Doctors in Apollo Spectra Hospital - Koramangala
Patient Review Highlights
DR. SHYLESH REDDY is the most caring/thoughtful physician I have ever met. And I certainly have consulted with and been treated by all-too-many doctors ! I wandered into the Bangalore NOVA with no appointment and was divinely-led to Dr. Reddy. His enlightened diagnosis of my illness far-surpassed those of other doctors whom I saw for the same condition. Plus, with Dr. Reddy it is not an ''out of sight out of mind physician. More than once he has emailed me about my condition and the effectiveness of the medication he prescribed.
I underwent hernia surgery .Doctor is very helpful and friendly person my surgery went flawlessly Thank You Doc
Doctor was very polite and , Explained everything in detail I am satisfied with the service. Thanks
Doctor is very helpful, answers provided by her are knowledgeable, professional and well-reasoned.
Worderfull !! I am very happy with Adharsh Patil
Good & Nice response
Amith C N
It was good.
Appaiah C S
Our endocrine glands work overtime to keep us healthy by secreting hormones which reach each and every cell in our body through the blood. These hormones evoke life-changing responses in other cells to keep us alive and healthy. Endocrine surgery is a term for an operation in any one or more endocrine glands in your body.
Types of endocrine glands
- Thyroid gland: This is the most important endocrine gland in your body and it secretes thyroid hormone, which regulates metabolism.
- Parathyroid glands: There are 4 parathyroid glands and these are located behind the thyroid gland in the neck region. These glands secrete the parathyroid hormone which controls calcium levels in the body.
- Adrenal glands: These are located over the kidney. There are 2 adrenal glands and these secrete adrenaline, aldosterone and cortisol- the body’s fight or flight hormone. These also maintain salt levels in the blood and the blood pressure.
- Neuroendocrine glands of the pancreas: These are located in the pancreas behind the stomach. They work to control glucose levels and glucose metabolism.
- Pituitary gland is the master gland of the body: It secretes thyroid stimulating hormone (TSH), follicle stimulating hormone (FSH), and other important hormones that control ovaries, thyroid and other endocrine glands in your body.
Depending on the endocrine gland being operated upon, there are different types of endocrine surgeries. The most important ones are-
- Hypophysectomy: This is the surgical removal of the pituitary gland. It is a very sophisticated and critical surgery that surgeons resort to, if there is a tumor in the pituitary gland - especially craniopharyngioma tumors. It can cause atrophy of thyroid, adrenal glands and the ovaries as the pituitary secretes hormones to control their function. In addition, it can result in sterility and sometimes results in a non-functional reproductive tract in both men and women.
- Thyroidectomy: It is an operation that involves removal of the entire or parts of the thyroid gland in the neck. Trained ENT or endocrine surgeons perform this operation, which is indicated for thyroid cancer or hyperthyroidism, goiter or Graves disease. Sometimes it is done for treating an enlarged thyroid gland or obstructions in the neck region, causing problems in swallowing or breathing. In cases of total thyroidectomy patients will need life long thyroid hormone supplementation. Sometimes patient can have change in voice which is usually temporary.
- Since the thyroid produces several hormones like thyroxine (T4), triiodothyronine (T3), and calcitonin, you will have to take oral synthetic hormones all your life post surgery. The thyroid is usually removed through an incision in the neck. These days there is the option of minimally invasive surgeries too.
- Adrenalectomy: It is the removal of one or both adrenal glands to treat tumors of the adrenal glands. It is done using an open incision or laprascopic technique.
- Pinealectomy: It is a surgical procedure in which the pineal gland is removed.
Feeling a lump on your breasts can be a terrifying moment. 'Cancer' is the first thing that comes to mind but in reality, most lumps in the breast are not caused by cancer. Apart from cancer, breast lumps can be caused by non-cancerous growths, injuries and infections. The only way to correctly diagnose the cause of a lump in the beasts is through a biopsy. Hence, this is the first step towards treating a breast lump. From here on, treatment will depend on the cause identified.
Mastitis or Breast Infection
Mastitis is a painful infection of the breast tissue often faced by women who are breastfeeding. It can be treated by antibiotics, massaging the breast while taking a warm shower or applying a warm compress. This will open up the milk ducts and should be followed by nursing the baby or using a breast pump to relieve the swelling and pain.
Antibiotics are the first line of treatment against an abscess but this is effective only if given in the initial stage of the infection. In later stages, an abscess will need to be surgically drained.
This is a non-cancerous tumour often found in young women. It is often difficult to distinguish between a Fibroadenoma and a cancerous tumour and hence these are usually surgically removed.
In some cases, the breast itself is composed of knotted, rope-like tissue. This is known as having fibrocystic breasts. If a new lump presents itself on fibrocystic breasts, a mammogram and an ultrasound are performed to evaluate the lump. In most cases fibrocystic changes do not require any medication or surgery.
Cysts can be defined as fluid-filled lumps. In some cases, these cysts become apparent at the time of ovulation and disappear after the period. In other cases, it may need to be drained with a thin needle. If the cysts recur, they shoould be treated through excision.
