What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

Pancreas Transplant is a surgical procedure where the damaged pancreas is taken out of the body of the patient and transplanted with the healthy ones from the donor s body.
The pancreas is located in the middle part of the body that helps in the secretion of insulin in the body. Insulin helps in the absorption of sugar in the body and helps in maintaining glucose level. If the pancreas is not producing insulin in sufficient quantity than the patient is likely to suffer type 1 diabetes.

Most of the pancreas transplants are done to cure the extreme conditions of type 1 diabetes. However, the transplants are done only in case of severe diabetic conditions because the pancreas transplant has serious side effects and not always pleasant after surgery recovery.

Why is the Pancreas Transplant Done?
There are several reasons for doctors choosing for pancreas transplantation. One of the most reason is the type of diabetes. However, they are also performed along with the kidney transplantation, when damage to the kidney is done by diabetes.

Following reasons are worth considering for pancreas transplantation:
  Extreme and severe type 1 diabetes
  Kidney damage
  Type 2 diabetes due to a lower level of insulin usage in the body
  Poor blood sugar level

Types of Pancreas Transplantations-

  Pancreas Transplant Alone: The pancreas transplantation is done solely for the diabetic patient whose kidney is unaffected and does not require any surgery along with pancreas transplant.

  Pancreas Transplantation Along with Kidney Transplant: This kind of surgery is done by the doctors when the patient has weak kidney and damaged pancreas. In such a scenario, only kidney transplantation is not sufficient and requires new pancreas for overall development.

  Pancreas-after-kidney Transplantation: For patients who have been waiting long enough for a donor for pancreas and kidney both, this is a better solution. Since the waiting list to get, such donor is long and not probable. Doctors prioritize and perform kidney transplantation first since the condition for kidney transplantation is rather severe and affected. Then after pancreas transplantation is done when a suitable donor is found.

  Pancreatic Islet Cell Transplant: Pancreatic islet cells are responsible for producing insulin into the body. So, doctors perform surgery on the patient and inject the pancreatic islet cells from donor s pancreas to the patient under operation.

Complications of the Procedure-
Some of the common complications of the procedure are:

  Blood clots
  Bleeding
  Infection
  Excess sugar in the blood
  Failure of the donated pancreas
  Transplant rejection
  Urinary tract complications

Conclusion-
Pancreas Transplant is done when the patient is severely diabetic and is not curable with only medication. The doctors suggest the post-surgery rest. The patient is required to be hospitalized for one week at least and keep strict follow-up routine to look after the effects of transplantation.

Pancreas Transplant - When Is It Required?

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

Constipation
Nausea
Feeling of fullness even without eating a thing
Sharp pain while lifting weight
Burning sensation
Dull ache near the groin area
Bulge near the groin area
How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
The pain is significantly less compared to the conventional surgery.
The cost of a laparoscopic surgery is lesser
Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.
What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery.

An Overview Of Laparoscopic Hernia Surgery!

A diseased kidney is one that has lost its ability to carry out the filtration process in a proper manner. This process of filtration usually sends the waste and toxins out of the body in a routine manner. In such cases, a kidney disease manifests which requires a number of treatment measures. Dialysis is something that enters the treatment plan at a later stage as chronic early stage kidney disease can remain in the patient s body for many years. When the kidney function comes down to 15%, then most doctors recommend the start of dialysis which is basically a process that removes the excess waste and fluid from the blood. This can be a process that will leave the patient fatigued and in a mental state that is not exactly stable and positive at all times. It is common to see dialysis patients battling depression due to the chronic nature of the treatment as well as the low chances of recovery.

So, let us find out how dialysis patients can cope with depression.

    Professional Help: Depression is said to be like a common cold when it comes to mental diseases. The state of a person s body can very well affect the balance in his or her mind and lead to depression. Starting from pressing circumstances to hormonal changes as well as chronic ailments, depression can affect people due to a number of reasons. Dialysis patients who are undergoing depression must consult a professional specialist like a psychiatrist who will help the patient understand and cope with the situation with the use of therapy based counselling.
    Medication: The patient can also be given medication that will prevent the build up of unnecessary stress by blocking the production of those hormones that result in a negative state of mind. This medication must be prescribed after speaking the patient s nephrologist about what kind of medication will suit the patient specifically.
    Psychotherapy: Long term psychotherapy is also known as talk therapy that can help the psychiatrist or clinical psychologist in talking the patient through the problems. Besides giving the patient the scope and platform to air out the problems and reach solutions regarding normal day to day functioning despite the troubles, this kind of therapy also aims at equipping the patient with a better perspective and improved attitude.

