Doctor in Dr. Shalini Verma clinic
Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
Corn Removal Procedure
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It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the esophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.
The causes of upper gastrointestinal bleeding are as follows:
Esophageal causes (gastrorrhagia):
- Esophageal varices
- Esophageal cancer
- Esophageal ulcers
- Mallory-Weiss tear
- Duodenal causes
- Duodenal ulcer
- Vascular malformation, including aorto-enteric fistulae
- Hematobilia or bleeding from the biliary tree
- Hemosuccus pancreaticus or bleeding from the pancreatic duct
- Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:
- Hematemesis - Vomiting of blood
- Melena - Blood in the stool
- Hematochezia - Passage of fresh blood through the anus, usually in or with stools
- Syncope - Loss of consciousness (fainting)
- Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
- Dyspepsia – IndigestionEpigastric painHeartburnDiffuse abdominal pain
- Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discoloration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more
If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:
- Orthostatic blood pressure
- Complete blood count with differential counts
- Hemoglobin level
- Type and crossmatch blood
- Basic metabolic profile, BUN,
- Coagulation profile
- Serum calcium
- Serum gastrin
- Chest radiography
- Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:
- Airway management and fluid resuscitation using either intravenous fluids and or blood
- Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
- Surgical intervention
- Treating the consequences (like anemia) that the bleeding may have caused
- Precautions are taken to prevent rebleeding
Rheumatoid Arthritis is a degenerative disease that progresses over time. It generally affects the fingers, feet, wrists, and ankles. It causes immobility due to inflammation and stiffness as well as severe pain. This is an autoimmune disease where the body mistakenly ends up attacking the joints instead of attacking bacteria and other substances as it normally should. Severe cartilage damage can be caused if this condition is not treated on time, which can make the spacing between the bones even smaller than usual.
Let us find out how one can tackle this condition.
- Rest: While there is still no cure for this condition, one can take a number of measures in order to tackle it. One of the foremost ways of managing this condition is with the help of rest and relaxation. It is important to get plenty of sleep so that you can keep the condition from getting worse. There are a number of relaxation exercises that will help you in sleeping better, especially if you have been having trouble sleeping due to the aches and pains.
- Exercise: Depending on the doctor’s recommendations, you will need to exercise on a regular basis so as to keep the motion in your joints intact for as long as possible. Muscle and joint strengthening exercises include swimming, walking, and even gentle stretching that can help in reducing muscle fatigue. This can make your muscles stronger and increase the range of motions as well.
- Ointments and Lotions: One can turn to gels and lotions which can be topically applied. These can be prescribed by the doctor as well, so that the pain is soothed and temporary relief from pain and stiffness may be experienced. These are also available in the form of sprays. These ointments, gels or lotions usually contain camphor, menthol, capsaicin and salicylates.
- Fish Oil Supplements: Pain and stiffness can be significantly reduced with the help of fish oil, as per many medical studies. Before adding fish oil supplements to your food, you will need to talk to your orthopaedic specialist to find out if it may interfere with any medication that you may be taking for the condition or any other related disorder.
- Plant Oils: Plant oils are also known to contain fatty acids known as gamma linolenic acid, which can give much relief when it comes to pain and stiffness, especially in the morning. One must remember, though, that excessive use of this oil can lead to liver damage. So it is imperative to speak with your doctor or therapist before taking any plant oils.
- Medications: Dmrd drugs, biological therapy are the main medical management in rheumatoid arthritis. In severe arthritis, arthroplasty and joint preservative surgeries gives mobile painless joints.
The development of breasts is one of the most prominent physical difference between the structure of a man and a woman. In some cases, hormonal imbalances can cause enlargement of the male breast gland, which is known as gynecomastia. Apart from being a cause for embarrassment, it is also associated with a number of medical conditions such as kidney failure and liver cirrhosis. However, there is little need to worry if you have been diagnosed with such a condition as it can easily be treated with dietary changes, medication and surgery. Among these, surgery is the only method of treatment that guarantees a permanent and immediate solution to the problem.
