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2 weeks ago Medical

Why do legs and feet get swollen?

Here is something unusual! I’m pretty sure you must not be familiar with this! Have you heard of hypervolemia? Here in this article, you will get to know a lot about it. Come on a read through it and you will be amazed to know what it is!

Hypervolemia is a condition in which there is an excessive buildup of fluid in the body. It is otherwise known as fluid overload. The body fluids are primarily composed of sodium & water. When this level of fluid starts building up, it leads to an excessive circulating volume which can result in heart failure.

Some interesting facts about Hypervolemia:

  • ¨ The entire is made up of 70% of water which are distributed into various compartments.
  • ¨ The charged particles called electrolytes are responsible for the balance of total fluid in the body.
  • ¨ The sodium electrolyte has an electric charge that enables it to attract water.
  • ¨ Urination, perspiration, and defecation are various factors responsible for water loss in the body.

What causes hypervolemia?

  • EXCESSIVE SODIUM OR FLUID INTAKE:

Intravenous therapy:

  • This occurs when IV is used in rapid rate or in larger volume than what is actually needed.
  • When the administration of wrong IV is done it can cause an imbalance in the sodium levels in the blood.

Transfusion reaction by blood transfusion:

  • Transfusion reaction by rapid infusion or larger volume of blood may cause fluid overload.
  • LIVER CIRRHOSIS: Cirrhosis is when the liver stops functioning properly (which also can be caused by a number of factors). When the liver stops functioning properly, it can trigger hypervolemia.
  • HEART PROBLEMS: Heart problems can cause excess fluid in the blood. Heart congestion, in particular, can slow the pumping of blood through the body which can lead to fluid buildup.
  • KIDNEY PROBLEMS:Certain kidney issues like nephrotic syndrome can interfere with the transfer of fluids in the body, which can cause the kidney to trigger hypervolemia. Glomerulonephritis can cause the kidney to excrete excess fluids that can also cause hypervolemia.
  • Coughing and Difficulty Breathing: Shortness of breath is another sign of fluid overload. The heart is strained as it contends with the increased volume and fluid enters the lung which leads to difficulty with breathing. This difficulty breathing is worse when lying flat. Depending on the severity of the pulmonary edema (fluid in the lungs),  a person may report a feeling of suffocation. There may also be persistent coughing which also may worsen when lying flat.
  • Lower Urine Output: Although the amount of urine passed out may be within normal limits, it does not correlate with the amount of fluid being consumed or administered. In other words, more water is entering the body than being expelled as urine without there being major fluid loss through sweating, vomiting or diarrhea. In some conditions, the urine output may be abnormally low or even cease altogether for periods of time.

Less important factors that contribute to fluid buildup in the body are as follows:

  • Hyperaldosteronism
  • Certain medications
  • Reaction to stress
  • Malnutrition

What are the symptoms of hypervolemia?

  • EDEMA: it is also called as swelling. It is a condition where there is a buildup of fluid in the legs and arms.
  • ASCITES: it is a condition where there is excess fluid buildup in the abdomen.

    CARDIOVASCULAR PROBLEMS:

  • Strong and rapid pulse rate
  • Hypertension
  • Elevated central venous pressure
  • Increased pulmonary artery pressure
  • Low levels of hemoglobin
  • Jugular vein distention

    RESPIRATORY PROBLEMS:

  • Respiratory pattern changes
  • Difficulty in breathing
  • Difficulty in breathing while lying down
  • X-ray results show pulmonary edema.
  • Urinary Problems: Fluid retention is a major cause behind hypervolemia. The amount of fluid that you are taking in isn’t exiting the body in the form of urine. You may feel the need to go, but not much will come out.
  • Sudden weight gain: one may experience a sudden gain in weight due to hypervolemia. This is because the extra fluid you are retaining in will add on to your weight.

 

Diagnosis of hypervolemia:

 

You have all of the symptoms, and you’ve made your way to the doctor’s office.  How is the doctor going to determine whether you have hypervolemia?

 

Hypervolemia is mainly diagnosed by its symptoms. The doctor will also go over your medical history to look for things that could have triggered hypervolemia especially if you have a history of liver or kidney problems.

 

Blood work and chest radiographs may also be used to take a look inside you and confirm the doctor’s suspicions. If you have been diagnosed, treatment can then begin.

 

Treatment or hypervolemia:

Suppose, the doctor has finished his diagnosis and your fears have been confirmed.   You are currently suffering from hypervolemia. The good news is that once it’s been diagnosed, it becomes fairly easy to treat. Hypervolemia treatments may include:

  • Dialysis:

Dialysis is a procedure to remove waste products and excess fluids from the blood when the kidneys stop working properly. There are 2 types of dialysis:

  • Hemodialysis
  • Peritoneal dialysis

Haemodialysis: it is the most common type of dialysis and the most type of dialysis that people are aware of. During the procedure, a tube is attached to a needle in the arm. Blood passes through the tube and through an external machine and filters it before it passes through the arm through another tube. This is usually carried out 3 times a week and each session lasts for about 4 hours.

 

Peritoneal dialysis: this uses the inside lining of your abdomen to filter rather than an external machine. Like the kidneys, the peritoneum contains a number of blood vessels making it a useful filtering device. Before the treatment starts, an incision is made near your belly button and a thin tube called catheter is inserted through it. This is left in place permanently.

The fluid is pumped into the peritoneal cavity through the catheter. As the blood passes through the cavity, wastes and other fluids are drawn out of the blood and into the dialysis fluid.

 

  • Change in diet:

Your doctor will suggest you follow a low-sodium diet that will help reduce the amount of fluid buildup in the body.

 

  • Arteriovenous & venovenous hemofiltration:

This is another way of filtering excess fluid from the body or bloodstreams targeting the kidneys.

 

Preventing Hypervolemia

If you’ve dealt with hypervolemia or after reading this article, never want to have to deal with hypervolemia, you may be wondering what you can do to prevent it. Here are a couple helpful tips.

  • Low-sodium diet:The buildup of excess sodium can help trigger hypervolemia, keep your sodium levels at a reasonable level.
  • Watch your fluids: If you are going to have a blood transfusion or if you have any of the medical issues we described in the above sections, keep an eye on your fluids. Make sure you’re not retaining too much fluid, keep an eye on your urine to see if you are let out as much fluid as you are putting in.

 

Hypervolemia Needs Treatment!

When dealing with hypervolemia, vigilance is best—especially if you have any of the underlying health conditions that may lead to it. If you are struggling with liver or kidney issues, for example, the last thing you want is to deal with the additional issues that come with hypervolemia. If you notice that you are starting to show many of the symptoms of hypervolemia, seek a doctor immediately. The faster you get treatment, the better your body will be for it.

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3 weeks ago LifeStyle , Medical

The Doctor of God: Dr. Yeshi Dhonden

Doctor miracle is still alive and treating 40 fortunate patients everyday in the secluded town of Mcleodganj in Himanchal Pradesh. Patients from all over the globe, with serious and fatal ailments try their luck with him, and many of them report miraculous healing.

Dr. Yeshi Dhonden was born in Lhoka, Tibet on 15th May 1927, to a prosperous farming family in the village of Yamdro in the district called Hlo-go, close to Lhasa, Tibet. His family comes from a very popular medical lineage. He is very genius that he got to finish his medical training at the age of 20 itself! In 1960, he took up the challenge to found Men Tsee Khang, the Tibetan medical college and was succeeded. He was the Principal and the Director of the college until 1970.

Yeshi Dhonden is a Buddhist monk and was Dalai Lama’s personal physician for about 20 years, from 1960 to 1980. His main goal was to prove to the world that these Tibetan formulae are safe and completely non-toxic and have successfully done it. He uses Tibetan herbal medicines and diet for curing cancer. Since 1970, he has a long list of patients seeking his medical care at his Dharmashala.

Over the past 50 years, he has successfully treated a number of patients with all kinds of ailments. He is considered as one of the foremost doctors in the world. He is specially trained in cancer treatments and has cured a large number of cancer patients all over the world, and even woman with breast cancer. He is also successful in treating diseases such as AIDS and cancer. He uses some of the oldest Tibetan herbal therapies to cure the ailments. He has even done wonders saving the lives of cancer patients who are in the last stage of cancer.

Unfortunately, Tibetan Medicine is still virtually unknown in the west, where the cancer epidemic is out of control. In 1994, upon meeting Dr. Helene Smith, renown cancer researcher, genealogist, & the director of California Pacific Medical Center in San Francisco, & Dr. Debashish from University of California, Dr. Dhonden agreed to collaborate on the first formal FDA approved the phase1/2 study in the world.

With dedication, Dr. yeshi dhonden has been a pioneer bringing world awareness of this very sophisticated, powerful and effective approach to healing to the west.

Visiting a Tibetan doctor!

If you ever wish to see Dr. yeshi or any other Tibetan doctor it is better to avoid spicy foods, coffee, black tea, and alcohol the previous night.  The first thing to do in the morning is to collect some sample of urine before you visit the doctor and go to the clinic as soon as possible. Be the first few to get the coupon when the distribution starts at 10 a.m.

Diagnosis:

The doctor will observe the patient, the quality of urine, and then read the 12 pulses that act as a messenger between the doctor and the patient. You can ask questions to discover as much as possible.

An important note to the patients out there!

Dr. yeshi does not have any access to emails so patients can’t forward questions to him to find solutions. The only way is to personally meet him at his clinic.

Successful treatment for AIDS, cancer and other diseases by Tibetan medicines:

Dr. yeshi is very successful in treating diseases such as AIDS and cancer. He uses some of the oldest Tibetan herbal therapies to cure the ailments. He has even done wonders saving the lives of cancer patients who are in the last stage of cancer. There have been good success rates with cancer disease with these medicines where the doctors in others parts of the world where not even able to identify the cause of cancer.

It is not part of the Tibetan custom to know the proportion of people who have been benefitted with their treatment. Henceforth, they do not maintain any records or journals of the patients who have received treatments and cured out of it.

Treatment for AIDS:

When the AIDS epidemic initially broke out, he knew nothing much about the new diseases. It was much later when a couple came to meet him he was able to provide the required diagnoses and treatment. He handed over the couple the medications for few months and promised them they would recover from it. After taking these medicines, the couple was actually benefitted out of it.

These medicines then came into existence in many parts of the world like the US, Australia, Germany, Italy, etc.

In about 25 to 30 days, some will start experiencing the results of the medicine. Most people who visit are having chronic diseases and hence should not expect that the recovery will be soon.

Brain tumors:

Here we will discuss a case study. Some years ago there were two Indian brothers, one in his 20’s and other was double his age. Both simultaneously came down with brain tumors. They were diagnosed, and the doctors told them, “You should both have operations to have these things surgically removed.” The older brother said, “Well, look, there’s no problem if I die before my younger brother; after all, I’m older. And so let him have the finer treatment.” They couldn’t afford two operations.

I said, “What I suggest is maybe why don’t you both hold off on the operation and just give Tibetan medicine a try.” These two brothers decided the older brother would sacrifice the hospital treatment and surgical procedure for the sake of his younger brother. He wanted to make sure he had the best of everything. The younger brother then went to the hospital and had his tumor surgically removed, and the older brother took Tibetan medicine. Well, for a while it looked like the younger brother was doing pretty well and the older brother was doing pretty well. But then, in the case of the younger brother, another tumor formed, he had to go for another surgical operation, and then he died. The older brother never had an operation, he only had Tibetan medicine, and he’s now into his 60s.

This case study is a good proof for us to believe the power of Tibetan medicine. Without any surgical procedures or invasion, they are able to bring about 100% recovery.

Multiple sclerosis:

There are a number of cases in which people suffering from illness have got 100% benefits by taking these Tibetan medicines. There was a case of a woman who was immobilized and really crippled. She continued these medicines for about 6 months and got complete recovery from the ailment.

Hepatitis:

For the range of illness that comes under the single roof of jaundice, hepatitis, gall bladder, liver failure, etc there is simply no count on the number of patients who have attended the treatment and got benefitted.

Leukemia:

Those people suffering from leukemia and blood cancer have also got benefitted from Tibetan medicines. But, in these cases, the patients have to take medicines for really long time. All cases of leukemia are treatable with Tibetan medicines. There is particularly one type of leukemia which turns out to be difficult to be cured with Tibetan medicine. When there is a high count of white blood cells cancer spreads easily to the lymph nodes and becomes difficult to treat.

Stroke:

People suffering from stroke have also seen success from Tibetan medicine. What I found is that if such patients are in their 40s or younger and take Tibetan medicine, the medication is very, very effective. If they’re in their 50s or older, they still get some benefit but not as much. This is assuming once again that they have not had any operations or anything else that would complicate their situation. If it’s just been Tibetan medicine, then that’s the case. The older will be benefitted but not to the fullest!

Breast cancer:

There are 42 different types of specifically women’s ailments. There are nine types of tumors, and there are 16 types of ailments involving the channels of various sorts. It’s not like there’s just breast cancer – the breast cancer is always situated in a context involving the three tumors. There could be microorganisms involved. There are so many different factors in treating each person in a tailor-made fashion, one that’s perfectly appropriate for the individual. Tibetan medicines were able to cure these tumors and bring back the women to normal life.

What are the dietary changes that one has to take up?

During a Tibetan treatment, one has to avoid fried foods, spicy foods, boiled and fermented foods.  It is even better to avoid coffee, tobacco, alcohol during the cancer treatments.

Generally speaking, macrobiotic diets are good for people with cancer, with one exception: a number of macrobiotic diets entail quite a few sour foods. Keep low on sour foods. Avoid strong meats, such as chicken, pork, and beef. Such people can eat fish. That’s not so bad.

According to the Tibetan tradition, they believe that sickness is caused by karma. There are about 404 types of illness. They are said to be illnesses just within this life, and these also arise due to circumstances in this life. The illness arises in this life and it finishes in this life. So, in that case, you don’t speak of karma from lifetime to lifetime.

Then there’s another sub-class of illnesses that includes serious illnesses that do arise as a result of karma from lifetime to lifetime. Those are karmically-induced illnesses; but in some cases, if the patient engages in very, very strong purifying practices, creating a great deal of merit, in some cases, even those can be cured. The Tibetan customs and treatments are based on these beliefs.

It is quite interesting to know that many chronic serious ailments are cured by the hands of Tibetans without any kind of surgical procedures or without involving any kind of modern medical equipment.

To know more interesting facts and details about Dr. Yashi Dhonden and more about the Tibetan medicines and treatments visit our website Free Doctor Helpline or call us at +918010555444.

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3 weeks ago LifeStyle , Medical

NORMAL DELIVERY VS CAESAREAN SECTION

Are you waiting for that big day in your life? Are you thinking of the delivery process? Are you aware of both normal and caesarean method of giving birth? Are you clueless about which delivery option is safe for you and your baby? Don’t worry! Reading this article will help you find answers to all your queries.

The most beautiful quality of a mother is to give birth to their babies. The babies can enter into this world in 2 ways: pregnant women can have either a vaginal birth or a planned surgical delivery by caesarean section. The ultimate goal is to give birth to a healthy baby. Arm yourself with handy information and talk to your doctor and find out which suits you the best.

All you need to know about caesarean section:

A c-section or caesarean section is the delivery of the baby through a surgical incision made in the mother’s uterus and abdomen. Caesarean is a major operation that carries a number of risks so it is done only if it is the safest option for the baby and mother.

Why are cesareans carried out?

In some cases, it is scheduled in advance whereas in others it is done in response to unforeseen complications. If a vaginal birth is too risky then doctors go for a caesarean surgery.

A caesarean may be carried out in the following cases:

  • If your baby is in the breech position (feet first) and doctors are unable to turn it by applying gentle pressure on your tummy.
  • If you have pregnancy-related high blood pressure (pre-eclampsia)
  • If you have low-lying placenta
  • If your baby isn’t getting enough oxygen and nutrients.
  • If there’s excessive vaginal bleeding
  • If you are carrying more than one baby

Some women opt for caesarean than normal delivery even without medical reasons. In such cases, they should be made aware of the risks and complications associated with it.

What happens during a caesarean?

Most cesareans are carried under spinal or epidural anesthetic which means you will be awake but the lower part of your body will be numbed so that you won’t feel the pain.

During the procedure:

  • A catheter is inserted into the urethra to drain urine during the procedure.
  • A screen is placed across your body so you can’t see what is being done. Doctors and nurses will tell you what is happening.
  • A cut of about 10-20 cm long is made across your tummy and womb so that your baby may be delivered.
  • You may feel some tugging and pull during the procedure.
  • Once the cord is cut you can have a chance of looking at your baby before handing him or her to the pediatrician.
  • The doctor will then deliver your placenta and begin closing up the cut.

