Vishal Soni

Hiatus Hernia: Symptoms, Diagnosis, and Advanced Care

Hernia /

What is a Hiatus Hernia?A hiatus hernia occurs when a part of the stomach pushes upward through the diaphragm into the chest cavity. This can interfere with normal digestion and often leads to symptoms like acid reflux, heartburn, and discomfort after meals. While some cases remain mild, others may gradually worsen and begin to affect daily life.With advancements in medical science, patients today have access to more precise and less invasive treatment options. In select cases where surgery is required, robotic-assisted techniques are being used to enhance accuracy and improve recovery outcomes. Patients seeking specialized care often consult experts like Dr. Vishal Soni, widely regarded as the best hernia surgeon in India, known for his experience in managing complex hernia conditions with modern approaches. How a Hiatus Hernia Develops in the BodyThe diaphragm is a muscle that separates the chest from the abdomen and helps in breathing. A small opening in the diaphragm, called the hiatus, allows the esophagus to pass through and connect to the stomach. When this opening becomes weak or enlarged, part of the stomach can move upward into the chest area, resulting in a hiatus hernia.This condition may develop gradually due to increased pressure in the abdomen or weakening of the diaphragm muscles over time. Types of Hiatus Hernia ExplainedThere are mainly two types of hiatus hernia:● Sliding Hiatus Hernia: The most common type, where the stomach and lower esophagus slide up into the chest.● Paraesophageal Hernia: A less common but more serious type where part of the stomach pushes beside the esophagus and may lead to complications.Understanding the type of hernia is important for determining the most appropriate treatment. Common Symptoms of Hiatus HerniaSymptoms of a hiatus hernia can vary from mild to severe depending on its size and impact on surrounding structures.Early Warning Signs You Should Not Ignore● Frequent heartburn, especially after meals or when lying down● Acid reflux, causing a sour taste in the mouth● Chest discomfort or burning sensation● Bloating or feeling full quicklyWhen Symptoms Start Affecting Daily LifeAs the condition progresses, patients may experience:● Difficulty swallowing or food getting stuck● Chronic cough or throat irritation● Regurgitation of food or acid● Sleep disturbances due to reflux symptomsIf these symptoms persist, medical evaluation becomes important. Causes and Risk Factors of Hiatus HerniaSeveral factors can contribute to the development of a hiatus hernia.Lifestyle and Medical Factors That Increase Risk● Obesity, which increases pressure on the abdomen● Chronic coughing or straining● Heavy lifting habits● Pregnancy, due to increased abdominal pressureWho is More Likely to Develop a Hiatus Hernia?● Individuals over the age of 50● People with a history of digestive disorders● Those with weakened diaphragm muscles● Patients with a family history of herniaRecognizing these risk factors can help in early diagnosis and management. Diagnosis and Treatment OptionsTimely diagnosis plays a crucial role in managing hiatus hernia effectively.How Hiatus Hernia is DiagnosedDoctors may recommend tests such as:● Endoscopy, to examine the esophagus and stomach● Barium swallow X-ray, to visualize the hernia● Esophageal manometry, to assess muscle functionFrom Medications to Advanced Surgical TreatmentsTreatment depends on the severity of symptoms:● Lifestyle modifications, such as dietary changes and weight management● Medications, to reduce acid production and relieve symptoms● Surgical repair, in cases where symptoms are severe or complications arise Role of Advanced Techniques in Hernia TreatmentModern surgical advancements have significantly improved outcomes for hernia patients. Benefits of Minimally Invasive and Robotic ApproachesMinimally invasive procedures, including robotic surgery, allow surgeons to perform hernia repair with greater precision. This approach involves smaller incisions, reduced pain, and quicker recovery compared to traditional open surgery. Expert Hernia Care in IndiaChoosing the right specialist is essential for successful treatment and long-term relief. Specialized Treatment by Dr. Vishal SoniDr. Vishal Soni is known for his expertise in treating a wide range of hernia conditions using advanced techniques. His approach focuses on accurate diagnosis, personalized treatment plans, and the use of modern surgical methods to ensure the best possible outcomes for patients.With timely care and the right treatment approach, patients with hiatus hernia can achieve significant symptom relief and improved quality of life.

