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Critical Care Clinic

Internal Medicine Specialist Clinic

Apollo Hospitals Indore
1 Doctor
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Critical Care Clinic Internal Medicine Specialist Clinic Apollo Hospitals Indore
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Critical Care Clinic
Critical Care Clinic is known for housing experienced Internal Medicine Specialists. Dr. Ankur Gupta, a well-reputed Internal Medicine Specialist, practices in Indore. Visit this medical health centre for Internal Medicine Specialists recommended by 70 patients.

Timings

MON-SAT
01:00 PM - 07:00 PM

Location

Apollo Hospitals
Indore, Madhya Pradesh - 452010

Doctor

Dr. Ankur Gupta

MD - CCM
Internal Medicine Specialist
5 Years experience
₹1000 online
Available today
01:00 PM - 07:00 PM
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Alopecia Areata - Reasons Why People Suffer from it

MBBS, MD - Dermatology, Diploma in Aesthetic Mesotherapy
Dermatologist, Gurgaon
Alopecia Areata - Reasons Why People Suffer from it

Alopecia areata is a kind of hair loss or male pattern baldness that happens when your immune system starts attacking the hair follicles, which is where the hair growth starts. This is therefore an autoimmune disease. The damage and harm caused to the follicle is usually not permanent. Specialists are still not aware as to why the immune system attacks the follicles.

Alopecia areata generally begins when chunks of hair start falling out, forming thoroughly smooth, round bare patches on the scalp or different regions of the body. Now and again the hair might become thinner without any noticeable bald spots, or it might develop and shed off, leaving small patches. This can lead to permanent balding and may also be a sudden evolution.

The condition takes place when the cells in the hair follicles are attacked by white blood cells, making them contract and drastically slows down the hair growth. It is unknown as to precisely what causes the immune system to attack the hair follicles in such a manner.

However, there are a few ways due to which people can get alopecia areata. They are as follows:

  1. Since the exact cause of the condition is unknown, it regularly happens in individuals who have a family history of other immune system diseases, for example, type 1 diabetes or rheumatoid joint pain.

  2. A few researchers presume that hereditary qualities may add to the advancement of alopecia areata. They additionally believe that specific factors are expected to trigger alopecia areata in individuals who are hereditarily inclined to the disease.

  3. Around 10% of individuals with this condition may never regrow hair. You will probably have irreversible and permanent balding if you have the following:

    • A family history of the condition.

    • The condition appears at a young age (before adolescence) or for longer than a year.

    • Suffering from any other immune system infection

    • Inclined to hypersensitivities (atopy)

    • Have extensive hair loss.

    • Have unusual colour, shape, surface, or thickness of the fingernails or toenails.

In a few people with alopecia areata, the fingernails and toenails start becoming hollowed, that is they look as though a stick had made numerous small dents in them. They may likewise look like sandpaper. People with this condition might suffer from psychological and morale issues as well. Hence, getting tensed about it can aggravate the problem further, causing more hair loss.

Alopecia areata cannot be cured yet. The vast majorities of people who have had one episode might have more episodes of balding. Hence, whenever you feel like you might be showing certain symptoms of hair loss, do get it diagnosed by a specialist, since hair loss is not something that should be ignored, as it may be a symptom of greater lifestyle diseases. If symptoms recur after treatment, go for regular check-ups.

Ulcerative Colitis: Symptoms and Treatment

MS - General Surgery, MBBS
General Surgeon, Guwahati
Ulcerative Colitis: Symptoms and Treatment

This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.

Symptoms:

  1. Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
  2. Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
  3. Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
  4. Bleeding from the rectum: Bleeding can be observed while passing stools.

The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.

Diagnosis:
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.

Treatment

  1. Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
  2. Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
    1. Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
    2. Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.

Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.

5 Questions You Should Ask Your Gynaecologist

MD - Obstetrtics & Gynaecology
Gynaecologist, Thane
5 Questions You Should Ask Your Gynaecologist

No matter how outspoken you may be, something happens to us in a gynecologist's clinic. And though we have a million questions, most of them stay unasked. However, it is important to be frank and open with a gynecologist to ensure good sexual health. To make it a little easier, here are the answers to five embarrassing questions.

