Trust img

 

Filter :

Blogs
Bone Tuberculosis: Causes, Symptoms, and Treatment
Jun 5, 2024|Dr. Kuldeep Grover

Bone Tuberculosis: Causes, Symptoms, and Treatment

Bone tuberculosis (TB) is a disease that historically plagued communities and continues to pose challenges in modern healthcare. Bone TB, caused by Mycobacterium tuberculosis, affects the skeletal system and can lead to debilitating consequences if not promptly diagnosed and treated. 

Let us delve into the causes, symptoms, diagnosis, and management of this intriguing yet serious condition in this blog. 

What is Bone Tuberculosis?

Bone tuberculosis, or skeletal tuberculosis, is a form of tuberculosis that affects the bones and joints. It occurs when Mycobacterium tuberculosis infects the skeletal system, commonly in the spine, hips, and knees. 

Symptoms include joint pain, swelling, and deformities. Diagnosis involves imaging and culture tests. Treatment requires prolonged anti-tuberculosis medication and sometimes surgery.

What are the Types of Bone Tuberculosis?

Bone tuberculosis, also known as skeletal or osteoarticular tuberculosis, encompasses several types depending on the location within the skeletal system, like:

  • Spinal Tuberculosis (Pott’s Disease): Primarily affects the spine, leading to vertebral destruction and potential deformity.
  • Peripheral Tuberculosis: Affects bones outside the spine like long bones and joints, causing destruction and abscess formation.
  • Tuberculous Osteomyelitis: Infection of bone marrow, presenting with bone pain, swelling, and abscesses.
  • Tuberculous Arthritis: Infection of joints, such as the hip or knee, resulting in joint destruction and deformity.
  • Tuberculous Tenosynovitis: Infection of tendon sheaths, causing inflammation and swelling.

What are the Symptoms of Bone Tuberculosis?

Recognizing bone tuberculosis (TB) can be challenging, especially since spinal TB often lacks early symptoms and pain. Patients may not exhibit any signs until the disease has significantly progressed. Furthermore, TB can remain dormant in the lungs, spreading without detection. However, once bone TB manifests, several key symptoms emerge, such as:

As bone TB advances, it presents more serious symptoms, which are:

Interestingly, typical TB symptoms like fatigue, fever, night sweats, and weight loss might not always manifest in bone TB cases. This disease demands vigilance due to its subtle onset and potentially severe outcomes.

What are the Causes of Bone Tuberculosis?

Bone tuberculosis (osteoarticular tuberculosis) is caused by Mycobacterium tuberculosis, typically spreading from a primary infection, often pulmonary TB. Factors contributing to bone TB include:

  • Weakened Immune System: Conditions like HIV/AIDS or diabetes increase susceptibility.
  • Direct Inoculation: Trauma or surgery can introduce the bacteria directly into bones or joints.
  • Hematogenous Spread: The bacteria can travel through the bloodstream to bones and joints.
  • Close Contact: Being near individuals with active TB increases the risk.
  • Socioeconomic Factors: Poverty and overcrowding can facilitate transmission.

Bone tuberculosis commonly affects the spine, hips, and knees. It leads to bone destruction and joint stiffness if not promptly treated with anti-tuberculosis medications. Early diagnosis and intervention are critical for effective management.

What are the Complications of Bone Tuberculosis?

Bone tuberculosis (TB), also known as skeletal tuberculosis or osteoarticular tuberculosis, though less common than pulmonary TB, can have significant consequences if not promptly treated. Here are the complications associated with bone TB:

  • Bone Destruction: TB can erode bone tissue, leading to weakened bones and deformities.
  • Joint Destruction: Adjacent joints can be affected, causing loss of function and severe disability.
  • Spinal Involvement (Pott’s Disease): TB affecting the spine can cause vertebral collapse, deformities, and neurological issues.
  • Abscess Formation: Infection can result in abscesses, causing further tissue damage.
  • Joint Stiffness: Chronic inflammation leads to reduced mobility and quality of life.
  • Dissemination of Infection: TB can spread to other bones or organs if not controlled.
  • Chronic Pain: Particularly in weight-bearing bones or affected joints.
  • Secondary Osteoarthritis: Chronic damage can lead to additional joint pain.
  • Generalized Symptoms: Fever, weight loss, and fatigue may accompany bone TB.

Early diagnosis and proper treatment with anti-tuberculosis medications are essential to prevent complications. Surgical interventions may be necessary for severe cases to prevent deformities and restore function. Regular follow-up is crucial for complete resolution and managing long-term effects.

How is Bone Tuberculosis Diagnosed?

Bone tuberculosis, also termed skeletal tuberculosis, requires a comprehensive diagnostic approach involving clinical evaluation, imaging studies, laboratory tests, and sometimes biopsy. The diagnostic process includes:

Clinical Evaluation

Initial assessment involves a detailed medical history and physical examination to identify symptoms like persistent joint pain, swelling, stiffness, and soft tissue masses.

Imaging Studies

Various imaging modalities play a crucial role, such as:

  • X-rays: Reveals bone destruction, joint space changes, and soft tissue swelling.
  • CT Scan: Offers detailed images of bone destruction and joint involvement.
  • MRI: Particularly useful for early detection, and assessing bone and soft tissue changes.

Laboratory tests

Several tests aid in diagnosis, like:

  • Tuberculin Skin Test: Identifies exposure but not active disease.
  • Blood Tests: IGRAs (detect latent infections) and CBC, ESR, CRP (indicators of inflammation in active infections)

Microbiological Tests

Definitive tests include culture for Mycobacterium tuberculosis and PCR for quicker confirmation.

A biopsy is considered if clinical and imaging findings suggest bone tuberculosis. Despite challenges due to nonspecific symptoms, a combination of these methods leads to an accurate diagnosis and appropriate treatment initiation.

What is the Treatment for Bone Tuberculosis?

Treatment for bone tuberculosis involves a comprehensive approach, which involves

  • Anti-Tuberculosis Drugs: The cornerstone of bone tuberculosis treatment is a regimen of medications like isoniazid, rifampicin, pyrazinamide, and ethambutol, taken for at least 6 months.
  • Combination Therapy: Multiple drugs are used together to prevent resistance. The treatment duration and drugs are determined based on infection severity and overall health.
  • Surgical Intervention: Surgery might be needed for severe cases to address bone destruction or joint involvement, including debridement or stabilization.
  • Rest and Rehabilitation: Essential for preventing complications and aiding healing. Maintaining mobility may need physical treatment.
  • Regular Follow-up: Monitoring progress, checking for side effects, and adjusting treatment as needed through regular healthcare visits.
  • Nutrition and Support: A balanced diet supports recovery, bolstering the immune system and healing process.
  • Completion of Treatment: Even if symptoms improve, to avoid relapse or drug resistance.

Always seek personalized advice from healthcare professionals for tailored treatment.

How can you Prevent Bone Tuberculosis?

Preventing bone tuberculosis involves these key strategies:

  • Vaccination: Consider the BCG vaccine to prevent severe TB forms.
  • Hygiene Practices: Regular hand washing reduces exposure risk.
  • Avoiding TB Exposure: Minimize close contact with infected individuals.
  • Early Detection: Promptly seek medical attention if exposed or symptomatic.
  • TB Screening: Recommended for higher-risk groups.
  • Treating Latent TB: Prevents progression to active TB.
  • Medical Adherence: Follow healthcare advice rigorously for prevention.

By combining vaccination, hygiene, and early detection with lifestyle management, the risk of bone tuberculosis and other severe TB manifestations can be significantly reduced.

Conclusion

Bone tuberculosis, though rare, remains a significant health concern with its impact on skeletal health. Early diagnosis and treatment are pivotal for successful outcomes and preventing severe complications. Understanding its signs and seeking prompt medical attention are crucial steps in managing this challenging condition. It is always advisable to seek medical help from an orthopaedic surgeon. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult an orthopaedic surgeon, reach out to us, or book a direct appointment with pulmonologist  at the CK Birla Hospital. 

FAQs about Bone Tuberculosis

Is Bone Tuberculosis Contagious?

Bone tuberculosis itself is not contagious, but the underlying Mycobacterium tuberculosis bacteria can spread through respiratory droplets if the patient also has active pulmonary TB.

How is Bone Tuberculosis Different from Pulmonary Tuberculosis?

Bone tuberculosis affects the bones and joints, causing localized pain and swelling, while pulmonary tuberculosis primarily affects the lungs, causing cough, chest pain, and respiratory symptoms.

What are the Risk Factors for Developing Bone Tuberculosis?

Risk factors for developing bone tuberculosis include weakened immune systems (e.g., HIV/AIDS), malnutrition, living in or travelling to TB-endemic areas, and having close contact with active TB patients.

Can Bone Tuberculosis Affect Children?

Yes, children can be affected by bone tuberculosis, especially those with weakened immune systems or malnutrition. It can lead to bone pain, deformities, and growth disturbances if left untreated.

Deciphering Lyme Disease: Causes, Symptoms, and Treatment

Deciphering Lyme Disease: Causes, Symptoms, and Treatment

Lyme disease, a tick-borne illness caused by the bacterium Borrelia burgdorferi, presents a complex health challenge worldwide. With symptoms ranging from fatigue and joint pain to neurological issues, early diagnosis and treatment are crucial. 

This blog explores the intricacies of Lyme disease: its symptoms, diagnosis, treatment options, prevention strategies, and the ongoing research aimed at better understanding this often misunderstood condition.

What is Lyme Disease?

Lyme disease stems from the bacterium Borrelia burgdorferi, transmitted through bites from infected deer ticks (also known as black-legged ticks). It’s important to note that common “wood ticks” and “dog ticks” do not transmit this infection.

The initial identification of Lyme disease, or borreliosis, traces back to 1975 when numerous cases of juvenile rheumatoid arthritis were diagnosed among children in Lyme, Connecticut, and nearby areas. It was later determined by researchers that the outbreak of arthritis was linked to bites from deer ticks carrying the infection.

What are the Stages of Lyme Disease?

Lyme disease progresses through three main stages if left untreated:

  • Early Localized: Occurs shortly after a tick bite, typically within 3-30 days. The primary symptom is a circular red rash (erythema migrans) that expands over time. Other symptoms may include fever, headache, fatigue, and muscle/joint pain.
  • Early Disseminated: If untreated, the bacteria can spread. Symptoms can include multiple skin rashes, joint pain (especially in large joints), facial palsy, irregular heartbeat, and meningitis or meningoradiculitis.
  • Late Disseminated (Chronic): Develops weeks to months after infection. Symptoms include severe headaches, neck stiffness, arthritis (especially in knees), and neurological issues like numbness, tingling, and memory problems.

Early detection and antibiotic treatment are vital to prevent progression to later stages. Immediately seek medical assistance if you think you may have Lyme disease.

What are the Symptoms of Lyme Disease?

Early signs of Lyme disease often start with a distinctive rash called erythema migrans (EM), appearing as a red spot at the tick bite site. Here’s what to look for:

  • EM Rash: Begins as a small red spot and expands over days or weeks into a circular rash resembling a bull’s eye.
  • Fever
  • Headache
  • Stiff neck
  • Body and joint aches
  • Fatigue
  • Swollen lymph nodes

As Lyme disease progresses, symptoms may evolve into the second stage:

  • Multiple rash areas
  • Facial paralysis (Bell’s palsy)
  • Heart block
  • Numbness or abnormal sensations

Untreated Lyme disease can lead to late-stage symptoms:

  • Recurring swollen joints (arthritis), often in large joints like the knee
  • Difficulty concentrating (“brain fog”)
  • Damage to nerves and organs (polyneuropathy)

Recognizing these signs helps in the timely diagnosis and treatment of Lyme disease.

What are the Causes of Lyme Disease?

Lyme disease is caused by the bacterium Borrelia burgdorferi, transmitted through the bite of infected ticks like black-legged or deer ticks. Outdoor activities in wooded or grassy areas elevate the risk, exposing individuals to tick bites.

Key causes include:

  • Tick Bites: Infected ticks transmit the bacteria during prolonged attachment.
  • Geographic Location: Common in specific regions where infected ticks are prevalent.
  • Outdoor Activities: Engaging in activities that increase exposure to ticks.

Factors contributing to transmission:

  • Tick Lifecycle: Certain tick stages are more likely to transmit Lyme disease.
  • Lack of Tick Control: Insufficient measures to control tick populations.

What are the Complications of Lyme Disease?

Lyme disease, caused by Borrelia burgdorferi transmitted through tick bites, can result in various complications if untreated. The disease progresses through these stages:

Early Localized Infection

  • Erythema Migrans: Characteristic rash at the bite site; can spread if untreated.

Early Disseminated Infection

  • Multiple erythema migran in different areas.
  • Flu-like Symptoms: fever, chills, fatigue, headache, muscle, and joint aches.
  • Neurological Issues: facial paralysis (Bell’s palsy), meningitis.
  • Cardiac Problems: heart palpitations, irregular heartbeat, myocarditis.

Late Disseminated Infection (Chronic Lyme disease)

  • Arthritis, especially in large joints like knees.
  • Neurological Symptoms: numbness, tingling, cognitive issues, and in severe cases, encephalopathy.
  • Rare Skin Disorder: acrodermatitis chronic atrophicans.
  • Other symptoms include fatigue, sleep disturbances, mood changes, and memory difficulties.

The severity varies among individuals. Early diagnosis and antibiotic treatment are crucial for preventing progression and complications.

Also read:10 Signs of Breast Cancer During COVID-19

How is Lyme Disease Diagnosed?

Lyme disease can be challenging to diagnose due to its symptoms overlapping with other illnesses. Healthcare providers start with a medical history and physical exam to spot signs like erythema migrans.

Key steps in Lyme disease diagnosis include:

  • Medical Assessment: Doctors perform physical exams looking for characteristic symptoms.
  • Blood Tests: Two-step serology involves ELISA and Western blot to detect antibodies, ideally a few weeks post-infection.
  • Home Testing: Kits can be a useful post-tick bite or after visiting tick-prone areas.
  • Seeking Medical Attention: Consulting a doctor is crucial upon experiencing symptoms.

Prompt treatment outweighs waiting for tick test outcomes in Lyme disease.

What is the Treatment for Lyme Disease?

Treatment for Lyme disease varies depending on the infection’s stage:

Early Stages

Best treated early with 10- to 14-day oral antibiotics (e.g., doxycycline, amoxicillin, cefuroxime) to eliminate the infection.

Later Stages

  • If the disease progresses or affects vital systems, intravenous (IV) antibiotics may be prescribed followed by oral treatment, usually lasting 14–28 days.
  • Hospitalization might be necessary for monitoring if heart abnormalities occur (e.g., abnormal heart rhythm).
  • Lyme arthritis is treated with a 28-day oral antibiotic regimen to manage late-stage symptoms.

In all cases, treatment duration and method are tailored to the severity and progression of Lyme disease. Early detection is crucial for successful outcomes.

How can you Prevent Lyme Disease?

Lyme disease peaks in late spring to early fall with active tick feeding. Deer ticks thrive in wooded and grassy areas, less so in sunny lawns.

Key points to prevent tick bites include:

  • Use of Repellents: Apply permethrin on clothing and use DEET-based repellents sparingly on the skin.
  • Protective Clothing: Wear long pants, long-sleeved shirts, and hats, and tuck pant legs into socks.
  • Footwear: Use shoes that cover your feet completely.
  • Light-Coloured Clothing: Wear light colours to spot ticks easily.
  • Trail Safety: Walk in the center of trails to avoid brushing against vegetation.

After outdoor activities in risky areas:

  • Check for Ticks: Perform a thorough tick check and take a shower immediately.
  • Tick Removal from Clothes: Dry clothes in a dryer to kill any attached ticks.

Additionally, pets can carry ticks indoors. Consult a veterinarian for tick prevention strategies for your pet.

Conclusion

Lyme disease is a complex illness with varying symptoms and treatment challenges. Early detection is crucial for effective management. Awareness, prevention measures, and ongoing research are essential in combating this widespread health concern. It is always advisable to seek medical help from a general physician. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a general physician, reach out to us, or book a direct appointment with rheumatologist at the CK Birla Hospital. 

FAQs about Deciphering Lyme Disease

Can Lyme Disease be Cured?

Yes, Lyme disease can typically be cured with antibiotics if treated early. However, some individuals may experience lingering symptoms known as post-treatment Lyme disease syndrome (PTLDS).

How Soon After a Tick Bite should I Seek Medical Attention?

Seek medical attention promptly if you notice symptoms like rash, fever, fatigue, or joint pain within a few weeks after a tick bite. Early treatment can prevent Lyme disease complications.

Is Lyme Disease Contagious?

Lyme disease is not contagious among humans. It is transmitted only through the bite of infected ticks, primarily deer ticks (black-legged ticks) carrying the bacterium Borrelia burgdorferi.

What are the Long-Term Effects of Lyme Disease?

Long-term effects of Lyme disease can include chronic joint inflammation, neurological symptoms (like nerve pain or cognitive difficulties), and in rare cases, heart problems or persistent symptoms known as post-treatment Lyme disease syndrome (PTLDS).