Hiatus Hernia: Symptoms, Diagnosis, and Advanced Care Read More »

Prescription Medications for Managing Overweight and Obesity

Obesity /

Understanding the Role of Medications in Obesity Treatment Managing obesity often requires more than just diet and exercise. For individuals who struggle to achieve sustainable weight loss, prescription medications can play an important role as part of a comprehensive treatment plan. These medications are designed to support weight loss by regulating appetite, improving metabolism, or reducing fat absorption.Under proper medical guidance, anti-obesity medications can help patients achieve meaningful health improvements, especially when obesity is linked with conditions like diabetes, hypertension, or hormonal imbalance. Specialists like Dr. Vishal Soni, widely regarded as the best obesity surgeon in India, often recommends a personalized approach where medications are combined with lifestyle changes for better long-term outcomes. When Are Anti-Obesity Medications Recommended?Prescription medications are typically advised for individuals with a higher Body Mass Index (BMI) or those facing obesity-related health risks. They are especially useful when lifestyle modifications alone do not produce the desired results.Doctors carefully evaluate medical history, existing conditions, and weight-loss goals before suggesting any medication. How These Medications Support Weight LossAnti-obesity medications work through different mechanisms:● Appetite suppression to reduce calorie intake● Hormonal regulation to control hunger signals● Reduced fat absorption in the digestive system● Improved metabolic function for better energy useThese effects help patients achieve gradual and sustainable weight loss. Commonly Prescribed Anti-Obesity MedicationsSeveral medications are currently used to support weight management, depending on individual patient needs. GLP-1 and Dual Agonists: Semaglutide and Tirzepatide : Medications like Semaglutide (Wegovy) and Tirzepatide (Zepbound) work by mimicking natural hormones that regulate appetite and blood sugar levels. They help patients feel fuller for longer, reducing overall food intake. Appetite and Craving Control Medications : Phentermine-topiramate (Qsymia) and Naltrexone-bupropion (Contrave) act on the brain to control hunger and reduce cravings, making it easier to maintain a calorie-controlled diet. Fat Absorption and Metabolism-Based Treatments : Liraglutide (Saxenda) also helps regulate appetite, while Orlistat (Xenical/Alli) works by blocking the absorption of dietary fats in the intestine. Dr. Vishal Soni suggests that the choice of medication should always be based on individual health conditions, weight goals, and response to treatment. Benefits and Limitations of Anti-Obesity MedicationsWhile these medications can be effective, it is important to understand both their advantages and limitations.Expected Results and Health Improvements● Gradual and sustained weight loss● Improved blood sugar control● Reduced risk of obesity-related diseases● Better overall energy and mobilityPossible Side Effects and Safety Considerations● Nausea or digestive discomfort in some cases● Need for regular medical monitoring● Results vary from person to person● Not suitable for everyone without evaluation Choosing the Right Treatment PlanWeight management is not a one-size-fits-all approach. A customized plan ensures better and safer outcomes.Importance of Medical Supervision and Personalized CareProper medical supervision helps in selecting the right medication, monitoring progress, and adjusting treatment when needed. Self-medication or unsupervised use can lead to complications.Combining Medications with Lifestyle ChangesFor best results, medications should be combined with:● Balanced nutrition● Regular physical activity● Behavioral and lifestyle modificationsThis integrated approach supports long-term success. Expert Guidance for Safe Weight LossDr. Vishal Soni follows a patient-centered approach to obesity management, focusing on safe, evidence-based treatments. By combining medical therapy with lifestyle guidance and advanced options when needed, he aims to help patients achieve sustainable weight loss and improved overall health.With the right guidance and a structured plan, prescription medications can be an effective tool in managing overweight and obesity, leading to healthier and more confident living.

Prescription Medications for Managing Overweight and Obesity Read More »

