Hello Surender Ji,

Under the Ayushman Bharat Yojana (PM-JAY), urological procedures like PCNL, URS, and TURBT are covered. However, these surgeries are typically performed by urologists (specialist surgeons), not general surgeons.

In Uttar Pradesh, whether a general surgeon can perform these procedures depends on the hospital's facilities, the surgeon’s qualifications, and government guidelines.

🔗 For a list of empanelled hospitals and covered procedures, visit:
https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

प्रिय विकाश जी,

यदि डॉक्टर द्वारा दिए गए इलाज से कोई राहत नहीं मिल रही है, तो आपको एक साइनस सर्जरी या FESS (Functional Endoscopic Sinus Surgery) के बारे में सोचना पड़ सकता है।

सावधानियाँ और देखभाल

• नाक को न रगड़े और न ही नाक को जोर से साफ करें।
• सर्दी, बुखार या नाक में इंफेक्शन होने पर तुरंत डॉक्टर से संपर्क करें।
• गर्म पानी में नमक डालकर नाक धोने (नेटी पॉट) से आराम मिल सकता है।
• हवा में प्रदूषण से बचें और बाहर जाते वक्त मास्क पहनें।
• अच्छा पानी पिएं और हल्के आहार को प्राथमिकता दें।
• साइनस समस्या से निपटने के लिए भाप लेना (स्टीम इनहेलेशन) भी मदद कर सकता है।
  
  

उपचार योजना (Treatment Plan)

FESS (Functional Endoscopic Sinus Surgery)

यह एक मिनिमलली इनवेसिव प्रक्रिया है जिसमें एंडोस्कोप के माध्यम से साइनस के ब्लॉकेज को हटाया जाता है और जो नाक के अंदर के एरिया को साफ कर देता है।

इसके फायदे हैं:

• साइनस की स्थायी समस्या का समाधान नाक में ब्लॉकेज, म्यूकस, और सूजन को कम करता है
• जल्दी रिकवरी, क्योंकि इसमें कोई बड़ा चीरा नहीं लगता
• सामान्य जीवन में जल्दी वापसी

स्टीरॉयड स्प्रे (Nasal Steroid Sprays)

यह सूजन को कम करने में मदद करता है और नाक के मार्ग को साफ करता है।

एंटीबायोटिक्स

यदि डॉक्टर को लगता है कि बैक्टीरियल इंफेक्शन है, तो एंटीबायोटिक्स की सलाह दी जा सकती है।

इलाज के बाद रिकवरी:

FESS सर्जरी के बाद आमतौर पर कुछ दिन आराम करना पड़ता है। आपको अपने डॉक्टर से फॉलो-अप चेकअप जरूर करना होगा ताकि यह सुनिश्चित किया जा सके कि आपका इलाज सही दिशा में है।

Dear Mahruf,

Thank you for reaching out. To assist you better, could you please confirm if you have been diagnosed with gallstones and are looking to undergo gallbladder stone surgery?

If yes, there are generally two main treatment options:

1. Cholecystectomy (gallbladder removal surgery) – This is the most common treatment for recurrent or symptomatic gallstones, where the gallbladder is removed. Done with advanced technique via laparoscope offers quick recovery, short hospital stay and minimal risk of complications.
2. Stone removal without gallbladder removal – In some cases, due to age or associated medical conditions, they may be removed without removing the gallbladder.

A consultation with a gastroenterologist or surgeon will help determine the best treatment plan for your specific condition.

Please feel free to share more details so we can guide you further.

Wishing you the best of health!

Hello Lalit Ji,

Could you please confirm if you were referring to piles surgery instead of "pioneer surgery"? If your query concerns dietary recommendations after piles (haemorrhoids) surgery, it is essential to follow a fibre-rich, soft, and easily digestible diet to aid healing and prevent constipation, which could strain the surgical site.

However, if you were referring to a different type of surgery, please share more details so we can provide the most accurate guidance.

Hello Taqi Ji,

Intestinal perforation is a surgical emergency and requires immediate hospitalization with surgical and critical care support. The patient should be urgently evaluated for exploratory laparotomy or laparoscopic repair to seal the perforation and prevent peritonitis/sepsis.

Next Steps:

✅ Immediate referral to a surgical team for emergency intervention.
✅ Close monitoring for signs of peritonitis, sepsis, or worsening liver function due to Hepatitis B.
✅ Long-term follow-up with a hepatologist for Hepatitis B management post-surgery.

⚠ Delay in treatment can be life-threatening. Immediate surgical intervention is required!

Dear Abhishek Kumar Ji,

We understand that dealing with a persistent infection after gallbladder surgery can be concerning. Since your infection has been ongoing since November, it’s essential to evaluate a few key factors:

1. Current Symptoms – Are you experiencing fever, abdominal pain, nausea, or drainage from the surgical site?
2. Previous Tests & Treatment – Have you undergone any blood tests, imaging (like an ultrasound or CT scan), or a culture to identify the infection? What antibiotics have you been on so far?
3. Liver Function & Bile Duct Health – Any signs of jaundice (yellowing of skin/eyes) or abnormal liver function tests?

Possible Causes & Next Steps:

• Abscess or Bile Leakage: An ultrasound or CT scan may help identify an undrained collection if the infection is persistent.
• Resistant Infection: If initial antibiotics were ineffective, a culture test can guide better antibiotic selection.
• Bile Duct Issues: In some cases, retained stones or strictures in the bile duct can lead to ongoing infection, requiring an ERCP (Endoscopic Retrograde Cholangiopancreatography) for evaluation and treatment.

Suggested Next Steps:

🔹 Consult a Gastroenterologist or General Surgeon for a detailed evaluation.
🔹 Repeat imaging (Ultrasound/CT Scan) to check for fluid collections or bile leaks.
🔹 Blood tests (CBC, Liver Function, CRP, Procalcitonin, Blood Culture) to assess infection severity.
🔹 If needed, an interventional procedure (drain placement, ERCP, or further surgical intervention) may be required.

We strongly recommend seeking urgent medical attention if you have high fever, worsening pain, jaundice, or severe weakness. Let us know if you need assistance in booking an appointment with a specialist.

Wishing you a speedy recovery. 

प्रिय नरेश जी,

आपकी माता जी की वर्तमान स्थिति को देखते हुए, एक अनुभवी लिवर विशेषज्ञ से दूसरी राय लेना अत्यंत महत्वपूर्ण है। हम आपकी सहायता के लिए तैयार हैं। कृपया उनकी चिकित्सा रिपोर्ट्स और विस्तृत चिकित्सा इतिहास हमारे साथ साझा करें, ताकि हम उनकी स्थिति का मूल्यांकन कर उचित परामर्श प्रदान कर सकें।

Hello Suhail Ji,

For insurance coverage under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), you would need the Ayushman Bharat card, commonly referred to as the PMJAY card. This card offers health insurance benefits, including coverage for various surgical procedures.

1. Locate Empanelled Hospitals:

   • Visit the official AB-PMJAY hospital search portal:
   • Enter your state, district, and the type of procedure (e.g., general surgery) to find empanelled hospitals near you.

2. Consult with the Hospital:

   • Once you've identified a suitable hospital, contact them to confirm that the specific leg surgery you require is covered under the AB-PMJAY scheme. You may also check the list of covered procedures from the official Ayushman Bharat Portal.
   • Discuss the necessary documentation and the process to avail of the benefits.

Dear Asutosh,

Thank you for your query regarding the cost of frenulum surgery. To provide you with an accurate estimate, we need to clarify a few details:

• Site of the Frenulum: Is the surgery required for a tongue tie or for a penile frenulum?
• Surgical Technique: The procedure can be performed as a frenuloplasty (repair and repositioning) or a frenulectomy (removal), and the chosen technique will affect the cost.

Typically, the cost for frenulum surgery starts from around ₹35,000. However, the final cost depends on factors such as the specific site, the technique used, the hospital and doctor chosen, and available insurance and financing options.

Please note that an accurate treatment plan and cost estimate can only be determined after a thorough evaluation of your condition. If you need further guidance or wish to schedule a consultation, feel free to connect with our experts at HexaHealth.

Hello Dinesh Ji,

We're sorry to hear that you're experiencing extreme inflammation and pain at your surgical site. Here are a few immediate considerations:

• Wound Care: If Savlon appears to be exacerbating the irritation, consider switching to gentle cleaning with sterile saline.
• Topical Treatment: A topical antibiotic ointment might help if there's any sign of infection. However, please note that any medication should only be used under your doctor's guidance.
• It is important to have a prompt evaluation by your treating surgeon.

We will arrange a call from our care specialist to help you consult with your surgeon and guide you with the appropriate treatment.

Hello Sanjay Kumar ji,

Thank you for reaching out. I understand that you have a kidney stone and wish to receive treatment under the Ayushman card. Generally, kidney stone treatments—ranging from non-invasive procedures like lithotripsy to surgical interventions—can be covered under the Ayushman Bharat scheme, provided the treatment is deemed medically necessary and is performed at an empanelled hospital.

Here's what you can do next:

1. Verify Coverage:

   • Please check the official Ayushman Bharat website for a list of empanelled hospitals and to confirm if the specific kidney stone treatment you require is covered.
     
     

2. Consult a Specialist:

   • It’s important to consult a urologist to assess the severity of your condition and determine the most appropriate treatment plan. The specialist can guide you on the best options available under the scheme.

Hello Dinesh,

Thank you for reaching out. We understand your concern regarding the discharge from your stitches after your ZSR procedure on 25th Jan 2025.

A small amount of clear or slightly yellowish fluid (serous discharge) can sometimes be normal during the healing process. However, if the fluid is excessive, has a foul odor, appears pus-like, or if you experience increased pain, redness, or fever, it may indicate an infection or delayed healing, and you should seek medical advice promptly.

Regarding medication, if there are no clear signs of infection, you may only need to keep the area clean and follow your post-operative care instructions. If an infection is suspected, your surgeon might prescribe antibiotics to address it. It's essential to get a proper evaluation to determine the appropriate treatment.

We will arrange a call from our care specialist to help you consult with your surgeon and guide you with the treatment.

Hello,

The cost of gallbladder stone surgery starts from ₹40,000 and varies based on multiple factors:

• Surgical Technique:
  • Laparoscopic Cholecystectomy (minimally invasive, faster recovery, less pain)
  • Open Surgery (recommended in complex cases, requires a longer recovery time)
• Hospital & Doctor Choice: Charges differ based on the facility and surgeon's expertise.
• Insurance and Financing: The procedure is typically covered under medical insurance, and financing options are available.

Most hospitals offer a package covering the surgery cost, surgeon’s fees, medicines, and a 1-day hospital stay. However, if complications arise or a patient has pre-existing conditions, costs may vary.

For an exact estimate and hospital options, connect with our HexaHealth Care Specialists. We’ll guide you to the best treatment within your budget.

Hello Dinesh Ji,

We will arrange a call from our care specialist to help you consult with your surgeon and guide you with the treatment.

Mild bleeding after ZSR circumcision surgery is usually normal during the healing process. However, to ensure proper recovery, follow these steps:

What You Can Do

Medication for Bleeding Control: Antibiotics & Pain Relievers (as per your doctor’s advice) prevent infection and reduce discomfort.

Home Care and Precautions:

• Avoid heavy physical activity or excessive movement to prevent strain on the surgical site.
• Keep the area clean and dry to reduce the risk of infection.
• Wear loose, breathable underwear to prevent friction.

Monitor Symptoms: If the bleeding increases, is bright red, or is persistent, seek urgent medical attention.

We highly recommend discussing this with your operating surgeon to determine if any additional treatment is needed. Our team will help you connect with the right specialist.

Hello Ashwata ji,

Thank you for your query.