While going through this kind of therapy and medication, it is important to keep a team of nephrologists and psychiatrists in the loop so that the patient may reach out at any time in order to avail help in the most trying situations. This will give a blanket of security to the patient as well.

3 Ways a Dialysis Patient can Cope with Depression

There was an era where we had deadly infections like plague and polio causing death of thousands of people. We still have occasional outbreak of swine flu, but by and large, infections are quite controlled. The new killer diseases are caused because of the lifestyle we have adapted and the damage we have done to the environment. High intake of processed foods, artificial chemicals in our foods, sedentary lifestyle with very minimal to no physical activity, couching over the computers; the list is quite long. All these have led to diseases like diabetes and cancer that were not so common about say few decades ago.

Detailed observation has revealed that both these new epidemiologic diseases have a close correlation. There are factors, which induce diabetes and diabetes in turn and in some cases, diabetes inducing agents, can cause cancer also. It has also been observed that mortality is severely increased if diabetic patients are diagnosed with cancer. There are two types of diabetes. While type 1 is mostly hereditary, type 2 is lifestyle induced and the age at which this is being diagnosed is taking a severe plunge. Adolescents and teenagers are being diagnosed for diabetes. Cancer, on the other hand, is of various types (leukaemia, melanoma, etc.) and can affect various organs (lung, breast, prostate, stomach, liver, etc.).

The medical community is yet to decipher the disease pattern of both these conditions. While there is no definite correlation between diabetes and all types of cancer, some types of cancer are definitely correlated with a definite reason identified, pancreatic and liver cancer for instance. The high amounts of insulin that diabetic patients are exposed to causes changes in liver and pancreas including fatty liver and cirrhosis, here the incidence of cancer is higher. The linkage is not very clear in lung and intestinal cancers and also there is no link between prostate cancer and diabetes.

Diabetes is considered as a state of chronic inflammation and leads to conditions like hyperinsulinemia (higher levels of insulin in the blood) hyperglycemia (higher levels of sugar in the blood). These are believed to aggravate the neoplastic process of cancer formation, thereby inducing cancer at a greater pace and also increasing the mortality rates.

The following are risk factors that are applicable to both age, physical activity, diet, obesity, drinking and smoking. It is also possible that onset of one can be followed by the other. As noted earlier, more detailed research is awaited to establish a definite linkage, but the correlation cannot be ignored at all.

Both these new epidemics are here to stay and since they have a common set of factors, we need to work on ways to contain them.

Diabetes and Cancer: The New Epidemic?

Polycystic kidney disease is a disorder that is inherited; it is characterized by development of cysts in the kidneys. These cysts are round sacs that contain a water like fluid. Initially, the size of the cysts are small, they tend to increase in size after the fluid accumulation. This disorder can also cause cysts to develop in the liver and other parts of the body.

Symptoms and Complications
The most common symptoms of this disorder are back pain, headache, high blood pressure and kidney failure. It can also lead to formation of stones in the kidney, presence of blood in the urine and an urge to urinate frequently. It also make your kidney prone to various bacterial infections.

Causes
The disease is caused because of the presence of defective genes in the body, implying that this disorder is primarily hereditary. In some cases, the disease is caused by a genetic mutation. Based on the causes, it is classified into two types:

Autosomal recessive polycystic kidney disease: This disorder causes the symptoms to appear immediately after birth, although the symptoms are delayed until adolescence. This disorder only occurs when both the parents carry the defective gene which is passed to the offspring.
Autosomal dominant polycystic kidney disease: This disorder usually tends to occur only after the age of 30. Unlike the previous type, here only one parent needs to carry the defective gene that is passed on to the offspring.
Treatment
The treatment of polycystic kidney disease generally involves dealing with the following signs:

Pain: Chronic pain, usually in the sides of the body or the back, is a common symptom of this disorder. You can opt for pain reliving medication such as ibuprofen. If the cysts are large, then surgery is required to ease the pain.
High blood pressure: High blood pressure is best controlled by a following a healthy diet and lifestyle. High blood pressure can damage the kidneys severely. Medications may also be required to control blood pressure, if it rises abnormally.

Frequent Urination - Can it be a Sign of Kidney Disease?

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