SARALA SURGICAL CLINIC, NURSING HOME

Are you suffering from polycystic ovarian syndrome and are looking for an ideal remedy? Polycystic ovarian disease or PCOD is a common female health condition. It is a complex disorder and involves several factors which include insulin resistance, obesity, irregular menstrual bleeding, insufficient ovum production, and abnormal menstrual cycles. PCOD commonly occurs during the reproductive age of a woman and accounts for being a major cause of infertility.

According to Ayurvedic principles, PCOD occurs primarily due to the imbalance state of your doshas. The dosha vaishanmya is linked to the symptoms of PCOD, and the relationship between the doshas and lakshans is permanent.

Treatment
PCOD is associated with stri beeja and rajah formation, along with medhodhantu to some extent. These should be attended to while the condition is being treated. The Ayurvedic treatment of PCOD aims at providing ideal care by correction of the ama dosha. By this, you achieve koshta shuddi, which in turn regularizes your tridoshas. The way or approach towards Ayurvedic treatment for PCOD includes the following:

1. Treatment of agnimandya at both dhatwagni and jataragni levels.
2. The alleviation of sroto avarodha is an essential part of PCOD treatment using Ayurveda. You should undertake purificatory therapies which are based on the grade of your doshic vitialation, and the exact area of affliction. These should be followed by rasayana drugs, which are free radical scavenging agents.
3. The regularization of the apana Vata is essential as well. You must firmly avoid vihara and kaphkara ahara.
4. Yoga and meditation are very important for the Ayurvedic treatment of PCOD. You should perform yoga asanas regularly. Some of the ideal postures for PCOD management include sarvangasana, matyasana, and shavasana.
5. It is also very important for you to work out regularly, undertake different physical exercises. This will make your overall life much healthier.
6. You must follow a healthy, balanced diet regularly, which should consist of fresh vegetables and fruits.

Ayurvedic herbs for the treatment of PCOD

1. The varuna crataeva nurvala is an effective herb which helps in the clearance of channels, which reduces your cyst’s size.
2. You can try hareetaki because of its amazing laxative effects, which reduce the morbidity of your body.
3. Bilva or aegle marmelos heps in reducing the size of your growth, via its digestive effect.
4. Strotasshuddhi is required and herbs likes Punarnava, kaphhar medicines are advised.
5. Phytooestrogen sources and female tonic Shatavari is very much advised.
6. Agnimantha, similar to lions. Lake er dhareyjata
7. Guduchi is another effective remedy for PCOD and has a rejuvenating effect.
8. Kanchnar is the drug of choice for Thyroid as per AYURVEDA, Strotasshuddhi is done by using Trikatu, Punarnava and other medicines. Rasayan like Shatavari are advised for enhancing female hormones.

If you are experiencing any symptom of PCOD, it is recommended for you to consult an Ayurvedic practitioner. This ensures that proper diagnosis is undertaken so that you can start treating the condition as early as possible.

Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.

Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.

Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.

Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:

1. Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.

2. Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.

3. Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.

4. Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.

We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.

The thought of undergoing a major surgery worries most people as they stress about the possible surgical complications, outcomes of the procedure or just get scared with the idea of getting an incision. But, following a few simple steps before the surgery may enable you to not only lessen your fears but also accelerate the recovery process.

Here are some of the most effective tips to prepare yourself in a way that ensures a stress-free surgical procedure.

1. Acquire knowledge about the surgery beforehand
Keep yourself thoroughly informed about the surgical procedures you will undergo. Ask your surgeon about the time required for complete recovery, your stay at the hospital, hygiene standards of the hospital etc. Also, talk about the surgical complications that you may experience and the measures to be taken from your side to deal with them.

2. Inform the doctor about your prevalent health issues
Talk to your doctor if you are suffering from any medical conditions currently like diabetes, hypertension, heart disease, arthritis etc. Also inform him if you are under any kind of medications or allergic to any particular drug.

3. Enquire about the types of anaesthesia available
Knowing about your anaesthesia choices always help you prepare better for an operation. While some surgery requires specific types of anaesthesia for other you can decide whether you want a local, regional or general anaesthesia. Local anaesthesia is used for affecting a small area while the regional one is used for numbing a larger part and general, your entire body.

4. Be prepared to deal with the post-surgery pain
You might experience post-surgery pain depending on the type of procedure followed. Ask your doctor for suggestions on the type of medicines you should do to curb this pain. Generally, most doctors recommend drugs, hot or cold therapy, massage etc.

5. Look for a caregiver in advance
You will require some support and care after the surgery while you recover. Seek the help of your family and friends in this regard and ensure that someone can stay with you for at least a day after you return from the hospital.

6. Follow the pre and post surgery instructions given by the doctor
Follow all the instructions given by the doctor regarding the kind of diet to be followed, restriction from consuming certain things like alcohol or any other lifestyle changes required to keep you healthy before and after the surgery.

Over the past decade, many women have opted for Breast Augmentation Surgery. It is a surgical process to improve the aesthetics of one's breast. Apart from giving a much needed lift to the bust size, the augmented breasts can lift up your confidence. Breast Augmentation Surgery, if gone wrong, can create a havoc. The outcome of the surgery can be influenced by a number of factors. Thus, before going under the knife, some important and vital points need to be taken care of.

1. It is advisable to avail the services of an experienced surgeon, who has a higher success rate. A lot of confusions and apprehensions may arise during course of the surgery. An experienced surgeon will ease out the tension to a great extend and guide you better.
2. Breast Augmentation is no child's play. Do not embark on breast augmentation surgery if you are below 18 years of age. It can result in serious health complications. Surgery can wait, but health once lost, will be gone forever.
3. Know the type of implants to be used. Saline and Silicone implants are commonly used in breast augmentation. Both the implants come with their own sets of merits and demerits.

Being softer and smoother, Silicone implants give the augmented breasts a very natural feel. The chances of scalloping (the skin around the breasts appear wavy) are negligible in case of Silicone implants. However, the Silicone implants come pre-filled. Thus, a bigger incision is needed to get it inserted. Though approved by the FDA, leakage of the silicone implants into the body has been reported. The leakage can affect the health seriously. Interference of Silicone implants with the mammogram can also pose a serious threat.

The Saline implants, on the other hand, are not pre filled. Thus, a small incision is all it takes to get the implants inserted. Once inserted, the implants are filled with saline solution. The saline implants can also leak into the body, without any serious implications. The biggest limitation of saline implants is in the fact that it gives the breasts a very hard feel. Scalloping cannot be ruled out either.

Things to take care of:

1. Do not go for breast augmentation surgery if you are planning to start a family in 1-2 years of time. A weaning or lactating lady should also avoid the surgery.
2. The exact location of the implant is an important factor to ponder upon. One can go for an under the muscle or over the muscle implants.
3. One can opt for a round implant or a tear shaped implant. The biggest USP of tear shaped implant lies in the fact that it gives a very natural feel to the augmented breasts. The round implants, on the other hand, are much safer to use.
4. Go for the surgery only when you are physically, mentally and emotionally fit and healthy.

Vulvovaginal candidiasis refers to the infection of the vagina, accompanied by itching in the vulva. It is caused by a particular strand of yeast known as candida albicans.
There are several reasons which contribute to the onset of vulvovaginal candidiasis, some of them are:

1. Pregnancy
Pregnancy is a time when the body of a woman undergoes a plethora of changes. With the upsurge of certain hormones, this is also the most potent time when they tend to suffer from vulvovaginal candidiasis.

2. Higher Dose Of Estrogen
Estrogen is responsible for maturing the vagina as well as provides glycogen which facilitates the growth of candida albicans. Subsequently, older and younger women, who are less prone to estrogen disorder, suffer the least from vulvovaginal candidiasis.

3. Uncontrolled Diabetes
Those women who suffer from uncontrolled diabetes for a long period of time are more susceptible to vulvovaginal candidiasis. Although the accurate reason is yet to be known, according to research, the presence of excessive glucose in the blood triggers the production of yeast in the vulva and the vagina.

