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Unique problem in dealing with age related spinal disorders is that degenerative changes (age related wear and tear) are very common and can exist without causing pain, while at the same time, some of them can be the cause of significant pain and disability in some patients.
- These changes can exist in multiple levels in the spine making it difficult to identify clinically, despite a thorough clinical examination, the exact level or structure that is the main cause of the spinal pain. The fact that they can exist without causing pain in many people compounds the situation. So, seeing an x-ray or mri of the spine is not enough to exactly identify the pain generator in the spine.
- In situations where there is spinal pain and there are multiple level degenerative changes seen on the mri, spinal injections are used as a test to temporarily block the pain from some structures in order to help identify the most likely cause of pain and help deciding further treatment plan accordingly.
- These injections are also used as treatmentof spinal pain (back/neck pain, sciatica) caused by a specific structural problem for relieving pain, while we wait for the problem to settle down naturally; and in those who are not responding to medication and physiotherapy. Another situation where injections are used is in patients who need surgery but cannot be operated for other reasons or want to postpone the surgery temporarily.
- Typically the injections are done under local anaesthesia, with the patient lying in an operation theatre with x-ray facility or in a ct scan console to help pass the needle to the exact desired location in the spine. A local anaesthetic alone or in combination with a steroid medication is injected. The target location may be the facet joints, si joints, disc or a near the nerve root.
- Many spine surgeons use these injections as a tool to help in accurate diagnosis as well as treatment of spinal pain world over.
Enlarged prostate surgery is a very common type of surgery that many have to undergo nowadays. An enlarged prostate causes many health problems including urinary tract obstructions and urinary tract infections. It may also lead to the passing of blood via urine. Thus, enlarged prostate must be treated as soon as possible as neglect may lead to prostate cancer and its associated health issues. There are various types of prostate surgeries that a doctor performs on his/her patients. However, of late, radical prostatectomy is the most popular of them all.
What is Radical Prostatectomy?
This process can be handled in two ways. Firstly, the prostate can be reached through an incision in the abdomen. This would help the doctor work with precision and carefully avoid all the other nerves and muscles in the area the operation take places. The prostate is examined and any nodule or lymph formed over it is carefully removed.
The advantage of this surgery is that the patient is less likely to suffer from any erectile problems post- surgery. The second option would be to make an incision between the scrotum and the anus. This process is best for those who are obese. The surgery is performed quickly and there is less loss of blood. Furthermore, the healing time is less too.
How To Recover From The Surgery?
Like most other prostate operations, even in radical prostatectomy, you would have to wear a catheter till you recover completely. For a few days post the surgery your urine would be collected through a urine bag attached to the catheter. One might feel a little sore in his/her genitals after the surgery, but that is quite normal to occur. The soreness is caused due to the surgery and the incisions made and would heal in a matter of a few days.
Interestingly, since the urethra plays an important role in this surgery, the catheter has to be in place for at least two to three weeks but the patient can be discharged after a two to three night stay at the hospital. It is advised that the patient takes ample rest. But this does not mean all rest and no work. In fact, it is seen that patients can walk a little and even go back to a normal diet within a week to ten days of the operation. But regular checkups, till the urethra is healed, are compulsory.
Hence, these are some of the recovery procedures after an enlarged prostate surgery. Such surgeries are quite common and heal quickly.
I am suffering from non emptying of stomach from few days. Because of which my brain is getting affected and I am not able to work properly.
Hii. My height is 5'2 n my weight is 67 kg n my skin colour is dark I want to loss my weight n want my skin colour fair .so please help me. N please suggest me a diet plan too.
According to height and age my weight is only 48 kg it's too skinny, how to gain weight, perhaps I did better nutrition like fruit, meal, breakfast, dinner, adequate amount of sleep also it's about 7 to 8 hour, from last 6 months water intake also good even though I Play cricket also for 1 hour exercise point of view I tried everything from my side even suggest me supplements to build muscles without any side effects because my skin is very sensitive, any kind of intake changes pimples should be occur on my face so according to condition please help me.