Robotic ETEP Triple Neurectomy

Robotic /

Understanding Chronic Groin Pain After Hernia Repair Hernia surgery is generally safe and effective, helping thousands of patients return to normal life without discomfort. However, a small number of individuals may continue to experience persistent groin pain even after a technically successful hernia repair. This condition, often referred to as post-hernia surgery chronic groin pain, can significantly affect daily activities, mobility, and overall quality of life.In many cases, the pain is related to irritation or entrapment of nerves in the groin region. Modern surgical techniques now offer more precise solutions for managing such complex cases. One of the most advanced approaches is robotic ETEP triple neurectomy, a minimally invasive procedure designed to address nerve-related pain after hernia surgery. With improved visualization and surgical accuracy, robotic technology allows surgeons to carefully identify and treat the affected nerves while minimizing damage to surrounding tissues.Patients seeking specialized care often consult experts like Dr. Vishal Soni, widely regarded as the best hernia Surgeon in India, who is known for adopting advanced surgical techniques to manage complex hernia-related complications. Why Some Patients Experience Persistent Pain After Hernia SurgeryWhile most patients recover completely after hernia repair, certain factors can contribute to long-term groin pain. The groin area containsseveral important nerves that may become irritated during surgery or trapped within scar tissue during the healing process.Common reasons for persistent pain include:● Nerve irritation or compression: Surgical repair may place pressure on nearby nerves in the groin.● Scar tissue formation: Healing tissues can occasionally trap nerves and cause discomfort.● Mesh-related irritation: In some cases, surgical mesh may irritate surrounding tissues or nerves.● Inflammation in the surgical region: Ongoing inflammation can lead to long-term pain signals.Identifying the exact cause of pain is essential for selecting the right treatment approach. Nerve-Related Causes of Post-Hernia Surgical PainThree primary nerves are commonly associated with chronic groin pain following hernia surgery: the ilioinguinal nerve, iliohypogastric nerve, and genitofemoral nerve. When these nerves become compressed or damaged, patients may experience symptoms such as sharp pain, burning sensations, or tingling in the groin region.Triple neurectomy is a specialized procedure designed to carefully remove or disconnect these nerves to relieve persistent pain. What is Robotic ETEP Triple Neurectomy?Robotic ETEP triple neurectomy is an advanced minimally invasive procedure used to treat chronic nerve-related groin pain. The technique combines the Enhanced Totally Extraperitoneal (ETEP) approach with the precision of robotic-assisted surgery.Through small incisions, surgeons access the groin region without entering the abdominal cavity. The robotic surgical platform provides high-definition visualization and precise instrument control, allowing surgeons to identify the affected nerves and perform the neurectomy with greater accuracy.This method minimizes surgical trauma and improves overall outcomes for patients suffering from long-term post-surgical pain. Understanding the ETEP Surgical TechniqueThe ETEP approach allows surgeons to operate within the space between the abdominal wall layers rather than entering the abdominal cavity. This technique offers better access to the nerves responsible for groin pain while reducing the risk of injury to internal organs.The use of robotic technology further enhances the surgeon’s ability to perform delicate dissections and precise nerve identification. How Robotic Technology Improves PrecisionOne of the key advantages of robotic-assisted surgery is enhanced surgical control. The robotic system provides magnified 3D visualization and flexible instruments that mimic natural hand movements.This level of precision helps surgeons carefully separate nerves from surrounding tissues, reducing the risk of complications and improving the likelihood of long-term pain relief. When is Triple Neurectomy Recommended?Triple neurectomy is usually considered when patients continue to experience chronic groin pain for several months after hernia surgery and conservative treatments such as medications, physiotherapy, or nerve blocks have not provided relief. Symptoms That May Indicate Nerve EntrapmentPatients experiencing nerve-related pain may notice symptoms such as:● Sharp or burning pain in the groin region● Pain that worsens with movement or activity● Tingling or numbness in the lower abdomen or thigh● Persistent discomfort despite previous treatmentsProper diagnosis and imaging help surgeons determine whether triple neurectomy is the most appropriate solution. Patients Who May Benefit from Robotic ETEP Triple NeurectomyThis procedure is generally recommended for individuals with confirmed nerve entrapment following previous hernia repair. Patients with severe or disabling pain that affects daily life may benefit the most from this advanced surgical treatment. Benefits of Robotic-Assisted Triple NeurectomyRobotic-assisted surgery offers several advantages for both surgeons and patients, especially in delicate procedures involving nerves.Key benefits include:● Greater surgical precision for identifying and treating affected nerves● Smaller incisions leading to reduced surgical trauma● Lower post-operative discomfort compared to open surgery● Faster recovery and return to normal activitiesThese advantages make robotic-assisted procedures an increasingly preferred option in modern hernia and nerve surgery. Expert Care for Chronic Groin PainSuccessful treatment of chronic groin pain requires a thorough evaluation, advanced surgical expertise, and personalized patient care. Advanced Hernia and Nerve Surgery by Dr. Vishal SoniDr. Vishal Soni is a highly experienced gastrointestinal and hernia surgeon known for managing complex hernia complications with modern surgical techniques. His approach emphasizes accurate diagnosis, advanced minimally invasive procedures, and patient-centered care to achieve the best possible outcomes.For patients struggling with persistent groin pain after hernia surgery, advanced procedures like robotic ETEP triple neurectomy provide new hope for long-term relief and improved quality of life.

Robotic ETEP Triple Neurectomy Read More »

Robotic Hiatus Hernia Surgery

Robotic /

Understanding Hiatus Hernia and Why It Requires Timely Treatment A hiatus hernia occurs when a portion of the stomach pushes upward through the diaphragm into the chest cavity. This condition can lead to persistent symptoms such as acid reflux, heartburn, chest discomfort, and difficulty swallowing. While mild cases may respond to lifestyle changes and medication, many patients eventually require surgical repair to prevent complications and improve quality of life.In recent years, surgical innovation has significantly improved how hernia repairs are performed. Robotic-assisted procedures are now offering patients a more precise and minimally invasive treatment option. Many patients seeking advanced care in India prefer consulting experienced specialists such as Dr. Vishal Soni, widely recognized as the best hernia surgeon in India for managing complex gastrointestinal and hernia conditions. Common Symptoms and Causes of Hiatus HerniaA hiatus hernia often develops gradually and may remain unnoticed in its early stages. However, as the condition progresses, patients may begin experiencing noticeable digestive discomfort.Common symptoms include:● Frequent heartburn: Persistent acid reflux that worsens after meals or when lying down.● Chest discomfort: A burning sensation in the chest caused by stomach acid entering the esophagus.● Difficulty swallowing: A feeling that food is stuck while passing through the esophagus.● Bloating and regurgitation: Acid or food coming back into the mouth.Factors such as obesity, aging, chronic coughing, heavy lifting, or increased pressure within the abdomen can contribute to the development of a hiatus hernia. When Surgery Becomes the Recommended OptionSurgery is typically recommended when symptoms become severe or do not improve with medications and lifestyle adjustments. Long-term reflux can lead to complications such as esophageal inflammation or damage, making surgical repair necessary. Robotic hiatus hernia surgery has emerged as an advanced option for patients requiring surgical treatment. The robotic platform allows surgeons to perform delicate procedures with enhanced vision, precision, and control. This approach can help reduce surgical trauma while ensuring accurate repair of the hernia. What is Robotic Hiatus Hernia Surgery?Robotic hiatus hernia surgery is a minimally invasive procedure performed using a robotic-assisted surgical system controlled by the surgeon. Through small incisions, specialized instruments and a high-definition camera are inserted to repair the hernia and restore the stomach to its normal position.Unlike traditional open surgery, the robotic technique allows surgeons to perform complex movements with improved stability and precision. The robotic system translates the surgeon’s hand movements into extremely accurate actions, helping to repair delicate structures around the diaphragm and esophagus. How Robotic Technology Improves Surgical PrecisionThe use of robotic technology offers several advantages during hernia repair procedures. Surgeons benefit from magnified 3D visualization and flexible instruments that mimic natural wrist movements, allowing for greater control in confined surgical spaces.This advanced technology can help achieve more precise suturing, improved tissue handling, and a safer repair of the hernia defect. Key Benefits of Robotic-Assisted Hernia RepairPatients undergoing robotic-assisted surgery often experience several benefits compared to conventional approaches.● Smaller incisions: Minimally invasive technique results in less visible scarring.● Reduced pain after surgery: Smaller incisions and gentle tissue handling help minimize discomfort.● Faster recovery: Many patients return to normal activities sooner.● Lower risk of complications: Enhanced precision supports better surgical outcomes. Why Expertise Matters in Hernia SurgerySuccessful hernia repair depends not only on advanced technology but also on the experience and expertise of the surgeon performing the procedure. Choosing a specialist who regularly treats complex gastrointestinal conditions plays a crucial role in achieving safe and lasting results. Advanced Hernia Care by Dr. Vishal SoniDr. Vishal Soni is an experienced robotic and minimally invasive gastrointestinal surgeon known for managing complex hernia conditions with modern surgical techniques. His approach focuses on accurate diagnosis, patient-centered treatment planning, and the use of advanced technology to deliver optimal surgical outcomes. Choosing the Right Hernia Specialist for Safe OutcomesWhen selecting a surgeon for hiatus hernia treatment, patients should consider experience in minimally invasive and robotic procedures, access to advanced surgical facilities, and a proven track record in managing complex cases. Expert care ensures that patients receive the most suitable treatment option tailored to their individual condition. Recovery and Long-Term Results After Robotic Hiatus Hernia SurgeryRecovery after robotic hiatus hernia surgery is generally smoother compared to traditional open procedures. Since the surgery is performed through small incisions, patients typically experience less pain and a shorter hospital stay. What Patients Can Expect After the ProcedureMost patients can begin light activities within a few days after surgery, although complete recovery may take a few weeks. Doctors usually recommend temporary dietary adjustments and gradual return to normal routines.With proper surgical repair and post-operative care, many patients experience long-term relief from reflux symptoms and improved digestive comfort. Robotic surgical techniques continue to transform the field of gastrointestinal surgery, offering patients a safer and more precise approach to treating hiatus hernia.

