Doctors in Elbit Polyclinics Tarnaka
Management of Abortion
Knee Pain Treatment
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Spinal Surgery Disorders
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Treatment of Neurological Problems
Balloon Angioplasty Procedure
Treatment of Knee replacement
Treatment of H.I.V
Termination Of Pregnancy Procedure
Treatment of Joint And Muscle Problems
Treatment of Child and Adolescent Problems
Treatment Of Pregnancy Problems
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5 simple steps to prevent coronary heart disease.
We are all aware that the incidence of heart disease is increasing in india. Generally the average age of heart patients in india is a decade younger, that means there are more younger patients suffering from heart disease in india.
How to prevent coronary heart disease in five simple and easy to follow steps.
1. Physical exercise.
This is the most important step to prevent coronary heart disease. In today’s world we work mostly sitting on a desk. We need to get out and walk, jog, cycle or swim etc. In all we need 30 -45 min of aerobic exercise 3 -4 times a week. Not just heart disease aerobics exercise helps prevent a number of other diseases also. It is one of the only ways to prolong your life. If you are doing yoga or any weight training even then you need aerobic exercise.
2. Mind what you eat.
We need to be mindful of what food we put inside our body. A healthy diet is one of the key pillars of good health. Your diet should have good quality protein, you can have moderate amount of fats but should avoid all refined sugars. Sugar has been shown to be the real culprit so better avoid it even if you are not a diabetic. Excess sugar is worse than fat. Take good amount of fibre, fresh seasonal fruits. Don’t fall into any trap which says eat dates or garlic to reduce cholesterol etc. These may have benefits but that doesn’t mean you can eat whatever you like without consequences.
3. Stop smoking
You should immediately stop smoking both active and passive. Smoking is known to be a very harmful habit. It increases chances for getting a number of diseases including heart disease, lung cancer, bladder cancer etc. In western societies the incidence of smoking is coming down, in india we need to spread more awareness.
4. Route blood pressure check.
High blood pressure is a very common issue which goes unrecognised and is very harmful to the body. All the organs in the body are exposed to its bad effects. Heart, kidneys, brain, eyes are the organs most commonly effected organs by this problem. High blood pressure can be easily recognised and can save a lot of lives. Once diagnosed with high b. P one needs to be on regular medication. You should never skip or discontinue medication as it can cause rebound hypertension that is very high b. P, which can cause bleeding in the brain.
5. Routine annual blood checkup
We need to undergo routine annual blood check after the age of 40 years, this age needs to be lowered to 35 if there is some family history of heart disease. Everyone needs to get their blood sugar parameters checked, cholesterol levels checked. At the time of checkup the doctor may include other tests like vit d3 levels or b12 & folate levels in case vegetarians etc.
In the end we should remember that we have just one body in this life so better take care of it or regret later. As age advances we all become more prone to diseases so a little care goes a long way.
A possible symptom of heart attack may be severe chest pain
Severe chest pain and a combination of the following symptoms can mean a person is having an acute heart attack. Severe chest pain is often described by patients as the worst pain of their lives, and is likened to something very heavy pressing on the chest.
Symptoms of a heart attack:
- Possible symptoms of a heart attack include the following:
- Pain that appears to spread up to the neck or down to the left arm
- Feeling faint and/or nausea
- Risk factors of heart attack
- A history of heart problems
The patient is:
The patient suffers from:
- High blood pressure
- High cholesterol
Dos and don'ts in the event of a heart attack:
- Call for an ambulance.
- Paramedics should be trained to stabilise the patient’s condition with medication, and the ambulance be equipped with a defibrillator to resuscitate the patient should the heart stop en route.
- Get ready the patient’s personal effects such as personal identification, medical insurance and other documents for admission.
- Have the patient seated in a location where he can be transferred easily to a stretcher.
- Let the paramedics know about any drug allergies or past medical history
- Drive or take public transport to the hospital, even if the patient lives nearby. As the patient’s condition may deteriorate en route, it is safer to wait for an ambulance. Also, ambulances also get priority on arriving at a&e.
- Ignore the pain. Get anxious about time wasted when the paramedics perform an on-site ecg.
The benefits of proper posture:
1. Keeps bones and joints in the correct alignment so that muscles are being used properly and efficiently.
2. Helps decrease the abnormal wearing of joint surfaces that could result in arthritis.
3. Decreases the stress on the ligaments holding the joints of the spine together.
4. Optimizes breathing and circulation.
5. Prevents the spine from becoming fixed in abnormal positions (for example an abnormal lateral curvature, or scoliosis).
6. Prevents fatigue because muscles are being used more efficiently, allowing the body to use less energy.
7. Improves organ function.
8. Prevents strain or overuse problems.
9. Prevents backache, neck pain, and diffuse muscular pain.
The consequences of poor posture:
- Headaches and easy fatiguability.
- Chronic Pains.
- Increased blood pressure.
- Digestive Problems.
- Endocrinlogical Problems.
- Problems Sleeping.
- Circulatory and Respiratory Issues.
- Vertigo/dizziness and Increase in Falls.
- Attention/concentration problems.
- Decrease in overall health.
- Spinal degeneration and Arthritis.
- Herniated discs and Sciatica.
- Knee and ankle problems.
- Carpal Tunnel.
- Plantar fasciitis.
- Decreased Life Span (up to 14 years)
5 tips to maintain your posture:
Because there a strong association between wrong posture and common life-style diseases, it is necessary to keep our self in proper alignment. Most importantly it is always better to maintain range of motion at our joints full and pain-free.
1. It is good, not to sit/stand in a particular position for too long. It is always good to change your posture to unload the continuously stressed muscles and prevent any permanent damage.
2. Never use any gadgets for too long continuously because that can leads to adaptation in that particular position.
3. Always keep your desktop in a proper position. Forward Neck Posture is one of the most common postural abnormality now-a-days and it can cause lot of troubles in healthy individuals.
4. Long term wrong posture can leads to stiffness around neck and consequently pressure effect on autonomic nervous system and it's systemic effect like over activity of Sympathetic Nervous System and it's harmful effects.
5. Stretching exercises are always better than strengthening exercises. If you are flexible enough, there is very less chance of any permanent injury. So, it is always wise to maintain your flexibility.
What is Developmental Dysplasia of the Hip?
Developmental dysplasia of the hip or DDH, is a condition that affects the hip joint in newborns and young children. The hip is like a ball-and-cup, formed by the round top of the thigh bone - called the femur - and a cup-shaped socket in the pelvis. The hip joint is stable in spite of its large range of motion and is kept in place by ligaments and other soft tissue structures. The normal infant hip is not mature at birth but develops into a strong and stable joint as the child grows.
What happens in hip dysplasia?
In DDH, the hip does not develop normally as the cup and ball are either partially or completely out of alignment. DDH can vary from mild to severe depending on whether the cup is shallow, soft tissue structures are lax or a combination of all. These problems may cause the hip to become unstable, and even come out of the joint. This is known as a dislocated hip and is believed to occur in around one in 1000 infants. One or both hips can be affected. DDH isn't painful in babies and young children. Untreated DDH can result in limping in young children. This can progress to hip pain and arthritis at a later date.
How common is it?
DDH is more common in girls and first-born children. It's more likely to occur if there's a family history or if the baby was breech. Swaddling or wrapping a baby's legs too tightly can also lead to DDH. Certain traditional practices like wrapping the children, etc. are known to increase the risk, while carrying them with limbs separated apart is known to decrease the risk of dysplasia. All newborns should have both hips carefully examined by a health professional.
Treatment depends on the child's age and the severity of the condition. Young babies with confirmed DDH are usually treated in a brace or harness that holds the legs apart. This helps the hip socket to deepen and the hip to become stable with growth. Regular monitoring of the hip position is necessary to ensure good outcomes. Surgery may be necessary if brace treatment is unsuccessful, or if a hip dislocation is first noticed when the child is older.
What is the long-term outlook?
Most infants who are diagnosed and treated early do not have any hip problems in later life. Earlier the diagnosis and treatment, the better the outcome, as late diagnosis often requires surgical treatment and can mean a higher likelihood of ongoing hip problems.
As per the latest statistics published by the Center for Disease Control and Prevention, about 9% women suffer from a deficiency of iron. Though the proportion is relatively low, iron deficiency can lead to various diseases, which can be very difficult to cure.
So, look out for these telltale signs of iron deficiency and check whether you suffer from any of them.
- Fatigue: Your internal system uses iron for the production of hemoglobin, which is a component in the red blood cells, responsible for carrying oxygen to all parts of the body. So when the iron content is low, there is not enough hemoglobin production and all organ do not receive oxygen in the required quantities. This is bound to make you feel tired at most times.
- Inability to focus: People with iron deficiency often suffer from alteration in the synthesis of neurotransmitters. This can lead to decreased functionality and focusing abilities. This may also lead to the development of apathy towards all things, including family, friends, books, music or anything that you loved and enjoyed doing.
- Breathlessness: Without a proper supply of iron, there could be an oxygen crunch in the body, compelling you to feel breathless. This may happen anytime when you are working out or walking or reading a book.
- Paleness: Do you think your skin has lost luster and become pale in the last few days? That’s definitely not a good sign and may be a symptom of decreased flow of blood and reduction in the RBC count.
- Trouble doing your daily chores: Low levels of iron in the body can cause your endurance level to suffer. Thus, you may find it difficult to run up the stairs or catch a vehicle or swim for a while.
