Wednesday, 27 February 2019

Know About The Diet To Follow After Gallbladder Removal

Gallbladder stones or gallstones are small stone-like objects that form in the bile duct or the gallbladder. The size of the stones may vary and sometimes they might even grow to the size of a golf ball. Almost 4 out of 10 individual having gallstones, do not need to go for treatment since there are no visible symptoms. But in case these are creating problems like abdominal pain, sudden back pain, vomiting or nausea, you need to go for surgery!

These days minimally invasive laparoscopic surgery is conducted in order to provide better results post surgery. But there are certain restrictions one needs to follow post surgery.

Dietary plan post gallbladder surgery

After the gallbladder is removed some people often develop loose motion (watery stool). Sometimes diarrhea lasts for almost 2 weeks. But this is normal. During this period one needs to take special attention towards health. You can't have whatever you want! Though there is no exact diet post gallbladder surgery, following are some dietary strategies that will help you with diarrhea problem post surgery.

  • Avoid high-fat foods- For at least a moth completely avoid oily, greasy and junk food. Choose those foods that are low fat or fat free. One needs to reduce sugar intake to a great extent. Also you need to stop having processed food. Go for freshly cooked home food.
  • Eat in smaller quantity- Having food in smaller quantity through frequent meals will help the release of the bile. Through your meals make sure you are consuming a smaller amount of proteins and larger amount of nutritious veggies.
  • Drink adequate amount of water- On the basis of your weight doctor may suggest you how much water should you drink daily. Try to have fruits that have more water content like watermelon, citrus fruits, tomatoes etc.
  • Have fibrous food- Fibrous foods like oats, barley helps normalizing bowel movement.

Consult the best doctor in town!

Headed by Dr. Nikhil Agnihotri, the Laparoscopy and bariatric Department at the Max Super Speciality Hospital offers advanced treatment options for several bariatric problems. The doctor provides the most effective and advanced gall bladder stone treatments in New Delhi. He uses the minimally invasive laparoscopic technique to remove gallstones.

So if you want to consult a doctor regarding gall bladder removal in New Delhi,  Visit Max Super Speciality Hospital now itself!!

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Monday, 14 January 2019

Hemorrhoid Treatment: How to get rid of Hemorrhoids

Piles (or Hemorrhoids) are one of the best-described diseases in medical history. The oldest, credible descriptions of haemorrhoids date back to 1500 BCE in Mesopotamia. But there are even older records in Indian and Chinese literature, while we do not know accurately how old these are.

Hemorrhoids are enlarged, congested veins just under the surface tissue of your anus (the opening of your bowel) or your rectum (the last part of your bowel). They are often described as varicose veins formed in the lower rectum or around the outside of the anus. The term when used in a clinical sense, refers to the downward displacement or internal disruption of the vascular-rich connective tissue cushions located within the anal canal.

piles surgery newdelhi

The rectum is the last part of the bowel that leads to the anal canal (the opening at the end of the bowel) where fecal matter leaves the body. Everyone has haemorrhoidal tissue within the anal canal and perianal area (area of the body surrounding the anus) that’s made up of blood vessels, connective tissue, and some muscle. These “anal cushions” act as a stop in the back passage, just like the tap washers. They don’t always become enlarged or distended or otherwise symptomatic, but we use the term for symptomatic or pathologic haemorrhoids. Internal haemorrhoids are located in the upper part of the anal canal (above a mucosal fold called the dentate line or pectinate line), and external, located below.

Internal hemorrhoids develop within the rectum and are characterised by bleeding and varying degrees of prolapse, and may be followed by pain, itching, mucus discharge, and faecal seepage. External haemorrhoids usually only give major symptoms when they thrombose(blood clots inside them ) and are then very painful.

Hemorrhoids (Piles) - Treatments

The treatment of piles depends on the type of symptoms and severity affecting the patient. The conservative treatments include Oral medications or topical suppositories.

More definitive measures or surgical techniques are needed for severe Hemorrhoids, such as when clots frequently form in external hemorrhoids, or Iigation fails to treat internal haemorrhoids or when there is persistent bleeding or when a protruding haemorrhoid cannot be reduced.

