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Laparoscopic, Robotic and LASER Surgery - GI & Colorectal, Navi Mumbai


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    Incontinence treatment and symptoms

    Incontinence treatment and symptoms

    What is incontinence?

    Do you have a frequent or sudden need to urinate or you can’t control your bladder? You may have this common condition known as urinary incontinence which is more commoner among the female gender.

    Types of urinary incontinence:

    Stress incontinence is when urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.

    Urge incontinence is if you have a sudden, intense urge to urinate followed by an involuntary loss of urine, you may need to urinate often. Urge incontinence may be caused by a minor condition, such as infection, or a more severe condition such as neurologic disorder or diabetes. Urge incontinence is also called overactive bladder, spastic bladder or reflex incontinence.

    Overflow incontinence is when you experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely.

    Functional incontinence is where a physical or mental impairment keeps you from making it to the toilet in time.

    Symptoms of incontinence are — feeling a sudden need to urinate or feeling a frequent need to urinate (more than 7 times a day or 2 times a night), weak bladder control and leaking. Some people experience occasional, minor leaks of urine. Others wet their clothes frequently.

    What are the main causes for incontinence?

    Diseases like diabetes, Parkinson’s and multiple sclerosis (MS) can damage the nerves that control your bladder.

    Vaginal childbirth, recurrent urinary tract diseases, strokes, surgeries and treatments for pelvic cancers can also cause urinary incontinence.

    What are the treatment options available for this condition?

    Treatment depends on what kind of incontinence you have and how bad your symptoms are. There are four main treatment approaches for incontinence which include bladder and pelvic floor muscle training, lifestyle changes, medications, surgery and bladder retraining.

    For Urge incontinence– Practices like double voiding (urinating and wait for another few minutes and doing again), toilet trips which involves 2-3 hourly scheduled toileting rather than waiting

    until an urge arises and proper fluid and dietary management play a major role in reaching a symptomatic improvement.

    Behavioral modification therapy is the therapy where an urologist might suggest techniques like limiting the amount of fluid you drink, eliminating caffeine because it irritates your bladder or bladder training, which will teach you to hold your urine longer and doing exercises to strengthen your pelvic floor.

    Both Stress incontinence and Urge incontinence can be treated effectively with Electrical stimulation which enhances the tone and strength of pelvic floor muscles.

    Furthermore, medications like Anticholinergics, Mirabegron (Myrbetriq), Alpha blockers and topical estrogens can also be used to address symptoms in all the three types.

    Is there any place for surgical treatments?

    In patients who do not respond to any of the conservative or pharmacological management, can be treated with surgical interventions like Sling procedures, bladder neck suspension, prolapse surgery and artificial urinary sphincter fixation, depending on the etiology

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    Life style modifications for GERD

    Life style modifications for GERD

    Do you also get a burning chest pain following meals which hugely interrupts your day today life? The presence of an incompetent valve between esophagus and stomach can cause a leakage of food and acid from the stomach back into the oral cavity by a reflux mechanism causing heart burn.

    Gastroenterologists in Mumbai encourage GERD Patients to practice life style modifications to prevent from mild GERD episodes.

    Diet modification for GERD

    Be extra cautious on what you are eating
    Always try to find the ingredients, containing in a meal before you consume them, to make sure that they don’t have too much spices like chilies, pepper, oils, fats, tomatoes, garlic, peppermint, onions, citrus, chocolate etc. which possibly have an exacerbating impact on the acid reflux.
    Some beverages can also agitate your symptoms, so it is good to keep an eye on what you are consuming. Few of the commonest acid-reflux triggers include coffee, tea and carbonated soft drinks.
    It is recommended to cut down sugars, fatty food and oils and consume a balanced diet rich in vitamins and proteins.
    Have small meals in a frequent basis
    According to latest research studies, it has been found out that the best method of staying healthy in every aspect is to consume tiny quantities of main meals as well as snacks in a frequent manner.
    Large meals take a long time to get emptied from our stomach and therefore apply an extra pressure on the valve between the stomach and esophagus. Persistent pressure on this valve, can later become weakened and incompetent, resulting in GERD.

    Lifestyle modification for GERD

    Stop smoking and alcohol which are major risk factors for GERD.
    Do not wear excessively tight clothes since they could squeeze the stomach contents, favoring the back flow of acids through the incompetent valve.
    Do not stay reclined at least for 3 Hours after Eating
    Lying flat on a bed results in an elimination of the gravity. This will place the stomach contents here and there, making it quite easier for the incompetent valve to act ineffectively, with a subsequent back flow of acids into the esophagus and throat- Heart burn
    When sleeping- Make sure to use pillows and raise the head end of your bed around six to eight Inches. Because when there is a slight inclination, gravity can act on the down-ward food flowing pathway, helping the stomach to reduce nighttime reflux attacks.
    Monitor weight- Over weight and obesity are two major risk factors for GERD due to their potential impact on the distortion of esophageal valve anatomy thus resulting in an acid-reflux.
    Since GERD is a chronic condition, these simple life style alterations can ease the symptoms effectively but it is important to practice these with proper medical advice, based on the severity of the condition.

    Gastroenterologists in Navi Mumbai are experts in healing GERD patients, thanks to their years of experience in the field.

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    Testimonial

    What patient says about Dr. Nitish Jhawar

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at Max hospital, he just asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Apollo staff was also very caring and good. I would mention Apollo Hospital, Navi Mumbai in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Kishore-Kumar-Das

      I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

    • Siddappa-Hasbi

      It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

    • Person Image

      I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

    • Person Image

      I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

    • Person Image

      I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

    • Person Image

      I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

    • Person Image

      Honest doctor, expert in his field....can trust his words

    • Person Image

      Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

    • Person Image

      Very nice. Doctor is very patient and gives you correct advice.

    • Person Image

      He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

    • Person Image

      Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience