Lifestyle
Lifestyle
Doctors in the House - Circumcision, haemorrhoids, Migrane

1) I am in my late thirties and have heard that circumcision is good for cleanliness. I am thinking of going for one but have heard that the pain is excruciating. Is it really more hygienic and can I reduce the pain period. I do not think I can afford expensive procedures. Are there cheaper options?

  • Circumcision is the removal of excess or tight foreskin. This is a minor surgery and it will help improve penile hygiene because the foreskin tends to trap urine and  dead skin.  
  • Surgery is best under General Anaesthesia and is as painful as many men may perceive it to be.
  • The pain  from the wound  is not any more painful than having a cut on your skin. The wound pain is mostly over the first few days and can be reduced with painkillers.
  • The other situation when pain may arise is when erection occurs during sleep. The wound heals by a week or so and the stitches are self-dissolving.
  • Circumcision surgery is not expensive and is medisave claimable.

2) I have haemorrhoids. They don’t bleed all the time but when they do, it can be a lot. How long would I be hospitalized for and how long before I can go back to work or resume exercise.

  • For surgery, it can be day surgery (go home on the same day) or just overnight. You can probably return to your usual activity within a few days and about 2 weeks for work.
  • Stapled haemorrhoidectomy (a procedure that blocks blood flow to hemorrhoidal tissue), usually recovers faster than the conventional procedure. For exercise, about one to two weeks after surgery.

3) Is migraine hereditary and what can I do?

  • There may often be a strong family history of migraine in patients with migrainous headaches.
  • There is, however, no "cure" for migraine. This does not mean that migraines can't be effectively managed so that it does not impair activities of daily living.
  • The diagnosis of migraine headaches must first be clinically established & management would follow along the lines of:
    1. Preventing their occurrence by avoiding common migraine triggers (eg lack of sleep, dehydration, etc...)
    2. Finding effective medications to abort an attack rapidly
    3. Considering prophylactic(preventive) medications when migraine headaches become very frequent or prolonged.

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