- Soreness of muscles: Even if you could push yourself to reach the gym, you would experience the burns last longer than normal. Lack of right amount of iron prevents your muscles to recover at the right pace. As a result, you are likely to suffer from aches in the muscles.
- Brittle nails: If there is a recent a development of spoon-shaped or concave depression in the nails, it could be a sign of possible deficiency of iron.
Often people tend to ignore the warning signs that the body gives to inform about the problem that’s cropping up. But you can’t take chances with your health and so, check for these signs without any delay.
Juvenile rheumatoid arthritis also known as juvenile idiopathic arthritis is a commonly occurring arthritis in children under the age of 15. Some common problems that are faced by patients with this disease include stiffness, joint pain, and swelling. While the symptoms might persist for a few months for some patients, for others it might continue for the rest of their lives. Patients might face serious complications such as inflammation of the eye, problems related to growth etc. The treatment of this condition focuses on preventing the bones from getting damaged, pain control and improving the function of the body.
What are some of the common symptoms of juvenile arthritis?
- Pain: A child suffering from juvenile rheumatoid arthritis might face extreme pain in the joints. They might limp after a nap or night sleep due to pain or stiff joints.
- Swelling: Larger joints such as the knee might swell frequently. The swelling might occur in smaller joints too.
- Stiffness: In addition to limping the child might appear rough and clumsy after waking from night sleep or a nap.
What are the causes of Juvenile Rheumatoid Arthritis?
Juvenile Rheumatoid Arthritis occurs when the immune system of the body attacks its own tissues and cells. It is still unclear as to why it happens, although, researchers believe that the environment and heredity have a role to play. Certain geneticmutations might make a childmore vulnerable and susceptible to microbes that can trigger this condition.
What are the complications involved?
There could be several complications that might arise due to this condition. It is, therefore, wise to keep a close watch on the child. Seeking immediate medical attention can go a long way in mitigating the risk of these complications.
- Problems related to the eye: Juvenile Rheumatoid arthritis can damage the eye by causing an inflammation known as uveitis. If this condition is not treated, it might result in other conditions such as glaucoma, cataracts, blindness etc.
- Growth problems: Juvenile rheumatoid arthritis could result in growth problems. To treat this, a child would require a dose of corticosteroid.
How to diagnose juvenile arthritis?
It is not very easy to diagnose juvenile arthritis. Doctors often prescribe blood tests to get an idea of erythrocyte sedimentation rate, rheumatoid factor, C-reactive protein, anti-nuclear antibody, cyclic citrullinated peptide etc. A doctor might also prescribe imaging tests such as X-rays, MRI etc to detect congenital defects, fractures, tumors etc.
What are the treatment options available?
Some of the medications that are prescribed for this condition include NSAID such as ibuprofen and naproxen, DMARD such as Trexall and Azulfidine, TNF blockers such as Humira and Enbrel, immune suppressants such as Kineret, Rituxin and Orencia. In addition to this doctors would also prescribe corticosteroids and therapies.
Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.
Function of Coronary Artery
The task of coronary arteries is to supply oxygen rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.
Though it is true that living with a heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases.
Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.
- Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for a better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
- Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with your doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
- A Heart healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish into your diet.
- Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
- Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
- Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life.
What are kidney stones?
The primary function of the kidney is to filter the blood and eliminate the waste products through urine. The waste deposition is sometimes in the form of excessive calcium, uric acid and other undesirable contents. It may cause the urine to get highly saturated. This is when stone-like formations take place inside the kidneys. Kidney stones are also termed renal lithiasis or calculi. There are different kinds of kidney stones, which are differentiated based on its varied constituents. Kidney stones cause excruciating pain and uneasiness. Frequent urination, extreme discomfort during urinating and presence of blood in the urine are some of the major signs of kidney stones. The symptoms are not evident if the stones are very small in size.
Causes of kidney stones:
- Incorrect calcium intake: High amounts of calcium can lead to high calcium depositions in the kidneys. It is important to keep the calcium intake moderate. Calcium supplements must be checked if you have already included dairy products in your diet.
- Abnormal rates of sodium in the body: Sodium, just like calcium, gets deposited in the kidneys.
- Excessive animal protein intake: Too much of animal protein intake can make the urine turn acidic, leading to uric acid depositions in the kidneys.
- Sugary, aerated drinks: These lead to undesirable waste deposition in the blood stream and eventually in the kidneys.
- Inadequate water intake: Not keeping the body well hydrated can cause the urine to turn acidic and increase waste deposition.
Potential risks and complications of kidney stones:
- Kidney stones may cause an infection in the kidneys which may eventually spread to the other internal organs and surrounding tissues.
- Kidney stones block the ureter and cause severe pain and discomfort that make sitting, standing or any other posture difficult.
- Kidney stones rarely cause kidney failures but the severe blockage and infection may cause such detrimental results in the human body.
The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.
There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:
- Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
- Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.
Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs.