus. Apart from this, the person may also experience itching and pain around the anal area.

 about fishermen

This is a tear in the soft skin of the anal opening. This is due to the regular passing of hard stools. Apart from this, constipation, pregnancy, sitting on the toilet seat for a long time, Crohn's disease can also cause fissure. Common symptoms include a small lump near the tear, a tear around the anal area, painful bowel movements, itching or burning around the anal area, and blood in the stool or toilet paper.

Diagnosis

 Piles Treatment Doctor, Piles Treatment Surgeon,Laser Treatment Piles Surgeon,Laser Piles Treatment  Surgeon in Ahmedabad,Gujarat

 Piles can be cured with medicine in the initial stage itself. In addition, the doctor may recommend a healthy, high-fiber diet and drinking plenty of water every day. Cool water and ice packs provide immediate but temporary relief from pain. Piles can be cured permanently with normal surgery or laser surgery. Hemorrhoid surgery is done to get rid of piles. General anesthesia or spinal anesthesia is given before surgery. An incision is made in the tissue near the hemorrhoid. The bleeding is stopped by tying off the swollen vein inside the piles and the piles is taken out.

On the other hand, laser surgery by General Surgery in Gurgaon is even less invasive as no tissue is required to be cut. The affected area is treated with laser energy in a focused and precise manner, and the problem is resolved within minutes. Patients can resume their work immediately after surgery. A laser hemorrhoidoplasty procedure is better than a traditional open surgical hemorrhoidectomy.

Laser fissure ,Fistula treatment Surgeon, Laser fissure, Fistula treatment Surgeon In Ahmedabad,Gujarat

Fissure treatment relaxes the anal sphincter to support rapid healing, allowing the passage of softer stools. In the case of an acute fissure, doctors recommend taking mild medication and eating a nutritious, fiber-rich diet along with plenty of water and other healthy fluids to help you recover. A patient with acute fissure requires a surgical procedure. Open surgery for fissure is painful and takes a long time to heal. Thus the best treatment for fissure is laser surgery, which takes half an hour to heal the fissure permanently and painlessly.

Call us For Piles Treatment, Laser fissure ,Fistula treatment at Sadbhavna Hospital & Visit Us @ https://www.sadbhavnahospitals.com/

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Leaky Gut Treatment in Gurgaon | Leaky Gut Treatment in India

Leaky Gut Treatment in Gurgaon, Leaky Gut Treatment in NCR, Leaky Gut Treatment in Delhi, Leaky Gut Treatment in India

Leaky gut is also termed as increased permeability of intestine, in which partially digested food particles and unwanted bacteria and their products leak into your bloodstream through the walls of your damaged intestine.

This damage to the intestine can be caused due to certain factors like poor diet, stress, toxic overload, dysbiosis, excessive use of NSAIDs, chronic infections, chronic constipation etc. Some of the associated factors can be diabetes and obesity.

To detect the underlying causes comprehensive testing is done which include-

Various blood investigations Stool comprehensive test Food intolerances test GI effects Heavy metal scanning Trace mineral testing.

Functional medicine specialist will detect the root cause and then start the treatment. The treatment varies from patient to patient depending on their overall history and test results.

blood tests, Chronic infections, functional medicine doctor, Functional Medicine in India, Functional Medicine Specialist, heal leaky gut, LEAKY GUT, Leaky Gut treatment in Gurgaon, Leaky Gut Treatment in India, Poor diet, Treatment with functional medicine

https://www.freedomage.in/leaky-gut-treatment-in-india-2/

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ED Treatment & ED Specialist In Delhi, Gurgaon, India

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Pancreatic Cancer Pain Management Coeliac Plexus & Splanchnic Nerve Blocks

What causes pain in pancreatic cancer?

One of the common presenting complaints of cancer is pain. Often pain is the reason behind a series of investigations culminating in the eventual diagnosis. Nearly 75% of pancreatic cancer patients suffer from pain at the time of diagnosis and these increases to over 90% in advanced stages.

The pain may be moderate to severe with adverse effect on quality of life, functional ability and mood. Most patients complain of intermittent or constant, deep pain in the upper part of tummy just below the ribcage. It may be squeezing, cramping, sharp, burning or aching in character. Pain is often more on the left and can spread towards the back. It is often aggravated by oral intake of fluids or solids.

Pain management in pancreatic cancer can be challenging because of the aggressive nature of the disease. There is evidence supporting earlier treatment of pain, so it’s better to seek help early.

Pain in cancer may be related to

Cancer itself due to

Increased pressure or the blockage of pancreatic ducts

Inflammation of the pancreas /nearby areas

Pressure/ spread to the neighbouring structures such as

Nerves (in approximately 70–90% of cases)

Blockage of the duodenum (the first part of the small intestine) impeding the flow of food

Liver

Bowel or peritoneum (inner covering of the tummy)

Bone (not very common)

Other associated problems such as constipation and digestion issues

Distension of abdomen due to increased fluid (ascites)

Irritation of diaphragm leading to the shoulder pain

Side effect of treatments such as chemotherapy, radiotherapy, surgery (as in peripheral neuropathy (nerve damage) /enteritis)

An unrelated coincidental problem such as arthritis of joints of the spine

What are Splanchnic nerves and Coeliac plexus?

