Entries by DOSS India

Can Fistula Be Cured Without Surgery?

If you’re asking, “Can fistula be cured without surgery?” here’s the short answer: 

Sometimes, yes, but it depends on the type, size, and cause of your fistula—and even then, non-surgical options don’t always work for everyone.

Hi, I’m Dr. Neeraj Rayate, a surgeon with DOSS India in Pune, and I’ve helped many patients like you who are dealing with fistulas and feeling unsure about surgery.  

At DOSS India, we don’t just rush you into surgery. We look at you—your health, your fistula, your life—and figure out what’s realistic. Maybe we can try something without an operation first, or maybe surgery’s your best shot. Either way, I’ll explain it so you’re not guessing.

I know it—surgery can sound scary, expensive, or just overwhelming, and you’re hoping there’s another way. 

In this article, I’ll explain what a fistula is, why it happens, and what your options are—both with and without surgery. We’ll look at real experiences, clear up confusion, and give you steps to decide what’s best for you. 

My aim? 

To give you all the info you need in one place so you can feel confident about your next move. 

Let’s dive in!

Can Fistula Be Cured Without Surgery?

What Is a Fistula, Anyway?

Imagine your body like a house with pipes running through it—your intestines, bladder, or other parts are like those pipes. 

A fistula is a little tunnel that forms where it shouldn’t, connecting two places—like a leak between your intestine and your skin, or your rectum and the outside. 

It’s not supposed to be there, and it can cause pain, leakage, or infections.

Fistulas often start from something like an abscess—a pocket of pus—or from conditions like Crohn’s disease, where your gut gets inflamed. 

For example, an anal fistula (the most common kind) might show up near your bottom after an infection. It’s uncomfortable, and I know it can feel embarrassing or stressful to deal with.

Why Do Fistulas Happen?

Fistulas don’t just appear out of nowhere—they’ve got triggers. Here’s what might cause them:

  • Infections: An abscess that doesn’t heal right can turn into a fistula.
  • Gut Problems: Conditions like Crohn’s or colitis make your insides irritated, and fistulas can form as a result.
  • Injury or Surgery: A cut, tear, or past operation can sometimes lead to these tunnels.
  • Long-Term Inflammation: If your body’s fighting something for a while, it might create a fistula as a side effect.

The tricky part? Once a fistula forms, it’s like a stubborn pipe leak—it doesn’t usually fix itself without help.

Can You Cure a Fistula Without Surgery?

Here’s where I’ll be straight with you: curing a fistula completely without surgery is tough, and for many, it’s not possible. 

But there are cases where non-surgical methods can help manage it or even close it up, especially if it’s small or caught early. Let’s break down what might work—and what won’t.

Non-Surgical Options: What’s Out There?

1.Medicines

Antibiotics can fight infections tied to fistulas, like when pus is leaking out. If your fistula comes from something like Crohn’s, drugs to calm your gut inflammation might shrink it down. But here’s the catch—these don’t fix the tunnel itself; they just treat what’s around it.

I had a patient in Pune, a young woman with Crohn’s, who came in with a small fistula near her bottom. We started her on antibiotics and anti-inflammatory meds. After a few months, the leakage stopped, and the fistula seemed to close. It’s not common, but it can happen with the right condition and early care.

2.Drainage with a Seton

A seton is a soft thread we place in the fistula to keep it open and draining. It’s not a cure, but it stops pus from building up, which can reduce swelling and pain. Over time, some small fistulas might heal this way—though it’s rare.

3.Fibrin Glue

This is like a natural sealant we inject into the fistula to plug it up. It’s less invasive than surgery, but it doesn’t always stick—studies show it works less than half the time, especially for bigger fistulas.

4.Ayurvedic Ksharsutra

In India, some folks try this ancient method—a thread coated with herbal stuff is threaded through the fistula. It’s supposed to slowly clean and close the tunnel. It’s popular because it avoids big cuts, but the evidence isn’t as strong as surgery, and it takes weeks or months.

5.Diet and Lifestyle

Eating more fiber, drinking water, and keeping your bowels regular can ease pressure on a fistula. Warm baths (called sitz baths) can soothe the area too. These won’t cure it, but they might make you feel better while we figure out a plan.

Why Non-Surgical Options Don’t Always Work?

Here’s the honest part: 

Fistulas are like a broken pipe with a hole that keeps leaking. 

Medicines or plugs might patch it for a bit, but if the tunnel’s deep or complicated, it often reopens. 

Research—like from the American College of Surgeons—shows most fistulas need surgery for a permanent fix because the body struggles to heal that abnormal connection on its own.

When Does Surgery Become the Better Choice?

I know surgery sounds daunting—maybe you’re picturing a big operation, long recovery, or high costs. But let me walk you through why it’s often the go-to:

  • Complete Healing: Surgery removes or closes the tunnel fully, stopping leaks and infections for good.
  • Lower Recurrence: Non-surgical fixes might leave the problem lurking; surgery tackles it head-on.
  • Faster Relief: Waiting months for a fistula to maybe close without surgery can drag out your discomfort.

A man in his 40s came to me at DOSS India, worried about a fistula near his anus that kept leaking. He’d tried antibiotics and home remedies for a year—nothing worked.

We did a small surgery called fistulotomy, and within weeks, he was back to normal. He told me, “Doctor, I wish I’d done this sooner.” Sometimes, surgery’s the quicker path to peace.

What Kinds of Surgery Are There?

If you’re leaning toward surgery, here’s what we might do:

  • Fistulotomy: We open the tunnel and let it heal from the inside out. It’s simple and works great for shallow fistulas.
  • Seton Placement: For deeper ones, we use a thread to drain it first, then plan the next step.
  • Laser Closure: A newer way—we use a laser to seal the tunnel. It’s less cutting, less pain.
  • Flap Procedure: We cover the hole with nearby tissue, like patching a wall.

Each one’s tailored to where your fistula is and how tricky it is. I’ll check you out first to pick the best fit.

If you’re in Pune, DOSS India offers expert fistula treatment with advanced surgical options and personalized care—you’re in safe hands here.

What Raises Your Risk of Needing Surgery?

Some fistulas are more stubborn than others. You might need surgery if:

  • It’s big or deep.
  • It keeps coming back after other treatments.
  • You’ve got infections that won’t quit.
  • It’s tied to something like Crohn’s that won’t settle down without bigger help.

How Can You Tell If Your Fistula’s Healing?

Whether you try non-surgical stuff or not, watch for:

  • Less leakage or pus.
  • Pain easing up.
  • No swelling or redness around it.

If things aren’t improving—or they’re getting worse—that’s a sign we need to rethink the plan.

What Can You Do Right Now?

You don’t have to decide everything today, but here’s how to start:

  • Keep It Clean: Wash the area gently with warm water—no harsh soaps.
  • Stay Comfortable: Sitz baths (sitting in warm water) 2-3 times a day can calm things down.
  • Eat Smart: More fruits, veggies, and water keep your bowels easy, which helps.
  • Track It: Note if it’s leaking more, hurting, or changing—bring that info to your fistula doctor.

Checklist for Managing at Home:

  • Take a 10-minute warm bath today.
  • Add a piece of fruit to your next meal.
  • Write down how you feel each day this week.
  • Call a doctor if you see pus or feel feverish.

The Truth About Costs and Risks

Surgery costs can worry anyone. 

In Pune, it might range from 30,000 to 1,00,000 rupees, depending on the hospital and method. 

Non-surgical tries like medicines or glue are cheaper upfront but might not last, costing more in the long run if you need surgery anyway. 

Risks? Surgery has some—like infection or trouble controlling your bowels—but we keep those low with modern techniques. Non-surgical paths risk the fistula sticking around or worsening.

Your Next Steps: Take Control Today

Here’s what I’d suggest you do now:

  1. Assess It: Is your fistula small and new, or big and bothersome? That’s your clue.
  2. Try Easy Fixes: Start with baths and diet tweaks—see if it helps.
  3. Reach Out: Got questions or symptoms that won’t quit? Call me at DOSS India. I’m here to listen and guide.
  4. Decide: Weigh what you’ve learned—comfort, cost, results—and pick your path.

You’re reading this because you want answers, and I’m glad you’re here. You’ve got everything in one spot now—no need to bounce around websites or forums. 

If you’re still unsure, let’s chat—I’ll make it simple and clear so you can move forward with confidence.

Call me right away!

April 14, 2025 by

Bariatric Surgery vs GLP-1: Which Weight Loss Option Is Right for You?

If you’re wondering whether bariatric surgery or GLP-1 medications are the better choice for losing weight, here’s the short answer: It depends on you. 

Bariatric surgery often leads to more significant and lasting weight loss, especially if you’re severely obese, but it’s a big step with higher risks and costs. 

GLP-1 medications are easier to start with, less invasive, and can work well, but you’ll need to keep taking them, and the weight loss might not be as dramatic. 

The best option depends on your health, how much weight you need to lose, and what feels right for your life.

In this article, I’ll walk you through everything you need to know about both options in a way that’s easy to understand. 

We’ll cover what they are, how they work, how much weight you can lose, their risks, long-term effects, costs, and who they’re best for. 

I’ll also share stories from patients I’ve worked with and give you tips to help you decide. 

Hi, I’m Dr. Satish Pattanshetti, a bariatric surgeon in Pune with over 15 years of experience at DOSS India, and I’m here to help you figure this out. 

