Doctor in Noida Medicare Centre
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Management of Surrogacy
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The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls.
This attracts more and more fat molecules to settle down. This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.
This condition, known as coronary artery disease, is becoming a major cause of deaths. While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.
1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease. This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar. Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.
2. Exercise: Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management. Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.
3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.
4. Alcohol consumption: While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no. Binge drinking especially is shown to cause heart attacks.
6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them. Keep a constant check to ensure your readings are managed well.
7. Watch out: Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.
Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life.
Urine is normally pale yellow or straw coloured. However, for various reasons, this can change. In fact, the change in the colour of urine is one of the first indications of a deeper underlying problem. This would also be one of the questions that the doctor would ask when suspecting any problem with the urinary tract, starting from infection to stones to cancer.
Hematuria is, therefore, a symptom and not a problem in itself. Some of the reasons for hematuria – presence of blood cells in the urine, producing a light pinkish urine, are listed below.
Urinary tract infections – starting from urethra all the way up to the kidneys
Heavy exercises causing trauma to any of the internal urinary tract organs
As the disease progresses higher in the urinary tract, the severity of hematuria also increases. Though hematuria is a symptom in itself, there are some associated symptoms which are listed below-
Urge to urinate
Feeling of incomplete emptying
Nocturnal urination (if prostate is enlarged)
Kidney pain (with stones especially)
Homeopathy believes in treating the person as a whole and not just the presenting symptoms. The doctor will ask a number of questions, some pertaining to unrelated organs, which will help them identify the reason for the hematuria. The treatment prescribed will be customised to the patient in question, but some of the common ingredients used in hematuria management are given below.
Hematuria from all causes can be managed with Terebinthina.
Bladder hematuria is better managed with Erigeron Canadense at 80% concentration while renal hematuria responds better to the same at 60% dilution.
Inflammatory hematuria can be reduced with Cantharis (80%)
Renal hematuria is better managed with Gossypium herbaceous (60%).
Renal colic with pain in the glans, groyne, and thighs responds well to Pereira brava.
When there are small stones or sand particles in the urine along with pain at the end of the micturition process, Sarsaparilla thrice a day is known to be beneficial.
As with any homeopathic treatment, the actual ingredient chosen would depend on the actual symptom that the patient presents with. Though these compounds are used, self-medication is not advisable. Talk to a specialized homeopath who will identify the right ingredient for a given clinical presentation.
HIV infection is the causative factor of the acquired immune deficiency syndrome (AIDS). Worldwide research is being conducted and treatment strategies are being formulated to combat this fatal disease. Fighting HIV is not an easy task, since the disease cannot be completely reversed. However, worldwide use of anti-retroviral therapy has helped in controlling the spread and transmission of disease. Use of medications, regular screening and close contact with caregivers and physicians is necessary for proper management of the disease. Despite, available treatment options, a difficult obstacle that arises before or during the treatment is drug resistance.
Drugs are aimed at targeting the disease-causing pathogens like bacteria and viruses. These pathogens, over a period of time, develop the ability to acquire resistance against the targeted drugs. The pathogens continue multiplying despite the presence of the drug in the system. In today’s scenario, the potent drug combination of anti-retroviral therapy (ARV) has been successful in remarkably reducing HIV-related mortality. However, an increased emergence of resistance to the drug therapy is concerning.
Amongst the various drug classes available in the ARV, no drug is resistance-proof. The drugs belonging to the same class have a similar mechanism of action against the virus. So resistance developed against a particular class of drug inevitably leads to resistance against all the other drugs belonging to that class. An individual with HIV infection may have one or more drug-resistant mutations, which makes the person less sensitive to one or more anti-retroviral drugs. When the replication of virus in the system is not suppressed fully, a resistance towards it develops.