Yes, Justice K.S. Hegde Charitable Hospital is empanelled under the Ayushman Bharat scheme, and kidney stone surgery is covered as it falls within the benefits provided by the scheme. To confirm eligibility and details about your procedure, you can contact the hospital directly or visit the official Ayushman Bharat website to verify.

If you need help with alternative options or additional support for your treatment, HexaHealth is here to help. Feel free to contact us for guidance regarding private hospital services, financing, or second opinions.

Hello Saloni Ji,

Thank you for reaching out. Based on your report indicating "massive ascites" (an abnormal accumulation of fluid in the abdominal cavity), it's essential to determine the underlying cause to recommend appropriate treatment. Ascites can result from several conditions commonly related to liver diseases, cancers, or heart and kidney conditions.

Suggested Treatment Options

1. Initial Management

   • Reduce salt intake to help manage fluid retention.
   • Medications may be prescribed to help remove excess fluid.
   • In cases of severe discomfort or difficulty breathing, a procedure such as paracentesis or an ascitic tap to drain the fluid may be necessary.

2. Treating the Underlying Cause to reduce fluid-up.

3. Regular follow-ups to monitor fluid levels and kidney function.

To provide a more personalized recommendation, could you share

• Any known history of liver disease, heart problems, kidney issues, or cancer?
• Symptoms you're currently experiencing (e.g., abdominal discomfort, bloating, difficulty breathing) with duration.
• What are the results of liver function tests, kidney function tests, or other imaging reports?
• What medications or treatments are you currently on?

How HexaHealth Can Help

HexaHealth provides comprehensive care and support for managing conditions like ascites:

• Expert Consultations: Access to leading specialists, including hepatologists, oncologists, and gastroenterologists, for an accurate diagnosis and tailored treatment plan.
• Advanced Diagnostics: Assistance with getting tests like liver function tests, imaging (ultrasound, CT scan), and ascitic fluid analysis.
• Hospitalization Support: In case procedures like paracentesis / ascitic tap or advanced treatments are needed, we ensure seamless admission to top hospitals.
• Insurance Assistance: Guidance on insurance coverage for consultations, diagnostics, and procedures.
• Post-Treatment Care: Continuous follow-ups to monitor your progress and prevent complications.

Let us know if you'd like to book a consultation or need further assistance.

We're here to support you through every step of your healthcare journey.

Hello,

Varicose veins ka treatment aaj ke time mein kaafi effective aur safe hai. Free treatment ke options ke liye aapko kuch cheezein check karni chahiye:

1. Kai government hospitals varicose veins ka free ya nominal cost par treatment provide karte hain. Aap apne najdiki government hospital se sampark karein.

2. Agar aapke paas Ayushman Bharat Card hai, toh aap PMJAY scheme ke under free treatment karwa sakte hain. Scheme ke benefits aur hospitals ke list ke liye official Ayushman Bharat portal par check karein.

Agar aapko private hospitals ke options chahiye, HexaHealth aapko affordable aur trusted varicose veins treatment ke liye madad karega.

Wishing you good health! 😊

Namaste!

Aapki kidney mein sujan aur bathroom band hone ki samasya ke liye turant medical salah lena zaroori hai. Iske liye ek expert urologist ya nephrologist se parikshan aur test karwana chahiye.

Aapke Ayushman Card ke madhyam se ilaj ke liye suvidha uplabdh ho sakti hai. Ayushman yojna ke antargat hospitals ki jankari ke liye aap is link par click karke check kar sakte hain.

For hernia treatment under the Ayushman Bharat scheme near Yamuna Nagar, Haryana, you can find the best surgeons and hospitals using the official portal. Follow these steps:

1. Visit the Ayushman Bharat Portal: Click here.
2. Search for Empanelled Hospitals: Enter your location (Yamuna Nagar, Haryana) and filter hospitals that accept Ayushman card.
3. Consult a Specialist: Look for general or laparoscopic surgeons with experience in hernia repairs.

Don't delay, as untreated hernias can worsen. Contact the empanelled hospital for consultation and guidance on surgery.