Cholecystectomy is an operation performed to remove the gallbladder. The gallbladder is a kind of a small sac found just below the liver, on the right hand side of the abdomen. The gallbladder stores a liquid known as bile. Bile is made in the liver and it gets released into the intestine along with the meals. The importance of bile lies in the fact that it helps to digest the fat in foods.
As gallbladder is not really an essential organ, so a child would do well after cholecystectomy. Once the gallbladder gets removed through this pediatric surgery, bile will continue to get released from the liver right into the intestine along with meals.

What is the necessity behind cholecystectomy?
The necessity for performing this surgery of Cholecystectomy can be outlined as follows:

The main reason behind the surgery is gallstones and pain.
Gallstones are small rocks, which form inside the gallbladder
These stones prevent the release of bile out from the gallbladder.
This blockage results in pain as well as jaundice
If a child comes across these problems, he or she would be recommended by his or her primary doctor to visit a paediatrician.
A paediatrician can get rid of the gallstones by removing the gallbladder through performing the surgery if Cholecystectomy.
How is the surgery performed?
The surgery is performed in the following manner:

A Cholecystectomy is performed on most of the occasions by way of laparoscopy.
A small telescope and tiny instruments are placed through very small incisions made on the abdomen.
The surgery normally gets completed within two hours.
When a child gets hospitalized, he or she receives intravenous fluids, antibiotics as well as pain medication.
As and when a child feels well, he/she would be allowed to eat, drink and also take pain relievers through mouth.
Cholecystectomy surgery involves very less loss of blood. Only in a rare case, when there is an emergency, a child needs to receive blood.
Children are released from hospital, one or two days after the surgery as and when they are able to eat, drink and be comfortable about themselves.
Homecare needed after the surgery
There are certain guidelines which parents must follow when their children get back home after the surgery. They include:

Pain management: The pain medication prescribed by the paediatrician is not required at a routine basis after discharge from the hospital. Most of the children only require Acetaminophen (Tylenol) or Ibuprophen once they are at home.
Healing ridge: Once the small incisions get healed, children would be able to feel a firm ridge just below it. It would last for few months, slowly get softened and then disappear.

Cholecystectomy - Know More About It!

Arrhythmia is a disorder which is characterized by improper and irregular heartbeats; be it too slow or too fast. This problem occurs when the electrical impulses that are used to regulate your heartbeat don t work in the correct manner. Your heart may beat irregularly, too slow or too fast.

Symptoms
Although this disorder does not yield many symptoms, a few noticeable symptoms of arrhythmia are slow heartbeat, or a racing heartbeat, chest pain, breathing difficulties and dizziness. Arrhythmia can lead to inefficient pumping by the heart, leading to bouts of fainting. A severe symptom of this disorder is ventricular fibrillation, wherein the ventricles tend to quiver instead of transporting blood. This symptom can cut off blood supply to the vital organs, which may lead to death.

Causes

Coronary artery disease: In this disease, arteries of the heart can get blocked, leading to irregular heart beat and impaired heart functioning.
A heart attack: An ongoing heart attack usually leads to irregular heartbeats.
High blood pressure: High blood pressure problems make you more vulnerable to this condition.
Impaired functioning of the thyroid glands: An overactive or underactive thyroid gland can lead to heart arrhythmia.
Excessive smoking and alcohol consumption: These habits can cause problems with the blood vessels in the body, thus increasing risks of this particular condition as well as other cardio-vascular diseases.
Stress: Too much stress can lead to high blood pressure; that is again linked to heart arrhythmia.
Treatment
Mild symptoms of arrhythmia do not require treatment. However, complications resulting from it warrant treatment. The various treatment options for this condition are:

Pacemaker: A pacemaker is a device that is used to regulate your heart rhythms. It is placed in the body by a surgical procedure and an insulated wire is put, connecting the heart to the pacemaker. In case of an irregular heartbeat, the pacemaker sends out impulses to correct the improper heartbeat.
Implantable cardioverter-defibrillator: This device is used to prevent a dangerous symptom of heart arrhythmia, a symptom wherein the ventricle quivers. It is similar to a pacemaker as it is also placed near the collarbone. In case it detects an abnormal rhythm, it sends out shocks to reset the heart rhythm.
Maze procedure: This is a surgical procedure wherein incisions are made on the upper heart tissue to create a scar tissue. Scar tissues act as insulators to prevent stray impulses.
Alternative therapies: Alternative procedures such as yoga and meditation can help remedy the disorder.

