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Dr. Anand Govind

Radiologist, Chennai

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Dr. Anand Govind Radiologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Anand Govind
Dr. Anand Govind is one of the best Radiologists in Padi, Chennai. You can visit him at Rajan Nursing Home in Padi, Chennai. You can book an instant appointment online with Dr. Anand Govind on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 42 years of experience on Lybrate.com. You can find Radiologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Rajan Nursing Home

No 43,Sathya Nagar,Padi,Landmark:Near To Sajred Heart School, ChennaiChennai Get Directions
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I am 38 years old man having back pain lasting for 20 days from mild to severe in left hip side. In consultation to orthopedic surgeon and after MRI one doctor told me the disease sciatica and another its slip disc. MRI of LS SPINE report says the result of AP diameter L1-L2=15, L2-L3=08, L3-L4=15, L4-L5=10 , L5-S1=09 Impression: 1) Degenerative DISC DISEASE with generalised disc bulge at L3-L4. Please tell.

DHMS (Hons.)
Homeopath, Patna
I am 38 years old man having back pain lasting for 20 days from mild to severe in left hip side. In consultation to o...
Hi, it might b sciatica which is painful when you r in absolut rest & b relieved when you r mobile. Take, homoeo medicine: @ rhus tox 1000-6 pills, wkly. Avoid, junk food, alcohol, caffeine, nicotine, cold intake, jerks, riding tk, rest.
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Am 24 years old and facing disc bulge from past 4 years (L4, l5, l6) I have taken treatment with exercises, massages and Physio therapy. Which is best way to cure in a quick time.

MBBS, MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Mumbai
Continue your physiotherapy and avoid bending forward and lifting heavy weights, do regular back and core strengthenin exercise, take a healthy diet of calcium and vitamin d usually slipped discs regress on their own in a period of 6 to 8 months.
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Hello Dr. Sir, I am Harvinder singh from yamunanagar, Haryana. I have lower back pain since last 2 years. Its slip disc and sciatica pain in left leg. I am very unhappy with this problem. Please advice me best of best treatment for the same and where I can get the same.

BAMS
Ayurveda,
Hello Dr. Sir, I am Harvinder singh from yamunanagar, Haryana. I have lower back pain since last 2 years. Its slip di...
You may use yogi joint pain churna for few days, if its helpful for you, then continue to get relief from sciatica.
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Liver Transplant - FAQs Solved!

MBBS, DNB ( General Surgery)
Liver Transplant Surgeon, Pune
Liver Transplant - FAQs Solved!

1. What are the symptoms of liver disease? When to see a doctor?

Most of the liver diseases present with similar symptoms with some variations. Some of the common symptoms can be loss of appetite, nausea and vomiting, vomiting of blood, jaundice(yellowish discoloration of the eye), abdominal pain, itching, distension of abdomen( accumulation of fluid- ascites), swelling of lower limbs, weight loss, altered sensorium, confusion, and in a late stage- coma.

2. Can liver disease be prevented?

Liver is a crucial body organ which is responsible for processing essential nutrients from the food you eat, synthesizing bile and most importantly removing harmful toxins from the system. To ensure that your liver keeps performing its functions, you need to follow a healthy lifestyle.

Some of the liver diseases are metabolic and hence inherent at the time of birth and manifest later. However, some of the more common liver diseases are preventable like alcohol induced liver disease, fatty liver induced liver disease (NAFLD), Hepatitis A, B and C.

3. What is liver transplantation? What is the average cost of liver transplantation?

Liver transplantation is the treatment for end stage liver disease in both adults and children. In this operation, the diseased liver is removed and replaced by a healthy one. The success rate for the operation is high and terminally ill patient can return to normal lives.

The average cost of liver transplantation is Rs 18 to 20 Lakhs at Sahyadri specialty hospital, Pune Maharashtra. The cost of investigations of the donor and recipient is Rs 90,000. When patients are too sick and require prolonged stay following liver transplantation, the cost of treatment can escalate; hence it is advisable to patients to have the liver transplantation before they develop complications secondary to the liver disease (Cirrhosis).

