Hello friends. I am Dr Rahul Chandok. I am a senior consultant psychiatrist with the Fortis group of hospitals. And I am having my own practice at my clinic, My home clinic in Faridabad.
Coming to today’s topic which is understanding OCD or Obsessive Compulsive Disorder. OCD, also known as Obsessive Compulsive Disorder is affecting about 2% of the population at some point of time in their life which makes it 1 in 40 persons is going to have it. It is 2 to 3 times more common than other chronic psychiatric disorder like schizophrenia or bipolar disorder. So every person has a brain and I believe the brain thinks. When it comes to OCD we have to understand that the thinking becomes affected. When the thinking is normal, it is under the person’s control and is as per his or her will. But when the brain gets under stress there is a neurochemical called serotonin which becomes less. And because of that the thinking becomes automatic. Thoughts come on their own, that are uncontrollable, unwilling, they are excessive. Person gets them repetitively. And they are negative. The person also understands they are baseless. But because of the fear which arises out of that, the person becomes excessively anxious. And to reduce this anxiety of fear the person does certain acts which suppose the person gets a doubt then the person does checking, suppose the person has a thought that might be the hands are dirty or the person is not clean enough. Or the germs will affect him or her. The person repetitively does washing. If the person is not able to do any activity to reduce anxiety, then the person starts avoiding things. And if the person is not able to do any of these the person gets angry. If all these persists for a period of time, then the person might go into depression.
The message which I would like to extend is that OCD is definitely treatable. You have to understand how and what is happening. We have to correct the level of serotonin which is possible through the use of medication which are definitely in today’s times are much better what we had earlier.
Side effects are very less and the results are pretty quick. And yes we definitely use therapy work to make the person understand or to fight OCD or what to do with the thoughts. The trick is that we have to learn to ignore these thoughts because at some of their lives every person gets negative thoughts but they are able to ignore them But a person with OCD is stuck so OCD is definitely treatable take help of the doctor or psychiatrist. Don’t be afraid of the medication and learn how to tackle it.
You can either contact me for treatment at my various work places or at my clinic. Or you can contact me through Lybrate for its management. Thank you.
6 Things that make you prone to heart diseases the most
Every year almost 2 lakh people opt for heart surgeries in India; and as of 2015 there were about 30 million people in the country suffered from heart diseases. There are several factors that increase the threat of heart diseases, among which some can be controlled and some can't. On one hand, where factors like being a man, old age, being a woman in the post-menopausal phase of life, and a family history of heart diseases are beyond your control; other risks can be minimized by making some lifestyle changes.
Although natural processes like ageing, which narrow down your arteries and weaken the heart muscles increase the risk of heart diseases here are 7 factors, which dramatically increase your chances of getting heart diseases, while you are still young.
1. Genetic Factors:
If someone in your family is already suffering or has suffered from a heart disease, especially at a young age, it increases your probability of getting a cardiovascular disease.
2. High Levels of Cholesterol in the Blood:
Chances of formation of plaque on the inner walls of the arteries increase with increasing levels of bad (LDL) cholesterol in the blood. This may be a major cause of the heart disease, atherosclerosis, which happens due to accumulation of fatty substances inside the arteries.
Smoking causes constriction of your blood vessels and may damage their inner lining due to the effect of nicotine on them. This can put you at high risk of developing atherosclerosis. Moreover, studies suggest that people who smoke are twice as prone to heart attacks in comparison to non-smokers.
If your blood pressure level is usually above normal, it can give rise to thickened arteries, which, in turn, can reduce the passage for the flow of blood through the vessels. This damages your heart health to a large extent and makes you prone to heart diseases.
Uncontrolled diabetes increases your chances of getting a heart attack, especially because diabetes almost goes hand in hand with diabetes and obesity, which are risk factors of heart diseases.
If you fail to keep your levels of stress and anger in check, they may have a damaging effect on your arteries. This can make way for strokes and heart attacks in the future.
Patient Review Highlights
thanks for helping me . it was nice consulting with you
Hello, i got to meet Dr. Vishal Chhabra in the year 2007... i ws under severe depression / mental illness and got treated by him in gtb hospital, shahdra... he rathr than jst being a doctr ,becam more of a frend cum doctr for me.. he ws th only one wd whom i used to share all my thogts n feelings... n by his endeviours i cud come out of tht illnes very easily... tody m living a vry happy n healthy life... hv many timz recommnded his name to many in need... wish all d luv n luck to Sir Vishal Chhabra.. will alws b greatful to u for wt u dd for me... u gave me a new life... regrds shivali singh
My father was suffering from some mental illness for which we were looking for a psychatrist. I saw Dr Vishal Chhabra clinic's advertisement in newspaper and that is how we referred him. My father is so much benefitted with her electroconvulsive therapy (ECT), that he is perfectly fine now. Even in case of emergency, the staff is always willing to help. Whatever tests he prescribed, were very correct and gave us an exact idea about my father's condition. Fortis Flt. Lt. Rajan Dhall Hospital - Vasant Kunj has all the latest technology in place to handle severe cases.
