Doctor in Retteri Sri Kumaran Health Centre Private Limited
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
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Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. Comprised of vital tissues, blood vessels, elastic and muscle fibers, Hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small arteries that make up hemorrhoid causing them to enlarge and swell with blood.
Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors.
Surgery For Piles - What To Expect?
Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed.
Comprised of vital tissues, blood vessels, elastic and muscle fibers, hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small veins that make up hemorrhoid causing them to enlarge and swell with blood. Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues other than severe anemia and weakness. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors.
This procedure involves injecting a chemical into hemorrhoids. The chemical causes the hemorrhoids to contract and stop bleeding. Most individuals encounter little or no pain with the shot. In the case of small internal hemorrhoids, Sclerotherapy is shown to have the best benefit rates.
Stapled Hemorrhoidopexy, also commonly known as MIPH, is a form of surgery which requires 12 hours of hospitalization. This process necessitates general, regional, or local anesthesia. This kind of surgery is used to handle hemorrhoids that have already prolapsed. A surgical staple fixes the prolapsed hemorrhoid inside your rectum and cuts off the blood supply so that the tissue can contract. Recovery from hemorrhoidopexy is less painful and takes lesser time than the recuperation period of a hemorrhoidectomy.
Excision used to be prescribed for hemorrhoid sufferers. This therapy involves the surgical removal of the hemorrhoids with a cautery, laser or knife. Although these methods are slightly different, the outcomes are identical. Excision results in discomfort and pain in the perianal area that lasts from two weeks to two months. The pain during bowel elimination also lasts for approximately the same time.
Management of the hemorrhoids with proper medication, diet and workout is by far the safest way to go. Only in the case of lifestyle changes failing to solve the condition, surgical interference should be considered.
Irregular ovulation or anovulation (a condition where a woman does not ovulate at all) can be quite agonizing, triggering a host of health problems, including difficulty in conceiving. The irregular ovulation could be an amalgamation of many factors including obesity, thyroid disorders, PCOS, endometriosis, fibroids, uncontrolled intake of caffeinated and alcoholic drinks, to name a few. With the advancement of medical science, the problem is no longer a big deal. In this article, we will discuss the role of ovulation induction and follicular monitoring in dealing with irregular ovulation cycles and the related complications.
What is Ovulation Induction?
Ovulation induction comes as a blessing for women who don't ovulate regularly (there is a deviation from the usual pattern of ovulation that takes place before every menstrual cycle). The procedure aims at regularizing the ovulation process. The medications (often hormones are used in the treatment) play a pivotal role in stimulating the follicular development of the ovaries so that healthy eggs are produced, developed, matured and finally released during ovulation. The procedure also benefits women get their menstrual cycles sans the ovulation (Anovulatory Menstrual Cycles). The problem mainly surfaces due to a drop in the progesterone level (a hormone responsible for the uterine lining thickening).
- The ovulation induction is an important process that requires a thorough examination and evaluation of the patient to understand their ovulation process, hormonal balance (or imbalance) and all the factors that could be a possible trigger resulting in the ovulation problem.
- In the next step, the physician carries out the stimulation of the ovulation process. For this purpose, selected hormones are given to the affected individual either orally or in the form of injections.
- The hormones work towards restoring the balance along with follicular development. This stimulation contributes significantly towards maturing an egg and ensuring its release for ovulation to take place.
- Through a series of regular pelvic ultrasounds, doctors are able to carefully monitor the development of the follicles along with how well the lining of the uterus thickens, following the ovulation induction.
- For those planning to conceive, ovulation induction, with proper monitoring, goes a long way to ensure at least one healthy egg will be available for the fertilization to take place.
Some women can also opt for Intrauterine Insemination, a pathbreaking procedure whereby, the sperm (collected and stored earlier) is injected into the vagina to facilitate the fertilization process.
Downside of the Ovulation Induction
The ovulation induction requires precision and accuracy and should be performed by experienced professionals who know their skill well.
- Even a small mistake in the ovulation induction can trigger many complications including Ovarian Hyperstimulation Syndrome. The condition can swell up the ovaries with abdominal pain, vomiting, breathing problems (shortness of breath), sudden and rapid weight gain. The ovaries also appear tender with some pain.
- Ovulation induction increases the risk of gestational diabetes, hypertension, nausea, to name a few.
When we talk about infertility attention usually falls on treatment for women. However, infertility can affect men as well. The condition of infertility, can be described as the inability to become pregnant for a period of 1 year despite having unprotected, well-timed sexual intercourse. A low sperm count is one of the primary reasons for infertility in men.
Typically there should be fifteen million sperm per milliliter of semen. Low sperm count refers to the ejaculation of less than a normal amount of sperm in semen. This can also be termed as oligospermia. A complete absence of sperm in semen is known as azoospermia. Low sperm count does not mean that you cannot impregnate your partner but it reduces the chance of a successful conception. Thus, one of the most common ways to treat infertility caused by low sperm count is IVF.
- IVF involves harvesting eggs from the woman’s uterus and sperm from the male partner and combining them in a laboratory to form a zygote. When IVF is used to treat male infertility, a semen analysis is the first step. This helps determine the patient’s sperm count, sperm motility, volume, pH levels, white blood cell levels etc.
- The ejaculated semen is then processed so as to separate the sperm cells from the plasma. In this process sperm cells with higher motility are identified and segregated. These cells have a higher chance of fertilizing the egg.
- Sperm cells are then injected into the harvested egg. Some techniques may require the injection of 50,000 or more sperm cells while others such as intracytoplasmic sperm injection (ICSI) can be effective with a single sperm cell. Once the egg is fertilized, it is allowed to develop for a few days in the laboratory.
- Two or three embryos are then selected to be reintroduced into the woman’s uterus with the help of a catheter. The remaining fertilized embryos are preserved in an embryo bank in case the pregnancy is not successful. If these need to be used later, the woman does not have to go through the initial stages of IVF treatment to stimulate the follicles and harvest eggs from the ovaries.
When it comes to IVF, the success rates are very high. However, one of the most common side effects is the birth of twins or triplets. This is because multiple embryos are inserted into the uterus. The number of babies born then depends on the number of embryos that are implanted successfully.
Type 1 diabetes is commonly referred to as juvenile diabetes and is mostly witnessed among young people. It can also occur in adults. In this condition, the body doesn’t produce enough insulin or completely stops producing insulin. The immune system, which saves the body from foreign microbes, attacks the cells that are responsible for producing insulin. The treatment methods include taking insulin shots, oral insulin intake, taking healthy diet, increased physical activity and controlling blood pressure and cholesterol levels.
Type 2 diabetes is a condition wherein the body refuses to use insulin in order to carry glucose to each and every cell of the body. The pancreas try to produce more insulin in order to counter the condition but soon give up due to an increased blood pressure. The treatment plan includes medication, making lifestyle changes, and controlling blood-sugar and cholesterol levels.
Gestational diabetes is observed in many pregnant women. The hormones produced during pregnancy can block insulin to be used by the body. While insulin resistance is common during pregnancy, failure of the pancreas to fill in the additional insulin in the body can result in gestational diabetes. Women who are overweight are more likely to develop this condition. Although gestational diabetes goes automatically after the baby is born, it often recurs in the form of type 2 diabetes in a later stage of life.
Risk factors for diabetes
- Weight: Being overweight is a primary risk factor for diabetes. An increased amount of adipose tissue increases the risk of insulin resistance by the body. It is therefore essential to shed as much weight as one can to avoid diabetes.
- Inactivity: Immobility increases the risk of diabetes in a person. It stacks up glucose in the body, making it difficult for the body to use glucose and convert it into energy. A daily routine which is devoid of physical activity ensures fat storage in the body, which can turn into type 2 diabetes.
- Family history: Diabetes, especially type 2, is closely linked with family history. If a person has diabetes, it is very likely that his immediate family or extended family has a history of diabetes.
- Ethnicity: African-Americans, people from the Indian subcontinent, Latinos, etc., are more likely to suffer from diabetes compared to their American or European counterparts. Lifestyle and eating habits are the major reasons for diabetes in these races.
- Age: Age has a direct correlation with diabetes. The age group of 45–65 is considered to be more diabetes-prone. Inactivity, immobility, and an increase of sugar intake are some of the primary reasons for developing diabetes in this age group.
Constipation is a symptom, not a disease. Constipation is a digestive disorder system where an individual faces difficulty to expel. An incomplete bowel movement is a sign of constipation. This condition causes the stiffening of stool near the rectum, obstructing the smooth passage of stool. In most of the cases, this occurs because of the improper diet. If one is suffering from constipation the faeces become hard, dry and emptying the bowels become painful. Sometimes it causes bleeding in the rectum. Constipation may also cause the abdominal pain. Constipation is very common in kids. Constipation is a temporary problem, but, chronic constipation may lead to serious problems. The common causes of constipation in kids are improper toilet training and diet less in fibre content. One can avoid this by eating healthy food rich in fibre, drinking more and more fluids.
Mention below are the symptoms of constipation:
- Regular stomach ache and less than three bowel movements a week.
- Bowel moment is slow and hard to pass.
- Emptying the bowel becomes painful.
- Blood on surface of hard stool.
- Abdominal pain
- Toilet training: Improper toilet training is one of the major causes of constipation. One must follow a proper routine for passing out stool.
- Diet: If you are not providing a child a food rich in fibre than the child may suffer from constipation. Consuming a dairy product also leads to the same problem. Sodas and drinks containing caffeine cause dehydration and worsen constipation.
- Change in routine: Change in routine such as long travelling, too hot or cold weather and stress can affect bowel functioning.
- Hirschprungs’ disease: There is absence of ganglion cells in intestine leading to failure of movement of bowel leading to constipation.
- Rectal polyp, Colonic polyp, Anal fissure: Causes bleeding per rectum. Blood streaks on stool occur in Constipation and Anal fissure. Bleeding in drops after passing stool occurs in Polyps.
One can get the better results if an individual combines all the approaches given below:
- Toilet training: Child should be encouraged to go to toilet at a particular time daily. Provide the child with comfortable footstool so that could comfortably release a stool.
- Diet: The Proper diet chart should be maintained for children. A balanced diet rich in fibre should be served. Increase the daily water intake of your children. Avoid fast food and dairy product.
- Medicines: If your child is taking some medicines review it. It may be causing constipation. In case the medicine is causing constipation then go for doctor opinion.
- Regular exercise: Regular exercise is one of the best ways to avoid constipation. Ask your child to do regular exercise and play outdoor games. Regular exercise increases metabolism and make our immune system strong.
- Regular check-up: A regular visit to the doctor helps to diagnose the health problem. A Regular check-up is necessary for maintenance of healthy body and it avoids the risk of serious disease caused by constipation.
Surgery is an art and surgeons are artists. It is a grueling process and requires extreme dexterity and quite a bit of courage. It is a process where specialized tools are used to remove unwanted tissues, infections or treat an injury or to reshape the human body.
A surgeon is a person who executes the process of surgery. A surgery team is made for these operations which is highly delicate and life risking task. Surgeon’s have their own assistants who assits or helps with the surgical equipments as instructed by the surgeon.
Foot infections are a very common problem in diabetic people. A very miniscule cut can turn into an untreatable infection and can claim a person’s life. A diabetic person loses the ability to repair and thus the body is unable to repair itself. Prompt medical actions must be taken to treat the affected person and it is an extremely delicate procedure.
TYPES OF SURGERIESBASED ON TIME
- BASED ON PURPOSE
- TYPE OF PROCEDURE
- BY BODY PART
- BY EQUIPMENTS USED
There are certain prevention methods of diabetic foot like regulating glucose levels, identification of the problem, proper self-care and self-examination. Doing routine examination of the foot is a necessary step and one should apprise one’s doctor of any development of any kind of infections. Wearing proper footwear is another essential.
Wearing improper footwear that cause repeated trauma to the foot may cause infections. The aim of a foot surgery is to control the infection without losing the limb. The skilled and able surgeons do this by removing the pus, removing every affected tissue and by making a healthy wound bed. In the whole process one should keep in mind the functionality of the affected foot. Untreated infections may create pressure points and trigger the infection again.
Classifications of foot infections
- A depth of the infection
- The severity of the infection
- The amount of tissue involved
- The anatomic site affected
- The causative factors
The treatment of the infections includes detection of the infection and it is considered an infection if the following symptoms are present
Infections may give rise to recalcitrant hyperglycemia and malaise, but systemic inflammatory manifestations may be absent. Patients with a serious conditions, may have an elevated erythrocyte-sedimentation rate or C-reactive protein level. With deep infections bone involvement is a concern. One study suggested that in the presence of an infection, a high specificity and positive predictive value for osteitis when the bone is felt with a sterile metal probe.
Clinical, radiological, and/or scintigraphic signs compatible with osteitis may lead to suspicion, but MRI is the imaging procedure of choice for classifying osteomyelitis from other conditions, like neuroarthropathy. A study showed that on MRI of the infected foot, the nonenhanced areas represent infected tissue. Lack of enhancement in these areas can mask the presence of abscesses and osteomyelitis. This type of healing process requires time and patience and utmost self care.
5 signs your body is lacking in water
Water is indispensable for the human body as 90% of the brain and almost 60 per cent of an adult body is chiefly made up of water. Water is just as important as any of your meals. Each cell and organ depends on water for its proper functioning and for flushing out toxins and fats from the body. An average man must consume roughly 3 litres (10-12 glasses) of water per day; and a woman requires about 2.5 litres (8-10 glasses). If you're not meeting this requirement, you might be fall prey to dehydration.
The state of water deficiency or dehydration can be determined through various symptoms. Read on to know the 5 most common signs:
1. The colour of your urine is dark
The colour of your urine indicates your health. The lesser the water you drink, the darker is the colour of your pee. If your urine is pale yellow, you drink a sufficient amount of water. If it's dark yellow and concentrated, it's a sign for you to refill on water. Also, if you haven't urinated for more than two hours, you should immediately gulp 2 glasses of water.
2. You experience frequent headaches
Headaches are often caused by dehydration when the pressure from your blood vessels falls. Dehydration makes it tough for your heart to pump enough oxygen to the brain. Drinking sufficient amounts of water ensures the flow of oxygen in your body.
3. You feel dizzy and fatigued
Lack of water can often lead to laziness and restlessness. It may also cause a rapid change in your blood pressure. Low or high blood pressures are stimulants of fatigue. Water gives you instant energy that wakes up your whole system, thus making you feel revitalised.
4. You have constipated bowel movements
Water is one of the top natural remedies for constipation or troubled bowel movements. If your fluid intake is low, you're likely to have stomach, gastric and bowel problems. The digestive system depends on water to help food move through both the intestines. It checks the functions of the digestive tract, while also keeping it flexible and clean.
5. You experience brain fogs and blackouts
Your brain cells and nerves react severely to water loss. You may start feeling a lack of concentration along with temporary memory loss. Blackouts and fogs are common when you have a deficit of water. You might even experience difficulty in carrying out cognitive tasks.
If you're experiencing similar issues, you must enhance your daily water intake. You can try carrying a sipper around, which allows you to keep a tab on your water consumption. To relish water as a refreshing beverage, you can infuse freshly chopped fruits and herbs in a pitcher of chilled water. This flavoured water also cleanses your body of all toxins and chemicals, thus keeping you fresh.
Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.
Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:
- Women who are suffering with PCOS do not ovulate normally.
- They have irregular periods and thus their monthly cycles are not predictable.
- As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.
Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
- Ovarian cysts
- Excessive amounts of male hormones
- High levels of insulin
- Fertility problems
- Weight gain
- Ovulation and menstrual problems
- Excess body and facial hair
- Anxiety and depression
As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.
PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.
Here are the drugs that help patients with PCOS.
It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.
Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.
The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person.
Various risk factors that are associated with diabetes and depression are as follows-
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.
When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes.
If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin.
People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy.
Various signs that can be observed in a state of depression are as follows:
- Complete lack of interest in doing any activity
- Irritation or mood swings
- Depressed mood
- Disturbed sleep pattern
- Changes in the appetite
- Constant feeling of despair
- Guilt Fatigue, weakness
- Difficulty in concentration, transient memory loss
- Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users.
Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.
In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.
Heart diseases are very common nowadays and can affect individuals of any age. Heart diseases can be fatal and even result in death if the affected person is not diagnosed at the right time. Below are some tests that one must conduct regularly to take care of one's heart.
- Lipid Tests - Lipid tests are conducted to check if there are any kind of risks related to the lipids of a person's body. Lipid tests help to screen different problems related to cholesterol levels and triglycerides which are responsible for different cardiovascular problems. It can also help to detect any kind of genetic disorder which results in cardiovascular diseases that may affect the heart in a serious way.
Cardiac Risk Marker Profile Test: The cardiac risk marker profile test is known as a group of health tests that are required to be performed to ascertain if someone has a chance of suffering from cardiovascular diseases like heart attack or heart stroke.
Echocardiogram - This is an ultrasound test of heart which checks whether there is any problem with the heart valves and blood chambers. Through this process, the doctor will be also able to understand how strongly the heart is pumping blood to your body. It is conducted with the help of probe on the chest or can also be inserted through the oesophagus.
- Electrocardiogram - This is a very common test, which a person with a weak heart can undergo. Small sticky dots and wires are attached to the person's chest, arms and legs which enables the doctor to check if there are any abnormalities in or around your heart.
- Stress Echocardiogram - Significant stress levels can also be harmful to your heart. In this test, a radioactive substance is inserted into the bloodstream and in return, it echoes back an ultrasound which helps to detect how strongly the heart is beating or if there is any blockage in the valves.
Along with regular testing of the heart, it is important to conduct a full body health checkup at least once a year to get tested for liver function, kidney function and thyroid function.