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Beyond the Belly Ache
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Why Bowel Health Matters- A Doctor's Insight
A Comprehensive Overview of Conditions and Treatment Options
Painful or Painless Rectal Bleeding
Problem: Often a symptom of underlying issues like haemorrhoids, anal fissures, or colorectal conditions.
Treatment: Treatment addresses the root cause, involving medications, lifestyle modifications, or surgical intervention as needed.
What could be the reasons for rectal bleeding?
Causes include haemorrhoids, anal fissures, colorectal polyps, or more serious conditions like colorectal cancer.
When is rectal bleeding considered an emergency?
Seek immediate medical attention if bleeding is severe, associated with dizziness or fainting, or if you suspect a serious underlying condition.
How is painful rectal bleeding diagnosed and treated?
Diagnosis involves a medical history, physical exam, and possibly colonoscopy. Treatment depends on the cause, ranging from medications to surgery.
Crohn’s Disease & Ulcerative Colitis
Problem: Chronic inflammation of the digestive tract, leading to abdominal pain, diarrhoea, weight loss, and fatigue.
Treatment: Managed with medications and, in some cases, with surgery to control inflammation and improve your quality of life.
What is Crohn's disease, and how does it differ from other inflammatory bowel diseases?
Crohn's is a chronic inflammatory bowel disease affecting any part of the digestive tract. It differs from other IBDs like ulcerative colitis by potentially involving any layer of the intestinal wall.
What are the common symptoms of Crohn's disease?
Symptoms include abdominal pain, diarrhoea, weight loss, fatigue, and complications like fistulas or strictures.
What consultations do you offer for managing Crohn's disease?
We offer consultations on the surgical management of Crohn’s disease, eg for fistula surgery or bowel resections.
Abdominal Pain
Problem: This can be caused by various factors such as indigestion, inflammation, scar tissue from previous abdominal surgery, or gastrointestinal conditions.
Treatment: Treatment depends on the cause, ranging from lifestyle changes to medications or surgical interventions.
What are the common causes of abdominal pain?
Common causes include indigestion, gas, constipation, stomach flu, food poisoning, and more serious conditions like appendicitis or gallstones
When should I seek medical attention for abdominal pain?
Seek medical attention if the pain is severe, persistent, or accompanied by other concerning symptoms like fever, vomiting blood, or difficulty breathing.
How is abdominal pain diagnosed and treated?
Diagnosis involves medical history, physical examination, and possibly imaging or lab tests. Treatment depends on the underlying cause, ranging from lifestyle changes to surgical intervention.
Hernia (Including Belly-Button
& Groin Hernia)
Problem: Occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.
Treatment: Options include non-operative management with supportive garments or surgical repair to strengthen weakened areas.
What is a hernia, and how does it occur?
A hernia occurs when an organ or tissue protrudes through a weak spot in the abdominal wall. Causes include heavy lifting, obesity, or persistent coughing.
What are the symptoms of belly-button hernia and groin hernia?
Symptoms may include a bulge, pain, or discomfort, especially when lifting or straining.
What are the treatment options for hernias?
Treatment options include watchful waiting, lifestyle changes, supportive garments, or surgery to repair the hernia.
Piles
(Haemorrhoids)
Problem: Swollen blood vessels in the rectum or anus, causing discomfort, bleeding, and itching.
Treatment: Treatment may involve lifestyle adjustments, topical creams, minimally invasive procedures, banding or surgical removal in severe cases.
What are haemorrhoids, and what causes them?
Haemorrhoids are swollen veins in the rectum or anus. Causes include straining during bowel movements, obesity, or pregnancy.
What are the symptoms of piles?
Symptoms include itching, pain, and bleeding during bowel movements
How are haemorrhoids treated, both medically and surgically?
Treatment includes lifestyle changes, topical medications, and, in severe cases, procedures like rubber band ligation or surgical removal.
Constipation
Problem: Infrequent or difficult bowel movements, often associated with hardened stool and discomfort.
Treatment: Treatments include dietary changes, increased water intake, medications, and lifestyle adjustments to improve bowel regularity.