Recovering from a caesarean:

      Recovering from caesarean takes much longer time than recovering from vaginal delivery. You may have to stay for a longer duration at the hospital. One might feel discomfort with their tummy and you will be provided painkillers to cope up with this. The wound in your tummy will be red at first and slowly it begins to scar. In some time, it gets hidden in your pubic hair.

Risks factors associated with caesarean:

Though it seems to be the safest procedure it has its own risk and complications associated with it. You should be even more aware of the risks if you undergo this surgery without medical reasons.

The possible risks are:

  • ¨ Infection in womb lining or the wound
  • ¨ Excessive bleeding
  • ¨ Blood clots
  • ¨ Temporary breathing difficulties in your baby
  • ¨ Damage to nearby areas such as bladder and tubes that connect to kidneys

Women are 3 times likely to die during a caesarean section than during a vaginal birth. This is due to blood clots, infections, complications from using anesthesia. Once a woman had her first c-section delivery then her future pregnancies are also likely to be the same way. She is also at greater risk of future pregnancy complications such as uterine rupture and placenta abnormalities. The risk for placenta continues to increase with every c-section delivery.

Future pregnancies after caesarean:

  If you have a baby by caesarean then it does not mean that all your successive pregnancy will also be caesarean. Most women can safely have a vaginal delivery for their next baby that is known as vaginal birth after caesarean (VBAC). You will just have to ensure if all processing goes on smoothly. Some cases, men may be advised to take up another caesarean if that is only the safest procedure for both the mother and the baby.

However, there are not a lot of advantages in a caesarean section. If the women know in advance that she will need a c-section, then a surgery can be planned and scheduled well in advance depending on the health condition of the mother and the baby.

All you need to know about normal delivery:

Every delivery is unique and individual as the mother and the infant. Giving birth will leave an impression on you for rest of your life. It is so obvious that each one of you would like to have a positive experience and should know what to expect? Here we give you some ideas about what may happen as you deliver a baby.

The vaginal birth is the most natural way of giving birth. Once you give birth the vaginal way, your hospital stay after the delivery is shorter, there is no incision or major scarring nor is it surgically invasive. The recovery time after a vaginal birth is lesser also the complications after a vaginal birth is much lesser than a caesarean section.

Vaginal birth has many benefits for the babies too. Both the mother and the child will prepare and progress naturally for the vaginal birth. As your baby passes through the vaginal opening, all the amniotic fluid present in the baby’s lungs will be flushed out, your baby will also ingest some protective bacteria that will strengthen the immune system.

One more added advantage for the baby is that the mother can come in contact with the baby much earlier than the women who has undergone a surgery. The woman can also initiate breastfeeding sooner.

What happens during a normal delivery?

The cervix is the lowest part of the uterus which finally opens into the vagina. The cervix is a tubular structure with 3-4 cm in length. During the labor, the role of the cervix changes from maintaining the pregnancy to facilitating childbirth. The cervical canal must open until the cervical opening reached 10 cm in diameter and the baby is able to pass through the canal. Though there aren’t any significant injuries, the cervix may tear and requires repair. The vaginal tissues are soft and flexible but still during the process of giving birth, due to extensive force or rapid motion these tissues are subjected to tear.

What to expect after a normal delivery?

About 70% of the women having their first baby will have some sort of vaginal trauma requiring repair. Fortunately, the vagina and the cervix have a rich blood supply so the wounds in these areas will heal quickly.

If you decide to give birth naturally then you will go through two types of sensations: pain and pressure. As you begin to push, some of the pressure will be relieved. As the baby descends into the birth canal, you will experience pressure only during the contractions. It feels like a strong urge to have a bowel movement as the baby presses down the canal.

It has some cons too. In a vaginal birth, the entire process depends on the body’s readiness and timing. Hence, the process cannot be scheduled in advance and the mother has to be prepared all the while to give birth.

Which is better normal delivery or caesarean section?

A normal delivery is much better because when you go through caesarean, the recovery time is much longer. It might take up to 3 weeks for complete recovery and it is very difficult to walk or even move. As you are in pain, it becomes difficult to take care of the baby as well.

Here are some tips if you are planning to have a natural way of giving birth:

  • Get a solid prenatal education
  • Pick a health care provider who is into natural birth
  • Do not gain too much weight
  • Go for a low intervention pregnancy
  • Spend early labor at home
  • Use a lot of water for easing pain

To know more about normal delivery and caesarean sections, the treatment procedures and to get more health tips contact our doctors on free doctor helpline. Log on to Free doctor helpline or call us at +918010555444.

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3 weeks ago Medical

Zika Virus

We have heard enough of diseases which are spread by mosquitoes. These diseases are considered serious and so catches immediate attention for treatment. The mosquitoes are well known for transmitting viruses from one person to another. One such harmful virus is the Zika virus. Unlike other viruses, the zika virus is a deadly virus.

In this article, we will learn more about the zika virus, its symptoms, treatments, and prevention methods. In due course, we will also come to know how deadly the virus is!

If a pregnant woman is infected by this zika virus, then it causes birth defects in babies born to those women. The babies are born with underdeveloped heads or brain damage. Zika virus is often linked to the Guillain-Barre syndrome, a condition in which the immune system affects the nerves. The virus mainly spreads through mosquitoes although there are cases of sexual transmission.

Fortunately, the virus isn’t very common to Asia. The places vulnerable to zika virus are the United States, South Florida, and Mexico.

What is zika? How do you catch it?

The zika virus was first identified in Uganda and is transmitted by the Aedes mosquito. This mosquito is responsible for carrying viruses that cause dengue fever, yellow fever & chikungunya virus. The mosquito first bites the infected person and then spreads the virus to other people it bites. Thus the mosquito acts as a carrier of zika virus. Do you wonder how zika is transmitted through sex?

A person who has traveled to an area where an outbreak of zika virus occurred, got the virus and could have transmitted the virus to the sex partner who has not traveled. In fact, infected pregnant women can transfer the virus on to their fetus.

Recent studies show that virus may be present in the bloodstream, saliva, semen, urine or even the fluid in the eye.

Here is a small case study for you. A person was infected with zika virus without traveling or coming into sexual contact. Do you wonder how?  A zika patient who was infected by the virus a few months ago and was under treatment. The caregiver of this patient happen to come in contact with the tears and sweat of the zika patient. Lab tests proved that the virus is transmitted via sweat or tears of the patient.

What are the symptoms of zika?

The majority of the people who are infected by zika virus will certainly have no symptoms al all. Only 1 in 5 with the virus will exhibit the symptoms. But the sad part is that most people won’t know that they have it. The disease can cause fever, rashes, joint pain, redness in the white of the eye (conjunctivitis or pink eye).

The symptoms can appear anytime with 3 to 14 days after the first bite from the infected mosquito. The symptoms if appeared will last for few days or weeks. These symptoms are similar to those appearing for other infections like dengue fever, skin rashes, muscle pain, headache, malaise, etc.

Some of the commonly reported symptoms are listed below:

  • Itching all over the body
  • Pain behind the eyes
  • Lower back pain
  • Red eyes
  • Severe headache
  • Joint and muscle pain

If you notice these symptoms developing, especially if you are in a place prone to zika virus then immediately consult your doctor.  A pregnant woman who has zika virus or symptoms at any point during the pregnancy should be tested for zika.

Once the person is infected with zika virus, then he/she has to be protected from other infections as well.

It is recommended that pregnant women should:

  • ¨ Postpone non-essential travel to places that are at high risk of zika virus.
  • ¨ Consider postponing non-essential to areas at moderate risk of zika virus transmission until after pregnancy.

If you travel to areas that are highly affected by zika virus then you can reduce the risk of infection by applying mosquito repellent and wearing loose clothing that fully covers your arms and legs.

To reduce the risk of infection and to avoid being bitten by an Aedes mosquito, you can follow the below tips.

  • Use a mosquito repellent that contains DEET ( N, N-diethyl-meta-toluamide). This can be used in pregnant woman and breastfeeding women in concentrations of 50% whereas in infants, children and older people it can be used in concentrations of 45-50%.
  • Wear loose clothing that makes you feel comfortable and also protects from mosquito bites.
  • Sleeping under a mosquito net is preferred especially in areas where malaria is also at risk.

How is zika treated?

Till date, there is no proper treatment for zika. However, people with symptoms will do well with the over-the-counter- medicines which will heal their pain and aches. The doctors recommend the zika patients take a lot of rest, drink plenty of water or other fluids to prevent dehydration and take acetaminophen to reduce fever and pain. Aspirin or other nonsteroidal drugs should not be taken to avoid the risk of bleeding. As of now, there is no vaccination for zika. The National Institute of Health is testing one for humans.

How are you tested for zika?

Basically, there are two tests for zika. One test will look for the pieces of genetic code of the virus in people with active infections. But this test does not work once the body clears the infection. This takes about 2 weeks after the symptoms appear.

Since 80% of the people with zika won’t know that they are affected by this virus nor do they have any symptoms of being infected by the virus.  Another test will look for the proteins called antibodies which are made by the immune system to fight against the virus. This test can identify the antibodies in the blood up to 3 months after a person is infected. But this test isn’t specific. Sometimes it may mistakenly show a positive result for zika even if the person is infected with dengue or chikungunya.

Can zika lead to other health conditions?

Zika is often linked to Guillain-Barre syndrome. Often this will lead to partial or complete paralysis. Usually starting with legs and is temporary in many cases. Studies often show a link between the syndrome and the zika. this illness is mostly seen in areas such as France & Brazil.

How can I prevent zika?

If you cannot avoid traveling in the affected areas then better protect yourselves from mosquito bites by applying repellents throughout the day. It is better to wear long sleeves shirts and long pants wherever you go.

These mosquitoes are very aggressive during the day. So even you apply sunscreens don’t forget to apply repellents on top of it.

Some of the complications zika virus can also cause health disorders.WHO  has concluded that zika virus is the main cause of congenital brain abnormalities including microcephaly. Zika virus is also a trigger of Guillain-Barre syndrome.

Advice for Pregnant Women:

  • Discuss your travel plans with your general physician.
  • If your travel is unavoidable then you will have to take extra care to avoid being bitten by mosquitoes.
  • If you are in areas that are prone to zika virus, then use condoms during vaginal, anal or oral sex.

Zika virus is most likely to be detected by currently available tests when symptoms are present. If you are currently experiencing Zika symptoms, contact your General physician, who will decide whether investigations are necessary. Investigations might include a blood test and/or an ultrasound test if you are pregnant.

Zika virus & blood donation:

The national health service has recently declared that people who are at high risk of zika virus infection should wait at least for 28 days before transmitting blood. To know more details about blood transmission after a zika infection contact the doctors at free doctor helpline.

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4 weeks ago Health , Medical

Thyroid disorders

Thyroid, a pear-shaped gland located just below your neck does many things within your body than you ever knew it does. It can regulate your energy levels, control your weight, makes you mood swing, etc. It regulates how your body interacts with other organs within it. The thyroid gland influences almost all the metabolic processes in the body.

So, unfortunately, for about 10 million women across the globe, this regulator is on the fritz. So what actually goes wrong??

The thyroid gland produces thyroid hormones which are nearly used by every cell in the body. For the normal functioning of the body, the gland should secrete hormones is specific amounts. The thyroid disorders are characterized by the abnormal levels of thyroid hormones.

The 4 common thyroid disorders are:

  • Hashimoto’s disease
  • Graves’s disease
  • Goiter
  • Thyroid nodules

In this article, we will discuss in detail about each of these disorders.

HASHIMOTO’S DISEASE:

Hashimoto’s disease is commonly known as chronic lymphatic thyroiditis. It is caused by hypothyroidism which is a condition that occurs due to an insufficient amount of thyroid hormones in the body. It can occur in people of any age but is most commonly cited in women of middle-age. This condition becomes noticeable when the body’s thyroid gland is mistakenly attacked by the immune system and it slowly destroys the thyroid gland and also adversely affects its ability to produce hormones which help in the metabolism of the body.

In the initial stages of the disorders, the symptoms are very mild and are often unnoticed. The disease can remain stable for years and the symptoms are often subtle. Often, there are no obvious symptoms or at times the symptoms are not very specific. This means they mimic the symptoms of other diseases or disorders and is very difficult to distinguish the rising of this new disease in the body. Some of the common symptoms include:

  • Fatigue
  • Depression
  • Dry skin
  • Constipation
  • Mild weight gain
  • Dry or thinning hair
  • Irregular menstruation
  • Enlarged thyroid
  • Intolerance to cold

DIAGNOSIS AND TREATMENT OF HASHIMOTO’S DISEASE:

The very first step when screening for any type of thyroid disorder is to test the level of thyroid stimulating hormone (TSH). Your doctor will ask you to take up a blood test to check the increased levels of TSH or to check for the low levels of thyroid hormones that are T3 or T4.

Hashimoto’s disease is an autoimmune disorder, so the blood test might show abnormal antibodies that might be attacking the thyroid. There is no cure for the Hashimoto’s diseases. The only way to get relief is to keep the hormone levels under control.  There are special medications that help in raising or lowering the levels of thyroid stimulating hormones. These medications are called as hormone-replacing medicines. These medicines also help relieve the symptoms of the disease.

In advanced cases of Hashimoto’s diseases, either a part or whole of the thyroid gland has to be removed. Surgery may be needed to remove a part or whole of the affected thyroid gland. Even if the disease is detected at an early stage there is no known cure for the disease. This is because the disease remains stable for years and progresses very slowly.

GRAVE’S DISEASE:

Grave’s disease is the most common cause of hyperthyroidism which is a condition that occurs due to excessive production of thyroid hormones. This disease is named after a doctor who has been describing it for more than 150 years. It is an autoimmune disorder, so the blood test might show abnormal antibodies that might be attacking the thyroid.

This disease is hereditary and can occur at any age in both men & women. Most commonly it is seen in women between 20 to 30 years of age. Other risk factors which can possibly result in this disease include:

  • Pregnancy
  • Stress
  • Smoking
  • Alcoholism

When there is a high level of thyroid hormones in the blood stream the body’s system speeds up. This can cause certain symptoms which are common to hyperthyroidism. Those symptoms include:

  • ¨ Anxiety
  • ¨ Irritability
  • ¨ Fatigue
  • ¨ Excessive sweating
  • ¨ Difficulty in breathing
  • ¨ Increased or irregular heartbeat
  • ¨ Difficulty in sleeping
  • ¨ Diarrhea
  • ¨ Frequent bowel movements
  • ¨ Irregular menstrual cycle
  • ¨ Enlarged thyroid
  • ¨ Bulging eyes
  • ¨ Other vision problems

DIAGNOSIS & TREATMENT FOR GRAVE’S DISEASE:

A simple physical examination is more than enough to detect the symptoms related to hyperthyroidism. It helps to identify enlarged thyroids, enlarged bulging eyes, rapid pulse and high blood pressure. ) Your doctor will ask you to take up a blood test to check the increased levels of TSH or to check for the low levels of thyroid hormones that are T3 or T4. You may also be asked to take up radioactive iodine to administer the measure of how quickly the thyroid absorbs iodine. A high intake of iodine is needed in case of grave’s disease.

There is no treatment to stop the immune system from attacking the thyroid gland. However, the symptoms of grave’s disease can be controlled in a number of ways often with a combination of treatment. Some of the ways to control the symptoms are listed below:

  • Beta-blockers are used to control rapid heartbeat, anxiety, and sweating
  • Anti-thyroid medications to prevent thyroid gland from producing large amounts of thyroid hormones
  • Radioactive iodine to destroy parts or whole of the thyroid

For patients who cannot tolerate anti-thyroid drugs or radioactive iodine will have only one last option which is to go in for a surgery. A surgery is often done to remove the thyroid gland. Successful hyperthyroidism treatments may lead to hypothyroidism. In such cases, you will have to take hormone replacement medications to move on with your life.  Grave’s disease if left untreated may lead to major heart problems and even brittle bones.