Let’s get started!

Is Bariatric Surgery Better Than GLP?

What Is Bariatric Surgery?

Bariatric surgery is a weight loss operation for people who are very overweight—usually when your body mass index (BMI) is over 40, or over 35 with health problems like diabetes. 

Think of your stomach like a big bag that holds food. In surgery, we make that bag smaller, so you can’t eat as much, and you feel full faster.

There are a couple of common types:

  • Gastric Bypass: We take a small part of your stomach and turn it into a little pouch. Then, we connect it straight to your small intestine, skipping most of your stomach. This means you eat less and absorb fewer calories.
  • Sleeve Gastrectomy: We remove a big chunk of your stomach, leaving a small, banana-shaped part. It’s like shrinking your food storage space, so you don’t feel hungry as often.

Surgery happens in a hospital, and you’ll need a few days to recover there, plus some weeks at home. 

Afterward, you’ll eat smaller meals and make healthy changes to your life forever. 

It’s a powerful tool, but it’s not a quick fix—it takes effort.

What Are GLP-1 Medications?

Glp-1

GLP-1 stands for Glucagon-Like Peptide-1, a natural hormone in your body that helps control your blood sugar and hunger. GLP-1 medications are drugs that copy this hormone. 

Picture your appetite like a car engine—these medicines press the brakes, slowing down how hungry you feel.

You take them as a shot once a week or a pill every day. Drugs like liraglutide, semaglutide, or dulaglutide are examples (you might know them as Saxenda or Ozempic). They were first made for people with type 2 diabetes, but now some are used just for weight loss too.

They’re a good choice if you’re not ready for surgery or if it’s not safe for you. But you have to keep using them to see results—if you stop, the effects might fade.

How Much Weight Can You Lose?

surgery vs glp-1

Let’s talk about results—how much weight can these options help you shed?

  • Bariatric Surgery: This is the heavyweight champ for weight loss. Studies show you can lose 50-70% of your extra weight in about a year.

    For example, if you weigh 100 kg but should weigh 60 kg, that’s 40 kg too much. Surgery could help you drop 20-28 kg. Plus, it can improve diabetes, high blood pressure, and sleep apnea a lot, especially if you’re really struggling with obesity.

  • GLP-1 Medications: These are solid players too, but not as strong. On average, people lose 10-15% of their total weight. So, if you’re 100 kg, that’s 10-15 kg gone. They also help with diabetes and other conditions, but the impact might not be as big as surgery.

Surgery usually wins for bigger, faster weight loss. But GLP-1 can still make a difference, especially if you don’t need to lose a ton.

What About Safety and Risks?

Every treatment has ups and downs. Let’s break it down.

Bariatric Surgery Risks

Since it’s an operation, there are some serious things to watch out for:

  • Infections, bleeding, or problems from being put to sleep (anesthesia).
  • A tiny chance of something going very wrong, though that’s rare.
  • After surgery, your body might not soak up nutrients like it used to, so you’ll need vitamins forever.

I’ve done hundreds of these surgeries, and while risks exist, we take every step to keep you safe.

GLP-1 Medication Risks

These are less intense but still worth knowing:

  • Feeling sick, throwing up, or having loose stools—most people get used to this after a while.
  • Rare worries about pancreas inflammation or thyroid issues, though we’re still studying those.

Surgery’s risks are bigger upfront, but medications have their own hiccups. It’s about what you’re okay handling.

What Happens in the Long Run?

How do these hold up over time?

  • Bariatric Surgery: The weight loss can stick around for years. Many of my patients keep it off if they eat right and stay active. But some do gain a bit back if old habits creep in.

    A study in the Journal of the American Medical Association found people lost 30% of their weight two years after surgery—pretty impressive!

  • GLP-1 Medications: You’ll need to keep taking them to hold onto the weight loss. Stop, and the weight might sneak back. It’s like watering a plant—you’ve got to keep it up.

Surgery might give you a longer break from worrying about weight, but medications need commitment.

How Much Will It Cost?

Money matters, so let’s look at the price tags in India.

  • Bariatric Surgery: It’s a one-time hit, usually 2-5 lakh rupees depending on where you go (like Pune) and the surgery type. Over time, it might save you cash by cutting down on health problems obesity causes.
  • GLP-1 Medications: These add up—think thousands of rupees a month. Over a year, that could be 50,000 rupees or more, and you keep paying as long as you use them.

Insurance might help with either, but it’s spotty. Surgery’s a big upfront cost; medications are a steady drip. What fits your budget?

Who Should Choose Which?

Not everyone’s the same, so who fits each option?

  • Bariatric Surgery: Best for people with a BMI over 40, or over 35 with issues like diabetes or heart trouble. If you’ve tried everything and the weight won’t budge, this might be your game-changer.
  • GLP-1 Medications: Great if your BMI is lower (say, 30-35), or surgery isn’t an option because of health risks or personal choice. It’s a gentler start.

I’ll look at your whole picture—your health, goals, and comfort level—to suggest what’s best.

Call me at 9011100010 to take the first step.

Stories from My Patients

Let me share a couple of real experiences from my clinic in Pune.

Ravi’s Journey with Surgery

Ravi was 45, weighed 120 kg (BMI 42), and had diabetes plus high blood pressure. He’d tried diets and gym sessions, but nothing stuck. We talked it over, and he chose gastric bypass. A year later, he was down 40 kg, his diabetes was under control without meds, and he told me, “Doc, I feel alive again.” It wasn’t easy—he had to rethink how he ate—but it worked for him.

Meena’s Experience with Medication

Meena, 38, weighed 90 kg (BMI 35) and wasn’t keen on surgery. She wanted something simpler. We started her on a GLP-1 shot, and six months in, she’d lost 12 kg. She said, “I like that I didn’t have to go under the knife.” She’s still on it and happy with the progress.

Both found what worked for them. What feels right for you?

FAQs

1.Does obesity increase risk for other types of cancer?
 Yes, cancers like colon, kidney, and liver cancer are also tied to obesity.

2.What BMI is considered “high risk” for breast cancer?
 A BMI of 30 or higher is considered obese and linked to higher risks.

3.Can intermittent fasting help?
 Yes, early studies suggest it can regulate insulin levels and aid in weight loss, reducing cancer risk.

Lifestyle Changes: The Real Key

Here’s a truth I tell every patient: neither surgery nor medication is magic. They’re tools—you’ve got to use them right.

  • After Surgery: You’ll eat tiny portions and skip sugary or fatty stuff. It’s a new way of living, but I’ll guide you.
  • With Medications: You still need to eat smart and move more to get the most out of them.

At DOSS India,Pune, we don’t just treat you and send you off. We build a plan—food, exercise, stress tips—that fits your life.

How Do You Decide?

This is your call, and I’m here to help you think it through. Ask yourself:

  • How much weight do I need to lose?
  • Am I okay with surgery, or do I want something less intense?
  • Can I afford the upfront cost of surgery or the ongoing cost of meds?
  • What does my health need right now?

Talk to your doctor—someone like me who’s seen it all. We’ll weigh the pros and cons together. No pressure, just facts.

Wrapping It Up

So, is bariatric surgery better than GLP-1? It can be for some—like those needing a big, lasting change. But GLP-1 medications are a strong choice too, especially if you want to avoid surgery or start smaller. There’s no perfect answer—it’s about what suits you.

I’m Dr. Satish Pattanshetti, and I’ve helped hundreds of patients at DOSS India find their path. Obesity’s tough, and I get how confusing this can feel. If you’re ready to explore your options, reach out to me in Pune. We’ll figure it out together—your health matters, and I’m here for you.

Want to chat? Contact me through DOSS India. Let’s take that next step.

A Few Extra Tips

You’ve got this. Let’s make a plan that works for you!

April 12, 2025 by

Laparoscopic vs. Robotic Hernia Surgery: Which One’s Right for You?

 If you’re wondering about the difference between laparoscopic and robotic surgery, here’s the short and sweet answer: both are ways to fix problems inside your body—like a hernia—using small cuts instead of one big one, but laparoscopic surgery uses tools held by the surgeon’s hands, while robotic surgery uses a machine controlled by the surgeon for extra precision. 

I’m Dr. Satish Pattanshetti, and I’ve been fixing hernias—laparoscopic and robotic—for over a decade. At DOSS India in Pune, we’ve got the tools and the heart to help you.

I’ve done thousands of surgeries, and my team knows how to make it easy for you—whether it’s a quick laparoscopic fix or a high-tech robotic repair.

In this article, we’ll break down what these surgeries are, how they work, and what they mean for you—especially if you’re dealing with a hernia or think you might be. 

I’ll share stories from my patients, explain the pros and cons in simple terms, and help you figure out what might be best for you. 

You’ll get all the info you need right here—no jumping from page to page. By the end, you’ll feel clearer about your options and ready to take the next step. 

Let’s get going!

Laparoscopic vs Robotic Surgery for Hernia

What Are These Surgeries Anyway?

Before we dive into differences, let’s picture what’s happening. 

Imagine your body like a house. Sometimes, a wall gets weak—like in your belly—and something inside, like your intestines, pushes out where it shouldn’t. That’s a hernia. 

To fix it, we need to go in, push things back, and patch the weak spot. Both laparoscopic and robotic surgeries are ways to do this without tearing the whole wall down—just small windows instead.

