Critical Care Procedures
Nosebleed (Epistaxis) Treatment
Obsessive Compulsive Disorder Treatment
Cysts Removal Procedure
Treatment Of Learning Disorders
Dilatation And Curettage (D C) Procedure
Kidney Stones Treatment
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Egg Donation Procedure
Ear Micro Surgery
Earlobe Repairs Procedure
Earlobe Repair Procedure
Earlobe Correction Procedure
Hearing Aid Fitting
Treatment Of Erectile Dysfunction
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The kidneys are small organs that filter about 200 liters of water each day, removing out about 2 liters of toxins and wastes in a water medium as urine. In addition to maintaining the fluid levels in the body, they also produce hormones that regulate blood pressure, produce red blood cells, and play a vital role in maintaining bone health. Any problem with the kidney, infection or otherwise, can lead to its improper functioning, causing damaging results on the rest of the body organs.
While the bad news is that most diseases from infections to diabetes to hypertension and cancer have an adverse effect on the kidneys, there are signs that can be watched out for, which can indicate a problem with the kidneys and so further damage prevented. Read on to know some of the most common symptoms of kidney disease and how further progression can be prevented.
- Change in urination process: Any change in the process of urination should be a warning for a test. It could be change in color or the appearance of the urine, painful urination, burning on urination, difficulty to start and stop a stream, or too frequent or infrequent urinations. These are usually the first symptoms of kidney disease and should be an alarm to get a kidney function test done. If you have hypertension or a strong family history of kidney disease, then getting a simple urine test to check optimal kidney function is definitely mandated. These could indicate conditions like infection, diabetes, kidney failure, or other conditions which can all be identified with further testing and then treated accordingly. The progress of the disease can be halted, which can help improve overall quality of life.
- Fatigue, loss of energy: As noted above, impaired kidney function leads to other organs being affected and buildup of toxins in the body. There is also anemia which sets in due to decrease in red blood cells and therefore reduced overall energy levels, loss of sleep, and fatigue.
- Swollen eyes, feet, and ankles: Reduced kidney function leads to fluid accumulation, sodium retention, loss of protein, which all lead to swollen eyes and ankles and feet. These are easy to identify and should ring a bell to get checked for kidney functions.
- Muscle cramps: Improper electrolyte levels can affect muscle functioning, leading to painful cramps. Along with changes in the process of urination, this should be an indication of underlying kidney disease.
Keep a track of any above mentioned problems as they can help in saving not just the kidneys but all the vital organs.
Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem.
People with dysphagia might witness the following issues:
- Difficulty in swallowing solids and liquids.
- Gaging, choking or coughing usually occurs when trying to swallow.
- Experience pain when trying to swallow and also heartburn.
- Swallowed food might come back up either through mouth or nose.
- A chronic problem might result in weight loss.
There are 2 main reasons, why the Esophagus might become dysfunctional.
- Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
- The esophagus is blocked by something.
There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson’s disease.
- A brain stroke, spinal cord injury or brain injury can also affect swallowing.
- Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
- The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
- Scleroderma causes the esophagus to become thin and weak.
The esophagus might be blocked because of these reasons:
- Esophagus might have malignant or non-malignant tumours.
- Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
- People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
- There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
- Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing. If you wish to discuss about any specific problem, you can consult an ENT specialist.
I am a diabetic patient since 15 years. FBS is 98, PPBS140. My serum creatinine 1.20 ca, ph, sodium are under control in normal range. But I am in diet control (S.Creatinine reduced from 2. 0).My age 52, Height 5'3" weight 40 Kgs (Before kidney problem it was 58. What calorie food I should take to increase weight not affecting Blood Sugar and Kidney?
Whooping cough lasts up to 10 weeks, makes you vomit, and can even be fatal. True or False? Take this quiz to find out.
1. Whooping cough or pertussis could become serious and can even be fatal.
Answer - A: True
While whooping cough may be painful and last for a long time in adults, it rarely becomes fatal. However, in infants and children less than a year old, it can be fatal. If you think your child is suffering from whooping cough, you will need to take action to reduce its effects. Aloe Vera is one of the most effective ayurvedic remedies in this case. Mix equal parts of Aloe Vera juice and honey to make a mixture. Take a teaspoonful of this mixture and have it twice daily to reduce the symptoms and also fight the infection.
2. Which amongst the following oils is a great remedy for whooping cough in Ayurveda?
Answer – D: Almond oil
Almonds, apart from being a great source of varied nutrition, are also a potent weapon in fighting cholesterol. Almonds also have many other properties that can help with fighting infections. These can be useful in treating the symptoms of whooping cough. Mix 10 drops of onion juice and 10 drops of garlic juice with 5 drops of almond oil. Take this mixture three times daily for a few days and you should see results quickly.
3. Whooping cough is a viral infection.
Answer - B: False
Whooping cough is actually a bacterial infection caused by the bacterium Bordetella pertussis. It usually spreads through droplets in the air from an infected person to an uninfected person. It can also spread by touching surfaces where the infected droplets fall. Cough can be quite extreme and painful not only in children but among adults as well. Drink honey mixed with boiling water as a beverage akin to tea. This is a great ayurvedic remedy to soothe the symptoms, especially if you have a very sore throat. It also helps to cure whooping cough quicker.
4. One of the common symptoms of whooping cough among the following is:
A & B
None of the above
Answer – C: A & B
Whooping cough is especially dangerous because when you start coughing, it puts so much stress on your body that you may end up vomiting or even fainting. Garlic is a great ayurvedic remedy that can help reduce the symptoms of whooping cough. It contains ‘allicin’ which has superb antibacterial properties. Make a paste by crushing a few cloves of garlic. Filter this through a sieve and get the juice extracted. Drink a teaspoonful of this juice thrice every day and you should see remarkable results quickly.
5. If no action is taken, whooping cough may last up to 10 weeks.
Answer - A: True
Whooping cough is also sometimes referred to as the 100-day cough as it can last for up to 10 weeks. This can be a really painful time for the patient. Known as ‘Dushta Kasa’ in Ayurveda, there are many effective remedies that can counter it and cure it much quicker. Remedies include castor oil mixed with milk, ginger and honey mixes among others. The best thing is to consult an Ayurveda Practitioner for proper and exact remedies tailor made for your condition.
Do you worry about your friend or relative’s drinking habits? You are not alone. There are people who struggle for years with the same question - How can I tell if the person I love is an alcoholic or not?
Well, the good news is that you don’t need to be a medical professional to figure out the right answer to this vital question. Read on to find simple ways to know whether your loved one suffers from alcohol addiction.
First up is a short quiz about drinking habits, developed by Dr. John Ewing to identify alcohol addiction. Treat this as a pointer and take your loved one to an expert, if it points towards alcohol addiction. You can ask these questions directly to your loved one, or you can answer these questions on their behalf.
According to the developers, one "yes" to the four quiz questions signals a problem, and more than one “yes” means that it's time for you or your loved one to get professional help.
- Have you ever felt you should cut down on your drinking?
- Have people annoyed you by criticizing your drinking?
- Have you ever felt bad or guilty about your drinking?
- Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?”
There are many signs of a serious drinking problem. These include certain behaviours such as:
- Drinking just for getting drunk
- Drinking alone
- Keeping alcohol consumption a secret
- Drinking to escape problems
- Hiding alcohol bottles
- Experiencing withdrawal symptoms like getting irritated or experiencing nervousness, nausea, getting shakes, breaking out into a cold sweat, and getting hallucinations when unable to source alcohol
- Having problems at work, school, or home, as a result of alcohol consumption
- Losing interest in activities you or your friend used to enjoy
- Having blackouts due to heavy drinking
- Anger and extreme irritation
Other extreme behaviors to watch out for are:
- Being able to drink an awful lot of alcohol
- Trouble stopping once your loved one starts drinking
- A powerful urge to drink
There is another scientific way to determine, if your loved one is an alcoholic. In the US, medical professionals commonly use a criteria, listed in the fourth edition of the ‘Diagnostic and Statistical Manual of Mental Disorders’. According to it, the signs and symptoms of alcoholism are clearly laid down and it states that alcohol dependent people:
- Will drink more to get their desired effect from alcohol
- Experience withdrawal symptoms when the effect of alcohol wears off
- Drink larger amounts of alcohol over a longer period of time
- Will be unable to consistently control their drinking
- Will leave important work for drinking
- Will spend a lot of time during the day getting alcohol, drinking it, and recovering from hangovers.
- Continue to use alcohol, despite knowing that their chronic physical or psychological problem is caused due to alcohol.
- To be declared alcohol-dependent, your loved one must experience at least three of these criteria during a year.
However, there is still no one definite test to diagnose alcohol-use disorders. Therefore, professionals diagnose them by making use of the patient’s comprehensive medical, family, and mental-health information.
Thank you so much if you are reading this and going to help me. My dad is an alcoholic. He used to drink daily but for last couple of weeks he is trying to control as so he had consumed alcohol rarely 3-4 times and from the last some days he is feeling unease and pain in whole body. I don't know whether it is because of stopping drinking daily or what but these problems have started since the day he stopped drinking daily. Kindly help me out what should I do and which kind of treatment does my dad need and to where he has to consult.
Mujhe sareer mai bahut dard rahta hai aur mujhe koi bhi cheez bahut jaldi bhul jaata hai aur mujhe humesa lagta hai ki mere jeb se kuchh gir gaya hai aur mere andar confidence ki kami hai mai har kaam kai baar karta hu.
I want to leave smoking. But I falls every time to leave. I have a bad habit to smoke in toilet at morning and evening. And that's the main reason for my addiction.
Once breast cancer operation done is there any chance to repeat cancer? Which test to be done in future?
I am diabetic since 16 years taking tresiba 40 units along with Novorapid thrice a day of dosages 18 units, 10 units and 10 units respectively. But my blood sugar level is fluctuating. One time blood glucose level come down very low and other time it shoots up to 328 mg/ dl. Kindly suggest. I have thyroid also and is normal. No blood pressure and any other. Kindly suggest I am very worried about my sugar level.
Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.
Type: Gastric cancers can present as one of the following types -
- Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
- Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
- Carcinoid Tumor: Begins in hormone producing cells of the stomach. Occurrence of carcinoid cancer, in the stomach, is rare.
- Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.
Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –
- ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
- Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
- Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
- History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
- Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
- Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
- Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
- Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
- Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:
Early Stage – can present with one or more of the following non-specific symptoms/ signs -
- Dyspepsia (Indigestion),
- Stomach/ Epigastric discomfort,
- Bloated feeling after eating,
- Mild Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- weight loss (Cachexia)
- Occult blood in stool/ Melaena,
- Advanced Stage – presents with one or more of the following symptoms/ signs -
- GI Bleeding with black tarry stools (Melaena),
- Persistent Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- Early Satiety,
- Loss of Appetite (Anorexia),
- Weight loss (Cachexia),
- Persistent pain in the abdomen,
- Fluid build-up in the peritoneal cavity (Ascites),
- Edema of the lower extremities,
- Liver Enlargement (Hepatomegaly)/ Jaundice,
- Difficulty swallowing food (Dysphagia)
- Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer -
- Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
- Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
- Stool: Occult blood may be +ve
- Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
- Gastroscopy/ Biopsy: Clinches the diagnosis.
- Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
- CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
- Bone Scan: Helps detect osseous metastasis (bone mets), if any.
- Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too. If you wish to discuss about any specific problem, you can consult a doctor.