Robotic Hiatus Hernia Surgery Read More »

Robotic Cholecystectomy for Acute Cholecystitis: Safer and More Precise Gallbladder Removal

Robotic /

Understanding Acute Cholecystitis and Its Symptoms Acute cholecystitis is a sudden inflammation of the gallbladder, most commonly caused by gallstones blocking the cystic duct. When bile cannot flow normally, the gallbladder becomes inflamed, leading to severe abdominal pain, fever, nausea, and digestive discomfort. This condition often requires prompt medical attention, as untreated inflammation may lead to serious complications such as infection or gallbladder rupture.In many cases, surgical removal of the gallbladder known as cholecystectomy is the most effective treatment. With advancements in minimally invasive techniques, robotic cholecystectomy has emerged as a modern approach that allows surgeons to perform the procedure with greater precision and control. The technology offers enhanced visualization and improved instrument movement, which can help reduce surgical trauma and support faster recovery.Patients seeking advanced surgical care often consult experienced specialists such as Dr. Vishal Soni, a well-known Robotic GI Surgeon in Ahmedabad recognized for managing complex gastrointestinal conditions with modern techniques. By combining clinical expertise with innovative surgical technology, he focuses on delivering safe and effective treatment for patients dealing with gallbladder disease. What Causes Acute Cholecystitis?Acute cholecystitis usually develops when gallstones obstruct the cystic duct, preventing bile from leaving the gallbladder. This blockage leads to increased pressure, irritation, and inflammation of the gallbladder wall. Over time, the trapped bile can cause infection and significant discomfort.Other contributing factors may include bile duct problems, infections, or reduced blood supply to the gallbladder. Individuals with a history of gallstones, obesity, or certain digestive disorders may have a higher risk of developing this condition. Common Signs and Symptoms of Gallbladder InflammationThe symptoms of acute cholecystitis often appear suddenly and can worsen over time if not treated promptly.Typical symptoms include:● Severe pain in the upper right abdomen, often spreading to the back or shoulder● Nausea and vomiting, especially after eating fatty foods● Fever and chills, indicating possible infection● Abdominal tenderness or bloating, particularly after mealsRecognizing these symptoms early can help patients seek timely medical care and prevent complications. When Surgery Becomes Necessary for Acute CholecystitisWhile medications and supportive care may help manage mild cases temporarily, surgery is usually recommended to remove the inflamed gallbladder and prevent recurring attacks. Early surgical treatment often leads to better outcomes and reduces the risk of complications. Risks of Delaying Gallbladder TreatmentDelaying surgery for acute cholecystitis can increase the likelihood of complications such as gallbladder infection, abscess formation, or bile leakage. In severe cases, prolonged inflammation may damage surrounding organs or lead to life-threatening infections. Why Early Surgical Intervention is Often RecommendedRemoving the gallbladder during the early stage of inflammation helps eliminate the root cause of the problem. Early intervention can also reduce hospital stays, prevent recurrent pain episodes, and allow patients to return to normal activities sooner. What is Robotic Cholecystectomy?Robotic cholecystectomy is a minimally invasive surgical procedure performed using advanced robotic-assisted technology. During the surgery, the surgeon controls specialized instruments through a robotic platform that translates precise hand movements into highly controlled actions.This approach allows for better visualization of delicate structures around the gallbladder, helping surgeons perform accurate dissection and removal while protecting nearby tissues. How Robotic-Assisted Gallbladder Surgery WorksSmall incisions are made in the abdomen through which a camera and surgical instruments are inserted. The robotic system provides a magnified three-dimensional view of the surgical area, allowing the surgeon to operate with improved accuracy. Advantages of Robotic Technology in Gallbladder RemovalThe use of robotic technology offers several advantages for both surgeons and patients:● Greater precision during surgery● Smaller incisions and minimal scarring● Reduced post-operative discomfort● Faster recovery and shorter hospital stays Benefits of Robotic Cholecystectomy for PatientsMinimally invasive surgical techniques have transformed gallbladder treatment by focusing on faster healing and improved patient comfort.Key benefits include:● Less post-surgical pain compared to traditional open surgery● Shorter recovery period, allowing patients to resume daily activities sooner● Lower risk of infection or complications● Improved surgical accuracy due to enhanced visualizationThese advantages help ensure better overall patient outcomes. Expert Gallbladder Surgery in AhmedabadSuccessful treatment of gallbladder disease depends on timely diagnosis, advanced surgical technology, and the experience of the surgeon performing the procedure. Advanced GI Surgical Care by Dr. Vishal SoniDr. Vishal Soni is known for his expertise in minimally invasive gastrointestinal procedures and his commitment to patient-focused care. By adopting modern surgical techniques and maintaining high clinical standards, he aims to provide effective treatment options for patients dealing with gallbladder disorders and other complex digestive conditions.For individuals suffering from acute cholecystitis, advanced minimally invasive procedures offer a safe and reliable path toward long-term relief and improved digestive health.

