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
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
Very good nice behaviour understand problem and giving time
Ready to listen, Patience, good in diagnos and cooperative
Excellent diagnosis he had good behaviour
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.
Since childhood, we are told time and again to stand tall, sit straight and maintain a good posture. We can do this only because of the spinal column. However, with age, the spinal column may be affected by osteoporosis. This is a muscular skeletal degenerative disease that reduces bone density. In the case of the spine, it can cause deformities, vertebral compression fractures and can even be fatal. Thankfully, these fractures can be treated with medication and surgical intervention.
- Kyphoplasty is one of the surgical procedures commonly used to treat spinal osteoporosis fractures. This is a minimally-invasive surgery that aims at reducing pain, stabilizing the vertebrae and restoring the normal height of the spine. This surgery may be performed under local or general anesthesia. To begin the procedure, a small incision is made in the back. The doctor then places a narrow tube through this incision and uses fluoroscopy to place it correctly in the pedicle of the broken vertebrae. A balloon is then inserted through the tube and carefully inflated. As the balloon inflates, it elevates the vertebrae and returns the spine to a normal position. This balloon also creates a cavity inside the vertebra by compacting the soft inner bone. Once this cavity has been created, the balloon is deflated and removed. A cement-like material known as polymethylmethacrylate is then injected into the cavity to fill it up. This cement hardens quickly and stabilizes the spinal column. The procedure may then be repeated on the other side to correct deformities and ensure uniformity.
- Hospitalization is not usually required for this procedure and the patient may go home on the same day. Most patients experience immediate pain relief while others may see the reduced pain within 2 days of the surgery. Kyphoplasty is considered to have the highest chances of success if it is performed within 6 weeks of sustaining the fracture. Heavy lifting and any form of strenuous exercising should be avoided for at least 6 weeks. Other than this, patients can return to their normal lifestyle. To prevent further bone loss, medication will be prescribed that should be taken regularly.
- As with any surgery, there are a few risks to this procedure. This includes a reaction to anesthesia, infections, spinal cord compression or nerve injury and an allergic reaction to the balloon. However, the surgery has a high success rate and complications are rare.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Internet addiction disorder or IAD, more commonly called Problematic Internet use or PIU, refers to excessive internet use that interferes with your daily life. Too much internet use to chat with friends, watch porn, use social media or surf the net for information- all fall under the purview of internet addiction.
Internet addiction disorder is a recently recognised condition in which sufferers spend unhealthy amounts of time “online” to the extent that it impairs their life quality. The internet addicts may experience distress and withdrawal symptoms just like smokers do, if they are denied access to their computers or mobile phones. They suffer withdrawal symptoms like tremours, obsessive thoughts, and involuntary movements of the fingers like typing.
IAD and Your Health
Internet addiction can have two different types of repercussions- physical and mental. Physical problems associated with this disorder are-
The psychological and organic harm to the brain caused by internet addiction is still being probed but there is enough research to say conclusively that internet addiction disrupts nerve wiring in the brains of addicts. This addiction thus causes a level of brain damage normally seen in heavy substance abusers. The brains of people who use cocaine and cannabis or other narcotics also show similar effects. The brain thus gets damaged when you get hooked to a behaviour- be it obsessive internet use or drugs. IAD is as physically damaging to your brain like an addiction to drugs, scientists believe.
In particular, brain scans have shown that internet addiction causes significant damage to white matter in the brain. This disruption to white matter nerve fibres connecting vital parts of the brain involved in emotions, decision making, and self-control has long-lasting debilitating results. IAD also shrinks the brain’s gray and white matter fibers which result in changes in your brain functioning and the way you handle emotions.
This disruption in white matter fibers is caused by disrupted myelin, the fatty insulating sheath that coats nerve fibres and helps them to function.
The risk factors for IAD
Specific risk factors for IAD include:
- Anxiety, depression or other mental health or mood disorders
- Absence of social interaction or support
- Presence of other addictions like gambling, alcohol, drugs, or sex
- An abrupt change that limits social activity or mobility like having a baby, becoming disabled, losing a job etc.
- High levels of stress.
IAD is treatable. All you have to do is seek help. Sometimes, trying to get rid of IAD by yourself doesn’t work. This is the right time to seek the help of a counselor. Behavioural therapies that chip at the root of the problem or the main cause of IAD help you in getting rid of it fast.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Gastrointestinal bleeding, as the name suggests, is characterized by bleeding in the gastrointestinal (GI) tract and its accessory organs (esophagus, stomach, colon, small intestine, rectum, and anus). The bleeding also referred to as gastrointestinal hemorrhage, is not a disease in itself. However, it may be an indication of a disease, injury or infection in the digestive tract of a person. The bleeding in the GI tract may be mild to chronic (often fatal), depending on the severity of the condition that triggers the bleeding.
What causes the gastrointestinal bleeding?
As stated, the gastrointestinal bleeding may be indicative of some digestive tract disorder. Some of the common conditions that may trigger the bleeding include
- Tumors that are malignant in nature.
- Hemorrhoids (a painful condition where veins around the anus, as well as the lower part of the rectum, swell up)
- Peptic ulcers.
- Diverticulosis (formation of diverticula or pouches in the walls of the large intestine).
- Inflammatory bowel disorder.
- Colon polyps (a small mass of cells that develop on the inner lining of the large intestine or colon).
- There may be problems in the blood vessels (in the digestive tract).
- Anal fissures.
- Esophageal varices (the veins of the stomach or esophagus swell up due to a liver disorder, such as cirrhosis).
- Angiodysplasia (it is a minute vascular malformation that takes place in the gut).
- There may be an inflammation of the gastrointestinal lining.
The appearance of blood in the stool and vomit is one of the characteristic symptoms of the gastrointestinal bleeding. Other symptoms indicative of a bleeding include
- Weakness and fatigue.
- The stool appears black and tarry.
- A person may complain of uneasiness and shortness of breath.
- The skin appears pale. In some cases, prolonged bleeding that goes unattended may result in anemia.
- Abdominal pain.
- The stool may also appear maroon or bright red (often in the case of bleeding from the lower gastrointestinal part).
Consult a doctor at the earliest if the symptoms persist for more than a week.Timely medical assistance can help to minimize the extent of the damage.
Diagnosis and treatment:
Gastrointestinal bleeding in the colon or the stomach is easy to diagnose. However, the diagnosis of the bleeding that occurs in the small intestine may be tricky and often requires the use of advanced and sophisticated equipment. The diagnosis is often done by
- Physical examination.
- Liver function tests.
- Complete blood count.
- Endoscopy, colonoscopy, and sigmoidoscopy.
- Endoscopic injections (often diluted epinephrine) at the bleeding site provides great relief.
- To close or clamp off a bleeding blood vessel, doctors may use Endoscopic clips.
- Endoscopic intravariceal cyanoacrylate injection is used to treat varices in the stomach effectively.
- There are medications available to treat GI bleeding triggered by ulcers.
- In the case of an acute bleeding, a person may need surgery (Laparoscopy).
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.