Gallbladder Problems?

"One of the side effects of gallbladder removal can be the dumping of bile which is now not as easily regulated and can send someone running to the bathroom immediately after eating. A more common side effect is a decrease in the secretion of bile. If the bile produced by the liver becomes thick and sluggish, painful symptoms and bile stones can occur. Bile stones can form in the liver as well as the gallbladder. One woman had her gallbladder removed only to end up back in surgery again two or three days later where they found stones in the bile ducts of the liver causing her a lot of pain.

However, removing the gallbladder may be an absolute medical necessity but, unless it is diseased, ruptured or otherwise sick, know that just having cholelithiasis or gallbladder stones does not mean you have to take it out. If you have gallbladder attacks, pain or discomfort or digestive problems but not a diseased gallbladder, this does not mean you necessarily have to have gallbladder surgery. Get a second opinion. 
You do have an option of cleaning up your diet, doing some work on your gallbladder and liver and keeping your organ of fat digestion. If you happen to think that nature made a mistake and that you don't need it anyway, you probably wouldn't be reading this page in the first place.

What's the worst thing that can happen? You try to clean up your act - spend time eating healthy and detoxing the bile and liver and...the gallbladder still needs to come out!"

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Hernia Surgery

"Hernia repair has been around for a long time. That means traditional techniques have been perfected while new options and materials have been developed. While not every technique is right for every hernia, they all have common goals: to provide the strongest repair and least chance of recurrence with the least possible discomfort and quickest recovery.

Until about 25 years ago, hernias were repaired one way, referred to as ‘open tension’ repair. Here’s what that means:

  • Open — An incision of 3" to 6" is made in the abdomen to give the surgeon access to the hernia.
  • Tension — The edges of healthy tissue around the hernia are pulled together and sewn with sutures.
  • The incision is then closed with dissolving sutures or abdominal adhesive.

This method has been tried and true for decades and may be the only way to repair a very large hernia. The incision tends to be painful and recovery can take as long as five to six weeks. The incision also leaves a scar, although it’s usually very low on the abdomen. Tension repair has a higher recurrence rate than non-tension, or mesh, repair."

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Hemorrhoid Surgery

"Hemorrhoids, also called piles, are swollen and inflamed veins around your anus or in your lower rectum.

The two types of hemorrhoids are

  • external hemorrhoids, which form under the skin around the anus
  • internal hemorrhoids, which form in the lining of the anus and lower rectum

Hemorrhoids are common in both men and women1 and affect about 1 in 20 Americans. About half of adults older than age 50 have hemorrhoids.

You are more likely to get hemorrhoids if you

  • strain during bowel movements
  • sit on the toilet for long periods of time
  • have chronic constipation or diarrhea
  • eat foods that are low in fiber
  • are older than age 50
  • are pregnant
  • often lift heavy objects

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Thyroid Problems? Check Here!

"Your doctor may recommend that you consider thyroid surgery for 4 main reasons:

  1. You have a nodule that might be thyroid cancer.
  2. You have a diagnosis of thyroid cancer.
  3. You have a nodule or goiter that is causing local symptoms – compression of the trachea, difficulty swallowing or a visible or unsightly mass.
  4. You have a nodule or goiter that is causing symptoms due to the production and release of excess thyroid hormone – either a toxic nodule, a toxic multinodular goiter or Graves’ disease.

The extent of your thyroid surgery should be discussed by you and your thyroid surgeon and can generally be classified as a partial thyroidectomy or a total thyroidectomy. Removal of part of the thyroid can be classified as:

  1. An open thyroid biopsy – a rarely used operation where a nodule is excised directly;
  2. A hemi-thyroidectomy or thyroid lobectomy – where one lobe (one half) of the thyroid is removed;
  3. An isthmusectomy – removal of just the bridge of thyroid tissue between the two lobes; used specifically for small tumors that are located in the isthmus.
  4. Finally, a total or near-total thyroidectomy is removal of all or most of the thyroid tissue."

