Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 39 years of experience on Lybrate.com. You can find General Physicians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Adnan S Khan
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. Adnan S KhanYour feedback matters!
I am suffering from headache, cough and cold l. I have also taken medicines but didnt got any relief. I am having fever since 3 days.
Most of the time I have acidity (pitta) problem. Which always results in vomiting or loose motion. What care should I take to avoid this problem?
Congenital Heart Disease refers to a problem in the structure of heart that is present at birth. It is one of the most common types of birth defect. The defects can arise at the walls of the heart, the valves of the heart and could also take place at the arteries and veins close to the heart. The disease causes great impact in changing the normal flow of blood through the heart.There are many different types of congenital heart defects, ranging from simple ones having no symptoms to complex defects, which are severe and life-threatening symptoms.
- Congenital heart defect generally is detected in women at the time of ultrasound during pregnancy. In case the doctor comes across abnormal heartbeat, he may further investigate by conducting certain tests in the form of echocardiogram, chest X-ray or MRI scan.
- This problem might be seen even in newborn babies, due to which they might experience:
- Skin, fingers, lips and toes which are bluish in colour
- Experience problem breathing
- Low weight at the time of birth
- Chest Pain
There might be other symptoms as well, which may not develop till many years after birth. The symptoms are:
- Abnormal heart rate
- Frequesnt dizziness
- Swelling might be seen at certain parts of the body
Causes behind congenital heart disease
Developmental problem in the heart’s structure at an early stage is usually the reason behind congenital heart disease. This defect acts a hindrance to the normal flow of blood through the heart, thus affecting people’s breathing to some extent. Though there is no surety as to why there is a problem in the development of heart, some of the suspected causes are:
- Any of the family members might be having heart problems.
- Some prescribed drugs at the time of pregnancy tend to put a child at a higher risk for developing this problem of congenital heart disease.
- Consumption of alcohol or if you take drugs which are not prescribed by doctor during pregnancy, can lead to an increase in the risk of a child getting diagnosed with a heart defect.
- Women who have had viral infection during the first three months of pregnancy are more susceptible towards giving birth to children having heart defects.
How to treat congenital heart disease?
Like any other heart disease, treatment for congenital heart disease also depends on the type and extent of the defect.
- There are certain medicines which allow the heart for function more efficiently, while others can be used to prevent blood clots from forming and also put a check on irregular heartbeat.
- Implantable heart devices like implantable cardioverter defibrillators can prevent this particular defect by regularising an abnormal heart rate.
- Catheter procedure followed by doctors where they insert a thin tube into a vein in the leg and move up to the heart, then use small tool by threading through the catheter to rectify the defect.
- Some rare cases, when the heart disease is too complex to fix, doctor may form heart transplant surgery.
Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.
A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).
But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!
Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.
If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.
Pelvic pain is most common in women, though sometimes it occurs in men as well. There is absolutely no reason why pelvic pain cannot be treated and therefore women need not panic if they are experiencing such pain. The treatment of any pain can be done methodically after discovering its cause. Thus, before jotting down the treatments for pelvic pain, it is important to explore the reasons that cause pelvic pain in women.
Reasons for pelvic pain
- Reproductive organs in women play an important part in causing pelvic pain. The reproductive organ is complex when it comes to women and many small or big problems there might end up leading to pelvic pain.
- Any urinary infection or bladder irritation might also lead to pelvic pain.
- The nerves and muscles of the abdomen may cause pain in the pelvis area as well. In fact, the nerves and muscles are very tender near the pelvis area and care should be taken so that one does not strain them or pull the ligaments. This can cause severe pain.
- Another interesting point to be noted is that sometimes even after going through a lot of examinations, no causes of pelvic pain are found. In such cases it is understood that the pelvic pain is a manifestation of the remains of a long forgotten injury or accident.
- It has been examined and found out that physical abuse can at times lead to chronic pelvic pain. Though this link has not yet been understood properly, but it is seen to be true.
Treatments for pelvic pain
- The most basic treatment is to apply heating pad on the affected area. Heat helps in relaxing the muscles and nerves thereby, lessening the pain. However, this would reduce the pain, but cannot make it disappear in a day. Thus, it is a continued process for a week or 10 days till the pain recedes.
- Relaxation techniques like meditation, breathing exercises, yoga and even muscle exercises like jogging help in reducing the pain. However, this should be done under guidance. One wrong move can actually aggravate the pain instead of lessening it.
- Then there are painkillers which are non-steroidal and help in lessening the pain. Painkillers have a correct dosage and must be taken only after consulting a doctor. Self-medication in such cases can prove disastrous.
- At times, when all medications fail, surgery is the last resort.
Thus, these are some of the treatments that can be undertaken if and when you are experiencing pelvic pain. All these are connected to the root cause and must be followed only under medical supervision.
In case you have a concern or query you can always consult an expert & get answers to your questions!