GOITER

Goiter is the noncancerous enlargement of the thyroid gland. The most common cause of goiter is iodine deficiency in the diet. Goiter is often caused or in many cases is the symptom of hyperthyroidism. Goiter can occur in people of any age group especially in areas where food rich in iodine are in shortage. This is because iodized food provides plenty of iodine in the diet. Women above 40 years of age are more vulnerable to thyroid problems and suffer from thyroid disorders. Other risk factors which can lead to thyroid include:

  • Pregnancy
  • Family medical history
  • Certain medications
  • Radiation exposure

As in other thyroid disorders, there will not be any symptoms in the initial stages of goiter. However, there will be some noticeable symptoms if goiter gets into a severe level. Some of the symptoms are listed below:

  • Selling in the neck
  • Tightness around the neck area
  • Continuous Coughing or wheezing
  • Hoarseness of the voice

DIAGNOSIS & TREATMENT OF GOITER

A physical examination is carried out to diagnose and treat goiter. Your doctor will ask you to take up a blood test to check the increased levels of TSH or to check for the low levels of thyroid hormones that are T3 or T4. This will check for thyroid disorders that are often a cause of goiter. An ultrasound of the thyroid may be carried out to check for swelling or nodules.

Goiter, even if detected in the early stage cannot be treated unless and until the condition becomes severe and the symptoms begin to shoot up. Usually, you will be asked to take small doses of iodine if iodine deficiency is the cause of goiter. Radioactive iodine may be taken in required amounts to shrinking the thyroid glands.

The treatments for all kinds of thyroid disorders usually overlap as goiter is often a symptom of hyperthyroidism. Goiter, if left untreated can cause severe complications. These complications may include difficulty in breathing and swallowing which might even turn up to be life-threatening.

THYROID NODULES

Thyroid nodules are growths that are formed on or inside of the thyroid gland. The causes for the formation of these nodules are not always known but are assumed to be a result of iodine deficiency or Hashimoto’s disease. These nodules can be solid or fluid-filled and may be cancerous in very rare cases. Like other thyroid disorders, nodules are more common in women than in men and affect both sexes at equal chances above 40 years of age.

As in other thyroid disorders, there will not be any symptoms in the initial stages of nodules. However, there will be some noticeable symptoms if nodules grow bigger. Some of the symptoms are listed below:

  • Swelling in neck
  • Breathing problems
  • Difficulty in swallowing
  • Severe pain
  • Goiter

Some nodules will begin producing thyroid hormones which will drastically increase the number of hormones in the blood stream. When this happens, the condition becomes similar to that of hyperthyroidism. Some of the noticeable symptoms include:

  • High pulse rate
  • Nervousness
  • Weight loss
  • Increased appetite
  • Clammy skin
  • Tremors

If the nodules are associated with Hashimoto’s diseases then the symptoms are similar to hyperthyroidism. That includes:

  • Fatigue
  • Depression
  • Dry skin
  • Constipation
  • Mild weight gain
  • Dry or thinning hair
  • Irregular menstruation
  • Enlarged thyroid
  • Intolerance to cold

DIAGNOSIS & TREATMENT OF THYROID NODULES

Most nodules can be detected during a physical examination. Some can be detected during a CT-Scan, or MRI scan. Once the nodules are detected, then the procedure is to check for the production of hormones. A fine needle is used to take a sample of cells from the nodules to see if the nodule is cancerous. Cancerous nodules are very rare and thyroid cancers aren’t very common. Removing the thyroid through surgery is the only treatment of choice. Sometimes a radiation therapy is used instead of a surgery. Chemotherapy may be required if the cancer spreads to other parts of the body.

Make sure to discuss the diagnoses and treatment options with your doctor or ask a doctor at free doctor helpline.

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1 month ago Health , Medical

Womb on sale: Surrogacy in India

A large section of population wants to have their own children, most preferably. But in some cases, that is not possible. It can be because of inability to conceive in the wife or the husband, or the couple being gay or a single man or woman desiring to have his or her own child. In such cases, those people can go for In Vitro Fertilization (IVF) surrogacy in India. They can easily opt for India as the costs are much lower here and also chances of finding a surrogate mother here are quite high.

So, evidently there are many such unfortunate couples and individuals out there who cannot bear their own children. But they can still become parents by opting for surrogacy. And hence the demand graph for surrogacy peaks inevitably. Regardless of this great demand, there are moral issues surrounding this surrogacy debate, a kind of moral conflict turning this great opportunity into a great controversy. As a matter of fact, there are various laws in the US defining exactly what is acceptable about IVF and what goes against the law and should not be practised. Turning towards India for surrogacy can in such situations boost hopes of such unfortunate couples.

What are the Advantages of choosing India for IVF Surrogacy?

  • It will cost you only a fraction of that in the US or anywhere else.
  • Medical tourism is a large and well organized industry in India, and hence India is well equipped to cater to your needs.
  • Legitimate, and well prepared IVF centers in India and specialists are set up with various screened and tried surrogate moms in their documents. The ladies comprehend, and have concurred that conveying another family’s youngster is a job for which they are being enlisted, and that when the infant is conceived it will be given over to its appointing guardians.

 

What are the various laws guiding the IVF Surrogacy in India?

 

  • There is no law confining any outsider originating from another nation and enlisting surrogate moms in India to give birth to their babies.

 

  • The outsiders opting for IVF surrogacy can be either married or unmarried, gay, or single.

 

In any case, in light of the fact that there is likewise no international law with respect to surrogacy, now and then the legitimate nationality and lawful parentage of the kid can bring about perplexity when the new family returns home.

 

Another law is as of now being discussed in the Indian parliament. In addition to other things, it contains arrangements for:

  • An independent agency that will monitor and take care of the Assisted Reproductive Technology (ART) banks. Instead of the clinics, these banks are designated to recruit the surrogate mothers in India. This move also empowers the mothers with greater independence to negotiate their own fees.
  • Each mother is limited to only 5 surrogate pregnancies.
  • Each surrogate mother is entitled to an age limit of 35 years.
  • An earlier assurance that the nation of origin of the charging guardians will acknowledge the child as theirs once it is conceived.

 

What things you ought to Consider Before Planning your Trip to India for IVF Surrogacy?

 

Research the capabilities of the IVF specialists in India and their centers, so you know the ones you need to work with. Additionally, investigate the laws in regards to surrogacy in your nation or state on the accompanying:

  • Will you be legitimately perceived as a parent or guardians of the newborn?
  • Will your newborn be perceived as yours and be issued a passport to come back to your nation of origin?
  • Will you need to experience adoption procedures before the newborn will be viewed as yours?

A few nations require a DNA test to demonstrate that the newborn is identified with one of the authorizing parents. A few nations would need consent from the birth parent (the surrogate mother) before the commissioning parent  is permitted to travel to his or her own country with the child.

You are highly advised to get an agreement made covering every one of these issues signed by every one of the members . It is likewise fitting for the commissioning parents to employ a legal counselor in their nation of origin who can work with an attorney in India to draft the agreement.

 

Why should you Travel for IVF Surrogacy to India?

 

Since a large number of individuals as of now have and are content with their newborns, you should travel to India for surrogacy for the following reasons:

  • India already has the mastery and the experience, needed to deliver surrogacy.
  • The nature and quality of surrogate moms working with the best IVF specialists in India is the finest.
  • The expenses will be much lower.

Going to your pregnant surrogate and being there at the birth of your child additionally, will give you the chance to encounter the marvels of a rich, delightful, old culture. IVF surrogacy in India is turning into the favoured choice for unfortunate childless couples and individuals all around the world.

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1 month ago Medical

Stem cell therapy

Did you know that there are a number of critical and life-dangering illnesses that do not claim to have any easy treatment or for that matter, any sort of treatment at all. For so many of these diseases, the stem cell therapy could provide useful answers that many are seeking today. The sad part is, stem cell therapy is laden with controversies even as of yet, and is unaffordable at many places even today. In wealthy developed countries, the therapy costs money so superfluously, it is beyond the capacity of multitudes to afford it. Regardlessly, a lesser expensive and easily affordable alternative is available in India. Stem cell treatment in India doesn’t cause a bomb, like in the developed countries and hence, it provides more and more people with  opportunities to lead a better life.

What are Stem Cells?

Stem cells are those cells that are not particularly engaged with any one body function and they have the ability to divide and multiply and subsequently increase in numbers even after remaining inactive for a long period of time.

They can be made to change into cells for various tissues and organs and this makes them perfectly suitable for treating a number of diseases. In this way, they can heal different injured human body parts. That is why these are mmore commonly reffered to as the holy grail of medicine. Scientists have researched about two types of stem cells : embryonic stem cells and adult stem cells.

  • Embryonic stem cells are those that are taken from unused embryos, which were created by in vitro fertilization. These embryos are most commonly donated for the purpose of research, after the proper consult of doctors.
  • Adult stem cells are called somatic stem cells. These are derived from mature tissues and not embryos.

Once stem cells have been derived from their source, these are then developed in labs so that they can be utilized for treatment when needed. In stem cells treatment, stem cells are introduced into the patient’s body. Then by their intrinsic nature,  they divide, multiply and heal the injured tissues and organs.

Stem Cells – India

India is one of the well known destinations, in relation to stem cell treatments. As per Forbes India, the government of India, perceiving the significance of stem cells in drug, dispensed more than $66 million for doing research in stem cells in India. The exploration was designed for understanding these cells more intimately, and directing clinical trials to test a treatment’s viability.

The stem cell treatment in India is offered at a value a considerable measure lower than the costs in developed nations. Other than the lower expenses, India offers a few treatments that may not be accessible in other places.

Illnesses that Stem Cell Therapy Can Treat

There are numerous illnesses that could be treated by stem cells – sicknesses which were already thought to be hopeless, prompting terminal ailments that at last outcome in death. A typical case would be leukemia. As per the University of Utah’s Genetic Science Learning Center, specialists settle on bone marrow transplants at whatever point chemotherapy alone can’t kill all the irregular leukocytes in a patient afflicted with leukemia.

Beside cancer and leukemia, stem cell treatment in India likewise addresses different sicknesses, for example, multiple sclerosis and a few other degenerative disorders of the cerebrum.

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1 month ago Medical

Heart transplant in India

Heart transplant in India

A heart transplant is a surgical procedure that is employed for patients who have end-stage heart failure or severe coronary artery disease. In this procedure, the diseased heart is usually replaced with a healthy heart from decreases donor that is a person who has recently died. This is the last option that the doctor has when all the other treatment procedures have failed.

 The heart transplant procedure

heart transplant procedure

heart transplant procedure

It’s quite natural for anyone to feel nervous, emotional and anxious about the surgery. The heart transplant surgery acts like a new pump which pumps the blood and does not cause any behavioral changes in the body. It takes about 4 to 6 hours for the surgery to be completed.

  • The heart transplant surgery is usually done in a hospital. The patient is not awake during the surgery and is given an anesthetic.
  • The surgeon will cut your breastbone to get access to your heart.
  • The medicine is injected into the patient’s body through the intravenous (IV) line in the arm.
  • The breathing is supported with help of a ventilator.
  • The surgeon will open your chest and connect the heart’s arteries and veins to the heart-lung bypass machine.
  • He then removes the diseased heart and connects the arteries and veins from the heart-lung machine to the donor
  • The heart transplant is complete when the surgeon closes your breastbone with a wire which stays there forever.

How long is the wait for the heart transplant?

Once the patient is considered suitable for a heart transplant then he or she is put on the waiting list. Once you are on the list, a suitable heart may come along the way within few days, or months or years. Usually, it’s not that easy to find a suitable heart. Only 8 out 10 people receive the heart transplant they require.

What happens after the heart transplant?

The duration of stay in the hospital will depend upon your health condition after the surgery. You will have to have regular health check-ups for a year after the surgery. You will be physically weak after the surgery and so you have to avoid heavy activities such as lifting and pushing until your breastbone is completely healed. It will take about 4 to 6 months to for the breastbone to heal completely.

How will life be after the heart transplant?

After complete recovery from the surgery, you can proceed with your routine life activities. The only care is you should take medicines on regular basis. Your medications include immune-suppressants that help prevent the donor heart from infection. Without this, your body will recognize the donor heart as a foreign body and will try to reject it. Over ¾ of the heart transplant patients live for over 5 years.

Cardiac allograft vasculopathy is a common and serious complication of a heart transplant. It is an aggressive form of atherosclerosis that over months or years can block the heart’s arteries and cause the failure of the donor heart. Over time, your donor heart will fail due to the same reason that caused your old heart to fail. Very few people will be eligible for a second heart transplant surgery.

Despite these risks, heart transplant has a considerably good success rate that has improved over many decades of research. The survival rates are about 85 percent at one year after surgery, with survival rates decreasing by about 3 to 4 % each additional year after surgery because of serious complications.

Who performed the first successful heart transplant surgery?

Panangipalli Venugopal has pioneered heart transplant surgery in India. He was the first surgeon to successfully perform a heart transplant surgery. The count is now standing at 26 successful transplantations. He was the first surgeon in Asia to have performed the implantation of left ventricular assist device lasting for more than 90 days. He was the first one to introduce stem cell therapy in India, by implanting the stem cell for repairing the myocardium. This was then used as an alternative to transplantation.

Best hospitals for heart transplantation in India:

Although India has some of the best medical facilities for heart surgeries, it is not very easy for a patient to decide which is the best hospital for heart transplant surgery. So we provide you with a list of hospitals and the facilities they provide so that you can choose your option.

The following is the list of the best and approved hospitals for heart transplantation in India:

  • Heart transplant hospital in Delhi:

        Delhi has over 30 healthcare facilities with proven records of good heart patient care and world-class facilities. Some of the trusted health care centers in Delhi are:

  • Fortis escort heart institute and research center
  • Medanta – the medicity
  • Indraprastha Apollo hospital
  • Apollo cardiac center
  • Max super specialty hospital
  • Metro hospital and heart institute.
  • Heart transplant hospital in Mumbai:

     Mumbai has over 40 cardiology healthcare centers. Some of the trusted healthcare centers in Mumbai are:

  • Apollo hospital
  • Ambani hospital
  • Breach candy hospital
  • Tata memorial hospital
  • Kakilaben dhurubhai hospital
  • Heart transplant hospitals in Chennai:

    Chennai has over 25 heart surgery hospitals which perform different kinds of surgeries. Till now, Chennai has done about 142 surgeries.  Some of the trusted centers are:

  • Rajiv Gandhi government general hospital
  • Apollo hospital
  • Frontier lifeline hospital
  • Global hospital
  • Fortis hospital
  • Sri Ramachandra medical college and research institute
  • Heart transplant hospitals in Bangalore:

There are over 20 cardiology centers in Bangalore. Some of the trusted healthcare centers are:

  • Fortis Malar
  • Apollo hospital
  • Sakra world hospital
  • Jayadeva hospital
  • Manipal heart foundation

Some of the top surgeons specialized in Heart surgeries are listed below:

  • Dr.Naresh Trehan
  • Dr.S.K. Sinha
  • Dr.Sandeep Attawar
  • Dr.Praveen Agarwal
  • Dr.Subhash Chandra
  • Dr.Balram Airan
  • Dr.Satish Javali
  • Dr.Sunil Vanzara
  • Dr.Suresh Joshi
  • Dr.S. Bhattacharya
  • Dr.Sunder
  • Dr . Arun Visvarajan
  • Dr.Rahul Chandola
  • Dr.Bashi
  • Dr.Paul Ramesh
  • Dr.K.R. Balakrishnan
  • Dr.Gilbert Joseph
  • Dr.Tameem Ahmed
  • Dr.Devi Shetty

 

The cost of heart transplantation in India:

Of all the surgeries performed in India, heart transplantation is the most expensive. The total cost of organ transplant ranges from between INR 20,00,000 to 25,00,000. Even after the surgery, you will have to take special care and regular medications. The medications will cost around INR 30,000 per month. You will have to continue this for a few months after the surgery.  In some cases, the air ambulance may be used to bring the donor heart from one location to another. This will cost around 7-10 lakhs.

Benefits and risks of heart transplants:

According to a survey conducted, 87% of the patients who receive heart transplants survive about one year. 73% of the patients may live for about 5 years. Today’s heart transplant recipients live longer after the surgery than those who received the surgery 10 years ago. Many transplants recipients are advised to do swimming, walking and a lot more physical exercises to remain healthy.

The improved life expectancy of heart transplant recipients is due to the immunosuppressive drugs which reduce the body’s ability to reject new organs. Rejection is the major risk of the transplant surgery. Sometimes the immune system might send out antibodies to reject the new organ. In many cases, the rejection may cause extensive damage to the organ.

One should also be aware of the possible side effects of using immunosuppressants.  It may elevate cholesterol levels and blood pressure. People taking immunosuppressive drugs are advised to avoid grape juice. This is because the combination of both increases the blood levels and causes nausea, vomiting, and lightheadedness.