Can Pets get Lyme Disease?

Pets can get Lyme disease from infected ticks. Dogs are particularly susceptible and can develop symptoms similar to humans, including fever, joint pain, and lethargy.

Autism: Causes, Symptoms, and Support
Jun 3, 2024|Dr. Shreya Dubey

Autism: Causes, Symptoms, and Support

Autism, a complex neuro developmental condition, manifests uniquely in each individual, affecting communication, behaviour, and social interaction. Understanding autism requires dispelling common myths and embracing diverse perspectives.

This blog delves into the multifaceted world of autism, exploring its intricacies, challenges, and triumphs. Join us on a journey of discovery and acceptance, celebrating the rich diversity within the autism spectrum.

What is Autism?

Autism, now known as autism spectrum disorder (ASD), is a condition affecting brain development. ASD is a developmental disability resulting from variations in a child’s brain. 

Individuals with ASD may demonstrate unique behaviours, interactions, and learning patterns compared to others. They may encounter challenges in social interactions and understanding and utilizing both verbal and nonverbal communication.

What are the Types of Autism?

Autism (ASD) involves challenges with social skills, repetitive behaviours, speech, and communication. Subtypes are no longer distinct diagnoses; ASD is seen as a spectrum disorder with varying signs/symptoms and severity. The subtypes are:

  • Autistic Disorder (Classic Autism): Previously described significant challenges in communication, social interaction, and behaviour.
  • Asperger Syndrome: Involved milder symptoms, often with average or above-average intelligence, focusing on social interaction difficulties.
  • PDD-NOS (Pervasive Developmental Disorder-Not Otherwise Specified): Included individuals with significant autistic traits not meeting full criteria for other diagnoses.
  • Childhood Disintegrative Disorder (CDD): A rare condition marked by loss of acquired skills after normal development.

Today, autism is diagnosed and understood based on a spectrum, with varying support needs and symptoms, emphasizing individual strengths and challenges rather than distinct subtypes.

What are the Symptoms of Autism?

Autism symptoms vary widely in severity, with each individual exhibiting unique characteristics. Recognizing signs of autism early is crucial to seek appropriate evaluation and support for your child. Consider the following indicators:

Social Interaction Challenges

  • Lack of response when called by name.
  • Absence of joyful expressions or smiles by 6 months.
  • Limited engagement in smiling, babbling, or making faces by 9 months.
  • Delayed use of gestures like pointing or waving by 12 months.
  • Non-participation in interactive games by 12 months.
  • Absence of words by 16 months or meaningful phrases by 24 months.
  • Regression in speech or social skills.

Restricted/Repetitive Behaviours

  • Organizing toys in specific patterns.
  • Need for rigid routines or strong reactions to changes.
  • Intense focus on unusual interests.
  • Strong sensory aversions (loud noises, clothing textures, eating habits).
  • Unusual sensory-seeking behaviours (peering, sniffing, licking objects).

If you notice these signs, consult your child’s healthcare provider promptly for further guidance and evaluation.

What are the Causes of Autism?

The exact cause of Autism Spectrum Disorder (ASD) remains unknown, with research indicating it likely stems from a combination of factors rather than a single cause. Among the possible risk factors for ASD are:

  • Family history of autism
  • Specific genetic mutations and disorders like fragile X syndrome
  • Advanced parental age at conception
  • Low birth weight or metabolic imbalances
  • Prenatal exposure to certain medications or viral infections
  • Contact with heavy metals and environmental toxins

What are the Complications of Autism?

Autism frequently co-occurs with various physical and mental challenges, encompassing:

  1. Challenges with feeding.
  2. Sleep disturbances.
  3. Gastrointestinal (GI) issues.
  4. Epilepsy.
  5. Attention-deficit/hyperactivity disorder (ADHD).
  6. Anxiety and depression.
  7. Additional mental health conditions like obsessive-compulsive disorder (OCD), schizophrenia, and bipolar disorder.

How is Autism Diagnosed?

Obtaining an autism diagnosis involves a multifaceted process that relies on:

  • Developmental Surveillance: Your child’s healthcare provider examines their developmental history and behaviour. They encourage you to note observations for discussions at appointments.
  • Developmental Screening: This step involves a more structured assessment using questionnaires to compare your child’s development with norms. It serves as an initial indicator of potential concerns.
  • Formal Evaluation: Conducted by a specialist like a child psychologist, this comprehensive assessment includes structured tests, observations, and questionnaires. It aims to identify strengths, and challenges, and provide a formal diagnosis based on the gathered information.

Though challenging, this process ensures a thorough understanding of a child’s development for accurate diagnosis and support.

What is the Treatment for Autism?

Treatment for autism spectrum disorder (ASD) is tailored to individual needs and often combines various approaches, such as

  • Behavioural Therapies: Applied Behavior Analysis (ABA) and Early Intensive Behavioral Intervention (EIBI) focus on behaviour modification and skill development.
  • Educational and Skill-Building Therapies: Speech therapy enhances communication; occupational therapy develops motor skills and daily living abilities.
  • Medications: Though not targeting core symptoms, medications can manage associated issues like anxiety or hyperactivity.

Interventions include parent-mediated and sensory therapies, and music/art therapy. Education and support services are crucial for better outcomes. Early diagnosis and personalized plans enhance the quality of life.

How can you Prevent Autism?

While you cannot prevent autism, you can reduce the risk of having a baby with the condition by taking specific measures, which are:

  • Maintain a Healthy Lifestyle: Ensure regular visits to your healthcare provider, follow a nutritious diet and engage in exercise. Seek prenatal care and adhere to your provider’s recommended vitamins and supplements.
  • Use Caution with Medications: Consult your healthcare provider to identify safe medications and those you should avoid during pregnancy.
  • Avoid Alcohol: Refrain from consuming any type or amount of alcohol during pregnancy.
  • Stay Updated with Vaccinations: Receive all recommended vaccines from your provider, including the German measles (rubella) vaccine, before becoming pregnant, as it can prevent rubella-related autism.

Conclusion

Autism is a complex neurological condition that manifests uniquely in each individual. By fostering understanding, acceptance, and support, we can create inclusive environments that empower and celebrate autistic individuals’ strengths and contributions. It is always advisable to seek medical help from a developmental pediatrician. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a developmental pediatrician, reach out to us, or book a direct appointment with pediatric neurologist at the CK Birla Hospital.

FAQs About Autism

Can Autism be Cured?

Autism cannot be cured, but various therapies and interventions can help manage symptoms and improve quality of life. Acceptance, understanding, and support are crucial for individuals with autism.

Are Vaccines Linked to Autism?

No, scientific studies and experts confirm that vaccines do not cause autism. Extensive research has consistently shown that vaccines are safe and essential for public health.

How Common is Autism in India?

Autism prevalence in India is estimated at around 1 in 100 children. However, accurate data can be challenging due to limited awareness, varied access to healthcare, and cultural factors affecting diagnosis.

Can Adults be Diagnosed with Autism?

Yes, adults can be diagnosed with autism spectrum disorder (ASD) through comprehensive evaluations by qualified professionals. Diagnosis can provide understanding, support, and access to appropriate interventions and services.

What are Some Common Misconceptions About Autism?

Common misconceptions about autism include viewing it as a disease or deficit, assuming all autistic individuals are alike, believing it’s solely a childhood condition, and thinking it’s caused by vaccines.

Are there Support Services Available for Individuals with Autism and their Families?

Yes, there are various support services for individuals with autism and their families, including therapy, educational programs, community resources, advocacy groups, and specialized healthcare professionals.

Demystifying Gynaecomastia: Causes, Symptoms, and Treatment
May 31, 2024|Dr. Anmol Chugh

Demystifying Gynaecomastia: Causes, Symptoms, and Treatment

Gynecomastia, a condition characterized by the enlargement of breast tissue in males, can impact self-esteem and quality of life. 

This blog explores the causes, symptoms, and treatment options for gynecomastia, providing valuable insights into this often misunderstood condition. Whether you’re seeking information for yourself or a loved one, join us as we delve into the intricacies of gynecomastia.

What is Gynecomastia?

Gynecomastia is a prevalent condition characterized by the enlargement of breast tissue in males. It can affect males of various ages, typically manifesting during infancy, puberty, and later in adulthood. Gynecomastia has multiple causes, with the most common being an imbalance between testosterone and oestrogen hormones.

What are the Types of Gynecomastia?

