Dr. Ramesh Makam

Happy Easter Sunday. May the miracle of Easter brighten your life with love, happiness and joy!

With the blessings of Lord Hanuman, may you shine bright in life and achieve all your goals and make your dreams a reality. Wishing a very Happy Hanuman Jayanti to you!!!

Get into the festive mood and let your heart dance Bhangra to the rhythm of the drums on Vaisakhi!! Happy Vaisakhi 2022

Ram Navami is here and so are good vibes. May this festival enlighten our souls and minds. A very happy Ram Navami to you & your family.

⭐️ PATIENT TESTIMONIAL ⭐️

We feel grateful to hear sincere and insightful feedback from our patient community. We work hard to meet your expectations, and we’re happy to hear we hit the mark for you. Thank you.

WHO estimates that more than 13 million deaths around the world each year are due to avoidable environmental causes. This includes the climate crisis which is the single biggest health threat facing humanity. The climate crisis is also a health crisis.

Our political, social and commercial decisions are driving the climate and health crisis. Over 90% of people breathe unhealthy air resulting from burning of fossil fuels. A heating world is seeing mosquitos spread diseases farther and faster than ever before.

Let's reimagine the world by doing what we can to spread awareness and to reverse the damage and make our planet a better place.

Ugadi teaches us that life has many different flavours, and we must embrace them all.

May this Ugadi bring you joy, health, wealth and good luck throughout the year! Arka Health wishes you & your family a Happy Ugadi 2022!!!

⭐️PATIENT TESTIMONIAL⭐️

We feel grateful to hear sincere and insightful feedback from our patient community. We work hard to meet your expectations, and we’re happy to hear we hit the mark for you. Only the best for our patients! Arka Health

Weight loss treatments FAQ - 7
How do weight loss procedures work?
Weight loss procedures work by making your stomach smaller. Some types of surgery also change the path food takes through your gut so that fewer calories and nutrients get absorbed. Another procedure changes the nerve signals between the brain and the stomach so you don't feel hungry.
Weight loss surgery is appropriate only for people who:
- Have a BMI greater than 40; or
- Have a BMI of 35 to 39.9 and also have medical problems, such as diabetes, heart disease, or high blood pressure
- Have a BMI of 30 or greater and have diabetes that cannot be controlled in other ways

Call +91-9019286136 for Weight Loss Surgery at A V Hospital.

For more information regarding weight loss surgery visit - http://ed.gr/cro84

Bariatric Surgery : Best insights from Dr. Ramesh Makam Bariatric surgery refers to a surgical procedure that leads to successful long term weight loss.

Weight loss treatments FAQ - 8
How do I decide if weight loss treatment is right for me?
If your doctor suggests weight loss treatment, ask these questions:
- About how much weight can I expect to lose and how long will that take? – This depends on the treatment. There are several different types of stomach surgeries to help with weight loss. The amount of weight loss and how long it takes to lose weight is different for each one.
- What are the risks of treatment for someone like me? – Medicines can have side effects. Surgery can lead to infections, bleeding and the need for other operations. To reduce the risk of these problems, make sure your surgeon is very experienced and that you are treated at a certified "Center of Excellence."
- What changes will I need to make to my diet and lifestyle? – Weight loss treatments are not "short-cuts" that get you out of making lifestyle changes. People getting treated must also change how they eat and how active they are. No weight loss treatment works on its own. Sometimes people can get surgery only after they prove they can make lifestyle changes – by losing some weight on their own.
- Will I be able to process food normally? – Some types of stomach surgeries leave people unable to get all the nutrients they need from food. People who have this problem must take vitamin and mineral supplements for the rest of their lives.

Call +91-9019286136 for Weight Loss Surgery at A V Hospital.

For more information regarding weight loss surgery visit - http://ed.gr/cro85

Bariatric Surgery : Best insights from Dr. Ramesh Makam Bariatric surgery refers to a surgical procedure that leads to successful long term weight loss.

Groin Hernia FAQs
How are hernias treated?
All hernias may not need treatment right away but many do need to be repaired with surgery. Femoral hernias usually need repair.
Surgeons can repair groin hernias in two ways
The best surgery for you will depend on
- The type and size of your hernia
- Whether this is your first surgery for the hernia
- If you have any other health condition
- Your preferences
- Your surgeon's experience.

The 2 types of surgery are:
● Open surgery – During an open surgery, the surgeon makes an incision near the hernia. Then he or she gently pushes the bulging tissue back into place. Next, the surgeon sews the weak tissue layer back together, so that nothing can bulge through. In most cases, surgeons will also patch the area with a piece of mesh. Mesh takes the strain off the tissue wall. This prevents hernia recurrence.

● Laparoscopic surgery/ key hole surgery – During laparoscopic surgery, the surgeon makes several small incisions. Then he or she inserts long thin tools into the area near the hernia. One of the tools has a camera (called a "laparoscope") on the end, through which entire procedure can be visualised on a TV screen. Then repairs the hernia with mesh.

If the intestines get trapped, the doctor will first try to "reduce" the hernia, which means gently pushing it back into the belly. If this works, a surgeon will do surgery to fix the hernia within a few days. If the doctor is not able to reduce the hernia, emergency surgery might be needed.
If your hernia has reduced the blood supply to a loop of intestine, your doctor might need to remove that piece of intestine and sew the 2 ends back

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Groin Hernia FAQs
How are hernias diagnosed?
In most cases, doctors can diagnose a hernia just by doing an examination.
During the exam, the doctor will ask you to cough while pressing on the bulge. This can be uncomfortable, but it is necessary to find the source of the problem.
Only if there is a suspicion of a complication your doctor may order for specialised imaging

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Groin Hernia FAQs
When should I see a doctor?
See a doctor if you
- Feel or see a bulge in your groin
- Feel a pulling sensation or pain in your groin even if you have no bulge
- Notice a recent change in the colour of skin over the bulge or sudden increase in the severity of the pain.
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Rejoice in the glory of the nation and thank our soldiers whose vigilance and sacrifice is keeping us safe.

Happy 72nd Republic Day!

Groin Hernia FAQs
What are the symptoms of a groin hernia?
Groin hernias do not always cause symptoms. When symptoms do occur, they can include:
- A heavy or tugging feeling in the groin area
- Dull pain that gets worse when straining, lifting, coughing, or otherwise using the muscles near the groin
- A bulge or lump at the groin
- Hernias can be very painful and can cause further complications if the content of the sac gets trapped / if hernia becomes “ non- reducible”

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What is an Inguinal hernia?
A hernia is an area in a layer of tissue which is weakened or torn. Often when there is a weak area/ torn area,the other tissues that are normally held in by the damaged layer bulge or stick out. This is what is called as hernia.

Hernias can happen in different parts of the body. When they happen where the thigh and body meet (called the groin), they could be either inguinal or femoral hernia. These groin hernias are more common in men than in women.

Inguinal hernias are a bit higher on the groin and femoral hernias are lower.
In some cases, the sac holds a loop of intestine or a piece of fat that is normally tucked inside the belly. Most of the time, the contents of the hernia can be "reduced," or gently pushed back into the belly but there are times when the hernia gets trapped and can't be pushed back in. When this happens, the tissue does not get enough blood which in turn causes damage or death of the tissue which forms content of the sac.
This is more common among femoral hernias as compared to inguinal hernias

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Hiatal Hernia FAQs
How are hiatal hernias treated?
People who have symptoms caused by a hiatal hernia can get treated for their symptoms.
Treatment for symptoms involves taking the medicines that are used for acid reflux. People with a paraesophageal hernia, and some people with a sliding hernia, need surgery. For this surgery, the surgeon pulls the stomach back down and repairs the hole in the diaphragm so the stomach does not slide up again.

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Hiatal Hernia FAQs
Is there a test for hiatal hernia?
Yes, but doctors do not usually test for hiatal hernia. Instead, most people learn they have a hiatal hernia when they are having tests to find the cause of symptoms, or for other reasons. For instance, some people find out they have a hiatal hernia when they have an X-ray. Others find out when their doctor puts a tube with a tiny camera down their throat (called an endoscopy).

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Hiatal Hernia FAQs
What are the symptoms of a hiatal hernia?
Hiatal hernias do not usually cause symptoms. In some cases, though, hiatal hernias cause stomach acid to leak into the esophagus. This is called acid reflux or gastroesophageal reflux, and it can cause symptoms, including:
- Burning in the chest, known as heartburn
- Burning in the throat or an acid taste in the throat
- Stomach or chest pain
- Trouble swallowing
- A raspy voice or a sore throat
- Unexplained cough

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May the season of harvest fade away your sorrows and shower upon you joy and prosperity. A.V Hospital wishes everyone a Happy Makara Sankranti.