  1. Is vaginal discharge normal?: A little vaginal discharge is a normal occurrence in all women. This discharge is a way for the vagina to cleanse itself. The amount of vaginal discharge varies from one woman to the next and also depends on your menstrual cycle. It is very easy to differentiate between healthy and unhealthy discharge by merely looking at it. Normal discharge is clear, whitish or light yellow. If your vaginal discharge is excessive or thick and odorous and accompanied by itching, you should see a gynecologist at the earliest.
  2. Will hormonal birth control affect my libido?: Hormonal birth control affects each woman in a unique way. While for some it can cause weight gain, for others it can result in a weakened libido. This is because hormonal birth control suppresses ovulation and thus controls the production of natural hormones. If you feel your sex drive is being effected by your pills, talk to your gynecologist for alternative birth control techniques.
  3. How can you make intercourse less painful?: Sex should be a pleasurable experience for both partners. However, sometimes, the act of penetration can cause discomfort to women. This is mainly because of a lack of lubrication that results from not being turned on enough or nervousness. You could experiment with lubricants and sexual positions to make this more comfortable. Also, go slow and take your time enjoying foreplay to stimulate your body.
  4. Why is there an odor from my vagina?: Just because your vagina has a strange smell, it does not mean that something is wrong. The fluids in a woman's body are affected by a number of factors including her diet, hygiene, sexual activity and infections. Good hygiene habits can control most odor problems. If it persists, odor may be a sign of a yeast or bacterial infection and should be shown to a doctor immediately.
  5. Why do I leak urine when I laugh or sneeze?: Many women after giving birth are subject to urinary incontinence. This is mostly due to weak pelvic floor muscles after pregnancy and a drop in estrogen in post menopausal women. Simple exercises can often help strengthen your pelvic muscles and hence prevent leaking. In more serious cases, a gynecologist will also be able to prescribe medication for the same.

No question is too silly or too embarrassing to ask a gynecologist. So, choose your gynecologist with care and ensure that you are comfortable discussing your intimate health with her.

How To Differentiate Between Migraine And Headache?

Pain Management, MD - Pain Medicine & Anesthesiology
Pain Management Specialist, Srinagar
How To Differentiate Between Migraine And Headache?

When you feel pain or pressure in your head, it may become difficult for you to assess whether you are experiencing a common headache or a migraine. Let's understand how different they are from each other.

A typical headache usually affects both sides of your head and varies from a mild to moderate pain. It can last from 30 minutes to up to a period of one week.

Some specific areas which get affected by a headache are:

  •   Temples
  •   Forehead
  •   Back of your neck

Factors that trigger this headache type are a muscle strain, stress or anxiety.

A migraine, on the other hand, is also a type of a headache which results in an acute throbbing sensation in one part of your head. Usually, migraine headaches are highly painful. Migraine pain makes it difficult for a person to carry out his/her daily tasks. Symptoms or signs associated with migraine attacks are:

  •   Vomiting
  •   Nausea
  •   Sensitivity to sound or light
  •   Pain in the temples
  •   Temporary loss of vision
  •   Pain behind your ear or eye

What are the common causes of a migraine?

  •   Hormonal imbalances in women - fluctuations in oestrogen, especially during menopause or pregnancy seem to trigger a migraine
  •   Drinks like wine and extremely caffeinated beverages
  •   Foods such as salty foods, aged cheese as well as processed foods can trigger the migraine attack.
  •   Medications - vasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.

How to treat a headache?

Fortunately, you can get rid of stress-induced headaches through over-the-counter treatments, which include:

  •   Aspirin
  •   Acetaminophen
  •   Ibuprofen

How to treat a migraine?

If you experience migraine attacks less frequently, these medicines may give you quick relief:

  •   Triptans, such as rizatriptan (Maxalt) or almotriptan (Axert)
  •   Antinausea medicines, such as chlorpromazine (Thorazine), promethazine (Phenergan) or prochlorperazine (Compazine)
  •   Non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen, naproxen sodium, aspirin or ibuprofen

Some preventive tips:

  •   Make changes in your diet such as avoid such foods, including caffeine and alcohol which are believed to trigger headaches.
  •   You can also try muscle relaxation exercises, yoga or meditation to ease the migraine attack.

Hi I am 30 years old and I am overweight and I have lot of belly fat bulging. I am a foodie and feel hungry most of the times. Please help me as I need to lose weight and belly fat.