Coeliac plexus is a network of nerves located in upper part of tummy (abdomen) just behind the pancreas. It lies deep in the tummy in front of spine and around a big blood vessel called aorta. This network of nerves plays an important role in sending messages from the upper abdominal organs to the brain.

Splanchnic nerves are a group of nerves located on both sides of the spine. They are closely related to the Coeliac ganglion and carry pain information from organs in your abdomen to the brain.

What kinds of procedures are performed to reduce pain in pancreatic cancer and how can they help?

The below mentioned procedures are utilised not only for pancreatic cancer but also for other upper abdominal cancers such as those of liver, gall bladder, stomach, some parts of intestine. These can also help in some non-cancer pains such as in chronic pancreatitis.

These procedures may not be a permanent cure for the pain but have the potential to offer significant & lasting relief. Nerve blocks work well for some people, but they don’t work for everyone and may take some time to show the full effects.

These procedures can be classified as

Diagnostic blocks– Blocking the coeliac plexus of the splanchnic nerves involves injecting local anaesthetic with or without steroids around these nerves to interrupt the pain signals being sent to the brain. This can reduce the pain one perceives and help in predicting if other procedures such as neurolysis will work or not.

Neurolytic blocks– these procedures involve use of chemicals such as alcohol / phenol to achieve prolonged interruption of pain signals being transmitted by nerves.

Radiofrequency procedures for splanchnic nerves– these procedures utilise radiofrequency energy to heat the needle tip which in turn reduces the pain signals being transmitted to the brain.

Which intervention and approach is most suitable for a patient will depend on individual factors such as the extent of disease, concomitant problems such as breathing issues or ascites, ability to lie on the tummy/ back etc. Sometimes multidisciplinary review is required (such as reviewing the scans with radiologists) for deciding on the most suitable option.

Depending on the approach chosen the procedure may require for the patient to lie on their back or tummy for a period of approximately 45 min to an hour. A guiding modality is used to accurately place the needles close to the target nerves. This may include

X Ray (Fluoroscopy) guidance

Ultrasound guidance

CT guidance

Endoscopic guidance

OR a combination of above mentioned modalities

Once the needles are in the correct place a dye may be used to assess how the medications would spread and to confirm the accurate placement of needles. An attempt is then made to reduce the pain signals being transmitted by these nerves via radiofrequency or drugs.

How much pain relief can be expected after the procedure and for how long will it last for?

The pain relief after the injection can vary depending on the cause of pain, location and extent of disease. In some studies it has been observed that the outcomes are better if the block is performed soon after the onset of pain asin advanced disease large tumours can act as mechanical barrier preventing the spread of the drugs hence achieving only partial relief.

These procedures have the potential of reducing the pain and the medication requirement for medium term. Overall, 70%–80% of patients undergoing these procedures report decreased pain for 1–6 months.

What are the risks of having these procedures?

No intervention is risk free. The decision to perform or not perform an intervention is taken by evaluating the risk/benefit ratio. The risks will vary depending on the intervention chosen and the patient’s medical issues. When performing these procedures, precautions are taken to reduce the risks as much as possible such as performing the procedure under guidance (x-ray, ultrasound, CT etc), use of contrast (dye) to assess the spread of medications and use of electrical stimulation in radiofrequency procedures etc.

Common side effects of these procedures include local pain (96%), lowering of blood pressure (10%) and loose stools (44%). Fortunately most of the common side effects are short lasting.

Some of the risks can be serious. Studies have reported the risk of serious adverse events as approximately 2%. It is best to discuss these with your treating doctor as the list of these can be long and vary with the intervention chosen.

What else can be done to reduce the pain?

Painkillers Medications

Different types of pain killers can be used based on the type of pain and other medical problems. Often the painkillers dose needs to be changed or new ones need to be added as the disease changes.

Morphine and Morphine like drugs (collectively known as Opioids) are one of the strongest pain killers. Other drugs in this class include fentanyl and oxycodone. These painkillers can be given by different routes lincluding orally, intravenously (directly into the veins), subcutaneously (below the skin) or as patches. Oral medications also come in a slow release form which provide more consistent pain relieve throughout the day. These drugs have often been in the limelight due to the wrong reasons such as addiction/ abuse potential and hence the social taboos associated with their use. Patients often do a disservice to themselves by harbouring preconceived notions and putting up barriers. It is important that you openly discuss any such issues with your Pain Specialist.

Other types of pain may require different class of pain killers such as anti-inflammatories for pain due to inflammation, neuropathic medications such as gabapentin and pregabalin for nerve type of pain etc.

As with any other medication there are side effects associated with all these medications and these can be dealt with in most cases by patient education, pre-emptive action, use of medications and lifestyle modification.

Pain control in cancer is not just about medications or injections… there is more to it. To achieve a satisfactory control it often requires addressing the concomitant factors which can serve to enhance the pain experienced. For example

Relationship between one’s emotional state such as low mood /anxiety and pain is well known. These factors can magnify the perceived pain and hence addressing them is important. Relaxation therapies such as meditation, mindfulness may help in managing thoughts, coping with feelings and produce a calming effect.

Abdominal and back pain worsen with coexisting problems like constipation and abdominal distension and hence the importance of addressing these.