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PAD Follow Up

"The most common symptom of peripheral artery disease (PAD) in the lower extremities is a painful muscle cramping in the hips, thighs or calves when walking, climbing stairs or exercising.

The pain of PAD often goes away when you stop exercising, although this may take a few minutes. Working muscles need more blood flow. View an animation of blood flow. Resting muscles can get by with less. 

If there's a blood-flow blockage due to plaque buildup, the muscles won't get enough blood during exercise to meet the needs. The "crampy" pain (called "intermittent claudication"), when caused by PAD, is the muscles' way of warning the body that it isn't receiving enough blood during exercise to meet the increased demand.

Many people with PAD have no symptoms or mistake their symptoms for something else. View an illustration of PAD.

Other symptoms of PAD include:

  • Leg pain that does not go away when you stop exercising
  • Foot or toe wounds that won't heal or heal very slowly
  • Gangrene, or dead tissue 
  • A marked decrease in the temperature of your lower leg or foot particularly compared to the other leg or to the rest of your body
  • Poor nail growth on the toes or hair growth on the legs
  • Erectile dysfunction, especially in men with diabetes"

For more information, please click on the link below!

What to expect with PAD!

"Your balloon angioplasty or stenting procedure will be performed in the hospital, in a specially-equipped room called a catheterization ("cath") lab. The procedure will be done by a physician who specializes in angioplasty and stenting. Your care team will also include nurses and cath lab technicians.

Your doctor will decide which site on your body would be the best place to access one of your arteries – typically your groin area, arm, or foot. The selected area will be cleaned, shaved and numbed with a local anesthetic.

Your doctor needs to know what other medications you are taking. In most cases, you should take any medications that you usually take, especially blood pressure medications. Check with your doctor about which ones to take and which ones not to take.

Also, be sure to tell your doctor if you:

  • Cannot take aspirin
  • Have any allergies
  • Have a history of bleeding problems
  • Are planning to have any other surgeries or dental work soon

Your doctor may instruct you take aspirin and other medications for several days before your procedure. These medications will help prevent blood clots from forming during the procedure.

You may be asked not to eat or drink anything for a period of time before your procedure. If your doctor wants you to take your regular medications, you may take them with a little water."

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Breast Cancer Myths

"The Breast Cancer Myth

Finding a lump in your breast means you have breast cancer.

The Truth

Only a small percentage of breast lumps turn out to be cancer.  But if you discover a persistent lump in your breast or notice any changes in breast tissue, it should never be ignored. It is very important that you see a physician for a clinical breast exam. He or she may possibly order breast imaging studies to determine if this lump is of concern or not. 

Take charge of your health by performing routine breast self-exams, establishing ongoing communication with your doctor, getting an annual clinical breast exam, and scheduling your routine screening  mammograms.

The Breast Cancer Myth

Men do not get breast cancer; it affects women only.

The Truth

Quite the contrary, each year it is estimated that approximately 2,190 men will be diagnosed with breast cancer and 410 will die. While this percentage is still small, men should also check themselves periodically by doing a breast self-exam while in the shower and reporting any changes to their physicians. 

Breast cancer in men is usually detected as a hard lump underneath the nipple and areola.  Men carry a higher mortality than women do, primarily because awareness among men is less and they are less likely to assume a lump is breast cancer, which can cause a delay in seeking treatment."

These are only a few of the myths involving breast cancer. Please click the link below for more information!

Breast Cancer Surgery

"Surgery is a common treatment for breast cancer, and its main purpose is to remove as much of the cancer as possible. There are different types of surgery. You may have a choice about which type to have. Or your doctor may recommend a certain operation based on your breast cancer type and your medical history. It’s important to know about your options so you can talk about them with your doctor and make the choice that is right for you.