Fat Necrosis and Lipoma
Fat necrosis is a lump caused by an injury to the fatty tissue in the breast. Lipoma is a fatty growth within the fatty tissue. In both these cases, no treatment is required but if it causes any problems, it can be removed.
If the biopsy reveals the presence of a cancerous tumour, you must immediately consult an oncologist. Treatment options for breast cancer include chemotherapy, radiation, surgery and hormone treatment.
Body dysmorphic disorder is a type of psychiatric disorder. It is when you cannot think about one or more defects or flaws in your appearance. These flaws are usually very minor and sometimes even unnoticeable. This is actually a much more serious disorder than many other people may think. This is because people with body dysmorphic disease may avoid many situations and also suffer from severe anxiety or shame. Here is everything you need to know about body dysmorphic disease.
Just like other psychiatric disorders, there is no known cause of body dysmorphic disease. However, there are a lot of factors, which increases your risk of developing it which include:
- Brain disorders: Many people with abnormal brain chemistry disorders suffer from body dysmorphic disease.
- Genes: People whose blood relatives have this disease or have obsessive compulsive disorder are more likely to develop this disorder as well.
- Environment: Cultural and social influences are a major cause of body dysmorphic disorder as well.
There are, however a lot of symptoms of body dysmorphic disorder, most of which are psychological in nature. They include:
- Having a preoccupation with a flaw in the body, which is very minor or perhaps even unnoticeable.
- Beliefs that people are mocking you in relation to your flaw.
- Being a perfectionist
It is also worth noting that this obsession can affect any part of the body and can also include several parts of the body or different parts of the body at different times. Here are the possible treatments of body dysmorphic disorder.
There are a variety of treatments, which a patient can opt for and a variety of methods of curing the problem. Here are the most common.
- Cognitive behavioral therapy: This is when a therapist tries to stop you from thinking about the flaw that you have been focusing on way too much.
- SSRI: SSRI stands for Selective Serotonin Reuptake Inhibitors. They are given in cases, where body dysmorphic disorder is caused by problems related to the brain chemical serotonin.
- Hospitalization: This is a severe measure, but may need to be taken if you are in danger of harming somebody or you cannot perform daily activities.
Anger and temperamental issues are a very common part of a person’s identity. It is there from birth and is thought to mirror the hereditary qualities. It can be permanently present or could be triggered in certain situations. Some people have a hot temperament than others. However, there are a few ways with which temperamental issues can be dealt with effectively. These are as follows:
- Individual or group therapy sessions can be useful. A commonly utilised sort of treatment, psychological behavioural treatment treats people or groups with discontinuous unstable issues.
- Distinguish which circumstances or practices may trigger a forceful reaction
- Figure out how to overcome anger and control wrong reactions utilising procedures, for example, relaxing preparing, re-thinking circumstances (psychological rebuilding) and learning adapting attitudes.
Distinctive types of medications may help in the treatment of temperamentally unstable issues. These medicines may incorporate certain antidepressants (particularly specific serotonin reuptake inhibitors or SSRIs), anticonvulsant mind-set stabilisers or different medications if necessary.
Controlling your outrage -
Some portion of your treatment may include:
- Unlearning issue conduct.
- Adapting admirably to anger.
- Rehearsing the systems you learn in treatment to help you perceive what triggers your fits and outrage and how to react in ways that work for you rather than against you.
- Building up an arrangement. Work with your specialist to build up an arrangement of activity for when you feel yourself getting irate. For instance, in case that you think you may lose control; try to expel yourself from that circumstance. Go for a walk or call a trusted friend to attempt to quiet down.
- Dodging liquor and other substance use. These substances can build forcefulness and the danger of harmful temperamental outrages.
Consider taking these actions before a crisis emerges:
- Call someone at home or someone you trust for help and guidance.
- Keep all guns away or covered up. Try not to give the abuser the key or use the gun.
- Gather a crisis pack that includes things you will require when you leave, for example, additional garments, keys, individual papers, medicines and cash. Conceal it or leave the pack with a trusted friend or neighbour. Try to go away from the situation so hat you do not do something regrettable.
- Educate a trusted neighbour or friend regarding your condition so that he or she can call for help if needed.
- Know where you will go and how you will arrive back in case that you feel angry, regardless of the possibility that it implies you need to leave during the night. You might need to work on escaping your home securely.
- Decide on a code word or visual flag that implies you require the police and tell it to your friends, family or your children.
Good evening sir/maam Sir I am 22 years old student I am in depression I have taken a lot medication but I am still in depression I think negative when ever use to wear clothe I feel they are not suiting, I feel I am ugly and much more negative thinkings then gets tension I remains always upset Restlessness I don't have interest in any work even I love that work I can not enjoy I am tired every where even I am using mobile or sleeping or doing any thing I want to commit suicide I am hopeless laziness I can not sleep I am tired every where I spend my one minute like I have to cross a border I want to finish myself.