Gynecomastia, the development of enlarged breast tissue in males, encompasses several types with distinct causes, such as:

  • Physiological Gynecomastia: Common during infancy, adolescence, and older age due to natural hormonal shifts.
  • Pathological Gynecomastia: Resulting from medical conditions or medications. It has the following subtypes:
  • Endocrine Disorders: Hormonal imbalances like hypogonadism or hyperthyroidism.
  • Liver Disease: Impairs hormone metabolism.
  • Kidney Failure: Disrupts hormone balance.
  • Tumors: Hormone-producing tumors affect breast tissue.
  • Medications: Some drugs like steroids or antidepressants induce breast tissue growth.
  • Idiopathic Gynecomastia: Unknown cause, often in healthy individuals.
  • Pseudogynecomastia: Enlarged breasts due to fat deposition, not glandular growth.

Gynecomastia can be unilateral or bilateral, and identifying its type aids in diagnosis and treatment. Consulting a healthcare provider is recommended for evaluation and management.

What are the Symptoms of Gynecomastia?

The symptoms of gynecomastia can manifest as:

Additional symptoms may arise depending on the underlying cause. If you experience these symptoms, it’s important to consult your doctor for proper evaluation and diagnosis.

What are the Causes of Gynecomastia?

Gynecomastia, the enlargement of male breasts, often results from hormonal imbalances such as excess oestrogen or reduced testosterone. Here’s a breakdown of the causes:

  • Hormonal Imbalance: Elevated oestrogen levels relative to androgens can trigger breast growth.
  • Obesity: Excess fatty tissue in obese individuals can lead to pseudogynecomastia.

Medical Conditions

Medications (Which affect hormone levels or metabolism)

  • Anxiety and depression drugs
  • Antibiotics and antifungals
  • Drugs for prostate enlargement, heart conditions, and ulcers
  • HCG (for male infertility)
  • Substances of abuse (methadone)

Other Substances Linked to Breast Swelling

  • Amphetamines, marijuana, and opioids
  • Anabolic steroids
  • Lavender and tea tree oils (in herbal supplements)

What are the Complications of Gynecomastia?

Gynecomastia, the enlargement of breast tissue in males, presents several complications, like:

  • Psychological Impact: It can cause emotional distress and lower self-esteem, particularly in young individuals.
  • Pain and Tenderness: Enlarged breast tissue may be sensitive and painful.
  • Social and Behavioural Effects: Activities like swimming or changing in public may be avoided.
  • Clothing Fit: Finding comfortable clothing can be challenging.
  • Physical Discomfort: Skin irritation and chafing can occur.

Gynecomastia can signal hormonal imbalances, liver disease, and a slightly increased risk of breast cancer in men. It impacts intimacy and requires medical evaluation for diagnosis and treatment.

How is Gynecomastia Diagnosed?

Your healthcare provider will evaluate symptoms, conduct a physical examination, and go over your medical and family background. They may suggest a blood test to assess hormone levels.

Since both gynecomastia and breast cancer can result in breast lumps, your provider might request:

  • A breast ultrasound to obtain detailed images of any breast growth.
  • A mammogram to investigate abnormal growths or alterations in breast tissue.

What is the Treatment for Gynecomastia?

Gynecomastia can be addressed through various treatments tailored to the individual’s needs, which are:

  • Surgery: A surgical option involves removing excess breast fat and glandular tissue, which may be recommended if swollen tissue is the primary issue. This procedure is known as a mastectomy.
  • Medications: Doctors may prescribe hormone-affecting medications like tamoxifen or raloxifene to rebalance hormone levels and reduce breast tissue.
  • Counselling: If gynecomastia causes self-consciousness or depression, counselling with a healthcare provider or counsellor can be beneficial. Support groups with others experiencing the condition can also offer emotional support and perspective.

Also read: 10 Best Gynaecologists to Visit in Delhi-Gurgaon.

How can You Prevent Gynecomastia?

Gynecomastia can often be prevented or minimized by addressing underlying causes and making certain lifestyle choices. Here are some effective strategies:

  • Maintain a Healthy Weight: Obesity can lead to hormonal imbalances that increase the risk of gynecomastia. Adopting a balanced diet and regular exercise routine helps regulate hormones.
  • Avoid Illegal Drugs: Anabolic steroids, marijuana, and heroin can heighten the risk of gynecomastia. Avoiding these substances is crucial to prevent breast tissue enlargement.
  • Limit Alcohol Consumption: Excessive alcohol disrupts hormone levels, contributing to gynecomastia. Reducing alcohol intake minimizes this risk.
  • Be Cautious with Medications: Some antibiotics, anti-androgens, and drugs used in prostate cancer treatment can cause gynecomastia. Talk to your doctor about any possible side effects at all times.
  • Address Underlying Health Conditions: Treating conditions like hypogonadism or liver disease can help prevent gynecomastia.
  • Regular Exercise and Adequate Sleep: Both contribute to healthy hormone levels.
  • Monitor Hormones: Regular health check-ups are essential to detect and manage any hormonal imbalances early.

Conclusion

Gynecomastia is a common condition with various causes and treatment options. Seeking medical advice is crucial for accurate diagnosis and personalized management, ensuring optimal outcomes and improved quality of life. It is always advisable to seek medical help from a plastic surgeon. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

 At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a plastic surgeon, reach out to us, or book a direct appointment with plastic surgeons at the CK Birla Hospital. 

Also read:10 Best Gynaecologists to Visit in Delhi-Gurgaon

FAQs about Demystifying Gynecomastia

Can Gynecomastia go Away on its Own?

Gynecomastia can sometimes resolve on its own, especially during puberty. However, if it persists or is due to other causes, medical evaluation and treatment may be needed.

Is Gynecomastia Common During Puberty?

Hormonal changes during puberty often result in gynecomastia. It often resolves on its own as hormone levels stabilize, but medical evaluation may be needed if it persists.

Can Medications Cause Gynecomastia?

Certain medications such as hormones, anti-androgens, and some antidepressants can cause gynecomastia by altering hormone levels. Consulting a doctor about medication side effects is advisable.

How Long does Recovery Take After Gynecomastia Surgery?

Recovery time after gynecomastia surgery typically ranges from a few days to a few weeks. Full recovery and final results may take several months, depending on individual healing.

Are there Any Non-Surgical Treatment Options for Gynecomastia?

Non-surgical treatment options for gynecomastia include hormone therapy, medications like tamoxifen or raloxifene, and lifestyle changes (exercise, weight loss) depending on the underlying cause. Consulting a healthcare provider is recommended.

Caliectasis: Causes, Symptoms, and Treatment
May 30, 2024|Dr. Mohit Khirbat

Caliectasis: Causes, Symptoms, and Treatment

Caliectasis refers to the dilation or enlargement of the calyces, the structures in the kidneys responsible for collecting urine. In this blog, we’ll explore the causes, symptoms, diagnosis, and treatment options for caliectasis, providing valuable insights into this condition and its impact on health.

What is Caliectasis?

Caliectasis is a condition that impacts the calyces of the kidneys, which are the starting points for urine collection. Normally, each kidney has 6 to 10 calyces situated on its outer edges. In caliectasis, the calyces become enlarged and swollen due to an accumulation of excess fluid. This condition is typically triggered by an underlying kidney-related issue like a urinary tract infection (UTI). Caliectasis can only be identified through diagnostic testing, and many individuals with this condition are unaware of it until undergoing testing for other reasons.

What are the Types of Caliectasis?

Caliectasis, the dilation of renal calyces, encompasses various types with distinct etiologies, like:

  • Obstructive Caliectasis: Caused by urinary tract obstructions like stones, tumours, or strictures.
  • Non-Obstructive Caliectasis: Resulting from conditions such as chronic pyelonephritis or congenital abnormalities.
  • Acquired Caliectasis: This develops due to infections, kidney stones, trauma, or surgeries.
  • Congenital Caliectasis: Present from birth, often linked to developmental kidney or urinary tract issues.

What are the Symptoms of Caliectasis?

Caliectasis itself typically does not present symptoms. However, symptoms may manifest from the underlying condition causing caliectasis.

Common signs of kidney issues include:

  • Presence of blood in urine
  • Abdominal pain or sensitivity
  • Difficulty urinating
  • Heightened urge to urinate
  • Presence of pus or foul odour in urine

What are the Causes of Caliectasis?

Caliectasis typically results from conditions affecting the kidneys, such as:

  • Bladder cancer
  • Kidney blockage (often due to a congenital defect)
  • Renal fibrosis
  • Tumours or cysts in the kidneys
  • Accumulation of urine (hydronephrosis)
  • Kidney infections
  • Kidney stones
  • Tuberculosis affecting the kidneys or urinary system
  • Kidney cancer
  • Urinary tract infections (UTIs)
  • Obstruction of the urinary tract

What are the Complications of Caliectasis?

If not addressed, conditions resulting in caliectasis may lead to serious complications such as kidney failure, where the kidneys sustain irreparable damage. Depending on the extent of damage, a kidney transplant or dialysis may be required. Additionally, caliectasis associated with a urinary tract infection (UTI) or obstruction (UTO) can heighten the risk of developing kidney disease.

How is Caliectasis Diagnosed?

Caliectasis is frequently identified alongside other kidney-related conditions. Initially, your doctor will inquire about any symptoms you are experiencing and conduct a physical examination to assess swelling and tenderness around your kidneys. Subsequently, they will likely utilise a diagnostic procedure such as:

  • Cystoscopy: This involves using a camera inserted through the urethra to examine your kidneys and bladder.
  • Ultrasound: An abdominal ultrasound can reveal excess fluids or foreign objects in your kidneys.
  • Urography: This combines a CT scan with contrast dye to obtain a detailed view of your kidneys.
  • Urinalysis: Testing a urine sample.

Caliectasis is typically detected during one of these diagnostic tests.

What is the Treatment for Caliectasis?

Managing caliectasis varies based on its root cause. Approaches for addressing typical kidney issues involve:

  • Antibiotics to combat infections
  • Surgical interventions for removing tumors or kidney stones
  • Utilising nephrostomy tubes or catheters to facilitate urine drainage

How can you Prevent Caliectasis?

Preventing caliectasis involves several key measures, such as:

  • Hydration: Drink adequate water daily to maintain a healthy urinary system.
  • Manage Medical Conditions: Treat kidney stones, UTIs, or prostate issues promptly.
  • Healthy Diet: Consume a balanced diet low in sodium and high in fruits and vegetables.
  • Regular Exercise: Stay physically active to support overall health and kidney function.
  • Avoid Tobacco and Alcohol: Quit smoking and limit alcohol intake to protect kidney health.

Monitor medications, manage chronic conditions (e.g., diabetes, hypertension), and schedule regular health check-ups. Recognize symptoms like flank pain or changes in urination for early detection and treatment.

Conclusion

Caliectasis is a significant medical condition involving dilation of the renal calyces. Understanding its causes, symptoms, and management is crucial for timely diagnosis and effective treatment to prevent complications and promote renal health. Early intervention and ongoing monitoring are key to managing caliectasis and optimising patient outcomes. It is always advisable to seek medical help from a urologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.  At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a urologist, reach out to us, or book a direct appointment with nephrologist .

FAQs About Caliectasis

Is Caliectasis a Serious Condition?

Caliectasis can be serious depending on its underlying cause. It refers to the dilation of the calyces in the kidney. Diagnosis and management should address the specific underlying condition.

Can Caliectasis Cause Kidney Damage?

Yes, caliectasis can potentially cause kidney damage if it’s due to an underlying condition like kidney stones or obstruction. Timely diagnosis and treatment are important to prevent complications.

What are the Risk Factors for Developing Caliectasis?

Risk factors for caliectasis include kidney stones, urinary tract obstructions (such as from tumours or strictures), congenital abnormalities of the urinary tract, and recurrent urinary tract infections.

Are There any Dietary Restrictions for Individuals with Caliectasis?

Individuals with caliectasis may benefit from dietary modifications to prevent kidney stone formation, such as increasing fluid intake and reducing sodium and oxalate-rich foods. Speaking with a healthcare professional is advised.

Can Caliectasis Affect Kidney Function Long-Term?

Caliectasis can affect kidney function long-term if it leads to persistent obstruction or recurrent infections, causing damage to the kidney tissue over time. Regular monitoring and management are essential.

Measles: Causes, Symptoms, and Prevention
May 29, 2024|Dr. Shreya Dubey

Measles: Causes, Symptoms, and Prevention

Measles, a highly contagious viral infection, continues to be a significant public health concern globally. Despite the availability of a safe and effective vaccine, outbreaks still occur due to gaps in immunization coverage and vaccine hesitancy. 

Understanding the basics of measles, its symptoms, transmission, and the importance of vaccination is crucial for combating this preventable disease and protecting vulnerable populations.

What is Measles?

Measles (rubeola) is a highly contagious viral disease causing fever and rash, transmitted through airborne droplets from coughing or sneezing. No specific treatment exists; the virus must run its course and vaccination provides the best defense against it. Though less common due to vaccination, measles outbreaks persist due to declining immunization rates. Measles (or rubeola) differs from German measles (rubella).

What are the Symptoms of Measles?

Symptoms typically emerge approximately eight to 12 days following exposure to someone with measles, although there are instances where symptoms may appear as late as 21 days post-exposure.

The primary symptoms of measles often consist of:

  • High fever
  • Fatigue
  • Hoarse or barking cough
  • Red or inflamed eyes
  • Runny nose

Several days after these initial symptoms manifest, a distinctive red, blotchy rash develops, starting on the face and then spreading to other parts of the body. This rash typically persists for about seven to 10 days.

Additional symptoms of measles may include:

  • Sore throat
  • Presence of white spots in the mouth
  • Muscle pain
  • Sensitivity to light

What are the Causes of Measles?

Measles is caused by a contagious virus (morbillivirus) spread through the air by breathing, coughing, sneezing, or talking. Airborne particles can infect others and linger up to two hours in a room, settling on surfaces for further transmission.

Measles can be transmitted through:

  • Sharing food or beverages with an infected individual.
  • Kissing someone who is infected.
  • Hugging, holding hands, or shaking hands with an infected person.
  • Contacting your mouth, nose, or eyes after coming into contact with a virus-contaminated surface.
  • Transmission from pregnant individuals to their babies can occur during pregnancy, delivery, or through nursing.

What are the Complications of Measles?

Measles can lead to various serious complications, especially affecting certain groups more than others, like:

  • Babies and young children
  • Pregnant individuals
  • Adults aged 20 and above
  • Those with weakened immune systems

Potential complications include:

  • Digestive issues like diarrhea
  • Ear infections
  • Pneumonia
  • Inflammation of the brain (encephalitis)
  • Pregnancy-related problems such as low birth weight or premature birth if measles occurs during pregnancy

How is Measles Diagnosed?

Typically, healthcare providers can diagnose measles effectively through a comprehensive patient history, physical examination, and evaluation of the characteristic rash. Occasionally, they might request laboratory tests to detect the virus in samples obtained from:

  • Blood.
  • Nasal and throat secretions.
  • Urine.

What is the Treatment for Measles?

In contrast to bacterial infections, antibiotics are ineffective against viral infections. Typically, viral infections, including measles, resolve on their own within about three weeks. Therefore, treatment for measles focuses on alleviating symptoms and reducing the risk of complications.

If you have been exposed to the measles virus, healthcare providers may take proactive measures even before symptoms appear, such as:

  • Administering a measles vaccine within 72 hours of exposure.
  • Prescribing immunoglobulin, a type of immune protein, within 6 days of exposure.

For managing acute symptoms like cough and fever, they may recommend:

  • Using over-the-counter medications.
  • Resting to support your immune system.
  • Staying hydrated by drinking plenty of fluids.
  • Using a humidifier to relieve sore throats and coughs.
  • Incorporating vitamin A supplements into your daily routine.

How can you Prevent Measles?

To reduce the chance of getting measles and its complications, consider the following steps:

Vaccination

MMR Vaccine: Administered in two doses and it is highly effective (offers 97% protection)

  • Includes protection against measles, mumps, and rubella.
  • The MMRV vaccine also protects against chickenpox.

Timing for Vaccination:

  • First dose at 12 months (or earlier for international travellers ).
  • Between the ages of 4 and 6 is the second dosage.
  • Adults can get vaccinated at any age if never immunized.

Who Should Avoid Vaccination:

  • Those with previous severe reactions.
  • Pregnant individuals.
  • Immunocompromised persons (e.g., HIV, cancer treatment).

Side Effects:

  • Typically mild (e.g., fever, rash).
  • Rarely associated with low platelet count or seizures.

Other Prevention Methods

Herd Immunity: Critical to have ~96% population vaccinated to prevent measles spread.

Hand Hygiene: Wash hands frequently, especially before eating or touching your face.

Avoid sharing personal items and minimize contact with sick individuals. 

Steps to Take if you Have Measles

Isolate Yourself:

  • Stay home until 4 days after the rash disappears.
  • Avoid contact with vulnerable groups (e.g., infants, immunocompromised).

Practice Respiratory Etiquette:

  • Cover nose/mouth when coughing/sneezing.
  • Dispose of tissues promptly.

Maintain Hygiene:

  • Wash hands frequently.
  • Disinfect surfaces regularly.

Vaccination not only protects you but also contributes to community health by preventing the spread of measles.