BHMS
Homeopath, Chennai
Hi I am 30 years old and I am overweight and I have lot of belly fat bulging. I am a foodie and feel hungry most of t...
Diet and lack of exercise are the two most important factors that contribute to obesity. While the modern day diet is becoming more and more full of fats, sweets and empty calories, it is becoming devoid of nutritious vitamins and minerals. The fibre content is also decreasing. One tends to stack up on junk food in an effort to take a quick bite while on the go. At the same time, physical activity is on the decline. One has increased access to vehicles and the need to walk or cycle is almost not present. Even for commuting short distances, one uses cars or two wheelers. All these things are readily contributing to this epidemic of obesity. When it comes to getting rid of the excess fat, one needs to work conscientiously and consistently on both the counts mentioned above. One’s diet has to be altered so as to include more and more natural fruits and vegetables. Processed food and junk food should be cut down to the minimum. A daily exercise regimen needs to be adopted. Exercising for 30-40 minutes for a minimum of 5 days a week is necessary. Homeopathy helps by regulating the metabolic system of the individual. There are more than 100 medicines listed in the Homeopathic literature for obesity. It is a tough job selecting the right medicine for a particular patient. One needs to take into account a lot of things before selecting the right course of treatment. These things relate to other symptoms or conditions that may be present or the person may be suffering from. A lot of importance is given to the reason, if any can be found that stimulated weight gain. This reason could be a particular illness or an event or some psychological setback in life. The general reaction of the person to extremes of temperature, his or heating habits also need to be taken into account. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects.
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Hi doctor. My wife is little bit overweight. Could you please suggest some means to reduce weight.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Greater Noida
Hi doctor. My wife is little bit overweight. Could you please suggest some means to reduce weight.
lybrate-user customized diet plan and counselling is always a better idea than some regular advice its good thing that you are concerned for your wife's health. For loosing weight lifestyle changes along with balanced diet and sound sleep are very important. Few tips for the same- start eating small frequent meals and don't skip any meals specially breakfast Include whole grains and use atta with bran take high fibre diet which include lots of fresh fruits and vegetables Drink atleast 10-12 glasses of water avoid drinking calories in form of juices and carbonated drinks avoid eating junk food, fried food and maida products try to eat home made food as much as possible move yourself use stairs, walk to near by places instead of using any vehicle include at least 30-45 minutes workout in your routine take sound sleep of at least 7-8 hours, manage stress consult me privately for customized diet plan.
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Hello, I am terribly suffering from severe bad breath. When I wake up in morning, my mouth stinks so much that I myself can feel the bad breath. After brushing, immediately within an hour my mouth starts stinking. I brush twice a day, in morning and before going to bed along with applying manjan at evening. I do scaling twice a year and dentist confirmed that oral hygiene is good. I have a runny nose while having my meals, my tongue gets white throughout the day despite of cleaning it daily in morning and while brushing my teeth in morning also I feel that bad breath is coming from my throat. I am not a doctor but I doubt it's a nasal issue or may be tonsil stones issue. By reading the above information, can some doctor please advise, which type of specialist I should see I'm Pune. I mean ENT, gastroenterologist etc? I really wish to eliminate this bad breath issue permanently so please please advise genuinely. Thanks in advance.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hello, I am terribly suffering from severe bad breath. When I wake up in morning, my mouth stinks so much that I myse...
Once your food is digested, chemicals that cause odour can be absorbed into your bloodstream and from there into your lungs; these chemicals then are exhaled. Diets high in protein and sugar also have been associated with bad breath. Infections in the mouth, such as dental caries (tooth decay Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. ), periodontal (gum) disease or mouth sores related to other conditions may contribute to bad breath. Dry mouth also can cause bad breath. Smoking or chewing tobacco-based products also can cause bad breath, You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person.
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Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to shoulder. Taking Ultracet SOS and tryptomer 20 mg at night. Pls advice duration of this pain and advice other effective medicine to recover from pain and herpes Zoster.

BHMS
Homeopath, Pune
Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to ...
Hello herpes zoster is one type of viral infection duration is maximum 30 days one homoeopathic medicine I suggest you it can really help you rananculus bulbous 200.
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Walking - How Much And For How Long Should You Walk To Lose Weight?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Walking - How Much And For How Long Should You Walk To Lose Weight?

Walking is one of the most effective and low-impact means of losing weight. Here, it is crucial to understand how to execute it efficiently. Most people enjoy walking as it is easy on your joints and doesn’t lead to any kind of injuries. If you wish to lose weight, you will have to set the right goals while comprehending the fundamentals of weight loss.