Non-compliance of the ARV results in resistance. Resistant viruses can spread the infection and affect ARV therapy. Drug resistance is usually attributed to inadequate adherence to the regimen. But in some cases, strict adherence to the drug is seen, yet there is a presence of resistance due to poor absorption. This implies that since the drug is not getting adequately absorbed in the body, it is unable to prevent the replication thus leading to drug resistance.
Anti-retroviral treatment is aimed at limiting the replication of HIV in the body. Various drug classes target different steps of replication, which stops further replicating and infecting of the cells. The nucleo-capsid contains viral genome and three enzymes vital to HIV life cycle:
- Reverse transcriptase - Transcribes viral RNA genome into complementary deoxyribonucleic acid (DNA)
- Integrase - Facilitates incorporation of pro-viral DNA into host cell genome
- Protease - Cleaves viral polypeptide into individual functional enzymes
Drugs targeted on these steps are as follows
- Nucleoside and non-nucleoside reverse transcriptase inhibitors like Nevirapine and Efavirenz act on the reverse transcriptase enzyme.
- Integrase inhibitor Raltegravir acts on the Integrase enzyme.
- Protease inhibitors like Ritonavir, Indinavir, Saquinavir act on the Protease enzyme.
- Fusion inhibitor Enfuvirtide acts to prevent fusion of HIV with cell membranes.
- CCR5 inhibitor Maraviroc block the CCR5 co-receptor.
- A viral mutation occurring at any stage of this process can affect the efficacy of the drug therapy.
The emergence of drug resistance can be managed by evaluation of drug absorption and ensure strict adherence to the drug schedule. Genotype tests can be done to look for drug-resistant mutations in genes. Phenotype tests are done for measuring the ability of a virus in an individual to undergo replication in different drug concentrations. A successfully administered and effectively acted first-line drug treatment, preferably a 3-drug combination, reduces the chances of drug resistance in future.
Breast cancer is the most common forms of cancer in females, affecting one in every eight women in the US. There are huge awareness campaigns, which revolve around ways to recognize if you are prone for it and how to identify the disease in its early stages. Knowing the symptoms can help in early diagnosis and thereby early intervention and better prognosis.
How and why of breast cancer?
The breasts produce milk through the glands, which also contain connective tissue including fat, fibrous tissue, nerves, blood vessels, etc. The milk reaches the exterior through a fine network of ducts. Most cancers develop as small calcifications in these ducts, which continues to grow and spread to distant organs.
Warning signs and symptoms: Given the high incidence of breast cancer, knowing the symptoms helps in early identification. Read on to know more, especially if there is a family history.
- Any change in the size, shape, or contour of the breasts
- Appearance of a lump in the breasts or the armpits
- Presence of a clear or bloody discharge from the breast
- The breast or the nipple turning red
- Sudden thickening of breast tissue or skin that continues for a while
- Change in the feel or look of the skin (dimpling, puckering, scaliness, reddishness, warmth, etc.)
- Hardening of the tissue under the breast skin
- Difference in appearance or feel of one area in comparison with other areas
The presence of any of these or a combination of these symptoms should be an indication for a detailed checkup. As mentioned, early diagnosis helps in reducing complications and improving prognosis. It is also good to know risk factors, which also indicate if you need to watch for symptoms.
- Family history: Breast cancer runs in families, and if you have a first-degree relative with breast cancer, watch out for symptoms.
- Tested positive for BRCA1 and BRCA2
- Family history of other cancers
- Age: Women over the age of 50 are at an increased risk of developing breast cancer.
- Race: Caucasian women carry greater risk than African-American women.
- Hormones: Increased use of estrogen increases the chances of developing breast cancer. Therefore, women who have used birth control for long time or are on hormone replacement are at greater risk.
- Abnormal gynecologic milestones: Women who have abnormal menstrual milestones are more predisposed to developing breast cancer. For instance, girls who attain menarche before age of 12, get pregnant after 30, and reach menopause after 55. Women with menstrual irregularities including cycles earlier than 26 days and later than 29 days are also likely to have hormonal issues and are, therefore, at higher risk of breast cancer.
