A kidney transplant is a procedure that employs an operation to transplant properly functioning kidney in the body. The main job of the kidneys is to remove the excess waste from a person’s body with the help of a filtration process. When the kidneys stop filtering the toxins properly, they become diseased as harmful waste products and toxins begin to accumulate in the body.read more
Detecting a lump on your breasts can be stressful for any women. Breast cancer is a common type of cancer and is said to affect primarily affect women though 1% of breast cancer cases affect men. Breast cancer can be categorized into different types based on their capability to affect surrounding tissues.read more
Esophagus is the tube which carries food from the throat to the stomach. In the case of an acid reflux, the acid from the stomach jumps to the esophagus leading to a condition known as the Barrett’s esophagus. This is a condition which replaces the tissue present in the esophagus with a similar kind of tissue found in the lining of the intestine. This being said, Barrett’s esophagus doesn’t necessarily lead to esophageal cancerread more
Good morning friends.
I am Dr. Munendra, consultant nephrologist and renal transplant physician. Friends today we are going to discuss something regarding the prevention of kidney diseases. As we know that prevalence of kidney diseases are rising and so much population has been contracting this kidney diseases and several times we discuss that most important factors that are responsible for this kidney disease is like hypertension and diabetes and we also most of the time discuss and the people tell how to prevent, how to control diabetes or hypertension that is ultimately responsible for kidney disease. But, I want to discuss something myths and some pitfalls that most of the time people confuse the kidney patient confused. These myths no. 1 myth that I want to discuss is what should be the amount of water we can take daily, a normal person or a kidney person or a kidney patient. So, it's usually prevalent concept that everyone should take as much of as water and usually we see or practice that most of the people are taking large amount of the water daily and actually we are not sure and most of the time confused that what should be the amount of water we should take daily, so I want to clarify at this point that we shouldn't take too much water, whether he is a normal person or a kidney patient but we shouldn't take too much water daily.
For a normal person it's just 2.5-3 litre of water intake that is sufficient and in practical terms if you ask that how much water we can take, then I can say that the water intake should be as much as decided by your thirst, means whenever you are thirsty you have to take some water and usually it should be between 2.5-3 litres at most of the times and very practical measurable formula that colour of urine should be similar to the water that we take. And regarding kidney patients what is the amount of water he or she should take, it's always decided by clinician or treating nephrologist will tell you that what should be the amount of water you can take and it's very wise to follow the clinician or treating nephrologist decision. Again, one of the important myths or one of the important misconception regarding kidney disease is that I want to discuss that what should be the protein intake and we see that whenever someone having a kidney disease whether it is mild or whether it is moderate or severe form; the people or even treating physician, general physician just starting to say that they have to stop taking all the protein diets and they are asked to stop taking protein diets and people ultimately people become starved and malnourished so I think this should be very clear regarding this misconception and exactly what is the amount of protein, what is the exact amount of protein that we should take or kidney patient should take; it's totally decided by treating clinician.
Anytime it doesn't mean that if a person has been diagnosed with kidney disease we should stop or we should curb him for taking all the protein or we should just reduce the protein intake. Protein intake can vary. Even some kidney diseases like nephrotic syndrome or other protein-losing syndrome, we require more and more protein intake or when the person is having a negative energy balance, he should require more and more protein intake, so again it's a decision that should be taken by a treating clinician or physician that what should be the exact amount of protein that a kidney patient should take. Never use this formula that if person is diagnosed with a kidney disease simply we can say or we just stop him from taking extra protein or reduce his protein intake to a very minimum. It is always decided by treating physician or nephrologist, it may be more, it may be less but we cannot apply a simple formula that if a person is diagnosed with kidney disease we just stop or we ask him to reduce your protein intake. Even it may lead to some negative or adverse consequences.
One of the third myths or pitfalls that you also want I also to discuss when a person is diagnosed with a kidney disease, we simply see that in our neighbourhood, in our population that person started consulting several ayurveda, several desi physicians, several alternative drug physicians, he started taking some internet brand prescription or internet brand drugs which have no scientific basis. I have seen friends in my clinical practice that several patients just went on dialysis or they just went for kidney transplantation only because they started this alternative or non-scientific medications or formulae. So, we should be very much clear and aware that any time, anyone having diagnosed with the kidney disease or kidney ailment he should consult with a nephrologist or family physician and start treatment according to his advice. Never went for alternative, desi medicine intake or medicine intake with non-scientific formulations. I think this is sufficient regarding this myths and pitfalls for management of kidney diseases. I am Dr. Munindra and I am from lybrate. So, if you have any question or query regarding kidney diseases or kidney ailments, you must freely contact me through the lybrate, through my personal email.
