Doctor in Balaji Hospital & Heart Centre, Faridabad
Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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A rising number of teenage girls in the country are getting affected with Poly Cystic Ovarian Disease or PCOD. Though an advanced menarche has become very rampant these days, there are many young women who are suffering from a delay in menarche which in turn is leading to PCOD as opined by gynaecologists. Obesity and sedentary lifestyle among young people have caused a rapid doubling of PCOD cases in the past five to eight years.
Occurrence and Symptoms:
Gynaecologists report that they get at least 15 fresh instances of PCOD cases, and a considerable number of teenagers aged 16-17 are not getting their menarche. Such patients are recommended to take a strictly balanced diet which will help them to lose weight. Initially, their mothers think that they would experience their menarche in proper time, but some girls are diagnosed with PCOD when taken to a family gynaecologist. Even worse, they could never imagine that their obesity can pave the way for such a grave health issue. PCOD can cause numerous other problems like delayed and irregular menses, rapid weight gain and tremendous difficulty in losing weight, developing acne and blocked skin pores.
Help yourself with the right diet:
There is no proven evidence regarding the cause of PCOD though gynaecologists are of the opinion that some females possess a predisposition to this disease, and it may run hereditarily in the family. You can alleviate your PCOD symptoms to a considerable extent by regulating your diet properly.
Have loads of fruits and green leafy vegetables and try to abstain from dairy products as many experts believe that dairy products are a direct cause of an increase in insulin levels, which can aggravate skin troubles along with other PCOD symptoms. Avoiding red meat and eating lean meat instead will help the condition and reduce the chances of infertility. It is always recommended to avoid hydrogenated and saturated fats, which are normally found in animal and dairy-based food. Try to put a stop to cheese, cottage cheese, clarified butter, pork, lamb, beef, etc. and certain baked products like cookies, cakes and fudges as they will trigger a rise in your blood sugar and cholesterol levels.
The following dietary tips can be helpful with the condition:
- High levels of the insulin hormone causes PCOS symptoms like high blood sugar, increased hair growth, weight gain etc. So, refined foods rich in fat and carbohydrates should be consumed in small amounts.
- Whole foods in their natural, uncooked form should be consumed fruits, vegetables, nuts, beans etc. These are low glycemic foods that reduce the glucose circulation by insulin.
- Intake of salt should be very limited. You should not consume more than 3 grams a day.
- Green vegetables have antioxidants. These are good for women with PCOS because they have a high amount of oxidative stress.
- Your daily diet should contain at least 30 grams of fiber to improve the digestion process and remove toxins.
- Milk and dairy products are best avoided because milk helps to increase the level of testosterone (male hormone) in the body.
- Soy products should also be avoided, especially if you are trying to conceive, because they interfere with the ovulation cycle.
- Processed fat is harmful but essential fatty acids found in avocado, fish, olive oil and nuts are important for the body.
- High levels of male hormones also cause high cholesterol. So foods which have high saturated fats like butter, cream, coconut oil and fatty meat should not be included in the regular diet of women with PCOS.
- Protein-rich foods like lean meat, fish, legumes, whole grains are beneficial as protein can stabilize blood sugar. These foods also keep you feeling full and prevent over-eating.
PCOD is such a condition which you can never afford to overlook. If you had been facing any of the common symptoms, then it is probably time to pay a visit to a responsive gynaecologist.
Obesity is unarguably one of the most regularly discussed topics around the world. A major section of the world's population is suffering from a variety of obesity related problems. There are a number of natural methods to check obesity; however, several medical surgeries are gaining popularity among the masses with instant results to reduce weight.
Here is a list of the most common types of weight loss surgeries:
1. Gastric sleeve surgery: This surgery is performed where removal of a large part of the stomach takes place. A long pouch is created, which connects the small intestine with the oesophagus. The pouch gets stapled and after that the other parts of the stomach are reduced. In some cases, an additional step is taken for reinforcement of the staple line.
Gastric sleeve reduces the size of the stomach and a patient will feel full after eating lesser amount of food. Because a portion of the stomach is reduced, lesser amount of hunger causing hormones are produced. The patient will therefore feel less hungry.