How long would it take to reach the desired weight?
With a set goal and proper way of execution, most people tend to lose about half to one pound in a week. If you wish to shed some more pounds within this span, you should know that it is not advisable. This pace mentioned above is safe and would inhibit the lost weight from reappearing. For losing about one pound in a week, you will have to burn around 500 calories each day. If you believe you are not able to burn this amount of calories only by walking, you should reduce the daily calorie intake.

How often is it required to walk?
If you have never been into this type of routine, you should start by walking on alternate days for about 20 minutes. You will gradually have to surge the duration and frequency of the walks until you are capable of walking an hour every day. Even though it is not an activity to dislike, many people might find it boring.To make it enjoyable, you can listen to music while walking or find other ways suitable for you.

As mentioned earlier, you will have to walk on at least 5 days in a week while you should aim to walk every day. Moreover, you must refrain from skipping the activity more than a day at a stretch. This is because having consistency would not just aid in burning calories but also improve your metabolism. Make sure that you walk between 6 and 10 hours in a week.

Does your diet play a role in weight loss through walking?
It goes without saying that having some potato chips or a candy bar can reduce your chances of weight loss that you may have expected from the walking sessions. For losing weight, you should not only walk, but also eat lesser calories than what you can burn.

Another aspect that deserves mention here is that most people tend to stop all sorts of physical activity right when they reach their desired weight. According to fitness experts, you must spend about 60 to 90 minutes of physical activity most days of the week while ensuring that you do not eat too much of unwanted calories to maintain your weight. If you wish to discuss about any specific problem, you can consult a Physiotherapist.

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Hair In Ears - How It Is A Sign Of Warning?

MD - Dermatology, MBBS
Dermatologist, Visakhapatnam
Hair In Ears - How It Is A Sign Of Warning?

We all would have noticed that with age, hair growth along the earlobe crease is not something abnormal. We all have seen people who develop these as a part of ageing. There was nothing unusual about it at all. However, what is unusual is that science has found a very interesting correlation between heart attacks and hair on the ears.

Yes, it does sound very unusual, but there have been studies conducted which say that hair growth on the ears could be one of the first warning signs of the onset of coronary artery disease.

What is coronary artery disease?

The heart is a pump that sends out and receives blood from the rest of the body through a channel of highly interconnected blood vessels. The ones which carry pure blood to the rest of the body are known as arteries and the ones which collect impure blood and bring it to the heart are known as veins. Due to changing food patterns and sedentary lifestyle, there is a lot more fat in the body, which also travels through the blood. Due to their heavier nature, they settle along the walls of the blood vessels, thereby narrowing the blood vessel thickness and reducing the blood flow to the various organs. This is the onset of coronary artery disease.

Early Indicators of coronary artery disease:

  • Hair loss (often premature, either in the temple region or the crown)
  • Fatty deposits on the eyelids
  • Earlobe crease i.e people with diagonal earlobes are more likely to develop heart disease
  • Hair in the ears

The last two are interrelated, as hair growth in the ears is more common in people with diagonal ear lobes.

The next correlation is between testosterone and hair growth in the ears.

People with more testosterone in their bodies are more likely to develop body hair, including in the ears. Scientifically, it has been established that people with greater amounts of testosterone are more likely to develop heart disease. Interestingly, the correlation is stronger in younger age groups.

Another interesting fact is that though coronary artery disease is linked to the presence of ear hair in both men and women. However, sudden cardiac death was more common in men than in women. Both these had hair growth, though.

There is another group which dismisses this theory saying that with age, both hair growth and coronary artery disease are likely to develop, and there is no significant correlation between the two. However, if taken as an early warning sign, ear hair growth can definitely guide in taking preventive measures, which can help control the problem in its early stage, which is definitely welcome to improve the overall quality of life!

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11 Signs Of Renal Hypertension You Must Know!

DM - Nephrology, DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
11 Signs Of Renal Hypertension You Must Know!

High blood pressure is characterized by an increased force that the blood exerts on the blood vessels when it moves through the body. Renal hypertension is a blood pressure disorder where the arteries that carry blood to the kidneys become narrow, as a result of which the blood pressure through these vessels increases.

Causes

It is caused when the arteries that supply blood to the kidney get narrow or get blocked. This can cause the kidney to release specific hormones that signal the body to retain water and sodium. This can put additional pressure on the blood vessels which leads to increased blood pressure. It can also be caused by atherosclerosis which is characterized by hardening of the arteries. Improper development of the arteries can also lead to renal hypertension.

