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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India


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All Posts Tagged: Diet

Dietary Precautions-Anal Fistula

Dietary Precautions For Anal Fistula

What you eat is what you are, especially when it comes to taking care of your internal organs like, stomach, liver, intestines, rectum, etc. your diet reflects their health. Conditions like anal fistula can be prevented with a healthy diet and lifestyle.

What is an Anal fistula?

Anal fistula is defined as an abnormal communication between the epithelial surface of the anal canal and the perianal skin. Anal fistula usually initiates with a tissue damage.

Patients with this condition usually are present with,

  • A constant pain in the area, throbbing in nature which gets worsen on sitting down.
  • A chronic irritation of the skin associated with swelling, redness and tenderness around the anus.
  • A smelly discharge of pus with or without blood
  • Constipation
  • Pain on bowel movement
  • Mild to moderate fever

In acute stage, a fistula can be extremely painful and may bleed frequently but if ignored for a long time for more than 7-8 months, it gets partially healed up and a skin growth known as sentinel tag or sentinel pile surrounds it.

What are the causative factors for Fistula?

In most of the individuals, anal fistulae usually develop following an anal abscess. Untreated abscesses in the anal area or ones which have not healed completely can give rise to fistula.

In fact, research studies have put forward a fact that one in every two-four people with an anal abscess have the chance of developing an anal fistula, later in life.

There is also a significant male predominance between the ages 20-40 years.

Other less common causes for anal fistula include,

  • Crohn’s disease
  • Diverticulitis
  • Hidradenitis Suppurativa
  • Tuberculosis

How anal fistula can be prevented through diet?

Diet plays a major role in improving this condition. Furthermore, since constipation is one of the major reasons for the exacerbation of anal fistula, it is highly important to control it as much as possible using dietary remedies.

  1. Take adequate dietary fibers such as bran, beans, passion fruit, berries, green leaves, mushrooms, banana, cabbage etc.
  2. Eat more vegetables, fruits and salad.
  3. Avoid gluten-free junk food, French fries, potato chips, processed meat and refined grains.
  4. Drink plenty of water and fluids but avoid much coffee and tea.
  5. Avoid straining during defecation (especially while constipation)
  6. Avoid excessive oils, chilies and spices in food items.
  7. Avoid much of non-veg. food. Try to be vegetarian.
  8. Use of buttermilk (Lassie without butter) with a pinch of cumin powder and black salt keeps the digestion correct

How do you manage anal fistula?

Prevention is the best treatment. Maintaining a good nutritional habit is a great way to maintain health issues and ward off fistulas. In addition, abstaining from smoking is important to promote fistula healing.

Are there any specific dietary measures to be taken?

Apart from the general precautions mentioned above, it is recommended to refrain from alcohol and smoking since they are known to play a major role in exacerbating the signs and symptoms of anal fistulae

In addition, you can take dietary advice from a dietician or the specialist to choose the best schedule of meals, depending on the individual requirements and severity of the condition.

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Precautions after a laparoscopic gallbladder surgery

Precautions After a Laparoscopic Gallbladder Surgery

Laparoscopic gallbladder surgery (cholecystectomy) removes the gallbladder and gallstones through several small cuts (incisions) in the abdomen. The surgeon inflates patient’s abdomen with air or carbon dioxide in order to see clearly.

Sometimes patients are nauseated after waking from the anesthesia. This sensation usually passes. If it does not, medication can be given to relieve it.
Postoperative pain can usually be controlled with over-the-counter pain relievers. Some patients may need a stronger, prescription analgesic.

The incisions are covered by small adhesive bandages that can be removed in about 5 days and the stitches dissolve over time. The area must be kept dry until the wound begins to heal and sponge baths are recommended for the first day or two.

Recovery from the laparoscopic procedure is quicker than from the open procedure. As the anesthesia wears off, and once vital signs stabilize, the nurse offers the patient ice chips. If ice is tolerated, water and other clear liquids are offered. Once liquids are tolerated, patients can eat a light meal and the IV is removed.

How is it different from an open surgery?

