Hernia Symptoms & Treatments


Lifestyle changes
Dietary changes can often treat the symptoms of a hiatal hernia, but won’t make the hernia go away. Avoid large or heavy meals, don’t lie down or bend over after a meal, and keep your body weight in a healthy range.
Certain exercises may help strengthen the muscles around the hernia site, which may reduce some symptoms. However, exercises done improperly can increase pressure at that area and may actually cause the hernia to bulge more. It’s best to discuss what exercises to do and not do with your doctor or physical therapist.
If these changes don’t eliminate your discomfort, you may need surgery to correct the hernia. You can also improve symptoms by avoiding foods that cause acid reflux or heartburn, such as spicy foods and tomato-based foods. Additionally, you can avoid acid reflux by losing weight and giving up cigarettes.
Medication
If you have a hiatal hernia, over-the-counter and prescription medications that reduce stomach acid can relieve your discomfort and improve symptoms. These include antacids, H-2 receptor blockers, and proton pump inhibitors.
Surgery
If your hernia is growing larger or causing pain, your doctor may decide it’s best to operate. Your doctor may repair your hernia by sewing the hole in the abdominal wall closed during surgery. This is most commonly done by patching the hole with surgical mesh.
Hernias can be repaired with either open or laparoscopic surgery. Laparoscopic surgery uses a tiny camera and miniaturized surgical equipment to repair the hernia using only a few small incisions. Laparoscopic surgery is less damaging to the surrounding tissue.
Open surgery requires a longer recovery process. You may be unable to move around normally for up to six weeks. Laparoscopic surgery has a much shorter recovery time, but the risk of your hernia reoccurring is higher.

Benefits of Laparoscopic Surgery

The ethos of laparoscopic surgery is to undertake the same operation through laparoscopic ports or ‘key holes’ rather than through a conventional big incision. This translates to lesser pain and early recovery while achieving the same results.The laparoscope has been one of the key advances in surgery, making much of minimally invasive surgery today possible.A laparoscope is a thin, fiber-optic tube that has a tiny video camera at its tip. The laparoscope is inserted through a small incision, generally but not always, in the navel, and guided to the problem area. The surgeon then inserts tiny surgical instruments through other small incisions to perform a procedure.The major benefit of laparoscopic surgery is that it only requires a few small incisions. This means less pain and external scarring and healing may be faster than traditional, open surgery.

Treatments for Gastro-oesophageal reflux disease

Laparoscopic surgery

Gastro-oesophageal reflux disease (GORD)  is a common condition, where acid from the stomach leaks up into the oesophagus.  GORD can affect everyone, even children, but mostly affects adults aged 40 and over.Risk factors include obesity, pregnancy, smoking, hiatus hernia, and taking certain medicines.The most common symptomsinclude heart burn,chest pain, vomiting.
Treatment aims at decreasing the amount of reflux and reducing damage to the lining of the oesophagus from refluxed materials.Avoiding foods and beverages that are identified as triggering symptoms is recommended. These may include chocolate, peppermint, fatty foods, coffee and alcoholic beverages. Foods and beverages that can irritate a damaged oesophageal lining – such as citrus fruits and juices, tomato products and pepper – may also need to be avoided. Reflux Surgery is a surgical method recommended to treat gastrointestinal diseases

Outcomes after Roux-en-y Gastric Bypass

Gastric bypass surgery makes the stomach smaller and causes food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size. This reduces the amount of food you can eat at one time. Bypassing part of the intestine reduces how much food and nutrients are absorbed. This leads to weight loss.

The Roux-en-Y gastric bypass procedure involves creating a stomach pouch out of a small portion of the stomach and attaching it directly to the small intestine, bypassing a large part of the stomach and duodenum. Not only is the stomach pouch too small to hold large amounts of food, but by skipping the duodenum, fat absorption is substantially reduced.Roux-en-Y Gastric Bypass remains an excellent and durable operation for long-term weight loss and treatment of obesity-related comorbid disease.Roux-en-Y Gastric Bypass, or RNY Gastric Bypass, has minor complications that can result because of a successful surgery.

One of the most warned side effects is dumping syndrome. After gastric bypass eating food will change, your physician will give you recommendations as to how much to eat and when. It’s important to remember that your stomach is the size of a walnut; daily food consumption will be spread out over six or more meals per day. When you eat more food than was prescribed by your physician, you may experience dumping syndrome or intense pain under your breastbone.Laparoscopic RYGB results in highly favorable outcomes with reduced incisional hernia rates. These 10-year data help to more clearly define long-term outcomes and demonstrate outstanding reduction in comorbid disease following RYGB.