Robotic Cholecystectomy for Acute Cholecystitis: Safer and More Precise Gallbladder Removal Read More »

Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian)

Bariatric /

Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian) Phase 1 : Clear Liquid Diet (Days 1–3 post-op) Goal : Hydration, prevent nausea, promote healing Frequency : Sip 30–50 ml every 15–20 mins Allowed : Coconut water (unsweetened) Jeera or ajwain water (strained) Clear homemade vegetable broth (no solids) Rice kanji water Lemon water (without sugar) ORS / electrolyte solution Phase 2 : Full Liquid Diet (Days 4–14 post-op) Goal : Gradual introduction of calories and protein Portion : 100–150 ml per serving, 6–8 times/day Allowed : Protein shakes (plant-based or whey isolate) mixed in water or skim milk Skim milk or lactose-free milk (unsweetened) Moong dal or masoor dal soup (strained) Thin oats or dal porridge (blended smooth) Buttermilk (diluted, no masala) Soy or almond milk (unsweetened)Avoid : Sugar, caffeine, aerated drinks, spicy or acidic items Phase 3 : Pureed Diet (Weeks 3–4) Goal : Increase protein intake, begin texture transition Portion : ½ cup per meal, 5–6 meals/day Allowed : Soft khichdi (blended/moist, with dal and rice) Mashed paneer with turmeric & cumin Steamed and blended vegetables (carrot, lauki, spinach, pumpkin) Hung curd or low-fat curd (plain) Boiled mashed soya chunks Chia seed pudding (in soy/almond milk) Moong dal cheela (blended) or soft moong dhokla Eat slowly, chew/puree thoroughly, avoid fibrous veggies like methi, cabbage, corn Phase 4 : Soft Diet (Weeks 5–6) Goal : Introduce soft solids, continue high protein, low fat/sugar Portion : ¾ cup per meal, 5 small meals/day Allowed : Upma with moong dal and grated veggies Soft idli with minimal chutney Boiled eggs (if tolerated, optional for ovo-vegetarians) Low-fat paneer bhurji Tofu stir-fry (minimal oil) Stuffed lauki or tinda (well-cooked, mashed inside) Greek yogurt or homemade hung curd Protein laddoo (homemade: roasted moong dal, chia, peanut, jaggery) Limit fat, avoid raw salads, dry fruits, bakery foods Phase 5 : Stabilization / Regular Bariatric Diet (From Week 7 onward) Goal : Maintain weight loss, build lifelong habits Portion : 1 cup per meal, 3 meals + 2 snacks Daily targets : Protein: ≥ 60–80 g/day Fluids: ≥ 1.5–2 L/day (30 min away from meals) Supplements: Multivitamin, calcium, iron, B12 Meal Ideas : Breakfast : Vegetable dalia or besan cheela + curd Lunch : 1 small jowar roti + dal + sautéed vegetable + curd Snacks : Roasted chana, buttermilk, low-fat milk smoothie Dinner : Vegetable soup + quinoa khichdi with tofu Protein options : Soy nuggets, paneer, whey isolate, pulses, tofuLong-term avoid: Fried food, sugar, carbonated drinks, alcohol Supplement Guidelines (To be advised by surgeon/dietician as per labs) Multivitamin (daily chewable or capsule) Calcium + D3 (500–600 mg twice/day) Iron (45–60 mg elemental/day) Vitamin B12 (oral or injection monthly) Protein supplement: Until intake from diet is sufficient Lifestyle Tips Eat slowly, chew thoroughly (20–30 times per bite) Avoid drinking with meals (gap of 30 mins) Stay upright 30 mins after meals Focus on protein first, then vegetables, then carbs Maintain food and symptom diary during first 3 months

Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian) Read More »

Preparing for a Laparoscopic Surgery!

