Doctors in Pulse Medical Centre
Treatment of Depression
Management of Smoking Addiction
Treatment & Management of Stress
Treatment of Anxiety
Treatment of Fear
Treatment of Memory Loss
Treatment of Anxiety and Depression
Treatment of OCD
Treatment Of Anxiety Attacks
Treatment of Stress at Work
Sex Addiction Counselling
Anger Management Therapy
Cysts Removal Procedure
Kidney Stones Treatment
Tattoo Removal Procedure
Removal Of Stitches Procedure
Treatment of Alcohol Withdrawal
Submit a review for Pulse Medical CentreYour feedback matters!
Are you experiencing skin itchiness and development of dry, scaly rashes on your skin? This indicates you have eczema, which is a group of skin diseases occurring due to the inflammation and irritation of skin. Atopic dermatitis is the most common form of eczema. The disease can be controlled if proper treatment is undertaken.
Itchy skin is the most common symptom of eczema. In some cases, the itching starts before the development of the rash. The rash appears most commonly on the back of the knees, face, hands, wrists and feet. The affected areas become dry and thickened and in people with a fair complexion, the areas may turn reddish initially and then become brown.
The specific cause of eczema is yet to be determined. However, the condition is associated with an overactive response by the immune system to an external irritant. This response leads to eczema. The condition is more common in people who have a family history of allergies or asthma.
- As the condition turns the skin dry and itchy, certain creams and lotions are recommended to be used in order to keep the skin moist. You should apply these products when your skin is damp, ideally after taking a shower. This helps the skin in retaining moisture. You can use a cold compress to ease the itching.
- Several creams such as hydrocortisone cream and ointments which contain corticosteroids are prescribed in order to reduce inflammation.
- In case the affected area becomes infected, antibiotics should be taken to eliminate the infection-causing bacteria.
- Antihistamines are used for reducing the severity of the itching.
Prevention of Eczema Flare-ups
- Moisturize your skin frequently
- Avoid sudden changes in humidity or temperature
- Abstain from overheating and sweating
- Try to reduce stress
- Avoid starchy material
- Avoid soaps, detergents and solvents, which are harsh
- Be aware of food items which trigger eczema flare-ups
It is recommended for you to consult a dermatologist if you experience any symptom of eczema. This will help you with a quick diagnosis so that you can start the treatment without further worsening of the symptoms.
A tattoo has a strong emotional association with the person having it. Commonly it is the loved ones name, idols, quotes or just anything that a person feels connected to. However, over time, it may happen that the tattoo may not hold the same relevance as it used to once upon a time. It could also lose the esthetic appeal it once held. Whatever the reason, the tattoo needs to go. While tattoos were considered something permanent, there are now ways to remove it.
While the earlier methods were crude including removing the tattooed skin and grafting new skin, sanding the area, or dermabrasion; but today with the use of laser, the process has become much simpler and convenient. Laser is now the most widely used method of removing the tattoo.
A thorough evaluation to see the extent of the tattoo, in terms of depth, size and colors, is done before planning its removal. The type, strength and sessions of lasers will depend on these factors.
During the removal, the tattooed area is focused with a handheld device that emits laser light of the desired frequency and strength. This removes the colored pigments of the tattoo without affecting the surrounding skin. Different wavelengths of light are used to remove different pigments, which get broken down. These pigments are then washed out from the body as wastes.
Depending on the size and colors used in the tattoo, more than one sitting may be required. For large ones, up to 6 to 8 months may be required for complete removal. A minimum of 4 weeks gap is required between two sittings, allowing sufficient time for the skin to heal.
Professional vs Amateur Tattoos-
Professional applied tattoos penetrate deeper into the skin at uniform levels which can make it easier to treat, but not always, as the ink is usually more dense. Amateur tattoos are often applied with an uneven hand which can make the removal challenging but overall they are easier to remove.
Risks and Side Effects:
There are a handful of symptoms you might see post-treatment. Among them are blisters, swelling, raising of the tattoo, pinpoint bleeding, redness, and/or temporary darkening. Not to worry, though. These are common and usually subside within one to two weeks. If they don't, talk to your doctor.