Gastric Cancer Facts & Information

Cancer remains one of the most dreaded diagnosis for both patients and their relatives. However numerous adavances have been made in the management of cancers in recent years resulting in improved outcomes.Cancer can be treated very well for many people. In fact, more people than ever before lead full lives after cancer treatment.Some cancers grow and spread fast. Others grow more slowly. They also respond to treatment in different ways. Some types of cancer are best treated with surgery  others respond better to drugs called chemotherapy. Stomach cancer, also called gastric cancer, is a cancer that starts in the stomach. To understand stomach cancer, it helps to know about the normal structure and function of the stomach. Types of stomach cancers  are Adenocarcinoma, Lymphoma, Gastrointestinal stromal tumor.Treatments for gastro intestinal cancers are

  • OESOPHAGEAL CANCER
  • GASTRIC CANCER
  • BOWEL CANCER

Obesity Symptoms and Treatments

Obesity means having too much body fat.Having too much body fat can lead to type 2 diabetes, heart disease, high blood pressure,arthritis,sleep apnea and stroke.The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person’s weight is greater than what’s considered healthy for his or her height.Obesity can cause day-to-day health problems such as:

    • breathlessness
    • increased sweating
    • snoring
    • inability to cope with sudden physical activity
    • feeling very tired every day
    • back and joint pains
    • low confidence and self esteem

The treatment methods that are right for you depend on your level of obesity, your overall health and your willingness to participate in your weightlossplan Bariatric Surgery is the speciality dealing with obesity and its associated diseases.It include Laparoscopic adjustable gastric band replacement, Laparoscopic ROUX-EN-Y GASTRIC BYPASS, Laparoscopic sleeve gastrectomy.Other treatment tools include dietary changes,exercise and activitybehavior change,prescription weight-loss medications.

Symptoms of Inflammatory bowel disease

Inflammatory bowel disease is a group of inflammatory conditions of the colon and small intestine.There are two main types of bowel disease ulcerative colitis and Crohn’s disease.Ulcerative colitis is a disease that causes inflammation and sores(ulcers) in the lining of the large intestine.It usually affects the lower section and the rectum. But it can affect the entire colon Crohn’s disease is a type of inflammatory bowel disease (IBD) that may affect any part of the gastrointestinal tract from mouth to anus.Signs and symptoms often include abdominal pain, diarrhea (which may be bloody if inflammation is severe), fever, and weight loss.Other complications may occur outside the gastrointestinal tract and include anemia, skin rashes, arthritis, inflammation of the eye, and feeling tired. The skin rashes may be due to infections as well as pyoderma gangrenosum or erythema nodosum. Bowel obstruction also commonly occurs and those with the disease are at greater risk of bowel cancer. Symptoms of bowel diseases include

  • pain, cramps or swelling in the tummy
  • recurring or bloody diarrhoea
  • weight loss
  • extreme tiredness

Benefits of weightloss surgery

Weight loss surgery has been shown to be the most effective and durable treatment for obesity.Patients may lose as much as 60 percent of excess weight six months after surgery, and 77 percent of excess weight as early as 12 months after surgery. And on average, five years after surgery, patients maintain more than 50 percent of their excess weight loss.In addition to its many health benefits, bariatric surgery can help to improve patient’s overall mood and psychological health.Obesity-related complications are generally related to weight therefore the surgically induced weight loss can be associated with improvement in these obesity-related complications.In fact, as little as three percent weight loss with lifestyle changes can be associated with a reduction in risk for metabolic and cardiovascular disease,compared with bariatric surgery weight loss figures well over 30 percent.weight loss surgery helps to improve many obesity related health conditions,including:

  • Diabetes
  • High blood pressure
  • High cholesterol
  • Sleep apnea

Surgical Oncology

Cancer remains one of the most dreaded diagnosis for both patients and their relatives. However numerous advances have been made in the management of cancers in recent years resulting in improved outcomes. We follow accepted international guidelines for both investigation and treatment of cancer.There are many types of cancer treatment. The types of treatment that you receive will depend on the type of cancer you have and how advanced it is.
We offer treatments for all gastrointestinal cancers.

  • Oesophageal Cancer
  • Gastric cancer
  • Bowel cancer

Bariatric Surgery

Bariatric Surgery is the speciality dealing with obesity and its associated diseases.All our Bariatric procedures are done as Laparoscopic / Key Hole surgeries. We are the only centre in Kerala providing all the internationally accepted weightloss operations. We are also the only centre in Kerala carrying out Roux-en-y Gastric Bypass which is the accepted bypass procedure in the United Kingdom and United States of America.Our treatment include

  • LAPAROSCOPIC ADJUSTABLE GASTRIC BAND PLACEMENT
  • LAPAROSCOPIC ROUX-EN-Y GASTRUC BYPASS
  • LAPAROSCOPIC SLEEVE GASTRECTOMY

A laparoscopic adjustable gastric band, commonly called a lap-band, A band, or LAGB, is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to slow consumption of food and thus reduce the amount of food consumed.Dr Paul is the only surgeon in Kerala with accreditation from American Society for Metabolic and Bariatric Surgery (ASMBS) and is the only one from the state to have completed their accredited Fellowship training programme.