Haemorrhoid (Piles) Clinic

- Bleeding; Itch; Pain; lump or Swelling at anus (medical)
Symptoms
- Straining during bowel movements.
- Sitting for long periods of time on the toilet.
- Having chronic diarrhoea or constipation.
- Being obese.
- Being pregnant.
- Having anal intercourse.
- Eating a low-fiber diet.
- Regular heavy lifting.
Causes of Haemorrhoid (Piles)
Hemorrhoids can develop from increased pressure in the lower rectum due to:
- Lifestyle modification like high fibre diet; plenty of liquids orally, controlling weight
- Medicines: Laxatives, Venous decongestant,
- LASER Hemorrhoidopexy: latest treatment of haemorrhoid with LASER which is day care procedure and almost painless
- Stapler Hemorrhoidopexy: Treatment of Haemorrhoids with stapler which cut and staple haemorrhoids.
- Transanal Hemorrhoidal Dearterialization (THD): Latest treatment which involve ligation of blood vessels feeding the haemorrhoids.
Treatment for Haemorrhoid (Piles)
Hernia Clinic

Types of hernias include:
- In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin and this type of hernia is mostly commonly seen in men.
- In an incisional hernia, the intestine pushes through the abdominal wall at the site of previous abdominal surgery and this type of hernia is most commonly seen in elderly or overweight people who are inactive after abdominal surgery.
- A femoral hernia occurs when the intestine enters the canal carrying the femoral artery into the upper thigh and this type of hernia is most commonly seen in women, especially those who are pregnant or obese.
- In an umbilical hernia, part of the small intestine passes through the abdominal wall near the navel. Common in new-borns, it also commonly afflicts obese women or those who have had many children.
- Lifting heavy objects without stabilizing the abdominal muscles
- Persistent coughing or sneezing
- Poor nutrition
- Smoking
- Due to weakened muscles present since birth With aging and repeated strains on the abdominal and groin areas
- Obesity, Pregnancy, Frequent coughing -that can strain the lower abdomen
- Straining on the toilet due to constipation/ bowel movement
- Any condition which increases the pressure of the abdominal cavity like chronic cough, constipation, difficulty in urination
Reasons and Causes
It can be anything that causes an increase in pressure in the abdomen including:
- Swelling or bulge in the groin
- Pain while lifting.
- Increase in the bulge size over time.
- A dull aching sensation.
- Abdominal pain which is dull in starting of hernia and sharp, severe with complications.
- Obstruction of bowel inside the hernia leads to nausea, vomiting, severe abdominal pain and inability to pass flatus or stool
- Strangulation of hernia: bowel inside the hernia get twisted and obstructed which leads to severe pain, nausea, vomiting, failure to pass gas or stool along with fever, red, tender swelling
Symptoms
- Open surgery for Hernia
- Single- port Scarless laparoscopic surgery
Treatment:
Thyroid Clinic

Causes of Thyroid
- Iodine deficiency
- Autoimmune diseases, in which the immune system attacks the thyroid, leading either to hyperthyroidism or hypothyroidism
- Inflammation (which may or may not cause pain) Caused by a virus or bacteria.
When you are diagnosed with a thyroid condition you will be surprised that such a small gland can have such an intense impact on your health and well-being. But the thyroid gland plays a massive role in your health. The gland is constantly producing hormones that influences your metabolism. When disease causes your thyroid gland to slow down the production of thyroid hormone, or produce too much of it, you'll know something isn't right. It is advisable to know the symptoms in advance and have a watch on your health.
- Nervousness, anxiety and irritability
- Mood Swings, Difficulty sleeping
- Persistent tiredness and weakness
- Sensitivity to heat
- Swelling in your neck from an enlarged thyroid gland
- Irregular heart rate
Symptoms of overactive thyroid (Hyperthyroidism)
- Tiredness
- Being sensitive to cold
- Weight gain
- Depression
- Constipation
- Slow movements and thoughts
- Muscle aches, cramps and weakness
Symptoms of an underactive thyroid (Hypothyroidism)
Breast Clinic

- New lump in the breast or underarm (armpit).
- Thickening or swelling of part of the breast.
- Irritation or dimpling of breast skin.
- Redness or flaky skin in the nipple area or the breast.
- Pulling in of the nipple or pain in the nipple area.
- Nipple discharge other than breast milk, including blood.
Symptoms to lookout for
Treatment for Breast lumps
Pancreatic Diseases

- Upper abdominal pain
- Abdominal pain that radiates to your back
- Abdominal pain that feels worse after eating
- Fever
- Rapid pulse
- Nausea
- Vomiting
- Tenderness when touching the abdomen
Symptoms of Pancreatitis
- Excessive alcohol consumption.
- Cigarette smoking.
- Obesity.
Risk Factors:
Expert Team

Dr. Ritu Khare
Specialist General Surgeon
MBBS, MS (General Surgery), MRCS, FICS, Fellow American College of Surgeons (FACS)

Dr. Pinkesh Laxmikant Thakkar
Specialist General & Laparoscopic Surgeon
MBBS, MS General Surgery (India)

Dr Eswar Moparty
Specialist Gastroenterologist
MBBS, MD, DM (Gastroenterology)

Ms. Juliot Vinolia Rajarathinam
Clinical Dietitian and Consultant Nutritionist
M. Phil, M.Sc., Clinical Nutrition and Advanced Dietetics, Doctoral student Counseling Psychology

Dr. Ihab El Tayeb
Consultant Endocrinologist
Doctorate degree of endocrinology (Al Azhar university Egypt) Diploma of obesity management of south wales university UK Scope certified for obesity management World Federation of Obesity