I'm severely underweight I want to try gomad milk diet please help me with some good suggestions to start the diet and control bloating if arise.
Hi Age 33 Sex Male Weight 66 Hight 5/6 Sendatary life style I want to clean n detox body Want the home remedies for it. I don't have any health related issue.
CBC (Complete Blood Count) Test Description Value (s) Reference RangeHemoglobin16. 2 g/dl13. 5-17.5 Total Leukocyte Count 6900 cells/cumm4500-11000 Differential Leukocyte Count neutrophil64 %40-70 Lymphocytes28 %20-45 eosinophil07 %0-6 monocyte01 %0-8 basophilic0 %0 - 1 R.B.C. Count 5. 01 Mil/cmm 4.50 - 6.00 HCT49. 2 %40-54 RBC Indices M.C.V 98.2 fL76-96 M.C.H 32.34 pg 26.0 - 32.0 M.C.H.C32.93 gm/dl31. 0 - 36.0 RDW-CV 13.9 %11.5-20.5 PLATELET COUNT 201 thousand/cumm150 - 450 MethodElectrical Impedance/Microscopy.
Hello. I’m Dr Rajiva Gupta. I’m a senior consultant in internal medicine at Ashok Vihar and Fortis Hospital, Shalimar Park. My special areas of interest are diabetes and care of the elderly.
Now talking about care for the elderly, the branch of medicine that deals with the care of the elders is called Geriatrics anthology. The elderly patients present peculiar problems. They present not just discreet conditions, but with discreet syndromes. A syndrome is a constellation of symptoms and signs. In common, they are called the geriatric syndromes. The common geriatric syndromes are false, impaired cognition, deficiencies in a hearing, difficulty in vision, delirium. These syndromes are important because we have to investigate several different causes. For example, if the patient falls, it is not necessary that he may be having weakness in his legs. It is highly possible that the patient will be suffering from an acute infection or from some electrolyte imbalance or from CVA or cardiovascular problem. The patient is having disorientation, he is not oriented, he may have necessarily, he may be having, that he is having infection of the brain, he could as well be having electrolyte imbalance or any infection or a cardio-vascular problem. It means that the syndromes present, similar syndromes present with different types of illness in the elderly. The reason is that the physiological reserves of the elderly are just on the borderline and any acute insult that results in these syndromes. The approach to geriatric patients is slightly different from the way we approach people of other age.
So there are two components, one is the Curative component and another is comfort, or the palliative. That depends much on the functional ability of the patient. So if you have got an elderly person, above 80 years, he does regular exercise, enjoys his life, goes out for walks, the treatment of any condition in such a patient would be on the lines the management is done for a younger or a middle aged patient. Whereas, on the other end, if the patient is 70 years or 75 years, and he suffers from a problem, he is immobile, confined to bed, he is not able to take care of his own daily needs. For such patient, the aim would be to have a comfort care. So, the treatment of the elderly has to be individualized and surprisingly, there are not many guidelines which are available for treatment of elderly in different, for different medical conditions. SO the treatment for each individual has to be individualized, considering his individual circumstances. For example, if we take a very common problem like sugar, and we call that, there is a parameter called the Glycosylated hemoglobin, so we say that glycosylated hemoglobin for a normal should be less than 7% or less than 6.5 %. Bit for the elderly, because they may be having other illnesses, they may be having kidney disease or may be living alone in the house, they may not be able to take care, so in such patients, we will not go in for a very strict control, we’ll go in for a modest control, where the range may be say, around 8 or 8.5.
As physicians, we need to be aware that the number of elderly people is increasing, we need to be aware about their special needs, we have to give time once they come to our clinic and we have to define their problems and treat them accordingly.
I will be most willing and happy to answer to any questions, which can be approached through the lybrate website or they can seek consultation by telephone or physical consultation.