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Dr. Rakesh Middha

MBBS, MD - R & D

Radiologist, Jodhpur

22 Years Experience  ·  300 at clinic  ·  ₹300 online
Dr. Rakesh Middha MBBS, MD - R & D Radiologist, Jodhpur
22 Years Experience  ·  300 at clinic  ·  ₹300 online
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rakesh Middha
He has had many happy patients in his 22 years of journey as a Radiologist. He has done MBBS, MD - R & D . Don’t wait in a queue, book an instant appointment online with Dr. Rakesh Middha on Lybrate.com.

Lybrate.com has a nexus of the most experienced Radiologists in India. You will find Radiologists with more than 37 years of experience on Lybrate.com. You can view profiles of all Radiologists online in Jodhpur. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Bikaner Medical College - 1997
MD - R & D - Bikaner Medical College - 2000

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Fibroids In The Uterus - How Myomectomy Can Cure It?

MBBS, DGO, FICOG, Master of Population Studies (MPS)
Gynaecologist, Ghaziabad
Fibroids In The Uterus - How Myomectomy Can Cure It?

Fibroids are non-cancerous growth that develop in the uterus in varying sizes. Fibroids do not usually show symptoms, but if they are large they may cause severe pain in the abdomen, heavy menstrual bleeding, bloating, infertility or complications during pregnancy. Several factors may lead to the formation of fibroids, including hormones, family history, and pregnancy.

What is myomectomy?

Myomectomy is the surgical procedure which is used for removing fibroids from the uterus. It is a safe method that allows women to become pregnant in future. Gonadotropin-releasing hormone analogue therapy, performed before myomectomy helps in lowering the estrogen level and also controls anemia by stopping uterine bleeding. The different surgical methods for myomectomy include:

  • Hysteroscopy, involving the insertion of a lighted viewing instrument into the uterus
  • Laparoscopy, involving the insertion of a lighted viewing instrument and one or more incisions in the abdomen
  • Laparotomy, involving a larger incision made in the abdomen

Why is the surgery performed?

Myomectomy treats fibroids while preserving the uterus. It is a viable option for those who have:

  • Anemia which cannot be controlled with medicines
  • Pain which cannot be tackled with medicines
  • A fibroid that can cause infertility or increases the risk of miscarriages

How well does it work?

  • Pregnancy: myomectomy is the only treatment for treating fibroids that improve your chances of having a baby. The method is effective for treating submucosal fibroid. A cesarean section is required for delivery after performing a myomectomy.
  • Recurrence: recurrence of fibroids after myomectomy is really low. It is possible in rare cases, depending on what the original fibroid problem was. Large and numerous fibroids have a greater risk of recurrence. Consult an expert & get answers to your questions!
2421 people found this helpful

I am 27 year boy I have back pain l4 and l5 disk light move. I there any full relief treatment means contact me sir. Back pain person do sex fully or not. After two month marriage fixed so im tired.

BPTh/BPT
Physiotherapist, Delhi
I am 27 year boy I have back pain l4 and l5 disk light move. I there any full relief treatment means contact me sir. ...
Start with physiotherapy treatment. Learn spinal exercise. Don't sit on floor. Don't lift heavy things. Share your x ray report for further discussion.
1 person found this helpful

Prolapse disc surgery endoscopic can be done under local anaesthesia for aged patient with cardiac renal pulmonary functions normal?

BPTh/BPT
Physiotherapist, Bangalore
Yes, but it's very rare case, elderly people you may not expect cardiac and pulmonary function to be normal, so spinal or General recommended.

Why Is Cancer the Biggest Threat to India

PGD In Ultraasonography, Non Invasive Cardiology Course, MD - Medicine, MBBS
General Physician, Narnaul
Why Is Cancer the Biggest Threat to India

Cancer is one of the biggest threats to the young Indian population not only because of the factors that cause cancer but also due to late detection. However, certain bad habits and a few other factors increase the risk of cancer in India.

Causes of cancer in India:

  1. Overpopulation and the problem of nutrition: As per records, India is the world's third most populous country. However, it lacks in resources to feed the multiplying number of mouths. Nutrition plays a key role in deciding the quality of a person's life. Nutrition has therefore emerged as an essential branch of research and medical care in the last few decades. Lack of nutrition directly results in weakened immunity. Your body becomes prone to diseases, some of which can be fatal. To fight off cancer cells, one must have a strong immune system that comes from the right kind of nutrition.
  2. Smoking is a recurrent habit among children and adults: Smoking can cause cancer. Every cigarette packet reads the same warning messages but it doesn't actually deter smokers in any way. Smoking is prevalent among people of all age groups in India. From poor children to conscious educated adults, all are seen smoking.
  3. A Tropical country and its woes: Tropical countries are known to face the wrath of the sun. While most places in central, western, partly eastern and southern India experience extremes of temperature in summer, other places with moderately hot summers are not exempted from the harmful UV rays. Ultraviolet rays can be very harmful for one's skin, as it can cause skin cancer. Indians have a high amount of melanin, which protects them against sun rays, but the threat exists nonetheless.
  4. The concept of fast food: A global economy has opened avenues awaiting your attention in the realm of food. To suit the tones and moods of a fast life, fast food has been made available to you. We take pride in consuming things that can be prepared in an instant: instant noodles, soups and even curries. Packaged food and junk food are sources of cancer cells.
  5. Lack of awareness regarding the most common types of cancer: Breast and cervical cancer are the two most common types of cancer eating away the health of Indians. The problem lies in being unaware about the root causes, symptoms and treatment procedures related to these kinds of cancer. Social repression turns health concerns into matters of insignificance. Women fear social alienation after coming in the open with their problems.
5593 people found this helpful

7 Tips For Good Bone Health

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

1. Eat calcium-rich foods

In addition to dairy products, choose fish with bones such as salmon, sardines or whitebait. For additional benefits, serve them with a side of dark leafy green vegetables or broccoli. Almonds, dried figs, fortified tofu and soy milk are also calcium-rich choices, says registered dietitian laura jeffers, med, rd, ld.

2. Take calcium supplements

The u. S. Recommended daily allowance for calcium is 1, 000 mg a day during your 20s, 30s and 40s. But your need rises as you age. Check with your doctor before starting supplements to find out what amount is right for you. For example, after menopause, most women need 1000 to 1, 500 mg a day unless they take hormone therapy. Your body only absorbs 500 mg of calcium at a time, Ms. Jeffers notes, so spread your consumption out over the course of the day.


3. Add d to your day

To help absorb calcium, most adults need 1, 000 to 2, 000 iu of vitamin d daily, combined calcium-vitamin d pills usually do not meet this requirement. And most of us who live north of atlanta do not get enough vitamin d the old-fashioned way — from the sun. Taking a vitamin d supplement will ensure you meet your daily needs.


4. Start weight-bearing exercises

To boost your bone strength, try exercise that “loads” or compresses your bones, says exercise physiologist heather nettle, ma. “running, jogging, high-impact aerobics, repetitive stair climbing, dancing, tennis and basketball are best for building bones. But if you have osteopenia, osteoporosis or arthritis, try walking or using an elliptical or other machine,” she says. Be sure to clear any exercise plans with your doctor first.


5. Don’t smoke, and don’t drink excessively

Bad news for bad habits: loss of bone mineral density is associated with tobacco use and excessive alcohol consumption, Dr. Sikon says. If you smoke, look into a program to help you quit. If you drink, stick to no more than one libation a day, she advises.

6. Get your bone mineral density tested

Doctors can get a quick and painless “snapshot” of bone health using a simple x-ray test called dxa. This test measures bone mineral density and helps determine risks of osteoporosis and fracture. Dr. Sikon recommends testing for women within two years of menopause. Earlier tests are recommended for men and women with certain diseases and for those taking medications that increase risk, such as long-term steroid therapy.