4. Weak Immune System
A strong immune system is a boon which only few people enjoy. Consequently, the very reverse, a weak immune system is extremely fatal, one that invites several complications; vulvovaginal candidiasis being one of them.

5. Stress
Excessive stress and exhaustion may also be considered as a probable reason that causes imbalance in your system.

6. Hormone Replacement Therapy
Estrogen is commonly held as a possible culprit that causes vulvovaginal candidiasis. Therefore in those hormonal replacement therapies, where estrogen is artificially administered into the body significantly increases the risk of an impending vulvovaginal candidiasis.

In spite of its frequent occurrences, it is possible to treat this infection. Some of the ways by which it can be done are-

1. Anti-fungal cream
Those creams which negate the growth of fungus are, for obvious reasons considered as the most preferred choice to combat vulvovaginal candidiasis. There are plenty of anti-fungal creams available in the market, which can be misleading, therefore you must choose wisely.

2. Diflucan
This medication works wonders in treating vulvovaginal candidiasis. This must be orally administered under the doctor's supervision to enjoy the results.

Bringing a child into this world is one of the most wonderful phases of a woman's life. At the same time, this involves a lot of body changes - physiologically, physically, chemically, and emotionally. Mommy makeover refers to one or a combination of procedures that are done to alter the appearance after delivery, especially relating to one or more of the following:

1. Tummy that is sagging (no fat, just loose skin) with stretch marks
2. Breasts that are altered in size and shape, sometimes the enlargement could be completely disproportionate with the body and cause back pain
3. Undefined thick waistline with irregular fat accumulation
4. Fat deposits on the abdomen, thighs, hips, and trunk that do not reduce with dietary changes and exercise
5. Skin changes on the face and around the eyes, giving an aged appearance
6. Post cesarean, there is excessive skin around the surgical scar

Pros:

1. Reduces tummy size
2. Gives a more youthful appearance
3. Alters breasts to the desired shape and size

Cons:

1. Weight loss, if happens, could affect the results
2. Subsequent pregnancies don't have any complications with tummy tuck but with another pregnancy the effects may be lessened or reversed.
3. Since surgery is involved, the risk of unforeseen complications always exists (for instance, in breast implants, there is capsule formation or capsulitis, in rare cases rupture may require removal.)

Mommy makeover is not a single step procedure, but a combination of plastic surgical procedures that are done depending on the problem you present with.

Tummy tuck - If there is abdominal sagging, the tummy is tucked back into position by removing the fat and excessive skin and reworking on the belly button.

Liposuction - Excessive fat deposits in the hips, thighs, trunk area can be removed by sucking out the fat deposits. Most commonly done in the hips and trunk area.

Breast lift - Sagging uneven breasts, drooping nipples, reduced volume are all indications for a breast lift. During the surgery, the breast tissue is repositioned to reproduce a better shape and size and reposition the nipples if required.

Breast reduction - Large breasts are a common problem, and breast reduction is one of the most requested for procedures.

Breast augmentation - Either saline implants or silicone are used to restore breast size and shape to the desired results. Usually, breast lift is combined with breast augmentation.

Facial corrections - From dark circles to sagging skin to wrinkles, facial appearance can be changed based on the presenting symptoms.

These are very brief descriptions of the various procedures that are done as part of mummy makeover. A detailed consultation with your plastic surgeon regarding costs, subsequent pregnancies, aftercare, recovery, healing, and limitations and risks is to be had ahead of the surgery.

A Pap smear test helps in detecting the signs and onset of cervical cancer. This test helps in pointing at the presence of any suspicious cells that may require further examination and testing with the help of an oncologist. You will enjoy a negative result in case you have a normal reading during the examination process and no further treatment will be required. Yet, you will be asked to go through the test on a regular basis. But here is what happens if you have an abnormal reading.

