fissure in ano- minor problem ;major suffering

fissure in ano- minor problem ;major suffering

 a 25 yr old girl came to our clinic with symptoms

 of  severe pain while passing motion.she had cutting or burning type of pain while passing motion.  she was suffering from this problem since last two yrs. the problem stared after her child"s delivery. she had difficulty in passing motion & she used to apply pressure while passing motion she used to go to some general doctor who used to give her some medicines saying her it was piles.she would get some relief with diet control& after some time again problem would come up as she used to get constipation .

 we  understood her problem only by her symptoms ,that she is suffering from fissure in ano& not piles.

we examined her- she had developed chronic fissure in ano. fissure is a ulcer in motion area, like we get ulcer in mouth.it occurs due to mainly constipation where patient has difficulty in passing motion .hence patient applies pressure to pass motion leading to a cut in that area, which is cause of the pain.

she has developed complication due to improper treatment- anal stenosis( it is a condition where  anus(motion hole) becomes very narrow like a child's hence patient has difficulty in passing motion even when patient is having normal stools ).

 hence now she requires surgery to correct the problem.

 ist attack of fissure is called acute fissure& when patient gets this problem for more that  3 months ,it is called chronic fissure. acute condition is treated with medications ,but chronic condition requires surgery.

during surgery motion area is made wider so that stools can pass easily,& fissure area is cleaned, so that would heals.. surgery takes only 10 mins.

lesson to be learnt: consult specialist for piles & fissure.if delayed surgery is required in most cases. surgery of piles & fissure is very safe & there are no long term complications. many people fear they might lose control over motion after stool , this is not a fact.

 fissure is one condition very minor but if not treated properly & timely can make patients life very miserable.

 this patient was very happy after surgery ,  she was afraid of eating since every motion would give her great pain, she now eats happily as much she likes.

 we have 100's of such stories of our patients.

 we are best fissure surgeon/DOCTOR IN MIRAROAD, BHYANDER.

  

cosmetic treatment of bilateral breast enlargement (gynecomastia) by dr sarang degloorkar in mira- bhayandar , mumbai

COSMETIC  SURGICAL TREATMENT OF BOTH BREAST ENLARGEMENT IN YOUNG MALE

- BY DR SARANG DEGLOORKAR

WE PRESENT ONE CASE OF BILATERAL BREAST ENLARGEMENT.


 This 22 yr old young man came to us with excessive enlargement of both breast since age of 14 yrs.
he did not like it at all as it was not suiting his personality& he was a case of joke for his peers& felt depressed.
 he consulted us. we reassured him . he wanted surgery in such way so that there will not be any mark .
 we we did surgery known as liposuction where we remove fat from his breast through small 1cm hole. then we take a small cut in his nipple of 2cm & remove remaining breast tissue to give perfect shape to his breast. see below actual images before & after surgery .

post surgery 2months ,flat chest

AT OUR BHAKTIVEDANTA HOSPITAL WE CARRY OUT SUCH OPERATIONS ROUTINELY .WE HAVE VERY GOOD RESULT RECORD FOR SURGERIES , OUR PATIENTS HAVE BEEN FOLLOWING UP FOR YEARS WITH OUT ANY PROBLEMS.

IF YOU NEED ANY ASSISTANCE FOR SURGERY CALL : 9323289393.

 doctor operates in mira road , bhayandar , borivali & virar . 

 WE ARE COMMITTED TO QUALITY CARE , ETHICAL TREATMENT  AT REASONABLE & AFFORDING COST  TO ALL HUMANITY.

best gynecomastia treatment hospital from borivali to palghar.
 best gynecomastia doctor in mira road , bhyander , borivali, virar , palghar .



 THE  PACKAGE COST OF GYNECOMASTIA   SURGERY IN GENERAL CLASS BED SHALL COME APPROX TO 35000.

Gynecomastia - Topic Overview

What is gynecomastia?

Gynecomastia is overdevelopment of the male breast. In response to too much estrogen (a female hormone) or too little testosterone (a male hormone), the glandular tissue of the breast swells and forms a breast bud (enlarged breast). Gynecomastia can occur in babies, teen boys, and older men.

What causes gynecomastia?

