Gökhan Akbulut Md.febs Prof of Surgery

Gökhan Akbulut Md.febs Prof of Surgery Hakuna matata

08/09/2023
24/08/2023

GALLSTONES

Gallstones are small, solid particles that form in the gallbladder, a small organ beneath the liver. They can vary in size and are typically composed of cholesterol, bilirubin, and other substances found in bile. Gallstones can cause a variety of symptoms, including sudden and intense upper abdominal pain, nausea, vomiting, and intolerance to fatty foods.

Treatment options for gallstones depend on the presence of symptoms and complication
s. Asymptomatic gallstones may not require treatment, and lifestyle changes, such as maintaining a healthy weight, eating a balanced diet, and staying hydrated, can help manage the condition. Medications may be used in specific cases, but the most common treatment is surgical removal of the gallbladder (cholecystectomy), often performed laparoscopically.

Risks of gallstones include complications like cholecystitis (inflammation of the gallbladder), bile duct obstruction, infection, and the formation of abnormal passageways (fistulas). If left untreated, gallstones can lead to severe and potentially life-threatening conditions.

Prognosis for individuals with gallstones is generally favorable, especially with appropriate management. Asymptomatic gallstones usually do not pose significant health risks. Cholecystectomy is a highly effective and safe procedure for symptomatic gallstones and associated complications. Lifestyle changes, such as maintaining a healthy weight, eating a balanced diet, and exercising regularly, can help reduce the risk of developing new gallstones and improve overall health. It's essential to work with healthcare professionals to determine the best course of action and ensure personalized care for individuals with gallstones.

24/08/2023

What is obesity?
Obesity is a medical condition characterized by excessive accumulation of body fat to the extent that it may have a negative impact on a person's health. It is typically determined by measuring body mass index (BMI), which is calculated by dividing a person's weight in kilograms by the square of their height in meters.

Obesity is generally caused by a combination of genetic, environmental, and lifestyle factors. These may include consuming high-calorie and low-nutrient foods, leading a sedentary lifestyle, genetic predisposition, certain medical conditions, certain medications, and psychological factors.

Obesity is a significant public health concern because it increases the risk of developing various health problems and diseases, such as type 2 diabetes, heart disease, high blood pressure, certain types of cancer, sleep apnea, osteoarthritis, and mental health disorders. It can also have a negative impact on a person's quality of life, self-esteem, and social interactions.

The treatment and management of obesity typically involve a combination of dietary changes, increased physical activity, behavior modification, and, in some cases, medication or bariatric surgery. It's important to approach obesity as a chronic condition that requires long-term lifestyle changes rather than a quick-fix solution. If you or someone you know is concerned about obesity, it's advisable to consult a healthcare professional for personalized advice and guidance.

24/08/2023

Is this possible to experience a decrease in hunger after sleeve gastrectomy?

While it is common for patients to experience a decrease in hunger after sleeve gastrectomy, some individuals may still feel hungry after the surgery ]. The physical sensation of hunger is typically reduced due to the removal of a portion of the stomach where the "hunger hormone" ghrelin is produced. However, it's important to note that there is a distinction between hunger and cravings. Even after the surgery, individuals may still experience cravings for certain foods, which can be more related to psychological or emotional factors rather than physical hunger.

The feeling of hunger can vary from person to person, and some individuals may have different experiences. While sleeve gastrectomy generally leads to a decrease in hunger, it is possible for individuals to still feel hungry, especially in the early stages of recovery. It may take some time for the body to adjust to the changes made during the surgery, and hunger levels can vary during this period. However, over time, most patients report feeling full with smaller amounts of food.

It is important to follow the guidance of your doctor and adhere to the recommended dietary guidelines after sleeve gastrectomy. They can provide personalized advice and support to help manage hunger and cravings effectively. Additionally, practicing mindful eating techniques and listening to your body's signals of hunger and fullness can be helpful in managing food intake after the surgery.



24/08/2023

LIFESTYLE IN HEMORHOIDAL DISEASE
After experiencing hemorrhoids and undergoing treatment, adopting certain lifestyle and dietary habits can promote healing, prevent recurrence, and improve overall a**l health. Here are some lifestyle and dietary recommendations:

1. High-fiber diet: Consuming a diet rich in fiber can help promote regular bowel movements and prevent constipation, which is a common contributing factor to hemorrhoid development. Include foods such as fruits, vegetables, whole grains, legumes, and nuts in your diet.

2. Hydration: Drink an adequate amount of water throughout the day to maintain proper hydration. Sufficient hydration can help soften the stool and ease bowel movements.

3. Avoid straining: Straining during bowel movements can worsen hemorrhoidal symptoms and potentially lead to the formation of new hemorrhoids. Avoid straining by taking your time, not rushing on the toilet, and allowing bowel movements to occur naturally.

4. Good bathroom habits: Establish regular bowel habits and avoid delaying or suppressing the urge to have a bowel movement. Also, ensure you have enough time for a complete evacuation without rushing.

5. Gentle cleansing: After bowel movements, clean the a**l area gently with warm water or unscented, alcohol-free wipes. Avoid using harsh or scented soaps, as they can further irritate the area.

6. Avoid excessive sitting or standing: Prolonged sitting or standing can put pressure on the a**l area and exacerbate hemorrhoidal symptoms. Take breaks, move around, and avoid prolonged periods of sitting or standing.

7. Regular exercise: Engage in regular physical activity to promote healthy digestion, improve circulation, and maintain a healthy weight. Consult with your healthcare professional about suitable exercises based on your specific condition.

8. Maintain a healthy weight: Being overweight or obese can increase the risk of developing hemorrhoids. Maintain a healthy weight through a balanced diet and regular exercise.

9. Avoid lifting heavy objects: Straining while lifting heavy objects can increase pressure in the a**l area. Use proper lifting techniques or ask for assistance when dealing with heavy objects.

10. Sitz baths: Taking warm sitz baths for 10-15 minutes several times a day can help reduce discomfort, promote healing, and alleviate symptoms.

It's important to note that these lifestyle and dietary recommendations may vary depending on individual circumstances and the advice provided by your healthcare professional. Consulting with a healthcare professional or a specialist in colorectal health can provide personalized guidance and recommendations tailored to your specific needs.

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