Doctors in Medanta The Medicity
Liver Transplant Surgery
Cardiothoracic Vascular Surgery
Visited For Scaling: I went to see Dr. Vishal for a general checkup and on routine examination he suggested full mouth scaling after every six months for maintaining a healthy dentition. He was quite generous in explaining the need for this procedure and also described the correct brushing technique to prevent any further oral and dental disease. I underwent the whole procedure within thirty minutes without any pain or bleeding.The dentist was very elaborate about the post treatment maintenance. I am happy with this whole experience and would visit again after 6 months for routine check up.
Dr. Sushila Kataria received me under her care on 17th July 2016. She is a very good Physician. She offered great advice for my blood clots problem. I came to India specifically looking for her. I will keep recommending her to all those who require this type of care. A great doctor, a great experience.
Dr Bornali Dutta is a wonderful doctor. She listens a patient with Patience. She has in depth knowledge of her subject. She diagnose the problem very critically. She prescribes very effective medicines. i find a rare doctor of Dr Bornali Dutta. me is feeling much better than before.
He is an excellent doctor who explains the disease logically with proper medical resins. He gives you confidence and spends sufficient time with patient. Inspite of being such an experienced doctor he is very humble and polite.
Not only the best doctor but a wonderful person also.very affectionate for his patients. no doctor takes this much pains for his patients as he does
She is very claim to listen your problem and give best advice. I know her since 2004 when she was in Moolchand Med city.
Very good experience
Very gud experience
In case if a couple has been trying to conceive a baby and have yet found success in their attempts, a fertility specialist might well let them know that both the individuals, as a couple are subfertile. On the other hand, Infertility takes places when a couple has been having unprotected sex on a regular basis which exceeds 12 months or more but still fail to conceive
Let us talk in detail about the basics of Subfertility and Infertility.
Subfertility, in simple terms means that the couple is less fertile in comparison to other similar couples like them. Basics include:
It does not mean that the women is not going to get pregnant but this shows that it might be a little bit difficult purely based on the different kinds of measures, which are used to assess one’s level of fertility. Subfertile women are those, who have a good chance of becoming pregnant on their own, without use of any artificial process but it is just that, they would take longer time to conceive. Subfertility causes for women include problems related to ovulation, factors related to age, uterine problems and reproductive organs getting scarred as a result of Pelvic Inflammatory Disease. For men, subfertility is caused due to low sperm count resulting either from infection or endocrine problems.
Sometimes, the combination of male and female characteristics also tends to cause the problem of subfertility.
Infertility is a disease of the reproductive system, gets defined by the failure to achieve pregnancy through clinical process, even after going through sessions of unprotected sex for more than a year. Basics include:
In infertility, women fail to get pregnant even after having 1 whole year of unprotected sex but it can also be due to problems in male. Men can be termed as infertile when he has a low sperm count, low sperm mobility and also abnormal sperm.
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate. Complications can include urinary tract infections, bladder stones, and chronic kidney problems.
Polycystic Ovarian Syndrome or Disease (PCOS) is a very common condition, wherein there are multiple cysts in the ovaries. As a result, there are many changes which the body undergoes and it is not limited to the gynecologic system. A woman with PCOS may also find it difficult to conceive, and so, once she is pregnant, precautions are essential to ensure there are no complications.
- Preeclampsia: When the blood pressure readings are high during pregnancy, it is known as preeclampsia. It brings with it a whole lot of complications including the need to cesarean section, premature birth, etc. So, it is best avoided, and diet can help to some extent.
- Diabetes: Gestational diabetes which manifests as higher sugar levels only during the pregnancy is very common in women with PCOS. The increased hormone levels in PCOS increase insulin resistance, thereby increasing sugar levels. This needs to be managed through a combination of diet, exercise, and lifestyle changes.
- Preterm labor: Women with PCOS are at a slightly higher risk of premature labor.
- Weight-related issues: PCOS leads to weight gain, and this could be a problem during pregnancy. It is essential to discuss with the doctor as to what would be a good weight range and stay within that range throughout pregnancy. Weight gain brings with it a host of complications and so best avoided.
With PCOS, during pregnancy, strict cautious diet planning can help in avoiding complications and allow for an easier pregnancy. Though they may not solve every problem associated with PCOS, dietary modifications can have a significant effect on the overall health and well-being. Listed below are some easy-to-make changes:
- Increase consumption of fibres like greens, nuts, pumpkin, berries, whole grains, almonds, etc. are included. This ensures that digestion is a prolonged and gradual spike in blood sugar levels.
- Increase protein-rich foods like soya, tofu, eggs, and chicken, which help in avoiding binging. They are light on the stomach and help in weight management.