I am Dr. Samanjoy Mukherjee. I want to talk about the expectations increased over life. We should actually thank medical science. But, it needs to be a cumulative effect on the Dr as well as on the patients to sustain this. What I see most importantly is that today our lifestyle has changed. All of us are suffering from the same issues. Being a Dr, I also suffer from the same problems. Lack of sleep and our eating habit which have changed like not having proper food that too on time and that has lead to an increasing number of cases to hypertension, coronary artery disease, stroke. All we can prevent by having medications to take care of ourselves.
It is very important for us to concentrate on our lifestyle. So, we should have adequate sleep. Yes, we all have stress in our lives. We should know how to tackle stress, we should also have our tests done where we stand once we are 40+. Now it is very important that you understand that it is only about 35% is in our hand regarding food. We should always concentrate that what is in our hand not on what is not in our hand. So, I request all t7he young people to refrain from smoking. Smoking is one of the disastrous things. And, apart from that have adequate sleep, eat in moderation. Avoid access to fat, sweets. So, have things in moderation. At times, people actually become dependant on alcohol and smoking which is something we should always take care of. And even alcohol, red wine especially good if it is consumed in moderate quantities. But it is very difficult to make people understand and they get into the habit. There is no end to the amount of consumption which actually becomes a poison.
So, anything which is a tonic in small quantity becomes a poison in large quantity. So, I request to all the youngsters to have a healthy lifestyle. Exercise every day, if not every day then at least 2-3 times a week. Keep yourself fit. Check the body weight doesn't increase. eat in moderation. Don't go for food moderation. You should always have home cooked food and have a good sleep. Don't get on to alcohol. On weekends, you can cheat but in moderation.
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I am Dr. Lovkesh Anand, Hepatologist. Aaj mai aap sab ko fatty liver ke baare mein btaunga. Toh aaiye, pehle jaante hain ki liver kya hota hai. Liver humare peat ke right upper portion mein hota hai. Jahan ye bhojan ko pachane mein sahayak hai vhin dusri or khoon saaf karne and infections prevent karne, sugar control karne, fats, carbs, protein ko banane me help karta hai. Ek common dharana hai ki sharab ke sevan se hi liver khrab hota hai. Par aap ko jaan kar ashcharya hoga ki sugar and mottapa se bhi liver kharb hota hai. Is se liver mein charbi chadhna jise fatty liver bolte hain and sujan aana jisko hepatitis bolte hain, dono hi ho sakte hain. Durbhagyawash, hum patle logon mein bhi ye problem ho sakti hai. Ab iska prevalence badhne ka kya karan hai? Iska karan hai changed lifestyle. Humara sedentary lifestyle kafi badh gaya hai jismein hum regular basis pe exercises nahi karte hain.
Us se liver mein charabi chadhti hai. Humara khana peena kafi badal gaya hai. Fibre ka intake kum hota jaa raha hai. High calorie junk food badh gaya hai, sugar, soft drinks badhne se motapa badhta hai aur is se fatty liver hota hai. Ab iske symptoms kya ho sakte hain. Kayi baar logon ko koi symptom nahi hote but agar vo jaanch karate hain to fatty liver nikalta hai. Symptoms kayi baar bohot hi vague hote hain. Jaise ki gas, bloating, right side mein peat mein dard hona, peat saaf na hona. Advance cases mein jaundice bhi ho sakta hai. Lekin vo jab hota hai tab disease kafi badh jaati hai. Isko diagnose kaise karte hain? Isko ultrasound se check karte hain.or blood test karate hain.
