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What Are The Common Symptoms Of A Brain Stroke?

DM - Neurology, MBBS, MD - Medicine
Neurologist, Bhubaneswar
What Are The Common Symptoms Of A Brain Stroke?
A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage. Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below).

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

Treatment depends on the type of stroke.
Ischemic strokes can be treated with 'clot-busting' drugs.
Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a Clot Buster drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.
Rush to the nearest Stroke Centre whenever you experience such symptoms.
U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER.
Endovascular procedures
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including

High blood pressure,
Cigarette smoking,
Diabetes
Atrial fibrillation and
Physical inactivity.
More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.
Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.
1 person found this helpful

Varicocele - Know More About It!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Varicocele - Know More About It!
Varicocele
Testicles are held in a loose bag of skin and the enlargement of veins in the area is called varicocele. It appears similar to the varicose vein present in the leg. If you are suffering from varicocele, there will be an impact on the production of sperm. The reduction in sperm production and quality will have an impact on the reproduction. It can interfere with the normal development of the testicles and in some cases, it leads to the shrinkage of testicles.

In some cases, Varicocele may lead to complications. You should be aware of the symptoms so that you will get medical attention at the earliest. When you get the medical attention, you can prevent serious issues. You should be aware of the causes of Varicocele as well. If you are aware of the causes, you can take preventive steps so that further progression of the condition will be arrested.

Varicocele Symptoms
The development of varicocele will take over a period of time. Hence, you may not witness the symptoms immediately. Pain, swelling and difference in size of testicles are the predominant testicular symptoms. The medical professional can check these symptoms very easily.

- Some patients suffer from pain. The pain will be either sharp or moderate.

- The pain will increase with physical exertion (over a long period of time)

- Will become worse during the day

- There will be relief from pain when you lie down on the back

- It will impact your fertility

- The enlargement of varicoceles will take place over time. If the enlargement is abnormal, it will appear like a bag of worms.

- The testicle will swell and the swelling will be prominent on the left side.

- The testicle is made up of the sperm-producing tubules. If the testicle is damaged, it will become soft and small.


Varicocele Causes
In the male reproductive system, the passage of blood will take place to and from the testicles and it takes place through the spermatic cord.

- As per the opinion of experts, the formation of varicocele will take place due to the obstruction of blood flow by the valves in the cord. The veins will widen in this process. It might lead to the damage of the testicle and it will affect the reproduction system.

- The formation of varicocele will take place in puberty. The varicocele will occur on the left (in most of the cases) due to the presence of the left testicular vein.

- It will lead to grade I varicocele when the spermatic vein fills with the blood.

- There will be damage to the spermatic vein and other veins when you suffer from a shunt type of Varicocele. It is considered as Grade II or III Varicocele.

- If a patient suffers from Varicocele on one side, it will affect the sperm production on both sides.



Varicocele Diagnosis-
In most of the cases, the varicocele can be diagnosed very easily.

- Physical examination is sufficient to diagnose the condition and it will be done by your doctor.

- You will not find or feel varicocele when you are in lying condition. The examination of the condition will take place while you are standing up or lying down.

- For some patients, a scrotal ultrasound test will be recommended by the doctor. The procedure will help to figure out the spermatic veins and the doctor will get a detailed picture of the condition.

- There are three clinical grades in the varicocele. They are grade 1, grade 2 and grade 3. You should understand that the grade 1 is the smallest and the grade 3 is the largest.

- The treatment is not based on the size but on the degree of comfort and the inconvenience caused due to infertility.

- Sound waves of certain high frequency will be used to figure out the root issue associated with varicocele. The object identification and measurement of distances will be done very efficiently with ultrasound imaging technology.



Varicocele Prevention
The following preventive measures can be taken to overcome the Varicocele.

- Avoid hot temperatures The symptoms of Varicocele will worsen by being exposed to hot temperatures as it will lead to dilation of veins. Hence, you should avoid hot bath and exposure to hot temperatures. It will help you contain the pain in a very efficient manner.

- Lifestyle Healthy eating and fitness practices will enhance the fertility chances. If the patient is suffering from reduced sperm production, varicocelectomy or embolization will be performed.