Not just the tattoo pigment but also some of the natural skin pigment is lost, so the skin can become lighter or darker than the surrounding skin.
In some cases, there could be some scarring. The scar will get better and can be treated after tattoo laser sessions.
So, if you thought a tattoo is forever, it is not so. Go ahead and plan for its removal, of course after understanding what it entails. If there is any tattoo on your body which you no longer like, meet your dermatologist for consultation and then laser to make that undesired ink fade!!
The “Roux en Y Gastric Bypass” surgery was first performed by Professor Mason in 1966. Being done in the conventional way (i.e by open surgery) earlier and later laparoscopically, the Gastric Bypass has stood the test of time over the last 52 years.
Over 50 years the Gastric bypass surgery is being performed across the globe. It has given excellent results in terms of significant and long standing weight loss in the morbidly obese, as well as remission of Type 2 diabetes in properly selected patients. Selection of the patient to undergo this procedure is paramount. 50 years of successful results is enough to term this procedure as the GOLD Standard.
Obesity and Diabetes have been a menace over the last 2 decades world over. In India obesity is growing in such a rampant way that we can equate it to and epidemic.
As we all know, India is considered to be the Diabetic Capital of the world. Type 2 diabetes contributes to the major chunk of the diabetes affected population. We Indians get affected by diabetes at very early ages and hence complications are seen at very early ages among us. Strikingly important to notice is that Diabetes is seen not only in the obese category of people, but also in the normal weight people.
Diabetes is feared of only because of the complications it is capable of causing affecting the vital organs like the brain , heart, eyes, kidneys.
Intermittent or elevated surges in the blood sugars levels during the course of the day are responsible for causing microangiopathies ( damage to the small vessels supplying blood to the vital organs).
We have seen that diabetes is accompanied by high blood pressure and dyslipedemia in most of the cases. So, when a person has diabetes, high blood pressure and dyslipidemia, we label them as having the metabolic syndrome.
Oral hypoglycemic agents (OHA) and insulin form the mainstay of treatment in getting sugars under control. But these are not able to avoid these surges in high sugar levels. This does not mean that OHA’s and Insulin are not the right way to treat diabetes- they indeed are.
We are going a step higher, in an attempt to get control of diabetes without OHA and insulin. Not only this, we are trying to tackle not just diabetes, but the metabolic syndrome on the whole i.e one procedure that will take care of diabetes, dyslipidemia and hypertension. This procedure is popularly known and referred to as the “Gastric Bypass” or the “Roux en Y Gastric Bypass”. Thus , In short, the gastric bypass surgery offers ICE BURG treatment.
Now, the first question is that “Is this possible”. The answer is YES. The second question is that is this procedure applicable for all diabetics. The answer is NO. Only Type 2 diabetics are the beneficiaries of this procedure where insulin resistance has amajor role to play. ( This procedure does not benefit Type 1 diabetics) Reasons for this will be explained later. The third and important question is that, “Is the Gastric bypass going to give remission of diabetes in all type 2 diabetics?” The answer is NO.
There is a strict selection criteria or eligibility criteria to select a patient for The Roux en Y Gastric Bypass surgery. Best results of the Gastric Bypass surgery are seen when it is confirmed that the person is suffering from Type 2 diabetes, duration of diabetes is less than 5 years, the pancreatic reserve is good and showing good levels of C -peptide in the blood, the person has a family history of diabetes, Insulin was not required to control sugar levels within the first 5 years of onset of diabetes and person should not be underweight( BMI > 27.5 preferred).
Losing weight is not easy and even if we lose weight, weight regain is very common. Most of us would have already experienced it. When we are tackling just the weight issue, we are talking into consideration only the morbidly obese people who have a BMI > 37.5. In the morbidly obese, at first it is very difficult to lose significant weight by normal method of diet and exercise. Even if weight loss does occur, weight regain or bouncing back is sure.