The second risk is that of infection. There is every possible way that the new organ may be infected. In that case, people has to immediately rush to the doctor to get it treated. Infection of the new organ may cause:

  • Fever
  • Redness
  • Dizziness
  • Swelling

Researches are being carried out to find ways to reduce the risk of infection and rejection. To know more about the heart transplant surgery and the best hospitals and surgeons log on to Free Doctor Helpline or call us at +918010555444.

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1 month ago LifeStyle , Medical

The notorious cancer train of India

Traveling to different places has been one of the best recreation for many people. For some, it may be research travel, vacation, volunteer travel for charity, religious pilgrimages, or even for a healthcare. Travel may occur by human-powered vehicles such as walking or bicycle or by means of vehicles such as cars, buses, or train.

In this article, we are mainly going to focus on the train travel which was exclusively organized for a healthcare purpose. Have you ever heard of India’s cancer train? Let us have a train ride now.

The green revolution was one of the biggest news in the 1960s and 1970s. It was a brainchild of a number of politicians, scientists, and philanthropists in the developed nations. They convinced that if the farmers in India switch from the traditional methods of farming to the modernized techniques which involve the use of pesticides, fertilizers, high-yield seeds and other inorganic substances- they could fight the hunger, and prevent the region from going, communist.  In fact, the Green revolution helped India transform from a nation that is chronically begging for food to the one that exports high-quality grains. But at what cost?

The farmers blindly followed their advice without even giving it a second thought. They failed to think of the consequences which they will have to face on undergoing this sudden shift from one technique to the other. This greedy act of many farmers, due to their money oriented mindset made them all fall into the deep pit of cancerous diseases.

Every night around 9:30 p.m. the train no: 339 pulls into the shabby station in the northern Indian farm town of Bathinda, the state of Punjab. The local people call it a “cancer train”, as the number of cancer patients traveling in this train increases significantly.

The most remarkable feature of this train is that 60% of its population are cancer patients. It runs between the Bhatinda town of Punjab to Bikaner in Rajasthan. It is known as the cancer train because of a high number of cancer patients traveling by the train.

The train leaves the Bhatinda station around 9:25 p.m. and reaches Bikaner at Rajasthan around 6:00 a.m. It covers a distance of about 325 km with 26 halts altogether. The train has about 12 coaches and has gained its name due to the sudden increase in the cancer patients traveling by this train. The drastic increase in the cancer cases is due to the increased use of pesticides and fertilizers which eventually have an adverse effect on the human body.

The train is packed to near capacity with 100 cancer patients & 200 other co-travelers who travel by this train. The main motive of this train is to help the cancer patients in as many possible ways. The cost of the train ticket is only INR 210 but it is free of cost for the cancer patients. The accompanying attendant will have a concession of 75% of the ticket cost.

One should be wondering why the cancer patients of Punjab have to travel all the way long to Rajasthan for their treatment when Punjab itself holds the art facilities for the cancer treatment?

The huge population of cancer patients traveling by this train is poor farmers from the districts of Punjab: Bathinda, Faridkot, Moga, Muktsar, Ferozepur, Sangrur, and Mansa. These southern districts are together known as the Malwa region. The farmers and their families here are suffering from cancer and health problems that have crept into their homes through the backdoors as the farmers of India’s grain bowl fed the nation. This is due to the lush fields hiding with scary tales.

Another poor condition of the farmers is that due to their poor economic background and low levels of economic status they are not equally treated at the government hospitals. There are cases of patients wherein despite visiting the hospital several times and waiting for the doctor for a long time, they never got a chance to have a consultation. Waiting to have a consultation with the doctors here will only deteriorate the condition of the patients. This is the reason why they travel to far-off Rajasthan despite the services offered at Punjab.

Another fact is that it is incredibly hard to avail cash incentives from the Punjab government without any political connection. The poor farmers hardly can’t avail for these incentives and are majorly neglected at the government hospitals.

The poor farmers finally unable to fight against the injustice will leave to the hospital at Bikaner, which has one of the top 20 cancer research center in the country. For the cancer-stricken in Punjab, one of the nearest and most affordable cancer treatments are provided at Bikaner, Rajasthan.

Here I will provide two case studies of poor farmers at Bhatinda which will explain clearly why they opt to travel to far-off places despite Punjab being the hotspot of cancer treatment.

Surjeet Kaur, a farmer from the village called Mansa, spent about INR 30,000 for chemotherapy to treat breast cancer. Another woman, Sathya Devi, belonging to the same economic background spent about INR 1,00,000 for chemotherapy on a cancerous growth on her hip.

We all are very much aware of how the farmers toil hard all day and night to repay the loan they have taken before the harvest season. In such a case, spending so much amount for their health and another medical expenditure is never an easy thing for them. Unfortunately, the poor condition of all the farmers out there in Punjab is undoubtedly the same. At the end of the day, they have to move to Bikaner anyway in order to get considerations and equal treatment.

Malkeet is one of the 25,000 people suffering from cancer in Punjab. A survey in 2009 showed there are about 7,735 people living with cancer. In February 2013, the graph raised drastically to 23,874 cases. Over the past 5 years or so, there have been 24,000 cancer cases and about 33,000 deaths.

What must the hidden reason behind these alarming rates of cancer victims?

The Malwa region of Punjab could be popularly called as the cancer belt. It topped the list with 24,000 cancer cases & 33,000 deaths. The main cause for a large number of cancer victims is the overuse of pesticides by the farmers for the cultivation of cotton in this region. The State Council for Science & Technology’s State of Environment reports: The cotton growing districts of south-western Punjab consumes about 75% of the pesticides. There are multiple factors responsible for the cancer cases including the pesticides, alcohol consumption and smoking. “PGI” is currently working to figure out the correlation between breast cancer and pesticide usage.

The Centre for Science & Environment (CSE) conducted a survey with the blood and food samples of 20 random people from different villages of Bathinda and Ropar. The samples showed that 12.5% of the samples tested were contaminated with non-approved pesticides which are the main cause for the increased risk of cancer among the people.

What role do the genes play?

A survey showed that more than 90% of the cancer cases have no family history. On an average, only 7% to 8% of the people are biological victims of cancer. The genes in them have higher chances of developing cancer or they don’t have genes that control the tumor growth if at all they have cancer on being exposed to environmental and lifestyle factors.

Genes can be the main causes for breast, ovary, prostate and colon cancer. If the risk of breast cancer is increasing at alarming rates among the people then, a very close screening is required. An early detection of cancer can be cured with the treatment itself. Even otherwise a surgical removal of the breast can help save the life. If it is ovarian cancer then either the ovary or the fallopian tubes can be removed by surgical means. Apart from uterine and breast cancers, females also encounter reproductive health issues.

The environment and lifestyle changes also affect the lives of the people in a number of ways. Tobacco consumption, exposure to air, water, or smoke pollution, exposure to harmful radiations and unhealthy diets can also cause cancer among the people.  Earlier about 90% of the cancer cases were diagnosed at the end stage where nothing could be done to save the lives of the people. Now, with the advancement in the medical field, it has been reduced to 60-70%.

What do other health consequences the people of Punjab face?

Malwa also was known as Punjab’s cotton belt, the cotton crops grown here are prone to pests. The farmers blindly use 15 different varieties of pesticides and fertilizers keeping in mind only the profit and a huge yield. They  fail to think of the consequences which they will have to face as the result of their act.

Another worse thing to be quoted is that the farmers use the pesticide cans to store water and food. This will adversely affect their digestive system and the body on the whole.

Not only pesticides, even the quantity of fertilizer used is relatively high. Apart from this, the factories will discharge the waste water into the water bodies nearby. The water is entirely contaminated with heavy metals and other toxins. The farmers when using this contaminated water for irrigation will adversely affect the crops.

Why is Bikaner preferred than Bhatinda?

The lodging and food at Bikaner are affordable as well. This makes it a lucrative option for the cancer patients. A room at Dharamshala in Bikaner costs only INR 50, while the thali in the hospital canteen costs only INR 5. The rates are so less so as to benefit the people’s stay in the region for the cancer treatment.

What role does the government play?

Had the government does its role efficiently in supporting the cancer patients of Punjab, the people would have been much more benefitted from the justice. The government works in a way similar to the private hospitals by treating the people of lower economic background differently. So it would be right to say, that the people catch the cancer train, not just for the cancer treatment at Bikaner but also to get justice.

