Doctors in Kiran Care & Cure Hospital
Management of Abortion
Knee Pain Treatment
Spinal Surgery Disorders
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Treatment of Neurological Problems
Treatment of Knee replacement
Termination Of Pregnancy Procedure
Treatment of Joint And Muscle Problems
Treatment of Child and Adolescent Problems
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment of Nerve And Muscle Disorders
Thyroid Problems Treatment
Acl Reconstruction Procedure
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The ear is made up of three parts that is outer, middle and the inner part. Infections, disorders and ailments in the ear can occur across all age groups and in any part of the ear. Ear ailments are more common in children than in adults as the Eustachian tubes (tubes which drain out ear fluid) are smaller in children.
Here are a few common ailments which occur in children:
- Acute otitis media: AOM is the most common ear infection in children. Some parts of the middle ear are infected, resulting in swelling and blockage of fluid behind the eardrum. This condition is characterised by earache in children and in graver conditions, can also cause fever.
- Otitis media with effusion: This condition usually occurs due to the infestation of an infection when the fluid gets restricted behind the ear drum. This condition doesn’t exhibit too many symptoms except mild earache. You should visit an ENT specialist who can diagnose this condition by checking the concentration of fluid behind the eardrum using special instruments.
- Chronic otitis media with effusion: This condition occurs in children when the fluid remains trapped behind the eardrum for a long period of time. It can lead to serious infection and cause problems in hearing in children.
- Barotrauma: Barotrauma occurs due to changes in atmospheric pressure changes. It can cause problems in the Eustachian tube and causes trapping of air in the middle ear. Middle ear problems can become severe if left untreated and result in a burst in the eardrum, causing excessive bleeding.
- Meniere's disease: This is a disorder, which comes in bouts and is characterised by vertigo and fluctuating hearing loss. This condition usually affects one ear. It can result in tinnitus (ringing in the ear) or permanent loss of hearing if left untreated.
- Swimmer’s ear: Swimmer’s ear, also known as otitis externa, is a common condition which is caused in the outer area of the ear. This condition is caused due to remnants of chlorine water in the ear or because of inserting swabs too deep inside the canal. This condition is characterised by earache, discomfort and itching of the ear.
A fracture separates a single solid object into two or more pieces due to pressure. In medical terms, a fracture refers to a broken bone due to some kind of external trauma. A crack in the bone, on the other hand, does not cause a clean break in the bone - there is only a separation or discontinuity in the bone material. A crack in the bone caused due to repeated stress is often called a 'hairline fracture'.
Here are the basic differences between a crack and a fracture in the bone and how to treat them:
- A crack or hairline fracture is rarely caused by a single injury. It is usually the result of bone fatigue which may be caused due to repeated concentrated stress over a long period of time and thus it is also called a stress fracture. Other bone fractures are almost always the result of sudden and severe force on the bones.
- The skeletal system constantly remodels itself. The cells called osteoblasts absorb calcium and secrete bone connective tissue. If a particular site is exposed to recurrent bouts of force (which are individually not impactful enough to cause a crack), over time the osteoblasts in that region malfunction and the crack appears. Muscular exhaustion can also cause cracks in the bones. Fractures are caused due to sudden external single force trauma to the bone. Nutritional problems like deficiencies of calcium, phosphorus and vitamin D and excessive smoking decrease the bone mineral density and increase the chances of both cracks and fractures.
- The symptoms of a crack are swelling, tenderness and sharp pain in the injured region. The symptoms worsen over time. A fracture has similar symptoms and might also exhibit an external physical distortion and makes it impossible to move the part of the body that where the broken bone is.
- An MRI is better for the detection of cracks or crack-prone areas because an X-ray can only detect the crack after it widens somewhat or the bone starts paining because the rays cannot pass through the tiny gap in bone material. A fracture is easily detectable by an X-ray because the rays pass right through the break.
- Complete rest for six to eight weeks is the most effective way of healing a crack. Using a walking boot in case of cracks in the leg bones in also helpful. Healing fractures requires extensive medical intervention. Surgical techniques like bone grafting and insertion of metal plates are used to reposition the broken bone.