Here we bring in the trump card – The “Roux en Y Gastric Bypass” that helps the :
- “Morbidly Obese” (BMI >37.5) to lose significant weight and reach their ideal weight.
- “Obese” (BMI >32.5) who also have comorbidities (like diabetes , hypertension, dyslipidemia, sleep apnea, obesity induced infertilityet) not only to lose significant weight and reach their ideal weight, but also to get control of the associated comorbidities.
- “Type 2 Diabetics” (BMI > 27.5) to get Remission from type 2 Diabetes.
- “Metabolic Syndrome” (BMI > 27.5) to get remission from type 2 diabetes , dyslipidemia amd Most cases hypertension.
Type 2 diabetics can be offered this procedure even if they are not morbidly obese, is what I would like to bring it to notice.
Exposure to Type 2 diabetes for long years can lead to potential complications like cononary heart disease, chronic kidney failure, brain stroke, gangrene of the lower limbs.
In some, inspite of talking OHA’s, Insulin, sugars are not under control. In these cases, the gastric bypass can be offered to those who fulfil the eligibility criteria.
Remission of diabetes after the gastric bypass procedure are very quick, ranging from a week to a month in most of the cases. However in some, The sugar levels come to normal the very next day after the surgery in some without the OHA and /or insulin.
Gastric bypass is done through laparoscopy i.e through tiny holes over the tummy, requiring 3 days hospital stay. Supplements need to be taken following the procedure on a daily basis. Following the procedure, intake is reduced to a great extent which increases over few months as the gastric pouch stretches.
'Red wine is a ladies' drink'; if you are averse to alcohol, especially to its usual, piquant taste, you must have been suggested with the lightness of red wine by officious onlookers. That surely isn't a remote possibility when you are a lady and of age. Cautious introspection backed with years of medical or scientific research tells millions how wine, when consumed in moderation, helps improve a woman's physical health: the facet of mental health can be taken for granted as inebriation of most kinds results in mood elevation. It is therefore a ladies' drink indeed.
While being perturbed about the health of your skin, the sagging cheek muscles, a double chin or wrinkles that start showing once women are in their thirties, you must have rarely conjured the image of a vineyard to relax and repair. A vineyard can actually be your key source to youthful skin. Take a look at the following points to believe the same:
- If you are a health freak and insist on going by a Mediterranean diet, wine is part of your regular diet. You will experience the benefits in a few weeks' time.
- When consumed in a measured and controlled manner, red wine can reduce a person's chances of contracting breast cancer. Wine sharpens your mind while you age; your cognitive faculties therefore do not rust.
- Red wine can make your skin glow from within, unlike any other wine, as white wines have only a little amount of antioxidants.
- Your skin feels young and rejuvenated on drinking red wine as the drink aids arterial functions of the body. Thus, proper blood circulation is ensured.
Worrying is a natural tendency among children. While some worrying helps children to excel, too much worrying can lead to anxiety related disorders. From friendship woes to homework to fear of failure, there could be a lot of factors that can lead to anxiousness in a kid. This problem is mostly witnessed in school going, children. Some of the common symptoms that are portrayed include the need to be perfectionists, seeking of constant reassurance, getting sick worrying too much, scared of participating in a group event.
How to prepare your child to overcome anxiety?
- Pass on the anxiety: Anxiousness has to be passed in form of something. Certain activities, therefore play great strokes in addressing anxiousness. Teach your kids to distress in the form of TV or teach them to write when they are anxious. This not only takes off anxiety from the equation, it helps a kid to relax without the fear of failure.
- Reassurance: Kids suffering from anxiousness often need repeated reassurance about the task in hand. The task here for a parent is to make their kid understand that failure will not impact their relationship with their parents. Often the failure of letting someone down makes a kid anxious. Constant reassurance will curtail the tendency. This being said, parents should ensure that this doesn’t become a habit for the kid. The idea is to make them comfortable and not letting your child dependent on you.
