Dr. Chintamani Godbole

  Surgery for anal fissures is typically recommended when conservative treatments fail to alleviate symptoms or when the fissure becomes chronic. Surgery is generally reserved for cases where non-invasive treatments have not provided sufficient relief. It's essential for individuals to discuss their specific situation with a healthcare provider to determine the most appropriate course of action. Failure of Conservative Measures: Surgery is recommended when conservative treatments, such as dietary changes, fiber supplements, and topical medications, fail to alleviate symptoms of anal fissures. Chronic or Recurrent Fissures: If anal fissures become chronic or recur despite initial treatments, surgery may be considered as an intervention. Persistent Symptoms: Surgical intervention is typically advised when individuals continue to experience persistent symptoms, including pain during bowel movements and bleeding. Ineffectiveness of Medications: When topical medications prescribed ...

  You should consider seeing a doctor for hemorrhoids if you experience the following: Persistent Symptoms: If you have persistent symptoms of hemorrhoids, such as ongoing pain, itching, bleeding during bowel movements, or the sensation of a lump around the anus, it's advisable to seek medical attention. Persistent symptoms may indicate the need for professional evaluation and management. Severe Pain: If you are experiencing severe pain associated with hemorrhoids, especially if it interferes with daily activities or is not relieved by over-the-counter medications, it's important to consult with a healthcare professional. Bleeding: If you notice persistent or recurrent rectal bleeding, it's crucial to see a doctor. While bleeding from hemorrhoids is common, it's essential to rule out other potential causes of rectal bleeding, including more serious conditions. Change in Bowel Habits: If you experience a change in bowel habits, such as new or different symptoms or c...

  Determining eligibility for Hyperthermic Intraperitoneal Chemotherapy (HIPEC) involves a comprehensive evaluation, including imaging and diagnostic tests. The specific tests used may vary based on the type and stage of cancer, as well as individual patient factors. Here are some common imaging and diagnostic tests that may be employed to determine eligibility for HIPEC: Computed Tomography (CT) Scan: A CT scan is a commonly used imaging test that provides detailed cross-sectional images of the abdomen. It helps evaluate the extent of cancer spread, the size and location of tumors, and the involvement of surrounding structures. Magnetic Resonance Imaging (MRI): MRI uses magnetic fields and radio waves to create detailed images of soft tissues in the abdomen. It can provide additional information about the location and characteristics of tumors. Positron Emission Tomography (PET) Scan: PET scans involve the injection of a small amount of radioactive material to highlight areas ...

  Yes, rectal prolapse can occur in children, although it is relatively uncommon. Pediatric rectal prolapse is most frequently seen in younger children, typically between the ages of 1 and 3 years. There are several factors that may contribute to rectal prolapse in children: Constipation: Chronic constipation, often due to dietary factors, can lead to straining during bowel movements. This straining can weaken the pelvic floor muscles and contribute to rectal prolapse. Cystic Fibrosis: Children with cystic fibrosis, a genetic disorder affecting the respiratory, digestive, and reproductive systems, may be at a higher risk of developing rectal prolapse. Neurological Disorders: Conditions affecting the nervous system, such as spinal cord abnormalities or neurological impairments, can impact the coordination of bowel movements and contribute to rectal prolapse. Malnutrition: Poor nutrition and malabsorption can lead to a lack of muscle tone and strength, potentially increasing the...

  Surgery for pelvic floor diseases is typically considered when non-surgical treatments have been ineffective or for severe cases that significantly impact a person's quality of life. The decision to recommend surgery is based on the specific type of pelvic floor disorder and its severity. Here are some situations in which surgery for pelvic floor diseases might be recommended: Pelvic Organ Prolapse (POP): Severity: If the prolapse is severe and is causing significant symptoms, such as a bulging sensation or pressure in the pelvic area. Impact on Function: When pelvic organ prolapse affects a person's ability to perform daily activities or interferes with bladder, bowel, or sexual function. Urinary Incontinence: Failed Conservative Treatments: When non-surgical approaches, such as pelvic floor exercises, behavioral therapies, or medications, have not provided sufficient relief. Severe Symptoms: In cases of severe stress incontinence or urge incontinence that significa...

  Hyperthermic Intraperitoneal Chemotherapy (HIPEC) offers several potential benefits, particularly in the treatment of advanced abdominal cancers. Here are some of the potential advantages of HIPEC: Localized Treatment: HIPEC delivers chemotherapy directly to the abdominal cavity, allowing for a highly concentrated and localized treatment. This is especially beneficial for cancers that have spread within the peritoneal cavity. Enhanced Chemotherapy Effectiveness: Heating the chemotherapy solution during HIPEC can enhance the effectiveness of the drugs. Elevated temperatures may improve drug penetration into cancer cells, making the treatment more potent. Targeting Residual Cancer Cells: After the surgical removal of visible tumors, HIPEC targets any remaining microscopic cancer cells that may be present in the abdominal cavity. This can help reduce the risk of cancer recurrence. Minimization of Systemic Side Effects: Because HIPEC delivers chemotherapy directly to the abdomin...

  No, piles (hemorrhoids) do not always require surgery. In fact, many cases of piles can be effectively managed through conservative measures and lifestyle modifications. Surgery is typically considered when conservative treatments fail to provide relief, or in more severe cases of hemorrhoids. The decision to recommend surgery depends on the severity of symptoms, the type of hemorrhoids, and the individual's response to other treatments. Conservative treatments and lifestyle changes may include: Dietary Modifications: Increasing fiber intake through fruits, vegetables, and whole grains to soften stools and ease bowel movements. Hydration: Staying well-hydrated to prevent constipation and promote regular bowel movements. Topical Medications: Using over-the-counter creams or ointments to relieve symptoms like itching and inflammation. Warm Baths (Sitz Baths): Soaking the anal area in warm water for 15-20 minutes several times a day to reduce swelling and discomfort. Avoiding S...

  Common symptoms of rectal prolapse may include: Visible Protrusion: The most apparent symptom is the protrusion of the rectum through the anal opening. This may be partial or complete, and it can vary in size. Pain or Discomfort: Individuals with rectal prolapse often experience pain, discomfort, or a feeling of fullness in the rectal area. Difficulty with Bowel Movements: Prolapse can make it challenging to have normal bowel movements. Individuals may have to strain excessively to pass stool. Bleeding: There may be bleeding from the rectum during or after bowel movements, often due to friction and irritation of the prolapsed tissue. Mucous Discharge: Some individuals with rectal prolapse may notice the passage of mucous from the rectum. Incontinence: In severe cases, rectal prolapse can lead to fecal or urinary incontinence (inability to control bowel or bladder movements). Incomplete Evacuation: Difficulty in fully emptying the bowels can be a symptom, leading to a feel...