These frequently asked questions provide clarity on various topics regarding women’s health, endoscopic procedures, colostomy and general health.

Is a consultation with a specialist surgeon necessary?
Many patients are referred by their general practitioner or another specialist or may have accessed information on this website. It is important to make an appointment with Dr Amisha Maraj, who is a specialist surgeon, so that she may obtain a thorough history and perform a detailed examination, which is crucial in making the correct diagnosis and thus giving you appropriate medical advice and offering you the best management plan. Dr Maraj follows a patient-centred approach and believes that an informed discussion on treatment options will create a platform for her patients to have the best possible surgical outcomes by understanding their medical conditions and being free to ask questions.
Does a mammogram hurt?
Generally, most women can tolerate some level of discomfort as a result of pressure on the breast. However, the level of discomfort depends on each person's experience when the exam is carried out.
Do you need surgery to relieve discomfort from haemorrhoids?
Not all patients require surgery. There are other options as well. It is best to have a consultation with Dr Maraj to discuss these options. She manages her patients based on a patient-centred approach which includes an informed discussion on which treatment options would best suit you as a patient.
How often do you need to change a colostomy bag?
Change your colostomy pouches every third-fifth day. Make a note on the calendar when you last changed your pouches so you keep up to date. Any itchiness or burning near the stoma is a sign that the bag may be leaking, and you need to seek medical advice concerning this.
Is bloating a sign of a hernia?
A hernia can obstruct the intestines, which leads to symptoms of bloating and constipation and cramping. Bowel obstruction is a surgical emergency.
How do we prepare you for a colonoscopy?
Before a colonoscopy, Dr Maraj will advise you on how to prepare for the procedure. You will need to restrict eating and drinking 24 hours before the procedure and flush your colon with a laxative. A colonoscopy is usually done as a day procedure, under conscious sedation. While you will be awake for the procedure, you will be sedated, and the procedure should only be mildly uncomfortable. You may be required to stay in hospital post-procedure, based on the findings or if any complications occurred.
What is a Milligan Morgan haemorrhoidectomy?
This is a specialised surgical technique done to remove grade 3 and 4 haemorrhoids. Dr Maraj specialises in carrying out Milligan Morgan. She uses the method of electrocautery to remove the haemorrhoid while you are under general anaesthesia.
Can we insert a PEG tube permanently?
You may either need a feeding tube placed temporarily or permanently. In case of a minor stroke, you may need help with feeding until you recover fully. More severe neurological impairment requires the permanent placement of a PEG tube.
Is there a chance of a fibroadenoma turning cancerous?
A fibroadenoma is a rubbery mobile lump beneath the breast skin. A lump such as this is benign and is unlikely to turn cancerous. It is, however, necessary that you undergo a physical medical exam to ensure you have a fibroadenoma. Further investigations include an ultrasound, mammogram, and biopsy, may be necessary.
This website was designed to offer information relating to surgical conditions. Dr Amisha Maraj will not be liable for any patient who misinterepts the content, or any inaccuracy, misconceptions, oversights or omissions on this website. In the event of an emergency please go to your nearest casualty or Life Brenthurst casualty. If you are concerned that you have symptoms or a medical illness please seek urgent appropriate healthcare.