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Laparoscopic, Robotic and LASER Surgery - GI & Colorectal, Navi Mumbai


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    All Posts Tagged: Precautions

    Dietary Precautions-Anal Fistula

    Dietary Precautions For Anal Fistula

    What you eat is what you are, especially when it comes to taking care of your internal organs like, stomach, liver, intestines, rectum, etc. your diet reflects their health. Conditions like anal fistula can be prevented with a healthy diet and lifestyle.

    What is an Anal fistula?

    Anal fistula is defined as an abnormal communication between the epithelial surface of the anal canal and the perianal skin. Anal fistula usually initiates with a tissue damage.

    Patients with this condition usually are present with,

    • A constant pain in the area, throbbing in nature which gets worsen on sitting down.
    • A chronic irritation of the skin associated with swelling, redness and tenderness around the anus.
    • A smelly discharge of pus with or without blood
    • Constipation
    • Pain on bowel movement
    • Mild to moderate fever

    In acute stage, a fistula can be extremely painful and may bleed frequently but if ignored for a long time for more than 7-8 months, it gets partially healed up and a skin growth known as sentinel tag or sentinel pile surrounds it.

    What are the causative factors for Fistula?

    In most of the individuals, anal fistulae usually develop following an anal abscess. Untreated abscesses in the anal area or ones which have not healed completely can give rise to fistula.

    In fact, research studies have put forward a fact that one in every two-four people with an anal abscess have the chance of developing an anal fistula, later in life.

    There is also a significant male predominance between the ages 20-40 years.

    Other less common causes for anal fistula include,

    • Crohn’s disease
    • Diverticulitis
    • Hidradenitis Suppurativa
    • Tuberculosis

    How anal fistula can be prevented through diet?

    Diet plays a major role in improving this condition. Furthermore, since constipation is one of the major reasons for the exacerbation of anal fistula, it is highly important to control it as much as possible using dietary remedies.

    1. Take adequate dietary fibers such as bran, beans, passion fruit, berries, green leaves, mushrooms, banana, cabbage etc.
    2. Eat more vegetables, fruits and salad.
    3. Avoid gluten-free junk food, French fries, potato chips, processed meat and refined grains.
    4. Drink plenty of water and fluids but avoid much coffee and tea.
    5. Avoid straining during defecation (especially while constipation)
    6. Avoid excessive oils, chilies and spices in food items.
    7. Avoid much of non-veg. food. Try to be vegetarian.
    8. Use of buttermilk (Lassie without butter) with a pinch of cumin powder and black salt keeps the digestion correct

    How do you manage anal fistula?

    Prevention is the best treatment. Maintaining a good nutritional habit is a great way to maintain health issues and ward off fistulas. In addition, abstaining from smoking is important to promote fistula healing.

    Are there any specific dietary measures to be taken?

    Apart from the general precautions mentioned above, it is recommended to refrain from alcohol and smoking since they are known to play a major role in exacerbating the signs and symptoms of anal fistulae

    In addition, you can take dietary advice from a dietician or the specialist to choose the best schedule of meals, depending on the individual requirements and severity of the condition.

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    Nissen Fundoplication Surgery

    Precautions after a Nissen (laparoscopic) Fundoplication Surgery for GERD

    Laparoscopic Nissen fundoplication is a surgical approach to treating gastroesophageal reflux disease (GERD). This surgery aims to strengthen the weakened area of the esophagus that causes stomach acid to flow up instead of down. Nissen fundoplication surgery is designed to fix the weak area of the esophagus. The surgery is performed laparoscopically.

    Few complications after a fundoplication surgery are difficulty in swallowing, esophagus sliding out of the wrapped portion of the stomach, Bloating and discomfort from gas buildup, excess gas, risks of anesthesia, risks of major surgery (infection or bleeding).

    If an open surgery is done, you have to spend several days in the hospital and you may need 4 to 6 weeks to get back to your normal routine. If the laparoscopic surgery method is used, you have to stay in the hospital for only 2 to 3 days and most people can go back to their normal routine in about 2 to 3 weeks.

    After your surgery, you have to follow a special diet to help prevent diarrhea, gas, and problems swallowing. You can drink clear liquids for your first few meals. Then follow a full liquid diet and then a Nissen soft diet. Eat small, frequent meals (six to eight per day). This will help you consume the majority of the nutrients you need without causing your stomach to feel full or distended. Drinking large amounts of fluids with meals can stretch your stomach.

    Eat very slowly. Take small bites and chew your food well which will help in swallowing and digestion. Avoid crusty breads and sticky, gummy foods, such as bananas, fresh doughy breads, rolls and doughnuts. Sit upright while eating and stay upright for 30 minutes after each meal. Do not lie down after eating. Sit upright for 2 hours after your last meal or snack of the day.

    The first bowel movement may occur anywhere from one to five days after surgery. As long as you are not nauseated or having abdominal pain, this variation is acceptable. Remember that it is very common to pass a lot more gas from your rectum; this is because you will not be able to really belch.

    There are no significant restrictions on activity after surgery. You can walk, climb stairs, mow the lawn or exercise, as long as it does not put a strain on you. Returning to normal activity as soon as possible will most likely enhance your recovery. Try to avoid heavy lifting for several weeks.

    Important

    Contact your surgeon immediately, if a fever arises up to 100.4 or greater, shaking chills, pain that increases over time, redness, warmth, or pus draining from incision sites, persistent nausea or inability to take in liquids.

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    Testimonial

    What patient says about Dr. Nitish Jhawar

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at Max hospital, he just asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Apollo staff was also very caring and good. I would mention Apollo Hospital, Navi Mumbai in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Kishore-Kumar-Das

      I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

    • Siddappa-Hasbi

      It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

    • Person Image

      I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

    • Person Image

      I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

    • Person Image

      I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

    • Person Image

      I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

    • Person Image

      Honest doctor, expert in his field....can trust his words

    • Person Image

      Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

    • Person Image

      Very nice. Doctor is very patient and gives you correct advice.

    • Person Image

      He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

    • Person Image

      Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience