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    Dr Datta Ram  /  Articles by: Dr Datta
    12 May 2023
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    When to Consider Gallbladder Removal Surgery

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    Gallbladder specialist in Hyderabad – Dr. Datta Ram U

    Gallbladder removal surgery, also known as cholecystectomy, is a standard surgical procedure that involves the removal of the gallbladder. The gallbladder is a small organ located under the liver that plays an important role in the digestive process by storing and releasing bile. However, in some cases, the gallbladder can develop problems, leading to a range of symptoms that can affect your quality of life. In this article, we will explore the reasons why you might consider gallbladder removal surgery, the types of surgery available, and the recovery process.

    What is the Gallbladder, and what does it do?

    Before we dive into the reasons why you might need gallbladder removal surgery, it is essential to understand what the gallbladder is and what it does. The gallbladder is a small, pear-shaped organ that sits under the liver on the right side of the abdomen. Its main function is to store and release bile, a fluid produced by the liver that helps digest fat. When you eat, the gallbladder contracts and releases bile into the small intestine, where it breaks down the fat in the food you have eaten.

    When is Gallbladder Removal Surgery Necessary?

    A gallbladder specialist doctor in Hyderabad recommends surgery if a person has one or more of the following conditions:

    Gallstones

    Gallstones are small, hard deposits that form in the gallbladder and can cause pain and other symptoms. Gallstones can develop when there is too much cholesterol or bilirubin in the bile, or when the gallbladder does not empty properly. If you have gallstones that are causing pain or other symptoms, your doctor may recommend gallbladder removal surgery.

    Cholecystitis

    Cholecystitis is a condition in which the gallbladder becomes inflamed. This can happen when a gallstone gets stuck in the opening of the gallbladder, causing a blockage. Cholecystitis can cause severe pain, fever, and other symptoms. If you have cholecystitis, a gallbladder specialist in Hyderabad may recommend gallbladder removal surgery to prevent future attacks.

    Biliary Dyskinesia

    Biliary dyskinesia is a condition in which the gallbladder does not empty properly, causing pain and other symptoms. Biliary dyskinesia can be caused by a variety of factors, including nerve damage and certain medications. If you have biliary dyskinesia that is causing pain or other symptoms, your gallbladder specialist in Hyderabad may recommend gallbladder removal surgery.

    Pancreatitis

    Pancreatitis is a condition in which the pancreas becomes inflamed. In some cases, gallstones can cause pancreatitis by blocking the pancreatic duct, which is the tube that carries digestive enzymes from the pancreas to the small intestine. If you have pancreatitis caused by gallstones, gallbladder specialist in Hyderabad may recommend gallbladder removal surgery to prevent future attacks.

    Types of Surgery to remove gallbladder

    There are two main types of gallbladder removal surgery: laparoscopic cholecystectomy and open cholecystectomy.

    Laparoscopic Cholecystectomy

    Laparoscopic cholecystectomy is the most common type of gallbladder removal surgery. It involves making several small incisions in the abdomen and inserting a laparoscope, a thin tube with a camera and surgical instruments attached. The surgeon uses the laparoscope to see inside the abdomen and remove the gallbladder through one of the small incisions.

    Open Cholecystectomy

    Open cholecystectomy is a more invasive type of gallbladder removal surgery that is usually only performed if laparoscopic cholecystectomy is not possible. It involves making a larger incision. The surgeon directly accesses the gallbladder through this incision to remove it.

    Advantages of Laparoscopic Gallbladder Surgery

    Laparoscopic gallbladder surgery, also known as laparoscopic cholecystectomy, is a minimally invasive surgical procedure used to remove the gallbladder. This type of surgery offers several benefits compared to traditional open surgery, including:

    1. Smaller Incisions

    During laparoscopic gallbladder surgery, the surgeon makes several small incisions in the abdomen rather than one large incision. This minimizes scarring and reduces the risk of infection.

    2. Faster Recovery Time

    Because laparoscopic gallbladder surgery is minimally invasive, it typically results in a faster recovery time compared to open surgery. Most patients are able to go home the same day or the day after the surgery and can return to work and normal activities within a week.

    3. Less Pain and Discomfort

    Laparoscopic gallbladder surgery is less painful than open surgery because it causes less trauma to the surrounding tissues. This means that patients experience less pain and discomfort after the surgery and require less pain medication.

    4. Lower Risk of Complications

    Laparoscopic gallbladder surgery is associated with a lower risk of complications compared to open surgery. This includes a lower risk of bleeding, infection, and damage to surrounding organs.

    5. Higher Success Rates

    Laparoscopic gallbladder surgery has a high success rate, with most patients experiencing complete relief of their symptoms after the surgery. In addition, the recurrence rate of gallstones after laparoscopic cholecystectomy is low.