Is Your Heart Missing a Beat Regularly - Could it be Arrhythmia?

A mammogram is an imaging test where an X-ray is taken to recreate the internal imagery of your breasts. This is a screening test that is widely used to find the earliest signs of cancer. There have been instances where the early signs of cancer have been found up to three years before the actual development of the same. There are a number of benefits and risks in this screening method. So let us find out more about getting a mammogram, and whether or not you should get one.

    Procedure: A special X-ray machine is used for conducting a mammogram. There is a clear plastic plate on which the specialist will place the breast while another plate will press on the breast from above. While both the plates serve to flatten the breast and hold it still, the X-ray will be taken. Some pressure will be felt and the same steps will be repeated so as to get the side view of the breasts. The same procedure will be repeated for the other breast. Meanwhile, once it is done, you will need to wait so that the technician can check for clarity, and whether or not the procedure needs to be done again. The results of this procedure cannot be relayed by the technician, and all the images will be different because all breasts are slightly different from each other.
    Preparation: You will need to remember that the process can be a slightly painful one, especially once the pressure gets applied. Many women complain of discomfort and pain. Yet, this discomfort gets over before you know it. The pressure and pain will depend on the size of your breasts and how much they will have to be pressed in order to get a picture. The skill of the technician will also come into play here. One must remember not to get this procedure done a week or so before or after the menstrual cycle, as the breasts tend to be tender around this time, and the pain will be much more.
    Radiologist: Within a few weeks after the procedure, the radiologist will usually deliver the result. This is the professional who does an accurate reading of the X-ray.
    Normal and Abnormal Readings: If your mammogram result has a normal reading, then you can resort to getting one done every once in a while. But an abnormal reading will require further X-ray and tests so as to be able to tell for sure.
    Why should I get one: If you are over 40 and have a family history of such ailments, then you will have to get a mammogram done regularly.

Should You Get a Mammogram?

Heart attack, also known as myocardial infarction, is a severe condition where death of the heart muscle occurs because of the loss of blood supply. The blood loss usually happens because of the blockage of a coronary artery. Due to electrical instability, ventricular fibrillation is caused. Heart attacks may result in permanent brain damage or even death.

Symptoms of heart attack
There are many early symptoms and signs of heart attack, which should be recognized. Symptoms of heart attack vary from person to person. Here is a list of the primary heart attack symptoms:

Chest pain and discomfort:
Chest pain is the basic symptom of a heart attack and occurs in different forms. The chest pain has a pressure, fullness and squeezing sensation and starts from the center of the chest. The pain may go away and re-occur and may spread down to other limbs of the body.
Headache, toothache:
The chest pain occurring due to a heart attack spreads all over the body and the jaw. Even the back and head are affected. Sometimes pain in these regions is present while chest pain is absent.
Shortness of breath:
A gasping sensation or feeling shortness of breath is another common sign of a heart attack. Such breathing difficulty is called dyspnea. The shortness of breath occurs before or during the chest pain.
Nausea and vomiting:
The feeling of nausea or sickness in the stomach is another possible symptom. It is accompanied by belching or burping and sometimes, the heart attack is associated with a feeling of indigestion. Nausea is more common in women. Vomiting also occurs alongside nausea.
General epigastric discomfort:
In several cases, patients describe the pain of a heart attack as stomach pain. The pain is heavy and uncomfortable and persists for several minutes.
Sweating:
Perspiration or sweating occurs during a heart attack and the patient experiences cold sweat in avid amounts.

Emergency treatment for heart attack-
A person who has a heart attack should be rushed to a hospital.
Several tests are carried out to detect the cause of the attack. A 12 lead ekg is carried out to supervise electrical activity within the heart and detect the damaged areas.
Blood tests are undertaken to check enzymes and in certain cases, cardiac catheterization is required where pictures of the blood vessels are examined.
Emergency medicines are given to the patient to stop the formation of blood clots and include aspirin, heparin and other drugs. Other medicines are given for thrombolytic therapy, which dissolve already formed blood clots. They work to reduce the heart damage. Nitrates are also used.

A heart attack is a severe condition and must be attended to immediately. Emergency treatment procedures are essential to save the life of an affected person.

