Cold sores are also known as fever blisters. They are surely not something a person would want to have. These sores occur on the face of the person or even inside his or her mouth. They are lesions which appear like blisters. There is a lot of pain which is caused by cold sores. Eventually, they end by bursting and then crusting over. But, what really causes cold sores to form?

The condition of cold sores is something that is attributable to the HSV, or the Herpes Simplex Virus. The type 1 variety of this virus is said to cause cold sores in the region around the mouth. The cause of contracting this form of the virus is that a person may have shared utensils with a person who has this strain or even shared towels.

Learning about the HSV
That being said, there is a possibility that cold sores could also be caused by the HSV Type 2 virus. This would be the case if the person with cold sores has had oral sex with a person who has been infected with genital herpes.

When it comes to the Herpes Simplex Virus, it can be said that managing the consequent issue that cold sores present is something which is quite challenging. This is because of the fact that a person may not even be aware that he or she has been infected by the virus on account of it lying dormant. 

In some people, an outbreak may occur once a year while in others it may occur with a much greater frequency. The point is that the occurrence of the outbreak may vary from person to person and a generalisation cannot be made. 

One of the things that have been noticed is that the likelihood of an outbreak is increased if a person is under sustained stress.
Sadness or an injury to the area can also worsen the prospects of a person who is hoping to go for as long a period without being plagued by cold sores.
In order to manage the outbreak of cold sores, advice from a person who is a qualified medical professional is something that is required. On their own, cold sores usually do not take more than 10 days to clear out. In order to reduce the likelihood of another attack, it is important to minimise an excessive exposure to sunlight and to be very careful at the times of seasonal changes. When it comes to the contagiousness of cold sores, the threat is the most when the cold sores are oozing.

Cold Sores - What Causes Them?

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results.

Laparoscopic Hernia Repair - What Should You Know

There are various kinds of nosebleeds that can be caused by a variety of conditions. While some of them may not be too serious, one must never ignore heavy and persistent nosebleeds. These nosebleeds are usually of two kinds: anterior nosebleeds, and posterior nosebleeds. While 90% of all nosebleeds are anterior nosebleeds, the posterior nosebleeds are far less common and may be slightly more serious in nature. An anterior nosebleed is usually caused in the blood vessels that lie on the front portion of the nose and can be controlled easily. A posterior nosebleed usually comes from damage to an artery in the rear portion of the nose. Infection, trauma, allergic reactions and other such causes may be behind a nosebleed. Let us cast a glance on the tips to prevent nosebleeds.

Salt water and saline nose drops can be used in order to prevent nosebleeds. It is important to take these on a regular basis in case you are experiencing these nosebleeds on a regular basis. 
The use of painkillers like Aspirin and other non-steroid anti-inflammatory drugs must be limited. Sometimes, taking such medication too frequently may lead to nosebleeds. 
You would do well to control your blood pressure because hypertension and other forms of high blood pressure can also cause nosebleeds. Lifestyle changes like your diet and exercise can help in keeping a more stable blood pressure level so that you do not fall prey to frequent nosebleeds.
Humidify your home with a humidifier so that the air does not get too dry. Many times, this causes nosebleeds. Also, you may want to keep the heat down in the bedrooms. Many nosebleeds happen due to too warm temperatures while you are sleeping. 
Nose picking should also be discouraged as it can lead to nosebleeds in case there is a scratch or any other kind of damage when you try to force the dirt out. 
It has also been found that smoking has a connection with nosebleeds. This can be fixed if the patient quits smoking. 
One should not use nasal sprays without a prescription from a doctor. This also includes antihistamines, decongestants as well as other medicated sprays. These may not suit the patient at all times, and may also lead to nosebleeds. 
In the event of a nosebleed, you will need to lean forward with your head tilted backwards. This will stem the bleeding. If it is possible, you must also try and lie down immediately for a few minutes. 

Ways To Prevent Nosebleeds

Chronic kidney disease or CKD is the decreased function of the function of the kidney for a minimum of three months or more. In this the end stage renal disease usually refers to the end of the kidney function where the kidneys work for less than 15% of what they are supposed to. The kidneys play a vital role in the human body and if they do not function properly then a person can die. The functioning of many organs depends on the kidneys. However, the main function of the kidneys is to remove the products and regulate blood and water, control blood pressure, promote healthy and strong bones, and produce hormones.

