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Minor Oral Surgery Tips

Why You Must Not Dismiss Chest Pain as a Minor Affair!

Dr. Gaurav Minocha 90% (622 ratings)
DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Why You Must Not Dismiss Chest Pain as a Minor Affair!
Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1. It may feel like you are suffering from indigestion or gas or fullness and pressure.

2. It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4. If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

If you would like to consult with me privately, please click on 'Consult'.

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3496 people found this helpful

Oculoplastic Surgery

Dr. Pooja Dhama 88% (167 ratings)
Senior Consultant Surgeon, Specialist In Refractive Lasik Surgery, MS Ophthalmology, Phacoemulsification & Multifocal Implantation, Occuloplasty Surgeon
Ophthalmologist, Delhi
Oculoplastic Surgery

Oculoplastics, or oculoplastic surgery, incorporates a wide assortment of surgical strategies that fix arrangement with the orbit (eye attachment), eyelids, tear channels, and the face. It, likewise, manages the remaking of the eye and related structures.

Oculoplastic surgery is carried out by an Oculoplastic surgeon. He should be an expert ophthalmologist who has embraced further expertise in plastic surgery. Your oculoplastic surgeon's essential focus is the well being and security of your eyes.

There are several procedures or types of oculoplastic surgery. They are enlisted below.

  1. Eyelid surgeryBlepharoplasty is the most well-known sort of eyelid surgery. It is done through entry points along the lines of your eyelids. The specialist makes the entry point and after that isolates the skin from the hidden tissue to evacuate the abundant fat, skin, and muscle. Sutures are then set in the upper eyelids to close the entry points. The lower covers may not require sutures, contingent on the method utilized. The methodology, for the most part, takes around two hours if both upper and lower eyelids are done together.
  2. Tear duct surgery: This surgery is also called dacryocystorhinostomy. For carrying out a tear duct surgery or dacryocystorhinostomy, your surgeon will make a little entry point through the nose or through the skin within a corner of your eye and your nose. Another tear drain opening is made from the blocked sac specifically into the nose. A stent might be left in the new tear drain incidentally to keep the pipe open. At times, the obstacle stays blocked and a perpetual manufactured drain is set behind the edge of the eyelids.
  3. Orbital surgery: There is a wide range of sorts of orbital surgeries, and the surgical methodology that will be picked for your situation relies upon the area, size, and degree of infection present. In a few cases, just a little skin entry point is required without the trouble of incisions. In others, vast entry points are required and unmistakable scars may come about. Your specialist will expel or repair harmed tissues as vital while painstakingly saving eye capacity and vision.
  4. Botox: The procedure takes only a few minutes and no anesthesia is required. Botox is injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect and it is best to avoid alcohol at least one week prior to treatment. Aspirin and anti-inflammatory medications should be stopped two weeks before treatment as well in order to reduce bruising.

There are many procedures of oculoplastic surgery. Your surgeon will choose the best one that goes with your situation. This kind of surgery is very successful.

3547 people found this helpful

Know Everything About Bariatric Surgery!

Dr. Hemendra Singh 89% (208 ratings)
MBBS, MS - General Surgery
General Surgeon, Ghaziabad
Know Everything About Bariatric Surgery!

Obesity and a shapeless body are problems that plague many people around the world. Besides leading to an appearance that is less than ideal, it can also lead to severe health problems include heart failure, heart diseases, diabetes and more. While there are many ways to combat being overweight with the help of exercise and a proper diet and even medication, very severe causes of obesity can also be fixed with a surgical process known as Bariatric Surgery. So, here's everything you need to know about it.

  1. Affecting the Digestive Process: As per the normal digestive process, the food moves into the digestive tract, while its nutrients get collected with the help of a well functioning system that includes digestive juices and enzymes. This food moves through the digestive tract, passing through the oesophagus, before it goes down into the stomach where it meets the strong digestive acids, which break it down, and then it enters the small intestine. While the stomach can hold three pints of food at a time, there is a chance that some of this food may not get properly digested in the small intestine. In this case, the food enters the large intestine. Now, Bariatric Surgery helps in restricting the amount of food that a person can have and hold in the first place.
  2. The Process: This surgical procedure may be carried out by cutting open the stomach and removing a portion of the same. This procedure can also reroute the small intestine into the gastric pouch or the small stomach pouch. This process can also be done with laparoscopic invasion, where a few small incisions will be used to insert a tiny camera and instruments for the process.
  3. Ideal Candidates: If your BMI or body mass index is more than 40, then you can opt for this kind of surgery, as mere dieting and exercising will not help you in your weight loss endeavour. This surgery can also help in preventing the onset of type 2 diabetes mellitus. The patient also has to have reached the normal adult height in order to qualify for this surgery. 
  4. Side Effects: After the surgery, the patient may experience a few side effects including leakages and bleeding. An incisional or an internal hernia may also occur after the surgery. Also, for patients who have a poor diet, there may be complications after the surgery due to less intake of necessary vitamins and minerals.