Most of the patients seek help at a very late stage or referred late to a Surgeon. It is advisable for patients to seek the opinion of a Surgeon at a very early stage of the disease. The patient needs to take medicines for the rest of his life to prevent rejection of the new liver. The cost of medicines and the investigations in the first year is approximately Rs 10-15000/-. The number of medicines and the frequency of blood investigations are much less after the first year of liver transplantation.

The cost of liver transplantation in India is one-twentieth when compared to USA, UK and other European Countries.

4. When should a liver transplant be performed?

When a person’s liver is severely damaged and cannot function properly or complications may develop and liver transplantation should be considered. Conditions like hepatic coma, massive upper gastrointestinal bleeding, and liver cancer is the best treated by complete removal of the liver (cirrhotic liver).

In general, when a patient needs a new liver, the earlier the operation, the higher the success rate is.

Urgent liver transplantation is recommended in patients who have acute liver failure and this could be due to many reasons. The common conditions are Hepatitis B, Hepatitis A, Hepatitis E and drug induced. In such patients, liver transplantation is urgently needed in order to save the life of the individual.

5. What are the advantages/benefits to the recipient of getting a living donation vs cadaver?

A new liver can come from either of the two sources: A living donor or a brain-dead deceased donor.

Living donor transplantation:

It is technically feasible to remove part of the liver from a living person and transplant it to a patient who needs a new liver. The operation has now been done since 1989. Depending on the size matching of the donor and recipient, either the left side (about 35-40%) or the right side (60-65%) of the liver will have to be removed. The liver remnant in the donor will grow to its original size in 6-8 weeks time.

This process helps in an earlier transplantation before the recipients’ conditions deteriorates. It is a planned procedure whilst cadaver liver transplantation is an emergency procedure. It avoids the risk of death while waiting for a deceased donor liver graft(40% overall and 75% for patients in Intensive care units). The survival rate of a living donor transplant is over 90%.

There are risks like complications of the investigations and surgical procedures but the possibility of donor death rate is of 0.2-0.5%. Seventeen donor deaths have been reported in Brazil, France, Germany, Egypt, Hong Kong, Japan, USA and India.

Cadaver transplantation:

This is well established in the Europe and USA. Unfortunately, the availability of deceased donor liver is not very often in India. Depending on your blood group, you may have to wait for 0 to 6 months before you get a new liver.

During this waiting period, you may develop complications like spontaneous bacterial peritonitis (infection of the fluid in the abdomen) which, if repetitive may produce severe adhesions in your abdomen rendering liver transplantation difficult if not impossible.

It is important for everyone to register for organ donation, so that when we die, this noble act will help many people to lead normal lives. In the Western world the organ donation rate is between 15-18/million population where as in Indi it is less than 1/million.

6. Who can be a suitable living donor?

The most important criteria is that the donation of portion of the liver is done voluntarily. The donor has to be less than 50 years of age, body mass index of less than 25 and is a near relative of the recipient. Both the donor and the patient should have the same Blood group or O Blood group.

Besides, the potential donor should understand clearly that

  • The donor operation carries complication rate of 10-15%.
  • The recipient is successful in 90-95%, which means that there is 5-10% chance of dying.
  • The donation is done out of his/her own wish and without any coercion.
  • There is no financial gain related to the act of donation.
  • The donor has the right to withdraw at any time without the need of giving any reasons to do so.

7. Which patients are excluded from liver transplantation procedure?

Patients who have cancer in another part of the body, active alcohol or illegal drug abuse, active or severe infection in any part of the body, serious heart, lung or neurological conditions or those who are unable to follow doctors’ instructions are excluded generally.

8. What are the risks to the recipient from the surgery?

The overall success rate of liver transplant is over 94% and the majority of recipients can return to normal activities and achieve 95% of their quality of life which they had prior to liver disease. Since the recipients’ body may reject the new liver, it is essential for them to take immunosuppressive medications and continue follow up at the liver transplant clinic. They will need to continue these medications for life, at a reducing dosage.