- Relaxation techniques: A study published by the Journal of School Counseling argued that kids who practice relaxation techniques are far less likely to suffer from anxiety and stress related disorders as compared to their peers. Some of the relaxation techniques that can be easily learned and practised include breathing exercises, meditation, yoga and so on. This exercise helps children to focus and concentrate more.
If you thought smoking was causing damage to only your lungs, thing again. Your eyesight, one of your most valuable possessions, is at high risk of damage because of your bad habit.
The damage done to your eyes by cigarettes happens from two sources; the toxic smoke that hangs in the air which surrounds you as you puff on the cigarettes and 4000 odd toxic substances that enter your bloodstream once you smoke. In extreme cases, smoking also causes loss in vision. Here is a list of eye disorders and diseases, which can be caused due to smoking-
The risk of developing Age-related Macular Degeneration is there for people above the age of fifty. In case of smokers, the chance of developing AMD is three times more than in nonsmokers. It has been proven that smokers develop the chance of AMD ten years prior to non smokers.
This process involves the clouding of the lens inside the eye. Cataract develops with old age, usually. The risk of developing early cataract is common among smokers, who are twice at risk of cataract than non smokers. The effect of the cataract in the case of smokers is more severe.
Glaucoma is the eye disorder where the death of nerve fiber layer behind our eyes takes place, and that results in loss of vision. The increase in pressure within the eyes leads to glaucoma. Smoking enhances the pressure in your eyes, and so smokers are at a potential risk of acquiring this disease.
Diabetic eye diseases
A number of eye diseases are accompanied with diabetes. This can result in blindness when left ignored or not paid attention to in severe cases. Diabetic patients who are smokers are three times more at a risk of eye diseases associated with diabetes.
This eye disease causes sudden loss of vision to the eyes without any pain. It happens due to the disrupted flow of blood in the arteries of the eyes. Smokers are 16 times more at a risk of developing optic neuropathy at an earlier age.
Thyroid associated eye diseases
Patients having thyroid issues or Grave's disease have disorders in their vision. Grave's disease patients who smoke tobacco are likely to develop severe eye diseases associated with the thyroid.
Smoking causes irritation to the eyes and affects the tear film of the eye. Smokers and passive smokers are likely to develop dry eye disorders. Smoking causes a lot of eye diseases and disorders, and smokers are at a higher risk of acquiring eye diseases than non smokers.
Acne is a teenager's biggest worry. However, it can occur at any age. Acne or Acne vulgaris occurs when oil, dead skin or bacteria block the pores on your skin. Though it is not dangerous, acne can be embarrassing and can leave scars on your skin. Severe acne can also be quite painful.
Pimples in the form of black heads and white heads are the main symptoms of acne. These can usually be seen on the face, back, chest, shoulders and neck of acne patients. Apart from these, painful lumps under the surface of the skin and red raised bumps can also be found on the skin of acne patients.
Acne can be triggered by a number of factors. Here are some of the common triggers for acne.
- Genetics: If one or both parents have acne, their children have high chances of suffering from it as well. Genes influence the sensitivity of your skin towards hormones such as androgens and progesterone that trigger acne. They also influence the production of anti inflammatory chemicals in the skin and skin's response to bacteria.
- Medication: Acne is one of the side effects to a few types of medication such as corticosteroids and anticonvulsants. However, this is not seen very often. On the other hand, drugs that contain hormones such as androgenic steroids almost always cause an acne breakout.
Treatment for acne depends on the severity of the condition and its persistence. Mild cases can be easily treated with over the counter medication but if your acne is severe and not affected by these medications, it best to consult a dermatologist.
When your nail grows into the layer of skin around it, you develop ingrown fingernails- a rather painful and uncomfortable condition. Some of the most common causes of ingrown fingernails are improper trimming, nailbiting, fungal infection, excessive slow or fast growth and fungal infection.
Treating an ingrown fingernail
- Hydrogen Peroxide or H2O2 is a superb disinfectant which can effectively heal an ingrown fingernail. Get 35% food grade H2O2- take 2 tablespoons of it and dilute it with half a bucket of water. Now dip your affected fingernail in this solution for 15-20 minutes. The hydrogen peroxide treatment is considered the most effective treatment for ingrown nails since it not only makes the skin around the affected area soft, but also helps to allay the pain and infection. Make sure to dry your nail properly after the soak.
