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Archive for the 'Gall bladder disease' Category

Pain In Anal Region While Passing Motions

Posted by Dr.Prahallad Panda on 19th October 2009

There is pain of varying degree in the anus during passing of motions, compelling the patient to hold stool. The pain lasts for sometimes after the act. Most of the sufferers are ladies. It may follow after passing of hard stool in the recent past.

It is called Fissure-in-Ano. Non-vegetarian food of animal origin is responsible for it as that causes constipation. A life style change with more protein intake has increased it many fold. Some patients have an inherent problem of high sphincter tone. Fissure is a linear ulcer seen in the external anal region. It may occupy either front or back side of anal canal, or sometimes both the sides. In female, it is usally seen in the anterior (front) side whereas in male in the posterior side (back). Usually always, covered by a skin fold in the out side. As the skin fold guards the fissure like a sentry, called sentinel pile, is always painful to touch. The fissure sometimes bleeds and blood comes as a streak attached to the stool.

Fiber in diet prevents it. Most commonly treated in a conservative manner keeping in view to make the stool soft. So, stool softeners paly a major role. Liguid paraffin containing liquids are avoided, as they delay healing. To get ride of pain anesthetic gels are prescribed. A warm bath to anus, called sitz bath is advised after defaecation. An antibacterial gel is also advised. A smooth muscle relaxant gel is also prescribed. If conservative treatment fails a sphincter cutting surgery is contemplated. But, such surgery has the problem of anal incontenence. Most of my patients get relief from dietary modification and conservative treatment.

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Pain Upper Mid-Abdomen-2

Posted by Dr.Prahallad Panda on 2nd September 2009

Opened :en:gall bladder containing numerous :e...
Opened Gall Bladder with Gal Stones

The tags attached to the disease are fat,fertile,fifty and female are not absolute.It is said for gall stone disease.This disease gives rise to pain in the upper mid-abdomen.Other tags attached to it are flatulent dyspepsia .Some other diseases may be associated with it namely a hiatus hernia , diverticulosis of colon or pancreatitis.

Typically pain comes after a fatty meal.Other symptoms are vomiting ,loss of appetite,jaundice and fever .If associated with other diseases their symptoms also manifest.Gall stones form in a diseased gall bladder,supersaturated bile and infected biliary system .It is prevalent in a areas prone for malaria  and haemolytic diseases such as sickle cell disease.It is said that “Every   gall tone is a tomb stone erected to the memory of bacteria living or dead within it”.

The stones  are of a few types namely a cholesterol stone,a pigment stone or a mixed stone.The inflammation of gall bladder is called cholecystitis.It may occur with a gall stone when it is called a cholelithiasis with cholecystitis . when cholecystitis occurs without a gall stone is called an acalculus chilecystitis.Complications do follow a long  standing cholecystitis.They are gangrene of gall  bladder,pancreatitis,perforation of gall bladder,stone migration  to common bile duct and it’s obstruction, stone obstruction of intestine and  pus in gall bladder to name  few.It  may become associated with a cancer of gall bladder  also.

X-ray of organs during a laprasopic cholecyste...
Laparoscopic Cholecystectomy

Medical treatment for small cholesterol stone may become effective.Nevertheless surgery is indicated for it’s cure.A laparoscopic approach is the gold standard treatment now-a-days.

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