The risk for the recipient is the return of the original problem that necessitated the liver transplant in the first place, e.g. hepatitis C, recidivism (return to alcoholism), noncompliance of medications. The other complications that can arise are thrombosis of blood vessels going into or out of the liver, primary or delayed graft non-function, bile duct complications, renal failure and other infections.

9. What are the side effects of having a liver transplant?

After a successful liver transplantation (95% of patients) – the patient is advised to take care of infections and to take anti-rejection medicines for life. The patient can return to normal quality of life and can return back to work in three months time. The patient has to regularly follow up with the surgeon in the first year and later at regular intervals as advised by his doctor. He will require blood tests to determine that his liver functions and to adjust his medications in the beginning and later the tests are infrequent. The patient is advised not to take any herbal or alternative drug treatment.

The transplant patient is assessed regularly for various complications like rejection, infection, narrowing of blood vessels etc., and appropriate treatment is initiated. Post transplantation, he is under the guidance of his doctor throughout his life. Any health problems that do come up have to be investigated and treated, though they are infrequent.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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For few days when seating for a long time then suddenly arise tiny pain in lower of hip the where end of spine please suggest me sir.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am 40 year old women. Unable to walk without support. MRI report shows multiple disc degeneration. Surgeon said, this is not the cause of walking problem. Physiotherapy was started. Is this serious? Can you please suggest me. Is this curable?

DM - Neurology, Fellowship in Stroke Neurology, MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Neurologist, Kolkata
Dear lybrate-user, Walking is final outcome of a coordinated action of multiple components of our body’s neuroaxis. They have their individual contributions namely of muscles, nerves, different tracts of the spinal cord and different areas of the brain including motor, sensory and balance areas.In short, we need to examine you throughly to localize the exact area of the neuroaxis involvement. Focus investigations according ly and provide a definitive management.
1 person found this helpful
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Hello Dr. My mother facing the problem regarding slip disk in the year of 2012 now she is fine but some time he faced pain what I will do so he will get normal.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. In asymptomatic periods in slipped disc, one should go for intensive back exercises daily brisk walks for 2-3 km every day in morning try to keep your weight to normal levels - take adequate supplementation of calcium and vitamin d as per requirement avoid heavy physical activity, acute forward bending in early morning as disc is hydrated in morning and has high chances of prolapse, avoid travelling on uneven surfaces for a long time. The mainstay is exercises, and more she does them, better is is, also keeping yourself physically fit is very important. Do not hesitate to contact me if you need any further assistance.
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MPT
Physiotherapist, Mumbai
Herniated disks or bone spurts in the vertebrae of the neck might take too much space and compress the nerves branching out from the spinal cord which may cause severe back pain.

How to Relieve Muscle Pain in Hindi - मांसपेशियों के दर्द को दूर करने के उपाय

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
How to Relieve Muscle Pain in Hindi - मांसपेशियों के दर्द को दूर करने के उपाय