- Avoid lifting heavyweights You should avoid lifting of heavyweights as there will be great pressure on the abdomen. Bodybuilding and weightlifting exercises should be avoided.



Varicocele Treatment-
There are no significant risk factors for the development of varicocele. If you are going through the assisted reproductive methods, you should undergo the treatment.

- Varicocele does not require treatment in many cases.

- If there are symptoms in the patient, the condition can be corrected surgically.

The following conditions warrant the treatment of varicocele:
- Causes pain

- Leads to infertility

- Leads to testicular atrophy

- Varicocele will alter the functioning of testicles. Hence, you will want to go for the most appropriate treatment. The sperm production will improve if you take the treatment at the earliest.

- To overcome the pain, you might want to wear tight underwear or a jock strap. With the firm support offered by the underwear, there will be a great comfort.

- The other forms of treatment include varicocelectomy and varicocele embolization. These procedures are chosen when the suffering of the patient is severe.

- Varicocelectomy procedure can be performed on out-patient mode. The abnormal veins will be tied by entering through the abdomen or pelvis. In this process, the blood flow will take place to the normal veins. You should want to talk to your doctor about the procedure so that the precautions, as well as aftercare measures, can be followed.

- Varicocele embolization is a procedure which is performed on the same day. The less-invasive procedure will be done by inserting a small catheter through the groin or nerve vein. A coil will be placed in the catheter and into the varicocele. Thus, the blood that oozes out to the abnormal veins will be blocked.

- After the surgery, you can attend the work in one or two days. However, you should not do exercise for at least 2 weeks.

- If you undergo the embolization, the recovery will be quick.

- If there is a change in size, shape and appearance of testes, you should consult the physician.



Management of varicoceles through non-surgical methods-
The non-surgical treatment of Varicocele is an effective means to manage the condition. There will be a great relief from discomfort and pain with the non-surgical treatment.

- Anti-inflammatory non-steroidal treatment There will be symptomatic relief from pain by using non-steroidal anti-inflammatory medication. However, you will treat the symptoms and it is not considered a specific treatment. If there is severe pain, the surgical repair of a varicocele will be the only option.

- If the patients wait for the surgery, painkilling medication can be used. If you are using painkillers such as aspirin, you should want to inform the doctor about the same. The painkillers will bear a risk of prevention of blood clotting ability.

- There will be relief from pain by lying down on the bed. However, there will be temporary relief from pain. If there is severe pain, the surgery is the highly recommended option.

Varicocele Complications
You should visit the doctor in the following circumstances:

- Pain or swelling in the scrotum

- Presence of mass on the scrotum

- The testicles are of different sizes

- The development of varicocele during the youth

- Having issues with the fertility

- The shrinkage of the affected testicle is called atrophy. The testicle is made up of sperm-producing tubules. The testicle will shrink and damage due to the formation of a varicocele.

- The exact reason for the shrinkage of the testicle is not yet ascertained by doctors. However, due to the malfunction of the valve, the blood will pool in the veins. It will lead to enhanced pressure in the veins and with enhanced exposure to toxins from the blood, the testicles will be damaged.

- The local temperature around the testicles will be high when you are affected by varicocele. It will have a direct influence on the sperm formation, motility and function.

- It may lead to primary infertility in 35% to 44% of men if the couple fails to produce the child after one year of trying.

- It may lead to secondary infertility in 45% to 81% of men if the couple manages to produce the child at least once but not later.

- If you fail to treat the varicocele, there will be a decrease in the sperm quality and quantity. It will lead to infertility and the prolongation of the issue on a long-term basis will lead to testicular injury which cannot be reversed.

- The low level of testosterone will lead to many issues such as the inability to get a firm erection, low sex drive, fatigue, depression, lack of focus, hot flashes, decreased muscle mass, difficulty sleeping.

- Varicocele may lead to hormone imbalance. The cells will react if there is an increase in pressure and it can lead to a change in hormones. Luteinizing hormone (LH) is present in both men and women. However, it may increase is men due to Varicocele. The testosterone levels will be normal to sub-normal.

- Bleeding into tissues which is also called as hematoma is one of the common complications associated with Varicocele.