Here are 5 facts about kidney disease you should know about:

1. Causes of the kidney disease: There are two main common causes of the end-stage kidney disease. These are preventable causes. These are diabetes and high blood pressure, but then kidney disease can be caused by other inherited diseases such as infection, trauma or polycystic kidney disease.

2. Serious Stages: The kidney disease has five stages and stage 5 is known as the end stage renal disease; this is the point where patients usually need dialysis or kidney transplant to lead a sane life. The stages of kidney disease are:

Stage 1   Slight kidney disease
Stage 2   Mild decrease in kidney function
Stage 3   Moderate decrease in kidney function
Stage 4   Severe decrease in kidney function
Stage 5   End stage renal disease

3. Detection of the disease: Kidney disease is usually difficult to detect because of the presence of very few symptoms. Age, gender along with the blood test is one way to determine information regarding kidney function. The people who are at a risk of getting kidney disease are:

    Over the age of 55 years
    People who suffer from hypertension and diabetes
    Ethnic groups such as Asians, Africans, Americans, Pacific Islanders and Hispanics

4. Signs and Symptoms: CKD is usually considered to be a silent disease and many people don t know that they are suffering from the disease. The signs and symptoms of the disease are:

    Fatigue and weakness
    Nausea, vomiting and loss of appetite
    Dizziness
    Numbness and headaches in hand and feet
    Frequent urination

5. Renal Replacement Treatment: This is the treatment for the end stage of the kidney disease. Dialysis involves the replacement of some part of the lost function of the kidneys and is usually continued throughout life. There are 2 types of dialysis:

    Hemodialysis: This cleans the blood via an artificial kidney which is hooked to the machine
    Peritoneal Dialysis: This removes the excess water and waste products and cleans the blood of the body by using the peritoneal cavity as a filter. 

5 Facts About Kidney Disease You Should Know

With sedentary lifestyle, refined and processed food habits, obesity and diabetes is the new age epidemic. India, in fact, is being termed as the diabetes capital of the world given the huge rise in the number of cases over the last couple of decades.
There are well established risk factors for diabetes and if these can be managed, then the chance of delaying onset, controlling progress and containing complications are highly possible. Read on to know how simple things can be effective in preventing and managing diabetes.


Weight control: Obesity is the most important risk factor for developing diabetes. A person with normal BMI is 20 to 40 times less likely to develop diabetes than an overweight person. Losing about 10% of the excess weight can help prevent diabetes by more than 50%. Check with your doctor what should be the ideal recommended weight for you and draw up a routine (diet, exercise, etc.) that will help you achieve and stay around that weight range.
Exercise: All methods of exercise help in moving the muscles, which is drastically reduced given our sedentary lifestyle. Moving the muscle (as much and as often as possible) ensures they absorb more glucose and reduce the stress on insulin production. Something as simple as brisk walking for 30 minutes is good enough to reduce the chances of developing diabetes by 50%.
Don t be a couch potato: If watching television is your favourite pastime, it is time to change it. This puts people at risk of developing obesity, heart disease and diabetes. Also, watching television is usually associated with overeating, further adding to the risk of diabetes.
Fibrous foods: Eating fibrous fruits and vegetables as compared to refined and fried foods helps prevent diabetes. 
Whole grains vs processed foods: When you have to choose between a pizza and a bowl of brown rice, go for the latter.
Good fats vs bad fats: Polyunsaturated fatty acids are found in vegetable oils, nuts, and seeds and help control diabetes. Trans fats present in margarine and baked foods are best avoided.
Non-vegetarian foods: If you have a choice, pick fish and poultry versus red meat (processed or otherwise). The fish is rich in Omega-3 fatty acids and helps control inflammation.
Leave the whites: Get off white rice, white refined sugar and white flours. Include brown rice, brown or demerara sugar and wheat flour instead. 
Smoking: Quit smoking and you will note how beneficial it is in preventing diabetes. 
Alcohol: Moderate amount helps in effective functioning of the insulin.
If you have a family history or have risk factors, follow the above to prevent diabetes.

Diabetes - 10 Easy Steps To Help You Prevent it 

Improvements in medical technology and surgery techniques have made so much possible. With organ transplants becoming relatively simpler and less risky, many critical health conditions can now be resolved. Liver transplants are one of the most common and patients going through the agony of life-threatening liver diseases now have hope.