2. Gastric bypass surgery: This is another effective weight loss surgery, which reduces the patient's stomach size, resulting in reduced appetite. The intestines are rearranged, which makes the body absorb fewer minerals. While performing this surgery, the stomach is cut and stapled to create a pouch.
The remaining stomach is attached to the small intestine's top portion, and the small intestine is cut and attached to the pouch as well. After this, the end portion of the small intestine is connected with the non-pouch part of the stomach and is attached to the roux limb bottom. This makes the stomach's digestive juices to meet the food present in the intestines.
3. Duodenal switch: This surgery reduces the stomach size in patients, which leads to decreased appetite or craving for food. Fewer hormones, which cause hunger, are secreted and the rearrangement of the intestine causes the body to absorb minimal minerals or calories.
A part of the stomach is removed and a pouch is created. The small intestine's top portion is cut off, but the duodenum is kept attached to the stomach. The small intestines are cut, and the part attached to the large intestine called colon is connected with the duodenum. Finally, the loose end of the small intestine gets attached to the small intestine to enable digestive juices to mix with food.
4. Lap band surgery: By this surgery, a band is wrapped around the upper middle section of the stomach which squeezes the stomach. Thus a smaller section of the stomach is created above the band which fills up very quickly while having food. The patient feels full by eating less. A laparoscopic adjustable gastric band is used.
There are many different weight loss surgeries. Most of them aim at reducing the capacity of the stomach, so that the person eats less food.
Cochlear implant is a medical device that provides direct electrical stimulation to the hearing nerve in the inner ear. Children and adults with a severe hearing loss may be helped with cochlear implants. A cochlear implant is a prosthetic substitute directly stimulating the cochlea and it does not cure deafness or hearing impairment.
A cochlear implant completely by-passes the normal hearing mechanism and stimulates the auditory nerve directly by means of an internally implanted electrode assembly. The implant consists of an external portion that located behind the ear and an interior portion which is surgically implanted under the skin. An implant has a microphone, a speech processor, a transmitter and an electrode array. The sound from the environment is picked by microphone and transmitter and receiver/stimulator sends them to speech processor to convert them into electric impulses. The speech processor placed with the microphone behind the ear, or it is a small box-like unit worn in a chest pocket. The speech processor digitizes the sound signals and sends them to a transmitter just behind the ear. The electrode array collects the impulses from the stimulator and sends those to different regions of the auditory nerve. The electrodes stimulate the fibers of the auditory nerve, and sound sensations are perceived.
A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so that they can be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. Hearing via a cochlear implant is different from normal hearing and takes time to adjust. However, it enables many people to understand other sounds in the environment, recognize warning signals, , and understand speech in person or over the telephone.
The benefits from a cochlear implant depend on many factors, such as the age of the patient when he or she receives the implant, the hearing loss present pre or post patient developed language skills and finally the motivation of the patient and family support.
Once a person is referred for cochlear implant, more testing is done which includes audio logic testing, psychological testing, medical examination, and tests performed by the surgeon. It is done to ensure that the candidate will benefit from a cochlear implant and will have the motivation to participate in the process. Once the decision is made to go ahead, the surgery is done. Sometimes it involves an overnight stay in the clinic, and sometimes it is done on an outpatient basis. Six weeks post-surgery, patient is fitted with the external microphone and speech processor and implant is activated and programmed.
The best candidates are those having severe hearing loss in both ears, limited benefit from hearing aids, medical condition that makes surgery risky. Children can be considered for cochlear implants if they have the similar conditions as adults and in addition have support from their educational institutions to development of auditory skills.
Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.
Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).
What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:
- Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
- Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
- Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.
What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)
What is Bacterial Vaginosis?
Bacterial Vaginosis is an infection that occurs in and around the female genitalia. It does not usually pose a major health threat and is a mild infection that can be controlled and cured with timely medical intervention. Although it is believed to be sexually transmitted, it can also affect women who are not sexually active.
In some cases, pelvic surgeries, which include caesarean, hysterectomy, abortion or other abdominal surgery, bacterial vaginosis can be contracted during the surgical procedure. This can further complicate the condition of the patient.
