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Disseminated Intravascular Coagulation (DIC) Tips

Piles - How Infrared Coagulation Therapy Can Help?

Dr. Shobha Pandao 91% (11 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Akola
Piles - How Infrared Coagulation Therapy Can Help?

Piles are Haemorrhoids which become inflamed and are accompanied with bleeding. Haemorrhoids can be defined as masses or clumps of tissues developing in the anal canal. Haemorrhoids comprise of blood vessels, support tissues, muscles and elastic fibers.

Bleeding piles can be treated using several methods or forms of surgery. The ayurvedic form of treatment called agni karma is an effective, natural cure for bleeding piles. On the other hand, a medical procedure known as infrared coagulation therapy can also be executed for the efficient treatment of bleeding piles or haemorrhoids.

Agni karma- an Ayurvedic Remedy for Treating Piles
In Sanskrit, the word 'Agni' refers to 'Fire'. Agni karma is an ayurvedic therapy, which involves the use of agni or fire. It is also called cauterization. Agni karma is popularly called Dahan Karma. Agni karma is used in the treatment of many diseases of different type. It is a good method for the treatment of bleeding piles.

In this process, any ailing surface of the body or a tissue, such as haemorrhoids, is destroyed and burnt by using a heated instrument using electric current and by freezing. An acidic agent for cutting like kshar karma is also used in the process of agni karma for the treatment of bleeding piles.

The different types of agni karma include:

  1. uchchh dagdha /scarce agni karma
  2. Durdaghda/ inappropriate burning surgery
  3. Aati dagdha /powerful or excess cauterization
  4. Samyak dagdha / appropriate agni karma

 

Infrared Coagulation Therapy

 

Infrared coagulation therapy or infrared photocoagulation is a medical process which is used to treat bleeding piles or haemorrhoids, and can only cure internal haemorrhoids.

During the process, a device is utilized, which produces a beam of intense, powerful infrared light. The heat released by the infrared light causes scar tissue and blood supply to the haemorrhoids to be cut off. This results in the death of haemorrhoid or piles, and a scar forms on the anal canal wall. The surrounding veins are held together by the scar tissue which avoids them bulging into the anal canal.

Agni karma, the ayurvedic treatment, is considered to an effective medical treatment procedure of infrared coagulation therapy. This is because:

  • Agni karma is a much more natural method of treatment for bleeding piles, and no unnatural substance like infrared light beam is used.
  • Agni karma provides treatment without failure, and success is guaranteed. 

Besides, guggulu kshar sutra therapy is also one of the best therapies - No side effects & no chances of recurrence, no hospital stay, no pain, join duty immediately. In case you have a concern or query you can always consult an expert & get answers to your questions!

3171 people found this helpful

Infrared Coagulation ( IRC ) - Learn About Its Procedure

Dr. Sushil Goyal 87% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Delhi
Infrared Coagulation ( IRC ) - Learn About Its Procedure

Infrared coagulation is a new non-surgical treatment technique that has revolutionized the treatment of symptomatic internal haemorrhoids. 

Much like a laser, this device focuses infrared light on haemorrhoid tissues, coagulating them. In the same way that blocking a stream will dry up a lake, IRC coagulates the "feeder veins" that deliver blood to the haemorrhoids. By gradually cutting off the blood supply, the haemorrhoid shrinks and patients gets cured . This technique is now offered in our centre . Usually, three treatments are required. This simple procedure only takes about 5 to 7 minutes and requires no incision , no anesthesia or lengthy recovery or time lost from work , infact patient can join duty immediately . The success rate is high and surgery can be avoided in most of patients. 

What is Infrared Coagulation? 

Infrared coagulation (IRC) has quickly become the most widely used office treatment for haemorrhoids and is preferred over other methods because it is fast, well-tolerated by patients, and virtually problem-free. A small probe contacts the area above the haemorrhoid, exposing the tissue to a burst of infrared light. This coagulates the veins above the causing it to shrink and recede. You can think of a haemorrhoid like a venous lake that is fed by many small streams, or veins. Blood flowing from these veins keeps the haemorrhoid full of blood and swollen. This often leads to symptoms of bleeding and painful swelling. Fortunately, there is a simple, painless, and effective alternative. For some reason, the small veins that feed the haemorrhoids lie in an area that has very few nerve endings and very little feeling. 

With IRC, your doctor can take advantage of this fact by going above the haemorrhoids and destroying these small veins. In this way, the pain sensitive area is avoided. Destroying these small veins stops the flow of blood to the haemorrhoids just like blocking a river will dry up a lake. 

How is IRC done? 

This technique could not be simpler. There is no laxative preparation or need for fasting before this procedure. You don't need a driver to accompany you. You will be asked to lie on your left side on the padded exam table. After examining the rectum with a lubricated glove, the doctor will insert a short scope called an proctoscope. This is not painful but will cause a feeling of fullness in the anal area. The doctor can now view the haemorrhoids directly. Once the "target" is identified, he will pass a small infrared probe above the haemorrhoids. 

How many visits are required? 

Each treatment takes about 5 - 7 minutes and most patient require 3 visits for treatment, 1 – 2 week apart to destroy all of the "feeder" veins. Over time, this causes the haemorrhoids to shrink and, in many cases, disappear completely. Even if the haemorrhoid is not totally eliminated, the shrinkage usually stops troublesome symptoms such as bleeding, pain, and protrusion.

Bleeding Piles Treated by Agni Karma and Infra Red Coagulation Therapy

N.D.D.Y, Bachelor of Ayurveda Medicine & Surgery (BAMS), Specialist In Ayurvedic Ksharsutra Therapy
Ayurveda, Delhi
Bleeding Piles Treated by Agni Karma and Infra Red Coagulation Therapy

Piles are Haemorrhoids which become inflamed and are accompanied with bleeding. Haemorrhoids can be defined as masses or clumps of tissues developing in the anal canal. Haemorrhoids comprise of blood vessels, support tissues, muscles and elastic fibres.

Bleeding piles can be treated using several methods or forms of surgery. The Ayurvedic form of treatment called agni karma is an effective, natural cure for bleeding piles. On the other hand, a medical procedure known as infra red coagulation therapy can also be executed for the efficient treatment of bleeding piles or haemorrhoids.

Agni karma an Ayurvedic Remedy for Treating Piles
In Sanskrit, the word 'Agni' refers to 'Fire'. Agni karma is an ayurvedic therapy, which involves the use of agni or fire. It is also called cauterization. Agni karma is popularly called Dahan Karma. Agni karma is used in the treatment of many diseases of different type. It is a good method for the treatment of bleeding piles.

In this process, any ailing surface of the body or a tissue, such as haemorrhoids, is destroyed and burnt by using a heated instrument using electric current and by freezing. An acidic agent for cutting like kshar karma is also used in the process of agni karma for the treatment of bleeding piles.

The different types of agni karma include:

  1. uchchh dagdha /scarce agni karma
  2. Durdaghda/ inappropriate burning surgery
  3. Aati dagdha /powerful or excess cauterization
  4. Samyak dagdha / appropriate agni karma

Infra red Coagulation Therapy

Infra red coagulation therapy or infra red photo coagulation is a medical process which is used to treat bleeding piles or haemorrhoids, and can only cure internal haemorrhoids.

During the process, a device is utilized, which produces a beam of intense, powerful infrared light. The heat released by the infrared light causes scar tissue and blood supply to the haemorrhoids to be cut off. This results in the death of haemorrhoid or piles, and a scar forms on the anal canal wall. The surrounding veins are held together by the scar tissue which avoids them bulging into the anal canal.

Agni karma, the Ayurvedic treatment, is considered to an effective medical treatment procedure of infra red coagulation therapy. This is because:

  • Agni karma is a much more natural method of treatment for bleeding piles, and no unnatural substance like infra red light beam is used.
  • Agni karma provides treatment without failure, and success is guaranteed. 

Besides, guggulu kshar sutra therapy is also one of the best therapies - No side effects & no chances of recurrence, no hospital stay, no pain, join duty immediately. 

3155 people found this helpful

THE SCHOLARLY DEBATE ON THE NEXUS BETWEEN PANDEMIC MERS AND MERC.SOL

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist,
THE SCHOLARLY DEBATE ON THE NEXUS BETWEEN PANDEMIC MERS AND MERC.SOL
MERS-CoV is known as Camel-Flu (Middle East Respiratory Syndrome) caused by coronavirus.The signs and symptoms includes cough, fever, expectoration, muscle pain, and shortness of breath. There were also frequent gastrointestinal symptoms like diarrhea, vomiting, abdominal pain, severe pneumonia leading to kidney failure. Disseminated intravascular coagulation(DIC) and pericarditis.
As of July 2015, MERS-CoV cases have been reported in over 21 countries, including Saudi Arabia, Jordan, Qatar, Egypt, the United Arab Emirates, Kuwait, Turkey, Oman, Algeria, Bangladesh, Indonesia (none were confirmed), Austria, the United Kingdom, South Korea, the United States, Mainland China, Thailand, and the Philippines. In June 2015, WHO and the Republic of Korea’s Ministry of Public Health and Welfare presented the results of their joint assessment of the MERS outbreak. Moreover, Doctors describe MERS-CoV AS A FLU-LIKE ILLNESS WITH SIGNS AND SYMPTOMS OF PNEMONIA.
Prevention WHO currently recommends
Wear a medical mask. Wear eye production. Wear clean non sterile, long sleeved gown and gloves. Perform hand hygiene before and after contact with infected person. Perform procedures in an adequately ventilated room.
Wonders of homoeopathy
Those who had died in hospitals with CAMEL-FLU (MERS) AND SWINE FLU HAD LUNG FAILURE: DISEASE OF LUNG THAT KILLS THE PATIENT IS “PNEMONIA”. In the homoeopathic reference book HOMOEOPATHIC THERAPEUTICS by Dr Samuel Lilienthal on page 874-875 (in the chapter PNEMONIA) we find the words “epidemic pneumonia” under two remedies only viz Ferr. Met and Merc.Sol. The two remedies were studied in the 10 volumes Hering’s materia medica and the symptoms of the remedy Merc.sol agree with the symptoms of patients afflicted by Camel-flu (MERS) and Swine-flu. In this juncture, we hope that Merc.sol alone would be almost a specific for pandemic camel-flu.
For prevention, the same remedy Merc.sol 1000x may be given one dose once a month for three months. This prevents camel-flu for six months from the date of taking first dose. No diet or other restrictions.
Foot note Patients who had come to me after being tested positive for Swine-flu were given single dose of the homoeo medicine Merc.sol, and in just an hour’s time they got complete cure and after a week when they were tested for swine-flu, the result was negative.(The rate of success:99%).

Hemoptysis ( Blood in Sputum )

Dr. R.K.Chopra 89% (112 ratings)
MD - Medicine, MD - Pulmonary Medicine
Pulmonologist, Pune
Hemoptysis ( Blood in Sputum )

Hemoptysis ( blood in sputum )

Should be evaluated at the earliest. It can be fatal If hemoptysis is massive - 600 ml in 24 hrs or more than 200 ml at one time.

Common causes are-

1. Infections/ pulmonary tuberculosis, fungal infections like aspergillosis, bacterial pneumonias , Denue hemorrhagic syndrome etc

2. Lung cancer

3. Coagulation disorders.

4. Vasculitis- pulmonary alveolar hemorrhage.

5. Mitral stenosis

Must consult good Pulmonologist ( chest physician )

X-ray chest, CT Chest, coagulation profile and then specilised tests, Echo, bronchoscopy and finally biopsy

Making a correct cause of hemoptysis is very essential for right management. In emergency and in massive hemoptysis, bronchoscopic management, airway management , bronchial artery embolisstion are methods for control. Surgery may be done in few cases.

Surgical Treatment Of Hemorrhoids!

Dr. Rahul Sinha 89% (10 ratings)
MBBS, DNB ( General Surgery )
General Surgeon, Delhi
Surgical Treatment Of Hemorrhoids!

Hemorrhoids can be very painful and are impossible to ignore. They can be defined as internal or external swollen veins. In some cases, making a few lifestyle changes such as eating fiber-rich foods and drinking plenty of water may be enough to relieve the problem. In other cases, surgery may be required. Surgery for hemorrhoids depends on the severity of the case. There are many different types of surgeries that may be performed.

Banding
Banding or rubber band ligation is a surgical process used to treat internal hemorrhoids. This involves placing a tight band around the hemorrhoid base to cut off its blood supply. This procedure does not involve the use of anesthesia.

Sclerotherapy
This is also used to treat internal hemorrhoids. It involves injecting a particular chemical into the hemorrhoid that makes the hemorrhoid shrink and keeps it from bleeding. This procedure does not involve the use of anesthesia.

Coagulation therapy
Coagulation therapy is also referred to as infrared photocoagulation. The procedure involves the use of infrared light and extreme heat and cold. The aim here is to help the hemorrhoid shrink and retract. It may be performed with an anoscopy. An anoscopy is a procedure that allows the doctor to look inside the rectum with the help of a scope. This procedure does not involve the use of anesthesia.

Hemorrhoidal artery ligation
Hemorrhoidal artery ligation (HAL) or transanal hemorrhoidal dearterialization (THD) is often used to remove hemorrhoids. It involves using an ultrasound to locate the swollen blood vessels and then closing these off. This procedure does not involve the use of anesthesia.

Hemorrhoidectomy
Large external hemorrhoids can be treated with a hemorrhoidectomy. Internal hemorrhoids that have prolapsed and are not responding to other forms of treatment can also be treated with this procedure. The procedure is performed while the patient is under general anesthesia or local anesthesia. The hemorrhoids are then cut off surgically. Hospitalization may be required for a few days after this procedure.

Hemorrhoidopexy
This procedure is also known as stapling and may be performed while the patient is under local or general anesthesia. It is typically used to treat prolapsed hemorrhoids. During the procedure, the doctor staples the prolapsed hemorrhoid to the walls of the rectum and cuts of the blood supply to the affected vein. By doing this, the tissue is allowed to shrink and be reabsorbed into the body. As compared to a hemorrhoidectomy, stapling is less painful and has a quicker recovery time.

1911 people found this helpful

Dr. Sajeev Kumar 88% (28384 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
First Aid in Burns

Patients with severe thermal burns are at significant risk of death and major morbidity.
Look for evidence of respiratory distress and smoke inhalation injury, a common cause of death in the acute burn victim.
Laryngeal edema can develop suddenly and unexpectedly.
Burn depth and size determine fluid resuscitation and the need for transfer.
Vascular collapse from burn shock is a critical component.
Rapid, aggressive fluid resuscitation to reconstitute intravascular volume and maintain end?organ perfusion is crucial.
The fluid requirement during the initial 24 hours of treatment is 4 mL/kg of body weight for each percent of total body surface area burned, given IV. Superficial burns are excluded from this calculation. One?half of the calculated fluid need is given in the first 8 hours, and the remaining half is given over the subsequent 16 hours.
Monitor urine output is important.
Hourly urine output should be maintained at 0.5 mL/kg in adults.
Carbon monoxide and cyanide: Burn patients may be exposed to carbon monoxide, requiring immediate treatment with high?flow oxygen.
Cool and clean wounds, but avoid inducing hypothermia.
Remove any jewelry and any hot or burned clothing and obvious debris not densely adherent to the skin.
Irrigation with cool water may be used.
Topical antibiotics are applied to all non superficial burns.
Give opioids (morphine) to treat pain and give tetanus prophylaxis.

Contrast Induced Nephropathy - What's The True Risk?

Dr. Sudeep Singh Sachdev 88% (10 ratings)
MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Contrast Induced Nephropathy - What's The True Risk?

Contrast-induced nephropathy (CIN) is a serious complication that may arise during angiographic procedures and is elaborated as the impairment of renal function. It is estimated as either a 25% increase in the serum creatinine (SCr) from baseline or a 0.5 mg/dL (44 µmol/L) increase in absolute creatinine value within two to three days after intravenous contrast administration of intravascular radiographic contrast material that is not attributable to other causes.

To simplify, contrast-induced nephropathy (CIN) is a form of kidney damage in which there has been recent exposure to medical imaging contrast material without another apparent cause for the acute kidney injury. CIN is considered the 3rd most common cause of hospital-acquired renal dysfunction. There are emerging concerns that the importance of CIN has been greatly overstated. Here discussed are the risk factors with concerns comprised in (CIN) Contrast induced nephropathy.

Complications in consideration of Contrast induced nephropathy
One of the leading causes of hospital-acquired acute kidney injury (AKI), CIN is associated with longer hospital stay and while the incidence is low (0-5%) in patients with normal renal function, trials report that it is as high as 26% in patients with impaired renal function. Also, studies report that about 15% of the affected patients needed dialysis.

There is a complex association between CIN, mortality, and comorbidity. Majority patients who receive CIN do not die from renal failure. Death, if a patient at all dies, is more usually from a procedural complication or a pre-existing non-renal complication.

Risk concerns
Many physicians who refer patients for contrast procedures and some who perform the procedure themselves are not entirely informed about the risk of CIN. Individuals with diabetes mellitus, chronic kidney disease, hypotension, reduced intravascular volume, or who are over 75 years of age are at increased danger of evolving CIN after exposure to iodinated contrast. A survey found that most of referring physicians were not aware of potential risk factors, including ischemic heart disease and diabetes mellitus. However, acute kidney injury (AKI) can happen from a variety of causes, or their succession, during severe illness and no trial which is randomized has established the risk of contrast induced nephropathy.

The overblown risk factor
When there is a need to diagnose a suspected arterial thrombus, pulmonary embolism, or intra-abdominal catastrophes, treatments and tests require intravenous contrast and these are often suspended in patients with raised creatinine levels. The diagnostic rift leaves their physicians with less than the best knowledge to make decisions regarding the treatment.

A notable percentage of hospitalized patients experience AKI and an even greater percentage gain IV contrast during their stay in the hospital. There will thus forever be the explanation for observed anecdotal instances of "contrast-induced nephropathy." Whether or not contrast-induced acute kidney injury persists, or has been exterminated by the use of lower-osmolarity contrast agents, would require a comprehensive randomized analysis to sort out.

In most cases, the condition is self-limiting with the creatinine levels peaking for 2-3 days and returning back to baseline within 7-10 days, there are indeed concerns due to the limitation in treatment options.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2509 people found this helpful

How Diabetes Affects Your Skin?

Dr. Jagruti Parikh 89% (332 ratings)
M.D. Internal Medicine
Endocrinologist, Mumbai
How Diabetes Affects Your Skin?

Diabetes is a serious disease, but if properly managed is not life threatening. Diabetes can be explained as the body’s inability to regulate insulin production. This leads to fluctuations in blood sugar levels. This disease affects every part of the body including the skin. For some people, a rash is among the first few symptoms of diabetes. Most diabetic patients suffer from a skin condition at some point or the other. Here are a few common skin ailments that affect diabetic patients.

  1. Bacterial infectionsA weakened immune system makes diabetics more vulnerable to bacterial infections than normal. These bacterial infections can be typically seen in the form of styles on the eyelid, boils, carbuncles and nail infections. They usually make the skin around the infected area red, inflamed and painful. Most skin bacterial skin ailments can be treated with antibiotic creams and pills.
  2. Fungal infectionsOne of the most common fungal infections that diabetic patients suffer from is known as Candida albicans. This ailment is characterised by a red, itchy rash that is surrounded by small blisters. It is caused by yeast-like fungus and usually found in moist areas like the armpits or between the toes. Other fungal infections that affect diabetic patients include ringworm, jock itch, athlete’s foot and vaginal yeast infections.
  3. Itchy skin: Diabetics often suffer from itchiness that could be triggered by yeast infections, dry skin and poor circulation. People with poor circulation will find their calves and feet to be the itchiest part of the body, While poor circulation and yeast infections may need medical attention, dry skin can be easily treated by keeping the skin internally and externally hydrated along with the use of a mild moisturising soap.
  4. VitiligoThis is a skin condition where the melanin producing cells in the skin are destroyed. This leads to a patchy appearance that can be typically seen on the hands, face and chest. Vitiligo is considered to be an autoimmune disease like diabetes and has no known cause or cure. Sunscreen is a must for diabetic patients suffering from vitiligo as the unpigmented skin has no protection from UV radiation.
  5. Diabetic blisters: Patients with severe diabetes may also suffer from diabetic blisters. These blisters usually occur on the extremities of the body and resemble blisters caused by burns. They are usually pain-free and heal on their own.
  6. Disseminated granuloma annular: This condition is characterised by a ring or arc shaped areas on the skin. They can usually be seen on the fingers and ears but may also occur in the chest and abdomen. This rash may be reddish or skin coloured. Medical treatment is not generally required for this condition.
4 people found this helpful

Eczema

Dr. Swarup Kumar Ghosh 89% (82 ratings)
MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Eczema

Dermatitis eczma are a common problem all over the world. Their incidence is 2_3% of all medical problem seen in practice. Because of the jungle of terminology, defintion classification of the subject are opten controversial. Despite this confusion. The two term dermatitis eczema are being used synonymous by most dermatologists. In the practic of dermatology, the first step is to establish the clinical diagnosis of dermatitis eczema. Then decide the clinico morphological pattern, viz, contact, atopic, neurodermatitis, graviational, endogenous or seborrhoeic. The final & most important step is to make an etiological diagnosis i. E. Establishing the role of the different causes or cause responsible for the dermatitis.

  • Photo dermatitis.
  • Contact dermatitis.
  • Infective eczematioid dermatitis.
  • Endogenous eczema.
  • Infantile eczema.
  • Seborrhoeic eczema.
  • Atopic eczema.
  • Discoid eczema.
  • Disseminated eczema.
  • Dyshidrosis.
  • Varicose eczema.

Dermatitis eczema is non contagious inflammation of the skin, charcterized by erythema, scaling, oedema, vesiculation oozing. Hebra says, eczema is what looks like eczema. Dermatitis literally means inflammation of the skin such can include all inflammations of the skin except by specific infections. The term eczema is a greek word. The whole word implies'boil out.

Histopathology- characteristic features are intercellular oedema vesicle formation. There may be mild to moderate dermal reaction. In chronic cases, hyperkeratosis, acanthosis infiltation of upper dermis with lympocytes are seen.
Etiology:-

  • Individual susceptibillty to offending
  • Localised.
  • Generalised due to inhalation of offending agent
  • Familial predisposition common.
  • Warm, humid conditions.
  • Hyperhydois.
  • Trauma.
  • Infection, other.

Symptom/ sigs/ lesion base homeopath treatment, homeopathic medicine apply.
Joy thakur gyandao, bhaktidao, achokarnao, sevadao.
 

2 people found this helpful
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