Frequently Asked Question

Q: Two friends went on crash diets, and lost a lot of weight real fast. Within a few months, both developed gallstones and needed surgery. How could dieting cause gallstones?

Rapid weight loss diets and fasting do increase the risk for gallstones. Both tend to increase the amount of cholesterol in bile. The increase occurs as the body burns stored fat tissue. Sometimes, there is so much cholesterol, that it can no longer remain dissolved in bile, so it turns into a solid crystal, which form gallstones. Dieting and fasting also slow the rate at which the gallbladder squirts bile into thesmall intestine. With less food to digest, there is less need for bile. Bile remains in the gallbladder longer, and becomes strong, or more concentrated. That also makes it more likely for cholesterol and other dissolved material to form stones.

Q: Will I need to stay on a special diet after having my gallbladder removed?

People can live normally without a gallbladder. Your liver will still make the bile needed to digest fats. After surgery it will flow directly into the small intestine, rather than being stored in the gallbladder. Years ago doctors routinely told patients to avoid fatty foods after surgery. Most no longer make any special dietary recommendations.

Q: What can I expect on the day, after the operation?

You will wake up feeling drowsy in the operating theatre's recovery area. You will then be taken back to the ward. There will be some pain and sickness for 12 to 24 hours, but you will be given medications for this. Some bruising and slight oozing of blood around the cuts is normal. Once you are fully awake, you will be encouraged to walk around and drink fluids. You should then be able to eat something light a few hours later.

Q: Will I put on weight after my gall bladder is removed

Many people stay on a strict low fat diet while they have gallstones. So they tend to lose weight. Once the stones are gone, they find they can go back to eating normal food. Some people then tend to binge on the fatty foods that they have avoided for so long! That can cause weight gain. But if you eat normal, sensible food, there is no particular reason why you should put on weight after an operation to remove your gall bladder.

Q: Where is appendicitis pain felt?

In most people, appendicitis pain begins in the middle of the abdomen and travels to the lower right part, where the appendix is located. In some people, however, the pain is felt in different areas, such as the back passage or lower in the groin.

Q: How long is the appendicitis surgery recovery time?

The recovery time depends on the type of procedure, type of anesthesia and if any complications have developed (such as if the appendix has ruptured). Patients who have had a laparoscopic appendectomy may be discharged immediately and allowed to recover at home (and may only have a small appendicitis scar), but those who have had an open surgery may need to stay overnight or a few days in the hospital.

Q: How do you know if you have appendicitis?

Pain that starts at the bellybutton and moves to the lower right part of the abdomen is the primary warning sign that you have appendicitis. Other early appendicitis symptoms include nausea, vomiting and loss of appetite.

Q: How did I get a hernia?

Hernias are caused by weakness in your fascia layers that occur with age. On occasion, hernias arise from an act of heavy lifting that caused too much strain, resulting in a tear.

Q: Will a hernia come back?

That is a difficult and individual question. It really depends on the type of hernia and the number of repairs that have been performed. In general, the majority of hernias that are repaired do not recur.

Q: Is it dangerous to ignore the hernia?

Most hernias, if not treated, do nothing more than get bigger. However, hernias can get very painful, often without warning and at their worst can strangulate, which can demand an ambulance and immediate emergency surgery or the consequences could be extreme.

Q: My child has a hernia. What needs to be done about it and who do I need to see?

Paediatric hernia must never be ignored. Things happen much faster in children and delay in treating a child's hernia that may need treatment (not all of them do) could cause harm now and damage the child's development.

Q: How does smoking affect a hernia?

Chronic coughing from the lung irritation caused by smoking can put you at risk for a hernia. It can also cause a hernia to recur. Heavy smokers also tend to develop abdominal hernias at a higher rate than non-smokers, as exposure to nicotine can help weaken the abdominal wall.

Q: Are hernias dangerous?

Hernias in and of themselves are not dangerous, but they can lead to situations which require immediate surgery. In rare cases, the intestines can get trapped in the hernia defect and become strangulated, causing diminished blood flow to that part of the intestine. If this happens, it can become life threatening and immediate surgery is required.

Q: How can I prevent hemorrhoids?

The best way to prevent hemorrhoids is to keep your stools soft so they pass easily without any straining. Eating a high-fiber diet and drinking plenty of fluids (six to eight glasses of fluids each day) can help you stay regular and help your stools remain soft, reducing constipation and lowering the risk of developing new hemorrhoids.

Q: What are the benefits of healthy eating?

Eating a balanced diet can help you avoid digestive discomfort. Unhealthy diets can contribute to digestive system difficulties. Many people eat too much processed food and sugar, and not enough fiber, fruits, and vegetables. Be sure to get adequate amounts of fruits, vegetables, and fiber in your diet.

Q: What are some of the causes of stomach pain in kids? When should I be concerned?

Almost all children have stomach pain at one time or another. Stomach pain in kids can be anywhere in the region between the chest and groin. Majority if the time, it does not indicate a serious medical problem and can be treated by simple home remedies. If the pain lasts longer than 24 hours, call your doctor. Do not give any pain medication without contacting your paediatrician first.Stomach pain that lasts 1 week or longer, could be a sign of something serious.

Q: When should I be concerned about my child vomiting or experiencing diarrhea?

It's normal for babies and children to vomit occasionally. In most cases, it does not last longer a couple of days and isn't usually a sign of anything serious.The most common cause of vomiting in kids and babies isgastroenteritis. However, you should seek medical attention if your child appears dehydrated or if the vomiting continues longer than 24 hours.

Q: Can one prevent them varicose veins?

If one starts early in life, varicose veins can be prevented. The major preventive measure is to exercise and wear compression stockings. . Elevation of the legs at all times is also recommended. . During pregnancy, one should always lie on the left side with the legs elevated on a pillow. This prevents the fetus from pressing on the leg veins and decreases the chance of developing varicosities. . One should avoid standing for prolonged periods. . Don't cross your legs when sitting down.

Q: Does treatment hurt for larger varicose veins?

The procedures involve very little pain if any. If you are anxious EMLA numbing cream can be applied to your veins 45mins before the procedure. Patients who are highly anxious can request medication (usually low dose valium) or a nerve block to numb the leg. For patients requesting these treatments a career or relative is required to drive you back home.