- Some men will suffer from the accumulation of fluid around the testicle which is affected by Varicocele.

- The possible other kinds of complications are infection and injury to scrotal tissues or structures. If there is an injury to the testicle, it will lead to loss of testicle as well.



Varicocele Myths
Myth #1: It is difficult to live with varicocele

Varicocele is a common complication in males. You can consult your doctor to get an appointment with the specialist. The reproductive specialist will help you and your partner in getting the children.

Myth #2: Surgery cannot be performed to obtain children

Surgery is the option to get children. If you are suffering from severe pain, the doctor will suggest the most appropriate surgery so that you will overcome the pain and there will be a great scope to produce children as well.

Myth #3: Varicocele is similar to varicose veins

Even though varicocele is similar to varicose veins, it occurs around the legs. Even though there are no serious issues with the varicocele, it will affect the reproductive system.

Myth #4: Varicocele affects both sides

Varicocele generally affects the left side

Myth #5: Tests are not mandatory for Varicocele treatment

Urologists will conduct various tests to figure out the Varicocele s impact on fertility. By conducting ultrasound tests, blood tests and semen analysis, it is possible to diagnose the case.

Myth #6: Most of the men who are infertile suffer from Varicocele

It is only reported in around 15% of men. It was also observed that 35% of the men who were tested for infertility suffer from Varicocele. Hence, 80% of men have issues which are not related to the Varicocele.

Myth #7 Varicocele surgery will improve male fertility

It is not proven whether varicocele surgery can improve the male fertility due to lack of clinical data.

Conclusion
Varicocele is similar to varicose veins. However, it will affect the testicular area in men and it may have a negative impact on the reproduction system. About 15% of men between the age of 15 and 25 years suffer from Varicocele. Even though the exact cause for Varicocele is not known, it will be similar to varicose veins. You will not want to suffer from varicose veins as it is not a serious issue. However, you should undergo the treatment to overcome the fertility issues. If there are severe complications, you should undergo the surgery.
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Varicose Veins - How Can Ayurveda Help Treat Them?

MD - Ayurveda
Ayurveda, Guwahati
Varicose Veins - How Can Ayurveda Help Treat Them?
Varicose Veins is a severe medical condition whereby the veins (mostly legs) become swollen, tortuous and dilated, i.e. the veins become varicosed. The Venous blood flows in an upward direction from the feet to the heart. There are special valves present in the veins that assist the upward flow of the blood. Fatigue, prolonged standing, menopause and a number of other factors can weaken the valves. This affects the movement of the blood flow. As a result, some of it leaks and flows back down. The affected veins turn bluish-brown, red or blue. There also occurs dryness, leading to unbearable itching. Redness or the Red Leg syndrome is very common in case of Varicose Veins.

A number of surgical and non-surgical options are available for Varicose Veins. The Ayurvedic treatment, with its effectiveness and negligible or zero side effects, is the most sought after option.

Identifying the root cause

Accurate diagnosis is very important for effective treatment. According to Ayurveda, an imbalance of the Vata (wind and space) plays a pivotal role in Varicose Veins. The role of Rakhta (blood) and Pitta (heat) cannot be neglected either. Thus, restoring the Vata balance becomes a very important part of the treatment.

The Vata balance can be easily restored by following a healthy lifestyle and having an equally healthy and nutritious diet:

1. Citrus fruit like Amla works miraculously to revitalise the fatigued and Varicosed vein.
2. Include fresh fruits, whole grains (oats, millets to name a few) and proteins (milk, eggs, fish and chicken) in your diet. Drink plenty of water.
3. Red meat and spicy foods should be strictly avoided.
4. Garlic, onion and ginger are very beneficial. Consume them regularly.
5. Do not indulge in rigorous exercise or walking. Never soak your feet in cold water after exercise. It can prove to be detrimental for Varicose Veins.
6. Do not compromise on your sleep. A rejuvenated body and a relaxed mind can enhance the healing process greatly.

Ayurvedic medicines and herbs for treating Varicose Veins

A number of Ayurvedic medicines are available that treats Varicose Veins very effectively:

-Kaishora guggulu: Being a natural cleanser of blood, Kaishora guggulu is an obvious choice for Varicose Veins.
-Sarivadyasava: It goes a long way to detoxify the blood naturally.
-Chirabilvadi kashaya: It is very effective in case of haemorrhoids.
Sahacharadi: It is amazing herbal oil that provides great relief. Tender application of Sahacharadi over the varicosed vein/ veins can work wonders.
Herbs like Ashwagandha, Shatavari, Brhami go a long way to restore the Vata balance.
Do not lose sleep over Varicose Veins. The best and most effective Ayurvedic Treatment is just a click away.

PCOD or Polycystic Ovary disease is one of the most common hormonal disorders faced by women today. The trigger for PCOD varies from person to person, and can range from poor diet and stress to fluctuating insulin and hormonal disturbances. PCOD patients have an enlarged ovary with a number of small follicular cysts. If you or a loved one has PCOD, here are a few things you should know.

Acknowledge the symptoms
PCOD is hard to diagnose. Some of its symptoms are irregular periods, high insulin levels, abnormal hair growth, low thyroid, acne, obesity and high blood pressure. Checkups at regular intervals are needed to confirm a PCOD diagnosis.
A change in lifestyle is the best form of medication

Medication for PCOD addresses its symptoms. For example, you could take medication to correct Insulin resistance or pills to control acne and hair growth. However, a lifestyle change in the form of a well balanced diet and regular exercise is essential for PCOD patients. In terms of diet, PCOD sufferers should have lesser carbohydrates and sugars, and increased amounts of fiber and protein. Exercise helps control weight and the balance between male and female hormones. PCOD patients also need to find ways to lower their stress levels. Yoga and meditation can be very helpful to this effect. Without this, no medication will be effective.
If left untreated PCOD can lead to many other problems

Diagnosing PCOD is difficult and even when diagnosed, regular checkups are essential for PCOD. When left unchecked, PCOD can lead to many more problems such as diabetes, high cholesterol, high blood pressure and even endometrial cancer. PCOD can also result in difficulties at the time of conception and lead to miscarriages if not treated properly.

You can have a baby even if you have PCOD
A PCOD diagnosis can make it hard to get pregnant, but does not limit your ability to conceive a healthy baby. If the patient has fertility problems because of PCOD, doctors often prescribe treatments to stimulate the ovaries into producing more eggs. Women with PCOD are often recommended to plan an early pregnancy, as advancing age adds to the limited capacity of the ovaries.
Lastly, know that you aren't alone and PCOD should not embarrass you. Instead of bottling up your feelings and thoughts, find supportive friends and family members that you can talk to. You can also find support online through a number of discussion forums. Or contact us for a private consultation.
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Why varicose veins is occur? What is reason behind it and what problem occur due to this?

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Varicose veins is failure of vein valves to push impure blood towards heart..which result in enlargement veins of legs which are seen as blue colour strips in legs...is very common and in severe stages can progress to ulcer which are weeping and nonhealing
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Hi, I have varicose veins n suggested for surgery, I want to know if it can be treated without surgery only by medication ,I have consulted vascular surgeon but m scared of getting surgery done n not sure whether it is 100%cure for this problem as it comes again, I am having osteoarthritis, n xray shows osteophytes, pl suggest me ,what should I do, thanx.

MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
You have options of laser/RFA and other endovascular procedures..which are painless...about your recurrence some do reccure...if all symptoms are due to varicose vein than arthritis consider for intervention..u already consulted vascular surgeon..best person for varicose veins..
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EVLT Endovenous Laser Treatment For Varicose Veins!

M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Nashik
EVLT Endovenous Laser Treatment For Varicose Veins!
It is said that if all the veins of the human body were laid out in a single line, it would stretch over 60000 miles. We don t usually think of our veins or notice them unless an intravenous injection is to be administered or the person suffers from varicose veins. These veins are usually benign and can be described as enlarged veins that rise to the surface, and become prominently visible. The varicose veins can usually be seen on the feet and calves. For most people, it is simply a cosmetic problem but for others it can be the cause of pain and discomfort. The good news is that in either case, varicose veins can be treated.