Bacterial Vaginosis is a common complaint among women who have physically reached the child bearing age and symptoms of this physical problem can become prominent at any time of the menstrual cycle.
Causes of Bacterial Vaginosis
Dirty, unwashed underwear
Multiple sexual partners
Change in the vaginal pH, causing the reduction in the protective acidic secretion that prevents the growth of other harmful bacteria
It can also arise from the placement of Intrauterine device (IUD), a contraceptive device placed to prevent the eggs released by the ovaries, from reaching the uterus.
The most common sign of bacterial vaginosis is a foul smelling vaginal discharge.
The discharge increases after sexual activities.
Discomfort during urination
In some rare cases, there is itching and dryness
In most cases, bacterial vaginosis does not reveal too many symptoms and does not even cause intense irritation.
Bacterial Vaginosis can be treated with antibiotics that are generally to be continued for a course of 7 days.
Symptoms and discomfort of bacterial vaginosis generally recede within 2-3 days. However, it is recommended that the medicine should not be stopped even after the symptoms disappear.
- Only in rare cases, certain antibiotics may lead to a vaginal yeast infection. In case of redness, inflammation, irritation and undesirable discharge, you must seek medical attention immediately.
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 its aesthetic 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.
- The way getting tattoo caused some pain, the removal will also cause some pain. Topical or local anaesthesia is used to make it comfortable.
- 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!!
Psoriasis is a long term disorder that affects the skin. In this condition, the skin cells start to grow at an accelerated rate with thick red and white welts on the skin. While normal skin cells grow and flake off within four odd weeks, the new skin cells in this condition crowd the skin before these old skin cells go away.
The patches that occur as a result of this condition are known as plaque build-up which mostly appears on the scalp, feet, knees, elbows and lower back. Let us find out more about this condition and how it may be treated with the help of homeopathy:
Causes and Triggers-
The most common triggers for this condition include bacterial and viral infections. Stress during inducing situation also acts as a trigger. Cuts, snake bites or other insect bites can lead to this condition. Smoking and excessive alcohol consumption may also be the cause of Psoriasis. This condition can also appear as a side effect of other medication too.
The symptoms include ridge like patches which are thick and pitted. Also, the patient may complain of pain and stiffness in the joints as well as itching, soreness and puffiness. Scaly spots may also appear on the skin which may eventually become dry and cracked before bleeding begins.
There are various types of psoriasis which must be treated in different ways. Scalp psoriasis is a common form, while skin and nail psoriasis may also be found in many patients. Guttate and Palomar Plantar Psoriasis are other rare forms where puss filled sores may appear on the skin.
The main treatment in homeopathy includes working on the immunity of the patient along with a cure for the inflammation. Arsenic Album is one of the main medicines used in this case as well as Kali Brom, which is best for treating cold skin which has blue corrugated sores. Thyrodium may also be used in case the patient is experiencing dry skin with cold hands and feet. Radium Brom can also help in curing excessive itching and oozing that may appear on the face. Apis Mellifica can be used for taking care of rashes that may be caused in this condition while Calendula is a medicine used for topical application. This medicine is used for soothing the skin which has undergone severe inflammation. Sulphur is a homeopathic medicine that is used for a variety of skin ailments and disorders.
Length of Treatment-
One must remember that homeopathy treatment is a long term process and it usually takes time for the effect to start showing on the condition and symptoms.
The onset of winter brings with it chilly and dry winds. For some, it’s the time to enjoy the chill weather with hot water baths and soothing drinks, and for others it’s time to brave the long persistent cold and flu like symptoms which cause sickness and discomfort.
People who are allergic to the winter season can catch a cold on the slightest exposure to cold air. Sometimes, it’s difficult to ascertain whether it is cold or an external allergen. In people prone to winter allergies, the allergies are mainly caused due to the allergens present in the environment. Mostly, winter allergies are also caused by the same allergens that are triggered in the summer season.
Thus, people who have some or the other form of seasonal allergy is likely to suffer from allergies as the season changes.
- Pet dander (flakes of skin in an animal's fur or hair) allergies are believed to escalate in winter since pets are mostly indoors during this season. The best way to deal with this is keeping the pet’s area clean and dry, washing and changing of the bedding regularly, and avoiding physical contact as much as possible.