Hiatal Hernia FAQs
What is a hiatal hernia?
A hiatal hernia is what doctors call it when a part of the stomach moves up into the chest area. Normally, the stomach sits below the diaphragm, the layer of muscle that separates the organs in the chest from the organs in the belly. The esophagus, the tube that carries food from the mouth to the stomach, passes through a hole in the diaphragm. In people with a hiatal hernia, the stomach pushes up through that hole, too.
There are 2 types of hiatal hernia:
- Sliding hernia – A sliding hernia happens when the top of the stomach and the lower part of the esophagus squeeze up into the space above the diaphragm. This is the most common type of hiatal hernia.
- Paraesophageal hernia – A paraesophageal hernia happens when the top of the stomach squeezes up into the space above the diaphragm. This is not very common, but it can be serious if the stomach folds up on itself. It can also cause bleeding from the stomach or trouble breathing.

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Abdominal wall Hernia FAQs
How are hernias treated?
Not all hernias need treatment right away. But many do need to be repaired with surgery. Surgeons can repair most hernias in 1 of 2 ways.
The right surgery for you will depend on
- the size of your hernia
- where on the abdominal wall it is
- whether this is the first time it is getting repaired, and
- what your general health is like.

The types of surgery are:
- Open surgery – During an open surgery, the surgeon makes an incision near the hernia. Then he or she looks at the tissue that is stuck in the hernia, and if it is healthy, gently pushes it back into place. Sometimes a piece of tissue needs to be removed. Next, the surgeon sews the layers of the abdominal wall back together, so that nothing can bulge through. In some cases, surgeons will also patch the area with a piece of mesh. The mesh takes some of the strain off the abdominal wall. That way the hernia is less likely to happen again.
- Laparoscopic surgery – During laparoscopic surgery, the surgeon makes a few incisions that are much smaller than those used in open surgery. Then he or she inserts long, thin tools into the area near the hernia. One of the tools has a camera (called a "laparoscope") on the end, which sends pictures to a TV screen. The surgeon can look at the picture on the screen to guide his or her movements. Then he or she uses the long tools to repair the hernia using mesh.

If your hernia has reduced the blood supply to a loop of intestine, your doctor might need to remove that piece of intestine. Then he or she will sew the intestine back together.
The recovery and aftercare for each type of hernia repair is different. Your doctor or nurse can tell you what to expect after your surgery.

A V Hospital is first centre of excellence in South India for Laparoscopic Hernia repair training.

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Abdominal wall Hernia FAQs
Should I see a doctor?
Yes. See a doctor if you have any of the symptoms of a hernia. In most cases, doctors can diagnose a hernia just by doing a clinical exam. During the exam, the doctor might ask you to cough or bear down while pressing on your hernia. This might be uncomfortable, but it is necessary to find the source of the problem.
Most of the time, the contents of the hernia can be "reduced," or gently pushed back into the belly. Still, there are times when the hernia gets trapped and won't go back in. If that happens, the tissue that is trapped can get damaged.
If you develop pain around a hernia bulge or feel sick, call your doctor or surgeon right away.

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Abdominal wall Hernia FAQs
What are the symptoms of abdominal wall hernias?
Abdominal wall hernias do not always cause symptoms. When they do, they can cause some or all of these symptoms:
- A bulge somewhere on the trunk of the body – This bulge can be so small that you don't even realize it's there.
- Pain, especially when coughing, straining, or using nearby muscles
- A pulling sensation around the bulge

Abdominal wall hernias can balloon out and form a sac. That sac can end up holding a loop of intestine or a piece of fat that should normally be tucked inside the belly. This can be painful and even dangerous if the tissue in the hernia gets trapped and unable to slide back into the belly. When this happens, the tissue does not get enough blood, so it can become swollen or even die.

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Featured!

Creating “Centre for Excellence” and training over 2000 surgeons and gynaecologists from 5 continents, pioneering in Hand Assisted Laparoscopic Surgery for Splenectomy, Colectomy, Dr Ramesh Makam is one of the celebrated and trusted surgeons in the field of advanced laparoscopic GI surgeries.

Abdominal wall Hernia FAQs
What is an abdominal wall hernia?
Your internal organs and tissues are held in place by a tough outer wall of tissue called the "abdominal wall." An abdominal hernia is an area in that wall that is weak or torn. Often when there is a hernia, organs or tissues that are normally held in place by the abdominal wall bulge or stick out through the weak or torn spot.
There are many different kinds of abdominal wall hernias.

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Let the new year bring bountiful merriment in learning, innovation, and growth! Excel Public School wishes everyone a Happy and Joyous New Year