Refractory end of life pain can be dealt by delivering pain killers directly into the spine by using intrathecal/ epidural route.

Tags >> Cancer Pain Management In Delhi, Cancer Pain Management In Gurgaon, Cancer Pain Treatment in Delhi, Cancer Pain Treatment in Gurgaon, pancreatic cancer pain management in Delhi

For More Information https://www.removemypain.com/

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Endometriosis and Adenomyosis | Find Answers To All Your Questions

Did you know that at present over 25 million women in India suffer from Endometriosis?  Even though this condition is so widespread, women often know little to nothing about it due to the widespread taboo surrounding women's reproductive health. In recent times, we are seeing an increase in awareness regarding endometriosis thanks to the voice and importance given to reproductive health, sadly however endometriosis remains a matter of shame. In this article, we will talk about everything you need to know about endometriosis and adenomyosis, its symptoms, and things to keep in mind.

 Do You Know What Endometriosis and Adenomyosis are?

Endometriosis is a chronic condition wherein a particular tissue, originally present in the uterus known as the endometrium lining starts to exhibit unusual patterns and grow over the ovaries, vagina, and even the rectum. Endometriosis is the growth of endometrium outside the uterine cavity or myometrium (endometriotic implants), usually in the peritoneal cavity. This condition can be extremely painful for women with symptoms such as cramping, painful sexual intercourse, and so on.

Endometriosis may occur in four stages based on the severity. Stage I is where it is minimal with the implants being shallow. Stage II is mild with implants being a little deeper. Stage III is moderate where there might even be endometrial cysts and finally, Stage IV might show large cysts and dense adhesions.

 Adenomyosis

Similar to endometriosis, in Adenomyosis, the endometrium lining grows to be thick within the uterus and can break through the muscle wall of the uterus causing heavy bleeding, cramping, and so on.

Understanding The Difference: Endometriosis & Adenomyosis

Although by the face of it the two conditions may appear to be the same, they are different.  In endometriosis, the lining found in the uterus starts to grow outside of it along with the ovaries, rectum, and so on whereas in adenomyosis on the other hand in adenomyosis the lining grows into the muscular wall of the uterus.

Knowing The Symptoms

In a lot of cases, the presence of Endometriosis and Adenomyosis may go unnoticed but by keeping yourself aware of the preliminary symptom, you will be able to detect it at the earliest. Given below are some of the most frequently experienced symptoms of endometriosis

Chronic abdomen pain

Irregular menstrual cycle

Pain during penetration

Nausea and Constipation

Heavy bleeding

Infertility

 Adenomyosis

Most of the symptoms of Adenomyosis are similar to endometriosis, the most common being

Irregular menstruation

Heavy bleeding and occasional spotting

Blood clots during menstruation

Painful sexual intercourse

Abdominal pain

Getting Pregnant with Endometriosis and Adenomyosis - Possible?

Contrary to common belief, you can get pregnant even if you have endometriosis and adenomyosis. As already seen from the symptoms, (How To Improve Fertility Naturally in Female) infertility can arise as a result of the condition as the lining growth tends to affect the ovaries. As we are already aware, for conception to take place the egg needs to travel from the ovaries via the fallopian tubes to the uterus where it can fertilize. However, with endometriosis or adenomyosis that causes inflation, there is a high risk of damage to the egg or sperm and additionally, an egg may not be able to successfully travel via the fallopian tubes. This may cause difficulties while trying to get pregnant.

It is no doubt that endometriosis and adenomyosis can cause difficulties while trying to conceive, however, it is not impossible. Although there is no clear cut treatment for the condition, progesterone intake can help. Lifestyle changes aimed at reducing inflammation can also help increase the chances of conception. At Fertility Dost, our range of programs is aimed at helping women overcome issues such as PCOS, endometriosis via a holistic approach.

A clean diet combined with physical activity and maintaining a healthy weight can help you manage the symptoms and help with conception. Thanks to technological advancements, there are several options for women who are unable to conceive naturally such as getting a surrogate or The Chances for IVF Pregnancy Success or mini IVF.  With a good amount of planning, you too will be able to conceive, it is best to consider and discuss all options with your doctor.

 Thinking Of Alternatives

 As already discussed, women are at higher risks of miscarriage while going in for a natural pregnancy however this does not mean that you will not be able to conceive. There are several alternatives to choose from that will help you conceive if you suffer from endometriosis or adenomyosis. Some of the common options include:

 In Vitro Fertilization (IVF)

IVF is perhaps one of the most popular techniques to help with conception. Best IVF Treatment Clinic in India improves the chance of fertilization and is especially beneficial for women with stage 3 or 4 of endometriosis or women above the age of 35.  Best IVF Center in Gurgaon and Best IVF Doctor in Bangalore success rates might be higher for women with endometriosis as opposed to natural pregnancy and can be considered as a viable option.

 Intrauterine Insemination (IUI)

Similar to How To Conceive After IVF Pregnancy, this calls for the assistance of external factors to facilitate fertilization. In IUI, the sperm Is placed directly into the uterus which can prevent the sperm from getting damaged as a result of the endometrium lining growth. This treatment is typically recommended for women with stage 1or 2 endometriosis.

 Looking Ahead - Treatment

Just like conditions such as PCOS, endometriosis and adenomyosis are chronic conditions that cannot be completely cured, however, there are treatment options to help manage symptoms. Please be sure to consult a doctor before considering any treatment option as everybody is different.