Surgical techniques under general anaesthesia include:

Stapled hemorrhoidopexy: In an effort to evade some of the postoperative pain associated with hemorrhoidectomy, stapled hemorrhoidopexy (also known as stapled hemorrohoidectomy) which is a more recently developed option that uses a stapling device to remove hemorrhoidal tissue. Surgeons recommend this procedure for patients whose hemorrhoids have prolapsed or become abnormally large, or for patients who have shown little or no improvement with nonsurgical treatment.

 This procedure involves circular stapling device which takes away some of the tissue located upstream from the hemorrhoids, thus pulling the hemorrhoids upward and returns that to its normal position, and staples to the wall of the rectum. This will stop the blood flow to your hemorrhoid and decrease swelling so that the tissue will shrink and be reabsorbed.


  • Stapled hemorrhoidopexy requires no external incision hence considerably reduces the chances of infection. 
  • Patients typically experience less pain than those who undergo traditional hemorrhoid surgery and can resume work earlier.
  • They may also experience less bleeding, swelling, and itching around the anus and inside the rectum. 
  • In addition, stapled hemorrhoidopexy may reduce the chance of incontinence after the procedure.

piles surgery newdelhi

If you have enlarged hemorrhoids and want to know if Stapled Hemorrhoidectomy is right for you, contact the team of gastrointestinal medical professionals at Max Super Specialty Hospital.  The Department of Laparoscopic and Minimal Access surgery at Max Hospital is the first and prominent International centre of Excellence for Bariatric Procedures and Hernia Repair in Asia Pacific Region and it is managed by Dr. Nikhil Agnihotri who is a highly qualified and accomplished consultant and Laparoscopic surgeon.  They are considered as the best for Hemorrhoids Treatment New Delhi that includes piles surgery New Delhi, India. Dr. Nikhil along with his highly skilled, qualified and dedicated team that comprises of 2300+ medical doctors offer quality care services across twenty nine specialties throughout network of fourteen hospitals.

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Monday, 17 September 2018

Self-care is important to maintain your mental health

Self-care is important to maintain your mental health

Taking care of yourself is important throughout your life. You only have one body and one mind, and they have to last a lifetime. Self-care is good for your body, but it’s also good for your mind and mental health. Incorporating it into your lifestyle can help you improve your life in many ways.

Self-care isn’t just about getting pedicures and massages, though those are nice, too. Daily self-care is about the small changes you can make to improve your life. Choosing to eat better and add healthy habits can help you tremendously.

If you’re in addiction recovery, self-care is extremely important. Some self-care practices to include in your life are managing your environment to reduce stress and triggers, and avoiding negative influences, such as old friends who still drink or use drugs. Avoiding the things that encouraged you to use will help you avoid that desire to partake. Know what your triggers are, and have a plan for how to overcome them when they pop back into your life. Surround yourself with friends who are supportive of your new lifestyle, and you’ll be more likely to stay sober.

Here are some often-overlooked ways to incorporate self care into your life.

1. Get some sleep -- When we’re busy and stressed, sleep is one of the first things to go. But sleep is so important to our health. It can keep your heart healthy, prevent headaches, reduce stress, clean out your brain, improve brain function and prevent degenerative diseases such as Alzheimer’s and dementia. Sleep can also prevent weight gain and improve your mood. That feeling you get when you’ve had a good night of sleep is more than just happiness -- it’s healthful!

2. Relax -- Easier said than done, we know. But taking some time to relax when you feel stressed can help you in many ways. Make time in your week to do the things you enjoy, such as spending time with family or friends or participating in hobbies. Taking the time to have fun will help you face your weekly responsibilities with renewed gusto.

3. Reduce stress -- Just like relaxation, this can be a challenge. But it’s worth the effort. Ways to reduce stress include fine-tuning your morning routine, adding exercise to your day and listening to music while you work. Exercise is one of the best stress reducers, so going for a walk during your lunch break or joining a fitness class can make all the difference. Exercise boosts serotonin and dopamine, the feel-good chemicals in your brain.