Laparoscopic /

Preparing for a Laparoscopic Surgery! Also known as ‘#Keyhole Surgery’, “Minimal Access Surgery”, “Minimally Invasive Surgery” or simply “#Laparoscopy“, Laparoscopic surgery requires small incisions (Typically less than 1 cm) and is performed with small slender instruments introduced into the abdomen through holes called as “ports”. Laparoscopic Cholecystectomy, Diagnostic Laparoscopy, Laparoscopic Hernia Repair etc are the commonest Laparoscopic Surgeries performed as a standard of care. Important points to be considered before any elective #Laparoscopic #Surgery 1. Blood thinning medicines like Aspirin, Clopidogrel, Heparin, Warfarin etc might have to be stopped prior to Surgery. The duration of stoppage of medicines is variable and is decided by the Surgeon & the Physician. 2. Laxatives would be given a day or two prior to surgery to cleanse the bowel, expect a mild diarrhea. 3. Light diet should be started from 3 days prior to the Surgery, progressively liquid diet should be switched over to and continued till about 8 hours to surgery. 4. Medicines for Diabetes, Blood Pressure, Thyroid Issues, Asthma etc would need alterations, as suggested by the Physician. 5. One should strictly avoid smoking prior to surgery, preferably 6 weeks prior to any planned Surgery, specially Hernia Surgery. 6. After admission, let the Doctor know if you haven’t passed a bowel movement. 7. If there is any fever, report it to the Doctor prior to the admission. 8. Its a common practice to defer elective surgery during Menstruation, however the final decision should be taken after Surgeons advice. 9. Bathing on the morning of surgery, removal of Nail paints, removal of all jewelry, Removal of Dentures should be done prior to Admission. 10. Abdominal & Private part Hair removal would be needed, usually done after admission in Hospital by Hair Clipper. If you have been advised Laparoscopic Surgery or for any query kindly consult in OPD @ Zydus Hospitals, Ahmedabad, Gujarat or alternatively schedule a Tele-Consultation Appointment from the Home Page.

Preparing for a Laparoscopic Surgery! Read More »

Don’t be a fool, to ignore Blood in Stool!

Myths and Facts /

Blood In Stool #BloodInStool should never be considered as normal. It may be seen in the form of small stain on stool or on tissue paper, in the commode after passage of stool, drops along with stool or an intermittent/continuous stream. In some cases, the stool may also appear to be tarry black or dark red color. It’s can be sign of a disease ranging from a small trivial #fissure or a #hemorrhoid to Colon #Cancer or #IBD (#Crohns Disease / #Ulcerative Colitis). Any of the following associated complaints should raise an alarm & such bleeding be taken very seriously, with a need for detailed investigations to rule out any life-threatening condition. 1. Large quantity of blood loss or frequent passage of blood – anything that you feel is abnormal. 2. Abdominal Pain 3. Fever 4. Weight loss & Lack of Appetite 5. Abdominal Distension 6. Alternate diarrhea & constipation / a change in “your routine” bowel habit. 7. Bleeding from any other sites 8. Jaundice A detailed discussion with your Surgeon should include mention of all medicines that one might be taking, habits, travel history & any other information one might feel relevant to share.Not every patient needs extensive tests, a detailed history & initial examination can give a certain idea about the problem. Your Surgeon may further advice relevant tests which may include a. Complete Clinical Examination including #Anoproctoscopy b. #Stool Examination c. Blood Tests: Complete Hemogram, Coagulation Profile, Liver Function Tests, CRP, Tumor Markers, etc d. #Sigmoidoscopy / #Colonoscopy e. Ultrasound / CT Scan of Abdomen Although vast majority of Blood in stool do turn out to be due to benign ano-rectal (#Fissure, #Hemorrhoids, #Fistulae) or Colonic causes (#Polyp, #Diverticulosis, #Colitis etc) conditions but it is best evaluated and then treated accordingly. Blood In Stool If you have any of the above symptoms, or have been diagnosed with any of the above conditions or have been advised Surgery, kindly get yourself evaluated by Dr Vishal Soni in OPD or visit our Emergency Services @ Zydus Hospitals, Ahmedabad, Gujarat.

