Dr Maran

The mainstay of treatment to appendicitis is appendectomy, the surgical removal of appendix. Off late the latest laparoscopic techniques used in the surgical removal offers quick and easy fix for appendicitis. The approach to antibiotic though has merits, is not practiced widely. Is there a milder form of appendicitis? That is precisely what the research say. Over 80% of the appendicitis is milder. They do not warrant an immediate surgery. There are these other 20% which fall under the emergency category. They definitely require surgical removal as they are in critical stage of rupturing. Because they are highly inflamed and inflated, they warrant surgical removal as they can burst anytime. A simple CT scan can ascertain which type of appendicitis one falls, either a milder one or a more emergency one. http://www.springfieldwellnesscentre.com/easy-availability-antibiotics-appendicitis/

When the pressure on the veins in the rectal region increases, they swell. These swellings resemble a bag of worm and are referred as Piles or Haemorrhoids. The term Haemorrhoids is more used in the American continent. There are two types of piles, namely, internal piles and external piles. Internal piles are more common than external piles. This write up is about the four grades of internal piles, its management and the surgical options given by piles surgeons. Types of Piles When these swelling are present internally within the anus, on the anal lining, they are termed as internal piles. They are formed slightly above a line called dentate line or pectinate line. The entire anal canal is divided into an upper two third portion and a lower one third portion by this dentate or pectinate line. They are precisely formed between 2 and 4 centimeters above the anal opening. When these swelling are present externally outside the anus, precisely beneath the skin that surrounds the anu

Gallstones are not stones in real sense but rather a solid or pieces of solid or lumpy physical structures that may form inside the gallbladder during the process of concentration of bile. These stones are not something that can be retained. Since the gallstones cannot be removed, the entire gallbladder removal surgery is performed. The gallbladder removal surgery prevents further complications. The Production and Flow of Bile into the Gallbladder Bile is continuously secreted by the liver. Every day about 800 – 1000 ml of bile is secreted by the liver. There is a duct that runs from the liver to the duodenum that transports the bile produced. But there is a branch in that duct also that diverts into the Gallbladder. Gallbladder is the place where the bile, a potent digestive juice produced by the liver is stored in a very concentrated form. So the bile secreted by the liver can flow either way into any of the two ducts. Bile is not always transported to gallbladder after produ

Some may wonder if an internal organ like appendix can burst. We tend to assume that if there is acute stomach pain, the physician would do physical examination to doubt appendicitis. A diagnosis would lead to finding appendicitis in you and you would get an appendix removal surgery done and remove the appendix. This is what most of you would think. But according to Dr Maran M, a gastro surgeon who regularly performs many appendix removal surgery in Chennai, it is not an easy sequence of events many times. Let us look at the challenges. http://www.springfieldwellnesscentre.com/what-happens-if-appendix-ruptures/

Gallstones are not stones in real sense but rather a solid or pieces of solid or lumpy physical structures that may form inside the gallbladder during the process of concentration of bile. These stones are not something that can be retained. Since the gallstones cannot be removed, the entire gallbladder removal surgery is performed. The gallbladder removal surgery prevents further complications. http://www.springfieldwellnesscentre.com/gallstones-and-complications-caused-by-gallstones /

Peritonitis is the inflammation or infection in the peritoneum. This is a thin layer that covers all the abdominal organs and is an inner lining of the abdomen wall. An inflammation to the peritoneum can be caused mainly when the fluid in the gastro intestinal tract comes in contact with the peritoneum. This can happen due to a ruptured appendix, ulcer perforation, gallbladder infection, intestinal perforations, trauma to the abdomen (accidents where the abdomen suffers from rupture and injuries) . Let us know more. http://www.springfieldwellnesscentre.com/peritonitis-ruptured-appendix/

After gallbladder removal surgery, a procedure called Cholecystectomy, there are changes to your digestive system and your body will gradually adjust to it. Some people may not see any changes to their digestive pattern and will carry on as usual. This pattern what we are now talking is after the post-operative diet plan (usually a week) the surgeon has handed to them. Some may report digestive problems even after their post-operative diet plan. Here are few digestive problems one may encounter after having their gallbladder  removal surgery done. http://www.springfieldwellnesscentre.com/digestive-problems-gallbladder-removal-surgery/

Constipation is one of the very common complaints associated with gastrointestinal functionalities. The general perception is people who do not pass stool at least once a day are thought to be constipated. The truth is much more complex. Here are the many facts on constipation. http://www.springfieldwellnesscentre.com/brief-account-constipation /

After lot of thinking and much deliberations a severely obese decides to get a weight loss surgery. The decision usually comes after lot of considerations and many failed attempts in trying to fight obesity. After enduring the ordeal of being severely obese and the stigma associated with it, the patients who have successfully undergone weight loss surgery have to maintain their weight loss spree. They need to follow certain do’s and don’ts in their diet to keep the momentum. Here are some foods that needs to be avoided for life by patients who have undergone weight loss surgery or bariatric surgery, particularly gastric bypass and sleeve gastrectomy http://www.springfieldwellnesscentre.com/foods-avoided-long-term-weight-loss-surgery/

NSAID means Non-Steroidal Anti-Inflammatory Drugs. Common NSAID drugs include aspirin,  ibuprofen, diclofenac, etc. Most of us are aware of aspirin, which is actually a blood thinner used as medication for heart diseases. We are also aware of ibuprofen which is a known pain killer. It may sound surprising that prolonged use of NSAID drugs can cause peptic ulcer. What mechanism makes them cause peptic ulcer? How do NSAID drugs work? Generally the stomach and duodenum lining are under constant attack from the digestive juices which are very potent. The body has a mechanism to protect the cells or tissues that line the stomach and duodenum. This also explains why the cells found in the stomach lining get replaced so quickly (every four days). Some enzymes like COX-1 or COX-2 are required to convert the stomach acid to compound like prostaglandin which are non-detrimental to the stomach lining. The NSAID drugs functions by inhibiting the COX-1 and COX-2 enzyme formation. This inhib

Peptic ulcers are painful sores in the stomach and duodenum. The burning sensation in the middle of the abdomen, between the chest and the belly button area, a typical pain associated with ulcer makes it very easy to diagnose. Despite that few still might ignore this main symptom and other associated symptoms of ulcer. This ignorance leads to complication of peptic ulcer. What are the complications? Let us check. http://www.springfieldwellnesscentre.com/complications-peptic-ulcer/

Alcohol Inhibits or Slows Down Gastric Ulcer Healing While it is true that alcohol can cause irritation to our stomach lining if consumed, the prolonged consumption in itself can cause Gastric ulcer. It has also emerged that alcohol does not stop there; it also interferes with the healing process of an already formed ulcer. Let us see how. Wound healing is a very complex process in humans and is not understood fully. Gastric ulcer as we all know is indeed a wound, an internal wound to be precise. And so ulcer healing is a wound healing basically. Alcohol has a profoundly negative impact in the ulcer healing process. Exposure to alcohol has shown in clinical trials that alcohol increases the incidence of infection and thereby inhibits wound healing. The alcohol content reduced the macrophages (the white blood cells that are known to fight the pathogens) and hence the surge in infection. Wound healing has many stages like re-epithelialization (stomach lining), angiogenesis, coll

Terms In simple terms, Inflammatory Bowel Disease or IBD, as popularly known is inflammation of the colon and small intestine. Crohn’s disease and Ulcerative colitis are the two conditions that are classified as IBD. In effect the IBD can be either of the two conditions. IBD condition is said to occur when the body’s own immune system begins to act against the elements of our digestive system. Crohn’s Disease  – here the inflammation (injury) is in the line of the digestive track. The inflammation here spreads deeper. The inflammation can be in either the large intestine (colon) or in the small intestine or in both the intestines. Symptoms of Crohn’s Disease  – The feces are often porridge like. The affected has persistent fever and may experience weight-loss almost certainly. Ulcerative colitis  – here the inflammation (injury) is in the inner lining of the colon and rectum. Often the inflammations result in sores or ulcers that may be long lasting. Symptoms of Ulcerative

Drug Induced Ulcers We saw how H.pylori proliferation causes stomach ulcer in some of our previous posts. The second most common reason is the role played by medicines like NSAID (painkillers), Non Steroidal Anti-Inflammatory Drugs, and Steroids. The explosion of cases in stomach ulcer caused by indiscriminate use of painkillers and these steriods has emerged in the recent past. The majority of such afflicted individuals are elderly who have a long history of consuming such drugs especially for joint pain (arthritis), body pain, head ache etc. The most common NSAID, “Aspirin”, termed as wonder drug in heart diseases, is one of the drugs that has the potential to cause stomach ulcer when used indiscriminately. Apart from NSAID and Steroids, other medicines like potassium supplements and anti-coagulants also play a role in causing stomach ulcers. The role of chemotherapy cannot be undermined for its potential to cause such stomach ulcers. Sometimes even life saving drugs can

Peptic Ulcer in Children: Yes, you heard it right. Peptic Ulcer can happen to children too. Peptic ulcer is the breakage of the lining of the stomach. We all know quite well that the major cause of Peptic or any other form of ulcer is the presence of H. pylori bacteria and other factors can cause and aggravate ulcer. Risk Factors contributing to Peptic Ulcer in Children Addiction to junk food, more importantly colas, chips and packaged food which has more preservatives. Being awake late in the night and getting up late in the morning with inadequate sleep, leading to skipping of breakfast. Academics and peer pressure leading to undue stress. Childhood obesity can be a reason. Prevalence of Peptic Ulcer in the family can be a reason. Remember the H. pylori bacteria that causes ulcer can spread among the family members and this is one of the reason. Increased prevalence of the incidents of smoking and consumption of alcohol among teen age children. Prevention of Peptic Ul