A Hernia may be defined as the protrusion of an organ into an adjacent connective tissue or muscle. The protrusion usually occurs through a tear or a weakened area in the muscle (Fascia). Hernia can be an Inguinal Hernia, Umbilical Hernia, Hiatal Hernia or Femoral Hernia. It can also originate from an incision (Incisional Hernia).
The Inguinal Hernia is commonly observed in males. Here, the intestine squeezes through a tear in the abdominal wall into the groin (Inguinal canal). At times, the small intestine bulges through the abdominal wall (weak spot) near the belly button, which results in Umbilical Hernia. In Hiatal Hernia, the upper part of the stomach passes into the chest through the diaphragm, and of all the hernia types, the Inguinal Hernia is the most common.
Severe strain and muscle tear or weakness can result in Hernia. Obesity, chronic constipation, chronic coughing and sneezing, ageing, damage caused by injury, medical conditions like Cystic Fibrosis, contribute to increased incidences of Hernia. In case of Hernia, the affected area tends to protrude or bulge out. If left untreated; Hernia can prove to be detrimental. One needs to consult a physician for proper diagnosis and treatment. Physical examination can help in the diagnosis of Inguinal Hernia. An ultrasound is needed to diagnose Umbilical Hernia. A Barium X -ray or endoscopy can be of great help in the diagnosis of Hiatal Hernia.
The severity of the Hernia depends upon its size. In case the Hernia is rapidly increasing in size, a surgery is needed for the repair. The surgery performed can be open or laparoscopic. In open surgery, Hernia is identified through an incision. Once located, the Hernia is removed from the adjacent tissues. In laparoscopic repair, small incisions are made in the affected region. Through these incisions, specialized instruments are inserted. It is through these instruments that the surgeon visualizes and performs the surgery.
In such repairs, a mesh, held in place by sutures is used as a scaffold. This facilitates the growth of new tissues in the affected person. This technique significantly lowers the chance of a recurrence.
Certain factors must be well addressed, before performing a Hernia operation:
- Hernia operations, laparoscopic in particular, should be performed by experienced surgeons. Inexperienced surgeons will do you more harm than good.
- Laparoscopic Hernia operation should be avoided in case a patient has adhesions from previous surgery.
- Extreme care should be taken while performing a Hernia operation in infants and children.
- In some cases, Hernia surgery might affect or injure the vas deferens in men. This in turn can affect fertility in men.
Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.
What is a Bariatric surgery?
Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.
How does Bariatric surgery help reduce Diabetes?
Diabetes can be of three basic kinds;
Type 1 diabetes in which the body produces no amount of insulin.
Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.
Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:
1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.
2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.
3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.
4. It successfully takes care of ailments resulting from diabetes.
5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take.
I am 26 years old I had depression and anxiety since childhood .i am tired and scarred. During the pursuing of my m b a my mind was totally damaged .no idea comes in my mind that what can I do or what I am doing and then some incidents comes so I want to forget these incidents so I want to comes in my life.
I am on homeopathic medication for anxiety. I want to build muscle so can I take fish oil capsules omega 3 fatty acids for muscle recovery? If I take them could they badly effect homeopathic medicines power?
Colorectal surgery is the broad term for surgical procedures performed on the colon, the rectum and the anus. There are various different surgical procedures which fall under colorectal surgery and these are used to treat a vast array of disorders, such as:
- Anal cancer
- Colorectal cancer
- Severe complications related to constipation
- Anal injuries
- Inflammatory conditions of the gastrointestinal tract
- Congenital defects
Procedures: The surgeries under colorectal surgery are performed after diagnostic tests such as proctoscopy, sigmoidoscopy and defecating proctography. The most common diagnostic test is colonoscopy. These help to identify the origin and nature of the problem and decide which surgical procedure is to be followed.
The procedures under colorectal surgery are as follows:
- Colectomy: This procedure involves removal of a section of the large intestine. This is known as partial colectomy. In extreme cases, such as advanced cancer or severe gastrointestinal infection, the entire colon is removed and this is called total colectomy. Sometimes, the rectum is also taken out along with the colon and this is called proctocolectomy.
- Colonic polypectomy: An abnormal growth of tissues in the inner lining of an organ is known as a polyp. Colonic polypectomy is done to eliminate polyps from the colon and rectum before they become malignant. This can be done endoscopically. Surgery is required in case of large polyps.
- Strictureplasty: Chronic or repeated bowel inflammation causes scar tissue to accumulate in the large intestine. This results in the narrowing of the colon. Stricturoplasty removes the scar tissue so that proper flow of digestive contents is resumed.
- Colostomy or Ileostomy: A damaged section of the colon is removed and the shortened intestine is then attached to another opening (stoma) in the anterior wall of the abdomen.
- Hemorrhoidectomy: This surgical process is used for swollen hemorrhoids or blood vessels, which form in the anal canal. Hemorrhoidectomy is extremely effective in removing hemorrhoids, but the surgery also involves a number of complications.
- Anoplasty: Anoplasty or imperforate anus correction is done to correct birth defects in the rectum and the anus. The structural flaw does not allow the stool to pass properly from the rectum and so it is repaired through surgery.