Q. Are there surgical options for severe cases of rectal tenesmus?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

In severe cases of rectal tenesmus, surgical options may be considered, especially when the symptom is associated with an underlying condition that is not responsive to conservative treatments. The decision to pursue surgical intervention is typically made after a thorough evaluation by a healthcare provider, consultation with specialists, and a consideration of the potential risks and benefits. Some surgical options for severe cases of rectal tenesmus include:

1. Hemorrhoidectomy: When severe hemorrhoids are the underlying cause of rectal tenesmus and conservative treatments have not been effective, a surgical procedure called hemorrhoidectomy may be performed. This involves the removal of the swollen blood vessels in the rectum or anus.

2. Colorectal surgery: In cases where rectal tenesmus is related to conditions like colorectal cancer, inflammatory bowel disease (IBD), or structural abnormalities, surgery may be necessary to address the underlying problem. Depending on the diagnosis, different surgical procedures may be recommended, including resection of the affected bowel segment, colostomy, or ileostomy.

3. Pelvic floor surgery: For individuals with rectal tenesmus related to pelvic floor dysfunction or structural issues in the pelvic region, surgical interventions like rectocele repair or pelvic floor reconstruction may be considered to address the underlying problem.

4. Prostate surgery: In men, rectal tenesmus can sometimes be associated with prostate issues, such as prostatitis or benign prostatic hyperplasia (BPH). Surgical procedures like transurethral resection of the prostate (TURP) or other prostate surgeries may be performed when necessary.

It's important to emphasize that surgery is typically considered when other treatment options have been exhausted or when the underlying condition is severe and poses a significant threat to a person's health. Surgical decisions should be made in consultation with a healthcare provider and appropriate specialists, taking into account the individual's overall health, the specific diagnosis, and the potential risks and benefits of the procedure.

Ultimately, the choice of surgery and the specific procedure will be determined by the underlying cause of rectal tenesmus and the clinical judgment of the healthcare team.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.