Although obesity is a main risk factor for lot of medical diseases like diabetes, high pressure and heart attacks, that can affect the surgical management also in various ways.

Diseases like abdominal wall hernias, deep vein thrombosis, arthritis, etc are more common among obese people.

Obese patients who are undergoing operations are at a higher risk than the normal population to develop surgical and anaesthetic complications. Surgical procedures are difficult and they can develop difficulty in breathing and the wound healing would be poor.

Most of the abdominal pains are due to surgical causes.Abdominal pain can be generalized abdominal pain or can occur in specialized regions of the abdomen.
If the abdominal pain is severe in nature and generalized,last for more than half hour duration it could be a surgical problem needing an operation.If so avoid eating or drinking and go to nearest hospital for further management.

Lets see some special types of abdominal pains.

Acute Appendicitis

Vaccines are important to prevent contagious disease like polio, chicken pox and tetanus. In fact the vaccination process has saved millions of lives in the world, much more than that by pills and operations.

Trauma is one of the main causes for mortality and morbidity in young productive population in the world. Even in sri lanka there is no difference to this. Road traffic accidents, domestic, occupational and sports accidents account for major part of it.
At present in sri lanka war and war related injuries also have contributed to cripple the young population.

Itching around the vagina and/or discharge from the vagina for women

Discharge from the penis for men

Pain during sex or when urinating

Pain in the pelvic area

Sore throats in people who have oral sex

Pain in or around the anus for people who have anal sex

Chancre sores (painless red sores) on the genital area, anus, tongue and/or throat

A scaly rash on the palms of your hands and the soles of your feet

Dark urine, loose, light-colored stools, and yellow eyes and skin

Small blisters that turn into scabs on the genital area

Male latex condoms can reduce your risk of getting an STD if used correctly. Be sure to use them every time you have sex. Female condoms aren't as effective as male condoms, but should be used when a man won't use a male condom.

Remember, though, that condoms aren't 100% safe and can't protect you from coming in contact with some sores, such as those that can occur with herpes, or warts, which can be caused by HPV infection.

Emergency contraception aims at preventing pregnancy after sex, which is why it is sometimes called "the morning after pill".

Emergency contraception makes it much less likely you will get pregnant. But emergency contraceptives are not as effective as birth control that's used before or during sex, like the pill or condoms.

So if you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy.

Remeber emergency contraception does not protect against sexually transmitted infections, like HIV (only condoms do).

Sinuses are air filled spaces in our skull. I am sure you know of someone who is having sinusitis! It is such a common disease.

Sinuses get infected from organisms from the nasal cavity and throat mainly. After common cold like illness the sinuses may get blocked and the secretions collected and may get infected. this may be predisposed by deformities within the nose like crooked nasal septum.

Mainly sinusitis is treated with drugs. But in some patients especially those who have recurrent problems, surgery may be needed.