EVLT refers to Endovenous Laser Therapy, which is also known as EVLA or Endovenous Laser Ablation. This is a type of laser therapy that can be used to destroy veins from within. The procedure is performed while the patient is under local anesthesia and hospitalization is not required. Know the steps in which it is carried out:

The first stage involves mapping the veins and identifying the problem veins. A Duplex Ultrasound is usually used to create this map. It is important to note that this procedure cannot treat bulging veins on the surface of the skin. The veins that can be treated include the Great Saphenous Vein (GSV), Small Saphenous Vein (SSV) and their major tributaries.
Once the veins have been identified a needle is inserted into the vein near the ankle or knee with the help of ultrasound controls. A wire is then passed into the vein and a long sheath is then passed to the top, and positioned with the help of the ultrasound.
Ultrasound is again used to then inject local anesthetic into the area around the vein. This numbs the vein and surrounding tissue. The adrenaline in it also makes the vein contract, so as to fit the sheath perfectly. This technique is called Tumescent anesthesia .
This is followed by passing a laser fiber inside the sheath and switching the laser on. The laser and sheath are then pulled back simultaneously so as to destroy the vein without damaging any of the surrounding tissues.
Once done, you should be able to get back to work and your normal lifestyle, the day after the surgery. But it is advisable to take good rest for few days, before you get back to your regular routine. Your doctor may advise you to wear compression stockings for up to 2 weeks. You should also avoid letting your legs come in contact with water. To avoid getting varicose veins in future, exercise regularly and have a balanced diet to control your weight.
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Best General Surgeons in Gurgaon

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
A general surgeon has special expertise in abdomen problems and general anatomy. Best General Surgeons in Gurgaon are specialised in treating trauma surgeries and surgeries related to organs, gallbladder, colon, appendix bones. Below is the list of best general surgeons in Gurgaon:

1. Dr. Ashish Pitale

MBBS, MS - General Surgery

Consultation fees: 500 - 900

Dr Ashish Pitale is a Senior Consultant Surgeon with 27 years of experience. He specializes in Laparoscopic Surgery and has also done a fellowship in Bariatric surgery. He is trained from UK for higher surgical training where he got hands on experience in Gastrointestinal, Laparoscopic, Thyroid and Breast surgery. He currently practices at Columbia Asia Hospital, Gurgaon and his own clinic in Dwarka, Delhi. In his vast experience he has traveled several complicated cases.

2. Dr. Vaibhav Kapoor

MBBS, MS - General Surgery, FIAGES

Consultation fees: 700

Dr. Vaibhav Kapoor has over 10 years of experience in the field of laparoscopic and laser Surgeon. He is also a certified in Laser Proctology and Varicose Veins Surgery. He is known for use of latest technology to treat his patients and is holistic in his approach. He currently practices at Pristyn Care Laser Clinic. His areas of expertise are laser treatment of piles, fistula, fissure, varicose vein treatment.

3. Dr. Gaurav Bansal

MBBS, MS-General Surgery , FMAS, FIAGES

Consultation fees: 500 - 700

Dr. Gaurav Bansal is amongst the best Laparoscopic and General Surgeon in Gurgaon. He is associated with many hospitals like Primus Hospital- Delhi, C K BIRLA , Artemis Hospital, W Pratiksha and Greenwoods Health Centre. His special interest are doing laparoscopic surgeries related to Gallbladder, Hernia, Piles surgery, Fistula, Fissure, Hydrocoele, Gastro Intestinal Surgery , all minor surgeries and Breast surgery.

4. Dr. Rusy Bhalla

MBBS, MS - General Surgery

Consultation fees: 1200

Dr. Rusy Bhalla is a well known General Surgeon who is practicing from 28 years in these fields. He is currently associated with W Pratiksha Hospital, Gugaon. During his career he has earned various fellowships at national and international level. He is also a member of various medical associations. His area of specialisation are Fistula Treatment, Colorectal Surgery, Thyroid Swelling, G.I. Surgery and Cancer Surgery etc.

5. Dr. Vikrant Sharma

MS - General Surgery, MD - Physician, FNB In Minimal Access Surgery

Consultation fees: 300

Dr. Vikrant Sharma is a well known laparoscopic surgeon and is currently director of advanced laparoscopic surgery centre at Meenakshi Hospital, Kaushambi. He has Done Fellowship In Bariatric Surgery from Mohak Bariatrics and robotics, Indore which is amongst the most reputed center for obesity surgery. He has also specializes in all kind of minimal access procedures like Bariatric surgeries, Colorectal, Gynecological and Gynae-oncosurgeries.

6. Dr. Avaneesh Hasiza

MBBS, DNB - General Surgery, MS - General Surgery

Consultation fees: 500

Dr Avaneesh Hasiza is amongst the reputed laparoscopic surgeon in Gurgaon. He has more than 15 years of experience and has conducted several hundred surgeries. His area of intrest are removal of gallbladder stone,all types of hernia, abdominal tumours and obstruction surgeries. He is known for the use of the most advanced and best techniques called MIPH or Stapler Piles Surgery for treating appendix and piles surgery.

7. Dr. Rajiv Parakh

FRCS, M.B.B.S., MS (Surgery)

Consultation fees: 1200

Dr. Rajiv Parakh is a General Surgeon who has 36 years of experience. He has been awarded several awards and has been honoured by several institutes like Sushil Malik Oration - Indian Medical Association, SDB Prof. Hari Vaishnava Oration By Delhi Medical Association, Sushil Malik Oration by Indian Medical Association. He is the founder member of Vascular Society of India, Endovascular Intervention Society of India and is a Life Member of the Society of Vascular Surgery. He was elected as Secretary of the International Society for Vascular Surgery, New York, USA in 2007. He currently practices at Medenta hospital. His areas of specialization are Carotid Surgery, Endovascular Surgery, Below the Knee Angioplasty and Vascular Trauma.

8. Dr. A.K. Kriplani

MBBS, MS - General Surgery

Consultation fees: 1000

Dr. A.K. Kriplani has 41 years of experience and has held some very reputed positions like President and trustee of the Indian Association of Gastrointestinal Endosurgeons. He is recipient of more than 20 Awards, honours and orations. He is also the first surgeon in India to perform advance surgeries like laparoscopic adrenalectomy, laparoscopic splenectomy and laparoscopic whipple's pancreaticoduodenectomy. He has trained hundreds of surgeons in laparoscopic surgery from India and across different countries.

Varicose Veins - What Are The Ayurvedic Treatments For It?

MD - Ayurveda
Ayurveda, Trivandrum
Varicose Veins - What Are The Ayurvedic Treatments For It?
Varicose Veins is a severe medical condition whereby the veins (mostly legs) become swollen, tortuous and dilated, i.e. the veins become varicosed. The Venous blood flows in an upward direction from the feet to the heart. There are special valves present in the veins that assist the upward flow of the blood. Fatigue, prolonged standing, menopause and a number of other factors can weaken the valves. This affects the movement of the blood flow. As a result, some of it leaks and flows back down. The affected veins turn bluish-brown, red or blue. There also occurs dryness, leading to unbearable itching. Redness or the Red Leg syndrome is very common in case of Varicose Veins.

A number of surgical and non-surgical options are available for Varicose Veins. The Ayurvedic treatment, with its effectiveness and negligible or zero side effects, is the most sought after option.

Identifying the root cause

Accurate diagnosis is very important for effective treatment. According to Ayurveda, an imbalance of the Vata (wind and space) plays a pivotal role in Varicose Veins. The role of Rakhta (blood) and Pitta (heat) cannot be neglected either. Thus, restoring the Vata balance becomes a very important part of the treatment.

The Vata balance can be easily restored by following a healthy lifestyle and having an equally healthy and nutritious diet:

Citrus fruit like Amla works miraculously to revitalise the fatigued and Varicosed vein.
Include fresh fruits, whole grains (oats, millets to name a few) and proteins (milk, eggs, fish and chicken) in your diet. Drink plenty of water.
Red meat and spicy foods should be strictly avoided.
Garlic, onion and ginger are very beneficial. Consume them regularly.
Do not indulge in rigorous exercise or walking. Never soak your feet in cold water after exercise. It can prove to be detrimental for Varicose Veins.
Do not compromise on your sleep. A rejuvenated body and a relaxed mind can enhance the healing process greatly.
Ayurvedic medicines and herbs for treating Varicose Veins