Most women with breast cancer have some type of surgery as part of their treatment. Depending on the situation, surgery may be done for different reasons. For example, surgery may be done to:

  • Remove as much of the cancer as possible (breast-conserving surgery or mastectomy)
  • Find out whether the cancer has spread to the lymph nodes under the arm (sentinel lymph node biopsy or axillary lymph node dissection)
  • Restore the breast’s shape after the cancer is removed (breast reconstruction)
  • Relieve symptoms of advanced cancer"

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Breast Lump Biopsy

"When other tests show that you might have breast cancer, you will probably need to have a biopsy. Needing a breast biopsy doesn’t necessarily mean you have cancer. Most biopsy results are not cancer, but a biopsy is the only way to find out. During a biopsy, a surgeon will remove cells from the suspicious area so they can be studied in the lab to see if cancer cells are present.

There are different kinds of breast biopsies. Some use a needle and some use an incision. Each has pros and cons. The type you have depends on things like how suspicious the tumor looks, how big it is, where it is in the breast, how many tumors there are, other medical problems you might have, and your personal preferences. Ask the doctor which type of biopsy you will have and what you can expect during and after the procedure."

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Carotid Endarterectomy

"A carotid endarterectomy is performed in a sterile surgical suite or standard operating room. You may go home the same day or stay 1–2 nights after the procedure depending on your medical condition. 

  • You receive a local anesthetic or general anesthesia. 
  • Your vascular surgeon makes an incision at the front of your neck. 
  • After removing the plaque from the artery your vascular surgeon repairs the artery by stitching in a natural graft (formed from a piece of vein from elsewhere in your body) or a woven patch. 
  • The incision is closed."

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Understand Diverticulitis

"A previously healthy 45-year-old man presents with severe lower abdominal pain on the left side, which started 36 hours earlier. He has noticed mild, periodic discomfort in this region before but has not sought medical treatment. He reports nausea, anorexia, and vomiting associated with any oral intake. On physical examination, his temperature is 38.5°C and his heart rate is 110 beats per minute. He has abdominal tenderness on the left side without peritoneal signs. How should his case be managed?"

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Abdominal Aortic Surgery

"The surgery will take place in an operating room. You will be given general anesthesia (you will be asleep and pain-free).

Your surgeon opens up your belly and replaces the aortic aneurysm with a man-made, cloth-like material.

Here is how it can be done:

  • In one approach, you will lie on your back. The surgeon will make a cut in the middle of your belly, from just below the breastbone to below the belly button. Rarely, the cut goes across the belly.
  • In another approach, you will lie slightly tilted on your right side. The surgeon will make a 5- to 6-inch (13 to 15 centimeters) cut from the left side of your belly, ending a little below your belly button.
  • Your surgeon will replace the aneurysm with a long tube made of man-made (synthetic) cloth. It is sewn in with stitches."

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Colorectal Polyps

"Polyps of the colon and rectum are most often benign. This means they are not a cancer and do not spread. You may have one or many polyps. They become more common with age. There are many types of polyps.

Adenomatous polyps are a common type. They are gland-like growths that develop on the mucous membrane that lines the large intestine. They are also called adenomas and are most often one of the following:

  • Tubular polyp, which protrudes out in the center of the colon
  • Villous adenoma, which is flat and spreading, and is more likely to become a cancer

When adenomas become cancerous, they are known as adenocarcinomas. Adenocarcinomas are cancers that originate in glandular tissue cells. Adenocarcinoma is the most common type of colorectal cancer."

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Carotid Endarterectomy

"Also known as carotid artery surgery.

Carotid endarterectomy is surgery that removes plaque buildup from inside a carotid artery in your neck. This surgery is done to restore normal blood flow to the brain to prevent a stroke if you already have symptoms of reduced blood flow. Carotid endarterectomy also may be performed preventively if a diagnostic test such as carotid ultrasound shows significant blockage that is likely to trigger a stroke. Carotid endarterectomy is not a cure. Your arteries can become blocked again if your underlying condition, such as high blood cholesterol, is not controlled and causes new plaque buildup."