Surgical treatment for gynecomastia is of two types
The type of surgery suitable for you will depend on a number of factors including the extent and type of gynecomastia.
Liposuction involves the removal of fat from the breast, but does not touch the breast tissue itself. For this surgery, a surgeon makes a small incision on either side of the chest or along the edge of the areola. Excessive fat is then removed through these incisions and the skin and remaining tissue is then restructured. Liposuction can take anywhere between a week and 3 weeks for complete recovery. In the meanwhile, the patient must wear a compression garment to minimize the swelling and support the chest tissue as it heals.
A mastectomy on the other hand is used to remove the breast tissue. A mastectomy is performed endoscopically and hence is less invasive. In this case, the incisions are located around the edge of the areola or in the natural crease of the chest. A mastectomy requires a shorter recovery period. In some cases, a combination of the two techniques may also be used.
The results of both surgical approaches can be seen immediately after the surgery. Slight soreness and pain is a common side effect of this procedure and can be relieved with pain medication. Some men may also experience a temporary loss of sensation over the treated area.
Though the results of both types of surgeries are permanent, it is important to maintain a healthy lifestyle after the surgery. Unhealthy eating that leads to significant weight gain can make the problem recur. Use of steroids or medication that affects the testosterone levels in the body and certain medical conditions can also lead to recurring gynecomastia.
Atrial fibrillation is a form of irregular heartbeat or arrhythmia, which you may experience due to a problem in the electrical system of the heart. Such a problem causes the upper parts of the heart or the atria to fibrillate. Due to this quivering, the normal rhythm between the lower parts of the heart and the atria gets disrupted. The ventricles are likely to beat faster in an irregular rhythm. This is a severe condition where the blood may get collected in the atria; this could lead to the formation of blood clots. These clots can block the blood flow and lead to a stroke.
Several conditions cause strain and damage to the heart. These include the following:
- High blood pressure or hypertension
- Heart attack
- Valvular diseases
- Coronary artery disease
- Medical problems like heart failure, lung diseases, high level of thyroid or pneumonia
- Heart surgeries
- Excess consumption of alcohol
The primary symptoms of atrial fibrillation include the following:
- Light-headedness and dizziness
- Shortness of breath
- Feeling weak and fatigued
- Feeling as if the heart is pounding, fluttering or racing (known as palpitations)
- Feeling that the beating of the heart is uneven
- Chest pain and fainting
In many cases of atrial fibrillation, the symptoms may be absent.
Conducting several tests, physical examinations and an analysis of your health history is the first step towards diagnosing atrial fibrillation. An electrocardiogram (ECG) needs to be carried out for the detection of this condition. This test is performed for checking problems regarding the electrical activity of the heart. Other laboratory tests and an echocardiogram maybe required as well. An echocardiogram helps in observing the pumping function of the heart and to check whether the valves have been damaged.
The treatment options for atrial fibrillation depend on the cause, symptoms and the risks of getting a stroke. Several medicines are used for treatment along with other methods. They are as follows:
- Blood thinning medicines for the prevention of a stroke.
- Heart rate control medicines which will prevent irregular beating of the heart.
- Rhythm control medicines for restoring the heart’s rhythm to normal.
- A process known as cardioversion may be used to bring the heartbeat to a normal rhythm. This can be carried out by medicines or an electric shock therapy known as electrical cardioversion.
- In case of severe symptoms, ablation may be carried out where the affected areas of the heart are destroyed by the creation of a scar tissue.
For the best diagnosis and treatment of atrial fibrillation, you must consult a doctor as soon as you start experiencing the symptoms of the condition. A doctor will prescribe all that you need for an effective treatment.
A migraine is something, which can really make a person’s day go from bad to worse. However, while popping an aspirin may be the age old solution for solving such a literally mind numbing issue, it really does not mean that this is the best solution. Theoretically, the best solution to a migraine should come naturally to the person, who is unfortunately the victim of a migraine.