A friend of mine referred to Vishal Chhabra. Thanks to the expert care and guidance, I feel much better than before. In order to diagnose my problem completely she asked me a number of questions. I must say the hygiene was maintained very nicely in the Fortis Hospital. Over the period of time the obsessive compulsive disorder treatment has helped me a lot. She is not just friendly, but also is very motivating.
The mood disorder was increasing day by day. Thanks to the expert care and guidance, I feel much better than before. Dr Vishal handIed my case with ease and I owe him a big thank. He is not just friendly, but also is very motivating. I must say the hygiene was maintained very nicely in the Fortis Hospital - Vasant Kunj.
dr. vishal is a caring and patient doctor , he listens to the problems at length and then comes up with ways to tackle them........ he's not in the habit of prescribing meds just for the sake of it!! i feel a lot better about my bipolar sincce i started my treatment with him........
I visited dr Vishal Chabbra at Chabbra Psychiatry Centre located in Rohini, New Delhi. He diagnosed me with some emotional issues and gave me medication for it considering the abnormal behavior treatment aspect. The treatment has helped me a lot at gaining back my confidence.
One of my neighbour's recommended Dr Vishal as I was suffering from Mood disorder. On the very first day he identified my problem. He gave me number of sessions and after each session I am feeling even better. I owe him a big thank for the treatment he provided.
Dr Vishal Chhabra is a great doctor and was quite cooperative while I was explaining my problem regarding Abnormal Behavior and gave me suitable motivational talks, medications, and therapies at his clinic Chhabra Psychiatry Centre located at New Delhi.
I underwent treatment from Dr.Vishal Chhabra from 2007 to2012 and found him to be extremely warm, sympathetic and efficient. I would not hesitate to recommend him to anybody in need of a good psychiatrist.
Besides being good at his profession........he maintains a degree of concern,humanity,kindness and empathy for the patients.A true "healer" of minds.Keep up the good work sir.God Bless.
If the world had more people like u it would be a better place. Saying thank you will never repay ur kindness. BEST DOCTER EVER. Lots of regards fr u SIR Neha n Sumit Hooda
Felt very comfortable and at ease. Dr. Gulati creates a space of trust and positivity. All medicines required were with him, which was very convenient.
Thoughtful, sensitive, compassionate - He has the gift of experience tempered with kindness. A good doctor, and an even better human being.
It was a great experience with Dr Vishal. He is calm, gives full time and in no hurry to move on to next appointment. Very good doctor
One of the doctors Who is not only best at his work , but he is an amzing soul...., so he heals his patient with love.
Dr vishal is a very great doctor. If I am alive in this world then just because of the two doctors Dr Vishal Dr Neha
Dr. Himanshu Gupta provides answers that are very helpful. ..sir operation period sep oct 2002 & 2008
He is one of the best and honest dermatologist I have met so far. I recommend him.
Very good nice behaviour understand problem and giving time
Ready to listen, Patience, good in diagnos and cooperative
Prompt Reply and Good Doctor Thanks
Internet addiction is a very recent phenomenon, but is already a cause for concern. With the advent of various social networking websites, people are increasingly becoming addicted to the internet. Internet addiction disorder is often characterized by people inching to form an emotional attachment with people and activities, all of them online. You may enjoy connecting to people more over the virtual interface instead of the real world; this usually stems from an inability to establish real human contact.
The symptoms of internet addiction disorder are:
1. Excessive usage of the internet
2. Depression, mood swings and irritability if one doesn’t get access to the internet
3. Any effort to reduce internet usage is usually unsuccessful
4. You may experience constant problems in personal relationships, education and your job due to incessant internet usage
5. A tendency of lying to close ones when they ask you how much time you spend over the internet
6. Using internet to escape from real world problems
Internet addiction can gradually isolate you. You may develop an aversion to meeting and communicating with people in real life. This can impair your social skills and make you socially awkward. This disorder also create problems in relationships as it can reduce the time you spend interacting personally.
Internet addiction may also lead you to create online personas to evade low self-esteem issues. This actually aggravates the problem instead of solving it; can result in severe anxiety and depression. Withdrawal symptoms might result in anxiety, depression, irritation and loneliness. This disorder can lead to complications such as dry eyes, headaches, change in sleep patterns and subsequent problems in falling asleep. Back pain from sitting upright while you are on the internet is also very common problem.
Staying healthy involves a wholesome state of being where the mind and body are in perfect sync. A less than properly functioning body can leave you in a state of potential depression after a certain point of time, while a depressive mind can leave you feeling less than stellar where you end up imagining and experiencing pain. The health of your bones and joints is one such area that requires even more care as you start growing older. Wear and tear is just one of the reasons for degeneration while fractures and injuries can lead to a sudden halt of normal functioning of the bones and joints too. So how can you ensure bone and joint health in the long run? Follow our tips!
- Eating Right: Pick calcium rich food like dairy products that have a low fat content, including milk and yogurt. Also, have a daily dose of green, leafy vegetables and plenty of citrus fruit and juices for your fill of calcium. Further, food like eggs and soya beans which have lots of vitamin D can also help in retaining good bone and joint health. Vitamin C rich fruit like watermelon, oranges, squash and tomatoes also help in natural tissue and cartilage repair. And finally, get plenty of Vitamin K to retain good bone density for a prolonged period with ingredients like leafy green vegetables, eggs and cheese.