    6. Improved Quality of Life

    Patients who undergo laparoscopic gallbladder surgery often experience an improvement in their quality of life. This is because the surgery relieves the symptoms of gallbladder disease, such as abdominal pain, nausea, and vomiting.

    Bottom Line

    In conclusion, laparoscopic gallbladder surgery offers several benefits over traditional open surgery, including smaller incisions, faster recovery time, less pain and discomfort, lower risk of complications, higher success rates, and improved quality of life. If you are considering gallbladder surgery, talk to the best gallbladder specialist in Hyderabad about whether laparoscopic gallbladder surgery is right for you – don’t delay in seeking the appointment of Dr. Datta Ram U.

    02 May 2023
    hernia-treatment

    Why You Need Surgery for Hernia?

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    Hernia Treatment in Hyderabad | Dr. Datta Ram U

    A hernia is a condition that is common but not fully understood by many. If you have swelling and a protrusion that can be pushed back into your abdomen, you may be experiencing a hernia. If it continues to increase in size, surgery may be necessary to repair it. We will examine the causes of hernias, the various types of hernias, and how our state-of-the-art robotic surgery can assist individuals requiring hernia repair.

    If you have hernia…

    The most prevalent indication is the bulge that sticks out, revealing that an organ or intestine is pushing through the muscular wall. This enlargement may cause discomfort and increase in size. When lifting, certain individuals may also feel a persistent soreness.

    When do you need surgery for hernia?

    In certain situations, if the hernia is insignificant, remains stable in size, and doesn’t cause any discomfort or complications, then there might not be an immediate need for surgery.

    Hernia can cause problems

    Nonetheless, it’s crucial to understand that in most cases, hernias tend to increase in size over time. Even if it isn’t problematic presently, there is a high possibility that it could lead to severe complications later on if it’s not treated.

    Strangulation

    One of the possible complications is strangulation, which takes place when the protruding tissue gets compressed by the muscle wall, resulting in the blockage of blood supply and subsequent tissue death.

    Hernia Complications

    If a hernia becomes strangulated, it can lead to long-term harm and require immediate surgical intervention. Typically, the affected organs, such as the intestines, will become necrotic and could result in severe illness if not promptly removed. Therefore, it’s crucial to contact your surgical gastroenterologist right away if you experience symptoms like fever, nausea, sudden worsening pain, or if your hernia changes color to red, purple, or dark.

    If Your Hernia Causes problems…

    You will experience fever, intense pain, nausea, vomiting, the bulge that turs purple or red, progressive pain and discomfort.

    Hernia Treatment in Hyderabad

    Experienced surgical gastroenterologists recommend surgery to prevent potential complications. Doctors advise patients to undergo a minimally invasive laparoscopic hernia repair procedure to treat hernia. The procedure helps in preventing hernia from getting worse or doesn’t allow it to increase in size.

    Laparoscopic hernia repair surgery

    Recent developments in minimally invasive surgery allow for procedures to be carried out using only a few small incisions instead of a larger “open” incision, providing patients with a less invasive option. Laparoscopic surgery is also utilized for other procedures like gallbladder removal and weight loss surgery.

    Bottom Line

    It is crucial that you make an appointment for your surgery without delay, as postponing it may lead to more severe complications in the future. If you suspect that you have a hernia or require additional information, please get in touch with Dr. Datta Ram right away, and he will provide you the best hernia treatment in Hyderabad.

    25 Apr 2023
    types of hernia

    Types of Hernia – When to See a Doctor?

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    Types of hernia: Typically, a hernia occurs in the abdomen or groin area when an organ protrudes through the tissue or muscle that surrounds it. It may appear as a peculiar lump or bulging that appears and disappears while performing various activities or in different positions. The bulge area is seen due to an opening or weakness in the tissue. Some people may experience symptoms such as pain or discomfort, while others may not have any symptoms at all. However, the majority of hernias will require surgical intervention to repair them.

    As one age, the consistent strain on muscles may cause hernias to develop slowly over time. Hernias may also be caused by an injury, surgical procedure, or a congenital condition.

    Some of the common locations of Hernia

    • Lower chest or through the diaphragm
    • In the groin area through the lower abdominal wall
    • Through a weak opening from a previous abdominal surgery
    • Front midline position of the abdomen

    Types of hernia

    1. Hiatal Hernia

    During your lifetime, you may develop a type of hernia called a hiatal hernia. This occurs when the opening in your diaphragm, through which your esophagus passes, widens, allowing the upper part of your stomach to protrude through the opening and into your chest.

    • Umbilical Hernia

    An umbilical hernia occurs when part of the intestine protrudes through a hole in the abdominal wall close to the belly button. In most cases, umbilical hernias are present at birth.

    • Diaphragmatic Hernia

    A congenital diaphragmatic hernia is a major birth defect that arises when the diaphragm fails to fully close during fetal development. As the organs are still growing, this condition may cause abdominal organs to move upwards into the chest cavity, leading to lung compression.

    • Inguinal Hernia

    The most prevalent form of hernia is the inguinal hernia, which makes up 75% of all hernias. It is more prevalent in males or those assigned male at birth (AMAB). This type of hernia occurs when a section of the bowel protrudes into the inguinal canal, a pathway that runs down the inner thigh.

    • Incisional Hernia

    An incisional hernia may result when the tissue pushes through a weakened area in the abdominal wall from previous surgery. This is a common result of abdominal surgery.

    • Femoral Hernia

    This type of hernia less commonly occurs in the femoral canal, which is situated beneath the inguinal canal. It is characterized by the protrusion of fatty tissue.

    Hernia Symptoms

    Symptoms may not always be present with all types of hernias, and different types of hernias can cause varying symptoms. A clear indicator of a hernia is the appearance of a visible lump or bulge during certain movements or positions, which can disappear at other times. Additionally, one may experience sensations of pressure, a dull ache, or pinching when the hernia protrudes, which typically occurs during activities such as straining, lifting, laughing, or coughing.

    Is hernia a serious health issue?

    Although hernias are usually not severe, they have the potential to become serious. They can gradually worsen and become stuck in the hole they have pushed through. When this happens, it causes pain, and in extreme cases, tissue death due to lack of blood supply. As hernias tend to deteriorate over time, most people will require surgical intervention at some point to repair the hernia. Surgical intervention depends on the types of hernia.

    When to see a surgical gastroenterologist?

    It’s advisable to see a surgical gastroenterologist for any pain related to a hernia. A proper diagnosis by the surgical gastroenterologist is crucial because other medical conditions may be misinterpreted as hernia pain. Immediate medical attention should be sought if the hernia changes color, becomes numb, or causes symptoms such as fever, nausea, and vomiting.

    14 Apr 2023
    Barrett’s Esophagus GERD & Treatment

    Barrett’s Esophagus GERD & Treatment

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    Barrett’s esophagus treatment in Hyderabad | Dr. Datta Ram U

    Barrett’s esophagus is a condition characterized by the alteration of the cells that line the food tube (esophagus). While it is more prevalent among individuals suffering from gastroesophageal reflux disease (GERD), it can also develop in those without GERD. The management of this condition can range from regular monitoring of the esophageal lining using endoscopies to medical procedures aimed at eliminating damaged tissue. It is important to maintain a healthy esophagus by taking steps to manage heartburn or acid reflux.

    What causes Barrett’s esophagus

    It’s unclear why cells in the esophagus lining occasionally transform into cells resembling those in the intestine. Acid reflux or gastroesophageal reflux disease (GERD) may be linked to the development of Barrett’s esophagus, according to researchers. This condition increases the likelihood of developing an uncommon form of esophageal cancer.

    The lower esophageal sphincter (LES) is a crucial valve situated between the esophagus and the stomach. Its failure over time can result in gastroesophageal reflux disease (GERD), which causes acid and chemical harm to the esophagus. Symptoms of GERD, such as heartburn or regurgitation, often accompany the disease. In some cases, GERD can trigger a change in the cells of the lower esophagus, leading to Barrett’s esophagus.

    What are the signs and symptoms of Barrett’s esophagus?

    Barrett’s esophagus is usually associated with chronic GERD. However, it’s interesting to note that around 50% of individuals who have Barrett’s esophagus don’t experience noticeable symptoms of acid reflux. Therefore, it’s advisable to talk to your gastroenterologist about your digestive health and the likelihood of having Barrett’s esophagus.

    The signs and symptoms of Barrett’s esophagus may include:

    • Difficulty swallowing food
    • Chest pain (less common)
    • Frequent heartburn
    • Regurgitation of stomach contents

    Are you at Risk of Barrett’s Esophagus?

    You could be at risk of Barrett’s esophagus if you are obese, have GERD disease and have symptoms of heartburn for more than 10 years. The condition is common in males – especially in middle-aged males and those with a family history of Barrett’s esophagus.

    How will you know you have Barrett’s esophagus?

    Barrett’s esophagus does not show any symptoms by itself, and individuals may only become aware of its presence after seeking medical attention for gastroesophageal reflux disease (GERD) symptoms or upon being diagnosed with esophageal cancer. Due to the absence of noticeable symptoms, it is uncertain how prevalent Barrett’s esophagus is, but specialists approximate that it affects roughly 1% of the population.

    Learn more about GERD (insert GERD link here)

    Diagnosis of Barrett’s Esophagus

    Barrett’s esophagus can only be diagnosed through a procedure known as upper endoscopy. Gastroenterologists insert a small tube with a light through the throat to the esophagus in order to inspect the esophageal lining for any changes. Although the appearance of the esophagus might indicate the possibility of Barrett’s esophagus, the only way to confirm it is by taking small tissue samples (biopsies) during the endoscopy. The pathologist will analyze the samples to confirm the diagnosis.