It is more than a headache
When a person has a migraine, he or she is likely to know that this is the case due to a pulsating sensation behind the eye. In addition to this, there are quite a few other symptoms which include pain on one side of the head, nausea and a sensitiveness to light in its various forms.
Natural treatments for migraine
There are a range of possible natural solutions a person can make use of to get rid of migraine hits.
- One of these solutions is quite simple, even if it sounds a little odd! Take a few cabbage leaves, crush them and using a soft cloth, apply the paste on the forehead of the person who is having a migraine attack.
- While a person who is down with migraine may feel that life has given him or her lemons, he or she should really not despair. This is because these lemons can be made use of, as well, in order to make the ill effects of the migraine go away. To do this, take five lemons, peel them, grind them well and then add a little bit of water to make a paste. Apply this paste to the patient’s forehead.
- Apart from using remedies to cure migraine, there are a few other things which are needed to be done in order to get up and running as soon as possible. One of these things is to get enough rest. Taking into account the fact that a migraine has the potential to severely hinder the prospect of a person functioning normally, for a person to push himself or herself against the intense migraine discomfort so as to fulfil his or her responsibilities will not only result in substandard work, but will also make the situation worse.
- Hot and cold compress can also go some way in improving a person’s migraine problem.
- All beverages apart from water and tea should be avoided. Water hydrates and is essential while tea is diuretic.
If you follow these natural remedies, you will successfully be able to treat your migraine issue.
Monsoon is no doubt a magical season, but with all the fun come several skin problems. The humid and sticky weather snatches the radiance of your otherwise flawless skin. The monsoon downpour act as a curse in your life. You lose the sheen of confidence and are left with ugly marks. Your skin develops a natural tendency of developing clogged pores during monsoons, which leads to pimples or acne later. On top of that, things may take the worst shape with the application of oily make-up products and stress. Your bad habit of picking the breakouts may also aggravate the situation.
But don't lose hope. There's nothing to get disheartened. Every problem has a solution to it. You may get back your flawless and healthy skin, if you follow certain simple tips. A little care and attention at home can bring back the lost beauty. Here are certain home-based remedies to get rid of the breakouts:
- Neem relief: Acne vanishes with the application of neem paste on the affected areas. Take few neem leaves and grind them to make a smooth paste. Mix multani mitti or fuller's earth, turmeric powder and milk with the paste. Apply this face pack for over 10 minutes on your face and later rinse it off with water. After the pack is washed away, you are left with a soft and clean skin.
- Steam therapy: Our skin has multiple pores. These pores get clogged due to excess oil secretion during the monsoons. Dust particles and oily secretions leads to the clogging of these pores. This in turn leads to skin breakouts. If you steam your face religiously, these pores open and help you to get rid of the pimples.
- Sugar-honey pack: Take three teaspoons of brown sugar with one spoon of honey. Make a gentle face pack with this mixture. Put the face pack on your face for over 15 minutes and wash it off with water.
- Potato help: Not known to many, potatoes can be of great help for the acne victims. Cut thin slices of potatoes. Rub these potato slices over your face.
- Check your diet: Too much consumption of foods rich in fat can act as triggers for acne. Include green and leafy vegetables and fruits in your diet for sufficient intake of necessary vitamins and minerals.
- Wash your face and areas affected with acne: Exposure to dust and dirt leads to several skin diseases and acne is no exception. Thus it is important to wash you face and affected areas with water frequently. The moment you return home after staying long hours outdoors, don't hesitate to wash your face immediately. Washing of face is highly recommended even before going off to bed at night.
- Drink water: It is always advisable to drink plenty of water to keep your skin healthy.
Following the above mentioned steps to get a flawless and radiant looking skin.
Intraocular lenses (IOLs) are medicinal gadgets that are embedded inside the eye to supplant the eye's regular lens when it is evacuated during cataract surgery. IOLs additionally are utilized for a sort of vision remedy surgery called refractive lens exchange.
There is quite a large range of IOLs to choose from, in the modern-day market.
The most newly developed IOLs are premium by category. Here is a list of all the new FDA approved IOLs which are extremely effective.