Symptoms

The symptoms of renal hypertension are:

  1. Feeling confused
  2. Blurred vision
  3. Regular headaches
  4. Bleeding from the nose
  5. Gradual decline in kidney function
  6. Possible long-term damage to the kidney
  7. Feeling lethargic and drowsy
  8. Loss of appetite
  9. Dryness in skin
  10. Muscle cramps
  11. Breathing difficulties

Treatments

The diagnostic procedure for this disorder consists of blood, urine, doppler ultrasound and CT angiography or MR angiography tests. Treatments for this disorder usually include medications to ease blood pressure. Preventive measures include modifications in lifestyle such as following a proper diet, limiting smoking, restricting sodium or salt in the diet and following an exercise regimen. Steps should also be taken to reduce stress. Yoga and meditation are highly beneficial to control the condition. Sometimes intervention is needed in the form of PTRA and stenting.

Mental Health - Why You Should Not Ignore It?

MBBS, MD - Psychiatry, CE (New York)
Psychiatrist, Delhi
Mental Health - Why You Should Not Ignore It?

For a fully functional and productive life, a person requires a healthy body and a healthy mind. Mental health issues could range from depression, bipolar disorder, anxiety disorder, dementia, obsessive-compulsive disorder, schizophrenia, autism and other causes. Hence, it is important that a person pays attention to these mental health disorders to avoid further problems in their lives, as well as the lives of the people around them.

Here are a few reasons as to why a person should not avoid or ignore their mental health problems:

  1. Better Physical Health: There is a solid association between the brain and the body. In case you are in physical pain, your work and family life might be influenced or you will be unable to do the activities you might like. This can prompt anxiety, nervousness and depression. People with physical health issues are three times more prone to look for mental health care than those without physical conditions as physical health problems can prompt mental distress and mental health issues can impair your physical health.
  2. Enhanced Productivity and Financial Stability: Stressful situations may trigger reactions that can make a person unproductive and lead to financial problems as well. Some people end up abandoning their homes, going bankrupt or homeless after trying to manage some sort of mental illness.
  3. Less Strain on the Family: Mental sickness or disorders influence families as well. The children of individuals with mental health issues are at more serious danger for misuse, disregard and an extensive variety of emotional and behavioral issues. Since they cannot look up to their parents for help and they frequently isolate themselves from their friends and most of them do not get the required social backing. Much of the time, the impact extends into adulthood, driving children to look for psychological or mental treatment of their own.
  4. Evasion of Crime and Victimization: A few studies recommend that individuals with untreated mental health, particularly in combination with other risk factors, might be at risk of carrying out criminal activities, violence or most probably becoming victims themselves. The danger increases gradually when the individual uses medications or alcohol or has acute symptoms. It could also happen if they are not aware of their mental state or have a poor adherence to medication. Usually, acts of violence happen against relatives or somebody in the individual's nearby group of friends or in close proximity to them.
  5. A Longer, Happier Life: Individuals with even a mild mental health issue may have a lower life expectancy and a short life span. Those with the largest amounts of depression or nervousness had the danger of death that increased an incredible ninety-four percent, mostly identified with heart diseases.
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Cause Of Jaundice And Surgical Pathology!

MBBS, MS - General Surgery, MCH - Surgical Gastroenterology, Ex assistant professor
Gastroenterologist, Patna
Cause Of Jaundice And Surgical Pathology!

Jaundice is a condition that results in excess of bilirubin in the blood. One of the first signs that become evident is the skin becomes yellowish in color. This article will reflect on the probable causes of jaundice and the way to detect them. While there are a lot of treatment options, the exact course of treatment depends on the underlying cause of the disease.