1. Positive Result: You are said to have a positive result, if you any unusual or abnormal cells were found during this Pap Smear Test. While this may not necessarily mean that you have cervical cancer, it can show what kind of abnormal cells are present in this area of your body. The doctor will check for the following things after a positive result.
2. ASCUS: This is also known as Atypical Squamous Cells of Undetermined Significance. This is a liquid based test that will seek to study the thin and flat squamous cells that may be found on the surface of a perfectly healthy and normal cervix. This test will check for the presence of any virus that may lead to the development of cancer and to determine the level of risk to the patient. Further, if there is any high risk virus, then further treatment and testing will be required.
3. Squamous Intraepithelial Lesion: When some of the cells that have been extracted during the Pap Smear test turn out to be precancerous, then they are Squamous Intraepithelial Lesions. In many cases, it takes a few years for these lesions to turn cancerous especially when the changes are low grade, which pertains to the size, shape and other features of the same. If a high grade lesion is detected, then diagnostic testing in the form of imaging tests may be required.
4. Atypical Glandular Cells: These mucus producing cells grow within the cervical opening and usually spread into the uterus as well. While they may appear abnormal, it is difficult to tell whether or not they are cancerous, especially in the early stages.
5. Squamous Cell Cancer: This is an almost certain reading of the growth of cancer in the cervix. When a reading from the Pap Smear includes such a finding, the doctor will recommend immediate evaluation.
6. Colposcopy: Once you have had a positive reading with any of the above findings, the doctor will perform this procedure with sample tissue extracted during a biopsy. This will be done with the use of a special magnifying tool known as a colposcope to examine the cervix, vagina and vulva tissues.

How Blood cancer can be treated?

Taking care of a newborn is indeed difficult; you need to be alert all the time. In the first few months, the baby needs more care than anything else. You have to sacrifice your sleep over your child to just make sure that the cotton ball like an infant is all right. Though the first few weeks and the months seem chaotic for the first-time parents, the happiness and the joy of being a parent overrides the pain.

As a first-time parent, you need to understand a few things which are crucial for you as well as your baby and here are seven tips for the first-time parents.

#1. Your Health Is Baby’s Wealth
As your baby will feed on you for the first few months, you need to hone your health first. Maybe this tip seems little off track. However, the fact that if you don’t eat properly or you have nutrients deficit in your body you can’t provide the required nutrition to the little one justifies the point. Keep your blood sugar under control, maintain a proper diet with a maximum quantity of vitamins, proteins and minimum amount of salt in it.

#2. Consult Your Doctor And Prepare For Breastfeeding
The primary way to deliver the nutrients and food to your baby is breastfeeding. The doctor recommends breastfeeding till the baby is six months old and in those six months, you shouldn’t use artificial baby food. Consult with your gynecologist and child specialist when you should start breastfeeding and how many times a day you can feed your baby. Doctors will also guide you in producing the maximum amount of milk for your baby.

#3. Wiping It Out
No, you don’t need to buy the costly wipes when your baby in just feeding on your milk. Rather it is better to wipe the little creature with damp cotton or soft cloth. It is more suitable for the newborn as the chances of having rashes are quite low.

#4. Sterilize It All
Yes, you need to keep the germs and the bacteria away from your child, and the best way to do that is to clean all the products that you use on your baby. It might be just a spoon or the feeding bottle or the items with which your child plays.

#5. Diaper For Long Sleep
Choose the diaper wisely for the baby. For long sleep like in the night, you need to use the maxi diapers so that neither your child nor you have to wake up in between your sleep and change it.

#6. Don’t Panic
Babies need to cry, don’t panic every time! This is the way they connect and communicate so stop bothering yourself thinking what you are doing wrong.

#7. Love and Care
The last but the most important tip is that you need to care for your baby which you would obviously do. But don’t become an overprotective parent, let the child grow according to the nature rules.

Do you consume soy milk on a regular basis? Soy milk is full of essential nutrients and is a source of complete protein for vegns and vegetarians. However, some people avoid taking soy milk as several compounds similar to the female hormone estrogen are present in soy milk. In spite of having several cons, the pros of drinking soy milk are significant and essential for maintaining good health.