Once you undergo the surgery, it is important to commit to a proper diet with less food intake and proper exercise on a lifelong basis.

Vitamins And Minerals

Dr. Sunita Attray 90% (18 ratings)
Diploma In Dietetics,Health & Nutrition
Dietitian/Nutritionist, Delhi

The word vitamin is a combination of ‘vital’ and ‘amine’. Amines (a kind of protein derivative) are important for our bodies. While most essential vitamins come from external sources (grains, pulses, fruits, oils, water and non-vegetarian foods), some are actually manufactured by our bodies.

Vitamin d

Vitamin d is called the sunshine vitamin. A compound in the skin is converted into vitamin d by exposure to sunlight. The time required for this conversion can be little as 15 minutes a day.
Vitamin d also helps absorb calcium from the intestines. In case of a vitamin d deficiency, the body is unable to process calcium, no matter how much of it one consumes. Exercise is also important. Calcium absorption is helped by the pressure of gravity on the bones. Those of us with sedentary lifestyles tend to suffer from poor blood supply to the bones and hence poor absorption of calcium.

Vitamin k

In case of a cut to the body, our bio system kicks into action immediately, and makes the blood clot. This clot prevents further loss of blood. Vitamin k is vital for this mechanism, and is manufactured by healthy intestinal bacteria.

Vitamin k for clotting

Vitamin k helps in blood clotting, preventing excessive blood loss in case of injuries.

Vitamin b7 or biotin

Made with the assistance of gut bacteria, it helps the body’s metabolism. It is useful for metabolic disorders and multiple sclerosis.

Vitamin b5 or pantothenic acid

A vitamin b7 deficiency occurs due to a weak intestine and digestive system. Pantothenic acid is very important for metabolism.
Note: vitamins k, b5 and b7 are all manufactured by good bacteria in our intestines. Good bacteria usually outnumber bad bacteria, but can also be destroyed by antibiotics. This is why doctors these days prescribe probiotics with antibiotics.

Vitamin b3 or niacin

One of the functions of the liver is to convert a protein (tryptophan) found in food, to the vitamin called niacin. Niacin is a very important component of the metabolic pathway. Metabolism suffers a great deal due to insufficient niacin.

1 person found this helpful

HOW SAFE IS SPINE SURGERY TODAY? SAFETY IN SPINE SURGERY

MBBS, MS, DNB, FNB (SPINE SURGERY)
Orthopedist, Chennai
HOW SAFE IS SPINE SURGERY TODAY? SAFETY IN SPINE SURGERY
Spinal disorders have been recognised as early as 1500 bc. Treatment of spinal disorders has evolved through various phases since then to the present day advanced interventions on the spine.
Although most of the spinal disorders are treatable with conservative measures like medication, physiotherapy, exercises, braces etc, certain conditions need a surgical intervention to achieve best possible results. But any surgical procedure has certain risks associated with it. Spinal column houses the spinal cord and the nerve roots, which are very delicate and sensitive structures, carrying signals from the brain to the rest of the body. These structures are at risk of damage during a surgical procedure on the spine, which can lead to a minor or sometimes a serious disability due to loss of function of the limbs, bladder or bowel control or due to pain.
Spine surgery in particular, had earned a bad reputation among the general population due to the bad results of wrongly done surgeries without a complete understanding of the biomechanics of the spine, lack of adequate surgical implants or instruments, or lack of adequate training in the early decades of the 20th century.
Treatment of spinal disorders has undergone a significant and rapid change in the last few decades with introduction of various equipments and techniques. There has been a tremendous advancement in understanding the biomechanics of the spine as well as in the technological support in the last few decades, which has dramatically changed the way of surgical management of various spinal disorders. At the same time it has also improved the safety of the surgical procedures on spine by many folds. The imaging techniques like mri have made an early diagnosis of spinal problems. The imaging techniques used in the operation theatre help visualise the spine while inserting implants into the spine used to stabilize it. Technologies like computer navigation and o-arm image intensifiers provide a three dimensional visualisation of the spine and help protect the neural structures from damage during surgery. Neuro-monitoring systems are used to monitor the neural function during surgical manipulation of the spine, especially while correcting spinal deformities. These systems warn the surgeon of any impending damage to the spinal cord and help make the surgery safer. New spinal implant systems are continuously being developed to make surgical manipulation and stabilization of the spine easier and safer. Minimally invasive techniques, made possible by the special instruments, are designed to preserve the spinal muscles.
Today spine surgery has obtained a special place for itself and both orthopaedic surgeons and neurosurgeons dealing with spinal disorders need to have a specialised training and focus on spine surgery to be able to achieve best results consistently. Improved safety and the good results have changed the image of spine surgery today and more and more people with spinal disorders are getting the benefit of having a better quality of life with a pain free spine.
With multiple surgical and non-surgical treatment options available, it is the thorough evaluation in the clinic and the right decision making that makes ensures best results of treatment of spinal disorders and hence, it is of utmost importance to take the opinion of a spine specialist.
6 people found this helpful

8 Complications Of Bariatric Surgery!

A V Hospital 85% (30 ratings)
Bariatrician, Bangalore
8 Complications Of Bariatric Surgery!