 

Laparoscopic Surgery: The Hands-On Way

Laparoscopic surgery is like using a tiny flashlight and tools to peek inside and fix things. I make a few small cuts—usually three or four, each about the size of a pencil tip. 

Through one, I slide in a thin tube with a camera called a laparoscope. 

It shows me a picture of your insides on a screen. Then, I use special tools through the other cuts to fix the hernia, often with a mesh patch to make the wall strong again.

 

Robotic Surgery: The High-Tech Helper

Robotic surgery is similar but with a twist—I don’t hold the tools directly. 

Instead, I sit at a control station and guide a robot’s arms. 

The robot has tiny hands that hold the camera and tools, and I move them with joysticks while watching a 3D screen. It’s like playing a super-precise video game, but I’m fixing your hernia! 

The cuts are just as small, and the goal is the same: patch up that weak spot.

How Do They Compare Step-by-Step?

Let’s walk through what happens in each so you can see the difference.

1.Getting Ready

For both, you’ll be asleep with medicine so you don’t feel a thing. We call this being “under anesthesia.” Whether it’s laparoscopic or robotic, I need you relaxed so I can work safely inside your belly.

Laparoscopic Prep

I make those small cuts myself, put the camera and tools in by hand, and get started. It’s straightforward—me, my team, and the screen showing what’s inside.

 

Robotic Prep

Here, we set up the robot first. It’s a big machine with arms that I control. After making the same small cuts, I attach the robot’s tools to those arms, then sit at my station to steer it. It takes a little longer to get everything ready.


2.During the Surgery

 

Laparoscopic in Action

I’m right there by your side, holding the tools. The camera shows a flat, 2D picture on the screen—like watching a regular TV. I move the tools with my hands to push the hernia back and place the mesh. It’s steady work, and I’ve done it thousands of times.

Robotic in Action

I’m at the control station, a few feet away, guiding the robot. The screen gives me a 3D view—like wearing special glasses at a movie—that makes everything pop out. The robot’s arms can twist and turn in ways my hands can’t, so I can reach tricky spots with ease.

⇒Finishing Up

In both, I close those tiny cuts with stitches or glue once the hernia’s fixed. You’ll wake up in a recovery room, groggy but on your way to healing.

What’s Different About Them?

Now that you see how they work, let’s talk about what sets them apart.

The Tools and Control

  • Laparoscopic: I’m in charge, holding the tools myself. It’s like drawing with a pencil—I control every move, but my hands can only bend so far.
  • Robotic: The robot’s my helper. It’s like using a super-smart paintbrush that can twist any way I want, guided by my hands on the controls. That extra flexibility can be a game-changer for tough cases.

The View Inside

  • Laparoscopic: The screen’s flat, like a photo. I’ve trained my eyes to understand it perfectly, but it’s not as lifelike.
  • Robotic: The 3D view is like being inside your belly. I can see every curve and corner clearly, which helps when things are complicated.

Time in Surgery

  • Laparoscopic: Usually quicker to start and finish—about 45 minutes to an hour for a hernia fix.
  • Robotic: Takes longer to set up—sometimes an extra 20-30 minutes—because of the robot. The surgery itself might take a bit more time too, depending on the case.

One of my patient, a 48-year-old teacher, asked me, “Which one’s faster?” Her hernia was small, so I explained laparoscopic would be quick and simple for her.

But for another patient, with a big hernia and past belly surgeries, robotic made sense—the 3D view and robot’s reach helped me navigate his scars safely, even if it took a little longer.

What’s Good and Not-So-Good About Each?

Both are great options, but they’ve got ups and downs. Let’s look at them.

1.Laparoscopic Surgery: Pros and Cons

 

The Good Stuff

  • Quick and Proven: I’ve done it for years—it’s reliable and fast for most hernias.
  • Less Setup: No big machines, so we get started right away.
  • Widely Available: Most hospitals have the tools, and I can do it anywhere.

The Not-So-Good

  • Limited Reach: My hands can only move so much, so super tricky spots might be harder to fix.
  • Flat View: The 2D screen works fine, but it’s not as detailed as 3D.


2.Robotic Surgery: Pros and Cons

The Good Stuff

  • Super Precise: The robot’s arms can twist and turn like nothing else, perfect for complex hernias.
  • Better View: That 3D screen makes everything crystal clear—I miss nothing.
  • Less Shaking: The robot steadies my moves, so it’s smooth even if I’ve had a long day.

The Not-So-Good

  • Takes Longer: Setting up the robot adds time, which might not suit everyone.
  • Cost: It’s pricier because of the machine—though insurance often helps.
  • Not Everywhere: Not every hospital has a robot, but we do at DOSS India.

Which One’s Better for Hernias?

Here’s the thing—there’s no “better” for everyone. It depends on your hernia and your body.

When Laparoscopic Wins

  • Simple Hernias: If your hernia’s straightforward—like a first-time groin bulge—laparoscopic is fast and effective.
  • Healthy and Active: Younger folks with no past surgeries heal quick with this.
  • Time Matters: Need to be back on your feet soon? This gets you there fast.

When Robotic Shines

  • Tricky Hernias: Big ones, repeat hernias, or ones near old scars? Robotic’s precision is a lifesaver.
  • Older or Complex Cases: If you’ve got other health stuff going on, the robot helps me work safer.
  • Less Pain Sometimes: Studies—like one from the Journal of Robotic Surgery—show robotic can mean less soreness for some.

What About Recovery?

Good news—both get you home fast, usually the same day. Here’s how it shakes out:

Laparoscopic Recovery

  • Back to light stuff—like walking or desk work—in a few days.
  • Full action—like lifting or sports—takes 2-4 weeks.
  • Tiny scars fade quick.

Robotic Recovery

  • Pretty similar—light activity in days, full strength in weeks.
  • Some say less pain because of the precision, but it varies.
  • Same small scars, just as neat.

Common Questions Patients Ask Me

I hear these a lot in my Pune clinic:

  • “Will it hurt?” Not during— you’re asleep! After, it’s mild soreness, manageable with pills.
  • “Which is safer?” Both are super safe when done right. I’ve got years with both.
  • “Can it come back?” Rare with either—about 1-2%—if we use mesh and you rest well.
  • “How do I choose?” We talk—your hernia, your health, your life. I’ll guide you.

One patient asked, “Is robotic worth it?” His hernia was complex, so I said, “For you, yes—the robot’s edge makes it smoother.” He trusted & it worked out for him.

Your Next Steps: A Checklist

If you’re facing a hernia or just curious, here’s what to do:

  • Check Yourself: Feel a lump? Does it bulge when you cough? Note it down.
  • Talk It Out: Tell me your symptoms—pain, size, how long it’s been.
  • Ask Questions: Want to know more? Bring your doubts to our chat.

See Me Soon: Don’t wait if it hurts or grows—let’s fix it early.

Final Thoughts: You’ve Got Options

Laparoscopic and robotic surgery both fix hernias with small cuts, but they’re different tools in my hands. Laparoscopic is quick and trusty for simpler cases; robotic brings precision and a 3D view for the tough ones. It’s not about one being “better”—it’s about what’s right for your hernia, your body, and your recovery.

I’ve seen 100s of cases walk out happier with both. The key? Knowing what’s up and acting on it. Spot a bulge? Feel off? Reach out. 

At DOSS India, we’ll sort it together—because you deserve to feel good again. Let’s make it happen!

April 10, 2025 by

Can Obesity Increase the Chances of Breast Cancer?

Did you know that obesity is responsible for up to 20% of all cancer-related deaths? It’s a heavy statistic to hear, isn’t it? But it’s also a wake-up call for us to take a closer look at how body weight can influence our risk for diseases like breast cancer.

Now, to answer the big question right away—yes, obesity is a known risk factor for breast cancer, particularly in postmenopausal women. However, this relationship goes much deeper than just weight gain. Today, we’re going to explore this connection step by step, breaking it down in a way that’s easy to understand.

Can Obesity Increase The Chances Of Breast Cancer?

What Does Research Say?

First, here’s the backbone of what science tells us. Researchers have uncovered a strong relationship between obesity and breast cancer, especially for women who are postmenopausal.

Why? After menopause, your ovaries stop producing estrogen, but fat tissue doesn’t. Instead, it takes over as the primary source of estrogen, creating excess levels in your body. Elevated estrogen can fuel certain types of breast cancer, especially estrogen receptor-positive (ER+) breast cancers.

Real-world studies reinforce this. According to the National Cancer Institute, women with higher body fat are at significantly greater risk for breast cancer.

A study in JAMA Oncology even revealed that postmenopausal women with a BMI over 30 had a 20–40% higher risk of developing breast cancer compared to those within a healthier weight range.

How Obesity Fuels Breast Cancer Risk?

But what’s actually happening inside the body? The link between obesity and breast cancer isn’t random—it’s tied to several complex mechanisms. Here’s a closer look at what’s going on unseen beneath the surface:

  1. Chronic Inflammation
     Fat cells produce inflammatory substances. Chronic inflammation acts like a silent fire in your body, creating an environment that’s favorable for cancer cells to grow and multiply.
  2. Excess Estrogen
     We touched on this earlier, but let’s break it down more. Fat tissue releases estrogen after menopause. When your estrogen levels are persistently high, it stimulates cell growth in the breast tissue—including tumor cells, if present.
  3. Insulin Resistance & Growth Factors
     Obesity often leads to insulin resistance, which increases levels of a growth hormone called IGF-1. This hormone can act like fertilizer for cancer cells, encouraging them to grow.
  4. Hormonal Imbalance—Adipokines
     Obesity affects hormones like leptin and adiponectin. Leptin goes up, fueling cancer risk, while adiponectin, which has protective effects, goes down. This hormonal shift tips the scales in favor of cancer development.