- Tea tree oil is an essential oil which works wonders against cases of infection. The antifungal and antibacterial properties of tea tree oil make it a very effective remedy against ingrown fingernails. Add a few drops of tea tree oil into lukewarm water and soak the fingernail for 15-20 minutes at least 2-3 times a day. You can also take about 4 drops of tea tree oil and mix it with one tablespoon of olive oil and massage the affected site gently.
The absorption of oil into the infected area would make the surrounding skin soft and give you prompt relief.
While most children share a strong bond with their parents, especially the mother, some infants are unable to establish lasting relationships with their parents or caregivers. This is known as attachment disorder. It is a rare yet serious condition as it affects the child’s relationships at a later stage and also triggers delinquent behavior. Children, who have been abandoned, orphaned or are victims of abuse are the most vulnerable to this condition.
What causes attachment disorder?
The exact cause for attachment disorder is not yet understood. However, researchers have put together a number of viable hypotheses for this. One such hypothesis suggests that when needs of a child are ignored or when he begins to feel unwanted, the child begins to expect hostility, negativity and rejection. This is a learnt response and the child begins to feel that his needs are unwanted. With time, these responses make the child untrusting and he withdraws into himself to avoid social contact. This affects the development in the brain and causes attachment problems that affect the child’s personality and future relationships.
Risks associated with it
Some children are at a higher risk of attachment disorder than others. This includes
- Children born to parents with mental conditions or anger management problems
- Children born to a mother suffering from post partum depression
There are two types of attachment disorders; inhibited and disinhibited.
- Inhibited attachment disorder: Children suffering from inhibited attachment disorder are likely to be:
- Unresponsive to comforting ie. they shun all types of relationships and generally do not get along with their peers or caregivers.
- Disinhibited attachment disorder: On the other hand, children suffering from disinhibited attachment are likely to:
- Seek attention
- Display inappropriate behavior
- Frequently break social boundaries
- Be inappropriately familial and attached to selective figures.
Additionally, children suffering from either type of attachment disorder are manipulative, destructive, moody and lack compassion and remorse.
Effects of attachment disorder
If not managed properly in its early stages, this disorder can continue into adulthood. This leads to:
- Relationship problems with peers, friends and family members
- Low self esteem
- Anger management
- Academic problems
- They are also at a high risk for drug abuse and alcohol addiction
ADHD is one of the commonest behavioral disorders that are found in mostly school going kids. In fact, this kind of trouble might affect kid's ability quite adversely. There are a few signs with the help of which ADHD in kids can be easily detected and some of the commonest ones are emotional turmoil, unfinished tasks, squirm and fidget, low focus careless mistakes and other related ones.
Both interpersonal relationship and schooling success can be hampered to a great extent with this kind of mental disorder. This is why the kids facing the mentioned signs need to be thoroughly diagnosed medically so that the doctors can recommend best treatments that can provide fastest recovery and that too safely and easily.
Best tips for tackling ADHD in kids:
- Allow kids to make wise choices: If you let your kids free, then only they will be able to take right decisions. Kids with a cool mind can take wise decisions that are very much appropriate for upgrading their performances.
- Advocating child: Child advocating is highly needed for maintaining a good and healthy balance. But too much strictness should be avoided so that your kids' behavior can be controlled with ease. This should be done either by parents or tutors so that they can choose the best direction in life.
- Avoid muting any headstrong child: Communicate with your child so that a proper interaction can be maintained. If your child remains silent for too long, then they might face different behavioral troubles.
- Acquiring knowledge about ADHD: Both parents and kids should have equal knowledge about ADHD and then only the probable signs can be easily avoided, and the necessary treatments can be known.
- Being persistent: Persistent behavior is to be maintained, and if you find any deviation in your kids, then you should take them to a doctor.