- Foods which are generally anti-inflammatory including tomatoes, olive oil, spinach, fresh fruits, and omega-3 fatty acids help in controlling blood pressure and cholesterol levels.
- Supplements to include omega-3 fatty acids, prenatal vitamins, vitamin D, and calcium if required ensure that the baby gets the required nutrients for optimal growth.
What to avoid:
Anything that can spike up calories and is of low nutritional value should be avoided.
- Avoid whites – pasta, rice, and bread
- Baked and processed foods
- Candies, chocolates, snacks
- Salty and spicy fried snacks
- Aerated drinks and soda
PCOS in pregnancy presents a combination risk, and dietary changes and weight management are essential for a safe pregnancy.
Interstitial lung disease is a condition that causes inflammation and scar tissues in the lungs, making it harder for them to work. The airways, air sacs and outer aspect of the lungs, and the blood vessels may be affected as well.
Pigmentation of the skin is a medical term to refer to the phenomenon of colouring. Our skin is made up of cells that produce a pigment known as melanin. The colour of the skin largely depends upon the production of melanin. If more melanin is produced, the skin looks darker and vice-versa. When the melanin producing cells are damaged due to long exposure to sunlight, pregnancy or any other disease, pigmentation of the skin takes place. When the skin gets darker, it is called hyperpigmentation and when the discolouration of the skin takes place or white patches are formed on the skin, it is called hypopigmentation.
Skin pigmentation can be tackled by certain home based remedies. Here are some of these remedies:
- Milk and honey face pack: Milk is known to contain lactic acid. A mixture of milk and honey peels off the affected part of the skin. This makes the hyper-pigmented skin lighter in colour.
- Vegetable juices: Some vegetables like tomatoes, cucumber and potato are effective in getting rid of the skin pigments. Cut slices of these vegetables and rub them over the affected parts. The juices from these vegetables lighten the pigmented part.
- Avocado magic: It is advisable to peel off an avocado and apply its juice with honey over the affected area.
- Add Vitamin E to your diet: Include foods rich in vitamin E in your meals. It helps in restoring the pigmented skin back to its normal form.
- Face Mask: There are several face masks available that can work wonder in curing pigmentation of the skin. You can use face packs containing oatmeal, honey, sandalwood, turmeric powder, raw milk, and orange powder.
- Sun screen: It is important to guard your skin from the ultraviolet rays. UV rays lead to pigmentation of the skin. So, apply a sunscreen lotion or cream before stepping out of your home.
- Take up some exercise: A key to a healthy skin is a good lifestyle. One must exercise regularly to maintain proper blood circulation throughout the body. Proper flow of blood keeps the skin healthy and free from pigmentation.
- Avoid consumption of alcohol and cigarettes: The consumption of alcohol and cigarettes leads to generation of toxins in our blood stream. This is harmful for our skin.
- Cocoa butter: It has nourishing and de-tanning effects on the skin. Use a cream that contains cocoa butter extracts on daily basis.
- Oil massage: Certain oils like olive and almond are good for treating damaged skin.
Below given are some of the common products used in medical treatment of hyperpigmentation-
- IPL (Photofacial) - Treatment with intense pulsed light, or a Photofacial, is frequently recommended by doctors to treat hyperpigmentation.
- Chemical peel - A TCA peel or deeper phenol peel are also used to treat hyperpigmentation.
- Laser Peel - A variety of laser resurfacing treatments may be performed to reduce hyperpigmentation. CO2 lasers and fractional lasers are popular choices for skin resurfacing.
- Topical skin lightening products - Products containing skin lightening ingredients, such as hydroquinone, retinoids, kojic acid, and Vitamin C are often used to reduce hyperpigmentation.
Medical treatment is combined with procedures to get faster results
The liver has a significant role to play in metabolism and digestion. The failure of a liver can lead to significant health issues. There are some causes for liver failure, which cannot be treated with medications. In these people, a transplant, which is replacing the diseased or injured liver with another liver, is the only definitive treatment option.
Some conditions which can require a liver transplant are:
- Severe cirrhosis with a life expectancy of less than a year
- Severe liver failure
- Non-alcoholic steatohepatitis (NASH)
- Liver cancer
- Chronic hepatitis C
- Biliary atresia in children
Types of transplant:
- Living donor transplant: In some patients, partial liver can be removed from a close family member and transplanted into the affected individual. The liver is known for its regeneration ability, and over time, will grow in the recipient.
- Cadaveric transplant: Immediately after death, a liver can be removed and transplanted.