1. Nutrients in soy milk: Soy milk contains protein in large amounts and is fortified with micro nutrients such as vitamin D, calcium, phosphorous, vitamin A, vitamin B 12 and Riboflavin. One cup of soy milk contains about 8 grams of protein. Soy milk also contains Alpha Linolenic Acid or ALA, an Omega-3 fatty acid, which the body requires for proper functioning. The micro nutrients contained in soy milk are similar to those present in cow milk.
2. It is lactose-free: Cow milk contains lactose, which is a natural sugar and many people find it hard to digest it. Soy milk is completely lactose free. Hence, if you have a milk allergy or are lactose intolerant, soy milk serves to be an ideal nutritional replacement without having any negative side effects on your body.

Health benefits
There are several health benefits, which are obtained by drinking soya milk. It is free of dietary cholesterol, trans fat and saturated fat, which indicates that your risk of heart disease is reduced. Drinking 25 grams of soy milk as a part of a healthy diet prevents the occurrence of heart diseases. Soy contains isoflavones which help in the prevention of hormone associated cancers such as breast cancer, prostate cancer and endometrial cancer.

Concerns
In spite of having several health benefits, there are some potential concerns associated with soy milk and its consumption. According to some studies, soy can affect or impact fertility in men. Soy may also increase the activity of thyroid hormone and reduce thyroid function. Moreover, milk is considered to be more effective than soy protein in boosting lean muscle mass.

Soy milk accounts for being one of the most ideal non dairy milk varieties, if you are concerned about matching its nutrient content with cow’s milk. Recently, there have been some controversies regarding the benefits of soy milk as GMOs or genetically modified organisms are used in it. However, there are many soy milk manufacturing brands which do not use GMOs. Moreover, there is no evidence about GMOs being harmful to the body.

The first commandment of healthy living is to eat plenty of fresh fruits. However, did you know that some fruits are healthier than others? Fruits do not have any added sugars but many fruits are rich in natural sugar. Lychees, figs, and avocados are three such fruits and should be consumed in limited amounts. However, here are 11 fruits with the lowest sugar content.

1. Limes and lemons: Limes and lemons are known as sour fruits. While they are rich in vitamin C, they do not contain a lot of sugar. Freshly squeezed lime juice and hot water are the perfect drink to curb your appetite and raise metabolism.
2. Raspberries: Raspberries are rich in fiber but have only a little more than a teaspoon of sugar per cup. This makes them the perfect fruit to start the day with.
3. Strawberries: Strawberries may taste sweet but a cup of fresh strawberries that only about 7 grams of sugar. However, a cup of strawberries has enough vitamin C to take care of your daily requirements.
4. Blackberries: A cup of these berries also has minimal sugar. Along with fiber, these fruits are also rich in antioxidants. These berries also help lower the risk of type 2 diabetes, cardiovascular diseases, and other such conditions.
5. Kiwi: Did you know that kiwis are technically berries? Each kiwi has less than 6 grams of sugar but is very rich in vitamin C.
6. Grapefruit: A grapefruit is a perfect breakfast. These citrus fruits are rich in fiber and low in sugar. Half a grapefruit contains only 52 calories and minimal sugar. They are also rich in vitamin A, vitamin C, and potassium.
7. Avocado: Avocados are naturally low in their sugar content. One raw avocado has less than a gram of sugar. However, they are full of vitamin C, vitamin K, folate, and potassium.
8. Watermelon: Summer would be incomplete without watermelons. Though they taste sweet, watermelons are very low in sugar. A cup of watermelon has less than 10 grams of sugar.
9. Cantaloupe: Cantaloupes are rich in vitamin A but a cup of this fruit has only about 14 grams of sugar. They are also rich in vitamin B, magnesium and fiber.
10. Oranges: Eating an orange is the best way to boost our vitamin C levels and keep infections away. One orange typically contains less than 70 calories and 12 grams of sugar.
11. Peaches: A medium sized peach has less than 13 grams of sugar. This is an example of how taste can be deceptive when it comes to calories.

Given the sugar content in these fruits, it would be a great idea for the diabetics and weight watchers to include them in their diet and have a healthy and hearty meal. If you wish to discuss about any specific problem, you can consult a General Physician.

Why is Premarital Counseling important?