What causes constipation?
Inadequate fibre, dehydration, lack of activity, medications, or underlying conditions.
When should constipation be a concern?
If persistent, with abdominal pain, or sudden changes in bowel habits.
How is constipation treated, and what lifestyle changes can help prevent it?
Dietary changes, hydration, exercise, medications if necessary, and maintaining a regular bathroom schedule.
Anal Fissures
Problem: Small tears in the lining of the anus, typically caused by trauma during bowel movements.
Treatment: Treatments range from topical medications to lifestyle adjustments and, in some cases, surgery to promote healing.
What are anal fissures, and what causes them?
Anal fissures are small tears in the anus, caused by trauma during bowel movements, constipation, or increased sphincter pressure.
What are the symptoms of anal fissures?
Pain during bowel movements, bright red blood, and anal spasms.
How are anal fissures managed and treated?
Dietary changes, topical ointments, warm baths, and, if necessary, medications or surgery.
Anal Tear
Problem: A tear or cut in the skin around the anus, usually due to trauma.
Treatment: Treatment involves keeping the area clean, pain management, and, in severe cases, surgical repair.
What causes anal tears, and what are the symptoms?
Anal tears result from bowel movement trauma, with symptoms like pain, bleeding, and anal spasms.
How are anal tears diagnosed and treated?
Diagnosed through physical examination. Treatment involves dietary changes, topical medications, baths, and medical procedures or surgery if severe.
Can anal tears heal on their own?
Mild tears may heal with proper self-care, but persistent or severe cases may require medical intervention.
Skin Tags
Problem: Small, benign growths of skin, often occurring in areas of friction or irritation.
Treatment: Removal is generally a minor procedure, involving excision under local or general anaesthetic.
What are anal skin tags, and are they related to other conditions?
Small flaps of tissue near the anus, often related to healed anal fissures, haemorrhoids, or inflammation.
Are anal skin tags painful?
Usually painless but may cause discomfort in some cases.
How are anal skin tags removed?
Surgical procedures like excision or ligation if symptomatic or for cosmetic reasons.
Pilonidal
Problem: A cyst or abscess near the cleft of the buttocks, often resulting from ingrown hairs.
Treatment: Treatment may include antibiotics, drainage of abscesses, and, surgical removal of the cyst or laser treatments.
What is a pilonidal disease, and what are its common symptoms?
Pilonidal disease involves cyst or abscess formation near the tailbone, causing pain, swelling, and pus drainage.
How is a pilonidal disease diagnosed?
Clinical examination, sometimes aided by imaging or needle aspiration.
What are the treatment options for pilonidal disease?
Draining abscesses, maintaining cleanliness, hair removal, and surgical procedures including laser ablation of pilonidal sinuses.
Fistula in Ano
Problem: An abnormal tunnel-like connection between the anus and the skin surrounding it.
Treatment: Treatment often involves surgery to remove the fistula or insertion of a seton (stitch or silicone/elastic band) or laser treatment.
What causes anal tears, and what are the symptoms?
Anal tears result from bowel movement trauma, with symptoms like pain, bleeding, and anal spasms.
How are anal tears diagnosed and treated?
Diagnosed through physical examination. Treatment involves dietary changes, topical medications, baths, and medical procedures or surgery if severe.
Can anal tears heal on their own?
Mild tears may heal with proper self-care, but persistent or severe cases may require medical intervention.
If you have any of these problems, seek consultation online or in person.
Mr Sanjay Chaudhri
MBBS|MS|FRCS(Glas)|FRCS (Eng)|FRCS(Gen Surgery)
Mr Chaudhri qualified in 1988 and was appointed as a consultant colorectal surgeon at the University Hospitals of Leicester in 2009.
He has been running this clinic since 2010, and has excellent feedback.