A number of Ayurvedic medicines are available that treats Varicose Veins very effectively:

Kaishora guggulu: Being a natural cleanser of blood, Kaishora guggulu is an obvious choice for Varicose Veins.
Sarivadyasava: It goes a long way to detoxify the blood naturally.
Chirabilvadi kashaya: It is very effective in case of haemorrhoids.
Sahacharadi: It is amazing herbal oil that provides great relief. Tender application of Sahacharadi over the varicosed vein/ veins can work wonders.
Herbs like Ashwagandha, Shatavari, Brhami go a long way to restore the Vata balance.
Do not lose sleep over Varicose Veins. The best and most effective Ayurvedic Treatment is just a click away.



PCOD or Polycystic Ovary disease is one of the most common hormonal disorders faced by women today. The trigger for PCOD varies from person to person, and can range from poor diet and stress to fluctuating insulin and hormonal disturbances. PCOD patients have an enlarged ovary with a number of small follicular cysts. If you or a loved one has PCOD, here are a few things you should know.

Acknowledge the symptoms
PCOD is hard to diagnose. Some of its symptoms are irregular periods, high insulin levels, abnormal hair growth, low thyroid, acne, obesity and high blood pressure. Checkups at regular intervals are needed to confirm a PCOD diagnosis.
A change in lifestyle is the best form of medication

Medication for PCOD addresses its symptoms. For example, you could take medication to correct Insulin resistance or pills to control acne and hair growth. However, a lifestyle change in the form of a well balanced diet and regular exercise is essential for PCOD patients. In terms of diet, PCOD sufferers should have lesser carbohydrates and sugars, and increased amounts of fiber and protein. Exercise helps control weight and the balance between male and female hormones. PCOD patients also need to find ways to lower their stress levels. Yoga and meditation can be very helpful to this effect. Without this, no medication will be effective.
If left untreated PCOD can lead to many other problems

Diagnosing PCOD is difficult and even when diagnosed, regular checkups are essential for PCOD. When left unchecked, PCOD can lead to many more problems such as diabetes, high cholesterol, high blood pressure and even endometrial cancer. PCOD can also result in difficulties at the time of conception and lead to miscarriages if not treated properly.

You can have a baby even if you have PCOD
A PCOD diagnosis can make it hard to get pregnant, but does not limit your ability to conceive a healthy baby. If the patient has fertility problems because of PCOD, doctors often prescribe treatments to stimulate the ovaries into producing more eggs. Women with PCOD are often recommended to plan an early pregnancy, as advancing age adds to the limited capacity of the ovaries.
Lastly, know that you aren't alone and PCOD should not embarrass you. Instead of bottling up your feelings and thoughts, find supportive friends and family members that you can talk to. You can also find support online through a number of discussion forums. Or contact us for a private consultation.
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What is varicose vein. How does ayurveda treat this. What are all ayurvedic medicines available. How safe and how long one has to take the medicines.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Varicose veins are veins under the skin of the legs, which have become widened, bulging, and twisted. They are very common and do not cause medical problems in most people. There are two main systems of veins in the legs: Deep veins: The leg muscles squeeze the deep veins during walking, carrying most of the blood back up the legs to the heart. Superficial veins: These occur under the skin which are less important and can form varicose veins. All of these veins contain one-way valves to ensure that the blood flows towards the heart. Failure of these valves allows blood to flow backwards down the veins and results in an overload of pressure when standing. This excess pressure leads to widening of the veins so that they do not close properly. Blood then flows back into the leg along these veins and causes varicose veins to develop. Raised pressure in these veins also encourages the development of spider veins and discoloured areas which look like bruises. As you get older, your veins can lose elasticity, causing them to stretch. The valves in your veins may become weak, allowing blood that should be moving toward your heart to flow backward. ... Pregnancy. Some pregnant women develop varicose veins. There is no useful treatment in ayurveda and you can use compression bandage or stockings if you are not prepared for surgery .Types of sclerotherapy for varicose vein treatment include: laser-assisted — the least invasive and most advanced. foam sclerotherapy — for larger, more difficult-to-treat veins.
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