 Hormone Therapy

Hormonal mediation in the form of Hormonal contraceptives,  progestin therapy, and Aromatase inhibitors can all work by regulating estrogen levels in the body resulting in lesser painful and more regular menstrual cycles.

 Surgery

Surgery works by removing endometrial implants from the ovaries. This is usually opted for by women trying to conceive naturally and it might also help relieve certain symptoms such as pain and irregular cycles.

 Hysterectomy and removal of the ovaries

Removal of the uterus (Hysterectomy) along with the removal of ovaries can help women with pain. Removal of the ovaries automatically results in menopause. Removal of the uterus can help treat symptoms such as cramping and abdominal pain.

 There are several treatment options that may or may not be viable for you, it is best to consult a doctor before taking any decision. Do not self-prescribe treatments as they might have adverse effects.

 Fertility Dost is India’s leading platform for infertility. Our range of programs offers a holistic approach to all your problems via Fertility Nutrition, yoga, Fertility Ayurveda, and emotional wellness. If you are looking to find a solution to your problems and be a part of a community, then contact us today to book your first free consultation call!

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Why Uterine Prolapse Occur? How Uterine Prolapse Treated?

If normal uterine prolapse is combined, then uterine means uterus, and prolapse means downward movement. In the event of uterine prolapse, the uterus comes down to the wall of the vagina and uterus coming down is not good.

 Why Does Uterine Prolapse Occur?

 Uterine prolapse occurs when the pelvic floor muscles and ligaments start to weaken and they stop supporting the uterus, then the uterus comes down. In some women, the uterus comes out of the vagina. The most common disease occurring in women 55 years or older is uterine prolapse.

 How Many Stages Does Uterine Prolapse Occur?

 There are two types of uterine prolapse.

  1. Incomplete uterine prolapse

 The uterus comes to the vagina but does not come out of the vagina, which is called the incomplete uterine prolapse.

 2. Complete uterine prolapse

 When a part of the uterus comes out of the vagina, such a condition is called complete uterine prolapse.  How near does the uterus come to the vagina? It is decided by grade.

 First Grade - Cervix falls into the vagina, which is called the first grade of uterine prolapse.

Second grade - Cervix reaches the upper part of the vagina.

Third grade - Cervix enters the outer part of the vagina.

Fourth grade - The entire uterus comes out of the vagina.

 Fourth grade of the patient's condition is severe, surgery may be required. However, if information about uterine prolapse is found quickly, it can be corrected with the help of exercise.

 What Are The Symptoms Of Uterine Prolapse?

 There may be the following symptoms of Uterus coming towards the vagina like-

 ●        Feeling of heaviness or stretch in pelvis.

●        Increased bleeding or vaginal discharge from the vagina.

●        Feeling disturbed during sexual intercourse.

●        Urinary leakage or infection in the bladder.

●        Having constipation problems.

●        Lower back pain.

●        Uterus coming out of the vagina while coughing.

●        Feel the uterus coming out of the vagina.

●        Vaginal tissue weakening.

 Information on uterine prolapse in the early days cannot be found.  Sometimes it is known to come down to the uterus after trouble increases.

 What Are The Causes Of Uterine Prolapse?

 The uterus coming down from its place can be due to the following reasons. Like-

 ●        Pregnancy

●        Uterus can also come down due to baby delivery. This can happen when the baby's size is more than normal during delivery.

●        Older woman's age. This can also happen especially during menopause.

●        Lifting excessively heavy goods.

●        Having trouble while passing stool.

●        Chronic cough.

●        Pelvis surgery.

●        Genetic causes such as the weakening of connective tissues.

 How Is Uterine Prolapse Diagnosed?

 If you are looking for its diagnosis in Gugaon then Dr. Chetna Jain, best ladies specialist doctor in Gurgaon may ask you about symptoms and can also follow some physical checkups. Ultrasound or MRI (Magnetic Resonance Imaging) can be done to recognize the grade in which the uterine prolapse is in.

 How Is Uterine Prolapse Treated?

 Uterine prolapse can be easily treated when it reaches a third-degree but, after third grade, surgical treatment is required.

 There are two options for treatment:

  1. Vaginal pessary

 A vaginal pessary is a device with the help of which the position of the uterus is fixed. After this process, one needs to take care. If the condition of prolapse worsens, it may be due to irritation, ulceration, and sexual problems. Therefore, if you feel discomfort after vaginal pessary, contact the doctor.

  2. Surgery

 Surgery is done in the lower abdomen (vagina) to correct the prolapsed uterus. In this, the uterus is placed in its place using skin grafting, donor tissue, or other material. On the other hand, if there is a possibility of baby planning in the future, then surgery cannot be done in such a situation.

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Best Gastro Doctor in DLF Phase 4 Gurugram

If you are looking for the best gastro doctor in DLF Phase 4 Gurugram, Dr. Monga Clinic is the ideal place for comprehensive digestive care.

Led by renowned specialist Dr. Jyoti Monga, the clinic offers expert treatment for a wide range of gastrointestinal problems, including acidity, constipation, IBS, hemorrhoids, and liver disease.

