Pancreatic cancer is an aggressive form of cancer. The disease shows no early symptoms and often spreads to other organs long before it is properly diagnosed. Due to such poor prognosis, only around 6% of the pancreatic cancer patients are healthy and alive 5 years after the first diagnosis.

One of the most common surgeries to remove tumours from the pancreas is Pancreaticoduodenectomy, that is commonly called Whipples surgery. The primary aim of the procedure is to cure cancers or disorders that are identified in the pancreas, bile duct or the duodenum. Here, the tumour is removed to prevent it from spreading to other organs, thus improving the life expectancy of the patient. 

Whipple's Procedure

Before the surgery, an intravenous line will be injected to your arm, to provide you with the necessary medication. Medicines may be passed through this line to soothe your nerves. A spinal injection or an epidural catheter may be placed. This helps you to recover painlessly after the surgery.

The surgery can be carried out in different ways  

Open surgery

Here, the surgeon makes a small incision in your abdomen to access the pancreas and other organs. This is the most common method. This is a complicated operation where the tip of the pancreas, the gallbladder, the bile duct and the initial portion of the small intestine are removed. It is performed to treat cancers that are present on the head of the pancreas. 

Laparoscopic surgery

Here several small incisions are made in your abdomen to insert a camera that transmits the live video of the abdomen to a monitor. According to the live feed, the surgeon performs the operation by using surgical tools. It is a common form of minimally invasive surgery.

Robotic operation

This is another type of minimally invasive surgery where the surgical tools are attached to a special robot. Here, the doctor uses a console to control the robot to perform the surgery. This is used because surgical robots can reach and operate in spaces and corners where the human hands may not reach during surgery.

 The Whipples surgery can take 4 to 12 hours depending upon the approach being used and the complexity of the process. During the surgery, you will be given general anaesthesia, so you will be asleep.

In some cases, a part of your stomach or nearby lymph nodes may be removed to treat the cancer growths. After the process, the doctor will reconnect the other organs so that you can digest food normally.

After the procedure, you may face problems while emptying your bowels. The condition improves around 7 to 10 days after the surgery. Most patients are able to return back to their normal life usually around 6 weeks after the procedure.

It is recommended that you follow the doctor s instructions after the surgery and stick to the diet prescribed. Additionally, keep the incision protected from sunlight and remove the bandages only after consulting the doctors. 

 

 

Whipples Surgery & Pancreatic Cancer - Know About Them!

Nails are an important part of your physiology, although they are mostly used for either utilitarian purposes such as gripping or for beauty purposes such as nail decorations. Nails themselves can go through infections which need not have underlying causes and thus can cause damage to that part of the tissue. One such disorder of the nail is onycholysis.

What is onycholysis?
This is a disorder where the nail on the finger or the toes starts to separate from the skin below. This happens little by little and usually starts at the tip and then progresses backward. The further back it progresses, the more nail tissue it destroys. While the entire nail may not be detached from the nail bed, parts of it may chip off, showing the tissue underneath.

Symptoms of Onycholysis:

Jagged border between the pink flesh of the nail bed and the yellow edge of the nail
Detached nails become opaque, yellow or may turn green in color
Nail may become irregular in shape and size
Bits and chunks of nails can break off easily
Primary Causes for Onycholysis:

Frequent trauma - If you have a profession or work at home where you constantly require tapping away, it might cause minute injuries to build up within the nails and the fingers. Tapping on keyboards is one area where you could get repetitive trauma like this.
Manicure problems - Many salons may aggressively try to clean the underside of the nails and in the process, slowly dislodge the nail form the nail bed and cause onycholysis. This has known to be the case with many people.
Water immersion - If you have work where your nails are immersed in water for long periods of time, this could also affect the development of onycholysis.
Skin diseases - Certain skin conditions can also end up giving onycholysis. Psoriasis and contact dermatitis are other conditions that may lead to onycholysis as a consequence.
Allergy to nail glue - Many makeup artists and customers have complained that certain brands of nail glue can also cause allergies resulting in onycholysis.
Medications - Medications meant for the treatment of other ailments within the body can have the unintended consequences of causing onycholysis.
Treatment:
The underlying problems need to be corrected which may cause onycholysis. Once the underlying problem is corrected, onycholysis usually corrects itself. The nail may take some time to re-grow but will grow back on its own eventually and may take 4 to 6 months to cover the entire affected area again.

Onycholysis - How It Can Affect Your Nails?

