Belly button pain
Often female patients come with belly button pain or pain around belly button. There are many causes. Commonest cause is muscle stretching. In India its generally common in females because of multiple pregnancies, obesity, poor muscle tone & lifting heavy weight. The navel gets so stretched that it starts to tear and the contents which are suppose to be inside start protruding out. The belly button everts &...
Waited too long
I got a call from emergency that a 32 year old female had come with severe pain in abdomen & vomiting. She had pain since five days and no she was also running fever. I went to examine her. She looked familiar. She had my old case papers. She meet me couple of years back. She had Gallstones but refused to get operated because she said it was hardly causing any symptoms. She felt that the stones were very small and her granny had...
Post radiation bowel perforation
At times treating a patient of cancer in abdomen can be a nightmare for the surgeon. Multiple operations and radiations performed as a treatment for cancer changes the anatomy and physiology of abdomen. Now in this situation if a patient comes with a perforation in the bowel becomes a tough challenge to the surgeon. I recently has to operate such patient. He has sever pain and his bowel had perforated due to radiation effect.There was...
My daughter screams every time while peeing
A three month old girl was referred to me by pediatrician. Every time she would pass urine, the child would cry. After passing urine she would dribble for sometime. On examination I found that she had severe labial fusion nearly blocking the urine outflow. Under a short general anesthesia the labia were separated. Postoperative and on follow up the child did very well. She stopped screaming while passing urine and she stopped...
Labial fusion
Labial fusion, or labial adhesion, is when the small lips around the entrance to the vagina become sealed together and covered with a fleshy membrane. It is sometimes seen in babies and young girls and is usually nothing to worry about. The membrane usually completely seals the vaginal opening, leaving a very small gap at the front through which urine passes. For most babies or girls, labial fusion does not cause any problems and is...