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What Are The Signs?

"The signs and symptoms of varicose veins include:

  • Large veins that you can see just under the surface of your skin.
  • Mild swelling of your ankles and feet.
  • Painful, achy, or "heavy" legs.
  • Throbbing or cramping in your legs.
  • Itchy legs, especially on the lower leg and ankle. Sometimes this symptom is incorrectly diagnosed as dry skin.
  • Discolored skin in the area around the varicose vein.

Signs of telangiectasias are clusters of red veins that you can see just under the surface of your skin. These clusters usually are found on the upper body, including the face. Signs of spider veins are red or blue veins in a web or tree branch pattern. Often, these veins appear on the legs and face.

See your doctor if you have these signs and symptoms. They also may be signs of other, more serious conditions."

Deep Vein Thrombosis

"Deep vein thrombosis (DVT) is a condition that occurs when a blood clot forms in a vein deep inside a part of the body. It mainly affects the large veins in the lower leg and thigh, but can occur in other deep veins such as in the arms and pelvis."

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All signs, symptoms, triggers, & treatments for hypo & hyperthyroidism

Thyroid issues have been becoming increasingly common in recent years, prompting many questions surrounding thyroid health. What is the thyroid? What does it do? Where is it located? What is the difference between hyperthyroidism and hypothyroidism? Hopefully this article can help answer these questions for you so you can ensure your thyroid stays healthy or, if there are already issues, that it gets better.

Thyroid issues have been becoming increasingly common in recent years, prompting many questions surrounding thyroid health. What is the thyroid? What does it do? Where is it located? What is the difference between hyperthyroidism and hypothyroidism? Hopefully this article can help answer these questions for you so you can ensure your thyroid stays healthy or, if there are already issues, that it gets better.

What Is The Role Of The Thyroid?

The thyroid is a gland that secretes hormones that regulate many metabolic processes, including growth and energy expenditure. If the thyroid becomes overactive or slow it will affect the metabolism accordingly, which can lead to a variety of symptoms that are often misdiagnosed.Thyroid issues are fairly common, with at least one in 20 people affected in their lifetime, and women more susceptible than men.


What Is The Difference Between Hypothyroidism And Hyperthyroidism?

The most notable difference between the two dysfunctions is the hormone output from the thyroid.Hypothyroidism means your thyroid gland is not producing enough of the thyroid hormone for the body’s needs, while hyperthyroidism means it is producing too much.


What Are The Symptoms?

The symptoms of each of these conditions can vary greatly because hormones affect so many aspects of how our bodies work. With hypothyroidism, you generally feel sluggish, have trouble concentrating, have dry skin and hair, experience muscle pains and cramping, are prone to fluid retention, and feel sensitive to cold.

With hyperthyroidism, unexplained weight loss is common, as are accelerated heart rate, trouble sleeping, irritability, anxiousness, and sensitivity to heat.

Some people even develop a lump on their throats, which is called a goiter. This can signify that your thyroid is working too hard or that you have a severe iodine deficiency.


What Causes Thyroid Issues?

The most common causes for thyroid conditions are: chronic stress, toxicity buildup, iodine deficiency, accumulation of heavy metals, and various autoimmune conditions. Hyperthyroidism can be caused by conditions like Grave’s disease, which increase thyroid hormone production. Subacute thyroiditis and toxic adenomas are also conditions that lead to this. Hypothyroidism is generally triggered by conditions that reduce the production of thyroid hormone, like Hashimoto’s thyroiditis. The removal of the thyroid or an excessive exposure to iodide or lithium can also cause it.

Relax, moms — IVF doesn’t increase risk of breast cancer

One less thing to worry about, moms and moms-to-be: Undergoing in vitro fertilization won’t give you breast cancer.