1. Aspheric IOLs
Conventional intraocular lenses have a spherical optical configuration, which means the front surface is consistently bended from the focal point of the lens to its fringe. Despite the fact that a spherical IOL is generally simple to make, this configuration does not copy the state of the regular lens inside the eye, which differs in curvature from focus to fringe. At the end of the day, the eye's common lens is aspheric.
Mainstream aspheric IOLs that are FDA-endorsed and accessible in the U.S. include: Tecnis Aspheric, AcrySof IQ, SofPort AO, and Softec HD.
2. Toric IOLs
Toric IOLs are premium intraocular lenses that correct astigmatism and also partial blindness or farsightedness. Similar to toric delicate contact lenses, toric IOLs can redress astigmatism since they have diverse forces in various meridians of the lens. They additionally have arrangement markings on the fringe part of the lens that empower the specialist to modify the introduction of the IOL inside the eye for ideal astigmatism redress. Before the cataract surgery, the specialist places transitory markings on the patient's cornea that distinguish the area of the most bended meridian of the front of the eye.
3. Accommodating IOLs
Accommodating IOLs are premium intraocular lenses that grow the scope of clear vision with both an aspheric configuration and adaptable "haptics", the supporting legs that hold the IOL set up inside the eye. These adaptable legs permit the obliging IOL to push ahead somewhat when you take a gander at close protests, which builds the centering force of the eye enough to give preferred close vision over an ordinary monofocal lens.
4. Multifocal IOLs
Multifocal IOL is another classification of presbyopia-revising IOL that can diminish your requirement for pursuing glasses or PC glasses after waterfall surgery.
Like multifocal contact lenses, these premium IOLs contain included amplification in various parts of the lens to grow your scope of vision so you can see things unmistakably at all separations without glasses or contact lenses.
These new intraocular lens techniques are more efficient than ever and provide successful results for your vision.
Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.
Bowel movement is one of the most important clues about an individual’s health, as it gives a real idea of the gastrointestinal condition as well as overall health. One shall have to get familiar with the regular appearance of stool to spot the issues beforehand; however, the day to day alterations in the appearance does not mean that there is a problem with your health as one may notice short-term abnormalities based on what he or she is eating every day.
But in case an unexplained change lasts for over a week or so, it is a sign of some strange happening in the gastrointestinal tract.
- Hard pieces of faeces that are hard to pass: If the bowel movement is straining to pass, then the individual is constipated. Some people think that they are not suffering from constipation, but their stool is always hard and comes out in pieces rather than soft stool that passes out effortlessly. The most common reason behind such stool is a lack of fibre in the diet. According to general recommendations, an adult male must take at least 38 grams of fibre while an adult female must take about 25 grams of fibre. It is recommended to maintain a food journal to track the daily nutrients intake, and in case there is a lack of fibre in the diet, it can be stacked up with whole grains, fruits, beans and nuts.
- Black or bright red coloured poop: If the stool has a deep red appearance, it would indicate that a part of the bowel is bleeding. In most circumstances, the blood in the stool is caused by the benign haemorrhoids, but it could also be due to some ulcers in the colon or stomach or even cancer. That is why it is extremely crucial to bring it to the doctor’s notice. There are different types of over-the-counter medications which turn the stool into black colour. This sort of discolouration is entirely temporary and may stay along for a few days even after stopping the medicine.
- A loose stool which is not diarrhoea: Loose stool but not diarrhoea may mean that the individual is suffering from celiac disease. Although the illness is quite uncommon, most people who suffer from it are not aware of the condition. The appearance of the stool is the largest and most reliable signs of having celiac disease. Individuals affected with celiac disease are not able to tolerate gluten, and it destroys the villi in the lining of the small intestine. As a result, the nutrients are unabsorbed, and the stool becomes loose. Switching to a gluten-free diet for about 2 to 3 weeks can aid in alleviating the disease.
If the appearance of the stool remains abnormal for weeks together, it is important to talk to a doctor to find out if there is something serious underlying. Bowel movement is the truest sign of the intestinal health, and thus, should not be ignored.