Toxic shock syndrome (TSS) is a potentially life-threatening condition that causes a steep drop in blood pressure, resulting in deprivation of oxygen to the organs, which in severe cases leads to death. This disease has been associated with menstruating women who use superabsorbent tampons. It was first recognized in the 1970s and 80s when women using tampons of certain brands were affected by this syndrome and those brands were immediately taken off the market. This disease primarily affects tampon wearers and harmful effects of cervical caps, diaphragms, and menstrual sponges have surfaced.
New mothers are susceptible to TSS as well as those who are recovering from a surgery, are wounded or are using prosthetics. It is important to know about its symptoms so that you can identify the disease and seek professional help at the earliest.
Warning signs of TSS include:
An overgrowth of bacteria called staphylococcus aureus (staph) causes this disease. It can be found primarily in female bodies. This is one of the many staph bacteria that lead to skin infections in burn victims and patients recovering from surgical wounds. Group a streptococcus (strep) bacteria is another cause of this syndrome.
Siblings are most definitely, the best thing to have ever happened to anyone. We fight, we laugh, we play and we defend. No matter, whether you are the best buddies or you cannot even stand being in the same room, you two (or three or four!) share an inseparable bond, which will last for a lifetime. Siblings are surely in for the long haul, while friends and colleagues may just come and go. But do our sibs really influence us?
The weight issues!
Obesity has been known to run in generations and families, but there have been studies which show that siblings have an influence, especially when we talk of the waistline. Researches’ conducted from a 2014 based study at Duke University from the Sanford School of Public Policy show that if the older sibling is obese, the chances of the younger one, being the same increase fivefold. This is regardless of the fact that the parents are obese or not.
Though there is little evidence supporting the theory of birth order affecting personality, there sure is enough to support that siblings do shape the same for each other. Siblings do develop separate identities for themselves and in the same run, affect and shape the personality and characteristics as well as the behavior of the other, to a major extent. For instance, a person would make more of an effort to become an outgoing person, if his/ her sibling is shy and quiet. In case of families with three kids, this is more likely to happen among siblings of the same gender instead of the opposite genders.
The first teachers!
Navigating social situations are what we first learn from our siblings. A daily practice in understanding foreign minds and getting an insight of the outer world is what we first get from our siblings. Strong bonds between two kids at home have shown better and more successful connections with peers at school.
Saving marriages is their task!
Being a part of a bigger family reduces the chance of divorce due to more chances of being accustomed to adjustment. Ohio State University concluded in a 2013 study that every sibling reduces divorce risk by 2%.
Squabbling of siblings is as natural as the rain. Yet, the reasons for the fight can have major health implications. Quarrelling about issues like fairness and equality can lead to experiencing higher levels of depression. The same has been concluded by a 2012 study of the University of Missouri. Fighting over personal space can lead to development of low self-esteem and anxiety.
But they are happiness boosters too
You know that already! Having siblings is in itself a joyful experience.
An abnormal junction or connection between two organs or tissues is referred to as a “fistula”. It targets two hollow organs, vessels, or tissue structures. It occurs mostly in the rectum, vagina, however can affect the intestines and the eyes too. It results in extreme pain, discomfort and should be treated as immediately as possible to prevent infection.
It can induce sensations of:
- Extreme irritation or itching
- Discharge with unusual odor (if the fistula is located near the anus/vagina)
- Irritable bowel syndrome
- Excess pus
- High body temperature
- Blood discharge
In case or prolonged tension and pain in these areas, a proctoscopy should be conducted for diagnosis. It most commonly occurs in women who have sustained prolonged labor (over 2-3 days). However, other causes include:
- Digestive malfunction
- Abscesses(formation of pus in hollow organs)
- An unhealthy lifestyle which includes excessive indulgence in alcohol and tobacco
Ayurvedic treatment for fistulas are available which aim to sooth the inflammation by slowly remedying the wound through natural and safe measures. Since Ayurvedic practices are non-toxic, non invasive and completely safe, one can avoid the drastic measures that surgery consists of, and also avoid the side effects of medicines.
Ayurvedic remedies of fistulas include
Ayurvedic doctors have developed several oils, ointments and medications that are readily available in the market. The medications usually consist of a mixture of herbs, roots and plants that aim to restore the physical systems and also soothe the affected area.
- The importance of buttermilk added with rock salt and black pepper also allows the enzymes of our body to multiply and thereby cure the fistulas internally.
- Radish juice with a pinch of cumin is also recommended to be consumed after meals to improve digestion and empower the immune system.
- A healthy lifestyle and fitness routine consisting of yoga and exercises also contribute to improve conditions in the patient by facilitating blood circulation and metabolism.
The In Vitro Fertilization (IVF) technique manually involves combining the eggs of a woman with the male sperm outside the body through medical procedure. It is a popular treatment method for those who are unable to conceive. IVF treatment occurs through a number of stages –
- The ovaries are stimulated to produce eggs through the process of ovulation induction
- The eggs are retrieved from the woman and fertilized with male sperm outside the body and,
- The embryo is implanted back into the uterus.
Although in most cases IVF treatment yields positive results, there are certain guidelines one must follow during the treatment in order to avoid any complications -
Eat healthy meals in small portions throughout the day. Working women are bound to spend long hours at the workplace. There may be occasions when you are put under too much pressure and do not get enough time to look after yourself. But in spite of all the workload, you will need to maintain a healthy diet. It is advisable that you stick to light and nutritious food- a wholesome salad rich in veggies and fruits, sprouts, healthy snacks which consist of cheese and yogurt, meat and eggs. Omega-3 and Folate supplements are very important for staying healthy.
Do not stress yourself too much
While doctors normally prescribe you to walk and move around sometimes after the treatment, too much activity can be dangerous during this condition. Do not engage yourself in exercises that are too strenuous for your health. Working women are required to take extra care of their health because they are expected to commute to their place of work every day till they are on maternity leave. Commuting via public transports can be dangerous immediately after an IVF treatment and during pregnancy. It is advisable that you use a private car or cab to commute daily, or you can ask your colleague to pick you up to work.
There are too many things to keep in mind while undergoing the treatment and after the procedure. You need to keep a tab on all the prescriptions, medications, and follow up dates with your doctor. You can keep a notepad to write down specific details such as appointments or list down a few do’s and don’ts as a reminder. This will help you keep a check on your health even when you’re at work.
Pregnancy post IVF treatment can lead to stress and health issues, and since the pressure at your workplace cannot be completely stalled, these tips can help you deal with the condition with much ease.
CML refers to Chronic Myeloid Leukemia. This type of cancer originates in the bone marrow. It occurs when a genetic change takes place in immature myeloid cells. These cells are responsible for the production of platelets, red blood cells and many types of white blood cells. As a result of these changes an abnormal gene known as BCR-ABL is formed. In turn, this gene converts the myeloid cells into CML cells.
As cancer progresses, the cells spill out of the bone marrow and enter the circulatory system. The cells are transported through the blood to other organs and can settle in various other parts of the body. CML is a slow growing cancer but in some cases, it can turn into fast-growing cancer that is hard to treat. It is more common amongst adult and is rarely seen among children.
Studies on CML are directed towards both the understanding of how cancer develops and how it can be treated. Scientists are making steady progress towards understanding how a person’s DNA can change and in turn cause a mutating of bone marrow cells into CML cells. For this, researchers are studying what changes can make a cell grow fast, live longer than usual etc.
There are a few drugs that have proven to be effective in the treatment of CML. These drugs target proteins like BCR-ABL. However, not all patients benefit from it. Hence, studies are now underway to evaluate how it could be combined with other forms of treatment such as cancer vaccines, interferon or chemotherapy to be more effective. It is also being combined with other medicines to study the effects.
New drugs have also been developed to target and treat CML. In cases where CML cells create a mutation known as T315I by changing the BCR-ABL cells, the cancer is resistant to many different types of therapy. This includes targeted therapies like nilotinib, imatinib, and dasatinib. Thus, drugs are being created that can treat this mutation. Another type of drug that is being developed is known as farnesyl transferase inhibitors. In some tests, these are also being combined with imatinib.
Vaccinations that can protect a person from CML are also being studied. For this several vaccines have been developed and are currently being tested for effectiveness. CMLVAX100 is one such vaccine. Some studies have shown that when this vaccine is combined with imatinib, it is more effective.
Stroke and Paralysis is the inability of a muscle or group of muscles to move voluntarily. Muscles are controlled by messages sent from the brain that trigger movement. When part of the brain is damaged after a stroke, messaging between the brain and muscles may not work properly.
The temporary inability to move one’s own limbs or speak is known as paralysis. Paralysis is triggered by problems with the body’s nervous system and affects the functioning of muscles all over the body. This condition can affect a single limb, the right or left side of the body, or the complete body. A paralytic attack is often caused by a stroke or damage in the nervous system. It can also be caused by exposure to radiation or toxins, autoimmune diseases, tumours and spinal cord trauma. Recovery from a paralytic attack depends on the causes and the extent of the injury that triggered it. With some types of paralysis, partial or even complete, recovery is possible.
Ayurveda is an alternative system of medicine that can be quite effective when it comes to treating paralysis. Ayurveda has negligible side effects and hence can be used to treat adults and children alike. This system of medication does not look only at the physical symptoms but also the mental and spiritual well-being of the patient as well. Some ways to treat paralysis with Ayurveda are as follows:
- Vata-pacifying diet: Eat light meals that are easily digestible and pick warm foods over cold food. Avoid barley, rye and millet and include plenty of vegetables like asparagus, beets, okra and carrots in your diet. Also avoid bitter and pungent flavours, but pick food that is sweet, sour or salty to balance the body’s vata.
- Ayurvedic massage: Warm herbal oils are sued for Ayurvedic massages. These oils and the action of massaging them into the skin have a number of health benefits associated with it, including the treatment of paralytic attacks. Some Ayurvedic massages that could be beneficial to paralysed patients are abhyanga Ayurvedic massages, padabhyanga and pizhichil.
- Medication: Along with lifestyle changes, Ayurvedic medication also plays a role in the treatment of paralysis. Some popular Ayurvedic remedies for paralysis are rasnadi quath, medicated castor oil, pippali mula, vatavidhwamsana rasa, chopcheeni churna, ashwagandha churna, brihat vatachintamani rasa, ashwagandha churna and rasaraja. While some of these medicines are to be taken orally, others may need to be administered through the nostrils as part of nasyam Ayurvedic treatments and others via an enema as part of sneha vasti. Drinking 20–40 ml of radish oil twice a day and a mixture of black pepper powder, sunti and honey is also said to be beneficial in treating paralysis. However, one must keep in mind that recovery from paralysis is very slow and hence patience is a must.
Sudden onset of neurological deficit in the form of Aphasia
CT Brain – to rule out hamarage
MRI Brain – to rule out early infarct
ECG – to rule out atrial fibrilation
Carotid , vertebral Atery doppler, to rule out arthrosclerosis
Chikitsa Siddhant (Principle)
Avrut Vat Samak Chikitsa- Vatanuloman
Kaph Vathar Ausadh Prayog
Usna drvya Prayog
Once the diagnosis is conducted the ayurvedic doctor will then prescribe you certain medicinal herbs and suitable panchkarrma therapies, which can treat the paralysis problem. Complete cure in such a solution will vary from patient to patient, however, positive changes in the patient's health can be noticed. Another, most important factor that one should take care of is that paralysis is a serious condtition and self medication should never be done, even if the medication in question is a natural herb, still it should not be consumed without consulting an ayurvedic doctor.
The coitus was great, but after everything is over, why do you feel so sad and depressed? If you feel like fleeing or if you need some reassuring physical contact after intercourse, you might be suffering from a psychological condition called 'post-coital tristesse' (PTC)
What does it mean?