This poor condition of the farmers is a very good lesson for millions of people out there. The greedy act of the farmers has also in some way contributed to this deadly situation. Had they balanced well both the traditional and the modern techniques of Green revolution, such a situation would not have raised.

Having read of this train journey, I would like to put forth the fact that if we don’t balance well between the modernization and healthy habits, many such “cancer trains” will run throughout India.

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1 month ago Medical

Joint replacement surgery in India

What is a joint replacement surgery?

A joint is where two or more bones come together, like the knee, hip, and the shoulder. A joint replacement surgery is a surgical procedure where the damaged joint is replaced with the new one. The surgery is often done by the orthopedic surgeon. Sometimes, the surgeon will not remove the entire joint but fix or repairs the damaged parts. By undergoing this surgery, the patient will be benefitted a lot. It will improve their quality of life. Replacing the joint will help relieve the pain, and help you feel better. It also increases the mobility.

What causes damage to the joints?

Joints may be damaged by arthritis, injuries or simply aging. The joints may be damaged due to the wear and tear action. Any damage to the joint will cause pain, stiffness, and swelling of that part. The damages inside joint will limit the blood flow, causing problems in the bone. The bones need blood to remain healthy, grow and repair themselves.

The new joint is called the prosthesis which may be made of plastic, metal or ceramic. These will be cemented or non-cemented to keep the joints in place. The cemented joints are more commonly used among elderly and people with poor bone quality who do not move about randomly as younger adults. The cement holds the joint to the bone.

The non-cemented joint is used for younger adults who are more active and have bones of good quality. An uncemented joint will take longer to heal and a longer time to attach itself to it.

A new joint will lasts for about 15 to 20 years. So the younger adults who have undergone a joint replacement will have to do another surgery after 20 years or so.

What happens during the surgery?

At first, the surgeon will give you a local or general anesthesia that will make you fall asleep or numb a particular area so that you don’t feel the pain. The medical team will them replace the damaged joint with the new one. Each surgery is different in its own way and how long it takes will depend on the type of surgery the patient is going through.  A knee or hip joint replacement will take about 1 to 2 hours or even less than that if there aren’t many complications. Once the surgery is done you will be moved to the recovery room until you recover from the anesthesia and stay awake.

What happens after the surgery?

After the joint replacement surgery, you will have to stay in the hospital for about 10 days. If you are an elderly or if you have additional abnormalities than the duration of stay at the hospital will be extended. The time you have to spend at the hospital with the intermediate-care facility will depend on your overall health condition.

Initially, you will be able to walk only with the help of walking stick or crutches. You may have some pain because your muscles are weak and need time for healing. The pain is only temporary and will be cured with medicines within few weeks or months.

Some of the specific joint replacements include:

  • Hip replacement
  • Knee replacement
  • Shoulder replacement
  • Ankle replacement

How far will the surgery be successful?

The success rate will highly depend on how your take care of yourself after you go home. Following the doctor’s advice, medicines and eating a healthy diet will enhance your chances of quick recovery. Most of the surgeries are successfully provided the problems don’t get severe. Some of the problems include:

  • Infection: the areas around the new joint may get infected. This may happen while you are at the hospital, or after returning home or even years later. If the infections are minor it can be treated with drugs. If the infections get deeper or severe then it may require another operation to treat and cure the infection with a new joint.
  • Blood clots: if your blood moves very slowly then it might form lumps resulting in blood clots. The blood clots may be the main cause of pain or swelling. Sometimes the doctor will find a way to heal the clots. The doctor may suggest drugs thin the blood or suggest exercises, boots or special stockings make the blood move faster.
  • Loosening: the new joint may get loosen over time causing severe pain. If the loosening gets worse, then you have to do another operation to reattach the joint to the bone.
  • Dislocation: sometimes, after the surgery, the ball may get out of the socket. This happens mostly in case of knee joint replacement surgery. The hip can be corrected without surgery. Sometimes, a brace may be worn for a while if the dislocation happens.
  • Wear: too much wear will result in loosening. In the case of a plastic joint, it gets loose over time. In that case, the doctor will replace the plastic and not the whole joint.
  • Nerve & blood vessel injury: during the surgery, the nerve surrounding the joint may get damaged. Blood vessels may also be injured. This damage may improve over time and disappear.

Risks associated with joint replacement surgery:</>

Apart from infection & swelling, joint replacement surgery may also have other associated risks like other surgeries. The other major risk of this surgery is that the new joint may not work effectively.  It is less common, but there are chances that the new joint may get loose or dislocate after some time. It is important to remember that the new joint may get worn out after 20 years. This means you will have to undergo another surgery after a span of 20 years.

Some other risks associated with this surgery include:

  • Implant loosening
  • Fracture
  • Dislocation
  • Damage to the nerve or blood vessel
  • Stiffness or pain

Some other alternatives to this surgery are:

  • Joint injections
  • Oral medicines
  • Hand therapy exercises
  • Arthrodesis surgery to fuse bones together
  • Resection arthroplasty to remove the bone surface
  • Surgery or tendons or ligaments to repair joint injuries.

Top 15 orthopedic hospitals in India for joint replacement surgery:

  • All India institute of medical sciences, New Delhi
  • Apollo hospital, Chennai
  • Sparsh hospital, Bangalore
  • Moolchand orthopedics hospital, Delhi
  • Indian spinal injury center, Delhi
  • Sancheti institute of orthopedics, Pune
  • Christian medical college, Vellore
  • Hosmat hospital, Bangalore
  • Post graduate institute of medical education & research, Chandigarh
  • Ganga hospital, Coimbatore
  • Max super specialty hospital, Delhi
  • MIOT hospital, Chennai
  • Aditya Birla memorial hospital, Pune
  • Kokilaben Dhirubhai Ambani hospital, Mumbai
  • Shelby hospital, Ahmedabad

Some more details about these hospitals and the specialists:
AIIMS:
Salient features:

  • Treatment available for every medical discipline
  • Modern and hi-tech physiotherapy unit
  • Comprehensive care
  • Expert and skilled doctors

An esteemed panel of doctors:

  • Vijay Kumar
  • Ravi Mittal
  • Ashok Kumar
  • Vivek

Apollo Hospital
Salient features:

  • 3000 surgeries performed
  • Special units for tendons, muscles & joints
  • Extreme team of nursing staff
  • Multidisciplinary consultation available

An esteemed panel of doctors:

  • Anand
  • Rajkumar
  • Senthil Kamala Kannan

Sparsh Hospital

Salient features:

  • Globally recognized surgeons
  • Experienced nursing staff
  • High-quality equipment and infrastructure
  • Comprehensive care
  • SIOR

Salient features:

  • ISO certified hospital
  • 24*7 emergency services
  • Expert team of doctors
  • Free medical camps

An esteemed panel of doctors:

  • Sandeep
  • Atul
  • Chetan Puram
  • Rahul

Christian medical college
Salient features:

  • Excellent infrastructure
  • Quality ensured in every aspect of treatment
  • Dedicated nursing staffs
  • Skilled and trained doctors
  • Free medical camps
  • Nearly 6000 surgeries performed annually

An esteemed panel of doctors:

  • Vinod Mathew
  • Thomas
  • Sumanth Samuel
  • Ravichand

To know more about these specialty hospitals and skilled surgeons log on to www.freedoctoehelpline.com or call us at +918010555444.

The cost of joint replacement surgery in India:

The cost of joint replacement surgery will depend on a number of factors such as:

  • Number of days spent in hospital
  • Type of implant and surgical approach
  • Pre-existing health condition
  • Length of time spent in operating room
  • Unexpected care or equipment required

The average hospital charge is about INR 3,50,000. The cost of partial knee replacement is 10 to 20 % lesser than the total knee replacement. This is about INR 70,000. The main reason for the reduction in cost is it requires a shorter duration of stay at the hospital.

One should expect multiple bills following a knee replacement surgery. They are:

  • Hospital bills
  • Bills for all treatments
  • Other procedures performed by the surgeons like physiotherapy etc.

Hospitals will sometimes give you discounts if you have a health insurance. You can ask them for a payment plan or discount before you schedule your surgery. Try estimating the cost well in advance so that you can prepare well for the surgery.

By knowing the cost well in advance, you can avoid surprises and potential hardships down the line.

To have appointments with our doctors or to know more about the surgery, you can anytime contact us at www.freedotorhelpline.com or call us at +918010555444.

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