Thursday, 14 December 2017

Rectal Cancer is not always hereditary, Know more about it..

What is Rectum?

The Rectum is a part of the human digestive system. The digestive system takes in nutrients from food and helps to eliminate waste from the body. The digestive system is made up of the esophagus, stomach, and the intestines. The first portion of the large intestine is called as colon. And rectum, together with the anal canal, makes up the last portion of the large intestine. 

Rectal Cancer 

Rectal Cancer is the abnormal growth of cancerous cells in the lower portion of the colon and it is the second most occurring cancer after lung cancer.

Major Causes of Rectal Cancer

  • High-fat diet
  • Having a family history of colon or rectal cancer in a first-degree relative
  • Having a personal history of cancer of the colon or ovary
  • Having a personal history of high-risk adenomas
  • Having inherited changes in certain genes that increase the risk of familial adenomatous polyposis
  • Having personal history of chronic ulcerative colitis or Crohn disease
  • Having three or more alcoholic drinks per day
  • Smoking cigarettes
  • Being obese

Symptoms of Rectal Cancer

  • Bleeding from the rectum
  • Anemia
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Diagnosis
The determination of the disease can be done using several methods. Some are fecal occult blood testing, endoscopy, digital rectal examination, sigmoidoscopy, colonoscopy, biospsy, CT, MRI, routine blood tests etc.

How to Treat Rectal Cancer ?

The treatment depends on the stage of cancer. Most probably multiple chemotherapy medications are suggested. Surgery is used to treat and reduce symptoms. Radiation therapy is used to kill or shrink rectal cancers at a severe level.

Dr. Deepak Varma is one of the leading gastrosurgeons in Kochi who has performed numerous complicated surgeries.

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Thursday, 5 October 2017

Getting rid of Piles is easy!

Piles are a kind of swelling occurred inside and around the back passage.  A network of small veins is present with the anal canal lining. Sometimes, these veins become wider and bloated with more blood than usual. The bloated veins and superimposing tissues forms one or many little swellings which are known as piles.

What are the types of piles?

Piles have two variants:
  • Internal – those develop above the 2-3 cm inside the anus in the upper area of the anal canal. Internal piles are not painful as upper anal canal does not has pain nerve fibers.
  • External – those that develop below the lower part of the anal canal. External piles are painful as lower anal canal has pain nerve fibers.

The classification of internal piles

Grade 1- small swellings inside the anal canal lining. Grade 1 piles are very common.

Grade 2- large piles. Partly pushed out from the anal canal but quickly back inside again.

Grade 3- found small, soft lumps that hang out from the anal canal.

Grade 4 – permanently hang out from the anal canal and cannot go back inside the anus.

Causes of piles

  • Constipation
  • Pregnancy
  • Ageing
  • Hereditary factors
  • Heavy lifting
  • Persistent cough

What are the symptoms of piles?

  • Feeling of a hard lump around the anus
  • Feeling that bowels are full when they are not
  • Bright red color is coming with the bowel movement
  • Itching around the anus
  • Anus area is res and sore

Piles Treatments

Treatment of piles includes ointments, creams, OTC medications, pads, painkillers, corticosteroids, banding, and use of laxatives. The advanced level of piles needs surgery. Gastrosurgeon, Kochi provides all types of treatment to reduce piles. Apart that, lifestyle changes, proper diet, high water intake and balanced body weight may also help to avoid piles.

Dr. Deepak Verma, an excellent gastrosurgeon to treat anal surgeries and Piles Treatment in Kochi,Kerala. He his an expert to treat piles.

Tuesday, 26 September 2017

Solve your Obesity problems with Bariatric Surgery

Obesity or carrying too much body fat may have harmful effects on your health. It is in this context that surgeries such as Bariatric Surgery have grown in immense importance.

What Is a Bariatric Surgery ?

Bariatric Surgery is a surgical procedure which aids weight loss with by restricting the food intake capacity of the stomach, instigating nutrient mal-absorption or both.

How is it done?

Bariatric Surgery mainly involves methods to manipulate the size of stomach to restrict food intake or to bypass a section of intestine to limit absorption rate.

Bariatric Surgery - Types

The various types of bariatric surgeries are: -
  • Restrictive Procedures
  • Adjustable gastric band
  • Sleeve gastrectomy
  • Mal-absorption procedures
  • Gastric bypass

Who are eligible for bariatric surgery?

A bariatric surgery would be ideal for you if you belong to any of these categories: -
  • A BMI greater than or equal to 40
  • A BMI around 35 and suffering from obesity related morbidities
  • If other weight loss techniques have failed to bring about significant results
  • If you have been suffering from obesity for about 5 years

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Friday, 4 August 2017

Stomach Cancer - Symptoms, Treatments

Stomach cancer, which is scientifically termed as gastric cancer, is the acquisition of the malignant group of cells that form a mass in a part of the stomach. Several types of cancer can occur in the stomach. The most common type is called adenocarcinoma. It starts from one of the cell types found in the lining of the stomach.

Symptoms Of Stomach Cancer

Early symptoms include:
  • Indigestion or heartburn
  • Pain or discomfort in the abdomen
  • Nausea and vomiting, particularly vomiting up solid food shortly after eating
  • Diarrhea or constipation
  • Bloating of the stomach after meals
  • Loss of appetite
  • Sensation of food getting stuck in the throat while eating
Symptoms of advanced stomach cancer may include:
  • Weakness and fatigue
  • Vomiting blood or having blood in the stool
  • Unexplained weight loss

Treatments For Stomach Cancer

Surgery (Gastrectomy) - A common method in which the affected part is cut off. Key hole surgery is also done.

Chemotherapy - Anti-cancer medicines are used to kill cancer cells or stop from multiplying.

Radiotherapy - In this treatment, high energy beams are focused on cancerous tissue. It kills or stops the cell from multiplying.

Chemoradiotherapy - It is a combination of chemotherapy and radiotherapy which did during the surgery.

Undergoing chemotherapy or radiation may improve symptoms and may extend survival, but may not cure cancer. Surgery is recommended for mitigating cancerous cells.

How To Prevent Stomach Cancer?

As the experts do not know the real cause of gastric cancer, there are no vaccines for it. There is no way to prevent it, however, a certain measure can be taken to reduce the risk of developing the disease.
  • Eat plenty of fruits and vegetables
  • Reduce consumption of salty and smoked foods.
  • Avoid smoking
  • Check up with the Doctor regularly

Dr. Deepak Varma is an expert in laparoscopic surgeon in Kerala. He also conducts palliative surgeries such as gastrojejunostomy, and feeding tube placement for cancers that cannot be removed.

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Friday, 21 July 2017

Treatment For Hernia In Kochi

Hernia is a common disorder found in people today. It occurs when some organs in our body tend to push out through weakened areas of abdominal walls and muscles. Hernia is characterised by a bulge or protrusion and is usually found in the abdomen, near the umbilicus and groin areas.

Most cases of hernia are unthreatening and manifest itself as a bulge while patients stand, walk, cough, sneeze or lift heavy weights. Hernia cannot be cured by medications and it does not recede by its own. Surgery is considered as the ultimate remedy for treatment of hernia.

Dr. Deepak Verma is a leading gastro surgeon in Kerala and is widely acknowledged for his effective treatment of hernia.

When should medical attention be sought?

As mentioned before, hernia is not life threatening. However, it is important to seek medical attention to avoid potential complications if the following symptoms are experienced.
  • If the bulge grows painful
  • If it shows a faster rate of growth
  • If the bulge gets stuck up in the walls and is visible always

What causes hernia?

Hernias are of different types depending on the cause and location of occurrence. They are caused usually due to strain and weakness in the muscles. This can occur due to factors such as congenital defects, age, lifting heavy weights, pregnancy, constipation and so on. Persistent sneezing or coughing and sudden weight gain are also factors that can lead to the condition.

Treatment for Hernia

Unlike popular belief, hernia cannot be cured with medications alone. Surgical procedures are required to restore the protruding organs. This can be performed either by placing flexible mesh to reinforce the weakened area or with the help of laparoscopic surgery where the hernia sac is pulled back through small incisions into the abdominal cavity. 

Dr. Deepak Verma is currently working as Senior Consultant, Surgical Gastroenterology at Aster Medicity, based in Kochi.

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Wednesday, 5 July 2017

Don't Ignore The Warning Signs.. Treat Pancreatic Cancer At The Earliest..

Pancreatic cancer is an uncontrolled and abnormal growth of the cells present in the pancreas. The pancreas is a large gland in the body and is a part of the digestive system.