Dr. Jyoti's personalized approach and in-depth expertise ensure that each patient receives care designed to address the root cause of their stomach and digestive problems.

For those struggling with chronic digestive diseases or looking for regular GI care, Dr. Monga Clinic offers effective and lasting solutions. Focusing on holistic treatment, Dr. Monga combines medication, dietary changes, and lifestyle adjustments to deliver optimal health results.

Book your appointment today by calling +91 8010931122 for the best stomach and gastro treatment in Gurugram, Haryana.

[gastroenterologistingurgaon]

Why You Might Need a Colonoscopy and What to Expect

A colonoscopy is a vital medical procedure that examines the inside of your colon (large intestine) and rectum to detect abnormalities like polyps, tumors, or ulcers. It plays a key role in diagnosing and preventing serious conditions, including colorectal cancer, inflammatory bowel disease, and other gastrointestinal disorders. If you’re experiencing digestive issues or fall into a higher risk group for colon cancer, a colonoscopy may be recommended by your healthcare provider. Consulting a colonoscopy doctor in Gurgaon is essential to determine whether you need the procedure. Reasons You Might Need a Colonoscopy

Screening for Colorectal Cancer The primary reason for undergoing a colonoscopy is to screen for colorectal cancer, particularly for individuals aged 45 and older. Routine colonoscopies can help detect cancer at an early stage when treatment is most effective. People with a family history of colorectal cancer may need to start screenings earlier. Regular screening could save your life by catching potential problems before they become severe.

Persistent Gastrointestinal Symptoms Ongoing digestive issues such as chronic abdominal pain, unexplained weight loss, persistent diarrhea, or constipation may indicate a deeper issue. A colonoscopy allows your doctor to get a clear view of your colon and rectum, helping diagnose conditions like irritable bowel syndrome (IBS), Crohn’s disease, or even colitis.

Rectal Bleeding or Blood in Stool Blood in your stool or rectal bleeding should never be ignored. While it could be caused by something relatively minor like hemorrhoids, it can also be a sign of more serious conditions, including colorectal cancer. A colonoscopy will help identify the cause of the bleeding and allow your doctor to provide appropriate treatment.

Abnormal Test Results If a stool test, blood test, or imaging scan reveals potential abnormalities, your doctor may recommend a colonoscopy for further investigation. It provides a direct visual examination, which can clarify any unclear or suspicious findings from earlier tests, such as hidden blood in the stool or abnormal growths spotted on scans.

Monitoring Existing Conditions If you have been diagnosed with conditions like polyps, diverticulitis, or inflammatory bowel disease (IBD), you may need regular colonoscopies to monitor your condition. The procedure allows your doctor to track any changes and address potential complications before they worsen.

What to Expect During a Colonoscopy

Preparation Before the procedure, you will need to prepare your bowel by following a special diet and taking a prescribed laxative. This process helps to clear out your colon, making it easier for your doctor to view the colon walls. Your colonoscopy doctor in Gurgaon will provide detailed instructions to ensure that your bowel prep goes smoothly.

The Procedure The colonoscopy itself is a relatively quick and painless procedure, usually taking about 30-60 minutes. You will be given sedation to keep you comfortable. A flexible tube with a camera, known as a colonoscope, is gently inserted into your rectum and guided through the colon. The camera sends real-time images to a monitor, allowing your doctor to examine the colon for any abnormalities.

Polyp Removal and Biopsy If any polyps or unusual growths are found during the colonoscopy, your doctor may remove them right away. Removing polyps is a preventive measure since some can develop into cancer over time. In addition, if anything suspicious is found, a small tissue sample may be taken for biopsy and further analysis.

Recovery After the procedure, you will spend some time in recovery as the sedation wears off. Most people experience mild bloating or cramps, but these symptoms usually go away quickly. Because of the sedation, it’s important to arrange for someone to drive you home. Your doctor will go over the results and discuss any follow-up care you may need.

Colonoscopy is a critical diagnostic tool that helps detect and prevent serious gastrointestinal conditions, particularly colorectal cancer. If you are at risk or have concerning symptoms, it's important to consult a colonoscopy doctor in Gurgaon to see if this procedure is right for you. Whether you're looking for diagnostic screening or managing an ongoing condition, finding the best colonoscopy services in Gurgaon ensures you receive expert care and a smooth experience. Early detection and timely intervention can make a huge difference in your long-term health, and knowing what to expect helps alleviate any concerns you may have about the procedure.

[obesitysurgeon-blog]

BEST HERNIA SURGERY - LAPAROSCOPIC SURGERY OR AN OPEN SURGERY?

A hernia is a weakness or tear in the abdominal muscles that occurs when the contents that are usually the portions of intestine or abdominal fatty tissue known as omentum bulge coming out of the membrane where they are normally contained through a weak spot in a connective tissue or surrounding muscle. If you are searching for the best hernia surgeon in Gurgaon, you could seek help from Dr. Vikas Singhal. He is an experienced hernia surgeon practicing in Gurgaon. He suggests that most of the hernias occur around the genitalia and in the lower abdomen, especially in men. Men are more prone to inguinal hernias as compared to the women because of basic differences in their anatomy.

