Inguinal Hernia Surgery in Hyderabad

When an internal part of the body such as an area of the intestine pushes through a weak muscle or tissue wall surrounding it, a hernia can develop.

What is an inguinal hernia?

An inguinal hernia is a lump or swelling that appears in the groin area. It can also extend into the scrotum (testicular pouch) – which may appear swollen, enlarged and painful. In people with this type of hernia, the swelling appears with lifting weight or objects and disappears with rest.

What are the potential causes of inguinal hernia?

In inguinal Hernia, a part of the intestine or fatty tissue pushes through a weak spot in the abdominal wall into the inguinal canal. Though it is common at any age, it mainly affects aging men. People who strain or put pressure on the abdominal during bowel movements, or lift heavy loads or push heavy objects are at risk of developing this condition suddenly. In some cases, persistent heavy cough can also cause inguinal hernia.

Groin Hernia Surgery in Hyderabad – When Is It Required?

When you have this type of hernia associated with persistent pain and discomfort, your hernia specialist doctor or a surgical gastroenterologist may recommend surgery. Untreated hernias can cause severe complications such as strangulation (a part of the bowel may trap cutting blood supply) and obstruction (a part of the bowel gets stuck in the inguinal canal). These complications can lead to severe stomach pain, nausea and vomiting.

Strangulated hernia may require emergency surgery to release the trapped tissue and restore blood supply.

Inguinal hernia repair procedure

Surgical repair is performed in two ways:

Open surgery: A surgical gastroenterologist makes a large incision, and then pushes the lump back into the abdomen.

Laparoscopic hernia repair surgery or keyhole surgery: A surgeon experienced in laparoscopic hernia repair makes several small incisions in the abdomen. And uses small tube-like instruments to repair the hernia.

Laparoscopic surgery

Read more about “Laparoscopic Hernia Repair”

Inguinal hernia repair hydrocele

Inguinal hernia repair with hydrocelectomy: A hydrocele that causes pain and

discomfort and doesn’t go away needs surgical removal. A surgical

gastroenterologist makes an incision or cut in the lower abdominal area or

scrotum to remove hydrocele. If a surgeon finds hydrocele during an inguinal

hernia repair procedure he will remove the hydrocele – even if it is

asymptomatic. The surgeon uses a tube to drain fluid and applies a bandage.

The patient needs follow up care.

Inguinal hernia surgery cost in Hyderabad: It ranges anywhere between Rs. 85,000 to Rs. 1,30,000 in Hyderabad. The cost of laparoscopic hernia surgery in Hyderabad is slightly higher than open surgery. A majority of the insurance companies cover hernia surgeries. There are some variations in the cost due to other factors such as the age of the patient, comorbid conditions, severity of the problem, duration of hospital stay and so on.

If you have been diagnosed with hernia and suggested to get hernia surgery done, don’t delay the surgery or else you will develop complications such as obstruction and strangulation. If you still have any other questions or concerns pertaining to hernia treatment, then meet me personally.

For Hernia: Which Doctor to Consult?

When it comes to health concerns, knowing which medical specialist to consult is crucial. Hernias are no exception. If you or someone you know is experiencing the discomfort and pain associated with a hernia, it’s essential to seek medical attention promptly. But which doctor should you consult for hernia-related issues?  Before that let us briefly understand hernias.

Understanding Hernias

A hernia occurs when an organ or tissue pushes through a weakened spot in the muscle or connective tissue that usually holds it in place. Hernias can develop in various parts of the body, with the most common types being inguinal hernias (groin), umbilical hernias (belly button), and hiatal hernias (upper stomach). Now, let’s explore the specialist who can provide the necessary care for hernias.

For hernia which doctor to consult?

The best way to treat hernias is to go for surgical repair and the best specialist is a surgical gastroenterologist who specializes in the hernia surgeries – both open and laparoscopic surgeries.

Hernia Surgery

Hernia surgery is a medical procedure performed to repair a hernia, which is the protrusion of an organ or tissue through a weakened or torn muscle or fascia (the connective tissue that surrounds muscles). Hernias most commonly occur in the abdomen, but they can also develop in other areas of the body, such as the groin, upper thigh, or belly button.