Recovery from open surgery is not as rapid. Patients experience pain at the incision site and a narcotic pain reliever is usually required for the first day or two. The patient may not be able to eat until the morning after surgery. The intravenous is left in until food and fluids are taken and tolerated.
Patients are usually able to get out of bed by the next morning. It is important to get up and walk as soon as possible to help blood circulation return to normal and to avoid complications such as blood clots. The hospital stay generally lasts 3 to 7 days and it usually takes about 3 weeks to fully recover. This procedure leaves a large abdominal scar, which may fade over time…

Diet instructions you need to know after the surgery

When you consider about your diet after the gallbladder surgery. No need to follow a special diet after having the surgery, as the gallbladder isn’t essential for digestion. You can usually start eating normally a few hours after your operation, although you’ll probably prefer to eat small meals to start with.

You may have been advised to follow a low-fat diet for several weeks before surgery, but this doesn’t need to be continued afterward. Instead, you should aim to have a generally healthy, balanced diet (including some fats).

Conclusion

Even Though cholecystectomies are safe, but complications can develop. The main disadvantage of laparoscopic surgery has increased the risk of injury to the bile duct, which connects the gallbladder and the liver. This rarest complication can cause serious liver damage.
If you experience side effects from the surgery – including indigestion, bloating, flatulence or diarrhea – it may help to make some small adjustments to your diet such as

  • Avoid drinks containing caffeine – such as coffee and tea,
  • Avoid foods that make the problems worse – such as spicy or fatty foods,
  • Gradually increase your intake of fibre – good sources of fibre include fresh fruits and vegetables, wholegrain rice, whole-wheat pasta and bread, seeds, nuts, and oats.
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Diet precautions for piles

Diet Precautions for Piles

Piles, or Haemorrhoids, is the condition where blood vessels around the rectum swell. This often results in pain, itching and bleeding, and also possibly resulting in prolapse (protrusion of the inner vessels) in more serious cases.

Early Piles often may heal on its own with adequate home care and self-help measures. Over-the- counter medicines can be used for the swelling and warm tub baths can help with the pain. However apart from these, one of the most important things to keep in mind is to avoid straining during bowel movements as it can aggravate the condition immeasurably. This is why patients having haemorrhoids need to adhere carefully to the dietary precautions in order to avoid constipation. Without it, piles might worsen to the extent of needing surgery. Read more about colorectal surgery: Gall Bladder Stone

Lifestyle changes such as a healthy diet and regular exercise can thus make an enormous difference to people suffering from piles. Key diet precautions that patients need to follow are:

Include High Fibre food

High fibre food helps in digestion and ensures regular bowel movements. The fibre from food adds bulk to your stools, make it softer thus enabling you to pass stools regularly without any strain. The ideal amount of fibre recommended per day for adults is 20 to 30 gms

To get this, your diet must include sufficient amounts of whole grain, lentils, fruits, vegetables and nuts. These provide you with not just the necessary dietary fibre but also essential nutrients. Doctors, in fact, recommend a minimum of 4.5 cups of fruits and vegetables every day.

Some of the recommended items are: Fruits such as Apples, pears, papaya, and vegetables like green leafy vegetables, cabbage, carrots, beetroots etc.

However, you must make sure to introduce food with the high fibre slowly into your diet so as to avoid cramps, stomach upsets and gas.

Avoid Processed Food

Processed food such as chips, burgers, freezer meals, pizzas although convenient do not contain any fibre and are also poor in nutrients. A diet which is predominantly made of processed food usually leads to constipation, which aggravates haemorrhoids. Doctors, therefore, advise patients suffering from piles to reduce junk food.

Avoid Refined Grains

Refined grains such as white bread, pasta are very low in dietary fibre and nutrients. Include whole grain items such as oatmeal, whole wheat pasta, brown rice to boost the amount of fibre in your meals.

Avoid Processed Meat

Patients suffering from piles must ideally avoid a diet that is meat-heavy since animal meat does not contain fibre. Processed animal meat is worse since apart having no fibre, it usually contains very high levels of salt, fat and sugar.

Increase Intake of water

Increased water consumption is helpful in softening the stools and to add bulk as the fibre in your digestive system absorbs the water and enlarges in size. This helps in the easy passage of stools. It is recommended to drink at least 8-10 glasses of water per day. Other recommended liquids that can be consumed include fruit juices and green tea, but avoid too much of caffeine.