- Other factors: Smoking, alcohol abuse, and obesity also increase the chances of a woman developing breast cancer.
Many children are born with Atrial Septal Defect, a condition which is popularly known as holes in the heart. It is a major concern for most parents, but, thankfully it can be treated very easily. None of the parents want their child to undergo hospitalization and the resulting pain that treatments might incur. However, the good news is all kinds of heart holes do not need to be closed by surgery at all. Many a time the holes are filled over time naturally and the child only needs to be under medical observation that’s all.
In case a surgery needs to be performed, given the hole(s) in your child’s heart is medium to large sized, the surgeon makes sure that the procedure is painless. One of the commonest surgeries is one that involves the use of a catheter. Here, a catheter is attached to an umbrella-shaped device (a disk) and the apparatus is inserted through the groin region. The device is designed to reach your child’s heart and attach a disk to the hole, thereby filling it. When the process reaches completion the catheter is taken out of the body. The good thing about this surgery is that by six months natural tissues grow over the surgical site and re-operation is not required.
Open Heart Surgery
Another type of surgery that is performed to treat Atrial Septal Defect is an open heart surgery. This is only carried out only when the condition is serious. In this surgery too, the child is given medications that allow him/her to sleep throughout the procedure. Using a bypass machine the surgeons opens the heart and while the surgery is on, this machine imitates the pumping of the heart. The surgeon then uses a patch like a device to seal off the hole(s). Post surgery the child is discharged from the hospital within a week. There will be some guidelines that the concerned doctor might acquaint you with pertaining to the post-treatment care of the child. He/she might prepare a diet chart for your child.
Ventricular Septal Defect
Ventricular Septal Defect is a condition where a hole develops around the wall which separates the lower chambers of the heart. In most cases, the hole closes in on its own. If the hole is medium or large sized, a surgery will be performed. With surgery, your child would go back to leading a normal life. It is just that you need to take special care of his/her diet. The doctor might recommend foods that are high in calories. Make sure you follow the doctor’s advice properly and watch your child going back to bounding and playing like other children in no time.
साल 2009 में स्वाइन फ्लू एक महामारी के रूप में आया था, लेकिन इसे आज बस एक आम तरह का फ्लू वायरस माना जाता है. हर साल टीकाकरण करके स्वाइन फ्लू को रोका जा सकता है. स्वाइन फ्लू के लक्षण और उपचार, एक अन्य सामान्य फ्लू वायरस के जैसे ही होते हैं और अन्य सामान्य फ्लू वायरस के जैसे ही फैलते हैं. स्वाइन फ्लू को H1N1 फ्लू भी कहते हैं क्योंकि यह H1N1 वायरस से होता है. सामान्य फ्लू और स्वाइन फ्लू के लक्षण एक समान ही होते हैं. इस वायरस की शुरुआत सूअर से होती है जिसके बाद यह एक इंसान से दूसरे इंसान में फैलता है. जब 2009 में स्वाइन फ्लू वायरस को इंसान में पाया गया तब इस वायरस ने एक महामारी का रूप ले लिया था. अगस्त 2010 में विश्व स्वास्थ्य संगठन ने स्वाइन फ्लू महामारी को खत्म धोषित कर दिया था. तब से H1N1 वायरस को एक सामान्य फ्लू वायरस की तरह ही माना जाता है. H1N1 वायरस अन्य फ्लू वायरस के जेसै ही संक्रमित होता है.