Fibroscan ka test bhi karaya jaata hai. Ab iska ilaj kaise kia jaata hai. Regular exercise, weight loss, dieting bohot jruri hai. Exercise daily 45-60 mins mandatory hai. Regular walk bhi bohot important hai. This is the backbone of the treatment. Iske baad hi medicines kaam karti hain. Agar bimari jayada ho toh hum medicines dete hain jis se liver ki swelling kam hoti hai. Agar ye bimari bigad jaaye toh is se liver failure or cirrhosis bhi ho sakta hai. Jab ye ho jaaye toh liver change karne ke alawa koi option nahi rehta hai. Islia jab bhi aap ko oi bhi aise symptoms hote hain toh aap ko gastrologist se milna chaiye aur ilaj karana chaiye jis se aap ka fatty liver control rahe.
I am Dr. Navjot Singh Arora, Dermatologist. Today I will talk about acne scars. Acne is the condition of teenage and between the age of 20-30. Acne occurs on the face causes red pimples, yellow pimples, blackheads, whiteheads and sometimes modules. If not treated properly, it can leave scars. Depression in the skin which is irregular in the shape and size. So, for this different sort of treatment modalities are available. For very superficial scars with very mild depression, chemical peels and medical treatments can suffice is some patients. But in a few of the patients, it can give deeper scars. And in some minimally invasive procedure has to be done. There are various treatment modalities which can be used to treat acne scars include derma roller treatment, fractional co2, Nd:Yag laser treatment and micro needling radiofrequency treatment. The treatment plan will be decided by the Dr who will assist you for the treatment. These treatments are the most advanced treatments. But they have a downtime of 5-7 days after performing the treatment.
Downtime means after performing the treatment, your skin may look red, bruised, some crust on your skin which will be fine after 5-7 days. After doing the session, you will have to take the proper sun protection. It may be noticed that 4-6 sessions of these modalities are necessary for a good improvement in scars. Scars can never be 100% removed but they can definitely be reduced at a certain extent which is mostly acceptable by all the patients. Patients generally get confused that which treatment modality should be chosen for treating their acne scar. The patient can still know the different modalities in the treatment so that it becomes easy for them when they go to the Dr's clinic. In derma roller, it is a pure mechanical treatment which involves micro needling of the skin after the application of topical numbing cream. In fact, the topical numbing cream is required in all such kind of treatments. It is kept for generally 1 hour before starting the treatment. Since derma roller is a mechanical treatment, the treatment results are very slow and it is more painful than the other modalities. 2nd, laser treatment is the best treatment because it can penetrate deeper and its energy will be released as per the depth of the scar. The downtime is definitely more in co2 laser as compare to derma roller. Co2 laser downtime will be around 7-10 days while derma roller 1-3 days.
In recent years, new technology has come up which is known as micro-needling radiofrequency. This machine has a pro with lots of microneedles and when we insert it onto the patient skin then it also emits electric energy so that the 2 mechanism combines and produces the great breakdown of the scars tissue. Cost wise, derma roller is definitely cheaper than micro needling radiofrequency and laser treatment but these 2 treatments are much effective than derma roller. So, the acne scars will definitely be reduced. But the treatment has to be continued for at least 4-6 sessions or sometimes, even more, depending upon the treatment modality, the depth of the scar, size, and shape of the scar. During the course of the treatment, you should strictly abide by the instruction of your treating dermatologist. So, that risk of complications can be minimized. And the effectiveness of the treatment can be increased. One of the most important parts if proper sun protection. So, I hope this video motivates you to take the right step in the treatment of acne scars.
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I am Dr. Navjot Singh Arora, Dermatologist. Today I will talk on the most common problem which we regularly see in our day to day patients which is a fungal infection. It can be seen in the age group. But most common in the age group of 10-50 years of the male and female population. In male, the most common area is growing and buttock. And in females, growing and the area just below the breast because, in these areas, sweat takes place. It is very important that wherever you think, or you feel that you are having a fungal infection which you commonly calls ringworm, then you should not ignore it. You should not take over the counter medicines. Many medicines are there which a chemist sells in the name that it cures daad. Most of the medicines have steroids. Which can decrease you that particular area immunity and can make the fungal infection more resistant to our treatment.
So, whenever, you feel that you have a fungal infection in any area of seat collection, you should directly go to a skin specialist. So, that proper course of medicines can be done. You should not leave the course of medicines in between so that it should not become resistant and keep coming back again and again.