Causes of Jaundice:
Jaundice is the result of an underlying disorder that either cause overproduction of bilirubin or stops the liver from getting rid of it. In either case, the bilirubin gets deposited in the tissue. Some of the underlying causes of jaundice include the following:

  1. Liver inflammation: An acute inflammation of the liver can restrict the liver to conjugate resulting in accumulation of the bilirubin inside the liver.
  2. Inflammation of the bile duct: This is a serious condition that might result in non-secretion of the bile and failure to remove the bilirubin resulting in jaundice.
  3. Gilbert's syndrome: This is an inherited condition. It restricts the enzymes to excrete bile resulting in jaundice.
  4. Hemolytic anemia: This is a condition where a large amount of RBC is broken down resulting in an increased production of bilirubin. This lead to jaundice.
  5. Cholestasis: This is a condition that leads to an interruption of the flow of bile from the liver. As a result, the bilirubin gets accumulated in the liver resulting in jaundice.
  6. Dubin-Johnson syndrome: This is again an inherited condition that stops the bilirubin from draining out of the liver.
  7. Pseudojaundice: This is a harmless condition that might result in jaundice due to an excess of beta-carotene. People who tend to eat a lot of melon, carrot, and pumpkin have a high possibility of getting this type of jaundice.
  8. Crigler-Najjar syndrome: This is a genetic condition that impairs the ability of the tissue to excrete bilirubin from the liver resulting in jaundice.

Surgical Pathological Cause-

  1. CBD stone 
  2. Periampullary carcinoma of pancreas 
  3. Cholangiocarcinoma 
  4. Choledochal cyst 
  5. Mirrizi syndrome 
  6. Duodenal growth

How is it diagnosed?

  1. Urine Test: A urine test aims to measure the count of urobilinogen. The latter is produced when bacteria inside the body breaks the bile into smaller parts. A Higher count of urobilinogen certainly suggests the indication of Jaundice.
  2. Blood tests and Liver function: A liver function test can help a doctor diagnose certain liver ailment such as the cirrhosis, hepatitis and alcohol led diseases. Apart from these, the protein produced by liver and releases into the body tends to fall. A blood work will capture the reading and indicate towards jaundice.
  3. Imaging tests: Imaging tests are only required when post-hepatic or intra-hepatic jaundice is suspected. Some of the tests that are helpful include MRI, Ultrasound scan and CT scan.
  4. Liver Biopsy: A biopsy is recommended to witness the condition of the liver when the liver is affected by serious condition along with jaundice such as cirrhosis etc.

Treatment-

In surgical pathology(jaundice), laproscopy / open surgery require according to diagnosis and symptoms!

PRP Therapy For Hair

DVDL, MBBS
Dermatologist, Delhi
PRP Therapy For Hair

If there is one thing that men and women dread the most, it is hair loss and hair fall problems. In the last decade or so, the number of young men and women suffering from severe hair loss is quite alarming. The hair fall, which may be an outcome of stress, anxiety, hormonal imbalance, genetics, medical conditions, unhealthy habits, poor diet or lack of a proper hair care routine, can make life miserable and embarrassing. People try out every possible treatment to deal with the problem. In this regard, the PRP or the Platelet Rich Plasma Therapy comes as a revelation.

The Platelet Rich Plasma Therapy is a path-breaking, nonsurgical and natural option that treats the conditions of severe hair loss through hair, scalp, and skin simulations, as per the requirements. The procedure for PRP are as follows:

  • The plasma contains the platelets. The platelets are important as they not only heal but also helps in regeneration of the damaged tissues.
  • The first step involves extracting the blood of the person undergoing the PRP Therapy.
  • Next step is the centrifugation step. Centrifugation helps to obtain the platelet rich plasma (which gets separated from the blood during the centrifugation process).
  • The patients are given anesthesia at the scalp (mainly the nerves) to ease the pain.
  • The platelet rich plasma is then carefully injected into the scalp of the patient to initiate the hair restoration.

The PRP therapy channelizes on the fact that the growth factors present in the platelet rich plasma will act as a catalyst, triggering the stimulation and growth of the hair follicles

Some of the growth factors that help in the hair restoration are as follows

  • Vascular Endothelial Growth Factor (responsible for the formation of blood vessels).
  • Platelet-Derived Growth Factor (triggers the growth of blood vessels along with cell replication as well as the formation of the skin).
  • Epidermal Growth Factor (involved in the formation of blood vessels and collagen along with the growth and differentiation of the cell).
  • Insulin Like Growth Factor (this growth factor is mainly involved in the regulation of the normal cell physiology).

For better and effective results, the therapy is repeated at every 3 - 4 months interval.

  • As impressive and fruitful as it may sound, the PRP Therapy is a big no for people dealing with certain medical conditions such as cancer, platelet dysfunction syndromes, hypofibrinogenemia, severe and chronic skin problems, severe liver disorders, sepsis, hemodynamic instability, or acute and prolonged infections.
  • People who are into drinking, smoking or drug abuse should also avoid the PRP Therapy.
  • PRP fails to provide the desired results in the case of complete baldness.