Are All Obese Women at Risk?

Here’s where things get nuanced. Not all obesity carries the same level of risk. For example:

  • Abdominal Fat vs. Overall Fat: Carrying excess weight around your abdomen (think visceral fat) poses a higher risk than fat distributed elsewhere in the body.
  • Weight Gain Timing: Gaining weight later in adulthood appears riskier than being overweight during your younger years.

And don’t forget genetic factors. If you have a family history of breast cancer, your risk is already higher, and obesity can compound that.

Concerned about obesity and breast cancer risk? DOSS India, Pune’s leading obesity treatment center, offers expert solutions for lasting weight management. Take charge of your health today—book a consultation now!

Different Breast Cancer Subtypes

What makes this even more complex? Obesity isn’t linked to all types of breast cancer in the same way. For example:

  • ER-Positive Breast Cancer sees a strong connection with obesity due to the hormone-driven nature of this subtype.
  • Triple-Negative Breast Cancer is more strongly linked with abdominal obesity, even though hormones don’t directly play a role in this type.

Interestingly, for HER2-positive breast cancers, the relationship with obesity is still unclear, and more research is needed.

The Impact on Prognosis

Okay, so obesity increases breast cancer risk—but what if someone who is obese gets diagnosed? Unfortunately, they may face worse outcomes. Studies show that obese patients tend to have larger tumors at diagnosis, higher recurrence rates, and poorer survival compared to those with healthy body weight.

Here’s some hope, though. Recent findings suggest that losing weight after diagnosis may improve survival rates, though it’s not a magic bullet and needs to be combined with medical treatments.

Can Weight Loss Reduce Breast Cancer Risk?

Absolutely. Shedding excess weight can have a profound impact on reducing risk. But how?

  1. Hormonal Balance: Weight loss reduces fat tissue, which decreases estrogen production and helps balance other hormones.
  2. Dietary Changes: Integrating anti-inflammatory foods like leafy greens, berries, and fatty fish can lower overall inflammation. Foods like flaxseeds and soy, which help balance estrogen, also play a role.
  3. Exercise: Regular physical activity not only helps with weight loss but also lowers breast cancer risk directly by improving insulin sensitivity and reducing inflammation.
  4. The Impact of Moderate Weight Loss: A loss of just 5-10% of body weight can significantly lower your risk, according to studies.

    Take control of your health with expert weight loss treatment in Pune. Reduce your risk and achieve lasting results with personalized care. Book a consultation today!

Addressing Myths & Misconceptions

There are a lot of misconceptions when it comes to obesity and breast cancer. Here’s the truth behind a few common ones:

  • “Obesity only affects older women”: Not true. It increases breast cancer risk across ages.
  • “Thin women have no risk”: False. Thin women may have other risk factors, like a strong family history or exposure to certain environmental toxins.
  • “Weight loss doesn’t help”: It absolutely does. Lifestyle changes can lower risk and improve overall outcomes.

Simple Steps to Reduce Risk

Here’s where you can take action today to lower your risk and feel empowered about your health:

  • Start Early Screening: If you’re at high risk, early mammograms or genetic counseling might be vital.
  • Personalized Lifestyle Plans: A healthy diet, regular exercise, and weight management tailored to your needs can do wonders.
  • Seek Professional Help: If weight loss feels out of reach, consult  weight loss specialists for medical or surgical options to manage obesity.

FAQs

1.Does obesity increase risk for other types of cancer?
 Yes, cancers like colon, kidney, and liver cancer are also tied to obesity.

2.What BMI is considered “high risk” for breast cancer?
 A BMI of 30 or higher is considered obese and linked to higher risks.

3.Can intermittent fasting help?
 Yes, early studies suggest it can regulate insulin levels and aid in weight loss, reducing cancer risk.

Wrapping It Up

Obesity and breast cancer might be interconnected, but that doesn’t mean you’re powerless. Small, actionable changes—better food, more movement, regular checkups—can make a big difference.

If you’re feeling inspired to take control of your health today, talk to your doctor, create a personalized plan, and share this knowledge with the women in your life. After all, isn’t it time we prioritized prevention and took charge of our future?

March 23, 2025 by

What Does the Appendix Do? Its Role in Gut Health & Immunity

Have you ever wondered about the purpose of the appendix? For years, we’ve been told it’s a “useless” organ, serving no significant role in the human body. Some have even joked that it’s a biological mistake! But is that really the whole story? What if this small, finger-like structure attached to your large intestine is hiding a crucial secret about your health?

To answer that burning question, here’s the quick scoop—the appendix is no longer thought to be a forgotten remnant of evolution. Recent studies reveal it plays a role in gut health and immunity. And understanding why we have an appendix could help us safeguard against bigger health issues, like appendicitis.

Now, buckle up—we’re about to uncover everything you need to know about your appendix and why it may matter more than you think.

Main reason to get an appendix

What is the Appendix, Really?

To set the stage, let’s get familiar with the appendix. This little thing is about 3 to 4 inches long and usually sits in the lower right corner of your abdomen, where it’s connected to your large intestine. It’s like an anatomical sidekick—easy to miss until it suddenly demands attention (hello, appendicitis).

Though it doesn’t produce digestive enzymes or take a starring role in nutrient absorption, its importance is more subtle. Imagine it as a backup power generator for your gut health, quietly standing by, ready to help when things go wrong.

Visualizing the Anatomy

Picture the appendix like a small worm hanging off the large intestine. Scientists call this the “vermiform appendix,” which literally means “worm-shaped.” Its exact location varies slightly from person to person, but it’s always hanging out near your cecum—that’s the pouch where your small intestine empties into the colon.

It’s easy to dismiss the appendix because it doesn’t do anything obvious. But as you’re about to learn, its quiet contributions are actually pretty fascinating!

Why Do Humans Have an Appendix?

For years, the prevailing belief was that the appendix was vestigial, or leftover from evolution—a relic from when our ancestors needed help digesting tough plant material. Even Charles Darwin shrugged it off as pretty pointless for modern humans. Case closed, right?

Not so fast. Enter modern science!

Researchers have discovered that the appendix isn’t just a dietary throwback for salad-loving ancestors. Instead, it may act like a “safe house” for good bacteria in your gut. When illness wipes out the friendly microbes in your digestive system (think diarrhea or serious infections), the appendix steps in, offering a protected reserve of bacteria to help replenish your gut.

This idea has turned our understanding of the appendix on its head. It might not be front and center every day, but when your gut needs reinforcements, the appendix is ready.

Do Other Animals Have Appendices?

Interestingly, some herbivores like rabbits, koalas, and rodents have much larger appendices, as they primarily use them to digest fibrous plants. Our smaller appendix suggests it’s evolved for a different function—one more aligned with immunity and bacteria maintenance.

Basically, the appendix is more like a chargeable backup battery for your gut than a leftover relic collecting dust.

The Appendix’s Role in Gut Health & Immunity

Here’s where things get even more fascinating. Modern studies suggest the appendix is not a random anatomical accessory—it plays a role in our immune system.

  1. Gut Microbiome Support:
     The appendix acts as a reservoir for beneficial gut bacteria. Think of it like a storage pantry for your microbiome. When something, like a nasty stomach bug, clears out good bacteria, the appendix supplies fresh troops to help restore balance.
  2. Immunity:
     The appendix contains lymphoid tissue, which produces immune cells that help your body fight infections. It’s part of your gut-associated lymphoid tissue system, or GALT, which is critical to protecting your immune system from harmful invaders.

Can You Live Without It?

Yes, you can live without your appendix—and plenty of people do. But studies suggest that people whose appendix has been removed might take longer to recover their microbiome after gut infections. While it’s not vital, having one likely gives you a slight advantage to bounce back quickly after illness.

Why Do People Have Their Appendix Removed?

Okay, here’s the big question—what’s the number one reason people lose their appendix? You guessed it—appendicitis.

What is Appendicitis?

Appendicitis is when your appendix becomes inflamed, typically due to a blockage. This blockage traps bacteria, causing the organ to swell and potentially rupture if untreated. This is a medical emergency and requires surgery to remove the appendix—a procedure called an appendectomy.

Early Symptoms to Watch For

  • Sudden pain in the lower right abdomen
  • Nausea or vomiting
  • Loss of appetite
  • Fever and chills
  • Constipation or diarrhea

Many people ignore these early signs, mistaking them for minor stomach issues, but delaying treatment can be dangerous. A ruptured appendix leads to serious complications, like peritonitis, which is life-threatening.

Why Does Appendicitis Happen?

  • Blockage: Often caused by hardened stool or swollen lymph nodes.
  • Gut Bacteria Overgrowth: When bacteria multiply unchecked, they can inflame the appendix.
  • Family History: Genetic factors may make some people more prone to appendicitis.

While it’s hard to predict who will develop appendicitis, it’s most common in people aged 10 to 30.