Many women have worried that pumping themselves with extra hormones before IVF treatments to stimulate their ovaries has put them at risk for the Big C. That’s because high estrogen and progesterone levels have been linked to the growth of certain breast cancers.

But a new study of more than 25,000 women in the Netherlands published in JAMA revealed that the moms-to-be who underwent IVF were no more likely to get breast cancer after 21 years than both the general population and women treated for infertility who didn’t do IVF at the same time. In fact, the researchers found breast cancer risk was significantly lower for women who did seven or more IVF cycles.

“This is happy news — making life does not cause cancer! — and for someone that has to undergo IVF, this is at least one less thing to be concerned about,” said Erika, 36, from Manhattan, who took hormones to harvest and freeze her eggs for future IVF treatment last year.

Kristin, a 35-year-old from the upper East Side, also underwent the same procedure last year because she believed her risk of getting cancer was minimal even then.

“The data on possibly getting cancer was inconclusive, but my decreasing fertility was a fact, so I went with the fact,” she told The Daily News.

But after reading about the JAMA study this week, she felt “even more at peace with my decision.”

Fertility doctors who have long tried reassuring jittery patients that IVF’s risks don’t include cancer praised the report for putting women’s minds at ease. Dr. Zitao Liu from the New Hope Fertility Center at Columbus Circle has had six IVF patients come discuss their cancer risks since the study came out who now “certainly are more optimistic.”

Dr. Liu added that, “We’ve known for a long time that there was no correlation between IVF treatment and breast or ovarian cancer. The JAMA study is good because it is a published case to reinforce this idea, and we have many patients who are comforted knowing about the study.”

So where did the idea that IVF causes cancer come from if the scientific community has been so sure there was nothing to worry about? Dr. Alan Copperman, the director of Reproductive Endocrinology and Infertility at Mount Sinai, suggested that fertility treatments decades ago were not as streamlined and successful as they are now. Most women today take hormones for a week or so before their mature eggs are retrieved, whereas once each IVF cycle took a couple of months and used a variety of hormones.

“Maybe years ago, when women would do 12 cycles of hyperstimulation [of the ovaries] ... if someone was taking a whole year of fertility drugs with a really high estrogen level and not getting pregnant ... then you could theorize all that estrogen could have damaging effects,” he said. “There was probably some rationale [for the cancer fears] years ago, but now there’s targeted treatment, and your estrogen levels are only up for a brief time.”

He’s also seen relieved patients come through his doors since the JAMA report. “Word spreads quickly, and I have had several patients come in and say, ‘Wow, that was reassuring, because I had an aunt who had cancer and I was really worried about that,’” he said. “I think this is fantastic news. A lot of patients don't even attempt IVF, patients that would really be benefitted, because of some unfounded fears.”

But this still isn’t license to skip your mammogram, mamas — whether you have done IVF or not.

“We have never made any changes in our recommendations for screening based on a patient’s history of IVF ... but we do know that mammograms save lives,” said Dr. Emily Sonnenblick, radiologist at the Dubin Breast Center in Mount Sinai Hospital. “I would encourage women to just follow the standard, established guidelines, starting screenings at age 40, regardless of whether you’ve had IVF or not.”

How to Handle Hemorrhoids

Hemorrhoids—clumps of swollen veins in or just outside the anal canal, which may cause discomfort along with bleeding during bowel movements—have long been the subject of jokes, but to millions of us they offer little reason for humor.

Up to 75 percent of all Americans may develop hemorrhoids at some point in their lives, usually between the ages of 45 and 65. The likelihood is a bit higher in women, in part because hemorrhoids are common duringpregnancy.

Experts aren’t sure what really triggers the development of hemorrhoids, but inflammation and breakdown of the tissue in anal cushions—pads of thickened tissue that protect the anal canal—are involved. And long-standing constipation, straining to have a bowel movement, sitting on the toilet for a long time, and a low-fiber diet may make exacerbate the problem.



