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Calculi in bilateral kidneys, adeno carcinoma rectum and hernia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
User :   hello sir my father hving problem of adeno carcinoma rectum we know this problem in 2009 we started 6 times chemo therapy july 2009 and 28 days regualr radiotherapy and then only homeopalthic medicine going on .we did ct scan it shows impression :::: Known case of ca rectum
mild mural thickening involoving sigmoid colon post rt changes
right inguinal hernia
small calculi in bilateral kidneys

now father hving pain in right side hernia can we go for surgery for hernia is it suitable for my father my father age is 63 years
Doctor :   Hi
User :   hello
Doctor :   Let me read the query
User :   hello sir
User :   plz help me i really need ur help
Doctor :   What is the general condition of your father?
User :   today not well hving pain in right side of hernia
User :   otherwise fine
Doctor :   If the general condition is good and only the hernia is bothering him he can go for the repair of hernia
User :   ok
Doctor :   Of course there are cetain tests done to see if he biochemically suitable
User :   what precautions we take for father
Doctor :   with blood counts, anesthesiologist consent
User :   adenocarcinoma in rectum dont give any problem in repair of hernia
Doctor :   I think a laparoscopic approach is taken here
User :   what is laparoscopic approach ???
Doctor :   Key hole method of surgery
Doctor :   You have to approach a laparoscopic surgeon
User :   any problem or any type of danger to father if we do surgery of hernia as papa hving of adenocarinoma rectum
Doctor :   If your father has constipation due to adeno ca of rectum then the hernia mass can increase
Doctor :   Does he have cough or some other intra abdominal mass pushing the hernia out
Doctor :   One has to find that
User :   nothing like that
Doctor :   So what I mean to say is there is a cause that is pushing the hernia
User :   papa hving loose motion sometimes
Doctor :   that should be rule out
Doctor :   and treated
User :   we use hernia belt right now
Doctor :   If nothing is found, then the hernia is repaired
Doctor :   Actually it is a decision to be taken by the operating surgeon evaluating the cause of it
Doctor :   and how to do the surgery
Doctor :   The information I gave you above is a general approach
Doctor :   or gross opinion
Doctor :   Did you follow?
User :   ok fine give me some advice
Doctor :   Do you have specific questions regarding this?

User :   ya
Doctor :   Please go ahead
User :   plz tell me right now father feeling weakness
Doctor :   Is he having normal appetite?
User :   he didnt eat anything from morning
Doctor :   When was the last radiotherapy done?
User :   ya
Doctor :   You should give him milk and bread
User :   after 2 sep 2009 and on 16 november we did mri
User :   28 days regular radio therapy
Doctor :   Diet is the most important thing
Doctor :   Milk and bread
User :   more plz prescribed me any therapy or medicine for hernia or adenocarcinoma rectum
Doctor :   If his general health is sound then he can be considered for surgery
Doctor :   I can understand your problem
Doctor :   I can do a little here with medicines online, I can give you a direction on how to go about the problem
Doctor :   Let his general health improve where he can be considered a canditate for hernia surgery
User :   plz tell me
Doctor :   Is he having loose motions?
User :   ya
Doctor :   Since when ?
User :   2009 se only problem is loose motion then we did colonoscopy and find this cancer after that soemtimefather feel good and soemtime not
User :   in a night 5 6 times
User :   in day time sometime he feel there is no problem
Doctor :   When was the last check up with the Oncologist or Radiotherapist
User :   8 7 2009 chemotherapy is done
User :   sorry
User :   8 7 2010
Doctor :   When was the last general check up about the status of his progress
User :   2 july 2010
User :   ct scan
Doctor :   What was the doctor's opinion then?
User :   and 8 july 2010 we did chemotherapy
Doctor :   Is it the same doctor whom treated with Radiotherapy?
User :   no
User :   same hospital doctor is different
Doctor :   Ok

Doctor :   What was his opinion?
Doctor :   What did he say about the progress ?
User :   no growth of cancer
Doctor :   Ok that is better
Doctor :   That seems that the cancer may not be the reason for increase in hernia
Doctor :   Given his age and other morbid conditions I suggest to see the general surgeon and get necessary treatment
Doctor :   We have to check for the complications of the hernia like Obstruction
Doctor :   which can cause severe pain and weakness
Doctor :   Take an appointment tomorrow personally and check with the surgeon
User :   there is circumferentiL ASYMMETRIC MURAL THICKENING INVOLOVING APP 6 cm long segment of ano rectum with maximum mural thickening of appro 2 cm . fat planes with prostate are ill defined there is mild periu rectal strandind also
Doctor :   yes but this is a rt sided hernia
Doctor :   I suggest an approach to surgeon sooner than later
User :   ok
Doctor :   Do you have any other questions on how to approach it
User :   no
User :   thankyou so much
Doctor :   Thank you
Doctor :   Bye for now
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