Robotic and laparoscopic surgery for colorectal cancer, inflammatory bowel disease, and complicated diverticular disease
Complex incisional and parastomal hernia repairs
Laser and less invasive therapies for haemorrhoids, fistula in ano, anal fissures, and pilonidal sinus disease
Diagnostic and therapeutic colonoscopy and sigmoidoscopy
Mr Franscois Runau
PhD | FRCS(Gen Surgery)
Mr Runau was appointed as a Consultant Surgeon at University Hospital Leicester in 2020. He has a specialist interest in bowel cancer, early rectal cancers, inflammatory bowel disease, abdominal wall reconstruction and hernia surgery.
Advanced laparoscopic surgery including Transanal Minimally Invasive Surgery (TAMIS) for bowel cancer and inflammatory bowel disease
Simple and complex hernia repairs
Minimally invasive and laser treatments for haemorrhoids, fistulas-in-ano, anal fissure, pilonidal sinus and anal skin tags
Diagnostic and therapeutic colonoscopy and sigmoidoscopy
Exploring Digestive Wellness:
Mr Sanjay's Expert Insights and Solutions for Stomach and Bowel Health
Testimonials
I thought Mr Chaudri was very professional caring and honest. My treatment was first class by all his team which helped with my recovery many thanks Colin.
I have had care reassurance explanation of all appointments and procedures and outcomes which I can fully understand I’m am very grateful to have had this experience and investigation in my body to look for anything which may of been harmful to me Thank You
This doctor was absolutely amazing ..had few colonoscopies before and it was the best one ever ..no sedation and could not feel anything as doctor and staff were so friendly and brilliant that I didn't realized when it was all finished .. defo best doctor and nurse ever !!!
I would like to say heartfelt thank you for listening to me. I had been in a lot of pain for a long time and for arranging a speedy examination and subsequent sorting out my ailment.
Mr Chaudhri was professional with excellent bedside manner. He listened and gave me time to to ask questions when needed. Fully appreciate and am grateful for his help
Mr Chaudhri and his team were incredibly helpful, professional and very honest. I have the upmost trust in him and really appreciate his support before and after my surgery.
Mr Chaudhri has been professional, approachable, informative, and calm throughout my dealings with him, and continues to be so. A thoroughly satisfactory experience during a stressful time.
Mr Chaudhri and his team have been excellent, from my fist surgery to my recovery, he always give s an honest opinion and I have every confidence in him and his team.
Mr Chaudri put me at ease and explained everything to me in a way I could easily understand. The care I had after my operation was absolutely second to none.
I thought Mr Chaudri was very professional caring and honest. My treatment was first class by all his team which helped with my recovery many thanks Colin.
Written by a NHS patient at Leicester General Hospital
I have had care reassurance explanation of all appointments and procedures and outcomes which I can fully understand I’m am very grateful to have had this experience and investigation in my body to look for anything which may of been harmful to me Thank You
Written by a NHS patient at Leicester General Hospital
This doctor was absolutely amazing ..had few colonoscopies before and it was the best one ever ..no sedation and could not feel anything as doctor and staff were so friendly and brilliant that I didn't realized when it was all finished .. defo best doctor and nurse ever !!!
Written by a NHS patient at The Leicester Royal Infirmary
I would like to say heartfelt thank you for listening to me. I had been in a lot of pain for a long time and for arranging a speedy examination and subsequent sorting out my ailment.
Written by a NHS patient at Leicester General Hospital
Mr Chaudhri was professional with excellent bedside manner. He listened and gave me time to to ask questions when needed. Fully appreciate and am grateful for his help
Written by a NHS patient at Leicester General Hospital
Mr Chaudhri and his team were incredibly helpful, professional and very honest. I have the upmost trust in him and really appreciate his support before and after my surgery.
Written by a NHS patient at Leicester General Hospital
Mr Chaudhri has been professional, approachable, informative, and calm throughout my dealings with him, and continues to be so. A thoroughly satisfactory experience during a stressful time.
Written by a NHS patient at Leicester General Hospital
Mr Chaudhri and his team have been excellent, from my fist surgery to my recovery, he always give s an honest opinion and I have every confidence in him and his team.
Written by a NHS patient at Leicester General Hospital
Mr Chaudri put me at ease and explained everything to me in a way I could easily understand. The care I had after my operation was absolutely second to none.
Written by a NHS patient at Leicester General Hospital
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