There are many other symptoms as well, such as:-

1. Swelling or bulge becomes painful.

2. Bulge will increase with continued coughing or straining and reduces if a person is lying down.

3. Patients may feel discomfort due to vomiting and constipation.

4. A dull aching sensation

5. A vague feeling of fullness

If a patient keeps delaying the treatment, they may get fever, sepsis, and shock with hypo-tension because of the intestines which become dead and rupture within the sac. Hernia needs treatment, it does not get better with the lapse in time, nor will it cure on its own without the treatment.

Being one of the best hernia surgeons in Gurgaon, Dr. Vikas Singhal states that people who are overweight and have a family history of hernia are at an increased risk of getting the hernia. In addition to this, chronic coughing, chronic constipation, lifting heavy weights, enlarged prostate causing straining with urination are the conditions that increase abdominal pressure and may put people at risk of having hernia.

Hernias can be treated with two types of surgery, one is open surgery and the second is laparoscopic surgery. Laparoscopic Surgery is an advanced hernia surgery and is more preferred than the previous

technique i.e. an open surgery. Following are some of the advantages of the laparoscopic surgery:

1. SMALLER INCISIONS AS COMPARED TO OPEN SURGERY

The most important benefit of laparoscopic surgery is that it leaves small incisions as compared to open surgery scars. Usually, the size of the scar depends on the size of the abdomen of the patient. The surgeon makes a few small incisions to insert the laparoscope inside the abdomen. Patients who desire to avoid long and surgical scars which are cosmetically unappealing, prefer the laparoscopic surgery.

2. THE HOSPITALIZATION PERIOD IS SHORTER AS COMPARED TO OPEN SURGICAL

PROCEDURE

For the open surgical procedure, the surgeon makes large surgical incisions. So, it  requires the patients to be hospitalized for the longer duration post-surgery so as to monitor the healing.

3. THERE ARE REDUCED RISKS AND COMPLICATIONS AS COMPARED TO OPEN SURGICAL PROCEDURE

The use of small incisions following the laparoscopic procedure allows for less blood loss, a reduced risk of infection and less injury to tissue.

4. FASTER RECOVERY WITH LESS DISCOMFORT OR PAIN

During the laparoscopic surgery, the smaller incisions lead to decreased abdominal wall pain as compared to the open surgery, the longer incision can lead to increased abdominal wall pain and a lengthened recovery time.

5. LESS EXPENSIVE AND MORE ECONOMIC BENEFITS

If you consider and add up all of the costs of surgery including doctor visits, stay at the hospital, medicines etc., it would be less expensive in case of laparoscopic surgery as compared to open surgery.

In general, hernias are asymptomatic as they may or may not produce any kind of symptoms themselves but can cause slight to severe pain which is generally unbearable. As such, it is very important to consult one of the best hernia surgeons to get relief from the pain and discomfort. An

experienced hernia surgeon like Dr. Vikas Singhal in Gurgaon, helps to give you a relief from the pain of hernia and believes in comprehensive patient care.

[back-pain-treatment-in-delhi]

Pancreatic Cancer Pain Management Coeliac Plexus & Splanchnic Nerve Blocks

Tag: Pancreatic Cancer, Pain Management in Gurgaon

What causes pain in pancreatic cancer?

One of the common presenting complaints of cancer is pain. Often pain is the reason behind a series of investigations culminating in the eventual diagnosis. Nearly 75% of pancreatic cancer patients suffer from pain at the time of diagnosis and this increases to over 90% in advanced stages.The pain may be moderate to severe with adverse effect on quality of life, functional ability and mood. Most patients complain of intermittent or constant, deep pain in the upper part of tummy just below the ribcage. It may be squeezing, cramping, sharp, burning or aching in character. Pain is often more on the left and can spread towards the back. It is often aggravated by oral intake of fluids or solids.Pain management in

pancreatic cancer

can be challenging because of the aggressive nature of the disease. There is evidence supporting earlier treatment of pain, so it’s better to seek help early.Pain in cancer may be related to

Cancer itself due to

Increased pressure or the blockage of pancreatic ducts

Inflammation of the pancreas /nearby areas

Pressure/ spread to the neighbouring structures such as

Nerves (in approximately 70–90% of cases)

Blockage of the duodenum (the first part of the small intestine) impeding the flow of food

Liver

Bowel or peritoneum (inner covering of the tummy)

Bone (not very common)

Other associated problems such as constipation and digestion issues

Distension of abdomen due to increased fluid (ascites)

Irritation of diaphragm leading to the shoulder pain

Side effect of treatments such as chemotherapy, radiotherapy, surgery (as in peripheral neuropathy (nerve damage)  /enteritis)

An unrelated coincidental problem such as arthritis of joints of the spine

What are Splanchnic nerves and Coeliac plexus?

Coeliac plexus is a network of nerves located in upper part of tummy (abdomen) just behind the pancreas. It lies deep in the tummy in front of spine and around a big blood vessel called aorta. This network of nerves plays an important role in sending messages from the upper abdominal organs to the brain.Splanchnic nerves are a group of nerves located on both sides of the spine. They are closely related to the Coeliac ganglion and carry pain information from organs in your abdomen to the brain.

What kinds of procedures are performed to reduce pain in pancreatic cancer and how can they help?