Advantages:

  1. The PRP therapy that has benefitted many people worldwide comes with the following advantages
  2. PRP Therapy is non-invasive and natural with a faster recovery.
  3. The Therapy is less time consuming and is quite safe.
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I get frequent headaches, sometimes either on the right side or behind or at times the whole head. Taking panadols don't help Please help.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I get frequent headaches, sometimes either on the right side or behind or at times the whole head.
Taking panadols do...
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular medicine can not be advised for open question for medicine contact on private chat.
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I am 35 year Male having Blood Pressure. Right now I did monthly check and found my results cholesterol, 254 and TSH third Generation 70 which is very high. I am right now taking Stamlo5 and Rexipra 10. What should I take for Thyroid and Cholesterol.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 35 year Male having Blood Pressure. Right now I did monthly check and found my results cholesterol, 254 and TSH ...
Mr. lybrate-user, Thanks for the query. For increased cholesterol you may have to look at your diet along with taking some drug for reducing it. Similarly TSH 70 mU/L is too high. Looking at your height& weight you have a BMI of 33.95 kgs/M2, showing an excess of over 30 kgs. This needs to be reduced which will help in controlling the lipids. Presence of hypothyroidism also adds to weight gain. You will also have to exercise daily for over 1 hour. There is no mention of BP reading as well as other lipids like TGL, LDL which are also very important. In this communication we are supposed to give only general guidelines, no prescriptions are allowed. So my suggestion is it is better if you come in a private conversation, then I will be able to give specific guidelines. Thanks.
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Sir/madam, my age is 28 years. For the last 2-3 weeks I'm unable to sleep properly. I feel over thinking is my problem, my question is whether my problem can be cured by psychiatric techniques i.e. May be something like hypnotizing as we watch in some movies. Please answer to my question. THANKING YOU SIR/MADAM.

MBBS, Diploma in Child Health (DCH), MD Internal Medicine
General Physician, Visakhapatnam
Sir/madam,  my age is 28 years. For the last 2-3 weeks I'm unable to sleep properly. I feel over thinking is my probl...
Sleep problem is usually due to so many worries and unsolved problems related to family and employment and sometimes due to changes in chemicals in the brain. This problem needs counselling and behaviours therapy and sometimes short course of medication for 3-4 months and everything will be normal. Also meditation and exercise will help you a lot.
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I have mouth ulcers all around the mouth and sometimes in throat also. I had consulted so many doctors still no cure. The pain of these ulcers are affecting my mental health also. These ulcers are not periodical. It comes every time .lasts 1 to 2 weeks and gradually cures. It starts as a small dot and grows into big .it occurs in my lips gums throat and in tongue also. I am fed up with this disease. I couldn't even eat food properly due to this. These ulcers shows both red and white colour in the wound. Bad breath is also there at the time of this wounds. There is 4 to 5 wounds at a time.

BDS, MDS
Dentist, Gorakhpur
I have mouth ulcers all around the mouth and sometimes in throat also. I had consulted so many doctors still no cure....
You are probably suffering from Recurrent aphthous stomatitis. The cause for this is multifactorial major one being stress (stress ulcers) and autoimmune related. I have mentioned various other contributing factors in one of my answers. So I would like to focus on treatment options you have. Apart from keeping the good oral hygiene as top priority, hydrating yourself as much as possible, buy DOXYCYCLINE capsules. Break the capsule and take out the powder. Make a paste by putting some drops of water and apply it directly over the ulcers for 4-5 times a day for 3-5 minutes each. Repeat the procedure for 7 days. If you get benefited, your are lucky as recurrence is unavoidable in many cases. Next best and permanent treatment is By LASER ablation. Excellent outcome in chronic cases like yours. Its costly treatment, can not be performed by any dentist but specialist in this field. You can update me personally if any improvement noticed. THANK YOU.
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I can't sleep I just repeat whole day at 12 am to 2 am night nd just not able to sleep I feel more headache in morning and afternoon at office What should I do please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I can't sleep I just repeat whole day at 12 am to 2 am night nd just not able to sleep I feel more headache in mornin...
What is your blood pressure? Please get it checked. And for sleep you may try ashwagandha syp .dose is 15 ml twice daily with equal amount of water after food. Try to do some meditation. If this does not work then please consult a doctor of your area.
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