Pericardial effusion is the excess fluid between the heart and sac surrounding the heart. The fluid keeps the heart moving in the sac. The excess fluid can cause a problem in the workings of the heart and may lead to death. The space between two layers of sac usually contain 2-3 tablespoons of clear liquid. But pericardial effusion can affect the heart beats and make it weaker.

Causes 

The leading cause of the pericardial effusion is pericarditis. In this condition, the layered sac of the heart is inflamed due to some viral infection. This inflamed sac produces more fluid.

Some of the most common infections that cause pericarditis are: 

  Viral infection 

  Cytomegalovirus 

  Coxsackieviruses 

  Echoviruses 

  HIV 

The other causes of pericarditis and pericardial effusion are: 

  Injury in the heart or the sac 

  Cancer 

  Kidney failure 

  Tuberculosis 

  Lupus 

Symptoms 

Generally, when there is minimal or no inflammation in the sac, there are no symptoms. However, chest pain and short-breathing are the most common symptoms for pericardial effusion. 

The large pericardial effusion in the heart sac can show symptoms like: 

  Shortness of breath 

  Passing out occasionally 

  Fast heart pounding 

  Fatigue 

  Clammy skin 

In some cases, where the condition is not worse, patients may experience: 

  Fever 

  Fatigue 

  Vomiting 

  Muscle aches 

  Viral illness

Diagnosis 

The person experiencing the above-mentioned symptoms should visit a cardiologist for a checkup. The doctor may ask for following tests and checkups for determining the condition: 

  Physical Checkup: In the physical checkup, the doctor listens to the heartbeat of the patient and assess the heart beat rate. He will also ask about the family history and medication records. 

  EKG: With EKG, doctors determine the heart rate with the help of electronic devices. Electrodes are placed on the chest, and heart activity is tested. However, the presence of pericardial effusion is difficult with EKG. 

  Chest X-Ray: X-Ray is an excellent way to detect the presence of pericardial effusion in the patient. The enlarged portion is detected in the image. Once an enlarged sac is detected, doctors order the echocardiogram test. It is an Ultrasound for the heart and gives a clear picture of the patient&#39;s heart condition. Once it is determined that the patient has pericardial effusion, the doctor determines the size of the enlarged sac and quantity of liquid in it. Most of the time, pericardial effusion is small and not severe. But if the size and quantity of the liquid are high, the doctor determines the condition of the heart and the ability to pump the blood. The doctor may also take a sample of the fluid from the sac to determine the exact cause for inflammation. 

Take Away 

Pericardial Effusion is a condition in which fluid is accumulated between the heart and sac surrounding the heart. Though the problem is not severe, it is advisable to consult a doctor.

Pericarditis / Pericardial Effusion - Know More About It!

When blood supply to the brain is interrupted, a person suffers a stroke. The brain cells do not receive the oxygen and glucose needed to survive and so they die. A stroke can be fatal and life-threatening. The brain can be permanently damaged. Many surveys reveal that 50% of people who suffer a stroke do not live for more than a year. A stroke usually happens to people aged 65 years or above.

How does a stroke occur?

There are two types of stroke caused by two different reasons-

1. Ischemic stroke: Clots are formed in the brain s blood vessels or in the vessels in any part of the body which travel to the brain. These clots obstruct the flow of blood to the brain. The chief reason for the development of clots is deposition of fatty acids and cholesterol.

2. Hemorrhagic stroke: This kind of stroke happens when a blood vessel in the brain ruptures. The blood from the ruptured vein flows into the brain and damages the brain cells. The chief cause of hemorrhagic strokes is high blood pressure and aneurysm (thinning of the walls of the vein)

What are the symptoms of stroke:

The following are the usual symptoms that can tell you if are about to or just have suffered a stroke-

  The arms or legs on either side or the face feels numb
  Loss of vision in one or both eyes
  Difficulty of speech
  Sudden and splitting headache
  Disorientation and feeling unbalanced while walking
  Altered consciousness

Risk of strokes:

High blood pressure is the most common cause of strokes. If your blood pressure exceeds 140/90 you are at a risk of suffering a stroke. Diabetes or people with a family history of strokes have higher chances of suffering a stroke. More men suffer a stroke than women. Certain lifestyle choices like excessive smoking or alcohol consumption can actually increase the risk of strokes.

Ayurveda and the treatment of stroke

In the ayurvedic parlance, stroke is called paksha pakshaghata. The cause is Vata dosha (Vata is responsible for the sensory and motor activities of the body)

Ayurveda treats strokes by easing or relieving the symptoms or effects of a stroke. The most popular course of treatment consists of a combination of Basti, Nasya and Shirodhara-

  In Basti, a person goes through an enema to cleanse the body of internal toxins
  Nasya aims to clear the sinuses, nose and head.
  For a Shirodhara treatment, a person has to lie on her/his back and liquids mixed with medicins are poured down her/his forehead which the bloodstream absorbs through the skin.
  Dhanadanayanadi Kashayam, Dhanwantara Kashayam, Ashtavarga Kashayam, Bala Arista treatment restore the motor and sensory functions of the brain.
  Balaswagandhadi taila,Ksheerabala taila, Dhanvantara taila help rejuvenate the damaged brain cells.
  Some other forms of treatment include Ashwagandharishtaa, Brahmi Vati and Ashwagandhachurna.
  An effective home remedy is boiling 3-4 garlic cloves in 100ml of milk. Keep boiling till the mixture is reduced to half its original volume. This concoction should be taken right before going to bed. It helps to keep blood pressure and cholesterol under check.

After the treatment is completed, a person can expect relief from the symptoms of stroke.

Ayurveda can treat the effects of stroke efficiently with a combination of physical therapies and medication.

Stroke And Ayurveda!

5 things that worsen your psoriasis

Psoriasis is one of the most chronic and long lasting diseases relating to the skin. Under this condition, the infected skin cells multiply 10 times faster than the normal rate. During this disease, the normal skin tends to get covered by a layer of dead skin cells, not allowing the skin to breathe. The top five things that can worsen your psoriasis are listed below.

Alcohol

There is a direct link between your drinking habits and your skin health. Drinking, in general, tends to cause harm to the overall body. Skin being no exception also gets affected adversely by alcohol consumption. If you have psoriasis, then you should immediately consult your dermatologist so that he/she can assign you a daily limit for your alcohol consumption in a manner that it does not worsen the condition of your skin.

Infections

Psoriasis also gets worsened by common infections like an earache, bronchitis, strep throat infection, and such others. It is highly recommended for you to consult your doctor if you have anybody infections along with psoriasis. So the doctor will be able to tell you the risk of the infection and how to go about managing it.

Stress

Stress has been known generally to affect the skin in an adverse manner. Stress can cause your body to have a greater incidence of inflammation on your skin which further affects your skin disease. Your doctor can help you out with the ways to manage your stress so that it does not cause any further damage to your skin.

Weather changes

Medical researchers have proved that psoriasis tends to grow in colder and drier conditions. It has reportedly been observed that people having psoriasis have smoother skin during summers than during winters.

Cuts and bruises

If there are any kinds of breakouts or irregularities in your skin, then it would further worsen your psoriasis. Your cut skin may lead to a flare which is known as the Koebner phenomenon in medical terminology.



5 Things That Worsen Your Psoriasis

Tonsillitis is an affliction that plagues a fair share of people. Located at the back of your throat, tonsils are essentially two small glands, which contain white blood cells to defend your body against infection. However, on account of germ attacks, sometimes the tonsils get infected and this results in the swelling of the tonsil glands, which in turn causes sore throat and aligned maladies. 

Tonsillitis may be cured through surgical procedures. However, an isolated case of the inflammation of the tonsils need not warrant a surgery. Tonsillectomy or the surgical method of curing tonsillitis is only recommended for extreme cases of tonsillitis. Only the frequent sufferers of tonsillitis take recourse to tonsillectomy for a durable and effective solution. Surgeries are only done on those who have had at least seven bouts of strep throats within a span of a year. 

Tonsillectomies essentially involve surgical removal of the tonsils either using a scalpel or burning the tissues in the tonsils with the use of ultrasound vibrations. Usually performed under anesthesia, it is a fairly painless and a non-hazardous procedure. Tonsillectomies generally last for about an hour. However, the recovery period sometimes entail a few physical discomforts. Sore throat, difficulty in swallowing, pain in the jaws and ears are common symptoms of post tonsillectomy conditions. While there are palliative medicines available in the markets, adequate rest and proper diet speeds up the recovery. 

Tonsillectomy generally leaves no side effects and the success rate of this surgery is quite heartening. Tonsillectomy has also known to cure several other associated health problems in the likes of breathing troubles, sleep apnea, bleeding of the tonsil glands or cancerous developments in the tonsil glands. That aside, tonsillectomy is only performed on acute cases of tonsillitis and often regarded as the lender of last resort when medicines stop according any relief to the patient.

When to go for a Tonsil Surgery?

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