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Gallstone-Prevention-Diet- for patient

Gallstone Prevention Diet

There is no sure evidence to prevent Gallstones but it is possible to have an effective gallstone diet plan to reduce risk. Research has also shown that Vegetarians have a significantly lower risk of developing gallstones, compared to people who eat meat.

Gallstones are pieces of solid material that form in the gallbladder, a small organ located under the liver. These stones develop because cholesterol and pigments in bile sometimes form hard particles. Read More about Gall Bladder stone at neoalta.com

Two main types of gallstones are:

  • Cholesterol stones: Usually yellow-green in color, approximately 80% of gallstones are cholesterol stones.
  • Pigment stones: These stones are smaller and darker and are made up of bilirubin.

Causes of Gallstones

  • Genetics – If other people in your family have had gallstones, you are at increased risk of developing gallstones.
  • Obesity – This is one of the biggest risk factors. Obesity can cause a rise in cholesterol and can also keep the gallbladder from emptying completely.
  • Estrogen – Estrogen can increase cholesterol and reduce gallbladder motility. Women who are pregnant or who take birth control pills or hormone replacement therapy have higher levels of estrogen and may be more likely to develop gallstones.
  • Ethnic background – Certain ethnic groups, including Native Americans and Mexican-Americans, are more likely to develop gallstones.
  • Gender & Age – Gallstones are more common among women and older people.
  • Cholesterol drugs – Some cholesterol-lowering drugs increase the amount of cholesterol in bile, which may increase the chances of developing cholesterol stones.
  • Diabetes – People with diabetes tend to have higher levels of triglycerides (a type of blood fat), which is a risk factor for gallstones.
  • Rapid weight loss –If a person loses weight too quickly, his or her liver secretes extra cholesterol, which may lead to gallstones. Also, fasting may cause the gallbladder to contract less.

Symptoms of gallstones:

A majority of the people may not experience any symptoms. Its your doctor who may find stones in your gallbladder while doing X-rays, ultrasound or surgery in the abdomen. Gallstones most frequently make their presence known when they become lodged in one of the ducts that carry bile, a digestive juice, from the liver to the small intestine and when such an obstruction occurs,the following symptoms might be experienced:

  • Severe and sudden pain in the upper right abdomen and possibly extending to the upper back
  • Fever and shivering
  • Severe nausea and vomiting
  • Jaundice (yellowing of the skin or eyes)
  • Clay colored stools or dark urine

How Are Gallstones Diagnosed?

Physical examination that includes checking your eyes and skin for visible changes in color. A yellowish tint in your skin or eyes may be signs of jaundice. The examination may also involve using diagnostic testing to see inside your body. These tests include:

  • Abdominal CT Scan-This is an imaging test that takes pictures of your liver and abdominal region.
  • Ultrasound-Ultrasound tests produce images of your abdomen.
  • Gallbladder Radionuclide Scan-This very important scan takes about one hour to complete. A specialist injects a radioactive substance into your veins. The substance travels through your blood to the liver and gallbladder. It highlights any infection or blockages in these organs.
  • Blood Tests-Your doctor may order blood tests that measure the amount of bilirubin in your blood. The tests also gauge how well your liver is functioning.

How Are Gallstones Treated?

The most common ways of gallstone treatment are-

  • Surgeries -Surgery is often the first option if you have symptoms. A surgeon may perform a commonly used technique called laparoscopic gallbladder removal.
  • Medications -Drugs that dissolve gallstones caused by cholesterol are an option if you cannot undergo surgery. These medications may take several years to eliminate the gallstones.

How can you prevent gallstones?

Veg  Assortment

Certain factors that increase the risk of developing gallstones, such as age, sex and ethnic origin cannot be altered.

But it is possible for us to have a effective gall stone diet plan – low in fat and high in fruit and vegetables, including plenty of dietary fiber, as many experts say that such type of a diet will help protect people from developing gallstones.

Avoid processed food such as read meat, sausages, also French fries , pastire.

Controlling your body weight – not allowing yourself to become overweight/obese – may also help prevent the formation of gallstones.

However, crash dieting and rapid weight loss are risk factors in the development of gallstones so try losing weight gradually following a healthy diet for which you could visit a diet counselor.

A Diet is when you watch what you eat and wish you could eat what you watch.

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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 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.

  • 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.

  • 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