    Barrett’s Esophagus Treatment in Hyderabad

    If you have mild symptoms with no detection of abnormal growth, then your doctor will monitor your condition. You don’t need any treatment at this stage. However, your gastroenterologist may repeat upper endoscopy annually. To treat and manage GERD symptoms, your doctor will prescribe medicines to decrease stomach acid and protect your esophagus against damage. Your doctor will also suggest lifestyle changes – such as sleeping slightly inclined, having meals on time, avoiding having dinner late and so on.

    To treat low-grade to high-grade dysplasia with GERD symptoms, your doctor may recommend ablation therapy and radiofrequency ablation, cryotherapy, endoscopic mucosal resection for the treatment of high-grade dysplasia. For the more severe cases, your surgical gastroenterologist will perform esophagectomy surgery to remove a part of the affected esophagus.

    For the best Barrett’s esophagus treatment and GERD care in Hyderabad, meet Dr. Datta Ram U at KIMS Hospitals, Gachibowli, Hyderabad.

    03 Apr 2023
    GI Bleeding Causes & Treatment

    Gastrointestinal bleeding (GI) bleeding Causes & Treatment

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    GI bleeding causes & treatment | Dr. Datta Ram

    GI bleeding indicates a problem with your digestive tract. It can be mild to severe, and sometimes, GI bleeding can become life-threatening. Knowing the cause and early diagnosis is the key to successful treatment of GI bleeding.

    What are the symptoms of GI bleeding?

    The signs and symptoms associated with GI bleeding can be mild to severe. They can also be either obvious or hidden. The symptoms may depend on the location and position of the area where bleeding starts.

    The obvious bleeding signs include:

    • Red or dark brown vomiting (blood)
    • Tarry or black stool
    • Bleeding (anal or rectal bleeding in or with stool)

    Gastrointestinal bleeding which is not obvious (Hidden or Occult) causes

    • Abdominal pain
    • Chest pain
    • Fainting
    • Breathing difficulty
    • Lightheadedness

    GI Bleeding Causes

    GI bleeding can occur in the upper GI tract or the lower GI tract due to several reasons.

    Causes of Upper GI Bleeding

    Tears in the lining of the esophagus – Also known as Mallory-Weiss tears. This type of bleeding is common in heavy drinkers.

    Peptic Ulcers – These are sores on the lining of stomach and upper portion of small intestine.

    Esophagitis – inflammation of the esophagus due to GERD (gastroesophageal reflux disease)

    Esophageal Varices (enlarged veins in the esophagus)

    Causes of Lower GI Bleeding

    Proctitis – Rectal bleeding occurs due to the inflammation of the lining of rectum.

    Anal Fissures – Tears in the lining of the anus

    Hemorrhoids – veins swell, bulge and protrude from the anus or lower rectum and cause bleeding.

    Colon Polyps – These are small growths on the lining of the colon. Though a majority of them are harmless, they may turn cancerous and cause bleeding if not removed.

    Tumors – GI tract cancer can cause bleeding. Both benign (non-cancerous) and malignant (cancerous) tumors can weaking the lining of the digestive tract and cause bleeding.

    Inflammatory Bowel Disease – Both Chron’s disease and ulcerative colitis can cause sores and inflammation in the lining of the colon and rectum and cause bleeding.

    Diverticulitis or diverticulosis is a condition in which small bulging pouches form in the digestive tract. When they get infected and inflamed, they cause bleeding.

    How is the cause of GI bleeding diagnosed?

    Your gastroenterologist will take into account the signs and symptoms, make a note of medical history and then conducts a physical examination. The doctor might order a few blood tests. Stool tests and endoscopy.

    Treatment

    If GI bleeding stops on its own, it doesn’t require treatment. However, treatment mostly depends on the identified cause and the location of bleeding.  For instance, if polyps are the cause of rectal bleeding, they are removed during a colonoscopy procedure. If the GI bleeding is due to GERD, then treating GERD effectively can stop the bleeding. In a nutshell, once the source of GI bleeding is identified, your surgical gastroenterologist will suggest appropriate treatment.

    When to seek emergency medical care?

    If bleeding starts suddenly and progresses rapidly, it can lead to shock. The person who is in shock has the following signs and symptoms – rapid pulse, low blood pressure or drop in blood pressure; less frequent urination or urinating in small amounts and unconsciousness. If a person has these signs and symptoms of shock, someone should call and seek emergency medical care immediately. If you think you have the other signs and symptoms of GI bleeding, then you should seek an appointment with a surgical gastroenterologist.

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