Conclusion

Measles remains a serious public health concern despite available vaccines. Continued efforts in vaccination, education, and surveillance are crucial to prevent outbreaks and protect vulnerable populations from this highly contagious disease. It is always advisable to seek medical help from a general physician. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a general physician, reach out to us, or book a direct appointment with paediatrics at the CK Birla Hospital. 

FAQs About Measles

Is Measles a Serious Illness?

Measles is a serious illness that can lead to complications such as pneumonia, encephalitis, and death, especially in young children and those with weakened immune systems.

Can Adults get Measles?

Yes, adults can get measles if they are not immune either through vaccination or previous infection. It is more severe in adults compared to children and can lead to complications.

What are the Long-Term Effects of Measles?

The long-term effects of measles can include brain damage (encephalitis), hearing loss, and an increased susceptibility to other infections due to weakening of the immune system.

How Effective is the Measles Vaccine?

The measles vaccine is highly effective, providing about 97% protection after two shots. It significantly reduces the risk of contracting measles and also helps prevent severe complications and transmission of the virus.

Can you Get Measles if you’ve Been Vaccinated?

It’s rare but possible to get measles after vaccination. The measles vaccine is very effective, but a small percentage of vaccinated individuals may still contract the disease if exposed to the virus.

After Coming into Contact with a Measles Carrier, What Should I Do?

If you’ve been exposed to someone with measles and are not immune or vaccinated, contact your healthcare provider immediately. They can advise on potential preventive measures or post-exposure vaccination.

 

Colorectal Cancer: Causes, Symptoms, and Treatment
May 28, 2024|Dr. Shalabh Agrawal

Colorectal Cancer: Causes, Symptoms, and Treatment

Colorectal cancer is a significant health concern affecting both men and women worldwide. This type of cancer develops in the colon or rectum and can be life-threatening if not detected and treated early. 

In this blog, we will explore the causes, symptoms, diagnosis, treatment options, and prevention strategies for colorectal cancer, providing valuable insights into this prevalent disease.

What is  Colorectal cancer?

Colon (colorectal) cancer originates in the colon, the large intestine, responsible for transporting digested food to the rectum. 

It arises from specific polyps in the colon lining. Screening tests identify precancerous polyps, preventing their progression to tumours. Undetected or untreated, colon cancer can metastasize. Screening, early treatment, and innovative therapies contribute to reduced mortality rates from this disease.

What are the Types of Colorectal Cancer?

Colon cancer encompasses various types originating from different cells and locations within the digestive tract, like:

  • Adenocarcinomas: This common type of colon cancer begins in mucus-producing cells of the colon or rectum.
  • Other types: Colon cancers can also arise from different tumours:
    • Lymphomas: These can first develop in lymph nodes or the colon.
    • Carcinoids: Originate in hormone-producing cells of the intestines.
    • Sarcomas: Form in soft tissues like colon muscles.
    • Gastrointestinal Stromal Tumors (GISTs): These can start as benign but may become cancerous, typically developing in the digestive tract, though rarely in the colon.

Understanding these diverse origins is crucial for effective diagnosis and treatment strategies.

What are the Symptoms of Colorectal Cancer?

Colon cancer can develop without noticeable symptoms, making regular screenings essential. If symptoms arise, it’s important to discern whether they indicate colon cancer or another condition due to overlapping symptoms. Typical indicators to watch out for are:

  • Blood in Stool: Consult a healthcare provider if you notice blood in your stool or after wiping, though this doesn’t necessarily indicate colon cancer.
  • Changes in Bowel Habits: Persistent constipation, diarrhoea, or feeling the need to defecate after using the restroom should prompt a discussion with a healthcare provider.
  • Abdominal Pain: Unexplained, persistent belly pain warrants medical attention to rule out serious causes.
  • Bloating: If bloating persists for over a week accompanied by other symptoms like vomiting or blood in stool, seek medical advice.
  • Unexplained Weight Loss: Significant weight loss without intent should be evaluated.
  • Vomiting: Recurrent, unexplained vomiting requires medical assessment.

Regular medical check-ups are crucial for prompt diagnosis and treatment.

What are the Causes of Colorectal Cancer?

Key causes and risk factors contributing to colorectal cancer include:

  • Age: The majority of cases emerge in individuals over 50 years old, highlighting age as a significant risk factor.
  • Family History and Genetics: Those with familial colorectal cancer history or genetic syndromes (e.g., familial adenomatous polyposis, Lynch syndrome) face heightened risk.
  • Personal Medical History: Past colorectal polyps or chronic inflammatory bowel conditions (e.g., ulcerative colitis, Crohn’s disease) elevate risk.
  • Dietary Habits: Diets high in red/processed meats and low in fruits, vegetables, and fibre correlate with increased risk.
  • Physical Inactivity: Sedentary lifestyles are linked to higher colorectal cancer incidence.
  • Obesity and Smoking: Being overweight, especially with excess abdominal fat, and long-term heavy smoking are associated with heightened risk.
  • Alcohol, Diabetes, and Ethnicity: Heavy alcohol consumption, type 2 diabetes, and particular ethnicities are also risk factors.
  • Radiation Exposure: Past radiation treatments in the abdomen or pelvis slightly increase risk.

What are the Complications of Colorectal Cancer?

Colorectal cancer can lead to various complications if not diagnosed and treated promptly:

  • Spread to Nearby Organs: The cancer may metastasize to the liver, lungs, or abdomen.
  • Intestinal Obstruction: Tumour growth can block the intestine, causing abdominal pain or vomiting.
  • Bowel Perforation: A tumour can create a hole in the colon or rectum, leading to infection.
  • Anaemia: Chronic bleeding can cause iron deficiency anaemia.
  • Nutritional Deficiencies: Malnutrition and weight loss due to impaired nutrient absorption.
  • Liver Dysfunction: Spread to the liver can impair its function.
  • Blood Clots: Increased risk of deep vein thrombosis or pulmonary embolism.

Managing these complications requires close collaboration with healthcare providers for optimal treatment and outcomes. Early detection is key to improving prognosis and reducing risks.

How is Colorectal Cancer Diagnosed?

An early diagnosis of colon cancer is crucial for successful treatment. 

Colon cancer is often asymptomatic in its early stages, making routine screenings vital for detection. Screening is normally advised from age 40 due to rising diagnoses in younger adults. 

The screening methods include:

  • Faecal Testing (Annually)
  • Guaiac-Based Fecal Occult Blood Test (FOBT): Detects blood in stool using a coated card.
  • Fecal Immunochemical Test (FIT): Identifies haemoglobin, more precise and unaffected by diet.
  • At-Home Test Kits: Offer convenience with lab analysis and online results.

Other diagnostic options are:

  • Sigmoidoscopy (every 5 years recommended)
  • Colonoscopy (every 10 years)
  • X-ray (barium enema) and CT Scans for detailed imaging.

What is the Treatment for Colorectal Cancer?

Colon cancer treatment primarily involves surgical procedures tailored to the specific needs of the patient. The following are a few typical procedures and therapies:

  • Polypectomy: Removes cancerous polyps.
  • Partial Colectomy (Colon resection surgery): Removes the section of the colon containing the tumour, with anastomosis to reconnect healthy sections.
  • Surgical Resection with Colostomy: Involves removing the tumour-containing colon section and creating a colostomy for waste collection.
  • Radiofrequency Ablation: Uses heat to eradicate cancerous cells

Additionally, healthcare providers may combine surgery with adjuvant therapies like:

  • Chemotherapy: Shrinks tumours and alleviates symptoms.
  • Targeted Therapy (Monoclonal antibody): Attacks specific cancer cell components to halt growth and multiplication.

How can you Prevent Colorectal Cancer?

Reducing your risk of colon cancer involves:

  • Avoid Tobacco: Seek help from healthcare providers for smoking cessation programs.
  • Moderate Alcohol: Control alcohol intake to lower risk.
  • Maintain Healthy Weight: Obesity increases risk; prioritise healthy eating and exercise.
  • Healthy Diet: Focus on fruits and vegetables; reduce red meat and processed foods.
  • Consider Coffee: Drinking coffee might lower the risk.
  • Family Medical History: Track family health; inform healthcare providers of any colon cancer cases.

Conclusion

Awareness and early detection are vital in combating colorectal cancer. By staying informed, adopting healthy lifestyles, and undergoing recommended screenings, we can reduce its impact and save lives. Prioritising prevention and proactive health measures is important. It is always advisable to seek medical help from an experienced oncologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult an oncologist, reach out to us, or book a direct appointment with oncologist .

FAQs About Colorectal Cancer

When should I Begin having a Colorectal Cancer Screening?

Start screening for colorectal cancer at age 45, or earlier if there’s a family history or other risk factors. Discuss with your healthcare provider to determine the best screening method for you.