What Happens If You Remove Your Appendix?

You may be wondering, “Will removing my appendix mess up my gut health?” Here’s what we know.

Short-Term Risks

After surgery, there’s some risk of infection at the incision site or mild digestive discomfort. However, most people recover fully within a few weeks.

Long-Term Effects

While the loss of your appendix might slow down microbiome recovery after major infections, there’s no significant impact on digestion or long-term health for most people. You can absolutely live a normal, healthy life without it.

That said, some researchers suspect that over generations, populations without appendices might experience subtle immune shifts. More studies are needed to confirm if this holds true on a larger scale.

Can You Prevent Appendicitis?

Though there’s no guaranteed way to avoid appendicitis, you can adopt habits that promote overall gut health, potentially lowering your risk.

  • Diet Choices: A fiber-rich diet with whole grains, fruits, and vegetables may reduce the chances of blockages that can spark appendicitis.
  • Lifestyle: Staying hydrated and active supports digestion, which in turn helps your gut stay healthy.
  • Probiotics: Consuming foods like yogurt or taking supplements can support a robust gut microbiome.

And, of course, don’t ignore abdominal pain—early intervention is always key.

Debunking Appendix Myths

You’ve probably heard a few myths about the appendix. Time to set the record straight!

  • “The appendix is useless.” False—it serves important roles in gut health and immunity.
  • “Everyone gets appendicitis eventually.” Not true. Many people live their entire lives with a perfectly healthy appendix.
  • “Removing your appendix weakens your immune system.” Sort of true, but the impact is minor for most people.

FAQ's

1.Why do some people never get appendicitis?
 It may depend on genetics, diet, and general gut health.

2.What foods help prevent appendicitis?
 High-fiber foods like fruits, vegetables, and whole grains may support digestive health.

3.Does the appendix grow back after removal?
 No, once removed, it’s gone for good.

4.Can appendicitis happen without warning?
 Yes, in some cases, symptoms appear and escalate rapidly.

5.Is appendix surgery dangerous?
 Appendectomies are routine and highly safe when performed early.

Final Thoughts

The humble appendix is more than just a forgotten organ. It’s a vital player in gut health and immunity, quietly helping your body even though we often take it for granted. Learning about its role might not prevent appendicitis, but it can inspire smarter choices for gut health—and help you take quick action if symptoms arise.

If you’ve got lingering questions or unexplained abdominal pain, talk to a doctor in pune. A little knowledge can go a long way when it comes to understanding (and protecting) this tiny but mighty organ.

Related Read : Appendicitis surgery cost in Pune

March 17, 2025 by

Does Work Stress Lead to Weight Gain?

Ever stepped on the scale after a particularly stressful workweek and thought, “Wait, where did those extra pounds come from?” You’re not alone. For many people, work stress silently nudges those numbers higher—and before you know it, your favorite jeans don’t fit as comfortably as they used to.

Here’s the quick answer: Yes, work stress can lead to weight gain. Stress ramps up cortisol levels in your body, which triggers cravings, slows down your metabolism, and creates a perfect storm for accumulating extra fat, especially around your belly.

But this isn’t just about aesthetics—chronic stress-related weight gain can increase your risk for serious health problems like obesity, type 2 diabetes, and heart disease.

Don’t stress (ironic, right?). Together, we’ll explore how work stress impacts weight and, most importantly, what you can do to stop this cycle.

Does Work Stress Lead to Weight Gain?

Understanding Stress and Weight Gain

To understand how work stress leads to weight gain, we need to take a mini deep-dive into the science of stress.

How Stress Affects the Body?

When you’re under stress, your body releases a hormone called cortisol. Known as the “stress hormone,” cortisol is like an internal alarm system—it prepares your body to fight or flee. While helpful in short bursts (like dodging a rapidly approaching deadline), sustained high cortisol levels can wreak havoc.

Here’s what happens:

  • Cortisol Triggers Cravings: It often makes you crave comfort foods loaded with sugar and fats. These “quick fix” foods spike your energy temporarily but contribute to long-term weight gain.
  • Metabolic Slowdown: Stress can slow your metabolism, meaning your body burns fewer calories at rest.
  • Fat Storage King: High cortisol levels encourage fat storage, especially around the abdomen.

Why Work Stress Hits Harder?

Stress comes in many forms—family, relationships, finances—but work stress? It’s a beast of its own. Long hours, back-to-back deadlines, and the pressure to perform can turn work into a major stress factory.

And once stress dials turn up, a cycle begins:

  • Stress → Cortisol surge → Cravings → Overeating → Fat storage → Less activity → More stress

If this sounds all too familiar, keep reading. You’re not alone, and there are ways to break free.

Why Work Stress Is a Unique Trigger?

Ever wondered why work-related stress feels different from other types of stress? It’s because the nature of work stress often magnifies bad habits and leaves little room for healthier alternatives.

Work-Specific Stressors That Impact Weight

  1. Sedentary Jobs: Most office roles mean sitting for hours at a time. Lack of movement makes it easy for calories to stick around as fat.
  2. Stress Snacking: Ever polished off a bag of chips at your desk without realizing it? Emotional eating is common in high-stress environments.
  3. Night Shifts & Irregular Hours: Shifting work schedules disrupt your body’s natural rhythm, affecting your metabolism and hunger hormones.
  4. Burnout & Sleep Deprivation: Poor sleep doesn’t just drain your energy—it messes with hunger-regulating hormones, making you crave more food.

Work Stress vs. Other Stress

Compared to other stressors like family or financial issues, work stress is particularly linked to unhealthy habits because:

  • Time constraints leave little room for meal prep or exercise.
  • The workplace environment often encourages vending machines and cafeteria temptations.
  • Chronic pressure can normalize emotional eating or mindless snacking.

How Work Stress Messes with Eating Habits?

Food and emotions—why do they go hand in hand? When you’re stressed at work, eating often becomes more about comfort than nutrition.

Emotional Eating & Comfort Foods

Cortisol doesn’t just make you want sugary or fatty foods—it biologically drives you toward them. These foods temporarily reduce stress hormones, making you feel better. But the relief doesn’t last long, and it kicks off a cycle of dependency.

Mindless Eating at Work

Picture this: You’re in a meeting, browsing your emails, or trying to beat a deadline. Without even realizing it, you’ve eaten five cookies from the break room. That’s mindless eating—a habit linked to distracted workplaces.

Binge Eating After Hours

For some, stress builds throughout the workday and peaks at night. Exhaustion combined with built-up anxiety often leads to overeating after work, tipping the calorie scale even further.

The good news? By identifying these patterns, you can start changing them. Relief is closer than you think.

How to Stop Work Stress from Causing Weight Gain?

There’s no magic bullet, but with a few lifestyle tweaks, you can regain control. Here are actionable strategies to try today:

  1. Mindful Eating at Work: Slow down while you eat and savor each bite. Pre-pack meals to avoid impulsive decisions at the office cafeteria.
  2. Stress-Relief Techniques: Take three minutes to practice deep breathing. Even short breaks can lower cortisol levels.
  3. Move More: Set an alarm to stand every hour. Opt for walking meetings or take the stairs instead of the elevator.
  4. Prioritize Sleep: Seven to nine hours of rest is non-negotiable—it helps regulate cortisol and hunger hormones.
  5. Snack Smart: Keep healthy options like almonds, Greek yogurt, or carrot sticks on hand instead of chips or cookies.

Remember, consistency beats perfection.

How Employers Can Help?

Reducing work stress isn’t just an individual effort—companies play a big role too. Employers can support staff through initiatives that promote health and reduce stress.

  1. Wellness Programs That Work: Beyond just offering gym memberships, some companies provide nutrition coaches, yoga classes, or mental health workshops.
  2. Healthy Food Options: Swap junk-filled vending machines with nutritious snack choices.
  3. Flexible Work Options: Remote work or flexible schedules can reduce burnout and improve work-life balance.

Addressing Long-Term Risks

Unchecked work stress isn’t just about gaining a few pounds—it can have serious repercussions. Stress-induced weight gain has been linked to:

  • Obesity and Cardiovascular Issues: Increased belly fat raises the risk of heart disease.
  • Diabetes: Stress-eating habits often involve high-sugar foods, fueling insulin resistance.
  • Mental Health Struggles: Anxiety, burnout, and even depression can result from chronic stress.

The key is intervention—don’t ignore the early signs.

For expert guidance on managing stress-related weight gain, consult Dr. Neeraj Rayate, the best obesity doctor in Pune. Take control of your health today!

FAQs

1.Does stress directly cause weight gain, or is it bad eating habits?
 Both! Stress encourages overeating and cravings but also slows metabolism and promotes fat storage through cortisol.

2.How can I tell if work stress is making me gain weight?
 Look for patterns—stress-snacking, poor sleep, skipped workouts, and a growing waistline are telltale signs.

3.Can you lose weight while stressed?
 Yes, with mindful eating, movement, and stress management techniques.

4.What foods fight stress-induced cravings?
 Try complex carbs (like oatmeal), protein (like eggs or nuts), and mood-boosting foods like dark leafy greens and fish rich in omega-3s.

Take Control of Your Health Today

Work stress and weight gain might feel intertwined, but they don’t have to be a permanent duo. By identifying the triggers, making small adjustments, and being intentional, you can regain control over your health.

Break Free from Obesity!