While the concept of a transplant sounds quite convincing and appealing for those with a severe liver disease, it is also important to note that not all would qualify for a liver transplant. The conditions which would disqualify a recipient are discussed below:
- Significant heart disease: Those with severe coronary artery disease, valvular disease, cardiomyopathy, aortic stenosis, and cardiomyopathy are not candidates for a liver transplant.
- Severe lung disease: Those with poor lung perfusion do not qualify for a liver transplant.
- Advanced age: Greater the age, lesser the survival rates. So, people aged more than 70 are usually not considered for a transplant.
- Obesity: A person with a BMI of more than 35 is often not a good candidate for a transplant. The overall health should be managed in these people.
- Malnutrition: On the other extreme, severely malnourished individuals are also not considered for a transplant.
- HIV infection: A person who is HIV-infected does not qualify for a liver transplant.
- Substance abuse: Anyone who is actively abusing alcohol and/or substances is definitely removed from the list for a transplant.
- Metastasis: If a patient is looking for a liver transplant due to hepatic cancer, it is essential that the cancer is contained. If it has spread to various parts, then containing it would be difficult, and a transplant may not succeed.
- Multisystem organ failure: Other than heart and lungs, even people with poor renal function are not ideal candidates for a liver transplant.
A detailed liver recipient evaluation assessing the severity of liver disease, chances of survival, and overall health are done before a person is listed for liver transplant. This evaluation ensures a better success rate with the transplant.
Ageing is the only inevitable truth. However, it does not mean that it has to be reflected on your body. Skin loses collagen as you grow older and collagen is the element in your skin which keeps your skin tight and firm when you are young. Loss of collagen leads to skin sagging.
The causes behind ageing of skin can be both extrinsic as well as intrinsic. The main classifications of the causes are:
- Biological: This is an intrinsic factor which relies on the genes of the body and hence, it is out of our control. Naturally, with age, the regenerating capabilities of your body gradually lose pace due to the various hormonal changes that occur over time. A healthy lifestyle can go a long way in helping your skin look as young as possible.
- Environmental: Being an extrinsic factor, environmental factors that cause the skin to age can be controlled. Some of these factors, such as pollution, harmful rays of the sun, stress and unfavourable weather conditions are capable of damaging the skin. Sun exposure i.e. exposure to the UV rays of the sun, is deemed to be the primary reason behind skin ageing.
- Mechanical: Repeated behaviour over an extended period of time, such as frowning, squinting, smiling, etc., can cause grooves to be formed on the skin. These grooves may be permanent and hence, contribute to ageing skin.
How do you treat it?
A holistic approach is extremely vital for the treatment as well as control of ageing skin. The quality and features of skin differ among individuals and hence, the needs of the skin will vary too. Due to this reason, depending on the skin types and needs of the person, the skin care routine needs to be specialised and focussed.
To facilitate a specialised approach to ageing skin, a thorough analysis would be conducted by the dermatologists to understand what the skin needs and accordingly, diagnose the causes and symptoms of ageing skin. The diagnosis will allow the dermatologist to estimate the severity of the skin problem. This analysis will help the doctors to determine the adequate approach to address the ageing skin. A combination of services and technologies would be recommended based on the analysis. This combination would incorporate methods such as collagen building (with foods such as berries and dark green veggies), micro derma peels and skin tightening, as well as effective home skin care products which can be used to boost the skin’s beauty. The proposed approach would work to fill wrinkles, boost collagen and tighten sagging skin to make the skin look as natural as possible.
Diabulimia is a type of eating disorder in which patients of Type 1 diabetes intake less amount of insulin purposely, in order to lose weight. This disorder, however, is not a formal diagnosis. The disorder may be defined as disturbed eating behavior.
Our body requires insulin for moving glucose from the blood to the cells. In type 1 diabetes patients, the pancreas stop producing insulin and glucose gets stored in our bloodstream. This causes extra stress on the kidney in getting rid of excess of sugar. The body gets devoid of glucose and the calories associated with it and a rapid loss in weight occurs. Patients develop binge eating, with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.
The symptoms of this disease are:
- Occurrence of hyperglycemia
- Developing a habit of eating more, but still experiencing weight loss
- The shift in weight may be dramatic
- The energy level is low
- Eating patterns turn unusual
- Binge eating
- Developing an obsession for food
- Enhanced awareness about body image
- Feeling anxious about the weight
- A delay occurs in sexual maturity or attaining puberty
- Occurrence of stress
- Hospitalization is required frequently for diabetic patients
- Exercising amount increases
- The patient tends to hide food
- There is a smell of ketones from the breath and urine of the patient
- Frequency of urination gets enhanced
- Malnutrition occurs signalled by hair loss or drying of skin
Health hazards of Diabulimia
- Diabulimia can cause a great amount of permanent effects on the body, irrespective of age.