Post-coital is a Latin phrase while tristesse is a French word which literally translates to “sadness”. If you suffer from PCT, you might experience intense feelings of uneasiness, anxiety or sorrow immediately after coitus, or even two hours later.
Why does it happen?
- There are specific hormonal changes during sex and immediately after it. Two main hormones involved are ‘dopamine’ and ‘prolactin’. Dopamine is a neuro-hormone that precedes the release of adrenaline and is linked with feelings of pleasure and sexual arousal; while prolactin is the hormone responsible for producing milk in women (men secrete it as well). Dopamine is released in copious amounts during sex, so to counter this, prolactin is released. Prolactin drastically reduces dopamine levels, and this can make you sad.
- The other cause is psychological. Under the influence of dopamine, you might end up saying things you regret later. This too can result in sadness and depression.
Is it different for men and women?
Yes, men and women handle PCT very differently. Men feel like leaving so that they feel less sad. On the other hand, some men choose to stay, which only worsens their condition. It makes them associate sex with melancholic feelings. Women, on the other hand, crave for reassurance and physical touch from their partners. Nice words or cuddling can ease their discomfort. Suffering from this might result in disaster for them. When the man flees and the woman needs reassurance, it will lead to negative feelings about sex and development of resentment for each other.
Can abstinence and avoidance help?
Abstinence can help if you do not have an active sex life. Time away from sex can actually help you understand your problems better. However, abstinence can trigger depression, low self-esteem and extreme emotions of loneliness.
Are there any other solutions?
Communication and therapy are traditionally the best treatments for PCT. Talking to a therapist, alone or together with your partner, can help you with a solution.
As we all know that IVF stands for In vitro fertilisation. It is a method of stimulating the ovaries in a female body, to release an ovum (egg), which is taken out of the body and fertilised artificially in the laboratory with the help of a sperm. After this, the embryo is transferred back to the uterus where it grows and develops naturally.
Understanding the Procedure
- The doctor attempts to have complete control over your menstrual and ovulation cycles, so as to know the correct time of the month when you ovulate. This includes, charting basal body temperatures, hormonal therapy drugs etc.
- Frequent blood tests, ultrasound will be required to map the progress of ovulation.
- Injections, drugs will be prescribed in required dosage to stimulate the ovaries.
- During this time, the doctors will monitor the growth of oocytes (eggs).
- After a suitable growth of the oocytes follicles, the eggs are retrieved for artificial insemination. (Fertilisation with the use of sperm cells in the laboratory).
- After the successful fertilisation, the embryo is transferred back to the uterus.
Can IVF have side effects?
- As a side effect it has a major chance of multiple pregnancies. People intending to have just one child, may not be mentally or economically prepared to take the responsibility of more than one child.
- The drugs and medicines used throughout the IVF procedure may create hormonal complications in the long run. It bears a risk of ovarian hyperstimulation syndrome, if the mother has to go through the cycle multiple times.
But it offers a number of benefits too...
- IVF increases the chance of pregnancy by a large percentage. It is one of the most successful methods of boosting fertility and pregnancy.
- Couples, who have repeatedly failed to bear children naturally, can opt for this treatment to produce their own offspring.
- In case the couples are completely infertile, donor eggs or sperms may be used in the process. However, in that case, the offspring will not bear the DNA of both parents.
- IVF can greatly reduce the chance of surgery on the fallopian tubes.
- IVF also provides an opportunity to choose the healthiest embryos before implanting it back in the uterus. A procedure, known as the pre-implantation genetic diagnosis, determines the presence of any abnormal genes or other chromosomal absurdity.
- The procedure of IVF has a very high success rate and with technological advancements in the field of medicine, it has also become much safer.
- IVF allows women, who go into premature menopause, to be able to bear a child. This treatment is mostly for women who decide to experience motherhood at a slightly older age.
- IVF allows same sex partners and single women to bear an offspring.
- It is extremely helpful for women who have their fallopian tubes damaged, blocked or surgically removed.