Surgery may be needed if you have significant symptoms, such as pelvic pressure, urinary or bowel problems, or a visible bulge, and other treatments have not been effective.

Bypass surgery, also known as Coronary Artery Bypass Grafting (CABG), is a procedure to replace damaged or blocked arteries in the heart with blood vessels from another part of the body.

Patients with severe coronary artery disease, where the arteries are significantly narrowed or blocked, may need bypass surgery to improve blood flow to the heart.

A surgeon takes a healthy blood vessel from your leg, arm, or chest and connects it to the blocked coronary artery, bypassing the blocked section to improve blood flow.

Risks include infection, bleeding, heart attack, stroke, and reactions to anaesthesia, though serious complications are rare.

The surgery typically lasts between 3 to 6 hours, depending on the number of arteries being bypassed and the patient’s condition.

Symptoms may include confusion, fatigue, weakness, and in severe cases, coma.

Treatment involves reducing ammonia levels through medications and dietary changes.

Yes, certain medications, especially those metabolised by the liver, can influence ammonia levels.

Liver disease, kidney dysfunction, and urea cycle disorders can impact ammonia metabolism.

A blood sample is drawn from a vein in the arm and sent to a laboratory for analysis.