Heart Attack - Signs, Symptoms and Emergency Treatment

Obesity can shorten your lifespan by decades and also limit and reduce the quality of your life. Obesity cannot always be controlled by dieting and exercise and thus more complicated means such as bariatric surgery has to be employed.

Types of bariatric surgery
Most bariatric surgeries either limit your ability to consume food and thus make you feel fuller quickly or limit the absorption of nutrients from the food you eat. Certain surgeries use a combination of the two in varying degrees. Mentioned below are the most commonly employed forms of bariatric surgery  

Gastric Balloon   This is a form of surgery wherein a specially made balloon is inserted into the stomach. In certain cases even two balloons are inserted into the stomach to reduce the room left for food. This causes you to have less food resulting in weight loss over a period of time.
Gastric Sleeve   This is a form of surgery wherein a major portion of the stomach is removed through the procedure. Also known as Vertical Sleeve Gastrectomy, the surgeon creates a pouch within the stomach which essentially becomes a connecting tube between the esophagus and the large intestine. The reduced stomach size causes fewer hunger related enzymes and hormones to be secreted, causing less hunger and also reducing your food intake capability. This results in weight loss over a period of time.
Gastric Bypass   Gastric bypass uses the combination of two techniques, lesser absorption of minerals as well as reduced intake capacity. In this method, a part of the stomach is rearranged akin to the gastric sleeve. However the leftover portion of the stomach is not removed as it can continue to secrete stomach acids. Because of the reduced size of the stomach, you would eat less and if you happen to over eat, it would cause dumping syndrome (quick and repeated bowel evacuation) which would deter you from eating more.
Lap band surgery   This is one form of surgery where the stomach is not reduced or cut but rather limited by a band that is put around it. This band constricts the stomach and causes the upper part to become smaller. Hence you would feel fuller from eating less, thus resulting in weight loss.
V-bloc therapy   This is a very modern approach to bariatric procedures which works in a very similar way to a pacemaker. A device is placed just under your skin and two leads or wires are connected to the vagal nerve. This nerve is responsible for sending the hunger signals to the brain from the stomach. This device acts as a block to the nerve signals and thus ensures you eat less.
Duodenal switch   This surgery is also known as a Biliopancreatic Diversion wherein the surgeons cut out the part of the stomach similar to a gastric sleeve surgery but also make adjustments to the pancreatic chain and the small intestine to reduce the absorption of minerals.

6 Types Of Bariatric Surgery You Can Think of!

Why Do You Get Palpitations? How to Get Immediate Relief?

Palpitations is the feeling that you experience when your heart beats abnormally. Heart palpitations can be felt in the form of rapid, fluttering or pounding heartbeats. They can be frightening as when you palpate, you heart beats so hard that it even skips a beat and the sensations are so strong that they can be felt all through your chest, neck, and throat.

Palpitations are also common especially in young people because of abnormal electrical circuits in heart from birth. However, they may have normal hearts on Echo. Such palpitations are curable by a nonsurgical methods called Radiofrequency Ablation.

Palpitations can be triggered as a result of a number of reasons like stress, certain medications, exercise etc.

Here are a few prominent causes of heart palpitations.

Causes unrelated to the Heart -

- Anxiety, fear, and stress
- Consumption of alcohol and drugs like caffeine, nicotine etc.
- Consumption of street drugs likes cocaine, amphetamines etc.
- Certain medical conditions such as thyroid, anemia, dehydration, low blood pressure and low sugar levels etc.
- Hormonal changes that occur as a result of menstruation, pregnancy, menopause etc.
- Certain nutritional and herbal supplements
- Certain medications like asthma inhalers, diet pills etc.
- Abnormal levels of electrolyte
- Sensitivity to certain food items like some carbohydrates

Causes related to the Heart -

- Coronary artery disease
- Prior instances of heart attack
- Congestive heart failure (a condition wherein your heart's chambers get affected)
- Problems associated with the heart valves or the heart muscles

Immediate Relief Mechanisms-

It is crucial to go to the most easily available doctor to get an ECG done during palpitations as ECG will give an exact diagnosis, which helps in identifying the clear line of treatment.

Here are a few techniques that can help you in getting immediate relief from heart palpitations until you are able to visit a doctor in case of a serious condition.

- Cough it out
- Splash cold water on your face or take a cold shower
- Practice slow, deep breathing exercises



Why Do You Get Palpitations? How to Get Immediate Relief?

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