- Dampness of clothes, blankets and shoes at home can be an allergy trigger for many people. The best way to control this type of allergy is to keep damp clothes and shoes in sun for some time. However, this may not work in many countries with extreme cold climates, which lack sunshine in their environment.
- Decaying leaves and other yard waste can cause allergies due to mould and mildew. Mopping and sweeping the floors and garden can help alleviate the problem to some extent.
- Dry climate can cause irritation in the nose and throat. It’s important to replenish the body with adequate liquids and water rich fruits and veggies. It’s important to choose your drinks wisely. Too much tea or coffee can also dehydrate the body. Go for ginger lemon honey infused in warm water for best results.
- Allergy symptoms can also be caused due to too much moisture in the environment. It can give rise to a stuffy or runny nose, sneezing and coughing. Thus it’s best to avoid sitting in a moist environment for long.
- Sinus congestions are also common during the winter season. Steam inhalation and hot showers can help relieve the symptoms and provide relief.
Whether you are allergic to pets, moisture, dampness, dry weather or chilled winds, the thumb rule is twofold—to understand what triggers your allergies and to avoid your exposure to those allergens. As we all know, allergies have no cure and they need to be managed. Drugs also help in controlling the allergy symptoms to some extent. However, it’s best to prevent them as far as possible. If you are confused about what triggers your allergy, make sure to consult your doctor.
The fallopian tubes are a couple of thin tubes that act as a vehicle in transporting a woman’s eggs (ova) from her ovaries (where they are housed) to her uterus (otherwise known as the ‘womb’) where they are either fertilized by the male sperm or disposed off during menstruation. Fallopian tube cancer, otherwise known as tubal cancer, forms in the fallopian tubes that connect the ovaries and the uterus.
It is hard to see a tumour or growth developing within a tube. This makes fallopian tube cancer hard to diagnose and complicated to manage as well.
If you do have fallopian tube cancer, it is vital to get a quick diagnosis as promptly as possible. This will help you to get effective treatment. However, diagnosing fallopian tube cancer can be challenging because of the following:
It is an uncommon kind of cancer.
The indications are vague and like those of different other conditions.
Discovering a tumour inside the Fallopian tube is troublesome.
In case you have symptoms that may point at fallopian tube cancer, your specialist will conduct a thorough physical examination and get some information about your lifestyle and your family history. A pelvic examination will be done to examine your uterus, ovaries, fallopian tubes and vagina. If a tumour is found, your specialist will do some more tests.
At least one of the accompanying tests might be utilised to see whether you have fallopian tube cancer and if it has spread. These tests additionally might be used to see whether the treatment is working. These diagnostic tests may include the following:
Ultrasound of the Pelvis: This test is helpful. However, in case that your specialist still suspects fallopian tube cancer, he or she will arrange a transvaginal ultrasound. During this test, a probe will be put into the vagina to deliver a photo of the inner organs. A transvaginal ultrasound is the best method for imaging the fallopian tubes.
CT or CAT (computed axial tomography) scan
MRI (magnetic resonance imaging) scan
Biopsy: A sample of cells is removed from the fallopian tube and examined closely, under a microscope. This is the best way to know for sure whether you have fallopian tube cancer. This will require surgery to extract the sample cells.
CA125 test: This blood test checks the levels of CA125, a known tumour marker for gynecologic cancers. An abnormal state of CA125 may mean you need to have more tests. However, it does not necessarily mean you have fallopian tube cancer. Serum levels of a marker called CA-125 can be unusually high in patients with gynecologic infections in cancer and non-cancer sorts, that is, pelvic inflammatory infection, endometriosis and early pregnancy. CA-125 can be non-specific and might be elevated because of numerous issues that are not cancer related.
Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.
The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.
What Causes Gallbladder Problems?
Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.
It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.
These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.
- Ultrasound is most commonly used to find gallstones.
- In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.
Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.
Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.
What are the Advantages of Performing Laparoscopic Gallbladder Removal?
- Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
- Patients usually have minimal post-operative pain.
- Patients usually experience faster recovery than open gallbladder surgery patients.
- Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.
Are you a Candidate?
Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.