- Exercise: This is the key to good bone and joint health. Much like machinery and tools, the bones and joints of your body can also wither with disuse and prolonged inactivity. Make sure that you indulge in exercises like long walks and muscle strengthening exercises which will give your joints and bones good amount of strength as well. Remember to speak with your doctor before you start a new exercise regime so that you avoid anything that may be harmful in case you have any other ailment. Low impact exercises will strengthen the spine, while fat burning and weight loss exercises will ensure that there is less pressure on the knees and lumbar area. Swimming and resistance building exercises can also be practised for these purposes.
- Abstinence: A major factor in promoting better bone and joint health is abstinence from all those things that can create problems in the long run, like smoking, drinking excessively and even too much consumption of caffeine and fatty food. All these things can create depletion of the natural bone mass. Also, switching to a lower heel for everyday wear footwear and changing your position during your time at your work station are a few things that will go a long way.
Take care of your bones and joints the right way today, for a healthier tomorrow. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Jaundice is a medical condition where the bilirubin level shoots up in the blood of the affected person. Also referred to as icterus, the condition may affect adults as well as newborn babies (Neonatal Jaundice), whereby the skin and the white part of the eye (sclera) appears yellowish in color (due to the accumulation of bilirubin).
Bilirubin is the bile pigment that results from the breakdown of hemoglobin (when the RBC cells breakdown). The bilirubin thus produced is released into the plasma. The liver then filters the released bilirubin for further metabolism. In the case of a diseased condition, injury or infection to the liver, it fails to remove the bilirubin from the bloodstream. As a result, there is an abnormal rise in the bilirubin level in the blood (Hyperbilirubinemia), resulting in jaundice. In jaundice, Bilirubin can go upto much higher levels. At 2.5-3 it just starts to get manifest as yellow eyes. Obstructive jaundice may require an endoscopic procedure or surgery.
Types of jaundice:
Jaundice may be of the following types:
- Hepatocellular jaundice: In Hepatocellular jaundice, the elevated bilirubin level in the blood is an outcome of a liver disease or an injury (altering the normal functioning of the liver).
- Hemolytic jaundice: Here, the increased level of bilirubin in the blood results from an increased breakdown of the RBCs (Hemolysis).
- Obstructive jaundice: As the name suggests, Obstructive jaundice results from an obstruction in the bile duct. As a result, the bilirubin does not get filtered and remains in the liver.
Factors contributing to jaundice:
The increased buildup of bilirubin may be an outcome of
- Obstruction and inflammation of the bile duct.
- Chronic liver disease including liver cirrhosis and hepatitis.
- Pancreatic Cancer.
- Hemolytic anemia: It is a condition resulting from increased breakdown of RBCs.
- Gilbert's syndrome.
- Certain medications may also interfere and alter the normal functioning of the liver (steroids, birth control pills, and acetaminophen, to name a few).
- In cholestasis, the bile (conjugated bilirubin), instead of getting eliminated, remains in the liver.
The symptoms associated with jaundice include
- The skin (particularly, the face, hands, nails, and feet) and the sclera appear yellowish.
- The urine appears dark in color.
- Fever, vomiting, tiredness, and loss of body weight.
- Abdominal pain (mild to severe).
- The stool appears pale in color.
- Itchiness or Pruritus.
Diagnosis and treatment:
The earlier the diagnosis, more effective is the treatment.
- Jaundice can be diagnosed by
- Physical examination.
- Bilirubin tests to determine the total bilirubin level.
- CBC is used to determine the levels of RBCs, WBCs, and platelets.
- Liver function tests.
The treatment for jaundice involves identifying the underlying factor responsible for the condition and treating it.
- In the case of obstructive jaundice, operation helps to improve the condition.
- Patients with hepatitis may benefit from antiviral medicines as well as steroids.
- In hemolytic anemia, use of iron supplements helps to improve the condition.
- Avoid oily and spicy foods, smoking and drinking.
- Rest as much as possible.
Having some fat in your liver is legit. But, if you have too much of fat say more than 5%-10% of the organ's weight then you are at risk of getting fatty liver disease. At the onset, you can do one important thing to help your liver stop drinking. It causes fatty liver disease.
There are two main types of fatty liver disease
- Alcoholic liver disease or ALD
- Non-alcoholic fatty liver disease or NAFLD
- If you are a woman who is pregnant, you can also get fatty liver disease.
Alcoholic Liver Disease (ALD)
- You can get ALD from drinking lots of alcohol. ALD can also present itself after a short period of heavy drinking.
- Genetics has a role to play in ALD. Genes can make you hit the bottle and increase your chances of becoming an alcoholic.
- Genes can also impact the way your body breaks down the alcohol you drink.
Other root causes of ALD are:
- Hep C doesn't cause ALD. it is one of the causes of fatty liver.
- Hep B is also a cause of fatty liver. There are certain medications which may be helpful from person to person besides lifestyle management.
- Excess iron in your body
Non-alcoholic Fatty Liver Disease (NAFLD)
The cause of NAFLD is not clear, but we know that it tends to run in families.
NAFLD is also more common in the middle-aged and the obese or, those who have high cholesterol and diabetes.
Other risk factors are:
- Certain medicines
- Viral hepatitis
- Auto-immune or inherited liver disease
- Gaining weight fast
- Acute Fatty Liver during Pregnancy
- Fat can build up in your liver when you're pregnant, causing this kind of fatty liver disease.
- It’s a serious condition as it can be risky for both you and your baby. It can cause liver or kidney failure in you and your child, both.
- Causes are unknown. But, hormones may play a role.
Symptoms of fatty liver disease
This disease can sometimes cause no symptoms for long. But, the things to look out for are-
- Feeling tired all the time
- Loss of appetite or weight
- General weakness
- Confusion and trouble concentrating
- Your liver can become larger
- Pain in the centre or right upper part of your belly
In ALD, your symptoms get worse after bouts of heavy drinking. Fatty liver disease is diagnosed during routine exams when your doctor notices your enlarged liver. Ultrasound, blood tests to check for certain enzymes and biopsy of the liver are performed to confirm it.
- There is no specific treatment for the fatty liver disease.
- You can manage it by managing your diabetes and giving up drinking. If you have ALD and you don’t quit, you get complications like alcoholic hepatitis or cirrhosis.
- Even if you have a non-alcoholic fatty liver disease, alcohol cessation helps.
- Losing weight if you are overweight also helps to manage this disease and having a good balanced diet with exercise also shows benefits. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.
Obsessive Compulsive Disorder (OCD) is a disorder that causes anxiety. It is also called anxiety disorder. The main characteristics of this disorder are uncontrollable, unpleasant thoughts, which are continuing. OCD causes the mind to get stuck on a specific thought or inclination. For instance, you may repeat a task forty times to ensure that it has been done properly. You will not be able to get it out of your mind. OCD is characterized by obsessive thoughts and compulsive behavior patterns.
Some obsessive thoughts include:
- The fear of being defiled by germs or soil and also of contaminating others.
- The fear of losing control and hurting yourself or others.
- Having sexual or brutal thoughts on the mind.
- Extreme focus and devotion to religion and religious activities.
- A sense of fear of losing or not having things you need.
- Having the assumption that everything would go fine.
- The person will become very superstitious.
Some compulsive behavior patterns include:
- Inordinate double checking on things like locks, apparatuses and switches.
- Over and over monitoring of friends and family to ensure they're safe.
- Counting in the head, mumbling nonsense words without meaning.
- Devoting a lot of time for washing and cleaning.
- Praying without reason and taking part in religious ceremonies.
- Accumulating junk material.
Here are some common ways to deal with OCD:
- Regular Exercise: Exercise is the best natural remedy to prevent anxiety, which leads to OCD. Exercise checks your OCD symptoms. It makes your nerves stronger, and hence you can focus your mind out of obsessive thoughts by yourself, when they arrive. Get at least thirty minutes of exercise regularly.
- Connect With Friends And Family: Social isolation is one of the common early symptoms of OCD. Social isolation can lead to OCD as well. Therefore, you must always stay connected to your friends and family so that you never get lonely and anti-social. Share everything with family.
- Sleep Sufficiently: Lack of sleep or troubled sleep may lead to anxiety disorders. You need to sleep enough to be away from obsessive thoughts.
- Perform Relaxation Techniques: Simple practices like yoga, meditation, pranayama help you grow spiritually, relax your mind and keeps OCD away from you.
- Tackle Your Fears: Instead of avoiding fearful thoughts, let them flow and tackle them face to face. This will help you overcome the fear. Adopt measures so that you can focus on other things and ignore the obsessive thoughts. Distract yourself away from the obsession.
OCD is a harmful disorder, and you should take all measures possible to keep away from it.
Your knees are one of the most vulnerable parts of your bodies. In case of strenuous or vigorous activities, knees are more prone to damage and injury than the other parts. Several of the knee tissues are fairly delicate and often are easily impaired. Among the other knee tissue injuries, meniscus tears are perhaps the most frequent. Meniscus is essentially a cartilage that protects and stabilizes the knee joints. However, an untoward twist or a strain can lead to a tear in the meniscus. Meniscus tears are a common phenomenon among athletes and sportsmen. They have been noted to be more recurrent in older individuals.
Some of the early symptoms that indicate the onset of a meniscus tear are swelling and difficulty in bending or straightening of the leg. Sometimes a "locking sensation" in the knees also forebodes a torn meniscus. The inflammation potentially causes a lot of pain and irritation. While, it is fairly easy to ignore a meniscus tear for a normal knee injury, prolonged overlooking may only aggravate the pain and worsen the condition. The process of diagnosing a meniscus tear usually involves an MRI scan and an X-ray examination, over and above a detailed evaluation of the wound.
Treating meniscus tears vary according to the extent of the injury. Depending upon the location and the depth of the tear, various cures can be tried. The healing process, however, depends upon other allied factors such as age, level of physical activities and one's medical history. An external and minor injury is easily mendable. Whereas, graver injuries are resolved through surgical means. The other non-operative means include certain prescribed medicines and specific exercises. Some of the recommended ways of battling a meniscus tear can be enlisted as:
- Resting the knee by limiting the activities that involve excessive use of the legs or they may potentially strain the leg muscles.
- Applying ice pack can significantly bring relief to the swelling and the pain in the injured knee. Doctors advice regular use for a duration of at least 15 days.
- Compressing the knee using an elastic bandage or neoprene sleeve reduces the swelling in the knee.
- Prescribed medicines in the likes of non-steroidal anti-inflammatory drugs can be effective remedies for a meniscus tear. However, one must mandatorily consult a doctor before consuming such medicines.
Depression in adults is a lot different from depression in younger people. Adults have the overburdening thrust to believe they should be able to deal with any situation however adverse of their own accord. This pushes them to such a point that they bottle up worries and anxieties making themselves vulnerable to depression. Reaching out for help is almost a wager; lost before a fair trial. An elderly person could remain depressed due to varied reasons but the cause is seldom remorse. Assuming the cause as sadness could depress your loved ones even more.
Take a look at the following factors that can depress older adults;
- Serious ailments like strokes, cancer, diabetes, thyroid and so on so forth.
- The loss of a dear friend or a family member.
- Excessive work pressure.
- Stagnation in personal life, passions and goals.
- Lack of motivation to do the slightest of things.
To prevent depression in adults the following ways should be kept in mind:-
- Interaction is the key principle- Adults might need to talk. Being a grown- up doesn't mean you don't need suggestions and advice of your friends and relatives. Try to interact with a person who you think is depressed.
- Try to identify medical conditions and look for reliable treatment- Medical illnesses like cancer or diabetes can take a toll on your mental strength. It can discourage you from living life with full vigor and energy. Thus medical conditions should be treated with due care and a person suffering should be encouraged to take professional psychological consultation.
- Providing a person with space is mandatory- Adults hate being domineered or patronized. When they need space they should be allowed to be alone. It could help them deal with depression better. Staying alone doesn't always involve loneliness. People might need to clarify things to their own selves or might even need time to introspect.
- Make a depressed person take care of a pet- The presence of a pet in the household can relieve its members of accumulating stress. An adult when made to take care of a pet has added responsibilities and will naturally have less scope to wallow in their own sorrow. A pet gives a person the love and affection he or she had been lacking all along.
- Humor is a wonderful pill- Create opportunities to make a person laugh. Share jokes or make them watch funny shows.
- Ensure the person gets enough sleep- A full night's sleep is extremely important. Insufficient relaxation can push you towards depression. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.
The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.
The different types of cardiomyopathy are:
- Hypertrophic Cardiomyopathy: This is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
- Dilated Cardiomyopathy: This form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
- Restrictive Cardiomyopathy: This disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
- Arrhythmogenic Right Ventricular Dysplasia: This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
- Unclassified Cardiomyopathy: Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.
Treatment: Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.
- Nonsurgical methods.
- Surgery and implants
Modes of surgery for treatment of cardiomyopathy include:
- Septal myectomy
- Heart transplant
Implant devices such as Cardiac resynchronization therapy (CRT) device, Implantable cardioverter defibrillator (ICD), Left ventricular assist device and pacemakers are fitted into the heart for better performance.
Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms. If you wish to discuss about any specific problem, you can consult a Cardiologist.
I did my MRI and this is the report:- CONCLUSION:- Cervical spondylosis disco-osteophytes & right paracentral at C6_7 intervarteble disc ,encroaching on right foramina, causing significant compression of the subarachnoid space & right C7 ventral nerve root. Annular bulges at C4_5 & C5_6 intervertebral discs, causing indentation of the subarachnoid space. It is my request that please explain me this report and also suggest me any treatment or precautions that I should follow onwards. Also please suggest me about exercise if necessary. Waiting for reply.
Being away or oblivious to social media is synonymous to not following the herd. Social media probably is no more the latest fad; it is the given code to take a deeper look into the present age. The rewarding fact about social networking sites is their ability to transport us to people and places millions of miles away from us. This epoch with its dictates of overproduction and maximum utilization of labor, snatches away the boon of communication.
Some of the mental health problems that you may suffer from due to a social media addiction are discussed below:
- Peer Pressure- Social media use also creates the fear of missing out because you want to do what everyone else is doing. This evokes anxiety and will give rise to negative feelings and emotions, which again create mental health problems and stress and anxiety disorders
- Fatigue and Stress- When you are using social media, you are constantly switching from one task to another because there is just so much to do and see. This information abundance can tire out your brain, especially when it is received chaotically. Your brain needs time and room for absorbing the data and processing the information, but multitasking on social media makes your brain work overtime. This can prevent it from relaxing and it will become exhausted as it tries to deal with the barrage of information. Hence, the fatigue puts your mind under a lot of stress and you may not be able to concentrate on anything at all.
- Social Anxiety- Even though the whole point of social media is to allow people to stay connected with others, it doesn’t have the same satisfaction and element associated with actual human interaction, which is a crucial human need. In fact, in some ways, it is too distant and this is not a good thing for those who become dependent on social media as it can lead to social anxiety. Those who are already suffering from this problem will find it even more difficult to indulge in face-to-face interaction. Real human interaction can become extremely scary for people as it is becoming common to hide behind your computer screens and not go out at all.
