How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.

What is ECMO?
ECMO is a life support device that is put in place when a patient's heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.

Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.

How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warm blood is either pumped into the body with the help of the machine or is transferred back into the body through an artery.

How long a patient can be on ECMO?
After seven days of being put on ECMO,there are chances of patient getting an infection.
In case the patient contracts an infection, it is recommended to take the patient off ECMO support.

All About ECMO - Extracorporeal Membrane Oxygenation 

Some people have a sore throat which they think will go away sooner rather than later. Well, while it may not seem serious, rheumatic heart disease means that it could potentially be! But, how exactly?

A sore throat usually comes about on account of bacteria affecting the region of the throat.

Sometimes what can happen is that the same bacteria can go all the way to the heart and damage the valves of it. This is very serious as the health of a person fundamentally depends on the health of his or her heart!

When a sore throat does not seem to be getting better even after about three days go by, the first thing which is to be done is to see a doctor. This is due to the fact that delays can result in the situation getting worse. As a result of this, treatment can get more complex. And who wishes to compound their own miseries, after all?

Children who are aged between five and fifteen years of age are at risk of rheumatic heart disease. Now, while it is true that children are likely to fall sick more often than adults as their immune systems may not be all that strong, a special eye is to be kept out for rheumatic heart disease. The general symptoms which a parent should look out for are a sore throat, a cough and a fever. The tough part is that these symptoms appear which a range of other conditions!

When it comes to knowing that rheumatic heart disease is what is affecting a person, a special blood test is taken and if there is a need, an ECG and some other measures confirm rheumatic heart disease. Penicillin is a wonder drug and it is used in the treatment of rheumatic heart disease, as well. It is the general form of treatment, in fact, and people with the disease are often put on a course of injections. This means that they need to have an injection every 28 days for a month so as to make sure that there is no further damage which can affect the valves of the heart. The importance of this cannot be impressed enough.

It is unfortunate that in many cases, people only discover that they have rheumatic heart disease once they reach adulthood. The valves of the heart may be leaking or significantly damaged by the time that the discovery is made. Is it not a lot better to save oneself from this sort of situation?

Things To Know About Rheumatic Heart Disease

Most people would panic on seeing slightly red urine being passed. A common urologic condition, this happens because blood cells are leaking into the urine. There are multiple reasons which can cause it, and not all of them are major causes for concern.

Read on to know more about some common causes, and how to manage this.

Urinary tract infections: There could be an infection of the entire urinary tract including the kidneys, the ureters, the bladder, and the urethra. In addition to blood in the urine, there could also be an urge to urinate, pain with urination, fever, and flank pain.
Enlarged or infected prostate: The prostate naturally enlarges with age and can obstruct the urethra, causing pain and blood in the urine. There is a constant urge to urinate and difficulty initiating the stream. Infection of the prostate also produces similar symptoms along with fever and pain.
Kidney diseases: In addition to infections, other kidney diseases including glomerulonephritis, which can also lead to hematuria. Kidney stones, which are quite common, are also another reason, and this will be characterised by the sudden sharp pain around the flank which is very diagnostic of kidney stones. Injury to the kidneys from trauma or sports is another reason for hematuria.
Cancers/tumours: Cancers in the kidney, bladder, or prostate can cause blood to appear in the urine, but this would happen once cancer has reached some advanced stage, not very early in the process.
Listed below are some risk factors for hematuria.

Age: Men older than 50 are more prone to hematuria
Sex: While men are more likely to have stones or prostate infections, UTIs are quite common in women below 50s.
Family history: though not hereditary, if kidney stones or cancers or infections are in the family, chances of developing hematuria also goes up.
Medications: Aspirin, blood thinners, NSAIDs, and some antibiotics increase the chances of hematuria.
Exercise: Long distance runners are shown to be more prone to developing hematuria.
Diagnosis: In addition to a physical exam, blood tests, imaging (CT scans and/or MRI) and cystoscopy might be required to confirm the diagnosis. Identifying the cause is extremely important as treatment would depend completely on the causative agent. Though hematuria is just one of the symptom, the underlying cause could have severe adverse effects on the whole body system.

Treatment: Whether it is an infection or enlarged prostate or kidney stone or tumour, once the cause is identified treatment is customised accordingly. Antibiotics for the infections, laser treatment for the stones, etc. are recommended.

If you see your urine turning slightly pink in colour, talk to your doctor immediately. Identifying the underlying cause and treating it will help solve the problem of hematuria.

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


Blood In Urine - Is It Actually Serious?

Carotid artery disease occurs when an oily, waxy substance called plaque builds up inside the carotid arteries. These are arteries that supply oxygenated blood to your brain, face, scalp, and neck.
Carotid artery disease is very serious as it can cause a brain stroke. It, in fact, starts with damage to the inner layer of the carotid artery. To stem this damage your body starts a healing process and this leads to a build up of plaque at the point where the artery is damaged.

When this plaque ruptures, platelets are rushed in and these create an obstruction to the flow of blood to the brain. When the blood supply to the brain is cut off, which happens in carotid disease, the brain cells begin to die causing a stroke. This neural death impairs the parts of the body that these brain cells control. So, you can get paralyzed, become speech or vision impaired, have long  term effects like paralysis or even die due to a stroke.

Causes of carotid disease

Smoking
High cholesterol levels
High blood pressure
High levels of sugar in the blood due to diabetes
What s even more worrisome is that carotid artery disease may not cause any signs or symptoms until the carotid arteries are severely narrowed or blocked. And what usually happens is that a stroke becomes the first sign of the disease.

How scary is that?
So, the next question that comes to the mind is - Can this condition be cured? Let s learn more about management and prevention of the same-

Prevention
Lifestyle changes are key. Since hypertension, uncontrolled diabetes, sedentary lifestyles and imbibing too much fat are all risk factors, taking care of them minimizes the risk of carotid disease and strokes. Heart healthy lifestyle changes that include moderate exercise are a great way to prevent carotid disease.

Treatments
Treatments for carotid artery disease include:

Medicines: Sometimes lifestyle changes do not stem the rot. You need medicinal help. Doctors usually prescribe statin medications to control your cholesterol levels. These lower the bad cholesterol that can narrow your carotid arteries and cause brain strokes and damage. Statins are usually prescribed for people who have:

Heart disease
Those who ve had a stroke
Diabetes
High LDL or bad cholesterol levels
Medicines like Aspirin and Clopidogrel to prevent blood clots are the mainstay treatment if you suffer from carotid disease. They prevent platelets from clumping together inside your carotid arteries and forming blood clots. Apart from these, your doctor may also medicate you for conditions that can damage your carotid arteries and cause strokes. These medicines are for lowering your BP, blood sugar levels, preventing the formation of blood clots anywhere in your body including inside your heart, and preventing and reducing inflammation.

Medical Procedures
These are used to open narrowed or blocked carotid arteries.
The two common procedures are:
Carotid endarterectomy: It s mainly for people whose carotid arteries are blocked 50 percent or more. In this, the inner lining of the carotid artery that is blocking blood flow is removed.
Carotid artery angioplasty and stenting: Here, doctors use a procedure called angioplasty to widen the blocked carotid arteries and restore blood flow to the brain. A stent is inserted into your carotid artery to broaden the lumen. 

High Cholesterol Level - Can It Cause Carotid Disease?

Think you may be constipated? For somewhere in the range of, a bowel development each other day is totally ordinary (however, Ayurveda would at present prescribe a few methodologies to expand consistency). For others, only one day without a bowel development is a certain indication of clogging. Likewise with most things in Ayurveda, the setting of every person (and his or her experience of the circumstance) is significantly more critical than any one-size-fits-all meaning of what is healthy or typical.

The Ayurvedic Perspective
As indicated by Ayurveda, blockage happens when vata's cool and dry qualities irritate the colon, repressing its appropriate working. The remedy is to include warmth, oil, and hydration to the framework with a specific end goal to counter the overabundance vata. The accompanying procedures particularly counter vata's cool and dry qualities and can be exceptionally useful in supporting the arrival of ordinary bowel movements.

Drink Lots of Warm or Hot Water and Herbal Tea: Drink no less than 80 ounce of water or natural tea every day. Warm and hot liquids are best since they adjust vata's frosty quality. It's additionally imperative to drink the larger part of these liquids far from dinner, no less than 20 minutes prior, or 1 hour in the wake of eating.
Expand the Quantity of Organic Oils in Your Diet: Top notch oils grease up the tissues so that a fitting measure of oil or fat can stay in the stool. While most oils are for the most part steady, the best oils for vata are sesame oil, ghee and olive oil.
Eat Plenty of Fruit: Natural product is hydrating, sinewy and for the most part assuaging to vata. Particularly strong decisions incorporate ready bananas, peeled apples, drenched raisins, doused prunes, and peaches. Be certain to eat the organic product no less than one hour before or after different sustenance and bite them altogether to get the most extreme advantage.
Drink Some Fruit Juice: Pineapple squeeze and prune juice are especially viable at moving abundance vata in the colon. It is likewise fine to warm or weaken natural product juices with water.

Proper Bowel Movement - Easy Ayurvedic Remedies for it

Typhoid fever is a bacterial disease caused by a bacteria Salmonella typhi. It spreads through consuming food or water that has been contaminated by stool of an infected person. The bacteria spread rapidly through your blood and causes a range of ailments.

It can cause bleeding in the intestine and perforations. This results in stomach pains, nausea, vomiting, and sepsis. Repair of intestinal damage may require surgery. In less frequent cases, typhoid can result in inflammation of muscles, linings, and valves of the heart. It can also cause pneumonia, meningitis, kidney infection, bladder infection, and inflammation of the pancreas. It may also result in delirium.



Symptoms-

The symptoms of typhoid infection start appearing within 1 to 3 weeks depending upon the virulence of the infection. The common symptoms are-

  High fever
  A headache
  Weakness
  Confusion
  Agitation
  Loss of appetite
  Red spotting on skin

Vaccination-

Vaccination is the most effective measure to prevent typhoid. There are two methods of vaccination- inactivated typhoid vaccine shot and an oral dose of live typhoid vaccine. One dose of inactivated typhoid vaccine is enough to protect you against the infection. A booster dose may be required every 2 years. You must consume four doses of live vaccine every alternate day. The capsule must be consumed orally, at least one hour before a meal. A booster may be required every 5 years.

What to know before immunisation-

  The inactivated vaccine should not be used in children below 2 years. The live vaccine is not recommended for use in children below 6 years.
  You should wait to get live typhoid vaccine if you are suffering from a pre-existing fever or infection. If you are on antibiotics, you must not take the oral vaccine until 3 days of discontinuing the medicine.
  People with immunodeficiency diseases such as AIDS should take inactivated typhoid vaccine shots instead of the live vaccine.
  Anti-malarial medicines should not be used until 10 days of a typhoid shot.
  Extremely serious side effects resulting from typhoid fever vaccine are very rare. It is generally safe for use.
  The inactivated vaccine may cause fever in 1 person in 100. It can also cause a mild headache, stomach pain, rashes in a person. Although serious allergic reactions are extremely rare, notify the doctor as soon as possible.

Typhoid affects 21 million people worldwide and causes 2,20,000 deaths annually. It can be fatal if it goes untreated. Therefore, it is crucial for people living in a typhoid prone zone to be immunised.

Typhoid Fever Vaccine - All You Should Be Aware Of!

Don't wait any longer, manage your Kayachikitsa Specialist online with a Lybrate doctor today

Consult for Kayachikitsa Specialist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES