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.
Doctors in Fortis Escorts Heart Institute & Research Centre - Okhla Road
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 his 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 he 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. he 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
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
Excellent experience. Dotor was very clear about the cause of knee problem and line of treatment to be taken
Dr. Himanshu Gupta provides answers that are very helpful. ..sir operation period sep oct 2002 & 2008
Dr. Himashu gupta Ji very kind and best doctor and good and deep knowledge of his work
Very good nice behaviour understand problem and giving time
Ready to listen, Patience, good in diagnos and cooperative
Excellent diagnosis he had good behaviour
A Gastrointestinal carcinoid tumor is a condition characterized by the formation of malignant tumor in the gastrointestinal tract. It may also affect the esophagus, gallbladder, liver, pancreas, stomach, small intestine, large intestine, rectum, and anus (the accessory organs).
In Gastrointestinal carcinoid, the tumor is commonly the neuroendocrine tumor (the abnormal growth of cells and tissues originate from the nervous and the endocrine system).
Causes of Gastrointestinal carcinoid tumor:
Several factors may be responsible for gastrointestinal carcinoid tumor, the most common of which include
- Zollinger Ellison syndrome: It is a condition whereby multiple tumors (gastrinomas) may develop on the duodenum (mainly the upper part) and the pancreas. This abnormal condition leads to increased secretion of the hormone gastrin, which, in turn, triggers the stomach to produce acids in excess amounts. More than often, the syndrome results in peptic ulcers. Research suggests that people with Zollinger Ellison syndrome (if left unattended and untreated for long) may suffer from the gastrointestinal carcinoid tumor.
- Multiple Endocrine: Neoplasia Type-1 (formation of tumor in the endocrine gland as well as in parts of the stomach and small intestine) can also trigger Gastrointestinal carcinoid tumor (though rare).
The symptoms associated with Gastrointestinal carcinoid tumor include
- Unexplained weight loss.
- Abdominal pain.
- Extreme tiredness, nausea, and vomiting.
- Stomach upset (a person may throw up), diarrhea.
- There is a loss of appetite. A person feels full all the time (even after eating only a small morsel of food).
- Difficulty in swallowing the food (in the case of the tumor in the esophagus).
- The stool may appear black and tarry (due to bleeding into the small intestine and the stomach). The stool may also appear red (if the bleeding is into the large intestine).
Women are more likely to be affected by than their male counterparts. The aged people are slightly more susceptible to Gastrointestinal carcinoid tumors.
Diagnosis and treatment:
Diagnosis of gastrointestinal carcinoid tumors include
- Physical examination.
- Urine and blood tests play a pivotal role in determining the protein and hormone levels, thus making the diagnosis more efficient and accurate.
- Certain imaging tests such as MRI, CTscan, X-rays, PET.
- Endoscopy and Colonoscopy.
- OctreoScan is the scan, the doctor injects a substance called octreotide (in combination with a radioactive material) into the body and monitors the amount of octreotide absorbed by the body. Absorption of large amounts of octreotide indicates the presence of a tumor.
- MIBG scan: The test is identical to OctreoScan except the substance used here is MIBG.
As with most cases of cancer, the treatment for Gastrointestinal carcinoid tumor include
- Surgery: Depending on the stage and the severity, surgery may be needed to remove the tumor.
- Radiation Therapy: High beam rays are used to kill the cancer cells.
- Chemotherapy: Drugs are administered orally or intravenously to get rid of the cancer cells.
- Hormone therapy: Hormone therapy may be used to treat gastrointestinal carcinoid tumors. Here, doses of synthetic hormones (Lanreotide and Octreotide) are given to the patients. These hormone work by blocking the hormones produced by the tumor cells.
- Endoscopic ultrasound (EUS) is a minimally invasive procedure to assess digestive (gastrointestinal) and lung diseases. A special endoscope uses high-frequency sound waves to produce detailed images of the lining and walls of your digestive tract and chest, nearby organs such as the pancreas and liver, and lymph nodes.
Also known as manic-depressive illness, bipolar disorder is not a rare diagnosis. Bipolar disorder is a mental condition that is characterized by extreme shifts in mood with constant variation in energy and activity levels. With these abnormal fluctuations and shifts, the person suffering from bipolar disorder finds it difficult to finish their everyday chores and lead a normal everyday life. Fortunately, with the right treatment and proper care, patients can recover fully.
Causes of Bipolar Disorder
- Genetics – A person with a blood relative who has bipolar disorder, has a higher risk of developing it
- Brain Chemical Imbalance – Neurotransmitters that carry signals to and from the brain to other parts of the body does not function correctly
- Hormonal Imbalance – Certain hormonal problems can trigger the disorder
- Environmental Factors – Mental stress, abuse, traumatic events and other factors can elevate the risk
Symptoms of Bipolar Disorder
1. Signs of Manic Episodes
- Feeling too happy for a prolonged time
- Talking very fast with racy thoughts
- Extremely restless and hasty
- Being too overconfident in self
- Gets easily distracted
- Lack of sleep
- Engaging in unsafe behavior like gambling with savings, spending too much or having impulsive sex
2. Signs of Depressive Episodes
- Feeling too sad for a prolonged time
- Withdrawal and losing interest in activities
- Low Appetite
- Lack of energy
- Speaking very Slowly
- Facing problems with making decisions, memory, and focus
- Low self-esteem
- Constant thinking of giving up life
Types of Bipolar Disorder
1. Bipolar 1
This is the classic form of manic-depressive disorder with clear and extreme shifts in mood. Patients can have manic or mixed episodes.
2. Bipolar 2
Symptoms are less severe and are called hypomanic episodes that can involve less severe manic episodes with depression episodes as well.
A milder form of bipolar disorder, the patient experiences bouts of mood disturbances which alternate between feelings of being happy and sad. The patient may feel stable but will have noticeable fluctuations in mood that are usually less severe.
The prime aim of the treatment for bipolar disorder is to lessen the frequency of manic and depressive episodes, thereby enabling them to lead a normal life.
- Hospitalization - Patients suffering from bipolar disorder 1 often need hospitalization if there is a big risk that they may harm themselves or others
- Lithium Carbonate – The commonly prescribed drug for this disorder, the patients are to follow the right dosage. Anticonvulsants and antipsychotics are also prescribed along if needed.
- Psychotherapy – Minimize the triggers that occur before the onset of the manic or depressive episodes
- Cognitive Behavioural Therapy – Family oriented therapy to develop interpersonal skills and prevent relapses.
In case you have a concern or query you can always consult an expert & get answers to your questions!
OCD stands for Obsessive Compulsive Disorder. It is a disease where obsessions lead to repetitive behavior or compulsions. In this mental disease, people think that they need to keep on checking things on a repeat mode due to very strange fears and obsessions. People affected by this disease cannot control either their thoughts or their activities for more than a short span of time. The common things that people affected by Obsessive Compulsive Disorder do repeatedly are washing their hands, checking the time, checking if the door is locked properly, counting of things. It is a type of anxiety disorder which negatively affects the day to day life of the patient. Let us discuss the symptoms, causes, and diagnosis of OCD to know about the disease clearly.
The Symptoms of OCD
People affected by this disease might experience anxiety at a greater level that leads to compulsive behaviors, hyperactivity and impulsivity is a common symptom in the patients. They keep on repeating their own words a number of times. The symptoms also include isolation from the society and trying to live alone. Agitation is also a symptom of the disease. Checking the time, washing their hands, cleaning the place, again and again, are some of the activities that they repeatedly do. Other symptoms include depression, fear. These are the common symptoms that are noticed in the people affected by OCD.
The Causes of OCD
The causes of OCD depend on neurological factors along with genetic, behavioral, cognitive and environmental factors as well. If someone in the family had OCD then there is a chance that you might also be affected by this disorder. Research says that the brain functions differently in those people. Though, the exact causes of OCD are still unknown. If a person experiences some event that seemed unlikely to them, the activities of the event might be triggered in their brain which can also cause the person to be affected by the disorder.
The Diagnosis of OCD
A physical examination may be done to rule out the chances of other related diseases. Then, lab tests are carried out for further details that are required. But a person affected by OCD requires talking to other people and socialization. It is always advisable to consult a doctor and treat the patient with his medical knowledge for better treatment. Do not take the help of any medications without consulting a doctor.
OCD can occur in both males and females and at any age. The treatment of OCD may or may not be successful. It depends on the condition of the patient entirely. OCD patients need the support of their family to recover soon and properly. In case you have a concern or query you can always consult an expert & get answers to your questions!
Depression is a serious medical illness that is characterized by prolonged periods of sadness and feeling blue for weeks or months together. This feeling is often associated with withdrawal from activities, lack of energy and low self-esteem. These feelings persist and interfere with daily life so much that it becomes highly difficult to carry out their tasks.
Causes of Depression
There is no single cause for depression and it may get triggered by various factors which include:
- Biological factors – Some types of depression run in families suggesting a hereditary risk
- Abuse - A past traumatic event of physical, mental or sexual abuse can increase the vulnerability to clinical depression at a later point of time in life
- Medications – Certain medications tend to induce symptoms of depression
- Conflict – As a result of personal conflicts or disputes with friends or family, depression may develop
- Death or Loss – Grief over the death of a loved one increases the risk of depression
- Substance Abuse – Almost 30% of people with substance abuse have major or clinical depression
- Environmental Factors – Social isolation or a normal response to stressful events can lead to depression
Symptoms of Depression
Clinical depression is characterized by the onset of the following symptoms:
- It is natural to feel down at times, but if this mood lingers on day after day for a long time it is a main sign of depression
- Physical symptoms – fatigue, insomnia, excessive sleep, persistent body aches like headaches, cramps or digestive problems that do not ease with proper treatment
- Changes in Appetite and weight
- Difficulty in concentrating and making effective decisions
- Withdrawal from daily activities that were previously enjoyed
- Talking about death or suicide
- Agitation and restlessness
- Feelings of worthlessness or guilt due to past failings
Treatments for Depression
Some of the major treatments for clinical depression are outlined below:
- Psychotherapy - From behavioral therapy to interpersonal therapy there are several talk therapies that can be undertaken to minimize the severity of depressive symptoms and manage depression. These therapies are an active collaboration between the therapists and their patients that seek to reinforce a positive environment to help faster recovery.
- Hospitalization – Required for serious cases of depression where the patient may have attempted suicide and accordingly therapy is given
- Medications – Antidepressants are prescribed by physicians to help improve overall mood
- Electroconvulsive Therapy – For severe and chronic depression symptoms, the last resort of therapy involves shock treatments with safe practice
- Self-Help Methods – One can also seek depression oriented support groups that allow the individual to socialize and be with others who are facing the same problem. There are several online support groups as well with virtual assistance at stressful times.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Metabolic Bone Disease is a term used for various conditions of the bones that can be caused by a number of different disorders. Most of these disorders are developed due to nutritional deficiencies, defects in the bone metabolism procedure or due to hereditary defects in the skeletal structure. Conditions that fall under the category are osteoporosis, osteomalacia, rickets, Paget's disease, parathyroid conditions, chemotherapy induced bone loss and menopause induced bone loss.
Causes of Metabolic Bone Diseases:
- Imbalance in the level of calcium : Too much calcium or too little calcium can cause bone diseases. While the overabundance of calcium (hypercalcemia) in the body will lead to calculi formation, which can be harmful for the body, the lack of calcium (hypocalcemia) causes weakness, bone pain and restricted growth.
- Deficiency of phosphorus: Low phosphorus in blood (hypophosphatemia) leads to softening of the bone tissue and bone loss. Osteomalacia is commonly caused by phosphorus deficiencies.
- Deficiency of Vitamin D: Vitamin D is essential for the body to absorb calcium. Cells called osteoblasts need vitamin D in order to absorb calcium and secrete the bone tissue proteins. A deficiency of vitamin D can lead to a number of metabolic bone diseases like rickets and osteoporosis.
- Over or under secretion of the parathyroid hormone:The parathyroid hormone (PTH) stimulates the secretion of an enzyme, which converts the inactive circulatory form of vitamin D into its active usable form. The hormone can also increase the circulation of free or ionized calcium (Ca2+), which is not attached to proteins. Both underproduction and overproduction of the hormone causes skeletal problems.
Symptoms of Metabolic Bone Diseases:
The symptoms of most of the Metabolic Bone Diseases are similar, such as
- A dull, throbbing pain in the bones is the most common symptom. The pain is frequent and lasts for a long amount of time, but unlike muscular pain, the exact region of bone pain cannot be specified.
- Severe joint pains accompanied by stiffness and swelling of the joints. The patient experience pain during regular physical activities, especially during cold weather conditions.
- Frequent fractures are caused by most bone diseases because the bone mineral density decreases drastically. Severe bone injury may be caused by mild trauma.
- Defects in the bones can cause bowed out legs and a bent backbone.
- A general feeling of exhaustion is often caused by bone diseases.
- Kidney stones are an associated complication of metabolic bone diseases.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Constipation by itself is not a disease but it a condition in which your bowel movement is infrequent and the stools are hard and difficult to pass.
Constipation happens to most of us at one time or the other and then it goes away naturally. Chronic constipation is constipation which is long-term and it usually signals a deep-rooted medical problem which requires intervention.
Symptom of constipation
While fewer bowel movements is a foremost symptom of constipation, other common symptoms are-
- Trouble passing stools
- Pellet-like hard or small stools
- A sense of being full even after a bowel movement
- Flatulence, swollen belly
- Belly pain
- Throwing up
Medicines like antacids that contain calcium or aluminium
- Changes in your lifestyle and usual diet like travelling
- Having too much of dairy
- Colon cancer
- Eating disorders
- Irritable bowel syndrome or IBS
- Neurological conditions like Parkinson's disease and multiple sclerosis
- Inactive lifestyle
- Less water and fibre in diet
- Overusing laxatives
- Problems with the muscles and nerves in the digestive system
- Drugs like pain medications and narcotics, antidepressants, or iron pills
What should you do?
Constipation can be handled by taking simple steps like:
- Drinking four extra glasses of water a day over your normal intake.
- Drinking warm water in the morning.
- Adding more fibre to your diet by eating more fruits and vegetables.
- Eating more bran cereal and brown rice.
- You can use a very mild over-the-counter stool softener and laxatives like magnesium hydroxide. But take care to not use them for more than two weeks at a time. If you don’t get any relief, it’s time to call your doctor.
- Constipation happens out of the blue and is not a new problem for you.
- You see blood in your stool.
- You are losing weight.
- You are experiencing severe pain during bowel movements.
- Your constipation is more than two weeks old.
- You are getting pencil-thin stools.
The following tests are recommended to unearth the reasons behind chronic constipation:
- Blood tests to check hormone levels
- Barium studies a kind of test which looks for blockages in your colon
- Colonoscopy which again looks for blockages in your colon
A type of constipation which is due to pelvic floor /outlet dysfunction. This may need biofeedback therapy. At times some kind of minor surgery
Constipation really is very amenable to diet and lifestyle changes. Eat a well-balanced diet and go for light, regular exercise to prevent chronic constipation. Also, drink two quarts of water every day to keep yourself regular.