- Distraction- Social media is just tailor-made for decreasing our productivity because you spend hours looking at everyone else’s life when you could be doing something else. This means that most of your time is spent on viewing photos, liking posts, and writing comments and these activities don’t really require the use of your intellectual abilities. They aren’t intellectual at all and distract you from activities that are such as reading, studying informational articles on the internet, etc. Your brain doesn’t get enough food for development and your intellectual abilities can decline in this way. Your brain will slow down and not be able to respond quickly in various situations.
- Insecurity- One of the major problems with social media is that posts typically present an idealized version of what’s going on in everyone’s life. Usually, what you see isn’t actually reality because everyone has their problems and issues. Nevertheless, you end up comparing your own life with that of others and think less of your own. If people in your newsfeed seem to be having a good time, it will make you envious and affect your mood negatively. Research has shown that widespread use of social media can demotivate people, make them aggressive and cause a decline in confidence.
So are you being adversely affected by social media? Here are some signs to look out for:
- Low self-esteem.
- Feeling low when you see other people's images and lifestyle.
- Envy of others people lives - wishing your life was like someone else's.
- Finding social media as your first and only choice of activity done for enjoyment.
- Not having as many face to face conversations with your relatives and friends and feeling disconnected.
- Being unable to do anything without feeling you need to share it online. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Lybrate | Dr. Sanjeev Gulati speaks on IMPORTANCE OF TREATING ACNE EARLY
For human beings, the body is considered the temple, one that they strive to keep fit and in shape. In fact, the plethora of ailments, which people complain of suffering from, almost always deal with their physical health. In this over engagement to restore the physical health, the well being of the mental health is never considered. However truth remains that the health of the mind is equally if not more important and must be given its share of priority. With the growing age and times, depression has emerged as a gnawing problem, one that is plaguing individuals indiscriminately and one that must be eradicated as soon as possible.
Some of the ways to combat this fatal ailment are:
- Exercises: Everyday a bit of exercise not only keeps the body fit and healthy, but also goes a long way in easing and calming the mind. You need not indulge in strenuous exercises, but must make it a conscientious habit to work out a bit daily.
- Talk to people: Though depression makes one inexorably quiet and silent, the first thing that is prescribed as a remedial measure is talk to people. Engaging in conversations with people, telling them what exactly is troubling you are proven ways to combat depression.
- Meditate: There is no better way to treat mental ailment than meditating. When you suffer from depression, your body undergoes severe conflict. Meditating not only calms the mind, but also soothes away the worries.
- Develop a support system: Depression is almost always followed by an unfathomable sense of loneliness. Talking to others does help, but at the same time try to develop a support system. Find an individual, be it parents, relatives or friends and confide in him or her. Not sharing what you are going through is never a solution and only exacerbates the fatality of the situation.
- Change the daily routine: Monotony is never exciting and it is only time, before the humdrum of life gets to you. Changing the daily routine and incorporating something new and exciting go a long way in recuperating you from the mental dullness and fatigue. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
A panic attack can start suddenly and may be caused due a variety of reasons. A patient of depression and anxiety usually goes through such attacks. The symptoms of these attacks include sudden and persistent fear, the feeling of losing control, the feeling of having a heart attack, palpitations, sweating, dizzy spells and more. It has been medically proven that most adults go through at least one or more panic attacks in their lifetime.
Here are a few ways in which one can stop a panic attack.
- Recognise the signs: Take note of the symptoms. From a feeling of choking to detachment, losing control, surreal experiences, dizzy spells, nausea, pain in the abdomen and chills, to tremors, and a fear of facing death, there are many symptoms that can put your body in a fight or flight response where things may suddenly seem terrifying, and without any reason at that.
- Breath control: Learn to control your breathing as soon as you begin to experience the symptoms. This will help in distraction even as it soothes and calms you down, thus forcing you to think rationally about the fear and helplessness that you are suddenly experiencing. Sit down with your knees bent and let your shoulders relax.
- Relaxation techniques: Learn and practice a few relaxation techniques during times like these. This may include simple things like rubbing your neck and more focused activities like talking to yourself and meditating.
- Continuation: Remember to hold your breath, let it out, and then carry on with the activity that you had set out to do. If you stop what you were doing, then the message going to your brain is loud and clear and you will panic even further. But if you relax and zone out before letting yourself go about the chore, however robotically, then it will have a positive effect on the messages that are sent to your brain.
- Medication: In the event that you are not able to fully control and relax yourself and your thoughts, then you may want to see a psychiatrist who can prescribe specific medication that will help in relaxing you. Sedatives and antidepressants may also be prescribed for patients who are going through severe episodes of panic with debilitating symptoms.
- Differentiate between stress and panic: Many times, we may feel like we are panicking, yet this may simply be a way of going through stress. It is important to focus on recognising events and reactions as stress or panic.
Not allowing yourself run away from a situation is a sure shot way of dealing with panic as this condition the brain to be more accepting and resilient. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Normal skin: wash your face with cleansers that are designed for your normal/normal-to skin type. Wipe an alcohol free, hydrating toner all over the face. Apply moisturizer more frequently to dry skin.