Hernia surgery is typically recommended to prevent complications and alleviate symptoms associated with hernias, which may include pain, discomfort, and the risk of bowel obstruction or strangulation. There are two main types of hernia surgery:

Open Hernia Repair

In this approach, the surgeon makes an incision near the hernia site. The protruding organ or tissue is pushed back into its proper place. A mesh may be used to reinforce the weakened muscle or fascia and prevent the hernia from recurring. The incision is then closed with stitches or staples.

Laparoscopic Hernia Repair (Minimally Invasive)

Laparoscopic surgery involves making small incisions in the abdomen.

A laparoscope (a thin tube with a camera) is inserted through one of the incisions to provide a visual guide.

The surgeon uses specialized instruments to repair the hernia and places a mesh if needed.

Laparoscopic surgery typically results in smaller scars, less postoperative pain, and a faster recovery compared to open surgery.

Recovery after hernia surgery varies depending on the type of procedure and individual factors. Patients are usually advised to take it easy for a few weeks, avoid heavy lifting, and follow their surgeon’s instructions for postoperative care.

Hernia surgery is generally safe and effective, but like any surgical procedure, it carries some risks, such as infection, bleeding, or recurrence of the hernia. It’s important to discuss the benefits and potential risks with your surgical gastroenterologist before undergoing hernia surgery and to follow their recommendations for preoperative and postoperative care.

FAQs (Frequently Asked Questions)

Can hernias go away on their own?

No, hernias do not resolve on their own and typically require medical intervention.

What are the common symptoms of a hernia?

Common symptoms include a visible bulge, pain or discomfort, and a feeling of heaviness in the affected area.

Is surgery always necessary for hernia treatment?

Surgery is often the most effective rather gold standard treatment for hernias, but the approach may vary depending on the type and severity of the hernia.

Are hernias preventable?

While not all hernias are preventable, maintaining a healthy lifestyle, avoiding heavy lifting, and managing obesity can reduce the risk of hernia development.

What is the recovery time after hernia surgery?

The recovery time varies depending on the type of surgery and individual factors, but most people can return to normal activities within a few weeks.

Bottom Line

In your journey to address a hernia, remember that seeking timely medical advice is crucial. Consult an experienced and expert hernia surgeon to ensure you receive the best possible care and treatment tailored to your specific condition.

Gold Standard Hiatal Hernia and GERD Treatment

Hiatal Hernia Treatment – Finding Relief and Managing Symptoms

Living with gastrointestinal issues can be challenging and uncomfortable. Two common conditions that often go hand-in-hand are hiatal hernia and gastroesophageal reflux disease (GERD). These conditions can cause a range of uncomfortable symptoms and impact your overall well-being. Let us try to understand what hiatal hernia and GERD are, their potential causes, and effective treatment options to alleviate discomfort and improve your quality of life.

Understanding Hiatal Hernia

What is a Hiatal Hernia?

A hiatal hernia occurs when a portion of the stomach pushes through the diaphragm and into the chest cavity. This can lead to a variety of symptoms, including heartburn, chest pain, difficulty swallowing, and regurgitation.

Types of Hiatal Hernias

There are two main types of hiatal hernias: sliding and paraoesophageal. A sliding hernia is the more common type and involves the stomach and esophagus sliding in and out of the chest through the hiatus. A paraoesophageal hernia is less common but more concerning, as it occurs when a part of the stomach squeezes through the hiatus and remains there, potentially leading to complications.

Causes of Hiatal Hernias

While the exact causes of hiatal hernias are not always clear, certain factors can increase the risk of developing one. These include age, obesity, pregnancy, and persistent pressure on the surrounding muscles.

Gastroesophageal Reflux Disease (GERD)

What is GERD?

GERD, or gastroesophageal reflux disease, is a chronic condition where stomach acid flows back into the esophagus, causing irritation and inflammation. This can result in symptoms such as heartburn, regurgitation, chest pain, and difficulty swallowing.

Factors Contributing to GERD

Several factors can contribute to the development of GERD. These include a weakened lower esophageal sphincter (LES), obesity, certain dietary habits, smoking, and pregnancy.

Hiatal Hernia Treatment Options

Lifestyle Modifications

Dietary Changes

Making dietary adjustments can significantly impact both hiatal hernia and GERD symptoms. Avoiding acidic, spicy, and fatty foods, as well as caffeine and alcohol, can help minimize discomfort. Consuming smaller, more frequent meals and eating at least two hours before bedtime can also alleviate symptoms.

Weight Management

For those who are overweight or obese, losing weight can reduce the pressure on the stomach and help prevent the occurrence of hiatal hernias and GERD.


Antacids and H2 Blockers

Antacids provide quick relief by neutralizing stomach acid, while H2 blockers reduce acid production. These medications can help manage heartburn and acid reflux symptoms.

Proton Pump Inhibitors (PPIs)

PPIs are potent acid suppressors that can provide long-term relief for GERD symptoms. They help heal the esophagus and reduce the production of stomach acid.

Surgical Interventions

Hiatal Hernia Repair

For larger or more severe hiatal hernias, surgery may be required to push the stomach back into place and repair the opening in the diaphragm.

Laparoscopic Fundoplication

In cases where lifestyle changes and medications are ineffective, laparoscopic fundoplication may be recommended to treat hiatal hernia and GERD. This surgical procedure involves wrapping the top of the stomach around the lower esophagus to strengthen the LES and prevent acid reflux.

Bottom Line

Living with hiatal hernia and GERD can be uncomfortable and disruptive to daily life. However, with the right combination of lifestyle changes, medications, and, if necessary, surgical interventions, relief is attainable. Consulting a surgical gastroenterologist is essential for an accurate diagnosis and tailored treatment plan. By taking proactive steps to manage these conditions, individuals can experience improved quality of life and symptom relief.


Can a hiatal hernia lead to GERD?

Yes, a hiatal hernia can contribute to the development of GERD by weakening the LES and allowing stomach acid to flow back into the esophagus.

Is surgery the only option for hiatal hernia treatment?

Surgery is typically considered when other treatment methods have been unsuccessful or when there is a risk of complications.

Are there any natural remedies for managing GERD symptoms?

While lifestyle changes play a significant role, natural remedies like consuming ginger or chamomile tea may offer temporary relief.

Can children develop these conditions?

Yes, children can develop hiatal hernias and GERD, often due to congenital factors or underlying medical conditions.

Is long-term medication use safe for managing GERD?

Long-term use of medications like PPIs should be monitored by a healthcare professional, as there can be potential risks and side effects.

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For the most effective gold standard treatment of hiatal hernia, GERD and associated symptoms – meet Dr. Datta Ram U.

Small Intestinal Bacterial Overgrowth (SIBO)

Unveiling the Hidden Culprit in Digestive Health

In the realm of digestive health, a silent disruptor often lurks beneath the surface: Small Intestinal Bacterial Overgrowth (SIBO). This intricate imbalance in the gut’s delicate ecosystem can lead to an array of discomforting symptoms and pose challenges that impact overall well-being. In this comprehensive guide, we delve into the nuances of SIBO, understanding its causes, symptoms, diagnostic methods, and potential treatment avenues.

Unraveling SIBO: What Lies Beneath?

The Basics of SIBO

Small Intestinal Bacterial Overgrowth, or SIBO, refers to an excessive proliferation of bacteria within the small intestine. Normally, the small intestine hosts a controlled population of beneficial bacteria. However, when this equilibrium falters, an overgrowth of bacteria can occur, hampering the digestion and absorption processes.

Understanding the Triggers

Several factors can contribute to the development of SIBO. These include:

1. Impaired Motility

Disruptions in the normal movement of the small intestine can lead to stagnation of undigested food, creating an ideal environment for bacterial growth.

2. Structural Abnormalities

Structural issues, like intestinal strictures or adhesions, can hinder the natural flow of contents, fostering bacterial accumulation.

The Symphony of Symptoms

Recognizing SIBO necessitates an understanding of its varied symptoms:

1. Bloating and Distention

Excessive gas production due to bacterial fermentation can result in uncomfortable bloating and abdominal distention.

2. Diarrhea and Constipation

Altered gut motility can lead to erratic bowel movements, swinging between diarrhea and constipation.

Diagnosing SIBO: Cracking the Code

Breath Tests: A Window into the Gut

Hydrogen and methane breath tests are commonly employed to detect SIBO. These tests involve measuring gases produced by bacteria during digestion, providing insights into bacterial overgrowth.

Endoscopy and Aspirate Culture

In certain cases, endoscopic procedures may be utilized to collect samples from the small intestine for bacterial culture, aiding in precise diagnosis.

Navigating Treatment Options

Antibiotics: A Double-Edged Sword

Antibiotics are often prescribed to tackle SIBO, aiming to reduce bacterial populations. However, their impact on gut flora diversity raises concerns.

Probiotics and Diet Modification

Introducing beneficial bacteria through probiotics and adhering to a diet low in fermentable carbohydrates can help manage SIBO and restore gut balance.

Living with SIBO: Tips for Management

Mindful Eating Practices

Chewing food thoroughly and consuming smaller, well-spaced meals can alleviate the strain on the digestive system.

Stress Management

Stress reduction techniques, such as meditation and yoga, can positively influence gut health and minimize SIBO flare-ups.

Bottom Line

In the intricate landscape of digestive health, Small Intestinal Bacterial Overgrowth emerges as a key player. Understanding its underlying mechanisms, diagnostic approaches, and management strategies empowers individuals to embark on a journey towards improved well-being. By nurturing a balanced gut, we pave the way for harmonious digestion and overall vitality.


1. Is SIBO a chronic condition?

SIBO can become chronic if not effectively managed. However, with appropriate interventions, symptoms can be controlled.

2. Can diet alone cure SIBO?

While diet modifications play a crucial role in managing SIBO, a comprehensive approach that may include medications and lifestyle changes is often recommended.

3. Are there any long-term complications of untreated SIBO?

Untreated SIBO can lead to nutrient deficiencies, malabsorption, and persistent gastrointestinal discomfort.

4. Can stress trigger SIBO?

Yes, chronic stress can influence gut motility and contribute to the development of SIBO.

5. How can I maintain a healthy gut after overcoming SIBO?

After overcoming SIBO, maintaining a balanced diet, managing stress, and occasionally using probiotics can support gut health.

Food Poisoning: A Close Encounter with Culinary Danger

Causes of food poisoning & prevention

Have you ever experienced an unexpected, unwelcome surprise after a delightful meal? Food poisoning, a lurking danger in the culinary world, can turn your blissful gastronomic adventure into a distressing nightmare. This article is your comprehensive guide to understand, prevent, and deal with food poisoning effectively. So, fasten your seatbelts as we embark on a journey to explore the mysteries of contaminated cuisine!

What is Food Poisoning?

Food poisoning is an unpleasant condition caused by consuming food contaminated with harmful bacteria, viruses, parasites, or toxins. The contaminants disrupt the normal functioning of your digestive system, leading to a range of symptoms that can vary from mild discomfort to severe illness.

Common Causes of Food Poisoning

Uninvited guests like Salmonella, E. coli, Campylobacter, and norovirus are among the leading culprits responsible for causing food poisoning. These microorganisms find their way into food through improper handling, inadequate cooking, or cross-contamination. Contaminated raw meat, uncooked eggs, unpasteurized dairy products, and contaminated water are common sources of foodborne illness.

Sneaky Symptoms

Food poisoning is a sneaky adversary that strikes when you least expect it. Its symptoms can appear within a few hours or even days after consuming contaminated food. The signs include nausea, vomiting, stomach cramps, diarrhea, fever, and weakness. In more severe instances, food poisoning can result in dehydration and necessitate medical intervention.

How to Prevent Food Poisoning

Preventing food poisoning is easier than dealing with its aftermath. Embrace these simple yet powerful practices to safeguard yourself and your loved ones:

Wash your hands thoroughly before handling food.

Ensure proper cooking of meat, poultry, and eggs to kill harmful pathogens.

To avoid cross-contamination, it is crucial to ensure that raw and cooked foods are kept separate.

Refrigerate perishable foods promptly to slow bacterial growth.

Be cautious while consuming raw or undercooked foods, especially for vulnerable groups.

When to Seek Medical Attention

Most cases of food poisoning resolve on their own within a few days with home care and proper rest. However, certain situations demand immediate medical attention. Seek help if you experience:

High fever (above 101.5°F or 38.6°C)

Severe dehydration

Blood in stool or vomit

Prolonged symptoms beyond three days

First Aid for Food Poisoning

When the sneaky symptoms strike, providing timely first aid can make a significant difference. Follow these steps to alleviate discomfort and aid recovery:

Stay hydrated by drinking clear fluids like water or electrolyte solutions.

