Colorectal Surgeon

Blood is Stool is a common and worrisome problem. The common causes for blood in stool are 

Piles/Haemorrhoids, Fissure, Fistula

 Colorectal Cancer.

 Diverticulitis

 Ulcerative Colitis 

Solitary Rectal Ulcer Syndrome

Infectious Colitis

Vascular lesions

Drug side effects

Alarm Symptoms of cancer

Altered bowel habits alternate Constipation  - Diarrhoea, Significant weight loss of 5- 10 kgs Weakness and Anemia

Diagnosis is done by Physical Examination and Endoscopy by a Surgeon.

Treatment depends upon the diagnosis.

Coloproctologist Surgeon - Dr Nitin Jain

Colon Cancer Symptoms-

Blood in Stools, Recent change in Bowel habits Constipation -Loose Stools, Mucus in rectum Ineffective motion Urge to go for motion repeatedly Weight loss weakness low haemoglobulin are the symptoms of Colon Cancer.

Diagnosis is done by Colonoscopy and Biopsy, CT Scan Abdomen, MRI Abdomen and Pelvis, Tumour Marker CEA and PET CT scan if spread of cancer is suspected and stage the disease before deciding upon the treatment.

Treatment depends upon the stage and health profile of the patient. Early stage colon cancer is treated by Surgery. Late stage may need Chemotherapy and Surgery.

Colorectal Cancer Surgeon - Dr Nitin Jain

Rectum Cancer Symptoms

Blood in Stools, Recent change in Bowel habits Constipation -Loose Stools, Mucus in rectum Ineffective motion Urge to go for motion repeatedly Weight loss weakness and anaemia are the symptoms of Colon Cancer. 

Diagnosis is done by Colonoscopy and Biopsy, CT Scan Abdomen, MRI Abdomen and Pelvis, Tumour Marker Serum CEA and PET CT scan if spread of cancer is suspected and  to know the stage the disease. 

Treatment depends upon the stage and health profile of the patient. Early stage colon cancer is treated by Surgery. Late stage may need Chemotherapy and Radiotherapy before Surgery

Surgery can be done Open and Laparoscopy

Rectum Cancer Specialist - Dr Nitin Jain

Diverticulum is a pouch like extension from the outer layer of the intestine. Multiple diverticuli in the intestine is termed DIVERTICULOSIS. Left side large intestine is the common site of diverticulosis followed by right sided colon. Diverticuli are seen in the small intestines also. Jejunum and duodenum diverticuli uncommon. 

Diverticulosis Symptoms-

Constipation, Pain in abdomen Blood in stools, Mucus Discharge through rectum Lump in abdomen Intestinal Block

Diagnosis is done by COLONOSCOPY, CT Scan Abdomen

Treatment is usually Medical. Complicated Diverticulitis, Diverticular bleeding through rectum, Diverticulum Perforation, Abscess stricture or difficulty to differentiate from Colon Cancer needs surgery.

Operation is done open surgery or laparoscopy by an Experienced Laparoscopic Surgeon.

Consult Colorectal Surgeon - Dr Nitin Jain

Ulcerative Colitis (UC) is an inflammatory bowel diseases (IBD) a disease of Colon and Rectum with multiple bleeding ulcers and inflammation.

Ulcerative Colitis Symptoms-

Blood in the stools is commonest symptom

Frequent Stools with blood. Bloody diarrhoea or Dysentery

Weight loss, weakness, low haemoglobulin, abdomen pain

Diagnosis is done by Colonoscopy and Biopsy

Treatment is largely medical and select patients need surgery.

Indications for Surgery in Ulcerative Colitis-

1. Not responding to medical treatment

2.Continuous Bleeding from the rectum

3. Perforation of the intestine

4. Massive Dilatation of Colon (Toxic Megacolon)

5. Doubtful about cancer lesion in the colon

6. Ulcerative colitis with colorectal cancer.

Consult Colorectal Surgeon - Dr Nitin Jain

 Crohns disease  (CD )is an inflammatory bowel disease (IBD)  a condition affecting the junction small intestine, large intestine and ILEOCAECAL region. 

Crohns Disease Symptoms-

Abdomen pain colicky long term and repeated episodes, Small Bowel Obstruction, Blood in stools and Constipation 

Diagnosis of Crohns disease and Abdomen Tuberculosis is overlapping and difficult.

Diagnosis is done CT scan of the abdomen, Colonoscopy, Gastroscopy and biopsy.

Treatment is largely medical and select patients need surgery,

Indications for Surgery in Crohns Disease-

1. Repeated Subacute intestinal Obstruction

2. Persistent Abdomen Pain

3.Bleeding and Perforation

4. Doubtful Cancer

5. Difficulty to differentiate from Tuberculosis

Surgery can be done open or laparoscopic surgery.

Consult IBD Surgeon  - Dr Nitin Jain

Rectal Prolapse means part of rectum comes out of anus. Finger is required to evacuate or replace the rectum. 

Symptoms- 

The usual symptoms are constipation, need to repose part with finger blood in stools and difficulty to control motion (Incontinence).

Diagnosis is established by Physical Examination by Colorectal Surgeon, Colonoscopy and MRI Defecography.

Treatment depends upon the symptoms 

usually Surgery that can be done open or laparoscopic surgery. Laparoscopic Rectopexy is a common treatment for Rectal Prolapse. Elderly frail patients  are offered local treatment of suture fixation and one with ulcer bleeding and large protrusion require Resection of Colon. 

Laparoscopic Colorectal Surgeon - Dr Nitin Jain

Acute appendicitis is an inflammation of an appendix a part of large intestine arising near near the junction of large and small intestines (Ileo-Caecal (IC) Junction). Appendicits Symptoms- 

Sudden onset pain in right lower abdomen or umblical region is the commonest complaint one experiences. Fever nausea and change in bowel movements are other symptoms.

Diagnosis is done by Sonography and CT scan of the abdomen.

Treatment is done by Surgery - Laparoscopic Appendicectomy. Few patients respond to conservative management otherwise surgery is the treatment of choice. If neglected complications can be dangerous like sepsis abscess major risky complicated expensive surgery and even death.

Laparoscopic Surgeon - Dr Nitin Jain