Question 1

My brother has been dealing with a fistula in ano for two years now and refuses to get surgery because he's scared. There's sticky discharge and sometimes blood from the opening. Could this have turned into something more serious like cancer or a precancerous condition

Accepted Answer

It's understandable that your brother is hesitant about surgery, but it's crucial for him to understand that an anal fistula, which is a tunnel between the anus and the skin around it, rarely heals on its own and can lead to complications if left untreated. The sticky discharge and blood are signs of infection and inflammation, and further complications can include recurrent abscesses, fecal incontinence, and even, in rare cases, cancer.

Question 2

My cousin was just diagnosed with two gallstones - one is 7mm and the other 4mm. Do they need surgery to remove these or can it be managed without an operation? If surgery is needed, would it be considered a minor or major procedure and roughly what would the cost be?

Accepted Answer

Laparoscopic cholecystectomy is a very safe, minimally invasive, daycare surgery. If your epilepsy is well controlled, there‚Äôs usually no added risk. If it‚Äôs not well controlled, you can first focus on stabilizing it and then plan the surgery‚Äîit‚Äôs not an emergency. In the meantime, avoid oily and spicy food and maintain a healthy lifestyle to manage symptoms. Also, for gallstones, the gallbladder needs to be removed‚Äîjust removing the stones won‚Äôt help, as they tend to recur. And ESWL is effective only for kidney stones, not for gallstones.

Question 3

I have a 5mm umbilical hernia with no pain or other symptoms, but I deal with frequent constipation. Should I just wait and see how it goes or is surgery the better option? Looking for advice from a general surgeon or gastroenterology specialist.

Accepted Answer

Umbilical hernia no matter how small will need surgical correction only. Nothing else will help.

I noticed a large left inguinal scrotal hernia with omentum as the content and it seems likely reduced but I'm worried it might be incarcerated is there any way to treat this with homeopathy or will I need surgery

This condition may require clinical evaluation to determine the exact cause and treatment. Some cases can be managed conservatively, while others may need surgical intervention depending on size, symptoms, and severity. Regular follow-up is important to monitor progress.

More General Surgery Health Queries

My brother has been dealing with a fistula in ano for two years now and refuses to get surgery because he's scared. There's sticky discharge and sometimes blood from the opening. Could this have turned into something more serious like cancer or a precancerous condition

My cousin was just diagnosed with two gallstones - one is 7mm and the other 4mm. Do they need surgery to remove these or can it be managed without an operation? If surgery is needed, would it be considered a minor or major procedure and roughly what would the cost be?

I have a 5mm umbilical hernia with no pain or other symptoms, but I deal with frequent constipation. Should I just wait and see how it goes or is surgery the better option? Looking for advice from a general surgeon or gastroenterology specialist.

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