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Bariatric Surgery

MBBS, MS - General Surgery
Bariatrician, Mumbai
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Bariatric surgery refers to a host of surgical procedures that help a person suffering from obesity to lose weight. Various methods are used to achieve the desired results, often times using the help of a gastric band to decrease the size of the stomach or surgically removing a small portion of the stomach
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Homeopathic Treatment For Obesity!

BHMS, PG In Clinical Nutrition & Dietetics, DNHE
Homeopath, Pune
Homeopathic Treatment For Obesity!
Obesity is a common nutritional disorder that has resulted into stress among people of all age groups. The mushrooming of slimming centers, weight loss pills and diet plans in the recent past are all pointers of how people are disturbed by obesity. The condition results from excess accumulation of fats in the body as a result of excess intake of food. When you take an excess of 50 calories in a day, you are said to increase weight by 25 kgs within a ten-year period. While scientists largely attribute the cause for the condition to intake of excess food, studies also reveal that genes could play a significant role too. There is no cure for obesity but a method that is slowly gaining popularity for countering obesity successfully is homeopathy.

Homeopathic Medicines

For many years now, homeopathy has been used as a mode of treatment for obesity across many countries in the world. The mode of treatment usually is constitutional and needs a detailed case history of the patient and evaluation so that the best remedy can be selected...



Calcarea Carbonica is a homeopathic medicine that is administered when a patient has excess fat in their abdomen. The constitutional symptoms are profuse perspirations on the head, low tolerance for cold air and strange cravings like desire to eat chalk.
Natrum Mur is used for patients with excess of weight in their thighs and buttocks. Excessive heat and intolerance towards sun are the constitutional symptoms for this homeopathic medicine.
Lycopodium is used similar to the natrum Mur. However, here the constitutional symptoms vary in that they are used on patients suffering from gastric troubles. Patients have a liking for hot food and sweet stuff. These are just a few examples.
Other Methods for Weight Loss:

Homeopathic medicines work by stimulating the metabolic rate of the body to burn fat much faster and as such should be used with exercise and a controlled balanced diet comprising of proteins, vitamins, carbohydrates and minerals. When these three are combined, the results are much faster and the degree of weight loss will be much higher.

To win over obesity the key thing is to take adequate amounts of food as diet which is the greatest cause of obesity. Taking homeopathic medicines will help increase your body's metabolic rate and coupled with exercise and controlled diet, you will be on a recovery from obesity.
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Hello Doctor, Doctor My question is :-Why in our country We have maximum No. Of Sugar patient 2) Why Nowadays Majority of Our people dying due to Heart attack before they could attain Average 60 years Of life 3) What is the Treatment to Avoid it.

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Indore
The good news is that there are steps to take to reduce your risk for heart disease if you have diabetes If you have diabetes, heart disease can be a serious concern. In fact, cardiovascular disease leading to heart attack or stroke is by far the leading cause of death in both men and women with diabetes, says Control your weight. One of the most important things you can do if you have diabetes is maintain a healthy weight. If you are overweight, talk to a registered dietitian about healthy ways to lose weight. Get regular physical activity. There is a significant body of research that proves the myriad cardiovascular benefits of regular physical activity (that goes beyond weight loss). Start off slowly, and build a plan that works well for you and meets your needs. Don’t smoke. If you already do, make plans to begin a smoking cessation program. "Nicotine narrows and restricts blood vessels; diabetes will also do the same thing to your blood vessels. You can't change having diabetes. But you can stop damage caused by nicotine, Maintain tight control over glucose. Tight control can prevent many complications from diabetes and also protects your heart. Shoot for an A1C reading of less than 7%. Lower your LDL cholesterol (the "bad" type). Both the American Diabetes Association and the American Heart Association recommend an LDL cholesterol goal of less than 100 mg/dl. Control your blood pressure. All people with diabetes should aim for a blood pressure reading of less than 130/80, advises Dr. Ganda.
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Bariatric Surgery - Know Problems Of It!

MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
Bariatrician, Bangalore
Bariatric Surgery - Know Problems Of It!
Bariatric surgery is unlike other surgeries, as its effects are not instant but gradual and are seen over the months. Like any other surgery, it is not without complication. But again unlike all other surgeries, the complication rate can be negligible if a strict protocol is followed. Moreover, the factors like technology advancements, development in the field of advanced laparoscopy, enhanced skillset of the bariatric surgeon, dedicated management of bariatric and metabolic surgeries by bariatric surgeons, play a vital role in the reduction of complication rate which eventually results in safe surgery.

As the procedure is done laparoscopically, the pain is just for a day and is minimally managed by analgesics.

The fear of increasing incidence of incisional hernias while operating an obese patient is so negligible or nil, as the procedure is performed through tiny key holes and all precautions are taken to suture the sheath through which the ports are put to perform the surgery.

Reduced hospital stay and early resuming to work is one of the biggest benefits of this laparoscopic bariatric procedure.

Sometimes, problems that may be faced are:-

Post-operative bleeding: Normally, this a nearly bloodless surgery involving 5 to 10ml loss of blood. However bleeding from the staple edges is known, but this can be managed well by the surgeon, by choosing the right size of the cartridge as well the right technique of application of the cartridge.

Dehydration: We are normally accustomed to drinking water at long intervals (a few hours) as we can consume nearly 200 to 400ml at one go. Following bariatric surgery, gulping or drinking water in one go is not possible in the first 2 to 4 weeks, due to reduced capacity of the gastric pouch. Hence, care needs to be taken to drink small quantities of water at frequent intervals to avoid dehydration. This is possible only if the patient is counselled about this prior to surgery and is fully aware of this. Also, the patient needs to be given good and clear post operative instructions regarding the quantity and frequency of liquid consumption, not forgetting the type of liquids. Coffee taken frequently could be another cause for dehydration. Family members and colleagues and friends at work play a major role in reminding tthe patient about consuming water frequently. Special care needs to be taken in people who are not accustomed to consuming adequate quantities of water prior to surgery as a general habit.

Vomiting/Fullness/ Discomfort/Indigestion: Following bariatric surgery, soft food is introduced in the diet in the third week, after the first 2 weeks of taking liquids. Due to the reduced capacity of the gastric pouch, the morsel size is significantly reduced and one has to chew the morsel well and eat slowly, giving a gap of 40 to 50 seconds between the morsels. This prevents distension or overdistension of the gastric pouch and thus avoids vomiting. This again requires good counselling prior to the surgery and on the follow up visit too before stating soft food. There is a subjective difference when we say small morsels and we cannot reach a standardization as the morsels size of each individual varies prior to the surgery itself. The best way to avoid this confusion is to make the person have the first soft food meal before you where in you can physically show the way food is expected to be eaten. However, by mistake, there is a chance that one can have a regular sized morsel as over years one is used to eating in that manner. If this happens, the person will vomit , and this will be a reminder to gauge the morsel size the next time the person eats. Following the vomiting, there could be a burning sensation in the stomach which will subside afer taking an antacid. If one follows the instructions of small morsel size, chewing properly and eating slowly, there is no chance that there will be vomiting. Another reason for vomiting could be keeping the stomach empty for a longer duration or having sicy food on an empty stomach. Avoid nuts, seeds, fried foods and processed foods. Very rarely vomiting could be due to reduced size of the joint between the gastric pouch and the small intestine. This could require an Endoscopy and necessary treatment.

Vitamin and mineral deficiency: It is seen that many of the obese patients are seen to have vitamin B12, vitamin D, iron and protein deficiencies in their blood tests that are done prior to surgery. With the significant reduction in the amount of food consumed after bariatric surgery, the existing deficiencies are bound to increase. Hence, it is necessary to do these tests, before surgery and rectify the deficit prior to the surgery.