Avoid solid foods initially and gradually introduce bland, easy-to-digest foods.

Rest and allow your body to recover from the illness.

Over-the-counter medications can help relieve symptoms, but consult a healthcare professional before using them.

The Impact of Food Poisoning on Vulnerable Groups

Certain groups, such as pregnant women, young children, the elderly, and individuals with weakened immune systems, are more susceptible to severe food poisoning complications. For these vulnerable populations, even a mild case of food poisoning can lead to serious health risks.

Food Safety in Restaurants

Eating out is a delightful experience, but it comes with its share of risks. To ensure your restaurant visit is a pleasurable one, follow these food safety tips:

Choose restaurants with a good reputation for hygiene and food quality.

Verify that the food is thoroughly cooked and served at the right temperature.

Check for clean utensils and serving areas.

Trust your instincts; if something seems off, it’s better to avoid that restaurant.

Traveler’s Dilemma: Food Poisoning on the Road

One of the commonest causes of food poisoning is travelling as it exposes you to various cuisines, but it also exposes you to unfamiliar pathogens. To stay healthy and enjoy your travels to the fullest, keep these tips in mind:

For staying hydrated, it is advisable to stick to bottled or boiled water.

Avoid street food unless you are confident about its hygiene.

Carry a basic medical kit with essentials like antidiarrheal medication and adhesive bandages.

Research local food safety practices and reviews of restaurants before dining.

Foodborne Illness Outbreaks: A Public Health Concern

Foodborne illness outbreaks are significant public health issues that can affect communities and even countries. These outbreaks occur when a large number of people fall ill due to consuming contaminated food from a common source. Public health authorities work diligently to identify the cause, contain the outbreak, and prevent future occurrences.

Unseen Culprits: The Importance of Proper Food Handling

Behind every food poisoning case, there is often an unseen culprit: improper food handling. Whether it’s in your home kitchen or a restaurant, following proper food handling practices is essential to prevent foodborne illnesses. Wash hands, sanitize surfaces, cook at appropriate temperatures, and store food correctly to keep harmful pathogens at bay.

A Lesson from the Past: Notorious Food Poisoning Outbreaks

Throughout history, food poisoning outbreaks have left an indelible mark on society. From the infamous Jack in the Box E. coli outbreak in 1993 to the Chipotle Norovirus outbreak in 2015, these incidents serve as stark reminders of the importance of food safety and the need for constant vigilance.

Food Poisoning Myths and Facts

Separating myths from facts is crucial to protect yourself from food poisoning. Let’s debunk some common misconceptions:

• Myth: You can tell if food is safe to eat based on its smell.

Fact: Harmful bacteria often do not produce an off-putting odor, so use proper food safety measures instead.

• Myth: A little pink in meat is harmless.

Fact: The color of meat is not a reliable indicator of its safety; use a food thermometer to ensure its properly cooked.

• Myth: Food poisoning is solely caused by meat.

Fact: Fruits, vegetables, and other plant-based foods can also cause foodborne illnesses if contaminated.


Food poisoning is an ever-present danger that demands our attention and vigilance. By understanding its causes, symptoms, prevention, and treatment, we can reduce the risk of falling victim to this culinary menace. Embrace food safety practices, be cautious when dining out, and pay attention to the needs of vulnerable groups. Together, we can protect ourselves and others from the perils of contaminated cuisine.


1. What are the most common causes of food poisoning?

Food poisoning is commonly caused by bacteria like Salmonella and E. coli, viruses, parasites, and toxins present in contaminated food.

2. How long does food poisoning usually last?

The duration of food poisoning can vary, but most cases resolve within a few days with home care.

3. Can I prevent food poisoning when traveling?

Yes, you can reduce the risk of food poisoning while traveling by drinking bottled or boiled water, avoiding street food, and researching food safety practices at your destination.

4. Is food poisoning only dangerous for certain groups?

Food poisoning can be more severe for vulnerable groups such as pregnant women, young children, the elderly, and immunocompromised individuals.

5. Should I take antibiotics for food poisoning?

Antibiotics are not always necessary for food poisoning and may not be effective against viral causes. Consult a healthcare professional for guidance.

Remember, food poisoning is preventable with the right knowledge and practices. Stay informed, stay safe, and enjoy your meals with confidence!

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