Dr Sachin Kansal

12/07/2025

https://www.facebook.com/share/16hp1tnRvZ/

03/06/2025

Post Kochs abdomen is the worst abdomen to get intoComments are required.

30/05/2025

https://www.lapguru.com/player/?trans_id=386845136

30/08/2024

ATRIAL FIBRILLATION

19/08/2024

Pripheral Vascular Diseases

THE WHITE ARMYComprehensive Clinical ClassPeripheral Vascular Disease Case Presentation by Ms. Tejaswini S.R, 4th Year MBBS, RIMS, Raichur.Mentors:Prof. Rajg...

18/08/2024

LBBB vs RBBB

15/08/2024

**Internal hemorrhoids** are swollen veins located inside the re**um. Unlike external hemorrhoids, which form under the skin around the a**s, internal hemorrhoids are usually not visible because they lie within the re**um. They are a common condition that can cause discomfort, bleeding, and other symptoms.

# # # Causes
Internal hemorrhoids develop due to increased pressure in the lower re**um, which can cause the veins to stretch and swell. Contributing factors include:

- Chronic constipation or diarrhea
- Straining during bowel movements
- Sitting for long periods on the toilet
- Obesity
- Pregnancy (due to increased pressure on the pelvic veins)
- Low-fiber diet

# # # Symptoms
Internal hemorrhoids are often painless but may cause symptoms such as:

- **Re**al bleeding**: Bright red blood on toilet paper or in the stool.
- **Prolapse**: The hemorrhoid may protrude through the a**l opening, especially during straining. This may retract on its own or require manual reinsertion.
- **Mucus discharge**: A slimy discharge may be noticed, particularly with pr*****ed hemorrhoids.
- **Sensation of incomplete evacuation**: Feeling as though the bowel movement is not complete.

# # # Treatment
Treatment for internal hemorrhoids depends on the severity of the symptoms:

1. **Lifestyle Changes**:
- Increase dietary fiber intake (fruits, vegetables, whole grains) to soften stools.
- Drink plenty of water to prevent constipation.
- Avoid straining during bowel movements.
- Exercise regularly to improve bowel function.

2. **Medications**:
- Over-the-counter creams, ointments, and suppositories to reduce inflammation and discomfort.
- Fiber supplements to improve stool consistency.

3. **Minimally Invasive Procedures** (for more severe or persistent hemorrhoids):
- **Rubber band ligation**: A small rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to wither away.
- **Sclerotherapy**: A chemical solution is injected

14/08/2024

A **pilonidal sinus** is a small cyst or tunnel in the skin that usually occurs at the cleft at the top of the buttocks, near the tailbone. This condition typically involves the formation of a cavity that can fill with hair, skin debris, and other matter, potentially leading to an infection. When infected, it can become an abscess, causing pain, redness, and swelling. The condition is more common in young adults, especially men, and those who sit for prolonged periods or have thick, coarse body hair.

# # # Causes
The exact cause of a pilonidal sinus isn’t entirely understood, but it is believed to develop when loose hairs pe*****te the skin. The body’s immune response treats these hairs as foreign bodies, leading to the formation of a sinus. Other contributing factors include:

- Prolonged sitting or friction
- Excessive body hair, especially coarse or curly hair
- Family history of pilonidal disease
- Obesity
- Previous injury to the area

# # # Symptoms
- Pain or tenderness near the tailbone
- Swelling and redness
- Pus or blood draining from the sinus opening
- A foul odor from the draining pus
- Fever (if infection is severe)

# # # Treatment
Treatment depends on the severity of the condition. In mild cases, keeping the area clean and free of hair may help. In more severe or recurrent cases, surgical intervention may be required. Options include:

1. **Incision and drainage**: The infected area is opened and drained to relieve pain and remove the infection.
2. **Excision surgery**: The sinus is surgically removed, which may be followed by primary closure or leaving the wound open to heal naturally.
3. **Laser hair removal**: May be used to prevent recurrence by reducing hair growth in the area.

# # # Prevention
To prevent pilonidal sinuses, it is recommended to maintain good hygiene, avoid prolonged sitting, keep the area free of hair, and manage weight if necessary.