4. Say no -- We naturally want to please the people around us. It’s in our basic makeup. So, saying no to them can feel really scary, but it’s important to do so to keep yourself from being overwhelmed. Saying yes to everything can add to your stress and feelings of frustration. So be clear with yourself about what you want and what you can do. Then allow yourself to say no to everything else.

5. Drink water -- Water is so good for you for many reasons, and staying hydrated can help keep you healthy and feeling well. Water is great when your energy starts to lag or when you feel hungry but don’t want to binge eat. It keeps your skin and kidneys healthy, as well as all your other organs. Drink up!

When you need help, ask for it. Then, work on these small changes in your life to keep you healthy and happy. You’re your body and mind’s best advocate, so keep up the work of staying healthy. You’ll reap great rewards for doing so. And you’ll be able to live the life you’ve always dreamed of.

About the Author:

Brad Krause, graduated from collage in 2010 and went straight to the corporate world at the headquarters of a popular retail company.But what started as a dream job soured quickly.After four years of working 15-hour days and neglecting his health,he decided enough was enough.Through aiding a friend during a tough time,Brad discovered his real calling-helping people implement self-care practices that improve their overall well-being.He created to share his own knowledge and the many great resources he finds on his self-care journey.

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Tuesday, 14 August 2018

Stop Suffering In The Silence - The Best Anal Fistula Treatment Is Here

The anus is the external opening through which the fecal matter is expelled from the body. There are many small glands inside the anus. If any of these glands becomes blocked, an infected cavity called an abscess may form. Over 50% of these infected cavities may form into a fistula. A fistula is nothing but a small channel that connects infected gland to a skin opening around the anus.
sigmoidoscopy india

Causes for Anal fistula

An Anal abscess is the prime cause of fistula formation. However, fistulas may also be caused by STD, TB, Crohn’s disease, Diverticulitis.


Symptoms of the Anal fistula

  • Swelling and pain around the anus
  • Recurrent abscess in or around the anus
  • Bleeding
  • Skin irritation around the anus due to continual drainage
  • Chills, fever and a feeling of fatigue


Anal Fistula diagnosis

Magnetic resonance imaging (MRI) helps in visualizing the anal fistula details, especially for recurring and complex cases.
Sigmoidoscopy helps to view the sigmoid colon and rectum. This test is quite useful to the patients who suspect to have ulcerative colitis, Crohn’s disease.
Anoscopy is done to view inside the anus, including the internal opening of the fistula if present

Anal fistula treatment New Delhi


Anal Fistula treatment

Minimally Invasive Anal Fistula treatment (MAFT surgery) is ideal for High or Complex anal fistulas. The procedure is done through the external opening of the fistula. Through the external opening, a fistuloscope is inserted to view the fistula tract and localize the internal opening. An irrigation solution is used to view the fistula tract clearly. This inflation helps in localizing the internal opening of the fistula tract by advancing the fistuloscope through the track gently. Soon after locating the internal opening, it is sutured. Then the surgeon examines for the entire track for any secondary fistula or abscess cavity.

If the abscess cavity and secondary fistula are found, they are drained and with the help of a monopolar electrode, a fulguration is performed. With the help of endobrush that is passed through the fistuloscope, the damaged tissue is removed. Finally, the internal opening is disconnected by stapler firing. A temporary dressing is done at the external opening. The Patient is usually discharged the next day.

Dr. Nikhil Agnihotri is an expert in providing anal fistula treatment in New Delhi with an advanced surgical procedure. The advantages of Minimally invasive technique (sigmoidoscopy in India) are
  • No large wounds or dressings
  • No incontinence even in complex fistulas
  • Early return to work
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Tuesday, 24 July 2018

Get Rid Of Gallbladder Stones With The Best Treatment

Gallbladder is a small sac that holds bile, a digestive juice which helps in the breakdown of dietary fat. When any constituent content in the bile juice increases, gallstones are formed. Gallstones are made from cholesterol, bile pigment and calcium salts. Gallstone is a common digestive disorder that affects 15% of the population having age in the range of 40 years or above. Gallstones may block the ducts and cause infection and inflammation.