- Patients with diabulimia have a risk of getting early comorbidities.
- Health issues similar to issues arising from diabetes are observed, but are more adverse in nature.
- Dehydration happens along with excess urination.
- The patient experiences fatigue and the level of concentration falls down.
- An electrolyte disbalance is caused.
- There may be risk of heart attack, stroke, retinopathy, neuropathy, gastroparesis.
- Vascular disorders, gum infections and infertility in women may also occur.
- In the most extreme cases, death occurs.
It has been proven by research that almost 30% of type 1 diabetes patients are the ones who abstain from or avoid using insulin in order to lose weight. This habit leads to the risk of many other fatal diseases which may be permanent in nature. Dibulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Diabulimia is an eating disorder which leaves a patient at risk of acquiring many other severe diseases. It is advised not to neglect your insulin.
If you are experiencing pain in urination along with a burning sensation, a health condition known as dysuria is indicated. This condition is usually common in women and men alike. However, older men are more prone to face this problem. Pain during urination may occur because of various reasons. The most common causes are as follows:
- Urinary tract infections (UTIs) are a common cause of painful urination. Infections may occur in any part of your urinary tract, such as in the kidneys, bladder, and the ureters. These infections occur due to bacteria, which gets into the urinary tract via the urethra. There are several factors, which increase your chances of being affected by UTI. They include diabetes, an enlarged prostate, old age, pregnancy, and kidney stones. UTI is signified by other symptoms such as fever, bloody urines, flank pain, stronger smelling urine, and an increased urge for urination.
- At times, painful urination may also be associated with vaginal infections in women, like yeast infection. Vaginal discharge and foul odor are indicated in the case of vaginal infections.
- Painful urination is also caused because of certain sexually transmitted infections (STIs) such as gonorrhea, genital herpes and Chlamydia.
Inflammation and irritation
There are several problems, which can cause inflammation of your urinary tract and genital region. This further results in painful urination. Inflammation and irritations also occur because of other factors such as urinary tract stones, vaginal changes associated with menopause, certain physical activities and the side effects of several medicines, treatment procedures and health supplements.
Consulting a doctor for painful urination
Your doctor will suggest you to undertake certain laboratory tests for the proper diagnosis of the cause of your painful urination. After this, a suitable treatment method is sought and undertaken. Before this, an overall physical examination is also carried out. Your doctor is likely to ask you some important questions regarding your painful irritation, how the condition worsens, and is felt during the onset of urination. It is also likely for your doctor to know about any other symptoms, which you might be experiencing such as fever, flank pain and vaginal discharge. You must tell your doctor about any changes observed in your urine flow, such as difficulty in initiating flow, an increased urge to urinate, and dribbling.
Apart from these, your doctor may also ask whether you experienced any character in urine after painful urination. These may include colour, amount, cloudiness, presence of pus in the urine and so on.
The problem of morning back and neck pain may be due to the position of sleeping or it may be related to inflammatory arthritis which can be familial. Morning back pain is largely related to wrong sleeping posture and less commonly due to arthritic conditions like Ankylosing Spondylitis or Rheumatoid Arthritis. Whatever be the cause- this condition requires attention by an Orthopedic doctor as it may worsen in due course of time and should not be taken lightly.
Some common factors causing this are:
Mattress: Too soft or too hard a mattress might induce back ache after sleep. For people with waist and hips of equal proportion, a firmer mattress would do well. For those with narrower waist than their hips, a flexible and softer mattress that can move with the pelvic weight would be a perfect choice. Refrain from using old hardened mattresses.
Pillow: The pillow you use must be able to render support to your neck naturally. Instead of using excessively firm or soft pillow, try substituting it with memory foam pillows, refillable water pillows or cervical support pillows.
Posture: Not changing your position while sleeping or sleeping on the belly exerts strain on the back muscles, causing pain. On the other hand, sleeping on the back or on the sides causes comparatively less strain on the spine.
Other causes such as strenuous workouts or physical activities or sitting at a stretch during the day might cause pain while sleeping or after getting up from bed.
Fortunately, there are some home remedies to cure the morning back pain.
Switching your mattress is a more expensive remedy for back pain, but may often be the ultimate cure. Most people sleep the best on medium-firm mattresses. Be sure to try out the mattress before you buy it.
For occasional back pain after sleeping, apply heat to your back to relax your muscles before you go to bed and when you get up in the morning.
Massage your back with pain relieving creams and apply heat on it with a heating pad for quick relief.
Specific spinal stretching exercises and Planks (a type of exercise) can greatly help in easing back pain, if done on a regular basis.
It is always recommended to CONSULT an Orthopaedic doctor if you suffer from morning back pain.