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Overview

Ulcerative Colitis - Symptom, Treatment And Causes

What is Ulcerative colitis?

Ulcerative colitis is an IBD (Inflammatory Bowel Disease). Inflammatory Bowel Disease comprises of a group of illnesses that affects the GI (Gastro-Intestinal) tract. Ulcerative colitis happens when the lining in the colon or bowel (large intestine) and the rectum gets inflamed.This inflammation on the GI tract, produces tiny sores known as ulcers on the whole lining of the colon. These ulcers generally develop in the rectum and then spreads upward. Ulcerative colitis rarely affects the small intestine.

This inflammation on the GI tract, causes the bowel to move its contents rapidly and empty frequently. Due to this disease as the cells on the surface of the bowel lining dies, it causes ulcers. These ulcers also often cause bleeding and discharge mucus and pus.Ulcerative colitis can affect people of all ages. However, it’s more common in people who are between 15 and 30 or between 50 and 70.

Causes :

The cause of ulcerative colitis is unknown. In the past, though researchers were of the opinion that stress is one of the major causes of this disease, but of late researchers focuses on the heredity factors and immune system as a possible cause for this disease.It’s believed that you’re at a risk of getting affected by this disease if someone in your close family members also has his condition.This disease can develop in anyone of any race, but it has found that ulcerative colitis is more common in Ashkenazi Jews and Caucasians.

Symptoms :

People suffering from this disease have increased risks of developing colon cancer. So most of the time doctor’s perform a colonoscopy on the patients affected with this disease, to check for cancer, if you are diagnosed with this disease. This screening lowers the risk of colon cancer, since it can detect the precancerous cells early and help in prognosis of the disease. Some of the complications found among the patients suffering from ulcerative colitis are sepsis, severe dehydration, thickening of the intestinal wall, swelling of the colon, hepatic disease, intestinal bleeding, inflammations of the joints and eyes, formation of kidney stones, ankylosing spondylitis and development of a hole in the colon.

Treatable by medical professional Require medical diagnosis Lab test required Chronic: can last for years or be lifelong
Symptoms
Increased abdominal sounds. Acute abdominal pain. Blood in stool. Fever along with diarrhea. Rectal pain. Malnutrition and sudden weight loss.

Popular Health Tips

Ulcerative Surgery - What Should you Know

MBBS, MS - General Surgery
General Surgeon, Pune
Ulcerative Surgery - What Should you Know

What Is Ulcerative Colitis?
Ulcerative colitis is a chronic, inflammatory condition of the colon and the rectum. It affects the mucosal lining of the large intestine (colon) and the rectum. The rectum is present just above the anus.
In this condition, patients have ulcers and abscesses in their colon and rectum.

Symptoms are seen periodically. The symptoms are severe pain in the abdomen, blood in stools and diarrhea. Anemia is seen due to decreased healthy red blood cells as a consequence of bleeding in stools.

When is surgery required?

  • The colon has ruptured
  • There is extensive bleeding
  • The treatment results in severe side effects affecting the patient's health
  • Drug therapy fails to provide results
  • When it progresses to colon cancer
  • Surgery for Ulcerative colitis

There are 2 types of surgeries:

  1. Colectomy: Surgery performed to remove the entire colon
  2. Proctocolectomy: Surgery is conducted to remove both the colon and rectum. It is considered as the standard treatment for ulcerative colitis.

Procedures for the surgery

  1. Ileostomy: The entire colon and rectum are removed and the surgeon creates an opening or stoma in the abdominal wall particularly below the waist. Stoma allows waste from the intestines to exit the body. The tip of the lower small intestine is brought through the stoma. An external bag, or pouch, is attached to the stoma. This is called a permanent ileostomy. Stools pass through this opening and collect in the pouch. The pouch must be worn at all times. Before an ileostomy, the surgeon will perform a proctocolectomy. They will perform the ileostomy in the hospital, and the patient receives a general anesthesia.
  2. Ileal Pouch Anal Anastomosis (IPAA): This is also called a J-pouch. This is a procedure that does not require a permanent stoma. The patient is still able to eliminate stool through the anus. A pouch is constructed at the end of the ileum and attached to the anus. This is called a J- pouch. As with the ileostomy, the patient will need a proctocolectomy before an IPAA. An IPAA is done in a hospital, and the patient will receive a general anesthesia.