Gallstones: Symptoms and Diagnosis

The common symptoms of gallbladder stone disease include:
  • Gaseous distension / bloating.
  • Pain in upper abdomen along with fever and vomiting.
  • Jaundice

There are mainly three types of gallstones- mixed stones, cholesterol stones and pigment stones. Diagnosis of gallstones can be made through:
  • Liver function tests
  • Ultrasound of abdomen
  • Radionuclide Scan


Gall Bladder Stones Treatment

Once formed there is no medical treatment and Laparoscopic Cholecystectomy is the only and gold standard treatment for gallstones

Laparoscopic Cholecystectomy – Key Hole Surgery

The best hospital which provides gallbladder stone treatment in New Delhi is Max Hospital. Max hospital foundation started in 1985 is a laparoscopy and healthcare hospital having a network of 14 hospitals.  The hospital has a team of dedicated specialists who strive to provide comprehended and integrated healthcare services to patients. The laparoscopy department at Max is headed by Dr. Nikhil Agnihotri who is a highly qualified and skilled laparoscopic surgeon in New Delhi.

So don’t be afraid after being diagnosed with having a gallstone as it can be easily treated. Dr. Nikhil Agnihotri provides the best laparoscopic cholecystectomy in India and a fast recovery after surgery.
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Thursday, 7 June 2018

Anal Fissures Should Not Be Disregarded

Most of us do not bother about the symptoms of constipation or pain and bleeding at the time of bowel movements. Many do not seek medical advice either out of ignorance or embarrassment but anal fissures could actually be the early sign of other life threatening conditions.

Anal fissures technically mean the cracks found on the walls of anal canal. These fissures commonly occur in the middle part of the anus and have their origin that extends from the very opening of the anus. It may cause mild or severe pain during passage of stools with some bleed.


Laparoscopic Surgery in New Delhi

Once a qualified doctor diagnoses the disease, the patient will be either be managed by medications or advised Lateral Internal Sphincterotomy (LIS) Surgery, depending on the intensity of pain and clinical findings.

In LIS Surgery, the internal anal sphincter is divided under anesthesia thereby relieving its spasm and increasing blood circulation, allowing for healing of the fissures. The pain dramatically disappears immediately.

Dr. Nikhil Agnihotri, a Laparoscopic Surgeon in New Delhi at Max Hospital Foundation is the best to approach for anal fissure treatment in New Delhi. The minimally invasive proctology division has an enthusiastic team to provide exemplary anal fissure treatment in New Delhi.
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Tuesday, 10 April 2018

Suffering From Hernia? -Don't Worry, We Are Here With The Best Laparoscopic Surgery For Hernia

Are you or your kin suffering from inguinal hernia ? Are you looking for the best kind of surgery? We can help you! Dr.Nikhil Agnihotri provides the most effective laparoscopic hernia treatment in New Delhi. Well, before going into the in-depth details of the surgical procedure, let's see

Laparoscopic surgeon in New Delhi


Why laparoscopic surgery for hernia ?

Laparoscopic surgery is a widely accepted surgical procedure which is slowly replacing open surgeries and so, it is used in almost all areas of surgeries nowadays. The recent development shows laparoscopic surgery as one of the most reliable methods  to treat inguinal hernia. Laparoscopic surgery is less painful than the conventional open surgeries. It requires a comparatively shorter hospitalization period and the patients will be able to resume normal activities at an earlier stage. It also leaves less scars which is an added benefit.

laparascopic hernia treatment in new delhi


How is it done?

The laparoscopic hernia repair is done by inserting a laparoscope which is connected to a small camera, into a cannula (small hollow tube) which allows the surgeon to get a clear view of the hernia and the surrounding tissues on a screen.Three separate quarter-inch incisions are also used and the hernia is repaired from behind the abdominal wall. A small piece of surgical mesh is placed on the hernia defect area and is fixed in place via various methods.The surgery is performed using general anesthesia on patient.


Can everyone opt for this procedure?

No, you can opt for this treatment only after going through an examination done by your surgeon. The procedure may not be suited for some patients especially those who have undergone abdominal or prostate surgery.
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