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Care 'n Cure

Internal Medicine Specialist Clinic

Care 'n Cure pathanamthitta
1 Doctor · ₹500
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Care 'n Cure Internal Medicine Specialist Clinic Care 'n Cure pathanamthitta
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Care 'n Cure
Care 'n Cure is known for housing experienced Internal Medicine Specialists. Dr. P. T. Alexander, a well-reputed Internal Medicine Specialist, practices in pathanamthitta. Visit this medical health centre for Internal Medicine Specialists recommended by 70 patients.

Timings

MON-WED, FRI-SUN
09:00 PM - 11:00 PM
THU
10:00 PM - 11:00 PM

Location

Care 'n Cure
pathanamthitta, Kerala - 689673

Doctor in Care 'n Cure

Dr. P. T. Alexander

MD
Internal Medicine Specialist
7 Years experience
500 at clinic
₹90 online
Available today
09:00 PM - 11:00 PM
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How To Restrict Allergy Driven Infection This Season?

MD - Medicine, MBBS, DTCD
Internal Medicine Specialist, Faridabad
How To Restrict Allergy Driven Infection This Season?

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

  1. Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
  2. Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
  3. Attacks of cold or flu can lead to an asthma attack.
  4. Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
  5. Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
  6. Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.

Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

  1. The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.

A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).
 

Hereditary Heart Diseases - How To Treat It?

MD, DM - Cardiology, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship in Interventional Cardiology
Cardiologist, Surat
Hereditary Heart Diseases - How To Treat It?

Ever wondered why you needed to share your family’s health history at a doctor’s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.

Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.

Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.

Let’s look at some ways by which we can deal with hereditary heart diseases and increase a patient’s chances of survival:

  1. Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients’ life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.

  2. Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.

  3. Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.

  4. Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.

We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.

Laparoscopy - Know Its Truth!

MS - General Surgery, DNB - General Surgery, AFIH
General Surgeon, Navi Mumbai
Laparoscopy - Know Its Truth!

A widely used surgical procedure, laparoscopy involves the insertion of certain surgical instruments, small tubes and video cameras in your abdomen through small incisions and cuts. This procedure is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few. Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

1. Myth: The images taken through a laparoscope are of poor quality

This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

2. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy

The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.

3. Myth: If you have large fibroids and ovarian cysts, you can't have them removed through a laparoscopy

False. Even though the incisions made by a laparoscopy are really small, they still allow the safe removal of large abdominal structures by the use of certain devices. For example, a cylindrical tool known as morcellator can be inserted through a laparoscopic incision and be used to remove large fibroids and ovarian cysts.

4. Myth: If you're overweight or underweight, you can't undergo a laparoscopy

No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.

Ayurvedic Treatment For Allergic Bronchitis!

N.D.D.Y, Bachelor of Ayurveda Medicine & Surgery (BAMS), Specialist In Ayurvedic Ksharsutra Therapy
Ayurveda, Delhi
Ayurvedic Treatment For Allergic Bronchitis!

A respiratory disorder, the inflammation of the lining in the bronchial tubes, which are responsible for carrying air to and from your lungs is known as bronchitis. Allergic bronchitis is a disorder that develops, if you have severe allergies which result in a bronchial immune system reaction.

Allergic Bronchitis requires medical diagnosis by your healthcare provider who can differentiate the allergic form of bronchitis from the normal form of bronchitis by searching for other symptoms related to the allergy. Allergic bronchitis often occurs due to seasonal allergies, making it an acute condition. If you are suffering from lingering bronchitis issues caused due to allergies, an allergy test is recommended so that the doctor can accurately assess the condition.

The symptoms of allergic bronchitis are similar to the regular form bronchitis. Only difference is that the symptoms are triggered by allergies. Some of the symptoms are given below:

  1. Cough which may form mucus

  2. Body aches and breathlessness

  3. Headaches, blocked nose and sinuses

  4. Fever with chills

  5. Wheezing

Over the years, Ayurvedic practitioners have prepared and prescribed a number of remedies that can address the issue of allergic bronchitis.

Some of the Ayurvedic remedies are listed below:

Below listed remedies should be taken 3 times in a day for quick relief.

  1. 2 grams of Shringyadi Churna should be taken along with 100 mg of Kaphachintamani and Kaphaketu.

  2. Talisadi churna should be mixed with honey and ginger juice.

  3. 2 grams of Sitopaladi Churna should be mixed with 200 mg of Praval Pisthi as well as 100 mg of Rasa Sindur.

  4. Haridra khand (one spoon) should be taken along with a cup of warm milk.

  5. Other natural remedies, according to Ayurveda include:

    1. Haldi (turmeric powder) mixed with a glass of milk

    2. Juice of Vasa

    3. Tulsi (Basil leaves ground to make a juice)

    4. Equal quantity of black pepper, dried ginger and long pepper (piper longum) mixed with honey

Types Of Arthritis And Its Treatment!

MS - Orthopaedics, D.Ortho
Orthopedist, Pune
Types Of Arthritis And Its Treatment!

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

  1. Arthritis pain may occur all of a sudden but develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
  2. Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.

Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

  1. Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
  2. Corticosteroids are used for reducing inflammation.
  3. Certain DMARDs or disease-modifying antirheumatic drugs are used.

Certain injections that are used for helping with knee arthritis. They include:

  1. Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
  2. Corticosteroid injections also soothe inflammation and pain.

You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

  1. Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
  2. Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
  3. Arthroscopy, where an incision is made in the knee for removing damaged parts.

It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

Know About Common Types of Weight Loss Surgeries!

MS - General Surgery, MBBS, Hepatobiliary & GI Surgery Fellow, Diploma In Minimal Access Surgery, Fellowship In Minimal Access Surgery, ATLS Certification
Surgical Gastroenterologist, Ahmedabad
Know About Common Types of Weight Loss Surgeries!

Obesity is unarguably one of the most regularly discussed topics around the world. A major section of the world's population is suffering from a variety of obesity related problems. There are a number of natural methods to check obesity; however, several medical surgeries are gaining popularity among the masses with instant results to reduce weight.

Here is a list of the most common types of weight loss surgeries:

1. Gastric sleeve surgery: This surgery is performed where removal of a large part of the stomach takes place. A long pouch is created, which connects the small intestine with the oesophagus. The pouch gets stapled and after that the other parts of the stomach are reduced. In some cases, an additional step is taken for reinforcement of the staple line.

Gastric sleeve reduces the size of the stomach and a patient will feel full after eating lesser amount of food. Because a portion of the stomach is reduced, lesser amount of hunger causing hormones are produced. The patient will therefore feel less hungry.

2. Gastric bypass surgery: This is another effective weight loss surgery, which reduces the patient's stomach size, resulting in reduced appetite. The intestines are rearranged, which makes the body absorb fewer minerals. While performing this surgery, the stomach is cut and stapled to create a pouch. 

The remaining stomach is attached to the small intestine's top portion, and the small intestine is cut and attached to the pouch as well. After this, the end portion of the small intestine is connected with the non-pouch part of the stomach and is attached to the roux limb bottom. This makes the stomach's digestive juices to meet the food present in the intestines.

3. Duodenal switch: This surgery reduces the stomach size in patients, which leads to decreased appetite or craving for food. Fewer hormones, which cause hunger, are secreted and the rearrangement of the intestine causes the body to absorb minimal minerals or calories.

A part of the stomach is removed and a pouch is created. The small intestine's top portion is cut off, but the duodenum is kept attached to the stomach. The small intestines are cut, and the part attached to the large intestine called colon is connected with the duodenum. Finally, the loose end of the small intestine gets attached to the small intestine to enable digestive juices to mix with food.

4. Lap band surgery: By this surgery, a band is wrapped around the upper middle section of the stomach which squeezes the stomach. Thus a smaller section of the stomach is created above the band which fills up very quickly while having food. The patient feels full by eating less. A laparoscopic adjustable gastric band is used.

There are many different weight loss surgeries. Most of them aim at reducing the capacity of the stomach, so that the person eats less food.

Cochlear Implants - Things To Know!

MBBS, Master of Surgery ENT
ENT Specialist, Faridabad
Cochlear Implants - Things To Know!

Cochlear implant is a medical device that provides direct electrical stimulation to the hearing nerve in the inner ear. Children and adults with a severe hearing loss may be helped with cochlear implants. A cochlear implant is a prosthetic substitute directly stimulating the cochlea and it does not cure deafness or hearing impairment.

A cochlear implant completely by-passes the normal hearing mechanism and stimulates the auditory nerve directly by means of an internally implanted electrode assembly. The implant consists of an external portion that located behind the ear and an interior portion which is surgically implanted under the skin. An implant has a microphone, a speech processor, a transmitter and an electrode array. The sound from the environment is picked by microphone and transmitter and receiver/stimulator sends them to speech processor to convert them into electric impulses. The speech processor placed with the microphone behind the ear, or it is a small box-like unit worn in a chest pocket. The speech processor digitizes the sound signals and sends them to a transmitter just behind the ear. The electrode array collects the impulses from the stimulator and sends those to different regions of the auditory nerve. The electrodes stimulate the fibers of the auditory nerve, and sound sensations are perceived.

A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so that they can be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. Hearing via a cochlear implant is different from normal hearing and takes time to adjust. However, it enables many people to understand other sounds in the environment, recognize warning signals, , and understand speech in person or over the telephone.

The benefits from a cochlear implant depend on many factors, such as the age of the patient when he or she receives the implant, the hearing loss present pre or post patient developed language skills and finally the motivation of the patient and family support.

Once a person is referred for cochlear implant, more testing is done which includes audio logic testing, psychological testing, medical examination, and tests performed by the surgeon. It is done to ensure that the candidate will benefit from a cochlear implant and will have the motivation to participate in the process. Once the decision is made to go ahead, the surgery is done. Sometimes it involves an overnight stay in the clinic, and sometimes it is done on an outpatient basis. Six weeks post-surgery, patient is fitted with the external microphone and speech processor and implant is activated and programmed.

The best candidates are those having severe hearing loss in both ears, limited benefit from hearing aids, medical condition that makes surgery risky. Children can be considered for cochlear implants if they have the similar conditions as adults and in addition have support from their educational institutions to development of auditory skills.

Articular Cartilage Injury - Know Its Causes and Treatment Options!

M S Ortho, D - Ortho, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai
Articular Cartilage Injury - Know Its Causes and Treatment Options!

What is Articular Cartilage Injury? 
Cartilage is an important structural unit of the body. It is present in places like the joints, the spine, the end of ribs, in the bronchial tubes, and the ear and the nose. Cartilages are firm, but flexible tissues. There are many types of cartilages found in the body. Among them articular cartilages are the ones that are present on the surface of the bones. As the name suggests articular cartilages exist to render articulation to the bones and retain their lubrication. Complexities arise when these cartilages are damaged, behind which many causes can play an active role. For example, a sport injury can damage the cartilages around the knees. Other causes include the twisting of the Anterior cruciate ligament and a progressive knee injury. Articular Cartilage Injury can also be an isolated event. 

Since there are no blood vessels in the cartilages, it takes quite long for them to heal. Symptoms Pain and inflammation of the knee Locking of the knee Generation of noises when the knee is moved 

Treatment 
The best treatment option for damaged cartilages is RICE therapy if the injury is not too severe. rice can be broken down into Rest, Ice, Compression and Elevation. 

  1. Rest: One needs to rest the affected area in order to prevent further injury. However, Rest does not indicate complete immobility. One needs to put as much strain as is within one’s capacity. 
  2. Ice: Ice must be applied on the affected area every 15 minutes following injury for at least 48 hours. Ice works as a vasoconstrictor, as well as a pain reliever. 
  3. Compression: The next step is wrapping a bandage around the affected area. But it is to be remembered that the compression must not be too tight. Compression reduces inflammation and it also safeguards the joint from injury. Professional help might be sought to properly bandage the area. 
  4. Elevation: After the area has been bound well, the leg has to be raised to prevent the fluid from accumulating in the affected area. The leg must remain in that position for as long as the doctor recommends. 
  5. Ibuprofen or pain killers might be prescribed to the patient. 

For severe cases, interventional methods like osteochondritis dissecans surgery might be attempted. The objective of this surgery is to attach the detached fragment. Another surgery that works to restore the damaged cartilage is marrow stem cell transplant whereby the stem cell is implanted in the cartilage defect. Multiple arthroscopic modalities of treatment are now available for cartilage repair which are customised according to the specific condition.

Recurrent Compulsion To Urinate - Is It A Syptom Of Prolapsed Bladder?

MBBS, MS - General Surger, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Recurrent Compulsion To Urinate -  Is It A Syptom Of Prolapsed Bladder?

Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.

Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).

What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:

  1. Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
  2. Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
  3. Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.

What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)

  1. Frequent urge to urinate
  2. Urinary incontinence (unwanted leakage of urine)
  3. Pain during urination
  4. Pain during sex
  5. Frequent urinary tract and bladder infections
  6. Pain in the vagina, pelvis, lower abdomen or lower back
  7. Incomplete urination

Psoriasis - Know Homeopathy Treatment!

BHMS, CCAH
Homeopath, Surat
Psoriasis - Know Homeopathy Treatment!

Psoriasis is a long term disorder that affects the skin. In this condition, the skin cells start to grow at an accelerated rate with thick red and white welts on the skin. While normal skin cells grow and flake off within four odd weeks, the new skin cells in this condition crowd the skin before these old skin cells go away. 

The patches that occur as a result of this condition are known as plaque build-up which mostly appears on the scalp, feet, knees, elbows and lower back. Let us find out more about this condition and how it may be treated with the help of homeopathy:

Causes and Triggers-

The most common triggers for this condition include bacterial and viral infections. Stress during inducing situation also acts as a trigger. Cuts, snake bites or other insect bites can lead to this condition. Smoking and excessive alcohol consumption may also be the cause of Psoriasis. This condition can also appear as a side effect of other medication too.

Symptoms-

The symptoms include ridge like patches which are thick and pitted. Also, the patient may complain of pain and stiffness in the joints as well as itching, soreness and puffiness. Scaly spots may also appear on the skin which may eventually become dry and cracked before bleeding begins.

Types of Psoriasis-

There are various types of psoriasis which must be treated in different ways. Scalp psoriasis is a common form, while skin and nail psoriasis may also be found in many patients. Guttate and Palomar Plantar Psoriasis are other rare forms where puss filled sores may appear on the skin.

Homeopathy Treatment-

The main treatment in homeopathy includes working on the immunity of the patient along with a cure for the inflammation. Arsenic Album is one of the main medicines used in this case as well as Kali Brom, which is best for treating cold skin which has blue corrugated sores. Thyrodium may also be used in case the patient is experiencing dry skin with cold hands and feet. Radium Brom can also help in curing excessive itching and oozing that may appear on the face. Apis Mellifica can be used for taking care of rashes that may be caused in this condition while Calendula is a medicine used for topical application. This medicine is used for soothing the skin which has undergone severe inflammation. Sulphur is a homeopathic medicine that is used for a variety of skin ailments and disorders.

Length of Treatment-

One must remember that homeopathy treatment is a long term process and it usually takes time for the effect to start showing on the condition and symptoms.

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