The below mentioned procedures are utilised not only for pancreatic cancer but also for other upper abdominal cancers such as those of  liver, gall bladder, stomach, some parts of intestine. These can also help in some non-cancer pains such as in chronic pancreatitis.These procedures may not be a permanent cure for the pain but have the potential to offer significant & lasting relief. Nerve blocks work well for some people, but they don’t work for everyone and may take some time to show the full effects.These procedures can be classified as

Diagnostic blocks– Blocking the coeliac plexus of the splanchnic nerves imvolves injecting local anaesthetic with or without steroids around these nerves to interrupt the pain signals being sent to the brain. This can reduce the pain one perceives and help in predicting if other procedures such as neurolysis will work or not.

Neurolytic blocks– these procedures involve use of chemicals such as alcohol / phenol to achieve prolonged interruption of pain signals being transmitted by nerves.

Radiofrequency procedures for splanchnic nerves– these procedures utilise radiofrequency energy to heat the needle tip which in turn reduces the pain signals being transmitted to th e brain.

Which intervention and approach is most suitable for a patient will depend on individual factors such as the extent of disease, concomitant problems such as breathing issues or ascites, ability to lie on the tummy/ back etc. Sometimes multidisciplinary review is required (such as reviewing the scans with radiologists) for deciding on the most suitable option.Depending on the approach chosen the procedure may require for the patient to lie on their back or tummy for a period of approximately 45 min to an hour. A guiding modality is used to accurately place the needles close to the target nerves. This may include

X Ray (Fluoroscopy) guidance

Ultrasound guidance

CT guidance

Endoscopic guidance

OR a combination of above mentioned modalities

Once the needles are in the correct place a dye may be used to assess how the medications would spread and to confirm the accurate placement of needles. An attempt is then made to reduce the pain signals being transmitted by these nerves via radiofrequency or drugs.

How much pain relief can be expected after the procedure and for how long will it last for?

The pain relief after the injection can vary depending on the cause of pain, location and extent of disease. In some studies it has been observed that the outcomes are better if the block is performed soon after the onset of pain asin advanced disease large tumours can act as mechanical barrier preventing the spread of the drugs hence achieving only partial relief.These procedures have the potential of reducing the pain and the medication requirement for medium term. Overall, 70%–80% of patients undergoing these procedures report decreased pain for 1–6 months.

What are the risks of having these procedures?

No intervention is risk free. The decision to perform or not perform an intervention is taken by evaluating the risk/benefit ratio. The risks will vary depending on the intervention chosen and the patients medical issues. When performing these procedures, precautions are taken to reduce the risks as much as possible such as performing the procedure under guidance (x-ray, ultrasound, CT etc), use of contrast (dye) to assess the spread of medications and use of electrical stimulation in radiofrequency procedures etc.Common side effects of these procedures include local pain (96%), lowering of blood pressure (10%) and loose stools (44%). Fortunately most of the common side effects are short lasting.Some of the risks can be serious. Studies have reported the risk of serious adverse events as approximately 2%. It is best to discuss these with your treating doctor as the list of these can be long and vary with the intervention chosen.

What else can be done to reduce the pain?

Painkillers MedicationsDifferent types of pain killers can be used based on the type of pain and other medical problems. Often the painkillers dose needs to be changed or new ones need to be added as the disease changes.Morphine and Morphine like drugs (collectively known as Opioids) are one of the strongest pain killers. Other drugs in this class include fentanyl and oxycodone. These painkillers can be given by different routes lincluding orally, intravenously (directly into the veins), subcutaneously (below the skin) or as patches.  Oral medications also come in a slow release form which provide more consistent pain relieve throughout the day. These drugs have often been in the limelight due to the wrong reasons such as addiction/ abuse potential and hence the social taboos associated with their use. Patients often do a disservice to themselves by harbouring preconceived notions and putting up barriers. It is important that you openly discuss any such issues with your Pain Specialist. Other types of pain may require different class of pain killers such as anti-inflammatories for pain due to inflammation, neuropathic medications such as gabapentin and pregabalin for nerve type of pain etc.As with any other medication there are side effects associated with all these medications and these can be dealt with in most cases by patient education, pre-emptive action, use of medications and lifestyle modification.Pain control in cancer is not just about medications or injections… there is more to it. To achieve a satisfactory control it often requires addressing the concomitant factors which can serve to enhance the pain experienced. For example

Relationship between one’s emotional state such as low mood /anxiety and pain is well known. These factors can magnify the perceived pain and hence addressing them is important. Relaxation therapies such as meditation, mindfulness may help in managing thoughts, coping with feelings and produce a calming effect.

Abdominal and back pain worsen with coexisting problems like constipation and abdominal distension and hence the importance of addressing these.

Refractory end of life pain can be dealt by delivering pain killers directly into the spine by using intrathecal/ epidural route.

[mirascare]

The types and causes of Hernia

A hernia is the result of an organ pushing through an opening within muscle or tissue holding it in place. The condition occurs mainly in the abdomen, groin, and upper thigh areas.  Though hernias aren't immediately life-threatening, it's better to seek assistance from the best hernia surgeon in Delhi to prevent critical damage. They are dealt swiftly with surgery.

What are the different types of hernias?

Here are the different types:

1.      Hiatal hernia

It occurs in the diaphragm region. When the stomach protrudes from the diaphragm to the chest, it is called a hiatal hernia. The diaphragm is responsible for separating the chest and the stomach and ease breathing. Some symptoms include heartburn, chest pain, and a sour or bad taste in the mouth. These are frequently found in people over 50 years old.