The medicines course may last from 1-3 months depending upon the severity of the infection. Personal hygiene maintenance is very important. It is important to note that fungal grown in the moist area of the body. So, sweat collection has to be avoided. To prevent the spread of infection from one person to another sharing of the towel, nail cutters should be avoided. The person who has an infection should not wear socks and shoes for that particular time. After seeing the results while taking medicines, you start missing the appointments. You should not do that. Otherwise, the infection will come again and it will be more difficult for Dr to treat. After the initial 2-3 weeks of treatment, a symptom of itching, redness tend to subside. And patients may leave the treatment in between because they think that it is over. This is not the case. You should never leave the treatment without asking your Dr. You may not be able to see the severity of the infection as your Dr would be able to see. So, if you see any ringworm then do not use over the counter cream especially not steroid based creams. Go to a certified skin specialist only, maintain proper hygiene, avoid sweat collection.
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I am Dr. Bijoy Nayak, Gynaecologist. We deal with laparoscopy, hysteroscopy, and robotics which is required for gynecological surgeries. You all must be knowing that with laparoscopy, and robotics, we can do all kinds of surgeries. Be it a small cyst of the ovary, removing the uterus, removing the tumor of the uterus, doing high-end surgeries like cancer surgeries of cervix, uterus. And also a congenital anomaly, this all surgeries of gynecology can be done through laparoscopy, and robotics.
And we have got another main to do. The inner cavities surgery of uterus i.e. the inside of the uterus through hysteroscopy. So, all these 3 tools mix this department which is otherwise know as gynaec minimum access and robotics.
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I am Dr. Bijoy Nayak, Head of the Department Gynae- minimum access that is Laparoscopy and Hysteroscopy and Robotics. I deal with all the difficulties and problems of Gynecological condition of a woman like removing uterus, removing ovaries, removing all the diseases which are prevalent on uterus and ovaries, whether they are benign or cancerous in origin.
Also, I operate all the cancer cases of uterus. Apart from that. all the anomalies that occurs to uterus and to to the uro-genital problems of a woman. I am also a Uro-Gynecologist working for Uro-gynae problems of a woman. I do work with Laparoscope through vaginal route. All these surgeries are minimum access and patient will have to stay in the hospital for at least one or two days maximum.
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She never gets frustrated, even when I ask a number of queries. The waiting area in the Mother & Child Care Clinic is very comfortable for elderly patients. Even though the problem was not so big, but still the other doctors were not able to treat it. The I consulted Yashica Gudesar. I feel so great after the completion of treatment. I was shocked to experience the symptoms of wartsI read about the Yashica Gudesar on one of the social media platform. Yashica Gudesar doesn't just randomly prescribes medicines, but first properly diagnoses the problem. Hygiene is very important, and I must Mother & Child Care Clinic was extremely clean.
I remember, I read an article of Yashica Gudesar in the paper and made contact. I am almost my normal self post the treatment and for that my Yashica Gudesar is the reason. Yashica Gudesar doesn't just randomly prescribes medicines, but first properly diagnoses the problem. Everything was just spick and span in the Mother & Child Care Clinic. She ensures that she listens to her patients. I was shocked to experience the symptoms of pregnancyFrom quite some time i was suffering from pain, but never gave much importance to it.
All of sudden I developed the breast lumps and didn't know what to do. I feel so great after the completion of treatment. the overall atmosphere in the Mothe & Child Care Clinic is very soothing. Dr. Yashica Gudesar has a very positive attitude towards all the patients. In the very first sitting, Yashica Gudesar clearly told us the problem and the what the treatment procedure will be in future. I am really grateful as her breast lumps treatment has give me a ray of hope.
The entire experience of undergoing delivery was very relaxing. From quite some time i have been consulting Dr.Yashica Gudesar. The overall atmosphere in the Mother& Child Care Clinic in Delhi was very soothing. On the very first day made me feel so comfortable. I am amazed that she is such a sweet doctor, even though she is so busy all the time.
Dr Yashica's guidance has helped me immensely and has helped me gain my good health back. I was quite concerned, as my health was degrading day by day, but due to her and the irregular periods treatment I didn't lose hope. I am so much benefitted with her irregular periods treatment, that i am perfectly fine now.