In newborns, gynecomastia is caused by estrogen from the mother. Breast buds are common in baby boys. Breast buds tend to go away gradually by 6 months of age, but they can last longer in some babies.
In preteen boys, gynecomastia can also be caused by an estrogen-producing tumor. Breast buds are common during puberty. The buds may last up to 2 years, but they tend to go away within the first year.
In teen boys, gynecomastia is caused by the hormonal changes of puberty. Gynecomastia occurs in many boys during early puberty to middle puberty. It usually goes away within 6 months to 2 years.
In adult males, gynecomastia is usually caused by another condition, such as liver or lung cancer, cirrhosis of the liver, overactive thyroid, or by hormone problems, such as cancer of the pituitary gland, adrenal glands, or testicles. Alcohol, marijuana, methamphetamine, and heroin use also may cause gynecomastia.
Use of certain medicines may also cause gynecomastia, including:

• Steroids, such as prednisone or dexamethasone.
• Medicines used to treat ulcers (such as cimetidine).
• Medicines used to treat epilepsy (such as phenytoin [Dilantin]).
• Digitalis and other heart medicines.
• Chemotherapy drugs, especially alkylating agents, a family of anticancer drugs that interfere with cell DNA and inhibit cancer cell growth.
• Antiandrogen drugs (such as flutamide, cyproterone, and spironolactone).
• Antianxiety and antidepressant medicines (such as diazepam [Valium] and tricyclic antidepressants).

What are the symptoms?

In addition to having enlarged breasts, men or boys with gynecomastia may notice their breasts feel rubbery or firm. Boys may have a breast bud on one or both sides about the size of a nickel or quarter. Breast buds are common in adolescent boys during puberty. They may last up to 2 years, but they tend to go away within the first year.

How is gynecomastia diagnosed?

Gynecomastia can usually be diagnosed from a physical examination and medical history. In most cases, tests are not necessary. But if the breast lump is unusually large, one-sided, tender, or hard and fixed, a biopsy may be done to rule out other problems.
Any man who finds a one-sided breast lump should let his doctor know if he has close relatives who have had breast cancer (mother, sister, or daughter). If there is any concern about cancer, a lump can be checked with a biopsy or surgery.

How is it treated?

Gynecomastia in babies and teens normally does not require treatment and will usually go away on its own. If it is caused by medicine or disease, stopping the medicine or treating the disease will often cure the gynecomastia. If it is caused by a lack of testosterone and increase in estrogen, hormonal treatment may be prescribed.

Male Breast Enlargement (Gynecomastia)

Experts explain the causes of and treatments for gynecomastia, or male breast enlargement.

By David Freeman
WebMD Feature

"My own breasts became enlarged when I was a teenager," says the New York plastic surgeon. "It was very embarrassing. Once, I went to my locker after gym class and saw that a classmate had hung a bra on it."

Why It Happens

Male breast enlargement can start in puberty as hormone levels are shifting. In those cases, it typically doesn't last long, ending without treatment as hormone levels settle down.

Enlarged breasts can also start  in adulthood. As men age, they tend to lose testosterone and gain weight. Lower testosterone can lead to enlargement of glands in the breasts. Extra weight adds fatty tissue under the breasts. That can leave a man with bigger glandular tissue and more fat in his breasts. Fat cells make small amounts of estrogen, which can further enlarge men's breasts.

Though it can be embarrassing, male breast enlargement usually isn't a health threat. But in some men, it can be a sign of  low testosterone, an overactive thyroid, cirrhosis of the liver, a genetic problem, or some cancers. Certain medications can also cause gynecomastia. Common culprits include anabolic steroids, as well as the stomach acid drug cimetidine (Tagamet), the heart drug spironolactone (Aldactone), the prostate cancer drug bicalutamide (Casodex), and several other drugs.

In many cases, stopping the offending drug and switching to another helps reduce enlarged breasts. 

Abusing alcohol and marijuana can also contribute to gynecomastia.

In many cases, the exact cause isn't clear. It's wise to make an appointment with a board-certified endocrinologist to make sure, even if your male breast enlargement hasn't bothered you a lot.

How to Treat 'Man Boobs'

The treatment depends on the cause.

If another health condition is causing your enlarged breasts, treating that underlying condition may help.

If the reason for enlarged breasts is being overweight, weight loss is often the first step, says Glenn Braunstein, MD. That’s good for your overall health, too. Braunstein is chairman of the department of medicine at Cedars-Sinai Medical Center in Los Angeles. 

If you have a lot of weight to lose, it may not shrink your breasts back to normal size, due to the stretched-out skin. Plastic surgery is an option for that.

Surgical options for enlarged breasts are to get liposuction to remove fat and scalpel surgery to remove glandular tissue. A plastic surgeon does the surgery, which takes 60-90 minutes. It's an outpatient procedure, meaning no overnight stay, and it often dramatically improves appearance.

Jacobs has never sought treatment for his own breast enlargement.

"Over the years, I sort of got used to it," he says. But he has done breast-reduction surgery on more than 1,500 men, transforming lives in the process. "For the first time in years, these men are standing up straight and wearing tight shirts," he says. "Literally and figuratively, a weight has been lifted off their chests."