Bariatric surgery is unlike other surgeries, the success is defined after 6-18months later. It is not without its complications. But complications managed well by Bariatric surgeons and the introduction of Laproscopy, it gives advantages of reduced post-op pain to less incisional hernias and less post-operative hospital stay. 

Sometime problems may happen like- 

  1. Post-operative bleeding: Managed well by the surgeon. 
  2. Dehydration: Chances of dehydration, therefore, one of the main post-op instructions, would be to increase water intake significantly, after the first week of course, when water is included in the diet. For someone who is not used to drinking lots of water, this can be difficult. 
  3. Indigestion: Difficulty digesting food after the surgery is very common. There could be a burning sensation in the stomach. This is often managed by dietary changes like avoiding fatty foods, eating small frequent meals, avoiding too much sugary food items, etc. Too much fruits and vegetables should not be introduced early on, as fibre can be difficult to digest. Avoid fruits like nuts, seeds, fried foods, processed foods, etc. Gradually moving from water to pureed diet to semi-solids to solids can help in getting the stomach used to it. 
  4. Vitamin and mineral deficiency: With the drastic cut in the amount of food consumption, there could be multiple problems including skin rashes, weak bones, dental issues, hair loss, gallstones, kidney stones, etc. All these are due to deficiency of various essential minerals like calcium, potassium, etc. This can be managed through minor diet modifications to ensure the body gets the required minerals and vitamins, even if they are in the form of supplements. 
  5. Dumping syndrome: With a reduced size of the stomach, the food moves from the stomach into the smaller intestine much faster. Therefore, the sugar levels increase rapidly, producing various symptoms like bloating, diarrhoea, nausea, weakness, and anxiety. This is managed by eating less amount of sugars and fats and spacing out the meals through the day. Five to six small meals are preferred over 2 to 3 large meals. Some people also get relief from lying down after eating. 
  6. Hernias: Less after laproscopic surgery but sometime it may happen.
  7. Diet changes: Whether it is medications or foods, some substances have to be knocked off your list. A detailed diet plan should be made with the doctor, as some can affect the stomach in an adverse manner.
  8. Altered bowel habits: Some people may have diarrhoea, others have constipation. Looking into one’s diet and making suitable changes will help. Therefore, it is very important that you must keep regular follow-up and consultation with your surgeon, in order to avoid complications.

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

2861 people found this helpful

6 Types Of Bariatric Surgery You Can Think of!

Dr. Ashish Pitale 90% (10 ratings)
MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
6 Types Of Bariatric Surgery You Can Think of!

Obesity can shorten your lifespan by decades and also limit and reduce the quality of your life. Obesity cannot always be controlled by dieting and exercise and thus more complicated means such as bariatric surgery has to be employed.

Types of bariatric surgery
Most bariatric surgeries either limit your ability to consume food and thus make you feel fuller quickly or limit the absorption of nutrients from the food you eat. Certain surgeries use a combination of the two in varying degrees. Mentioned below are the most commonly employed forms of bariatric surgery –

  1. Gastric Balloon – This is a form of surgery wherein a specially made balloon is inserted into the stomach. In certain cases even two balloons are inserted into the stomach to reduce the room left for food. This causes you to have less food resulting in weight loss over a period of time.
  2. Gastric Sleeve – This is a form of surgery wherein a major portion of the stomach is removed through the procedure. Also known as Vertical Sleeve Gastrectomy, the surgeon creates a pouch within the stomach which essentially becomes a connecting tube between the esophagus and the large intestine. The reduced stomach size causes fewer hunger related enzymes and hormones to be secreted, causing less hunger and also reducing your food intake capability. This results in weight loss over a period of time.
  3. Gastric Bypass – Gastric bypass uses the combination of two techniques, lesser absorption of minerals as well as reduced intake capacity. In this method, a part of the stomach is rearranged akin to the gastric sleeve. However the leftover portion of the stomach is not removed as it can continue to secrete stomach acids. Because of the reduced size of the stomach, you would eat less and if you happen to over eat, it would cause dumping syndrome (quick and repeated bowel evacuation) which would deter you from eating more.
  4. Lap band surgery – This is one form of surgery where the stomach is not reduced or cut but rather limited by a band that is put around it. This band constricts the stomach and causes the upper part to become smaller. Hence you would feel fuller from eating less, thus resulting in weight loss.
  5. V-bloc therapy – This is a very modern approach to bariatric procedures which works in a very similar way to a pacemaker. A device is placed just under your skin and two leads or wires are connected to the vagal nerve. This nerve is responsible for sending the hunger signals to the brain from the stomach. This device acts as a block to the nerve signals and thus ensures you eat less.
  6. Duodenal switch – This surgery is also known as a Biliopancreatic Diversion wherein the surgeons cut out the part of the stomach similar to a gastric sleeve surgery but also make adjustments to the pancreatic chain and the small intestine to reduce the absorption of minerals.