Gall bladder stones: Significant weight loss which is consistant over a short duration could lead to the formation of gall bladder stones, be it with or with out surgery in a small percentage of patients. To avoid this there are two schools of thought, one is have a prophylactic removal of the gall bladder along with the bariatric surgery and another is to put the patient on ursodeoxycholic acid (a tablet) for the first few months after surgery during which there is significant weight loss.

Skin sagging: In the morbidly obese, when the skin is overstretched beyond a certain point, it tends to sag once significant weight is lost. This sagging is influenced by a number of factors like age of the patient, the BMI, pre existing sagging, pre-existing muscle tone and protein supplements taken during weight loss and exercises done during the weight loss period. Skin sagging is less if the age is less than 45, BMI less than 45, good protein intake during weight loss and good toning exercises done during the weight loss period.

Hairfall: Significant weight loss either by diet and exercise, aerobics, bariatric surgery, will entail hair loss. But this can be minimised to a greater extent by ensuring good protein intake during the weight loss period and adequate supplements in terms of vitamins and minerals.

Dumping syndrome: With a reduced size of the stomach, the food moves from the stomach into the smaller intestine much faster. This causes the pancreas to release excessive amount of insulin, leading to very low blood sugar levels , producing various symptoms like abdominal cramps, bloating, diarrhoea, sweating, dizziness, nausea, weakness, and anxiety. This is managed by eating less amount of sugars and fats and spacing out the meals through the day, having four to five small meals compared to 2 to 3 large meals. Having a high protein diet and avoiding liquids during meals is also an option.
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It is advised to eat plenty fruit and other fibre food to prevent heart deceases. However sugar level is likely to increase due to fruit intake what is the remedy?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. Intake of fruits is good in persons who have no diabetes. Even in those with diabetes when blood glucose is well controlled some fruits in limited quantity are good enough. For a person without diabetes there is absolutely no problem at all. As regards other fiber containing foods, intake of those foods does not cause a marked increase in glucose. The restrictions are specifically for a person with diabetes only. Thanks.
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I am a young girl I am suffering from obesity I need a diet plan and suffering for leg pain.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Hyderabad
I am a young girl I am suffering from obesity I need a diet plan and suffering for leg pain.
Take low calorie foods like millets, raw fruits & vegetables, soups, buttermilk, green tea, chia seeds. If you want a systematic diet chart & WEIGHT LOSS capsules then contact us by website NUTRILINE where we would help you in a better way.
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Will putting mobile phones in shirt pocket affect heart? Will the vibrations be harmful?

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
No, not harmful. Patient's with pacemaker should avoid carrying cell phone in pockets near the pacemaker.
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Why do I always feel exhausted and heavy at heart. Even though there is nothing to worry about.

BHMS, Diploma in Dermatology
Homeopath, Hyderabad
Why do I always feel exhausted and heavy at heart. Even though there is nothing to worry about.
Though not a treatment for anxiety disorders, the following tips can help reduce symptoms of anxiety: Take care of your body by eating a well-balanced diet. Include a multivitamin when you can't always eat right. Limit alcohol, caffeine, and sugar consumption.
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Obesity And Diabetes - What All You Need to Know

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Diabetologist, Ahmedabad
Obesity And Diabetes - What All You Need to Know
Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.
Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.
Physical Inactivity, Obesity, and Diabetes-

Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk-

Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

1. Control Your Weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.

2. Get Moving and Turn Off the Television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.

3. Tune Up Your Diet: Four dietary changes can have a big impact on the risk of type 2 diabetes-

Choose whole grains and whole grain products over highly processed carbohydrates.
Skip the sugary drinks, and choose water, coffee, or tea instead.
Choose good fats instead of bad fats.
Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.
If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. To more simplify, if your waist is more than half of your height you are at the higher risk for developing diabetes and cardiovascular disease.
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