Get expert care with Dr. Neeraj Rayate, Pune’s leading obesity doctor.

Book your consultation now!

March 13, 2025 by

Difference Between Appendix and Gas Pain

Have you ever felt a sharp pain in your abdomen and thought, “Is this just gas, or could it be something serious—like appendicitis?” Don’t worry, you’re not alone. Many people experience abdominal pain and feel stumped about what’s causing it. After all, gas and appendix pain can sometimes feel startlingly similar, especially if the discomfort takes you by surprise.

The good news? With a little knowledge about the key differences between the two, you can better understand what your body is trying to tell you. Gas pain typically comes and goes, improving after you pass gas or have a bowel movement. Appendicitis, on the other hand, doesn’t go away—it progressively worsens and can need urgent medical care.

Understanding the difference can literally be a matter of life and death. Let’s break it all down together so you can know when to relax and when it’s time to call the doctor.

Difference Between Appendix And Gas Pain

Understanding the Appendix and Gas Pain

Before we compare the two, it helps to know what we’re dealing with. What exactly is the appendix, and how does gas pain happen?

What is the Appendix?

The appendix is a small, tube-like structure about 3-4 inches long, located in the lower right side of your abdomen.

It’s attached to the large intestine at a junction called the cecum. Think of it as a “dead-end path” with no through traffic.

For years, scientists thought it was useless—just a leftover organ from evolution. But recent research shows its contribution is more subtle.

The appendix plays a role in gut health, serving as a storage center for good bacteria that can help rebuild your microbiome after an illness.

However, this small organ can sometimes become inflamed, leading to a condition called appendicitis, which requires immediate medical intervention.

What is Gas Pain?

Now, gas? That’s something we’re more familiar with, right? Gas pain occurs when excess air builds up in your stomach or intestines. This can happen from swallowing air, eating certain foods, or even normal digestion processes like fermentation.

Unlike appendix pain, gas pain feels crampy, moves around, and often resolves once the gas is passed. It’s uncomfortable but harmless in most cases.

Key takeaway: Gas is a temporary, natural process, while appendix pain signals something much more urgent.

Key Differences Between Appendix Pain and Gas Pain

Sometimes, these two types of pain can feel similar at first. To clarify things further, here’s a handy comparison table:

Feature

Appendix Pain

Gas Pain

Location

Lower right abdomen (after starting near navel)

Anywhere in the abdomen, often shifting

Pain Type

Sharp, constant, worsens over hours

Crampy, bloating, and fluctuates

Relief Methods

No relief from movement or position change

Improves after passing gas or bowel movement

Associated Symptoms

Fever, nausea, vomiting, loss of appetite

Bloating, belching, mild discomfort

Urgency

Medical emergency

Usually harmless, resolves on its own

This table is a helpful starting point, but it’s always important to pay attention to additional symptoms. A fever or persistent pain is often a red flag for appendicitis rather than gas.

Symptoms That Indicate Appendicitis

Appendicitis begins subtly but gets worse over time. If you’re experiencing the following symptoms, don’t take a “wait and see” approach—it’s time to seek medical help:

  • Pain migration: Initially, the pain may start around your belly button. Over a few hours, it typically shifts to the lower right side of your abdomen.
  • Persistent pain: It doesn’t ebb and flow—it just keeps getting worse.
  • Nausea and vomiting: Often accompanies the pain.
  • Loss of appetite: Even your favorite foods might seem unappealing.
  • Fever: A low-grade fever is common, and it may escalate if the condition worsens.

Emergency Signs to Watch For

  • Sudden relief of pain: Paradoxically, this can be a bad sign—it may indicate a ruptured appendix.
  • Severe constipation or inability to pass gas: Combined with sharp pain, this could signal appendicitis, not regular gas.

Symptoms That Suggest Gas Pain

On the flip side, gas pain is far less sinister. It may feel intense, particularly if it causes bloating, but it’s usually short-lived.

Here’s how to spot gas-related discomfort:

  • Temporary discomfort: Gas pain often shifts locations as it moves through your digestive system.
  • Relieved by movement: Unlike appendicitis, changing your position or walking around can help ease gas pain.
  • Pass gas or burp: Experiencing relief after this? It’s almost certainly gas.
  • Lack of fever or serious symptoms: Gas pain doesn’t come with fever, nausea, or other alarming signs.

Still unsure? Pay attention to how your symptoms evolve. If they improve over a few hours, chances are it’s just gas.

How Doctors Diagnose Gas Pain vs. Appendicitis

If you’re in doubt, it’s always a good idea to consult a doctor. Here’s how medical professionals differentiate the two at a clinic or hospital:

  1. Physical Exam: Doctors often press on specific areas of your abdomen, like McBurney’s Point (located on the lower right side) to check for rebound tenderness—a common sign of appendicitis.
  2. Blood Tests: High white blood cell counts may point to an infection, a hallmark of appendicitis.
  3. Imaging: Ultrasounds or CT scans can confirm if the appendix is inflamed or if it’s just gas-related bloating.

What You Can Try at Home

  • Rebound Tenderness Test: Gently press on your lower right abdomen and quickly release. If the pain worsens when you release, it’s likely appendicitis.
  • Gas Trial: Try passing gas or using the restroom. If the pain diminishes, you’ve likely cracked the mystery—it’s gas!

Addressing Common Myths

There’s a lot of confusion about gas pain and appendicitis, so here’s the truth behind some widespread myths:

  • “Gas pain can turn into appendicitis.” False. These are entirely separate conditions. However, severe bloating can feel similar to appendicitis in some cases.
  • “Appendicitis pain comes and goes.” False. It typically worsens over time and doesn’t subside.
  • “Everyone with appendix pain gets surgery.” Mostly true—while there’s rare success with antibiotics alone, surgery is the gold standard for appendicitis.

Prevention Tips for Both Conditions

To Prevent Gas Pain:

  • Avoid trigger foods like carbonated drinks, beans, and excess sugar.
  • Stay hydrated and active—this keeps digestion running smoothly.
  • Incorporate fiber-rich foods like fruits, veggies, and whole grains to prevent bloating.

To Lower Appendicitis Risk:

There’s no guaranteed way to prevent appendicitis, but a diet rich in fiber can help maintain overall gut health. Supporting your microbiome with balanced meals and good hygiene may play a role in reducing the chances of inflammation and infection.

When to Seek Medical Help?

Trust your instincts! If your abdominal pain matches symptoms of appendicitis, don’t hesitate—get checked immediately. The earlier appendicitis is caught, the easier it is to treat.

When in doubt, always consult a healthcare provider. It’s better to be safe than sorry when it comes to your health. Remember, appendix pain requires action, while gas pain often resolves with time and a few gentle lifestyle tweaks.

Take care of your gut with expert guidance from DOSS India,Pune—your trusted partner in digestive health. Book a consultation today!

 

March 5, 2025 by

Is Obesity Genetic?

When it comes to obesity, one of the most common questions people ask is, “Is it in my genes, or can I do something about it?” Obesity is a complex condition influenced by more than just lifestyle choices. Research suggests genetics can play a significant role too.

Globally, over 650 million adults and 340 million children and adolescents are obese, according to the World Health Organization (WHO).

Your genes can affect everything from how your body stores fat, to your appetite, to how efficiently you burn calories. But is it all predetermined?

The short answer is no—genetics sets the stage, but lifestyle and environment also play crucial roles.

 Let’s explore how obesity and genetics are connected and what you can do to take control.

Is Obesity Genetic?

The Science Behind Obesity and Genetics

How Do Genes Influence Obesity?

Your DNA holds the blueprint for every process in your body, including how you process food and store fat. Specific genes, like FTO (fat mass and obesity-associated gene) and MC4R (melanocortin 4 receptor gene), have been identified as major players in obesity.

Here’s what these genes do:

  • FTO Gene: Influences appetite and how your body stores fat. People with certain FTO variants may feel hungrier and consume more calories.
  • MC4R Gene: Affects hunger and energy expenditure. Mutations can lead to overeating and weight gain.

Real-World Genetic Disorders

There are also rare genetic conditions that lead to severe obesity. For example:

  • Prader-Willi Syndrome: A condition caused by a genetic abnormality that leads to an insatiable appetite and weight gain.
  • Leptin Deficiency: Leptin is a hormone that signals fullness. A genetic mutation in leptin production can lead to constant hunger.

While these specific genetic disorders are rare, they highlight how powerful genetics can be in controlling appetite and weight.

Epigenetics: How Lifestyle Can Modify Genetic Risks

Here’s something fascinating—your genetics aren’t destiny. This is where epigenetics comes in. Epigenetics looks at how your behavior and environment can switch certain genes on or off.

For example:

  • A poor diet packed with processed foods may activate genes linked to fat storage.
  • Regular exercise can switch off genes that increase inflammation and body fat.

Real Example

A study published in Nature showed that people with the FTO obesity gene who were physically active reduced their genetic risk of obesity by 30%.

This means even if you carry the “obesity gene,” your lifestyle choices still matter a lot.

Key takeaway? Your choices can influence how your genes express themselves.

Gene-Environment Interaction: The Real Cause of Obesity?

Genes load the gun, but environment pulls the trigger. Genetic predisposition might make you more likely to gain weight, but factors like diet, exercise, and stress often determine how much of that genetic risk actually manifests.