 2.      Inguinal hernia

The most common type of hernia, an inguinal hernia occurs when the intestines push through a tear in a weak spot or tear in the lower abdominal wall.  This is found mostly among men. The most common cause for these hernias is at the time of birth. When testicles drop through the inguinal canal after birth it weakens the muscle there.

 3.      Umbilical hernia

These occur amongst children and babies. Their intestines bulge through the walls of their belly button. This bulge is noticeable, especially while the child is crying. These go away with time, by the age of 5. If not surgery is required. Adults too can get this from repeated strain on the abdomen.

4.      Incisional hernia

Also known as ventral hernia, this is the result of tissues bulging out of abdominal muscles. These hernias are visible and the size is seen when you lay down. These are commonly seen at the position of the surgical incision.

 An incisional hernia is potentially acquired during any part of life, also at birth. Obesity, pregnancy, and strenuous activity are some of the common causes of ventral hernia.

 What causes a hernia?

The main contenders are muscle weakness and strain. The combination of these can develop a hernia over either a short or long period. Some other causes include:

 ●       Being overweight or obese. This puts extra pressure on the internal organs.

●       Multiple pregnancies

●       Putting continuous strain on your bowel movements due to chronic constipation

●       With age, muscles tend to weaken. This makes you susceptible to a hernia.

●       Ascites or the building up of abdominal fluid due to liver failure

●       Lifting heavy objects and strenuous exercise also result in hernias.

●       Damage as a result of surgery or injury

 Before going forward with hernia surgery in Gurgaon, mention whether you have these other potential hernia causes to your doctor:

 ●       A congenital condition since birth as a result of problems in the womb

●       Premature birth or low birth weight

●       Chronic obstructive pulmonary disorder or chronic coughing problems

●       Cystic fibrosis

●       A smoking habit

●       History of hernias in the family

 Hernias are excruciatingly painful when not dealt with in time. Make sure to get proper hernia treatment in Gurgaon. Stay mindful of the potential risks.

MirasCare (Author)

MirasCare one of the best laparoscopic hernia clinic in Gurgaon, Book an online appointment to get world-class treatment for Laparoscopy. Visit here for more https://www.mirascare.com/

[drvaibhavkapoor-blog]

#Chronic_constipation is described as having fewer or 3 bowel movements in a week. #Occasional_Constipation is very common and can be treated with the #medication. Chronic #constipation may also cause #excessive_straining and difficult #bowel_moments. Contact Dr. Vaibhav Kapoor @ 9891719765.

#Symptoms, #signs #Causes. #Blockages #Neurological_problems #Pelvic_Muscle_dyssynergia #Hormonal_Imbalance #Complications #diagnosis #Treatment #Surgery #doctor #gurgaon #Defecography #MRI_Defecography

[yesfriedstudentfeststuff-blog]

piles laser treatment in gurgaon

Piles are hemorrhoids that become inflamed.The size of piles can vary and are found inside or outside the anus.Half the world population are affected by piles, usually before the age of 50. Around 10% of patients who go and see their doctor about piles, require surgical treatment.Piles are often not serious and go away on their own.Internal hemorrhoids are into four grades. External hemorrhoids are called perianal hematoma but can be extensions of internal piles. Piles occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy or straining when passing a stool. A doctor can usually diagnose piles rapidly on examination.Early grade pies may be treated with medicine for piles but grades 3 or 4 hemorrhoids, surgery may be necessary.  http://gurgaonpilesclinic.com/

[healthknowledge-blog1]

Tips to Prevent Hernia

Hernia is a medical condition that results in protrusion of contents of an organ. It can occur anywhere in the body, but usually develops in the abdominal wall. Weakness of the muscle wall is the main cause of hernia, which leads to the development of a hole. Inguinal hernia is the most common; however, femoral, umbilical, and abdominal hernia can also occur. A small, painful, and visible swelling with few symptoms is the most common presentation of this condition. There are many things one can do to prevent hernia from occurring and saving oneself to have to go to a gastroenterologist for hernia treatment. These include:

·   Seeing your doctor when you’re sick to avoid developing a persistent cough

·   Maintaining a healthy body weight

·    Avoiding straining during bowel movements or urination

·   Lifting objects with your knees and not your back

·    Avoiding lifting weights that are too heavy for you

Other tips to stay hernia-free include:

1.  Exercise regularly: Exercise your abdominal muscles daily for at least 30 minutes. Also practise yoga to keep your muscles and internal organs flexible and strong. This will prevent hernia by maintaining muscle strength.

2.  Balanced Diet: Eat a well-balanced diet which includes fruits, vegetables and whole grains. These help in regular bowel movements as they are rich in fibre, helping avoid constipation. Drink lots of water daily, and do not indulge in a crash diet to maintain weight, as this leads to a sudden loss of vitamins and minerals.

3. Stop smoking: Chronic smoking can cause severe cough which also leads to hernia. Avoid food that can cause coughing and/or sneezing.

There are top hospitals in Gurgaon, as well as top hospitals in Patna which have specialist doctors in the field of gastroenterology, if you want a consultation, or a checkup.