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Bombay Hospital & Medical Research Centre

Multi-speciality Hospital (Audiologist, Dermatologist & more)

#117, Marine Lines. Landmark: Next To Liberty Cinema, Mumbai Mumbai
22 Doctors · ₹0 - 5000
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Bombay Hospital & Medical Research Centre Multi-speciality Hospital (Audiologist, Dermatologist & more) #117, Marine Lines. Landmark: Next To Liberty Cinema, Mumbai Mumbai
22 Doctors · ₹0 - 5000
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Bombay Hospital & Medical Research Centre
Bombay Hospital & Medical Research Centre is known for housing experienced Oncologists. Dr. Suhail Sayed, a well-reputed Oncologist, practices in Mumbai. Visit this medical health centre for Oncologists recommended by 55 patients.

Timings

MON-SAT
09:00 AM - 09:00 PM

Location

#117, Marine Lines. Landmark: Next To Liberty Cinema, Mumbai
Marine Lines Mumbai, Maharashtra
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Doctors in Bombay Hospital & Medical Research Centre

Dr. Suhail Sayed

MS - General Surgery, M.Ch, FICS
Oncologist
9 Years experience
1200 at clinic
Available today
04:00 PM - 06:00 PM

Dr. Anand Somaya

MBBS
Cardiologist
Available today
09:00 AM - 09:00 PM

Dr. Mukund Thatte

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon
38 Years experience
1500 at clinic
Available today
07:15 PM - 09:00 PM
Available today
09:00 AM - 09:00 PM

Ms. Jagruti Desai

MBBS
Audiologist
Available today
09:00 AM - 09:00 PM

Dr. D S Saksena

MBBS
Cardiologist
5000 at clinic
Available today
04:00 PM - 06:00 PM

Dr. Ameya Puranik

MBBS, DNB - Nuclear Medicine
Nuclear Medicine Physician
14 Years experience
1500 at clinic
Available today
09:00 AM - 05:00 PM
Available today
09:00 AM - 09:00 PM

Dr. Sujit Korday

MBBS, MS - Orthopaedics, FRCS
Orthopedist
32 Years experience
1500 at clinic
Available today
02:00 PM - 04:00 PM
Available today
09:00 AM - 09:00 PM

Dr. Mukund Andakar

MBBS, MS - Urology, M.Ch
Urologist
29 Years experience
Available today
09:00 AM - 09:00 PM
Available today
09:00 AM - 09:00 PM

Dr. Anil Sharma

MBBS
Cardiologist
Available today
09:00 AM - 09:00 PM

Dr. Umesh Oza

MCH (Urology)
Urologist
24 Years experience
700 at clinic
Available today
05:00 PM - 07:00 PM
Available today
09:00 AM - 09:00 PM

Dr. Nirav Mehta

MBBS
Neurosurgeon
Available today
09:00 AM - 09:00 PM
1500 at clinic
Available today
11:00 AM - 05:00 PM

Dr. Girish Dewnany

MBBS
Orthopedist
Available today
09:00 AM - 09:00 PM

Dr. Amit Gandhi

MBBS
Oncologist
Available today
09:00 AM - 09:00 PM
Available today
09:00 AM - 09:00 PM
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Ankylosing Spondylitis!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Ankylosing Spondylitis!

Ankylosing Spondylitis Overview:
Arthritis can affect the quality of life of the affected in multifold ways. Ankylosing spondylitis is a type of arthritis can affects the spine. Pain and stiffness that runs from the neck to the lower back are the symptoms of this disease. This is an inflammation that can cause chronic pain and even lead to disability. Deformity too can be caused as the pain in the spine can lead to the formation of a new bone. It is not the only the neck and lowers back region that experiences the terrible pain, but even the other parts of the body are affected by this condition.

When affected by this condition, inflammation occurs between the vertebrae. This can also affect the joints in a few people. This can limit the movement of the affected. This disease often begins in early adolescence. When the spine becomes rigid, one can start seeing the changes. The changes can start at any point of time when the disease ranges from mild to severe. Over time, the affected also get a stooped posture. The disease is more common in Native Americans, and milder in women.

 

Ankylosing Spondylitis Symptoms:
1.    Pain and arduousness:
It is usual to experience the numbness, pain and stiffness in the back, buttocks and in the hips. When the symptoms exist for more than 3 months, the condition is moving from mild to severe. This usually begins in the lowest part of the spine, called the sacrum.

2.    Bony fusion: the Abnormal joining of bones is called bony fusion, and ankylosing spondylitis can lead to this overgrowth of bones. This can occur in major joints like the neck, hips, or back. The affected starts losing efficiency in performing the daily chores. In severe cases, the affected will also find it very tough to take a deep breath.