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

2149 people found this helpful

Bariatric Surgery - Know Its Different Types!

MCh - Surgical Gastroenterology/G.I. Surgery, MBBS, MS - General Surgery
General Surgeon, Noida
Bariatric Surgery - Know Its Different Types!

Obesity can shorten your lifespan by decades and also limit and reduce the quality of your life. Obesity cannot always be controlled by dieting and exercise and thus more complicated means such as bariatric surgery has to be employed.



Types of bariatric surgery
Most bariatric surgeries either limit your ability to consume food and thus make you feel fuller quickly or limit the absorption of nutrients from the food you eat. Certain surgeries use a combination of the two in varying degrees. Mentioned below are the most commonly employed forms of bariatric surgery –

  1. Gastric Balloon – This is a form of surgery wherein a specially made balloon is inserted into the stomach. In certain cases even two balloons are inserted into the stomach to reduce the room left for food. This causes you to have less food resulting in weight loss over a period of time.
  2. Gastric Sleeve – This is a form of surgery wherein a major portion of the stomach is removed through the procedure. Also known as Vertical Sleeve Gastrectomy, the surgeon creates a pouch within the stomach which essentially becomes a connecting tube between the esophagus and the large intestine. The reduced stomach size causes fewer hunger related enzymes and hormones to be secreted, causing less hunger and also reducing your food intake capability. This results in weight loss over a period of time.
  3. Gastric Bypass – Gastric bypass uses the combination of two techniques, lesser absorption of minerals as well as reduced intake capacity. In this method, a part of the stomach is rearranged akin to the gastric sleeve. However the leftover portion of the stomach is not removed as it can continue to secrete stomach acids. Because of the reduced size of the stomach, you would eat less and if you happen to over eat, it would cause dumping syndrome (quick and repeated bowel evacuation) which would deter you from eating more.
  4. Lap band surgery – This is one form of surgery where the stomach is not reduced or cut but rather limited by a band that is put around it. This band constricts the stomach and causes the upper part to become smaller. Hence you would feel fuller from eating less, thus resulting in weight loss.
  5. V-bloc therapy – This is a very modern approach to bariatric procedures which works in a very similar way to a pacemaker. A device is placed just under your skin and two leads or wires are connected to the vagal nerve. This nerve is responsible for sending the hunger signals to the brain from the stomach. This device acts as a block to the nerve signals and thus ensures you eat less.
  6. Duodenal switch – This surgery is also known as a Biliopancreatic Diversion wherein the surgeons cut out the part of the stomach similar to a gastric sleeve surgery but also make adjustments to the pancreatic chain and the small intestine to reduce the absorption of minerals.
     
2752 people found this helpful

Difference between liposuction and Bariatric surgery

Dr. Sri Nagesh Vadrevu 87% (1377 ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Difference between liposuction and Bariatric surgery

liposuction bariatric surgery
done by plastic surgeon done by laparoscopic surgeon
It is more for body shaping than weight loss It is more for weight loss rather than body shaping
BMI should be <35 BMI should be >30

Removes unwanted fat from under the skin and above the muscle     

Removes a large part of the stomach and/ or bypasses a large part of small intestines
Reshapes the body to give a pleasing result General body shape may get distorted due to sagging
No bad side effects long term if done by a plastic surgeon  

May suffer from malabsorption of vitamins and minerals long term

Fat usually does not get deposited from areas liposuction is done

May gain weight after 2 years if proper instructions are not followed

Will not require repeated surgeries if adequate care is taken Moderate to massive weight loss will require body tightening surgeries to regain shape by a plastic surgeon   
No ill effects on any part of the body May cause wasting of muscles, osteoporosis and other amlabsorptive related conditions in long term

 

12 people found this helpful

Types of Weight Loss Surgery

Dr. Sapan 87% (1360 ratings)
MS - General Surgery, MBBS, Fellowship in Laparoscopy
General Surgeon, Udaipur
Types of Weight Loss Surgery

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.

4079 people found this helpful
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