Modern Lifestyles Magnify Genetic Risks

  • Processed Foods: High-calorie, low-nutrition foods are now a staple in many diets.
  • Sedentary Habits: Long hours of sitting and low physical activity amplify weight gain.

Case Study

Take Japan, for example. Japanese populations carry genetic variants predisposing them to obesity. Yet, their obesity rates are significantly lower than in Western populations. 

Why? A diet rich in vegetables, fish, and minimally processed foods, combined with an active lifestyle, helps offset their genetic risks.

Your environment can either work with or against your genetic predisposition to obesity.

Can Genetic Testing Predict Obesity?

Genetic testing has become a hot topic lately. It can identify specific genes associated with obesity and provide insights into potential risks.

Should You Consider It?

Genetic testing might be useful if:

  • You have a strong family history of obesity or related conditions like diabetes.
  • You’ve struggled with weight loss despite making healthy changes.

How Does It Help?

Once you know your genetic risks, you can develop personalized plans for diet and exercise. For instance:

  • If your genes suggest a risk for overeating, you may benefit from appetite-suppressing strategies or specific foods that promote satiety.

While genetic testing isn’t a crystal ball, it can be a valuable tool for tailoring your health plan.

Psychological and Behavioral Genetics: The Mind-Obesity Connection

Have you ever felt like you’re always hungry, even after eating? Or do you crave unhealthy foods when stressed?

These behaviors might have a genetic basis.

Appetite and Cravings

Appetite regulation involves several hormones (like leptin and ghrelin) and brain chemicals (like dopamine). Some people have genetic variations affecting these processes, making them more prone to overeating or emotional eating.

Example:

  • Dopamine and Food Addiction: Genes influencing dopamine levels can make certain people more likely to find high-calorie junk food “rewarding,” leading to overeating.

Overcoming Genetic Tendencies

Here are proven strategies:

  • Mindful Eating: Focus on what you eat and limit distractions during meals.
  • Dietary Tweaks: Choose foods rich in fiber and protein—they promote fullness and control cravings.

Your genetics might make you more vulnerable, but smart habits can help you stay in control.

Emerging Therapies and Future Research in Genetic Obesity Treatment

The future of obesity management looks promising, thanks to cutting-edge research.

Gene Therapies

Researchers are exploring how to edit obesity-related genes. For instance, CRISPR technology has been investigated for modifying genes like FTO to reduce fat storage.

New Medications

Medications that target genetic mechanisms of obesity are showing promise. For example:

  • Drugs that regulate appetite hormones like leptin and ghrelin.
  • Medications that improve how your body burns energy.

Personalized Medicine

AI-based tools use genetic data to create customized diet and fitness plans, ensuring better outcomes for individuals with obesity.

FAQs About Obesity and Genetics

1.Can obesity be reversed even if it’s genetic?
Yes! While genetics may increase your risk, lifestyle changes like healthy eating and regular exercise can significantly improve your outcomes.

2.Do genes play a role in childhood obesity?

Absolutely. Children inherit genetic predispositions from their parents, but early interventions, like encouraging physical activity and balanced diets, can help prevent obesity.

3.Is there a specific diet for people with genetic obesity?

No one-size-fits-all diet exists. However, high-fiber, low-glycemic diets have shown to be effective for managing obesity in genetically predisposed individuals.

4.Does exercise help if my obesity is genetic?

Yes! Physical activity not only burns calories but also influences how your genes express themselves, reducing obesity risk.

5.Are there medical treatments targeting genetic obesity?
Yes, emerging therapies like gene editing and drugs targeting appetite and metabolism are being developed for genetic obesity.

Take Control of Your Health Today

While genetics plays a role in obesity, you’re not powerless. Smart lifestyle choices, behavioral strategies, and advances in personalized medicine can help you take control.

Want more guidance? 

Consider speaking to a health expert or exploring genetic counseling to better understand your risks and create a tailored plan. Remember, you’re in charge of writing your health story!

Break Free from Obesity!

Get expert care with Dr. Neeraj Rayate, Pune’s leading obesity doctor.

Book your consultation now!

February 15, 2025 by

Does obesity cause snoring?

Have you been told that your snoring is keeping everyone awake? Or maybe you’re wondering if your weight might be playing a role. Snoring and obesity often go hand-in-hand, and understanding why can help you take steps to address both.

Snoring happens when airflow is restricted as you breathe, causing vibrations in your throat tissues. For individuals with obesity, this problem can be more common due to unique physiological factors. 

But why does this happen? And does your weight guarantee you’ll snore?

Let’s explore the connection in detail and look for ways to improve your sleep health.

Does obesity cause snoring?

The Science Behind Snoring and Obesity

What Causes Snoring?

Snoring starts when air can’t move freely through the nose or throat during sleep. This restricted airflow causes the tissues in your throat to vibrate, producing that familiar snoring sound.

Here’s how it often happens:

  • Relaxed Throat Muscles:
    During sleep, the muscles around the airway can relax too much.
  • Soft Tissues Blocking Airflow:
    The tongue may fall back, or excess soft tissue can temporarily block the airway.
  • Narrow Nasal Passages:
    Conditions like nasal congestion or sinus problems can further restrict airflow.

How Obesity Contributes to Snoring?


Now, this is where obesity comes in. Carrying excess weight, especially around the neck and abdomen, makes snoring more likely due to two key factors:

1.Excess Neck Fat:
Excess fat tissue around the neck can put pressure on your airway, making it more likely to collapse during sleep. This is known as peripheral fat deposition and can directly cause snoring.

2.Central Obesity and Breathing:
Abdominal fat can also make it harder to breathe effectively. Increased abdominal pressure limits lung expansion, reducing airflow and making it harder to get oxygen—a condition often seen in belly fat accumulation.

Put simply, obesity makes snoring happen by narrowing your airways and straining your respiratory system.

Why Do Some Overweight People Snore While Others Don’t?

Genetic and Anatomical Factors

Not everyone with obesity snores, and that’s because other factors come into play. Your genes and body structure—like the size and shape of your airway—are major contributors.

For example:

  • A person with naturally narrow airways may snore regardless of their weight.
  • Another individual may have a wider airway, giving them more “room” to breathe freely despite being overweight.

Gender Differences in Obesity-Related Snoring

Men and women also experience obesity-linked snoring differently due to fat distribution and hormones.

  • Men: Tend to store more fat around their necks and upper body, creating a higher tendency for airway collapse.
  • Women: Typically store fat in their hips and thighs, but post-menopause, hormonal changes may shift fat toward the neck area, increasing snoring risk.

The Connection Between Obesity, Snoring, and Sleep Apnea

What is Obstructive Sleep Apnea (OSA)?

Snoring isn’t just a nighttime nuisance—it can also be a warning sign of obstructive sleep apnea (OSA), a serious condition in which breathing repeatedly stops and starts during sleep. OSA is strongly linked to obesity.

The Obesity-Sleep Apnea-Snoring Triad

Here’s how it works:

  • Obesity increases airway obstruction, raising the chances of OSA.
  • Snoring can be an early symptom of OSA.
  • Untreated OSA leads to fragmented sleep, oxygen deprivation, and strain on the cardiovascular system.

If OSA is left untreated, it may contribute to severe health problems like heart disease, high blood pressure, and stroke. That’s why managing snoring isn’t just about quieting the sounds—it’s about protecting your health.

Psychological and Social Impacts of Obesity-Related Snoring

Snoring caused by obesity isn’t just about health; it can also impact your emotional well-being and relationships.

  • Effects on Sleep Quality:
    Poor-quality sleep due to snoring can leave both you and your partner feeling fatigued and irritable the next day.
  • Relationship Strain & Embarrassment:
    Snoring may lead to sleeping in separate rooms or feelings of shame, impacting intimacy.
  • Mental Health Consequences:
    Chronic sleep deprivation can increase stress levels, trigger mood swings, and even contribute to weight gain, creating a cycle that’s hard to break.

How to Reduce Snoring If You Are Overweight?

Improving snoring caused by obesity starts with addressing both weight and sleep habits. Small but consistent changes can lead to significant improvements!

Lifestyle Modifications

1.Lose Weight:
Even a modest 5-10% weight reduction can reduce the fat tissue around your neck and abdomen, lowering the risk of airway obstruction.

2.Exercise Regularly:
Physical activity not only supports weight loss but also strengthens the muscles around the airway.

Breathing Exercises for Snoring:

  • Practice tongue and throat exercises to keep your airways open.
  • Try jaw-strengthening techniques to tone muscles and prevent collapse.

Sleep Hygiene Tips

1.Change Your Sleeping Position:
Sleeping on your back can make snoring worse. Try sleeping on your side to keep your airways open.

2.Elevate Your Head:
Use an adjustable pillow to raise your head slightly and ease breathing.

3.Avoid Sedatives and Alcohol:
These relax throat muscles and make airway collapse more likely.

Medical and Surgical Options for Severe Snoring

If lifestyle changes don’t reduce snoring, consider these options:

Tired of Snoring? Lose Weight, Sleep Better!

Struggling with obesity-related snoring? Dr. Neeraj Rayate, Pune’s top bariatric surgeon, offers expert solutions to help you breathe easier and rest well.

👉 Book Your Consultation Now!

Can You Snore Without Being Overweight?