Is depression eating you up from within? Are you facing severe emotional meltdown? Emotional disturbances can ruin your life and this is why you have to look for the best preventive ways. You can have a consultation with any counsellor so that you can share your problems. Your counsellor will definitely help you to get some potential way out.
Best ways for preventing emotional meltdown:
- Detecting the signs: The actual signs of emotional meltdown need to be detected and then only you can get rid of the same. Both your facial expressions and behavioural changes are to be observed carefully as these will help you to detect the signs. If you are remaining silent for most of the times, then there is something going on in your mind for sure.
- Early intervention: You should rely on your intuition or sixth sense so that you can sense the troubles you are going to face. You should have a good observation power so that you can sense things easily. Remain quiet and calm so that you can take the right decisions.
- Living well: You need to choose a completely healthy way of living, otherwise you will never get freedom from emotional troubles. Do not think much about past incidents, rather you should look forward so that you can go ahead. You should develop only positive mentality in order to discharge your duties in a perfect manner. Remain happy and keep everybody happy and then only you will be able to get the actual essence of life. Healthy eating and good habits are also needed so that your life can become more lively and refreshing.
- Have proper communication: If you think that your friends or family members are pretty reliable, then you can openly communicate with them. This would help you to get mental relief and relaxation. If you open up your emotions and share them with anybody, then you will feel relaxed and your mind will be calm at all times.
- Have counselling: It is not always possible to share all your secrets with your loved ones and this is the reason you have to look for the most reliable option. You can go for thorough counselling, and this can help you to get rid of depressing thoughts and other mental troubles. In this case, you have to look for the best counsellor in your locality so that you can disclose all your hidden secrets. If you wish to discuss about any specific problem, you can consult a doctor.
Exocrine Pancreatic Insufficiency or EPI is also known as pancreatic deficiency, a disorder where the pancreas is unable to produce sufficient amount of enzymes that are required to digest food. The pancreatic enzymes help to break down and absorb nutrients from the food in the small intestine. So, this disease causes nutritional deficiencies.
Causes of Exocrine Pancreatic Insufficiency :
This condition is generally caused as a complication of other diseases because EPI develops only as a result of severe damage to the pancreas. The following reasons can cause EPI:
- Inflammation of the pancreas: After surgery in the pancreas, stomach or the intestines, there may be inflammation in the pancreas as a post-surgical complication. A high content of triglyceride fat in the blood can also cause pancreatic inflammation and hinder the secretion of the enzymes.
- Chronic Pancreatitis: In this disease, the pancreatic ducts are swollen and blocked and so the digestive enzymes cannot be passed into the small intestine. This condition is often caused by a heavy consumption of alcohol.
- Cystic Fibrosis: The digestive fluids and enzymes become thick and sticky and block the passageways of the pancreas and other organs like the lungs and the kidneys. This can obstruct secretion and passage of enzymes afterwards.
- Shwachman-Bodian-Diamond syndrome or SBDS: SBDS is an autosomal recessive genetic condition where enzyme producing pancreatic cells is not formed properly. This rare disorder causes a number of associated disorders like bone marrow diseases, skeletal defects and exocrine pancreatic insufficiency.
Symptoms of Exocrine Pancreatic Insufficiency:
Symptoms of EPI often appear in the middle stages of the disease when the process of absorption of nutrients has already been affected. The common warning signs are:
- Digestive problems like gas, diarrhea and indigestion because the food remains mostly undigested.
- Severe and frequent stomach pain in the lower abdominal region
- Greasy stools due to the excretion of undigested fat
- Rapid loss of weight and body mass due to malabsorption of nutrients
- Constantly feeling bloated and full even if you have not eaten anything
- A general sense of fatigue and exhaustion
- Excessive bleeding from small wounds because protein deficiencies hamper blood clotting
- Pain in the muscles and bones
- Increased susceptibility to infections of the body system
- Joint pain
- Abnormal swelling of the limbs or edema
If you wish to discuss about any specific problem, you can consult a gastroenterologist.
Asperger's syndrome has been found to affect people at a tender age. The augmented impacts of this syndrome are felt as you grow up. It is a neurological disorder falling under the scope of Autistic Spectrum Disorders. However, it is a milder form of autism and has similarly unidentifiable causes. A person afflicted with Asperger's syndrome will not exhibit stark signs of the disorder. These persons are usually smart and brilliant but face issues in communicating or interacting socially.
Factors that may result in this disorder:
- Genetic factors could also afflict you with such a syndrome. Thus, it is important to carry your family history while consulting a doctor.
- Certain changes in a person's brain could create trouble.
- Your body could be susceptible to external toxins: many times bacteria and viruses from a polluted environment can lead you to such a serious neurological condition.
Ways to diagnose Asperger's syndrome:
- A doctor would concentrate on your child's speech: Language development can hint at many underlying health issues. Your child might fail to process speech around him or her which impairs its own speech.
- Exchanges in a social setup could be indicative of something: Children or adults could find social gatherings challenging. They feel awkward to interact with friends, relatives and colleagues. It takes a lot of effort on their part to exchange basic pleasantries. A doctor will be able to deduce from such symptoms.