3.    Pain in tendons and sinews: The ligaments and sinews attached to the bones can be affected by ankylosing spondylitis. The inflammation of tendons called tendonitis is often on the cards. The pain and stiffness beneath the area of the heel can be experienced. This specific condition is called Achilles tendon. The back of the ankle is also affected, and the patient often finds it difficult to walk.

4.    Other symptoms: This disease is systematic, and this is why the pain and discomfort are not related to certain areas only. Affected people can experience symptoms like fatigue, fever, eye inflation, problems in heart and lungs, and loss of appetite.

5.    Weight loss, early morning stiffness, and anaemia are some of the symptoms experienced.

6.    Inflammation in the bowels and heart valve inflammation too are experienced as this is an inflammatory disease

Causes of Ankylosing Spondylitis:
The exact cause for this disease is not yet clear. Doctors point fingers at the genetic susceptibility. But, it is also be understood that not all who are affected by this disease carry the gene HLA B27. The major point is that people who carry this gene, have the higher risk of a hit by this type of arthritis. The risk percentage is higher by 10 to 20%.

What is risk factors Ankylosing Spondylitis:
If one carries the HLA B2 protein, the chances of getting affected are higher. The same is the case when one or more family members are affected by this disease. The symptoms are often seen beginning at the age of 20 to 40 years. This is also common in men, and women are rarely affected by this condition.

How to diagnosed Ankylosing Spondylitis?
1.    The diagnosis for ankylosing spondylitis is done through various ways. One of the major ways the doctor might identify the disease in the presence of the symptoms. Hence, it is important for the patients to ensure all the pain and discomfort experienced in different parts of the body should be intimated to the doctor.

2.    A physical examination is carried out by the healthcare professionals to identify the inflammation. The doctor also might ask to move and stretch the limbs, to identify the affected areas. Restricted movements often unveil the disease.

3.    X-rays are taken to notice the inflammation in the neck and the pelvic region. This screening offers a clear picture of the inflammation in various joints.

4.    The chest breathing examination is carried out to check if the condition has an impact on the lungs and causes difficulty in breathing

5.    The blood tests and other lab tests are also suggested by the doctor to check for anaemia, and other possible disorders that are associated with this condition.

6.    Urinalysis is also recommended by the doctors. This is because the inflation can also affect the function of the kidney. This can be checked at the right moment with the urine sample test done at the lab.

Treatment of Ankylosing Spondylitis:
It has to be understood that ankylosing spondylitis has no cure. It can be treated to ensure that the discomfort and pain are reduced. The movement functions can be improved to ensure that the patient can do the daily chores with ease. The stiffness and pain are the major problems with the condition, and these can be eradicated to a great extent by this treatment. The goal of the treatment is also to prevent further damage and help retain a good posture. Proper treatment, methods help the affected to lead a fairly normal life, without having to depend on others. A team of doctors are involved in the treatment plan. Doctor, occupational therapist, ophthalmologist, who treats eye disease,  gastroenterologist, who treats bowel disease,  physiatrist, who specializes in physical medicine and rehabilitation,  and a physical therapist, who provides stretching and exercise programs are present in the team.

1.   Physical and occupational therapy: it is important to opt for these therapies at the initial stages to ensure that deformity is not formed. These therapies are given by trained professionals, who suggest a range of exercises specific to your needs and help in improving the functions,  and also keep off from forming deformities due to reduced movements. For instance, a stooped posture can be corrected or prevented with the occupational and physical therapy.

 

2.   Exercises: Exercises improve the daily functioning of the individuals, and help in proper posture maintenance. Apart from the exercise schedule the occupational therapist and the physical therapists suggest, the doctors can also suggest a list of exercises that can help in promoting deep breathing. When done regularly they can immensely help a lot. An exercise that is considered to be the best is swimming. For those, who cannot swim, the other options are yoga poses that help in improving the breathing pattern without any trouble.

 

3.   Medications: Drugs are the important part of the treatment plan for ankylosing spondylitis, for they alone offer the much demanded instant relief from pain and stiffness caused by this disease. These drugs also ensure that the patients can do the exercises to improve the condition without facing much discomfort. Else, carrying out the daily chores too can be strenuous for the patients. The anti-inflammatory drugs that do not involve the use of steroids are often prescribed for this disease. A few examples are aspirin and ibuprofen. Disease-modifying antirheumatic drugs (DMARDs) like methotrexate (Rheumatrex)  can be used when the condition is not mild, but severe. This is because the NSAIDs are not enough to control the inflammation. Other FDA approved drugs like certolizumab pegol (Cimzia), golimumab (Simponi Aria, Simponi), infliximab (Remicade), and infliximab-day (Inflectra), a biosimilar to Remicade, and secukinumab (Cosentyx), etanercept (Enbrel), etanercept-szzs (Erelzi), a biosimilar to Enbrel, and adalimumab (Humira), adalimumab-atto (Amjevita), a biosimilar to Humira,too are prescribed currently. The chronic back pain can also be dealt with a few anti-depressants.

 

4.   Surgery:  When the inflammation has affected the hips and waist joints very much, a joint replacement surgery is done. This has to be decided by the doctor, and various factors can be responsible for the doctor going against the same.

Apart from the treatment options, there are certain do’s and doughnuts that are instructed by the doctors to live with this condition.

 

1.    Smoking exacerbates the condition. In many diseases, smoking can see to be aggravating the complications, and it is the same in the case of ankylosing spondylitis too. Smoking can impact inflammation. So, the patients are restricted from smoking.

2.    Sleeping on the firm bed is a must. Too soft mattresses can aggravate the pain. Sleeping on the back is what the patients are supposed to do. It is also advised not to use large and soft pillows. Very thin pillows or cotton bed sheets can be folded under the head. This is because the neck fusion can be triggered by using large pillows.

3.    Propping legs on pillows is another thing the patients are restricted to do. This is because, in the bent position, hip and knee fusion can result.

4.    The tables, chairs and other work surfaces should be in such a degree that the stooping posture should not be encouraged. 

5.    Using armchairs is a good option, for they offer ample of support to the arms and shoulders.

6.    Jumping, falling, and dancing can cause severe damage in the severe cases of the disease. The patient should take immense care in such cases.

 

Prevention of Ankylosing Spondylitis:
It is not easy to prevent ankylosing spondylitis. In fact, it is near to impossible. Majorly because the cause is unknown, the prevention is also yet to be known.  However, if there are 1 or more family members diagnosed with this condition, then it is a good option to find the risk chances. Yearly health checkups can help in avoiding this condition. Leading a sedentary life too can add to the chances of getting affected by this condition. So, involving physical activities, and doing regular exercises can prevent this disease to a certain extent. Exercises can help in improving the flexibility, and in people who are very active, the symptoms are identified soon, making it easy to get treated even at the initial stages. It is also essential to stay off from smoking and tobacco. Even when not diagnosed with any form of arthritis, these substances can increase the risk factor and aggravate the condition. Eating a healthy diet is also recommended. This inflammatory disease can also lead to inflammation of the heart. So, when adding the junk and fatty foods, the heart can lose its efficiency sooner.  A healthy diet can cut out the risk by half. 

 

Complications of Ankylosing Spondylitis:
1.    Fusion of the spine can lead to a curvature, which is called kyphosis. This can lead to a stooped posture when ankylosing spondylitis is left over time untreated.

2.    The pain is often felt in the groin area when the hi; tp and shoulder joints are affected. This is called referred pain, which can be felt in the thighs too. This can have an impact on the occupational front of the patient too.

3.    In most severe and rare cases, the heart’s electric functioning is also affected. This is because of the inflammation of the heart valves. A pacemaker must be brought in to ensure the proper functioning of the heart in such cases.

4.    In 10% of the cases, the joints near the jaws are affected. This can lead to the problem not able to open the jaw fully to eat.

5.    In the case of a few patients, the eye inflation can affect the quality of life, in case proper treatment is not given on time.

 

Myths:
Myth #1:  
 Ankylosing spondylitis affects only runs in families: only the risk factors high, and doesn’t mean it cannot occur to someone who has none in the family affected by this disease.

Myth #2:    Exercises can prevent the occurrence: While exercising can keep symptoms at bay for long, and help in easy diagnosing at early stages, it does not guarantee to stay far from this disease.

Myth #3:    Women are not affected: the risk factor for women is low. Men are affected 2 to 3 times higher but do not mean, women are spared by this disease.

It is not easy to lead a normal life with ankylosing spondylitis. It takes immense determination to fight this progressive disease. Sticking to medication and active lifestyle can only help to live with this disease.

Lump In The Breast!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Lump In The Breast!

Lump In The Breast 
Lumps in the breast are bulges or swellings. There can be various reasons for a breast lump including infection and injuries. Most of the breast lumps are non-cancerous. Generally, people do not experience pain in breast cancer. The common symptoms of breast cancer are lumps in the breast that are painless, discharge from the nipple, and inflammation of the breast skin. You should reach out to a doctor as soon as you experience the symptoms of breast lumps. It is important to see a doctor as early as possible as it can affect your health in the long run. Your doctor provides the treatment on the basis of the cause of lumps. A biopsy or a tissue sampling is done in order to know if a lump is cancerous or not. A biopsy can be done in many ways. Lumps in the breast can appear in females as well as males, but females are more prone to breast lumps. Breast lumps can appear at any age. Sometimes, they appear and then disappear on their own.

Lump In The Breast Symptoms
Generally, breast lumps are painless. Check out various possible symptoms or signs of breast lumps that you may find:

-  You may notice a lump in the breast that is painless.

-  There can be a discharge from the nipple. The discharge can be there even without touching.

-  You may have inflammation or swelling in the breast skin.

-  You may experience changes in the breast skin including warmth and redness. There is a possibility that it is a symptom of breast cancer.

Lump In The Breast Causes
There are different types of tissue in the female breast. Milk glands and milk ducts are the two main types of tissue. There can be a variation in the composition of the breast tissue. Breasts change when a woman breastfeeds. The breast also has fatty tissue, fibrous connective tissue, nerves, lymph nodes, and blood vessels. The breast part can react in various ways to body chemistry changes. These changes can lead to the development of lumps in the breast. Check out various potential causes of a lump in the breast:

-  An injury to the breast can lead to the development of breast lumps.

-  Fibrocystic breasts can cause lumps in the breast. In this condition, breasts feel lumpy which can be accompanied by a pain.

-  One of the common symptoms of fibroadenoma is a lump in the breast.

-  Intraductal papilloma can lead to the formation of a lump in the breast. Intraductal papilloma is a small, benign tumour in a milk duct in the breast.

-  A lipoma can cause a lump in the breast. It is a non-cancerous tumour made of fat tissue.

-  An infection of the breast or mastitis can be a cause of breast lumps.

-  Due to breast cancer, you experience lumps in the breast.

-  Hamartoma, milk cysts, and breast cysts are some of the other potential causes of breast lumps.

 

How is it diagnosed?
You should visit the best doctor as soon as you experience the symptoms of breast lumps. Your doctor will ask you various questions regarding the lump including when you find out the lump, and what symptoms are you experiencing. Your doctor will conduct a physical examination of your breast in order to diagnose. If it becomes hard for your doctor to know the exact cause of breast lumps then he or she may ask you to go for some additional tests including:

-  Mammogram: It is an X-ray of the breast done to know the abnormalities in the breast. Mammogram also helps to find out if a person has breast cancer, though sometimes it fails to provide the correct result which is rare. Calcium deposits pattern can appear on the mammogram which makes your doctor suspicious about cancer. In such a condition, it is generally recommended that a biopsy should be done.

-  Ultrasound: It is a painless test done with the help of sound waves. It is done to evaluate lumps in the breast. It is done to know if a cyst is a solid lump (which can be cancerous or not) or fluid-filled. If even after the ultrasound it is not clear that the breast lump is cystic in nature then your doctor may ask you to go for further evaluation.

-  Magnetic resonance imaging (MRI): It is widely used for evaluating lumps in the breast as this test can even help to find out the abnormalities that are small in the breast. With the help of radio waves, a computer, and magnetism, the images of internal body structure are produced. The images that are obtained from the MRI can help to find out if any specific area is cancerous.

-  Fine-Needle Aspiration: Fine-needle aspiration is a diagnostic procedure done to investigate lumps. In this procedure, fluid is removed from the breast lump with the help of a needle. Your doctor may conduct an ultrasound to guide the needle. Some cysts which are non-cancerous go away after removing the fluid. If your doctor finds that the fluid is cloudy or bloody then he or she may send it to a laboratory for analyzing cancer cells.

-  Biopsy: Biopsy can be done in many ways. In this procedure, a tissue sample is taken in order to analyze under a microscope. Stereotactic biopsy, vacuum-assisted biopsy, fine-needle aspiration biopsy, core needle biopsy, a surgical biopsy (incisional biopsy), and surgical biopsy (excisional biopsy).

Prevention
Generally, it is not possible to prevent breast lumps as they can occur due to hormonal changes and you have no control over them. You can reduce the risk of developing breast cancer if you:

-  Have a healthy and balanced diet.

-  Do not smoke and avoid secondhand smoke.

-  Maintain a weight that is healthy.

-  Do physical exercises regularly.

-  Reduce or avoid the consumption of alcohol.

-  Get your breasts examined regularly.

Treatment
The doctor finds out the exact cause before giving the treatment to the patient. All breast lumps do not require treatment.  Your doctor will decide whether there is a requirement for further testing or treatment depending on your case. Check out the various treatment options for breast lumps:

-  Your doctor may recommend you antibiotics if you have an infection in the breast.

-  If you have a cyst then your doctor may drain the cyst. Generally, cysts leave you when they are drained. In some circumstances, there is no need to treat cysts as they may go away on their own.

-  If your doctor finds out that your lump is a breast cancer then treatment can include lumpectomy in which a lump is removed, mastectomy in which the breast tissue is removed, chemotherapy in which drugs are used to destroy or fight the cancer, and radiation in which radioactive materials or rays are used to fight the cancer. The treatment that is provided by the doctor depends on the type of the breast cancer patient has, the location and size of a tumour, and the extent of cancer.

-  If your doctor finds out that the reason for your breast lump is an injury then your doctor might ask you to give some time to heal.

-  There are some types of breast lumps including fibroadenoma which need not be treated or removed.

Complications
There are various complications associated with breast lumps. Some breast lumps are cancerous in nature. Various stages of breast cancer are treated with the help of chemotherapy. Chemotherapy can lead to many complications including constipation, diarrhoea, infertility, early menopause, constant exhaustion, nausea, vomiting and more.

 

Myths
Check out various myths or misconceptions about breast lumps:

Myth #1: A breast lump is probably cancer.

As per various studies, lumps that most women experience in the breast are not cancerous. They are generally a fibroadenoma or a cyst. There are some lumps that come and go away naturally during a menstrual cycle of a woman. It is important to do the self-examination of the breast regularly. As soon as you experience the symptoms of breast lumps, you should reach out to the best doctor for a diagnosis.

 

Myth #2: If you have a lump but your mammogram is normal, you are done.

There is a possibility that you have a lump but your mammogram does not show this. As per research, 10% mammography shows the wrong result. That is why your doctor may ask you to go for additional tests including a follow-up mammogram, ultrasound, and MRI in order to look at the lump again. Your doctor may also ask you to get the biopsy done to have the sample of your lump for testing.

 

Myth #3: Breast lumps which are cancerous are always painless.

It is not necessary that if you have lumps in your breast that are cancerous then you will have no pain. Generally, most of the breast cancers are not painful. If you have pain in the breast then it does not indicate that you have breast cancer. You may experience a pain due to a lump in inflammatory breast cancer. The early symptoms of inflammatory breast cancer are warmth, redness, tenderness, and swelling.

Conclusion
Breast lumps are swellings or bulges. Infection and injuries are some of the causes of breast lumps. It is not necessary that lumps are always painless. The common symptoms of breast lumps are painless lumps in the breast, discharge from the nipple, and inflammation or swelling in the breast skin. You should visit a doctor as soon as you experience the symptoms or signs of breast lumps. Your doctor can easily understand your problem after knowing your symptoms.

Your doctor may ask you to get some diagnostic tests done in order to be sure about the diagnosis. Mammogram, ultrasound, biopsy, magnetic resonance imaging and fine-needle aspiration are some of the diagnostic tests that are conducted by the doctor in order to diagnose lumps in the breast. The treatment is provided depending on the cause of breast lumps, the extent of breast lumps, and location and size of breast lumps. Your doctor suggests the best treatment option as per your situation. There are some cases of breast lumps that can be treated without any medicine. Antibiotics are recommended if there is an infection in the breast. If there is a cyst then it can be drained. There are some cysts that go away on their own.

You should get your breasts examined on a regular basis. Self-examination plays a very important role. You should maintain a healthy weight in order to get prevention from breast lumps. Chemotherapy can lead to many complications including nausea, constipation, vomiting, diarrhoea, and infertility. People have a lot of myths or misconceptions about breast lumps. Breast lumps which are cancerous are always painless is one of the common myths.

 

 

Itching!

Dermatologist, Delhi
Itching!

Dryness is one of the reason for itching. Make sure you keep your skin moisturized at all times specifically during winters.

Amazing Facts About Scalp Micro Pigmentation!

Dermatologist
Dermatologist, Noida
Amazing Facts About Scalp Micro Pigmentation!

Scalp Micro Pigmentation refers to treatment option that is entirely non-invasive in nature and requires the use of the elaborated micro-needles so as to fulfil the purpose of deposition of pigments in the scalp portion. This leads to the growth of small hair follicles which helps in thickening and restoring the bouncy and shiny appearance of your hair.

It is very beneficial for those patients who want to regain the thickness of their remaining hair, the hairline restoration, to get the close-cropped look of hair.

The amazing facts about the Scalp Micro Pigmentation

The major purpose of undergoing Scalp Micro Pigmentation procedure is to gain an appearance of tightly cropped hairs through injecting the pigments in very small dots at the region underneath the scalp skin outermost portion.

Scalp Micro Pigmentation is a completely different procedure from getting a tattoo on the scalp. The Scalp Micro Pigmentation providers are very much against the procedure the tattoo artists use for making those traditional tattoos. In case of the traditional tattoo making procedures, the pigment colour eventually fades away or turns into something else whereas this is not the case with Scalp Micro Pigmentation procedure.

As the name suggests, even the types of equipment that are used in Scalp Micro Pigmentation are of a very small size and thin needles, especially designed according to the size of the hair follicle.

The Scalp Micro Pigmentation procedure is usually not excruciating, but those people who aren’t able to bear pain may feel uneasy during the treatment process. In such cases, the anesthetic may be provided tropically to the patient.

Other hair restoration techniques can also be applied in association with Scalp Micro Pigmentation. It is the best suited for those individuals who are facing a problem of patches of baldness. The transplantation scarring can also be cured using this treatment option.

The scar healing can be a costly procedure otherwise the expenses for undergoing Scalp Micro Pigmentation treatment process depends upon the affected region and the complexity of the disease.

The treatment process can be accomplished within two to three sessions. It is possible that the colour of pigment may change or fade away after a certain period of time. Furthermore, the patients who have just undergone this procedure are recommended to use sunscreen on the scalp portion to avoid the depigmentation.

Therefore, these are some of the known facts that you must know about Scalp Micro Pigmentation procedure. You should always discuss the pros and cons with your Scalp Micro Pigmentation practitioner before taking any major decision regarding this treatment, although Scalp Micro Pigmentation has a considerably good success rate and the level of satisfaction of the users is fairly good.

 

Bell s Palsy - Myths And Facts!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Bell s Palsy - Myths And Facts!

Bell’s Palsy-
Bell’s Palsy is a disease, which causes a sudden, temporary weakness in the facial muscles. It is facial paralysis that makes patients unable to control his facial muscles on either side of his face. This disease can occur at any age.

There is no known reason for its cause. However, the disease is believed to be caused because of swelling and inflammation of the nerve that controls the muscles on the affected side. The risk factors include diabetes and upper respiratory tract infection. This is caused due to the malfunction of the cranial nerve.

Bell’s Palsy affects millions of people worldwide. For most of them, the disease is temporary. The symptoms usually start to improve within a few weeks from the first appearance. The complete recovery takes close to six months. There are a few people who continue to have the Bell’s Palsy for their complete life. The disease rarely affects someone twice. People who recurrently face the disease are often found to be a victim of diabetes or viral infections.

People, often, unknowingly interpret the disease as a stroke. It, however, is not a stroke. A stroke affecting the facial muscles would also affect the body muscles and cause weakness in other parts of the body too.

Bell’s Palsy Causes-
The causes that trigger Bell's Palsy in the human body are still unknown. Often researchers associate it with an exposure to a viral infection. The facial nerve passes through a narrow bony area in the skull and when it swells, it pushes against the hard surface of the skull when there is a viral infection. Apart from the facial muscles, the disease also affects tears, saliva, taste and a small bone positioned in the middle of the ear. At other times, researchers also associate it with physical damage to the facial nerve that causes a similar swelling of the face.

Mostly the disease occurs due to viral infections. The infections play an important role in the development of the disease. The viruses that are linked to the development of the disease are:

1. Cold sores and genital herpes, also known as herpes simplex

2. Chickenpox and shingles, which are also known as herpes zoster

3. Infectious mononucleosis, which is also known as herpes zoster

4. Cytomegalovirus infections

5. Respiratory illnesses or adenovirus

6. German measles or rubella virus

7. Mumps or the mumps virus

8. Flu or the influenza B virus

9. Hand-foot-and-mouth disease or the coxsackievirus

Some Risk Factors of Bell’s Palsy-
It has often been noticed that Bell ’s palsy follows a pattern when affecting people. These include:


1. The disease often occurs in females who are pregnant and are in the third trimester of the gestation period. It can also affect the mother after the first week of the birth.

2. People having an upper respiratory infection, such as the flu and the cold, are commonly affected.

3. People having diabetes are also frequently affected.

As mentioned before, the disease rarely affects the same person recurrently. If there is a family history of the disease recurring repeatedly, it suggests a genetic trait or predisposition of the disease.

Bell’s Palsy Symptoms-
There are a few symptoms which constantly recur when Bell’s Palsy strikes a person. These symptoms include:

1. Inability to move the eyelid or blinking.

2. The eye on the affected side of the face waters more or less than it occurs usually.

3. Drooling even in a conscious state.

4. A reduced sense of taste in the mouth.

5. Twitching of the facial muscles.

6. Pain or numbness behind the ear.

Of all the symptoms drooling and facial weakness, reach their peak in a day or two. These symptoms then begin to reduce, which helps people to recover within a couple of weeks. Complete recovery happens within 3 months. Some of the patients may show neurological symptoms, which are defined as mononeuritis. This is what causes the tingling, headache, memory and balance problems. Other symptoms, which are unexplained by the facial nerve dysfunction, are ipsilateral limb weakness, ipsilateral limb paresthesias, and clumsiness.

Bell’s Palsy Diagnosis-
Bell’s Palsy is a disease which requires the diagnosis of exclusion. As there is no specific test for the disease, the doctor observes the diseased person’s face and asks him to move various parts of his face, including the facial muscles, for instance, closing the eyes, lifting the brow, showing the teeth and various other movements. Observing these parts, the doctor eliminates various other possibilities and tries to determine a reasonable cause for the disease.

As the disease is treated on the basis of exclusion, there is no routine testing or imaging test that can help in the diagnosis process. However, the degree of the nerve damage can be assessed using the House-Brackmann score. There are many studies, which have revealed that 45% of patients are not referred to a specialist. This simply suggests that the disease requires a straightforward diagnosis and is easy to manage.

Differential Diagnosis of Bell’s Palsy-
As there is no particular diagnosis in the treatment of the disease, doctors make use of the differential diagnosis technique in the treatment of Bell’s Palsy. In differential diagnosis, doctors distinguish a particular disease from other diseases that present similar clinical features. The technique finds its usage while diagnosing a particular disease to eliminate imminently life-threatening conditions.

During the differential diagnosis of Bell’s Palsy, there are various diseases which are easily eliminated such as a stroke. However, it is very difficult to eliminate the involvement of the facial nerve with the herpes zoster virus. In order to understand the major difference between the two, one must look for the small blisters on the external ear.

The Lyme’s disease also produces facial palsy, which occurs at the same time as the classic erythema migraine rash. Other times, it occurs at a later stage. In cases where the Lyme disease is common to the Bell’s Palsy disease, it may lead to facial palsy.

Bell’s Palsy Treatment-
As mentioned before, a vast majority of people have shown improvement in health and recovered completely from the disease with and at certain times, without treatment. There is no designated treatment for the disease. Doctors may suggest various medications or physical therapies that help to speed up the recovery of the patient. The medicines may vary from doctor to doctor. However, these medications may differ in accordance with the doctor. Surgery is rarely a solution or option in case of Bell’s Palsy.

Having said that, there are various procedures for the treatment of Bell’s Palsy. They include usage of the following:

1. Steroids

2. Antivirals

3. Physiotherapy

4. Surgery

5. Alternative Medicinal Therapies

 

1. Steroids – Various steroids such as corticosteroids, improve recovery of the patient within 6 months. Due to this, early administration of corticosteroids such as prednisone is recommended. The early treatment is necessary as it provides the patient with around 14% higher chances of recovery.

2. Antivirals –Various tests and reviews have shown that antivirals are not as effective in treating the disease as steroids. In fact, they are only beneficial in cases that display some form of mild diseases. There is another review, which stated that antivirals combined with corticosteroids were advantageous for the duration of the treatment. There is a huge amount of speculation when it comes to using antivirals for the treatment. However, antivirals still result in a benefit, which is slightly less than 7%, and therefore this course of treatment is not ruled out.

3. Physiotherapy – Physiotherapy helps in maintaining the tone of the impacted facial muscles and stimulating the facial nerve. Because of this, physiotherapy can be beneficial to some individuals.

4. Surgery – Surgery may help patients recover from facial nerve palsy. There are various techniques that exist to assist with the process of surgery. A form of surgery is a procedure that is beneficial in restoring the smile of patients suffering from facial nerve paralysis. However, this is a surgery that can be as harmful as it is beneficial. There are various side effects associated with the surgical technique. One may experience total hearing disability. In fact, around 3-15% patients experience hearing loss after the surgery.

5. Alternative Medicinal Therapies – Alternative Medicinal Therapies include various techniques such as acupuncture on the affected region. Paralyzed muscles often tend to shrink and shorten causing permanent contractures and pain. Physical therapies can guide the patient to prevent such an incident from occurring.

However, the efficiency of such techniques still remains unknown to the doctors. This is due to the fact that the studies conducted are available in a low quality. Another therapy is the hyperbaric oxygen therapy. However, the evidence available for the therapy is quite tentative.

Myths related to Bell’s Palsy
Bell’s Palsy disease often confuses people leading them to believe various myths. The most prominent myths include:

Myth #1: Bell’s Palsy Causes Permanent Facial Paralysis

Bell’s Palsy is a form of temporary facial paralysis. The facial nerve that is on one side of the face is disrupted. Due to this, the message, which is received from the brain, is interfered. However, in a majority of cases, the disease is temporary. The paralyzed area of the face starts to cure within a few weeks and within three to six months; the paralysis completely disappears on its own. In a few percentages of cases, the nerve function does not return to normal. The nerve function may return but the full function does not return.

Myth #2: There is No Treatment Which Ensures the Treatment of Bell’s Palsy

There are various techniques which are available for the treatment of Bell’s Palsy. As mentioned above, the disease can be defeated using steroids, antivirals, physiotherapy, surgery and alternative medicinal therapies. These are the most effective treatments for the disease. Apart from this, selective neurolysis and botox can be used to treat the disease.

Selective neurolysis involves releasing a platysma muscle downward and reducing the activity. The selective neurolysis is very useful for a patient to regain his ability to smile. The botox treatment is a non-surgical treatment. When injected by a nerve expert, it helps patients to regain some symmetry into their faces and improve their facial appearance.

Myth #3: Prognosis of the Disease is not Very Good

There are many people who are under the impression that prognosis for Bell’s Palsy is not very good and hence they hesitate in using it for the treatment. However, doctors state that prognosis is generally very good for the patients.

After making use of the prognosis method, a person starts to improve on his symptoms within the first two weeks. The duration for complete recovery remains the same, i.e. three to six months.

PRP For Anti-Ageing!

MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
PRP For Anti-Ageing!

Platelet Rich Plasma or PRP is a futuristic, natural and non – surgical concept of regenerative medicine. It adopts a modern approach of revitalizing the skin. PRP therapy helps to reduce the signs of aging, lessen acne and decrease fine lines & wrinkles without any surgery, Botox or fillers.

Here are the five benefits of a PRP therapy for Anti-Aging

  1. Absolutely Natural Procedure
    Because the plasma used in this procedure is derived from your own body, it is a completely natural procedure. No artificial chemicals or substances are used to process.
  2. No Surgery
    No invasion is involved in this procedure. The doctor would only give you a topical or local anaesthetic to numb the area. Then your own processed blood, which is now platelet rich plasma, is injected into your affected areas of your face using an insulin syringe.
  3. Completely Safe
    Since the plasma that is injected in skin is taken from your body only; therefore there are no risks or side effects of this procedure. Nor there are any non-compatibility allergies. Some patients have mild swelling, bruises or redness that goes away within 24 hours. So this is a completely safe procedure.
  4. No Recovery Time
    PRP therapy for anti-aging is a simple and non complicated procedure. The treatment takes around 30 minutes. After the treatment, you can leave the clinic & continue with your daily routine for the rest of the day.
  5. Long Lasting Results
    The results of PRP are long lasting. A patient needs to undergo 3 to 4 PRP sessions. After you undergo one session, the other session is scheduled after 3 to 4 weeks although some patient might need a maintenance session once a year. But the results are visible and last for years.

So if you are suffering from wrinkles, fine lines, acne or signs of aging, PRP is the perfect solution for you.

I am 28 years old, weight 80 kg but I not have good beards tell me treatment for beards.

BHMS
Homeopath, Hyderabad
I am 28 years old, weight 80 kg but I not have good beards tell me treatment for beards.
Home Remedies to Grow Beard Faster: Make Your Beard Grow Faster. Not all men find it easy to grow a beard. Coconut Oil. Coconut oil massage is one of the ways in which you can increase the growth of facial hair. Amla Oil. Lemon and Cinnamon. Eucalyptus Oil. Clean Moisturised Skin. Protein and Saturated Fat. Balanced Vitamin Intake.
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Skin Treatment

Cosmetic/Plastic Surgeon, Delhi
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There are a number of skin care treatments available today, which help individuals rejuvenate their skin to a great extent. Skin problems and aging have become quite common because of the hectic lifestyles we lead, genes and other environmental conditions

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I get severe pain in my lower back legs and arms. I have been asked to take Tazzle 20 MG Tablet for 1 month on alternate days. How long do I have to suffer with the pain?

BHMS
Homeopath, Hyderabad
I get severe pain in my lower back legs and arms. I have been asked to take Tazzle 20 MG Tablet for 1 month on altern...
Use heat and cold. Studies show that heat and cold are effective ways to get relief from back pain. Ice packs are most beneficial when a person uses them directly after an injury, such as a strain. Applying an ice pack wrapped in a towel directly to the back can reduce inflammation.
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Hello, My name is Adithya Age: 21 years Gender: male Description: 2 weeks ago I had a small accident and on my right leg a scooter fell off. There is a severe pain so I took pain killers for 3 to 4 days the pain was less but after the coarse was over. My leg has started to pain severely the pain mainly arises from the fibula region and runs out to the ankle. And I experience a severe pain when I fold my leg. There is no signs of external injury, no swelling or blood clotting.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hello,
My name is Adithya Age: 21 years
Gender: male
Description:
2 weeks ago I had a small accident and on my right ...
If you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. Since you met with an accident probably you would've had blood loss and also you must be having mineral or calcium deficiency that is one reason to feel very rigid or stiff in that area. Hot water fermentation that would help to reduce the muscle strain. Keep ice in the area where you have pain/or where the muscle is injured.
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