Symptoms Of Pancreatic Cancer

  • Pain in the stomach or back area
  • Unexpected weight loss
  • Jaundice
  • Bowel changes
  • Nausea and vomiting
  • Indigestion
  • Blood clots
  • Fever and shivering
  • Diabetes

Causes For Pancreatic Cancer

  • Age factor
  • Smoking
  • Inflammation of the pancreas
  • Stomach ulcer
  • Genetics

Diagnosis of pancreatic cancer carries out with a physical examination followed by some tests. They are
  • Urine test
  • Blood test
  • Ultrasound scan
  • Computerized tomography (CT) scan
  • Magnetic resonance imaging (MRI) scan
  • Positron emission tomography (PET) scan
Depending on the results of the scan, some further tests may include
  • Endoluminal ultrasonography (EUS) endoscopy
  • Endoscopic Retrograde Cholangiopancreatography (ERCP) 
  • Laparoscopy

It is very difficult to treat pancreatic cancer. It is very often that cancer will not be detected in the early stages and rarely causes any symptoms. It is also more difficult to treat cancer, if it is large in shape. The treatment of cancer purely depends on the type and location. It is also important to consider person’s health, age and personal preferences while prescribing treatment. 

Treatment For Pancreatic Cancer

There are three main types of treatment available for pancreatic cancer. They are
  • Surgery
  • Chemotherapy
  • Radiotherapy
More intensive treatment provides doctors better chances of treating cancer. It is doctor’s role to provide best balance between the need for intensive treatment and desire to restrict side effects as much as possible. The most curative treatment for pancreatic cancer is surgical removal of all cancer and a pancreatic transplant. Chemotherapy helps patients to improve their quality of life and extend life.

Dr. Deepak Varma, Gastrosurgeon in Kochi has many years of experience to treat cancer.

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Thursday, 1 June 2017

Know More About Stomach Cancer & Catch Them Early

A gradually developing form of cancer, stomach cancer is the second among the most common cancers in the world. Stomach cancer, also called gastric cancer, is caused due to abnormal cell growth that leads to the formation of tumours in some parts of the stomach. They are dominantly found in the developing countries. Instances of stomach cancer are increasingly found in the male population. Dr. Deepak Varma, a leading gastrosurgeon provides Stomach Cancer Treatment In Cochin.

Causes Of Stomach Cancer

Stomach cancers are known to be caused as the result of a flawed lifestyle. Some factors contributing to the incidence of the disease are as follows: -
  • Stomach infections like H.pylori or ulcers
  • An unhealthy diet with an excess of salted foods and pickles
  • Presence of aflatoxin fungus in dried foods, ground nuts and so on
  • Pre-existing medical conditions like oesophagitis, GERD, Barrett’s syndrome, stomach polyps and so on
  • Due to previous instances of surgical procedures

Types Of Stomach Cancer

Stomach cancers vary in nature based on the location of tumours and extent of spread. The different types of stomach cancers include adenocarcinoma, which are the most common and develop in the mucosal lining of the stomach, GIST developing in the connective tissues or stomach muscles, lymphomas, neuroendocrine tumours and so on.

Signs And Symptoms Of Stomach Cancer

Stomach cancers are known to present different symptoms in different patient depending on the type and extend of the disease. However, loss of appetite is one of the main signs of stomach cancer. Other signs include
  • Weight loss coupled with indigestion and anaemia
  • Vomiting with traces of blood
  • Heart burn
  • Tarry or black stool
  • Fatigue and bloating after food intake


Treatment For Stomach Cancer

The treatment of stomach cancer is initiated after a diagnosis test to ascertain the presence of the disease. The diagnosis tests include analysis of CBC, electrolyte panel, endoscopy or endoscopic scan and so on.

The main treatment for stomach cancer involves surgery where the tumour, affected parts and adjoining lymph nodes are removed to arrest the spread of the disease. In the initial stages of the disease, this can be performed by endoscopy. In severe or advanced cases, these are followed with radiation and chemotherapy.

Dr. Deepak Varma is a leading Gastrointestinal Doctor in Kochi,  Kerala, specialised in effectively dealing with a variety of gastrointestinal disorders.
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Tuesday, 9 May 2017

Weight Loss Treatment

Bariatric surgery is an option for the people who are suffered with severe obesity and are not able to lose weight with other methods or have severe obesity related health problems. Bariatric surgery is a type of operation that makes changes in the digestive system to lose weight. It makes stomach smaller, permit to eat and drink less at one time and feels full after having a little meal. Bariatric surgery is recommended to the teens and adults who have obesity related health problems such as high blood pressure, type 2 diabetes, heart disease or sleep apnea.

There are 2 types of Bariatric surgery. In open Bariatric surgery, doctors make a single, large incision in the stomach. In laparoscopic surgery, the doctor makes few small incisions and inserts thin surgical tools through the incisions. Laparoscopic surgery is more convenient, less risky, less painful and scarring in comparison to open surgery. The patient recovers faster with laparoscopic surgery.  Open surgery is recommended on certain people who have had a stomach surgery before, have high level of obesity or have specific complex medical problems.

Types Of Operations

  • Laparoscopic adjustable gastric band
  • Gastric sleeve surgery/sleeve gastrectomy
  • Gastric bypass
  • Duodenal switch (rarely used)

Benefits Of Bariatric Surgery

  • Helps in lose weight
  • Becomes physically more active
  • Improves cardiovascular health
  • Decreases high blood pressure problems
  • Improve fertility
  • Eliminate problems related to sleep apnea

Risk Factors

  • Infection
  • Bleeding
  • Blood clots
Dr. Deepak Varma, an experienced gastro surgeon in Kochi, provides gastroenterology treatments at an affordable cost.

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Wednesday, 26 April 2017

Severe Pain In Abdomen?? Appendicitis May Be The Reason..

Are you tired of the unexplained pain in the tummy? Have you experienced a loss of appetite and you are wondering why?  Do you suffer from constipation, diarrhea and vomiting and none of the medicines have worked yet? May be you are suffering from appendicitis.

No one is absolutely certain about the function of the appendix. What we do know is that we can live without it without apparent consequences.

What Causes Appendicitis?

The cause for appendicitis is unknown in many cases. But obstruction in the appendix is the main cause. Obstruction may be either complete or partial. Complete obstruction needs emergency surgery.

What Are The Symptoms Of Appendicitis?

  • Abdominal swelling
  • Pain around the belly buttonc
  • Lower right side abdominal pain
  • Loss of appetite
  • Nausea
  • Vomiting
  • Constipation
  • Diarrhea
  • Low grade fever


How Can It Be Treated?

Treatment for appendicitis differs for different cases. In some cases, appendicitis may get better without even surgery. Treatment may involve only antibiotics and a liquid diet. In most though, surgery will be necessary. The type of surgery will depend on your case. If your abscess hasn’t ruptured, you might receive oral medicines first.
Surgery may be necessary right away if you have a ruptured abscess or appendix. The Surgery to remove the appendix is called appendectomy.
Laparoscopic surgery can be performed by the doctor to perform this operation. Laparoscopy is less invasive which makes the recovery time shorter. However, open surgery might be imminent if you have peritonitis or an abscess.

Dr. Deepak Varma is an experienced gastro surgeon who provides gastroenterology treatments in Kochi.

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Saturday, 11 February 2017

Why Does It Pain in Upper Belly ?

Choledocholithiasis or Gallstones in the bile duct are the presence of a gallstone in the bile duct. Gallstones are hard deposits in the gallbladder, a small organ that stores bile, which is a digestive fluid made in the liver.

Gallstones in the bile duct may not cause symptoms for several months or even years. The following are the symptoms of bile duct stones:
  • Severe abdominal pain in the right upper or middle upper abdomen.
  • Fever
  • Jaundice
  • Loss of appetite
  • Nausea and vomiting
  • Clay-colored stools
There are two main types of gallstones: cholesterol gallstones and pigment gallstones. Cholesterol Gallstones appear yellow in color and are the most common type of gallstone. The cholesterol stones are caused by bile which contains:
  • Too much cholesterol
  • Too much bilirubin
  • Not enough bile salts
  • If the gallbladder does not empty completely or often enough.
The cause of Pigment Stones is not properly known. They seem to occur in mostly when:
  • Cirrhosis of the liver.
  • Infections in the bile duct.
  • Hereditary blood disorders due to which the liver makes too much bilirubin.
Treating gallstones in the bile duct mainly focuses on relieving the blockage. These treatments may include complete stone extraction, fragmentation of stones, surgery for the removal of the gallbladder and stones, surgery that makes a cut into the common bile duct to remove the stones, biliary stenting etc. 

Dr. Deepak Varma is a leading and eminent gastrosurgeon based in Kochi provides effective solution for all gastrointestinal problems with the  help of a dedicated team

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