Side-effects
Some people experience incontinence after the surgery. Medications may help control the function of the pouch.
Some women may become infertile after the procedure.

Recovery after Surgery
Both sets of the procedure will require a four-to-six-week recovery period.

  1. Keep your diet healthy: A healthy diet is essential because good nutrition can help the body heal faster and help avoid post-operation health issues. Absorption of nutrients can be an issue after these surgeries, so eating well will help in maintaining the proper level of nutrients.
  2. Keep yourself hydrated: Hydration is important for overall health, especially for the digestive health. Drinking six to eight glasses of water per day is recommended.
  3. Manage your stress: Anxiety or emotional stress can cause stomach issues, which can aggravate the complaint.
1 person found this helpful

Ulcerative Colitis - How Surgery Can Help Manage It?

DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Surgical Gastroenterologist, Delhi
Ulcerative Colitis - How Surgery Can Help Manage It?

Ulcerative Colitis is one of the severe and chronic forms of Inflammatory Bowel Disease (IBD) that can throw life in a jeopardy. The condition that mainly affects the rectum and the large intestine can cause severe inflammation, ulceration, and abscess formation. The ulceration or the inflammation of the colon and the rectum left unattended for too long can give rise to deleterious consequences including damage and perforation of the colon, osteoporosis. Various studies also suggest that ulcerative colitis can increase the risk of a person suffering colon cancer.

Like most of the IBD, there is no definite cure for ulcerative colitis. The illness is a chronic condition and can flare up or recur at any point in time. Though medications may help to control the damage and the complications triggered by ulcerative colitis, a surgery may be essential in case of

  • Severe damage to the colon.
  • The nonsurgical treatments could do little to improve the conditions.
  • There is an increased risk of colon cancer.
  • Ulcerative colitis has resulted in Toxic megacolon (a life-threatening condition where the large intestinal muscles have dilated with some swelling).
  • There are extreme discomfort and bleeding.

Surgeries to deal with Ulcerative Colitis

  • In the case of Ulcerative Colitis, the nature of the surgery depends on the extent to which the colon or the rectum or both have been affected and damaged.
  • In the case of extensive damage with a high risk of colon cancer, the surgeon may perform Proctocolectomy or colectomy
  • Colectomy may involve
    • Removal of all of the colon- Total Colectomy
    • Removal of the diseased part of the colon- Partial Colectomy.
  • Following the excision, the surgeon may carry out necessary rearrangements to reconnect the remaining portion of the colon to the abdomen through an opening known as stroma (the procedure is known as colostomy).
  • In case of Total Colectomy, the small intestine will be connected to the abdomen by a process known as Ileostomy.
  • Proctocolectomy involves the removal of both the rectum and colon to avoid further aggravation.
  • Following the proctocolectomy, the surgeon may carry out Ileoanal Anastomosis (Ileal Pouch-Anal Anastomosis). In this procedure, a pouch is created using a small part of the small intestine. This pouch is then connected to the anus to help in the elimination of the wastes.

General precautionary measures to control Ulcerative Colitis
Making healthy lifestyle and dietary modifications can go a long way to control ulcerative colitis and the associated symptoms.

  • Spicy foods can worsen the incidence of ulcerative colitis. Enrich your diet with lots of fruits, vegetables (squash, avocados, fish (especially salmon and tuna), meat, dairy products, olive oil, walnuts, flaxseed oil, almonds.
  • Make sure the diet is a low-fiber diet.
  • Avoid alcoholic and caffeinated drinks and beverages, foods high in sulfur content, refined sugar.
  • Research suggests stress and lack of physical activities can aggravate the ulcerative colitis. Mediation and daily exercise can produce fruitful results.
  • Make sure your sleep is not compromised (6-8 hours daily).

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

3402 people found this helpful

Ulcerative Colitis Diet - Foods To Eat And Avoid!

MBBS, MD - General Medicine, DM - Gastroenterology, MNAMS
Gastroenterologist, Faridabad
Ulcerative Colitis Diet - Foods To Eat And Avoid!

Eating good and healthy food always contributes to the overall wellbeing of a person. Same holds true for the patients suffering from ulcerative colitis (UC). Ulcerative colitis patients need certain dietary modification to bring about a change in their condition. Though this condition isn’t directly caused by the food but the frequency of flare ups is influenced by the food taken. Below mentioned is the list of foods to eat and avoid.

Food to be Consumed
Usually, for ulcerative colitis, low fibre and low residue foods are considered the best since they are easy to digest. Here is a list of foods that can be included in the diet:

  1. Vitamin D: This vitamin boosts the immune system to fight the risks of ulcerative colitis flare ups. Since the sun is the best source of Vitamin D, it is important that a person gets as much exposure to the sun as possible.
  2. Probiotics: Maintain a balance between good and bad bacteria of the gut which in turn alleviates the symptoms of this condition.
  3. Omega-3 fatty acids: Omega-3 fatty acids have an anti-inflammatory effect, which can help alleviate intestinal inflammation caused by ulcerative colitis. Salmon is one of the best sources of Omega-3.
  4. Eggs: Eggs are typically easy to digest and offer a number of nutrients which makes them one of the best choices for the patients of UC.
  5. Plenty of fluid: People with this condition need to drink extra fluid, as diarrhoea can lead to dehydration.
  6. Supplements: Dietary supplements also help in balancing the nutritional needs of a patient.

And last but not the least there are many anti-inflammatory foods that help in reducing the ulcerative colitis flare-ups include turmeric, cloves, ginger and rosemary.

Foods to be Avoided
A patient should closely monitor what s/he is eating as the studies have revealed that the symptoms of ulcerative colitis are closely associated with diet. The following list will help you cut off the chances of UC flare ups.

  1. High Fibre Food: Are difficult to digest so should be cut off from the diet. It’s best to moderate the intake of fruits and vegetables with insoluble fibres.
  2. Oily and Fatty Foods: The greasy food can aggravate the symptoms of UC as well as can cause diarrhoea.
  3. Spicy foods: Spicy foods may disturb your bowel movements, so it is best to limit the intake of chillies, chilli powder, paprika, peppers etc.
  4. Dairy products: Patients of UC are mostly lactose intolerant. So, these patients should avoid dairy products.
  5. Seeds and nuts: Seeds and nuts are hard to digest, and it is best to avoid them if you are suffering from ulcerative colitis.

Ulcerative Colitis is just a disease which can be avoided by maintaining a proper diet and making few dietary modifications. One should eat smaller meals a few times per days instead of eating large ones.

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

3610 people found this helpful

Ways To Deal With Ulcerative Colitis!

MBBS, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellow of Advanced Laparascopic Surgery
Gastroenterologist, Bangalore
Ways To Deal With Ulcerative Colitis!

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

  1. Side-effect of certain medicines
  2. Hormonal imbalance, especially during pregnancy
  3. Sudden withdrawal from medication
  4. Any infection or other medical condition

How to deal with the UC flare-ups?

  1. Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
  2. Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
  3. Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
  4. You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.

Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

  1. Proctocolectomy and Brooke ileostomy.
  2. Abdominal colectomy and ilcorectal anastomosis.
  3. Proctocolectomy and Kock pouch.
  4. Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).

The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist. 

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

5 people found this helpful

Surgery and Post Surgery Care for Ulcerative Colitis

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Surgery and Post Surgery Care for Ulcerative Colitis

This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.

Symptoms:

  1. Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
  2. Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
  3. Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
  4. Bleeding from the rectum: Bleeding can be observed while passing stools.

The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.

Diagnosis:
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.

Treatment

  1. Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
  2. Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
    1. Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
    2. Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.

Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.

3410 people found this helpful

Popular Questions & Answers

I have ulcerative colitis. Please sir I want to know my diet plan and about medicine. Now my weight 73.5 and I want to grow up my weight.

MD - Gastroenterology
Gastroenterologist, Delhi
If your disease is controlled, you can take normal diet. Take turmeric with milk and water. If disease is not controlled, increase your medicine after consulting a gastroenterologist. contact us for further treatment and life long follow up.
4 people found this helpful

What is ulceration of intestine. Is apc a successful procedure? Are solitary rectal ulcer syndrome and ulcerative colitis the same?

MBBS
Gastroenterologist, Gurgaon
Hello sir, An ulcer in the upper (small) intestine is a raw place or sore in the lining of the part of the intestine that connects to your stomach, yes apc is a successful procedure. No, ulcer syndrome and ulcerative colitis is not same.
1 person found this helpful

I have suffered ulcerative colitis. please suggest some medicine I got depressed due to this. My mother also have same. I go 2 toilet 2wice a day. Toilet hard sometime soft and sticky Too much gas. Wt 68 but feel weakness in legs and hand.

MD - Psychiatry
Psychiatrist, Chennai
Ulceartive colitis has strong correlation to mind and requires medications from psychiatrist apart from gastro, it will lead to wonderful recovery and fewer relapses. Consult any psychiatrist. All the best.
2 people found this helpful

I am suffering from Ulcerative Colitis for more than 2 years. I have tried Mesacol tablets Mesacol Enaema. It worked ok in the beginning then their effect wasn't much. So I switched to Ayurvedic Medicines since I heard it can be cured with that and its almost 1 month, can't see any significant difference. My life has become a living hell. Im passing motions like almost 6 times a day now from 3 earlier. I'm running out of options. Please help me. Please.

MBBS, MD-General Medicine, DM-Gastroenterology, Advanced endoscopy fellowship
Gastroenterologist, Visakhapatnam
Dear Mr. lybrate-user I am sorry to hear that you are suffering from ulcerative colitis please let me stress upon the following things to make you better and understand about this disease and outcomes 1. The disease gets worse with stress, anxiety and psychological depression. So first relax yourself 2. You need to visit only a qualified medical gastroenterologist and please followup him up regularly and be compliant to those medicines 3. Changing docotors in attempt to loom for a better treatment will put varying and differing opinions in your mind. This would add to more stress confusion and anxiety. So please stick on to a single gastroenterologist. Do enough research before choosing your gastroenterologist. 4. It is a life long disease and you need to deal with it. So please make up your mind and be strong good luck and get well soon.
2 people found this helpful

I have been diagnosed with Ulcerative colitis 6 years back. Since last one and half years I am facing problem of frequent mucus and blood in stool. Also I have lost my weight by 12 kg in one year. My doctors says it will be like this only and there is no remedies except continuing the same medicines (mesacol 1.2 gm 4 Tab per day). Pl suggest if it can be cured to normal stage at least.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Respected lybrate-user hi lifestyle modifications along with YOGA are major role playing factors along with medicines keep your moral at top to get cured without losing hopes dear life gives us daily challenges and the one who faces it cheerfully is the winner at the end dear thanks regards.
1 person found this helpful

Table of Content

What is Ulcerative colitis?

Causes :

Symptoms :

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Diabetic Neuropathic Foot Ulcers
Mai Dr Suhas Shah,

Ashwini Accident Hospital Mumbai se bol raha hoon. Main Orthopaedic surgeon hoon. I am Russian surgery specialist, my speciality is cosmetic limb lengthening but recently I have started a new surgery for diabetic foot and diabetic neuropathy, the name of the surgery is Ilizarov angioplasty with that we can save the leg from amputation in patients of diabetic foot and a gangrene and non healing also. The results of this surgery are miraculous and within 6 hours, in diabetic neuropathic patients recover their sensation back. With this surgery the 300 blood cent, blood supply of the leg increases. We solve the problem of diabetic foot, non healing ulcer and diabetic foot with gangrene it awards amputation and many patients of mine who was advocated amputation of the diabetic foot required this surgery and they save their leg and this is the miraculous surgery for diabetic foot and diabetic neuropathy. I am expert in cosmetic limb lengthening , I get international patients to increase their height by 3 and a half inches to 7 inches and any person can increase his height by 3 and a half inches to 7 inches with the cosmetics lengthening surgery. It is a Russian surgery, Ilizarov method surgery and you can increase the height of any normal individual at any age by 3 and a half inch.

Any patient who is suffering from diabetic foot should contact me through lybrate.com and take appointment through lybrate.com.
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Know More About Eye Problems
Hi,

I am Dr. Varun Gogia, Director Eye clinics advance eye care and senior consultant Ophthalmology at Forty SeaDoc taking care of all their diabetic patients and having eye problem.

We at diabetic eye clinics or our eye clinics advance eye care have a single motto of patient first, vision first and we provide all comprehensive and complete eye care very affordable prices for all our patients. The services provided by us include a complex retinal therapeutics and diagnostics which include three dimensional OCT, diluted examination fluorescein angiography for diabetic neuropathy fundoo phrosis for various retinal disorders and lasers. in lasers we have a very specialized machine which is a multi-spot laser which is extending the benefits of reduction in total duration of the laser and reducing pain which is not available in many of the centers of Delhi and NCR region. Apart from that state of art endoscopic switcher less retina surgeries are being performed for all kind of complex retinal problems like Aetna detachment, macular hole, ERN s, diabetic retinal detachment, diabetic ERN s and various severe disorders. Apart from that we extend this care to our patients even post-operative period by providing them with protect me recovery support system which help them in maintaining their position even after the surgery which helps them in the success of the surgery. Having done my senior in see my graduation and post-graduation from a premier institute of all India with medical sciences we hear them at making the diagnosis at a very initial stage thus preventing the total visual loss specifically you will and retinal disorders like separgenous colitis, acute retinal process. Apart from these kind of services have a state of the art institute for cataract surgeries, Lasik surgeries other glaucoma and squid surgeries and uplopastic surgeries.

If you want to contact me, you can contact either, either through Lybrate, or you can come to my clinic at Eye clinic s advance eye care. Thank you.
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Head And Neck Cancer
Causes and symptoms of Head and Neck Cancer

My name is Dr. Manish Julaha and I practice Head & Neck Oncosurgery. Today I'll tell you some facts about Head and Neck cancer how to predict them early. So in India approxiately 1.2 million cancer patients are detected every year, and out of this one thirds of the number occur in head and neck, mainly oral cavity and throat. And this is a very big number if you compare with rest of the countries because head and neck cancer they account for less than 10% in western countries and less than 4% in U.S. So what is the cause of such high number of head and neck cancers in India. It is mainly the use of tobacco and another sad fact about head and neck cancer in India is that majority of the patients, you can say more than 65% are present in stage 3 or stage 4. And we say cancer is curable if it is detected early and when patients presents to us in such late stages it effects all the paramaeters like overall survival, treatment outcome, side effects, functional outcome, quality of life everything is affected. And when patients come in early stage, the treatment is less invasive with less side effects and the functional outcome is very good and the chances of recurrence is very less.

So what can we do to detect head and neck cancer at the earliest. We can do this if we've the knowledge of the signs and symptoms which hint towards the head and neck cancer and by doing self examination. So what are the early signs and symptoms. They're mainly any ulcer in the oral cavity which dosen't heal in three weaks or any lump in the lung or oral cavity, any red or white patches in the oral cavity, or there maybe unexplained earache or nasal blockage, mainly on one side, specially with blood stained mucous discharge, ill fitting of denture because of any swelling in the gums. So, these are the early signs and symptoms. If we find any such thing we should take expert opinion. And by doing self examination we can detect head and neck cancer at the earliest. I would say all those people who're at a high risk of getting head and neck cancer they should do the self examination at least once a month. So who're the people who're at high risk of getting head and neck cancer. Most importantly those who use tobacco in any form, then elderly people above the age of 45 and people who have exposure to ionizing radiation in past, and people who have had head and neck cancer in the past they're at high risk of getting a second cancer so they should also be very careful.

Now, how to do this self examination. It is very simple, to do this you've to stand in front of the mirror and you've to feel both the lips, upper lips and lower lips, using your thumb and index finger feel both the lips and by pulling them outward you've to see the inner lining of the upper lip and lower lip and also you have to look at the upper gums and lower gums. And using your thumb and index finger pull your cheek and look at the inner lining of your cheek on both sides and look for any ulcer or lump or any red or white patches. Now just open your mouth and say "aaa" and while saying "aaa" just look at the throat and also at the roof of the mouth. Then by touching your tongue on the back of upper teeth have a look at the under surface of the tongue and the floor of mouth. Then pull your tongue outward and look at it's upper surface, by moving the sideways look at the sides also. Again look for any ulcer or lumps or any red or white patches and you have to examine your neck also. Just by standing straight palpate below the jaw bone and above the collar bones, and by moving the head backwards look for any asymmetry of the neck, if there is any fullness on one side as compared to the other side, there maybe some lump. If you find any such thing just take expert opinion.

Thank you very much for watching this video and contacting through Lybrate . Thank You.
Play video
How does Diabetes affect our overall Health?
Hi, this is Dr Umesh Alegaonkar from Thane, Sampada Hospital. I am going to discuss on current hot topic in medical field which is affecting most communities Diabetes, Vit-D deficiency, Hyper or Hypo perathydism and various other deficiencies.

First talking about the Diabetes itself as a WHO has declared India to be the hot and capital of the Diabetes. We are currently facing the huge socio economic burden regarding the management of Diabetology. Management of diabetic illness is apart from the investigation part of the treatment and the complications causing the huge tall on the socio econimic society.

Let me be very clear that it is going to be a silent killer and maximum number of casuality is banned by the Indian communities because of the lifestyle which currently been changed. Accidentary lifestyle, alcohol associated and the smoking. The blood pressure and diabetes which comes along with the diabetology become the integral part of the diabetology and the accelerated complications.

Juvenile diabetes is also currently a hot topic which remains highly under diagnosed. Sugar, blood rise, getting it detected below the age of 35 years or the very younger age, it still remian the untouched problem in the society. Basically the awareness needs to be created regarding the Juvenile diabetes because patients at the earlier age gets diabetes faces complications for the long period and more number of complications, multiple number of hospitalizations there which comes under the Juvenile diabetes.

Apart from that, the diabetes is giving complications such as the strokes, and the heart attacks, renal failure, liver failure and the related diabetic foot ulcers which gives enormous kind of complications. Patient literally suffer from non healing ulcers, amputation of the limbs and patients may also face systematic failure in the multiple organ diseases.

Patients are also going for dialysis due to diabetic nephropathy and the chronic kidney diseases.

My urge is that the timely checkup and the regular checkup of your blood sugar and the time to time consultation with the diabetologist may help decrease the diabetic complications and patient may feel at ease.

For further information regarding this, please contact me through lybrate.com.
Play video
Diabetes
Here are symptoms, type, effects, and Treatments of Diabetes

Hi, to all the viewers. I am Dr. Hardik Thakker, an M. D. physician practicing from Mumbai. I would like to take this opportunity to talk about diabetes mellitus, As you all know, diabetes is a very common lifestyle disorder that we see in India. In fact, 7.1% of the adult Indian population is afflicted by this disease. If you go by world ranking, India ranks 1 as per the total number of diabetic patients in India followed by China and the United States. So this number by itself shows the burden of the disease.

Now, what I commonly see in our practice is there are a lot of newly diagnosed patients who do not have any symptoms but they have just done a random sugar check and are diagnosed to have diabetes. So the moral of the story is that one does not need to have symptoms. Typically, a diabetic would have a history of increased urination, increase of water intake, weight gain or weight loss. Sometimes, they may develop complications like eye issues, peripheral neuropathy which is tingling and numbness in the nerves and sometimes they come with foot ulcers but a majority of the patients are asymptomatic. So, a sincere request to all the viewers to have your sugars checked once a year at least just to be sure that you are not missing out on your own disease.

Now, I am going to speak about the types of diabetes, why does it happen and what are the things that happen in diabetes. There is Type 1 diabetes which is found in people less than 20 years of age, and then there is autoimmune destruction of the pancreas because of which the secretion of insulin is not there and hence the sugars are high. These patients need only insulin and there are no medications for them. The second and the most common type is Type 2 diabetes which you will find in people above 40 years of age. The typical age in Mumbai or in India for that matter is 42 years which is the age of presentation and they usually treated with medications and sometimes with add-on insulin.

There is a third uncommon variant called the MODY which is Mode Dematurity Onset Diabetes which also needs insulin and it has some autoimmune disorders and genetic predispositions. In diabetes, there are sugars present in the blood in very high amounts which damages a lot of your organs. For example, the most common organ is the nerve. So it leads to neuropathy, people get tingling and numbness in the nerves. Also, another most common organ is the heart. Diabetes can cause blockages in the heart which leads to heart attack. The third common is the eye, specially the retina. It causes retinopathy and people have decreased vision and sometimes they see floaters in the eyes.

Fourth, most common complication is the foot ulcer. We do not want people to have these complications and hence the reason to diagnose and treat early and eat right. With regard to lifestyle management, I would sincerely request diabetic patients to have a brisk walk for 30 minutes every day. This by itself will increase your insulin sensitivity and help you to decrease the dose. Second thing is eating healthy which makes a huge difference to your sugar levels, to have a very low calorie meal, specifically avoid sugars and exercise. So, that is all I would like to say on diabetes.

If you wish to contact me further or would like to consult with me in private, I would request you to go to my website which is www.drhardikthakker.com and you can even get in touch with me through lybrate.com. Thank you very much for your time.
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