1How can I prevent piles?
Healthy bowel habits also help prevent haemorrhoids. Use the toilet as soon as you feel the urge to do so. Also, avoid sitting on the toilet for prolonged periods (more than five minutes) and avoid straining during a bowel movement. A healthy diet and lifestyle are good insurance for preventing haemorrhoids, whether you already suffer haemorrhoid symptoms or are intent on preventing them. Regular exercise is also important, especially if you have a sedentary job. Exercise helps in several ways: keeping weight in check, making constipation less likely, and enhancing muscle tone.
2How do I know if I have piles?
First, your doctor will look at the anal area, perhaps by inserting a lubricated gloved finger or an anoscope (a hollow, lighted tube for viewing the lower few inches of the rectum) or a proctoscope (which works like an anoscope, but provides a more thorough rectal examination). More procedures may be needed to identify internal haemorrhoids or rule out other ailments that frequently cause anal bleeding, such as anal fissure, colitis, Crohn's disease, and colorectal cancer. To see further into the anal canal (into the lower colon, or sigmoid), sigmoidoscopy may be used, or the entire colon may be viewed with colonoscopy. For both procedures, a lighted, flexible viewing tube is inserted into the rectum. A barium X-ray can show the entire colon's interior. First a barium enema is given and then X-rays are taken of the lower gastrointestinal tract.
3What is fistula in ano ?
It is an opening around or near the anus, sometimes at a distance of 2 - 4 inches. It occurs with pus discharge, swelling or pain around that area.
4Is fistula in ano a painful problem ?
Yes, Fistula in ano is occasionally a painful problem. Whenever the wound track is full of pus it results in severe pain that will cause discomfort to patient & when the pus drains out the pain also reduces.
5Which age group & gender is more likely to have fistula in ano ?
Fistula in ano is more likely in males. Between 21 - 40 years of age persons are more prone to this disease, although plenty of females suffering from this problem are encountered. There also seems to be a predisposition in patients having a family history.
1What is the role of oral medications in fistula in ano ?
Oral medications have little or no role in the treatment of Fistula in ano.
2Is it hereditary ?
No, Fistula in ano is not a hereditary disease, but a familial predisposition is often noticed.
3What are the complications ?
If, left untreated for over 20 years or so, malignancy may develop in a small percentage of patients.
4What is anal fissure ?
It is a wound present inside the anus where the inner skin of the rectum joins the outer skin of the anus.
5Why does it occur ?
Frequent constipation, the resulting hardening of stools and the need to exert excess bowel pressure are the main causes. It may occur in any person but occurs mere frequently in the age-group of 20-40 years.
1Why does it not heal on its own ?
Hard stool causes abrasion of the anal skin and the wound fails to heal moreover, stools contain bacteria and cleanliness is not possible.
2Why is the surgery needed ?
Old wounds need an operation. Such wounds do not heal with medication and treatment. It is a small surgery carried out under general anaesthesia given only for a short duration. The stiff muscles surrounding the anus are given a small cut or are stretched to relax them. The thickened edges of the wound are cut and removed. Only one day’s hospitalization is needed.
3Does the operation cause any trouble ?
For about a week, the anal opening may be a little loose; there may be some amount of bleeding also. However, control over defecation remains intact. After 2-3 weeks, the wound completely heals and there is no further trou
4Is infertility a woman’s problem?
It is a myth that infertility is always a "woman's problem." Of the 80 percent of cases with a diagnosed cause, about half are based at least partially on male problems (referred to as male factors)--usually that the man produces no sperm, a condition called azoospermia, or that he produces too few sperm, called oligospermia.
5How is infertility tested?
For the woman, the first step in testing is to determine if she is ovulating each month. This can be done by charting changes in morning body temperature, by using an FDA-approved home ovulation test kit (which is available over the counter), or by examining cervical mucus, which undergoes a series of hormone-induced changes throughout the menstrual cycle. Checks of ovulation can also be done in the physician's office with simple blood tests for hormone levels or ultrasound tests of the ovaries. If the woman is ovulating, further testing will need to be done. Common female tests include: Hysterosalpingogram: An x-ray of the fallopian tubes and uterus after they are injected with dye, to show if the tubes are open and to show the shape of the uterus. Laparoscopy: An examination of the tubes and other female organs for disease, using a miniature light-transmitting tube called a laparoscope. The tube is inserted into the abdomen through a one-inch incision below the navel, usually while the woman is under general anesthesia. Endometrial biopsy: An examination of a small shred of uterine lining to see if the monthly changes in the lining are normal.
1What is in vitro fertilization (IVF) ?
New, more complex assisted reproductive technologies, or ART, procedures, including in vitro fertilization (IVF), have been available since the birth 18 years ago of Louise Brown, the world's first "test tube baby." IVF makes it possible to combine sperm and eggs in a laboratory for a baby that is genetically related to one or both partners. IVF is often used when a woman's fallopian tubes are blocked. First, medication is given to stimulate the ovaries to produce multiple eggs. Once mature, the eggs are suctioned from the ovaries and placed in a laboratory culture dish with the man's sperm for fertilization . The dish is then placed in an incubator . About two days later, three to five embryos are transferred to the woman's uterus . If the woman does not become pregnant, she may try again in the next cycle.
2What is a kidney stone?
Kidney stones are the formation of crystalline structures in the urinary tract (which includes the kidneys, ureters, and bladder). These stones can cause pain, infection, and kidney damage. Stones can be small, from 1 mm to very large, filling up an entire kidney.
3Do I have a kidney stone?
For patients experiencing their first stone episode, the pain can be so severe and sudden that it stops them in their tracks. Without prior knowledge of what a stone episode feels like, it can be confusing and frightening to go through this amount of discomfort, which is usually described as the worst pain someone has ever experienced. A trip to the emergency room is usually required to make the diagnosis and provide treatment for an active kidney stone. X-rays, usually a CT scan, can be used to confirm that a stone is present.
4Can I prevent another kidney stone?
Yes!, there are many effective ways to help prevent another stone. Basic dietary changes can reduce your chances of forming another stone by half while more involved medical treatment can reduce that even further. While these changes may not guarantee that you will not form another stone, they can make it less likely that you will have to experience another painful stone episode.