- Facial expressions while conversing could help diagnosis: A person's facial expressions tell a lot about how they formulate or feel about things. Their words, at the same time, could be contrary. Counselors lay stress on frequent sittings to closely note the gestures made by a patient.
- Comprehension and coordination capabilities: Your child or loved one might find it difficult to handle motor regulated appliances. Comprehending instructions could also be a test. People suffering from Asperger's syndrome face problems in understanding simple things.
- Responding to change will also be taken into consideration: Patients trying to cope with this syndrome are usually not open to change. They take a very long time to adapt to a given way of life; a sudden change will thwart their idea of normalcy.
Irritable bowel syndrome or IBS includes a group of medical symptoms. These include abdominal pain and changes in the pattern of bowel movements. The symptoms mostly continue for a long period of time and are divided into four types depending on diarrhoea or constipation symptoms.
Irritable bowel syndrome causes several negative effects on our health and should be treated as soon as possible. IBS is caused because of various reasons and factors. They are as follows:
- Digestive problems: Food is moved through the digestive system with the help of squeezing and relaxation movement of the intestinal muscles in a certain rhythm. In case of IBS, this process is altered and food moves through the digestive system very fast or very slow. When the food moves too fast, diarrhoea is caused as there is not enough time for absorption of water from food. In case of slow food movement, constipation occurs as a result of too much absorption of water. Disorders such as malabsorption of bile acid may also cause IBS in some cases.
- Psychological factors: Psychological factors also play a vital role in IBS. When a person is overtly emotional or is suffering from intense stress or anxiety, then these emotions trigger chemical changes in the body which affect the proper functioning of the digestive system. This is not likely in all people who get IBS. People who did not have IBS before, may undergo changes in bowel movements because of immense stress and tension. Many people who have undergone a traumatic experience such as abuse, neglect or a childhood disease can get IBS. These traumatic events or experiences in the past made these people more sensitive to stress, which may result in IBS.
- Several triggers of IBS: There are several food items and drinks, which may trigger the symptoms of IBS in a person. These triggers vary from person to person. The most common ones include alcohol, aerated drinks, chocolates, drinks which contain caffeine like coffee or cola, processed snacks such as crackers and biscuits and fried foods, which contain a lot of fat. You should maintain a food diary for identification of triggers that may lead to IBS in your everyday diet. Stress is also an important trigger which may lead to IBS. You should try to find ways to get rid of stress and must avoid over stressing.
Irritable bowel syndrome or IBS results due to several reasons which may be physical or psychological. If you experience symptoms of IBS, you must try to detect or diagnose the reason and then look for proper treatment while consulting with gastroenterologist.
A stomach ulcer or gastric ulcer refers to the defects or breakdown in the mucosal lining in the stomach. The stomach contains acid, which helps in digestion and any break in the tissue lining may result in severe pain or bleeding in some cases. The pain is usually felt in the abdomen. Also, check out Stomach Aches and Pains in Kids.
Stomach ulcers cause great discomfort and should be treated effectively. Here are the primary ways for treating stomach ulcers:
Antibiotics: In the case of H. pylori infection, you should take a course of more than two antibiotics, to be taken twice a day and must be continued for a week. Antibiotics such as amoxicillin, clarithromycin or metronidazole may be used in case of such stomach ulcers. However it is always recommended to consult a specialized doctor before consuming any of these medicines. After several weeks of using the antibiotics, you should get a test done for detection of H. pylori bacteria. If they are still present, you have to take different antibiotics.
Proton Pump Inhibitors: Proton pump inhibitors or PPIs helps in the reduction of the amount of acid produced by the stomach. This prevents damage to the ulcer and lets it heal naturally. PPIs are generally taken for four to eight weeks. The most common PPIs which are used for treating stomach ulcers are omeprazole, pantoprazole and lansoprazole.
H2 Receptor Antagonists: H2 receptor antagonists reduce the production of stomach acid and function the same as PPIs. The most common H2 receptor for treating stomach ulcers is ranitidine. Consult a doctor for all stomach related problems.
Antacids/ Alginate: All measures to treat stomach ulcers take several hours to show results. Your doctor may prescribe antacid medications for neutralizing the stomach acid. This will provide relief for the moment, but the relief is quite temporary and for a short span of time. By this time, the strong medicines most likely start working. There is a certain antacid medicine known as alginate. This develops a protective coating on the stomach lining. Antacids are available at all over the counter medicine stores and you should consult your doctor to get the best antacid which would work effectively on your stomach ulcer symptoms. You should take antacids before going to sleep or after taking meals.
Natural Remedies: Stomach ulcer can also be treated at home using natural remedies. Medicines may sometimes cause further digestive complications, so home remedies are much more easy to follow and do not have side effects. The best way is to follow a proper diet, which is comprised of certain food items that help in curing stomach ulcers. You should consume bananas, honey, garlic, green leafy vegetables like cabbage, licorice and capsaicin.
Stomach ulcers cause great pain and also bleeding in several cases. Proper treatment procedures should be taken in case of stomach ulcer. There are many medical remedies, as well as home remedies for treating stomach ulcers.