Don’t be a fool, to ignore Blood in Stool! Read More »

10 Point Checklist for Tele-Consultation & Tele-Medicine.

Myths and Facts /

Tele-Consultation & Tele-Medicine. The current #Covid19 pandemic has necessitated restriction in movements, preventing easy interactions between doctors & patients. However, availability of communication modalities & technological adoptions by the Healthcare professionals have opened doors to allow continued communications & #healthcare using #Tele-medicine. Tele-medicine is a 2-way interface using conventional (Tele-phone) and modern (Internet-based) channels including Audio, Image & Video. Although it won’t replace the physical interaction, but it does come close to the real-world experience. Important points to be remembered while getting a Tele-consultation 1. Connect with your regular/known doctor. 2. Not for Emergencies, call an ambulance for that. 3. Usual duration is 15mins, gracefully accept the time-bound interaction. 4. Keep a list of questions, concerns & queries ready, preferably written on a paper. 5. Ask clear & short questions. 6. Send previous reports well in advance. 7. Expect Blood tests, Radiological investigations, get them done at the network suggested by the doctor, as that would ease the flow of information. 8. Accept a follow up interaction to close the case. 9. If symptoms worsen/ don’t improve as planned, do see a Doctor in person. 10. Online consultations are a guide to further steps rather than a modality to reach definitive diagnosis in one go. For scheduling a Tele-Consultation kindly visit the Home Page.

10 Point Checklist for Tele-Consultation & Tele-Medicine. Read More »

Dissolving Gallstone Myths – Part 1

Myths and Facts /

Gallstones 1. Is the cause of #Gallstones & kidney Stones same? No, although stones do occur in variety of organs & the causes are all different. Stones may occur in Gall bladder, Kidneys, Pancreas, Salivary Gland, Urinary bladder etc 2. Can Gallstones be prevented with Diet? There is no concrete evidence that Gallstones can be “prevented” by diet, as the occurrence of Gallstones include numerous other factors as well. 3. Is there difference between small multiple stones or single large stone disease? The stone-patterns seen are Small multiple stones (less than 10mm), Single large stone (greater than 10mm) & A combination of above. Small stones have greater propensity to cause blocked passages & resultant Infections, attributed to ability to slip ahead, whereas large stones have been associated with Gallbladder Cancer. 4. Can Gall stones cause #cancer? Yes, specially in stone size > 3cm. Of note is the fact that 80-90 % Cancer of Gall Bladder have Gall stones, with very high risk associated with #Porcelain Gall Bladder. 5. Which organs can get diseased/affected due to Gall Stones? Gall stones may affect the following organs Gall bladder (Acute #Cholecystitis, #Empyema, Carcinoma Gall bladder etc) Liver & Common Bile Duct (Obstructive #Jaundice etc) Pancreas (#Pancreatitis etc) Small intestines (Fistula & Obstruction) 6. How effective is #Ayurvedic Medicines & #Homoeopathy for Gallstones? There are NO scientific evidences proving any long term positive effects of Alternative Therapies. They should be used with extreme caution with strict monitoring & Ultrasound Follow-up. Laparoscopic Cholecystectomy remains THE ONLY standard of care & permanent solution for Gall stones. 7. How would removal of Gall bladder effect my digestive capacity? Removal of Gall bladder wont have any negative effect on digestion. On the contrary, relief from the symptoms arising due to gallstones might help in better ability to eat & digest. 8. Eating #Fatty food is banned after Cholecystectomy? Patients are asked to avoid Fatty food for about a week after Surgery, following which a normal diet can be resumed. Low fat should be continued as a healthy habit though. 9. Its difficult to gain weight after Cholecystectomy? Cholecystectomy has NO implications on weight trends. 10. Can Gallstones be removed with #Endoscopy? Endoscopic Retrograde Cholangio-Pancreatography – #ERCP is used when Gallstones drop into the Common Bile Duct from the Gall Bladder, for clearance of the biliary canal – the common bile duct in cases of Obstructive Jaundice & #Cholangitis or #BiliaryPancreatitis. But endoscopic removal of stones from gall bladder isn’t scientific, hence not practiced. 11. Can Gallstones be dissolved or broken, like kidney Stones? Shock wave #Lithotripsy is modality used to break stones into small pieces. It has been used in the past, unsuccessfully, with very high chances of complications, hence not recommended. 12. Is Open Surgery better or #Laparoscopic Surgery? Unless there are specific contra-indications, Laparoscopic Surgery has distinct advantages over Open Surgery. Laparoscopic Cholecystectomy is the Standard of care for Gall Stone Disease. If you have been detected with Gall Stones, suffer from any of the complications or have been advised Surgery kindly schedule an appointment with Dr Vishal Soni @ Zydus Hospitals, Ahmedabad, Gujarat.

Dissolving Gallstone Myths – Part 1 Read More »