2009-10 का महामारी स्वाइन फ्लू अप्रैल 2009 में इस वायरस की पहचान सबसे पहले मैक्सिको में की गई और ये स्वाइन फ्लू के नाम से जाना गया क्योंकि ये सुअर को प्रभावित करने वाले फ्लू वायरस के समान ही था. ये वायरस तेज़ी से एक देश से दूसर देश में फैलता गया क्योंकि ये एक नये किस्म का फ्लू वायरस था क्योंकि युवकों की प्रतिरक्षा प्रणाली इससे लड़ने में सक्षम नहीं थी और कई युवक इसकी चपेट में आए. वर्तमान में स्वाइन फ्लू का प्रकोप H1N1 A वायरस अब मौसम-आधारित वायरस हो गया है जो कि हर सर्दी के मौसम में फैलते हैं. इसलिए आइए स्वाइन फ्लू के लक्षणों को जानें.
स्वाइन फ्लू के लक्षण
स्वाइन फ्लू के लक्षण स्वाइन फ्लू के शुरूआती लक्षण का पता एक से चार दिन में लग पाता है. इस वायरस से संपर्क में आने के बाद वायरस की ऊष्मायन अवधि लगभग एक से चार दिन होती है, और औसतन दो दिन. इसके लक्षण एक से दो सप्ताह तक बने रहते हैं और अगर कोई व्यक्ति गंभीर रुप से संक्रमित है तो इसकी अवधि बढ़ भी सकती है. स्वाइन फ्लू के लक्षण कई अन्य प्रकार के इन्फ्लूएंजा वायरस के जैसे ही होते है. इसमें यह लक्षण देखने को मिलते हैं –
बुखार (100F या इससे अधिक). खांसी (आम तौर पर सूखी खाँसी).
1. स्वाइन फ्लू के लक्षणों में नाक का बहना बहना प्रमुख है. हलांकि नाक बहना एक सामन्य समस्या है. मामूली जुकाम में भी आपका ना बहता है. लेकिन यदि ये स्वाइन फ्लू के कारण होता है तो. जांच कराएं.
2. स्वाइन फ्लू के मरीज थकान का अनुभव भी करते हैं. इसमें उन्हें बिना किसी परिश्रम वाले काम के ही थकान का अनुभव होने लगता है.
3. इसके पीड़ितों के गले में खराश का होना भी एक सामान्य लक्षण है. हलांकि ऐसे सामान्य लक्षणों के दिखने के बाद आपको जांच कराने के बाद ही हकीकत का पता चलेगा.
4. स्वाइन फ्लू के लक्षणों में एक ये भी है कि आपके त्वचा पर लाल चकत्ते निकल आते हैं. जिससे आप इसके होने का अनुमान लगा सकते हैं.
5. स्वाइन फ्लू के संक्रमण के शिकार के लोगों के शरीर और मांसपेशियों में दर्द की भी शिकायत होती है.
6. इसके मरीजों को ठंड लगने की समस्या देखी ती है.
7. जी मिचलाना भी स्वाइन फ्लू के तमाम लक्षणों में से एक है.
8. इसके संक्रमण से पीड़ित मरीजों में उल्टी आने की समस्या देखी जा सकती है.
9. दस्त लगना भी इसके तमाम लक्षणों में से एक ही है.
10. कुछ रोगियों को श्वसन संबंधी लक्षण भी हो सकते हैं जैसे सांस लेने में परेशानी. इन हालत में उन्हें सांस लेनें में मदद करने वाले यंत्र की ज़रूरत पड़ती है जैसे वेन्टलेटर.
11. अगर संक्रमण बना रहता है तो रोगी को निमोनिया हो सकता है और कुछ रोगी सीज़्यर का अचानक बढ़ना.
12. इसका असर व्यक्ति पर थोड़े समय के लिए ही रहता है, मूल रूप से व्यक्ति की कार्य करने की क्षमता पर असर पड़ता है) भी हो सकता है. इससे मौत अक्सर इसकी वजह से होने वाले फेफड़ों के संक्रमण से होती है.
Close your eyes. When you are ready, you and your partner can close your eyes and start the meditation. Then, try to remain aware of your surroundings at first. Pay attention to your body, your breath, and any sounds that you hear.
- Try to ignore intrusive thoughts and simply focus on the present moment. If a thought pops into your head, acknowledge the thought and then let it pass. For example, if you think of something that happened at work, then you might think to yourself, “yes, that happened,” and then picture the thought drifting away.
Focus on your space and breathing. As you meditate, focus on your space and breathing. Take deep, soothing breaths and pay attention to air entering and leaving your body. As you breathe in, pull the air down into your abdomen and imagine stress leaving your body as you exhale.
- Try to be aware of yourself and how you feel. Take stock of how the air feels around your body, how all your different body parts feel from your hands to your feet.
Visualize your body. As the meditation starts, visualize your own body. Think about how your body looks inside and out as well as how your body's energy looks. Think about the shapes, colors, and sounds of your current feelings. For example, you might imagine the desire that you are feeling for your partner looks like a red orb.
- Focus on your physical sensations. Try to be as aware of your own body and the sensations you're feeling as possible. The goal of sexual meditation is heightened awareness, which can lead to increased sexual arousal.
Focus on your partner. Once you're done visualizing yourself, shift focus to your partner. Try to think about your partner’s body and emotions at this moment.
- Look at your partner. You can open your eyes and look into your partner’s eyes. Make sure that you notice your partner's breathing as well. Glance at the movements of your partner’s body.
- For example, you might watch your partner’s stomach and chest as they fill with air and then deflate again.
- Communicate with your partner without speaking. Try to use your face, hands, and eyes to show your partner what you are feeling. Watch your partner's expressions as well. Try to see what he or she is feeling as well.
Move onto sexual intercourse. After about 20 minutes of sexual meditation, transition into sexual intercourse. If intercourse is more enjoyable after sexual meditation, talk to your partner about doing regular sexual meditations.
Pilonidal sinus - (रीड्ड की हड्डी के पास नासूर)
दोस्तो आज हम रीड्ड की हड्डी के पास होने वाले नासूर के बारे में चर्चा करेंगे.
Pilonidal sinus एक ऐसा रोग हैं जिसमें रोगी के natal clefts के बीच mid sacrococcygeal line में एक या अनेक छिद्र बन जाते हैं जिसमें शुरू में itching होती हैं तथा बाद में वहां सें seropurulent discharge होता रहता हैं तथा रोगी को बैठने पर दर्द होता हैं
इसे jeep disease भी कहते हैं
Pilonidal sinus के बहुत से कारण हो सकते हैं जिनमें से प्रमुख कारण इस प्रकार हैं -
1. अधिक समय पर एक ही जगह पर बैठे रहना
2. साइकिल, मोटर साइकिल,गाडी का अत्यधिक चलाना या बैठना
3. Hairy व fatty body होना
1. रीड्ड की हड्डी के पास एक या अधिक छिद्र बनना तथा उसमें से seropurulent foul discharge होना
2. बैठने पर दर्द होना
3. भारीपन लगना
आयुर्वेद में इसकी एक मात्र चिकित्सा क्षार सूत्र ही हैं औषधि चिकित्सा से इसको ठीक करना मुश्किल हैं
विभिन्न रोगियो में किये गये क्षार सूत्र चिकित्सा प्रयोग से ये सिद्ध हुआ हैं कि क्षार सूत्र चिकित्सा इसके उपचार की एक महत्वपूर्ण चिकित्सा हैं
Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat.
Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound.
It can occur at all ages including childhood, highest prevalence is in 40–50 year age group. Prevalence more in patient who are obese and in diabetic patients.
Types of Fatty Liver
1. Alcoholic fatty liver: This condition occurs when there is a heavy consumption of alcohol. Gastroenterologists recommend abstention from alcohol for this condition to subside. If the patient continues to consume alcohol, then liver cirrhosis may develop.
2. Non-alcoholic fatty liver (NAFL): One may develop a fatty liver even if one is not an alcoholic. The liver in some cases is unable to process the fat in cells causing them to build-up on the organ.
When more than 10% of the liver is made of fat then this condition is called Non Alcoholic Fatty Liver (NAFL).
Non-alcoholic steatohepatitis (NASH): When fatty liver is associated with inflammation in liver patient is said to be having Non alcoholic steatohepatitis. NASH is a more advanced stage of NAFLD, and has a higher risk of progressing to liver cirrhosis or hepatocellular carcinoma (HCC). These condition display symptoms like jaundice, vomiting, nausea, loss of appetite and abdominal pain. Blood test (LFT) shows raised enzymes level. Approx 5-8% of the Indian population has NASH. Consult a doctor if you are experiencing any of these symptoms.
During the early stages (fatty liver) of the disease, patients usually have no symptoms directly related to liver disease. However, people may experience a vague abdominal discomfort. If their liver is inflamed (NASH) then they may display symptoms of poor appetite, weight loss, pain in the abdomen and disorientation.
What causes fatty liver?
The most common cause of fatty liver is alcoholism. When the human liver is unable to metabolize fat fast enough or when there is an excess accumulation of fat on the liver cells then the liver becomes fatty. However, intake of high-fat foods may not result in a fatty liver.
- Diabetes mellitus
- Obesity or being overweight
- Hyperlipidemia or the condition where there are high levels of fat in the blood
- Genetic reasons
- Rapid loss of weight
- Drugs: Aspirin, steroids, tamoxifen, tetracycline etc. cause side effects which also leads to fatty liver
- Nutritional status (eg, overnutrition, severe malnutrition, total parenteral nutrition [TPN], or starvation diet)
- Other health problems (eg, Hepatitis C infection, celiac sprue and Wilson disease)
Heart transplant surgery is one of the most critical cardiac surgeries that exists. Since the procedure requires an open-heart surgery, it often takes a long time to complete the operation. General anaesthesia is applied to the patient so that he doesn't feel a thing. The surgeon then connects the patient to the heart-lung bypass machine so that oxygen-rich blood keeps flowing inside the body. The surgeon then separates the chest bone, opens the rib cage, takes out the old heart to replace it with the new one. As soon as the blood flow is restored, the new heart starts functioning (pumps blood). Sometimes an electric shock is required to make the new heart work.
What to expect after the procedure?
The patient is given pain medications and connected to a ventilator. It helps the patient to breath and ejects body fluid. The medications and the fluid in transferred to the body through IV tubes. The patient is kept in an intensive care unit till his condition stabilizes. He might have to spend a couple of weeks to one month in the hospital before he is permitted to go home.
What to expect after the patient is released from the hospital?
The patient is now closely monitored by the transplant team at the outpatient transplant center. Since the intensity and the frequency of the monitoring are frequent, many patients chose to stay close to the hospital. Frequent tests such as regular blood work, echocardiogram, heart biopsies etc. are conducted at regular interval to monitor any signs of the body rejecting the new heart.
What are the long-term adjustments needed?
consumption of immunosuppressants medications would be sacrosanct for the rest of the life. Since the immune system would never fully accept the new organ, immunosuppressant would ensure that the body's antibodies do not attack the new organ. Over time though, as the risk of rejection comes down, the dosage of the immunosuppressant is reduced by the doctor. Since immunosuppressant has some side-effects, a doctor also prescribes certain antifungal, antiviral and antibacterial medications as well.
- Managing therapies, medications and lifelong health plan: Heart transplant essentially means following a set of lifelong instructions as prescribed by the doctor. Taking medications on time, eating healthy, regular exercise, skipping junk foods, refraining from tobacco and alcohol are some of the instruction a patient might have to abide by for the rest of his life. Meeting the doctor once in a quarter is also important to ensure that any upcoming complications could be addressed proactively.
- Emotional Support: Often patients feel overwhelmed by the experience of a heart transplant. The stress of the procedure gets to some patients resulting in less sleep, low appetite, lethargy etc. It makes sense to talk to the doctor and seek help for the same.