Self Care for Hemorrhoids

If you have hemorrhoids, your first step might be an over-the-counter hemorrhoid relief product such as a cream or ointment, found on drugstore shelves. But these haven’t been proven effective in clinical trials: they won’t shrink your hemorrhoids, stop bleeding, or reverse what’s called prolapse (when hemorrhoids protrude from the anus). In fact, they can increase irritation by making your skin more sensitive. For that reason, hemorrhoid creams shouldn’t be used for more than a week.

Instead, you might want to try some self-care strategies. A 10-minute “sitz bath” two to three times a day will soothe irritation and relax the internal sphincter muscle. Run a few inches of warm water in your bathtub or use a small sitting tub, available at pharmacies and big-box stores. Keeping stools soft and easier to pass also helps; laboring to have a bowel movement exerts extra pressure on anal cushions. And aim to keep yourself as regular as possible: exercise consistently, drink six to eight glasses of water a day, and consume plenty of fiber-rich vegetables, fruit, beans, and whole grains. Adding a fiber supplement containing psyllium or unprocessed bran may also help in both keeping you regular and preventing the return of your hemorrhoids once they’re under control. And don’t linger on the toilet—it can make things worse even if you’re not actively pushing to have a bowel movement. Do your reading elsewhere.  



When to See a Doctor for Hemorrhoids

If your hemorrhoids haven’t responded to self-care steps within two weeks, see your doctor. Your problem could be something else, such as an abscess (pus that collects near the anus) or fissure (a tear in the tissue lining the anus). If you’re also experiencing bleeding or you’re age 50 or older and have never had acolonoscopy, your doctor may order one to rule out the possibility of cancer or inflammatory bowel disease.

You may want to ask for a referral to a colorectal surgeon, who can discuss whether you might benefit from an in-office procedure. For internal hemorrhoids, for example, your doctor may use infrared light to shrink hemorrhoids or rubber band ligation, where an elastic band is wrapped around hemorrhoids so they shrivel up.  

5 simple expert diet tips for a healthy gallbladder

  • Gallstones

    The gallbladder is an organ that stores bile pigment produced by the liver, thereby playing a key role in fat metabolism and cholesterol control. However, eating a diet high in cholesterol not only increases your risk of heart disease but also puts you at a risk of gall stones. Dr Akshay Challani, Critical Care Specialist and Physician, Akshjyot Clinic, Navi Mumbai, shares simple tips to prevent gall stones.

  • Crash-Diet

    Say no to crash diets: If you are overweight and are planning to go for crash dieting to lose weight quickly, then drop the idea as it puts undue pressure on the gallbladder. In fact, eating healthy and exercising religiously is the key to keeping your weight in check.

  • oily-food

    Limit the intake of fried foods: Most of us fail to control the urge for fried foods like samosas, puris, pakoras and medu wadas but excess consumption of fried foods hinders digestion and also irritates the lining of gall bladder, increasing your risk of gall bladder problems. Replace fried foods with fresh fruits and vegetables to improve the organ function.

  • cookies

    Eat highly processed foods in moderation: How often do you eat processed foods like cookies or doughnuts? Well, it's time to keep a tab on the intake of processed foods as it might hinder the secretion of digestive gases by increasing the pressure on the gallbladder when had in excess. Add Whole grains (whole-wheat bread, brown rice, oats, bran cereal) to your diet.

  • dairy-product

    Avoid intake of whole-milk dairy milk: If whole milk dairy products like cheese, butter and ice-cream find a place in your platter then shun these foods from your diet. If you can't live without having dairy products, then opt for low-fat dairy products to ease the pressure on the gallbladder.

  • time-your-meals

    Do not have long gaps between meals: If you believe that eating once a day or keeping long hours between meals is ok when you are trying to lose weight, then you are wrong. Instead, eating frequently and having meals at the same time every day is the key for a healthy gallbladder.