हमारे शरीर में होने वाला दर्द कई तरह का होता है. मांसपेशियों में होने वाला दर्द भी इसी तरह का दर्द है. ज्यादा मेहनत करने से मांसपेशियों में दर्द होना आम बात है. शरीर में मांसपेशियों की एक जटिल प्रणाली होती है. मांसपेशियों में दर्द एक छोटी सी झुंझलाहट से शुरू होता है लेकिन कई बार यह आपके स्वास्थ्य के लिए गंभीर भी हो जाता है. इससे पीड़ित लोगों को अपने शरीर को पर्याप्त पानी से हाइड्रेटेड रखना होगा. अगर आपके शरीर में पर्याप्त पानी नहीं रहेगा तो आपकी मांसपेशियां अकड़ जाएंगी, और साथ ही आसानी से उन्हें चोट भी लग सकती है. आइए मांसपेशियों में होने वाले दर्द को दूर करने के उपायों को जानें.
1. सरसों का तेल
सरसों का तेल को एक प्राकृतिक औषधि माना जाता है. जिसके उपयोग से त्वचा की सतह पर रक्त प्रवाह को बढ़ाने में मदद मिलती है. इसके उपयोग से आपकी मांसपेशियों की अकड़न कम होगी और दर्द से भी जल्द राहत मिलेगी.
2. लाल मिर्च
लाल मिर्च में सूजनरोधी और पीड़ा को दूर करने के गुण मौजूद होते हैं. जिसकी मदद से मांसपेशियों में दर्द, अकड़न और सूजन कम होती है. इसके साथ ही आप लाल मिर्च को सलाद, सूप और अन्य आहार में ऊपर अलग से डालकर भी खा सकते हैं.
3. खट्टी चेरी का करें प्रयोग
खट्टी चेरी आपको व्यायाम के बाद होने वाले मांसपेशियों के दर्द से राहत दिलाती है. अध्ययन के अनुसार खट्टी चेरी में कई एंटीऑक्सिडेंट और सूजनरोधी गुण होता हैं जो सूजन और मांसपेशियों में होने वाले दर्द को कम करने में मदद करते हैं. मांसपेशियों की सूजन और पीड़ा को कम करने के लिए आप बिन चीनी के खट्टी चेरी के जूस का भी इस्तेमाल कर सकते हैं.
4. बर्फ का करे इस्तेमाल
जहां जहां आपको मांसपेशियों में दर्द है वहां अगर आप बर्फ के पैक को लगाते हैं तो इससे आपको दर्द और सूजन को कम करने में मदद मिलेगी. बर्फ रक्त वाहिकाओं को कसने में मदद करेगा जिससे कि आपके रक्त का प्रवाह प्रभावित क्षेत्रों में कम होगा.
5. गर्म पानी
दर्द के शुरू होने के 24 घंटे बाद एक गर्म पानी से अपने प्रभावित क्षेत्रों पर सिकाई करें. इससे आपके मांसपेशियों में दर्द नहीं होगा और जल्द राहत भी मिलेगी. इसका उपयोग करने से रक्त के प्रवाह में वृद्धि होगी और उपचार प्रक्रिया को भी एक गति मिलेगी. दर्द शुरू होने के 24 घंटों के भीतर इस प्रक्रिया का इस्तेमाल न करें.
6. केला पहुंचाये फायदा
केला मांसपेशियों के दर्द को कम करने के लिए एक बहुत अच्छा घरेलु उपाय है. यह फल पोटेशियम का एक समृद्ध स्रोत है. पोटेशियम की कमी से मांसपेशियों में कमजोरी, थकान और ऐंठन शुरू होने लगती है.
7. हल्दी है फायदेमंद
हल्दी एक दर्द निवारक और सूजनरोधी गुण के रूप में कार्य करती है. हल्दी का इस्तेमाल कैसे करें – एक कप दूध में एक चम्मच हल्दी को मिला लें. अब इस मिश्रण को हल्की आंच पर गर्म करें. अब इस मिश्रण को गर्म होने के बाद पी जाएँ.
8. रोज़मरी
ताज़ा और सूखे रोजमेरी की पत्तियों में सूजनरोधी गुण होते हैं जो मांसपेशियों की सूजन और दर्द से जल्द रहत दिलाने में मदद करते हैं.
9. अदरक
अदरक एक प्राकृतिक सूजनरोधी गुण के रूप में कार्य करता है और रक्त परिसंचरण और रक्त प्रवाह को बेहतर बनाता है. अदरक के सेवन से मांसपेशियों का दर्द दूर होता है. एक अध्ययन के अनुसार अगर आप कच्ची अदरक का सेवन करते हैं या उसे जलाकर खाते हैं तो आपकी मांसपेशियों और चोट का इलाज बहुत अच्छे से होगा.
10. सेब का सिरका
सेब का सिरका आपके मांसपेशियों के दर्द को दूर करने के लिए एक और महान उपाय है. इसमें सूजनरोधी और क्षारीय गुण भी होते हैं जो दर्द और सूजन को कम करने में मदद करते हैं.

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Know Everything About Uterine Prolapse!!

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Know Everything About Uterine Prolapse!!

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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