Yes! Obesity isn’t the only cause of snoring. Other factors include:

  • Allergies and Nasal Congestion:
    Blocked nasal passages can make breathing more difficult, causing snoring.
  • Smoking:
    Irritates airways and increases inflammation, contributing to snoring.
  • Genetics:
    Narrow airways or a deviated septum can cause snoring, regardless of weight.

Even if you’re not overweight, addressing these factors can help reduce snoring.

Emerging Research on Obesity and Snoring

The connection between obesity and snoring continues to be a key focus for researchers.

  • Weight Loss and Sleep: Studies indicate significant improvements in snoring and sleep quality after bariatric surgery.
  • Future Therapies: Genetic studies and new anti-snoring devices are showing promise for treating obesity-related sleep disorders.

FAQs

1.Does losing weight completely stop snoring?

Losing weight often reduces snoring significantly, but other factors like airway anatomy may still contribute.

2.How do I know if my snoring is caused by obesity or another factor?

A sleep study or consultation with a specialist can help identify the exact cause of your snoring.

3.Can obesity-related snoring be reversed?

Yes, with weight loss and the right lifestyle changes, many people see a dramatic improvement.

4.Is snoring always a sign of sleep apnea?

Not always! Snoring can happen on its own, but frequent or loud snoring may indicate sleep apnea.

5.Do certain diets help with snoring and weight loss?

Yes, focus on a balanced diet rich in whole foods, lean proteins, and low in processed sugars to help manage weight and reduce snoring.

Conclusion

Snoring and obesity are closely linked, but the good news is that you can take control with the right strategies. Weight loss, better sleep hygiene, and effective medical options can make a world of difference.

If you’re unsure about the cause of your snoring, don’t ignore it. Consult Doss india who can guide you toward solutions. Taking steps today can not only quiet your nights but also improve your overall health and well-being.

Sleep soundly, breathe freely, and start your healthier tomorrow today!

February 10, 2025 by

The Link Between Obesity and Noncommunicable Diseases

Link Between Obesity and Noncommunicable Diseases

Did you know that obesity is one of the leading risk factors for noncommunicable diseases (NCDs) like diabetes, heart disease, and even some cancers?

NCDs are chronic conditions that develop over time and are not spread through infections. The global rise in obesity rates is directly tied to the surge in these life-altering diseases.

This guide dives into the connection between obesity and NCDs, explains the science behind it, and explores simple yet effective prevention strategies.

Whether you’re trying to prevent these issues or understand how obesity impacts health, this article offers insights you can act on.

What Are Noncommunicable Diseases (NCDs)?

Noncommunicable diseases (NCDs) are medical conditions that cannot be passed from person to person. These are long-term illnesses that often develop due to a mix of genetic, environmental, and lifestyle factors.

Unlike flu or infections, which spread between individuals, NCDs are more about internal imbalances and bodily wear and tear.

Major NCDs Linked to Obesity

Obesity is a significant risk factor for several NCDs, including:

  • Cardiovascular diseases: Includes heart disease and stroke, often linked to high blood pressure and cholesterol.
  • Type 2 diabetes: Caused by your body becoming resistant to insulin, often tied to obesity.
  • Certain cancers: Obesity increases the risk of cancers like colorectal, breast (postmenopausal), and pancreatic cancer.
  • Chronic respiratory diseases: Conditions like obstructive sleep apnea can arise due to fat deposits around the airway.
  • Kidney disease: Often a secondary result of hypertension and diabetes linked to obesity.

The common thread? These diseases don’t appear overnight. They develop gradually, influenced by poor eating habits, lack of physical activity, and other lifestyle factors.

How Obesity Leads to Noncommunicable Diseases: The Science Explained

Ever wondered why obesity causes so many health problems? It comes down to how excess fat disrupts your body’s normal functions. Let’s break it down.

The Role of Chronic Inflammation

When you carry excess body fat, especially around your abdomen, it can lead to low-grade chronic inflammation. This type of inflammation damages tissues and organs over time, setting the stage for conditions like heart disease and diabetes.

Insulin Resistance and Metabolic Syndrome

Excess fat, particularly visceral fat (the fat around your internal organs), makes it harder for your body to use insulin effectively. This condition, called insulin resistance, can eventually lead to Type 2 diabetes. 

Combine that with high blood pressure and abnormal cholesterol levels, and you may develop metabolic syndrome, a cluster of obesity-related risk factors.

Hormonal Imbalances

Fat tissue is more than just energy storage—it’s biologically active and produces hormones. Obesity can disrupt this balance of hormones like estrogen and leptin, increasing your cancer risk, impairing your metabolism, and even elevating your hunger levels.

Psychological and Social Factors Influencing Obesity and NCDs

Obesity isn’t just about physical health—it’s also tied to emotional and social challenges.

Mental Health and Obesity

Stress, anxiety, and depression often lead to emotional eating—a behavior that causes weight gain. The cycle goes like this:

  • Stress leads to overeating unhealthy foods.
  • Excess weight worsens self-esteem, increasing mental health issues. This, in turn, drives further weight gain.

Socioeconomic and Cultural Influences

Income and education levels play a significant role in obesity rates:

  • Low-income communities often face limited access to healthy foods and safe spaces for exercise.
  • Urbanization and desk jobs encourage sedentary lifestyles, contributing to obesity.

Globally, obesity rates vary. For instance, while high-income countries often have the highest rates, some developing nations are rapidly catching up due to the introduction of processed, calorie-dense foods.

The Impact of Urbanization and Lifestyle Changes on Obesity-Related NCDs

The Global Nutrition Transition

Traditional diets rich in whole grains, fruits, and vegetables are increasingly being replaced by processed foods high in sugar, salt, and fat. This unhealthy dietary shift is a leading cause of obesity and, by extension, NCDs.

Sedentary Lifestyles and Screen Time

The rise in desk jobs, excessive screen time, and decreased physical movement is fueling obesity. Technology has made life more comfortable, but it has also drastically reduced calorie-burning activities.

Environmental Factors

Factors like urban planning can either support or hinder healthy living. For example:

  • Cities with parks and safe sidewalks encourage physical activity.
  • Food deserts (areas with limited access to fresh produce) push people toward fast food and unhealthy dietary habits.

How to Prevent Obesity and Reduce the Risk of NCDs

A. Lifestyle Changes for Individuals

Healthy Diet Choices

  • Prioritize whole foods like fruits, vegetables, lean proteins, and whole grains.
  • Reduce intake of processed foods and sugary beverages.
  • Practice portion control to manage calorie intake.

Physical Activity Recommendations

  • Aim for 150-300 minutes of moderate exercise per week, such as walking or cycling.
  • Incorporate strength training into your routine to improve metabolism.

Manage Stress and Sleep

  • Stress increases cravings for high-sugar and high-fat foods. Consider mindfulness techniques like yoga or meditation.
  • Sleep plays a vital role in weight control. Aim for at least 7-8 hours of quality sleep daily.

B. Public Health Strategies and Global Interventions

Government Policies That Work

  • Taxes on sugary drinks and junk food have proven effective in countries like Mexico.
  • Food labeling regulations improve consumer awareness of calorie and nutrient content.

Community and Workplace Initiatives

  • Schools offering balanced meals and promoting physical activity can prevent childhood obesity.
  • Many companies now provide wellness programs to help employees adopt healthier lifestyles.

Case Studies of Successful Anti-Obesity Programs

  • Japan’s Health Check Program: Citizens undergo regular health checks targeting obesity prevention.
  • Amsterdam Healthy Weight Program: A city-wide initiative that successfully reduced childhood obesity rates by promoting healthier living.

The Future of Obesity and NCD Research: What’s Next?


Latest Scientific Findings

Research into gut microbiomes and their role in metabolism may open new avenues for obesity treatment. Scientists are also studying drugs targeting obesity-related hormones like leptin and ghrelin.

Emerging Medical Solutions

Weight-loss surgeries, like bariatric surgery, are becoming safer and more accessible. Additionally, weight management medications targeting fat absorption and appetite hormones are showing promising results.

Policy Changes on the Horizon

Governments worldwide are considering stricter regulations on food marketing, especially those targeting children, as part of combating obesity.

FAQs

  1. Does obesity always lead to NCDs?
    Not always, but obesity significantly increases the risk of developing NCDs. Genetics, lifestyle, and environment also play a role.
  1. Can losing weight reverse obesity-related NCDs?
    Yes! Losing as little as 5-10% of body weight can improve outcomes for conditions like diabetes and cardiovascular disease.
  1. Are genetics a major factor in obesity-related NCDs?
    Genetics do play a role, but lifestyle choices often determine how those genetic risks manifest.
  1. How can workplaces help prevent obesity-related health issues?
    By offering employee wellness programs, subsidized fitness memberships, healthier cafeteria options, and ergonomic workspaces.
  1. What role do food companies play in the obesity epidemic?
    Food companies can contribute positively by reducing sugar, salt, and unhealthy fats in their products and clearly labeling ingredients.

Conclusion

Obesity and noncommunicable diseases are closely linked, but they’re not an inevitable pairing.

Addressing this connection requires individual action, community support, and global strategies. 

By understanding the science, making healthy lifestyle choices, and advocating for widespread change, we can reduce the health risks tied to obesity and live fuller, healthier lives.

Take control of your health today! Join the movement with Doss India and make smarter choices for a healthier future!

 

February 5, 2025 by