7. Medication

Perimenopausal women may consider hormone therapy to increase waning estrogen levels, which are linked to bone loss. And women and men diagnosed with osteopenia or osteoporosis can take various medications to prevent dangerous hip and spine fractures.

9 people found this helpful

Hii. I am 23 years old & have pcod. My left breast discharge clear & right breast discharge milky when squeeze. I don't feel any lump. Sometime, some bump shown on the breast skin but it's heal within 2-3 days without any treatment. Is it anything serious like breast Cancer? Help me please.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
Hi, You are suffering from galactorrhoe which is caused due to hormonal disturbance. Get blood test done for serum prolactin and thyroid profile. It is easily treated with medication. If there is no lump then there is nothing to worry. Also get ultrasound breast done.
1 person found this helpful

Breast Cancer - Risk Factors Associated With It!

MS - General Surgery, MCH - Oncology , MBBS
Oncologist, Pune
Breast Cancer - Risk Factors Associated With It!

Detecting a lump on your breasts can be stressful for any women. Breast cancer is a common type of cancer and is said to affect primarily affect women though 1% of breast cancer cases affect men. Breast cancer can be categorized into different types based on their capability to affect surrounding tissues.

The most common amongst these are:

  • Ductal carcinoma in situ
  • Invasive ductal carcinoma
  • Invasive lobular carcinoma

Breast cancer is caused by mutations of a person’s DNA cells. This could be inherited from one’s parents or acquired by an unhealthy lifestyle. These DNA mutations cause cells in the breast tissue to multiply rapidly and turn cancerous. The risk factors for breast cancer can be categorized as modifiable and non-modifiable.

Modifiable risk factors:

  • Excessive alcohol consumption
  • Obesity
  • Use of combined hormone therapy after menopause
  • Lack of exercise

Non-modifiable risk factors:

  • Age
  • Family Medical History
  • Personal Medical History
  • Atypical hyperplasia
  • Early start of menstruation cycle
  • Presence of dense breast tissue
  • Inherited genetic mutations

As with any other type of cancer, the earlier it is diagnosed, the easier it is to treat. In its early stages, breast cancer is not painful and has negligible symptoms. In most cases, it is detected only by finding a lump on the breast or through a mammography. This lump may also be present in the armpit or above the collar bone. Some of the other symptoms of breast cancer include:

  • Nipple inversion
  • Discharge from the nipples
  • Changes in the colour and texture of skin covering the breast

Breast cancer has five stages beginning from 0 and going up to 4. This is based on the size of the tumour, involvement of lymph nodes and whether or not metastasis has occurred.

  • Stage 0: At this stage, the tumour does not affect the lymph nodes and has not metastasized. Thus at this stage, it is noninvasive.
  • Stage I:  In this case the tumour is smaller than 2 cm in diameter and has not spread to any of the surrounding tissues.
  • Stage II: In this stage, the cancerous tumours are still fairly small in size but also affect the surrounding lymph nodes.
  • Stage III: These tumours are larger than 5 cm in diameter and involve the lymph nodes to a greater extent.
  • Stage IV: This is also known as metastatic breast cancer. In this stage, the cancer cells metastasize to other parts of the body.

Surgery is the most preferred form of treatment for breast cancer. This may be combined with radiation, chemotherapy, targeted therapy or hormone therapy depending on the stage and type of cancer, the patient's overall health, age and personal preferences. In case you have a concern or query you can always consult an expert & get answers to your questions!

1985 people found this helpful

Brain Surgery - Know The Purpose Behind It!

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Ghaziabad
Brain Surgery - Know The Purpose Behind It!

The most powerful and amazing organ in our body is the brain. It differs from many other organs of our body not only by its shape, but also by its special type of cell called neurons. When these cells gets affected or dead it can never be reverted or regenerated which is the most exclusive nature found only in brain cells. The cells in other parts of our body has the capacity to regenerate (can be replaced or new one can be grown or produced), but brain cells are exception. Hence any damage to the brain, injury or trauma is really a crucial thing to be considered with utmost care.