What is a Liver Transplant?

When the patient s liver is damaged to the extent that functioning is severely impaired and regeneration is not possible, a liver transplant is advised. In the transplant surgery, the diseased liver is removed and replaced by whole or part of healthy liver from the donor.

Types of Liver Transplants

Based on the type of donor, liver transplant can be classified as deceased donor and live donor transplantation.

Deceased Donor Transplants (DDLT): A "brain dead" person can be a liver donor if they had pledged their organs previously or if their relatives consent for organ donation. The healthy liver can give a new lease of life for an ailing patient.
Live Donor Liver Transplants (LDLT): A blood relative or spouse may donate a part of their liver to the patient (subject to compatibility). As the liver is a regenerative organ, the donor's liver will function normally and the recipient will have a completely new liver. At Kauvery Hospital, a detailed evaluation of the prospective donor is done to ensure that the health risks are minimized and complete recovery is achieved.
Donor Safety

Donor can lead a normal and physically active life with no restrictions. Lifelong medications are not required and women can enjoy pregnancy and motherhood.

Who Needs A Liver Transplant?

A person with end-stage liver disease is a candidate for a liver transplant. The failure can happen over a period of time or be a sudden occurrence, due medical conditions or reactions to drugs (ALF). Following are some of the common reasons for liver failure.
Alcoholism: Long term drinking can lead to end stage liver disease.
Biliary Atresia: Absence of bile ducts since birth.
Chronic viral Hepatitis: (Hepatitis B & C)
Haemochromatosis: An inherited disorder that overwhelms the body with abnormal levels of iron deposits including liver.
Liver Cancer: (Hepatocellular carcinoma) Cirrhosis increases risk of liver cancer. Transplantation early would offer potential cure.
Primary Biliary Cirrhosis: (PBC) An unusual condition with immune mediated destruction of the bile ducts resulting in failure of the liver.
Non Alcoholic SteatoHepatitis (NASH): It is a common cause of liver disease seen in those with metabolic syndrome (Obesity, Diabetes Mellitus, Hypothyroidism and Dyslipidemia with or without Hypertension). Unlike alcoholic or viral hepatitis, it occurs in people with no inherent liver problem.Primary Sclerosing Cholangitis: (PSC) The bile duct gets scarred and narrowed, which blocks bile drainage, ultimately leading to failure of the liver.
Wilson's disease: A very rare inherited disease that causes abnormal levels of copper deposition throughout the body including liver, ultimately causing liver failure.
What does a Liver Transplant Involve?

First stage: Evaluation: A team of specialists will evaluate the patient to determine if transplant is the best option or if any other course of action will be better. This includes review of the patient's medical history and a number of investigations.

If a patient is found to be a suitable candidate to undergo transplant, we proceed to the second stage where his or her name is placed on the waiting list if he or she opts for cadaveric liver transplant.

A scoring system based on medical criteria determines the priority. In general, sicker the patient, greater is the necessity for transplant.

Third stage: Donor becomes available. When a suitable donor has been identified, the patient is contacted and informed about donor's medical condition. If the patient consents, he or she will have to come to the hospital. Some basic tests will be repeated to ensure that the current condition is safe for surgery. Surgeons and anesthetists involved in the transplant will meet the patient and brief him or her about what to expect. Once all the test results are found to be satisfactory, we proceed for surgery.

 The Procedure

While aspects of the surgery vary from patient to patient, the procedure typically takes between 8 to 12 hours to complete. Once the surgery is over, the patient is shifted to the ICU where he or she will stay for 3 to 7 days. At this stage, various tubes are connected to the body to enable it to carry out its natural functions. These are gradually removed as and when deemed appropriate. From the ICU the patient is shifted to a room for 2-3 weeks. In total, patient spends about 3-4 weeks in the hospital while undergoing transplant.

Discharge & Recovery

Once the doctors deem that the patient can return home, he or she is discharged from the hospital.
A follow up schedule is given to the patient so that complete recovery is monitored. Before discharge, patient and family will be trained on how to take medicines and what precautions to take. The number of medications will reduce over time as the recovery progresses.
The pace of recovery depends upon several factors. In general, a patient may be able to resume daily activities by 1 month and resume work by about 3 months after the surgery.

The Liver Transplant Process!

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