Is Colorectal Cancer Curable?

Yes, colorectal cancer is curable, especially if detected early. Treatment options include surgery, chemotherapy, and radiation therapy. Regular screenings can improve early detection and outcomes.

What Dietary Changes can Help Lower the Risk of Colorectal Cancer?

To lower colorectal cancer risk, increase fibre intake (fruits, vegetables, whole grains), limit red and processed meats, consume calcium-rich foods, maintain a healthy weight, and limit alcohol and tobacco use.

Can Colorectal Cancer Spread to other Parts of the Body?

Colorectal cancer can spread (metastasize) to other organs like the liver, lungs, or lymph nodes. Early detection and treatment can help prevent or manage the spread.

Post-Traumatic Stress Disorder (PTSD): Causes, Symptoms, and Coping Strategies
May 24, 2024|Dr. Sonali Bali

Post-Traumatic Stress Disorder (PTSD): Causes, Symptoms, and Coping Strategies

In today’s fast-paced world, the silent epidemic of Post-Traumatic Stress Disorder (PTSD) continues to affect millions globally. Rooted in distressing experiences, PTSD transcends mere psychological turmoil, infiltrating every facet of daily life. From debilitating flashbacks to crippling anxiety, its ramifications are profound. 

Understanding PTSD, its triggers, symptoms, and treatment modalities, is paramount for both those affected and the society at large. Let’s delve into this complex condition in this blog.

What is Post-Traumatic Stress Disorder (PTSD)?

PTSD (post-traumatic stress disorder) is a mental health condition that arises in some individuals after experiencing or witnessing a traumatic event. This event may be life-threatening or significantly threaten one’s physical, emotional, or spiritual well-being. Every age group is susceptible to PTSD.

Individuals with PTSD experience intense and intrusive thoughts and feelings related to the trauma long after the event has passed. PTSD symptoms include:

  • Depression, anxiety, or emotions of shame or guilt.
  • Flashbacks or nightmares.
  • Avoidance of situations, places, and activities associated with the traumatic event.

Significant anxiety and difficulties with day-to-day functioning are caused by these symptoms.

What are the types of PTSD?

PTSD can be broken down into subtypes based on symptoms, known as condition “specifiers,” to aid in diagnosis and treatment.

Acute Stress Disorder (ASD)

  • Not PTSD, but involves symptoms like anxiety and avoidance within a month after trauma.
  • Many with ASD develop PTSD.

Dissociative PTSD 

  • Detachment from the trauma, feeling separated from the event or body.

Uncomplicated PTSD

  • PTSD symptoms without other mental health issues, such as depression.
  • Responds well to treatment.

Comorbid PTSD

  • PTSD symptoms alongside another mental health disorder.
  • Best treated by addressing both PTSD and other conditions.

With Derealization

Emotional and physical detachment from surroundings.

With Delayed Expression-

PTSD criteria met at least six months post-event.

Complex PTSD

  • Results from prolonged trauma, like abuse or trafficking.
  • May cause severe psychological damage beyond single-event PTSD.
  • Symptoms include uncontrollable feelings and negative self-perception.
  • Increased risk factors include continued trauma.

Also read: Behavioural problems in children: symptoms, causes, and treatment

What are the Symptoms of PTSD?

To be diagnosed with PTSD, a person’s symptoms must be severe enough to interfere with everyday functioning or continue longer than a month. Four categories of PTSD symptoms exist:

Intrusion

  • Intrusive thoughts, such as repeated, involuntary memories.
  • Nightmares.
  • Flashbacks of the traumatic event can be very vivid and feel real.

Avoidance

  • Avoiding reminders of the traumatic event, like people, places, activities, things, and situations.
  • Avoiding remembering or thinking about the traumatic event.
  • Refraining from discussing the incident or your feelings towards it.

Changes in Thinking and Mood

  • Ongoing fear, horror, anger, guilt, or shame.
  • Forgetfulness of key details from the painful experience.
  • Persistently unfavourable and skewed ideas and emotions toward oneself or other people.
  • Incorrect self- or other-blaming beliefs result from distorted ideas about the event’s source or consequences.
  • Feeling detached from others.
  • No longer enjoying activities you once did.
  • Being unable to experience positive emotions.

Changes in Arousal and Reactivity

  • Irritability and angry outbursts.
  • Reckless or self-destructive behaviour.
  • Being overly watchful of your surroundings (hypervigilance).
  • Being easily startled.
  • Problems concentrating or sleeping.

Symptoms of PTSD in Children

  • Difficulty expressing how they’re feeling.
  • Experiencing trauma that might not be known.
  • Restlessness, fidgetiness, or trouble paying attention and staying organised.

These symptoms can be confused with ADHD, so it’s important to consult a specialist experienced in diagnosing PTSD in children.

What are the Causes of PTSD?

Approximately 61% to 80% of people experience a traumatic event in their lives, with PTSD developing in about 5% to 10% of this population. The reasons for different responses to trauma are unclear, but studies indicate that people with PTSD show abnormal levels of certain neurotransmitters and hormones, and experience brain changes.

Neurotransmitter and Hormone Changes

  • Cortisol, or the “stress hormone,” levels that are normal to low
  • Elevated levels of corticotropin-releasing factor (CRF)
  • Increased sympathetic nervous system response leading to:
  • Higher heart rate
  • Elevated blood pressure
  • Increased awareness and startle response

Other Neurotransmitters

Altered functioning of:

  • Gamma-aminobutyric acid (GABA)
  • Glutamate
  • Serotonin

Brain Changes

  • Decreased hippocampus size (regulates motivation, emotion, learning, and memory)
  • Overactive amygdala (processes emotions and fear responses)
  • Smaller and less responsive medial prefrontal cortex (controls emotional reactivity of the amygdala)

What are the Complications of PTSD?

The following conditions are frequently observed in individuals with PTSD and can exacerbate its symptoms:

  • Mood disorders
  • Anxiety disorders
  • Neurological conditions, including dementia
  • Alcohol use disorders are examples of substance use disorders.

Additionally, people with PTSD face a higher risk of experiencing suicidal thoughts and attempts.

Also read:5 Common cancers affecting women

How is PTSD Diagnosed?

Diagnosing PTSD involves a comprehensive evaluation by a healthcare provider, as there’s no single test for it. The process includes:

  • Discussing your symptoms
  • Reviewing your medical and mental health history
  • Assessing your exposure to trauma

Diagnosis Criteria (DSM-5-TR)

  • At least one intrusion symptom
  • At least one avoidance symptom
  • At least two thinking and mood symptoms
  • At least two arousal and reactivity symptoms

It can be challenging to discuss the trauma. Bringing a loved one for support and additional details can be helpful. Additionally, your provider might conduct a physical exam and order tests to rule out other conditions.

What is the Treatment for PTSD?

Psychotherapy (talk therapy) is the main treatment for PTSD, especially forms of cognitive behavioural therapy (CBT). This therapy takes place with a trained, licensed mental health professional, such as a psychologist or psychiatrist. They provide support, education, and guidance to help you and your loved ones function better and increase well-being.

Specific forms of CBT for PTSD include:

  • Cognitive Processing Therapy: Focuses on changing painful negative emotions (like shame and guilt) and beliefs due to the trauma, helping confront distressing memories and emotions.
  • Eye Movement Desensitisation and Reprocessing (EMDR) Therapy: Involves specific eye movements while processing traumatic memories, helping heal from trauma faster than many other methods.
  • Group Therapy: Encourages survivors of similar traumatic events to share experiences and feelings in a nonjudgmental setting. Family therapy may also be beneficial.
  • Prolonged Exposure Therapy: Uses repeated, detailed imagining of the trauma or progressive exposures to symptom triggers in a safe, controlled way, helping face and gain control of fear.
  • Trauma-Focused CBT: Involves learning about the body’s response to trauma and stress, identifying and reframing problematic thinking patterns, and learning symptom management skills, including exposure therapy.

Medication for PTSD

There are no FDA-approved medications specifically for PTSD, but healthcare providers may prescribe:

  • Medications that treat depression, such as serotonin and norepinephrine reuptake inhibitors (SNRIs) or selective serotonin reuptake inhibitors (SSRIs).
  • Anti-anxiety medications.

Also read: 9 Easy Ways for Desk Warriors to Stay Fit and Healthy

How can you Prevent PTSD?

While you can’t always prevent a traumatic event, research suggests that certain actions might help mitigate the development of PTSD afterwards. Known as “protective factors” these behaviours consist of:

  • Seeking support from friends and family to create a sense of security.
  • Joining a support group after experiencing trauma.
  • Developing a positive perspective on your actions during the event.
  • Utilising healthy coping strategies post-trauma.
  • Maintaining the ability to act and respond effectively despite fear.
  • Assisting others, especially in events that impact multiple people, such as natural disasters.