Brain surgeries really need skill, proper training, confidence and intelligence to perform this highly complicated and risky surgery.

Purpose:
Brain surgeries are performed to:

  1. Remove the brain tissues that are grown abnormally
  2. Aneurysm is clipped to prevent flow of blood cliff off an aneurysm
  3. Biopsy purpose or to remove the tumour
  4. Make a nerve free
  5. Drain the abnormal blood or clot collection or to drain any excessive fluid collection caused by infection.
  6. To implant artificial electronic device as a treatment for conditions like Parkinson’s disease

Types:

  1. Biopsy: A part of brain tissue is removed for the brain or whole tumour is removed.
  2. Craniotomy: The skull bone is opened to remove tumour, an aneurysm and drain fluid or blood from infection.
  3. Minimally invasive endonasal endoscopic surgery: Endoscopic devices are inserted through the nose to remove the lesions or tumour.
  4. Minimally invasive neuroendoscopy: Similar to endonasal surgery but small incision is made.

Risks:

  1. Anaesthesia risks like breathing difficulty, allergic reaction to medications, excessive bleeding or clots and infection.
  2. Risk related to the brain surgeries are seizures, coma, swelling of brain, infection to brain or meanings, surgical wound infection that intrudes to the brain structures, abnormal clot formation and bleeding.
  3. General risks include muscle weakness, disturbances in memory, speech, vision, coordination, balance and other functions that are controlled by the brain. If you wish to discuss about any specific problem, you can consult a neurosurgeon.
1753 people found this helpful

How Can You Prevent Breast Cancer?

MD - Oncology
Oncologist, Hubli-Dharwad
How Can You Prevent Breast Cancer?

If you are concerned about breast cancer, you should know about the steps you can take to prevent the condition. Breast cancer is a type of cancer developing from the breast tissue. Symptoms such as a lump in the breast, fluid flowing from the nipple, changes in the shape of the breast and occurrence of red scaly patches on the breast denote breast cancer.

You need to make certain lifestyle changes in order to prevent breast cancer. The ways you should adopt include the following:

  1. Limit your alcohol intake: The more you consume alcohol, the more you put yourself at the risk of getting breast cancer. It is recommended for you not to drink more than one drink per day. Small amounts of alcohol increase the risk of breast cancer as well.

  2. Abstain from smoking: There is a direct link between tobacco smoking and breast cancer, and the risk is even more in premenopausal women. You should quit smoking to reduce the risk of breast cancer along with many other conditions, which can develop because of the ill-effects of smoking.

  3. Control your weight: Obese women are more prone to breast cancer when compared with women with a healthy weight. This is especially true when obesity occurs at a later stage in life, after menopause.

  4. Keep physically active: Regular physical activity is essential for you to maintain a healthy weight, which is important for preventing breast cancer. 150 minutes of moderate aerobic exercises or 75 minutes of vigorous exercises are recommended along with strength training.

  5. Breastfeed: Breastfeeding plays an important role in preventing breast cancer. The more you breastfeed your baby, the more protected you are from breast cancer.

  6. Limit the dosage and duration of hormone therapy: If you undertake combination hormone therapy for more than three to five years, you are at a higher risk of developing breast cancer. In case you are taking hormone therapy for menopausal symptoms, you should talk to your doctor about alternative options such as non-hormonal therapy and medications. If you still require hormonal therapy, you must use the lowest dose that will be effective.

  7. Avoid exposure to radiation and pollution: Certain medical imaging procedures like computerized tomography involves radiation of high doses. There is a link between breast cancer and radiation exposure. Thus, you should abstain from getting exposed to radiation and avoid taking such tests if it is not very urgent.

Maintaining a healthy diet also helps in reducing your risk of developing breast cancer. You should include food items which are plant based in your regular diet, such as fruits, vegetables, nuts, whole grains and legumes. Also, consume healthy fats such as olive oil instead of red meat and butter. If you wish to discuss any specific problem, you can consult an oncologist.

3021 people found this helpful
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