Conclusion

Understanding PTSD is crucial for providing effective support and treatment. By raising awareness and promoting empathy, we can help those affected lead healthier, more fulfilling lives. It is always advisable to seek medical help from a psychiatrist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a psychiatrist, reach out to us, or book a direct appointment with psychiatry at the CK Birla Hospital. 

FAQs

Can PTSD Develop Years after the Traumatic Event?

Yes, PTSD can develop years after the traumatic event, often triggered by reminders or new stressors, reflecting the latent impact of unresolved trauma.

Is PTSD Only Experienced by Military Veterans?

PTSD is not exclusive to military veterans; it can affect anyone who has experienced or witnessed a traumatic event, such as accidents, assaults, disasters, or abuse.

Can Children Develop PTSD?

Children can develop PTSD after experiencing or witnessing traumatic events, such as abuse, natural disasters, or violence, impacting their emotional and psychological well-being.

Are there Any Long-Term Effects of Untreated PTSD?

Yes, untreated PTSD can lead to chronic mental health issues like depression, anxiety, substance abuse, relationship problems, and increased risk of physical health conditions.

How does PTSD Affect Relationships?

PTSD can strain relationships through symptoms like irritability, emotional numbness, and withdrawal, leading to misunderstandings, reduced intimacy, and difficulties in communication and trust.

Can PTSD be Completely Cured?

PTSD may not be completely cured, but effective treatments like therapy and medication can significantly reduce symptoms, helping individuals manage and lead fulfilling lives.

How Should I Proceed if I Think Someone may be Suffering from PTSD?

If you suspect someone has PTSD, encourage them to seek professional help, offer support and understanding, listen non-judgmentally, and help them connect with resources for treatment and support.

Kawasaki Disease: Causes , Symptoms & Treatment

Kawasaki Disease: Causes , Symptoms & Treatment

Kawasaki Disease, though rare, is a perplexing paediatric illness characterized by inflammation of blood vessels throughout the body. Its  cause precise remains elusive, making early diagnosis crucial. Symptoms often mimic other common childhood illnesses, posing diagnostic challenges.

Without prompt treatment, Kawasaki Disease can lead to severe complications, including damage to the heart. Understanding its symptoms, diagnosis, and treatment is essential for timely intervention and improved outcomes.

What is Kawasaki Disease?

Kawasaki disease, also known as Kawasaki syndrome, is a rare form of vasculitis characterized by inflammation of blood vessels. Inflammation can cause blood vessels to weaken and expand, increasing the risk of tearing or narrowing. This restricts blood flow, limiting the nourishment of tissues and organs.

Kawasaki disease primarily occurs in children aged 6 months to 5 years. While it affects all arteries, the greatest concern is for the coronary arteries, which supply blood to the heart. Children with affected coronary arteries may experience heart complications.

With timely treatment, most children typically recover within approximately two months.

What are the Symptoms of Kawasaki Disease?

Kawasaki disease (KD) is characterized by distinct stages and seasonal patterns, typically emerging in late winter and spring, peaking in some Asian regions during summer. 

Early Stages (Symptoms lasting up to two weeks)

  • Prolonged high fever (≥ 5 days)
  • Rash on torso and groin
  • Bloodshot eyes (non-crusting)
  • Swollen, bright red lips
  • “Strawberry” tongue with shiny, red spots
  • Swollen lymph nodes, hands, feet
  • Red palms and soles
  • Heart complications may manifest.

Late Stages (Within two weeks of fever)

  • Peeling skin on hands, feet
  • Possible temporary arthritis

Other Symptoms

  • Abdominal pain, vomiting, diarrhoea
  • Enlarged gallbladder, temporary hearing loss

Contact your doctor if your child shows these signs, especially if under 1 or over 5 years old. Such children, comprising 25% of KD cases, face an increased risk of heart complications.

What are the Causes of Kawasaki Disease?

The exact reason behind Kawasaki disease remains a mystery, although it tends to occur more frequently during late winter and early spring. Scientists are investigating potential causes such as infections, environmental elements, or genetic factors.

What are the Complications of Kawasaki Disease?

Complications associated with Kawasaki disease include:

  • Development of aneurysms (weakening or stretching) in the inflamed coronary arteries, potentially necessitating coronary artery bypass surgery in severe cases.
  • Formation of blood clots and narrowing within the coronary arteries.
  • Risk of coronary artery rupture.
  • Dysfunction of heart valves that regulate proper blood flow.
  • Inflammation of the heart (myocarditis).
  • Hepatitis affects the child’s liver.
  • Pulmonary inflammation affects the child’s lungs.
  • Heart infections.
  • Pancreatitis (pancreas inflammation).
  • Impaired heart function or heart failure.
  • Potential occurrence of a heart attack.

How is Kawasaki Disease Diagnosed?

Kawasaki disease is diagnosed based on symptoms and by ruling out similar illnesses, including:

  • Scarlet fever
  • Juvenile rheumatoid arthritis
  • Measles
  • Toxic shock syndrome
  • Idiopathic juvenile arthritis
  • Juvenile mercury poisoning
  • Medical reactions
  • Rocky Mountain spotted fever

Pediatricians might conduct these tests to assess the impact on the heart:

  • Echocardiography: to monitor heart health over time
  • Blood tests: looking for elevated white blood cells and inflammation
  • Chest X-ray: to check for heart failure or inflammation
  • Electrocardiogram: to detect heart irregularities

Kawasaki disease should be suspected in any child with a fever lasting over five days, especially if accompanied by symptoms like peeling skin.

Also Read: Cardiac Arrest vs. Heart Attack: Know the Key Differences & Signs

What is the Treatment for Kawasaki Disease?

Treatment for Kawasaki disease typically involves several approaches to address its symptoms and prevent complications. Here’s what’s typically involved:

  • Immune Globulin (IVIG): Administered intravenously, but about 10% of children might require a second dose or alternative medications if they don’t respond to the initial treatment.
  • Aspirin: Used to reduce pain and inflammation, although dosage and duration depend on the child’s condition.
  • IV Fluids: Given for hydration and to maintain electrolyte balance.
  • Medications: Prescribed for pain relief and to reduce swelling.
  • Anticoagulants: Administered to individuals at risk of developing blood clots.
  • Steroids or Anti-Inflammatory Drugs: Used in severe cases to reduce inflammation.

During treatment, your child will stay in the hospital to achieve the following treatment goals:

  • Reduce inflammation
  • Prevent arterial damage
  • Minimize blood clot risks
  • Prevent heart-related complications

Cold compresses may also be applied to alleviate discomfort and reduce fever during treatment.

Conclusion

Kawasaki disease is a complex condition that requires prompt recognition and treatment. With ongoing research and awareness, we can improve outcomes for affected children and advance our understanding of this enigmatic disease. Early diagnosis remains pivotal in preventing complications and ensuring better long-term health for patients. It is always advisable to seek medical help from a paediatrician. Timely care and help can ensure an appropriate diagnosis and treatment of your condition. 

At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a paediatrician, reach out to us, or book a direct appointment with paediatrician at the CK Birla Hospital

FAQs

Can Adults Develop Kawasaki Disease?

Although rare, adults can develop Kawasaki disease. It typically affects children, but adult cases can occur, often with different symptoms and outcomes compared to paediatric cases.

Is Kawasaki Disease Contagious?

Kawasaki disease is not contagious; it is believed to be triggered by an abnormal immune response to certain infections, but it does not spread directly from person to person.

How is Kawasaki Disease Different from other Childhood Illnesses?

Kawasaki disease is distinct due to its inflammatory nature affecting blood vessels, causing fever, rash, and swollen lymph nodes. It can lead to coronary artery complications if untreated, unlike typical childhood illnesses.

Are there any Long-Term Effects of Kawasaki Disease?

Yes, Kawasaki disease can lead to long-term effects, primarily affecting the heart. Complications may include coronary artery abnormalities, aneurysms, and risk of cardiovascular problems, requiring ongoing monitoring and care.

What are the Risk factors for Developing Coronary Artery Abnormalities in Kawasaki Disease?

Risk factors for developing coronary artery abnormalities in Kawasaki disease include delayed treatment, younger age, male gender, prolonged fever duration, and certain laboratory findings like elevated inflammatory markers and low albumin levels.

Can Kawasaki Disease be Prevented?

Currently, Kawasaki disease cannot be prevented as its exact cause is unknown. Early diagnosis and prompt treatment with intravenous immunoglobulin (IVIG) can help reduce complications and improve outcomes.