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मानसिक स्वस्थ्य के लिये ये उपाय हैं ज़रूरी ?
Nov 24, 2023|Dr. Sonali Bali

मानसिक स्वस्थ्य के लिये ये उपाय हैं ज़रूरी ?

मानसिक स्वास्थ्य हमारे समग्र स्वास्थ्य का एक महत्वपूर्ण अंग है, फिर भी हमारे समाज में इसे अक्सर नजरअंदाज और कलंकित किया जाता है। हाल के वर्षों में, मानसिक स्वास्थ्य के महत्व, इसके विकारों और मानसिक स्वास्थ्य को प्राथमिकता देने की आवश्यकता के बारे में जागरूकता और समझ बढ़ रही है।

यह भी पढ़े: मुंह में छाला होने के कारण, लक्षण और उपचार | Mouth Ulcers in Hindi

मानसिक स्वस्थ्य के प्रति जागरूकता क्यों ज़रूरी है

मानसिक स्वास्थ्य के प्रति जागरूकता मानसिक स्वास्थ्य मुद्दों के बारे में सार्वजनिक ज्ञान और समझ बढ़ाने का एक अभियान है। इसमें विषयों की एक विस्तृत श्रृंखला शामिल है, जिसमें समझ को बढ़ावा देना, समाज में इसके प्रति मौजूद कलंक की भावना को कम करना और मानसिक स्वास्थ्य के बारे में खुली बातचीत को प्रोत्साहित करना शामिल है। इसका लक्ष्य एक ऐसा वातावरण तैयार करना है जहां जरूरत पड़ने पर कोई भी सहायता मांगने में सहज महसूस करे।

मानसिक स्वास्थ्य इतना ज़रूरी क्यों है

मानसिक स्वास्थ्य समग्र स्वास्थ्य का एक अभिन्न अंग है। जिस तरह एक पूर्ण जीवन के लिए शारीरिक स्वास्थ्य आवश्यक है, उसी तरह मानसिक स्वास्थ्य तनाव से निपटने, रिश्ते बनाने और जीवन का पूरा आनंद लेने के लिए आवश्यक है।

  • प्रोडक्टिविटी और सफलता: अच्छा मानसिक स्वास्थ्य कार्य, शिक्षा और व्यक्तिगत संबंधों के साथ-साथ जीवन के विभिन्न पहलुओं में बेहतर बनाने और सफलता प्रदान करने में योगदान देता है। जब हम मानसिक रूप से स्वस्थ होते हैं, तो हम ध्यान केंद्रित कर सकते हैं, बेहतर निर्णय ले सकते हैं और अपने लक्ष्यों को अधिक प्रभावी ढंग से प्राप्त कर सकते हैं।
  • भावनात्मक लचीलापन: मानसिक स्वास्थ्य हमें जीवन की चुनौतियों का सामना करने के लिए भावनात्मक लचीलापन प्रदान करता है। यह हमें तनाव से निपटने, प्रतिकूल परिस्थितियों से उबरने और असफलताओं से उबरने में मदद करता है।
  • शारीरिक स्वास्थ्य: मानसिक और शारीरिक स्वास्थ्य के बीच गहरा संबंध है। मानसिक स्वास्थ्य संबंधी समस्याएं शारीरिक स्वास्थ्य समस्याओं को जन्म दे सकती हैं, और इसके विपरीत भी। मानसिक स्वास्थ्य को प्राथमिकता देने से शारीरिक स्वास्थ्य पर सकारात्मक प्रभाव पड़ सकता है।

इन सबके अलावा, अच्छा मानसिक स्वास्थ्य दूसरों से जुड़ने की हमारी क्षमता को बढ़ाता है। यह सहानुभूति, समझ और स्वस्थ संबंधों को बढ़ावा देता है, जो हमारे लिए सामाजिक और भावनात्मक रूप से महत्वपूर्ण है।

और अधिक पढ़े : विटामिन डी की कमी से होने वाले नुक्सान एवं बढ़ाने के उपचार

मानसिक स्वास्थ्य से जुड़ी बीमारियां

मानसिक स्वास्थ्य से जुड़े विकार ऐसी स्थितियां हैं जो किसी व्यक्ति के विचारों, भावनाओं और व्यवहार को प्रभावित करती हैं। ये विकार किसी व्यक्ति के दैनिक जीवन, रिश्तों और समग्र स्वास्थ्य पर महत्वपूर्ण प्रभाव डाल सकते हैं। इसमें मुख्य रूप से निम्न शामिल हो सकते हैं:

  • अवसाद: अवसाद की विशेषता लगातार उदासी, गतिविधियों में रुचि या आनंद की कमी, भूख या नींद के पैटर्न में बदलाव, थकान और नकारात्मक भावनाएं हैं। इससे सिरदर्द और पाचन संबंधी समस्याएं जैसे शारीरिक लक्षण हो सकते हैं।
  • एंग्जायटी डिसऑर्डर: इसमें सामान्यीकृत चिंता विकार, पैनिक विकार, सामाजिक चिंता विकार और विशिष्ट भय जैसी स्थितियां शामिल हैं। उनमें अत्यधिक चिंता, भय शामिल होता है और अक्सर हृदय की गति तेज होना और पसीना आना जैसे शारीरिक लक्षण उत्पन्न होते हैं।
  • बायपोलर डिसऑर्डर: इसमें अत्यधिक मनोदशा परिवर्तन, उन्माद (उन्नत मनोदशा, आवेग) और अवसाद की अवधि के बीच चक्र शामिल है। यह स्थिति दैनिक जीवन और रिश्तों को बाधित कर सकते हैं।
  • सिज़ोफ्रेनिया: इसे स्किज़ोफ्रेनिया भी कहा जाता है। यह एक गंभीर मानसिक विकार है जो भ्रम, मतिभ्रम, अव्यवस्थित सोच आदि का कारण बनता है। इसके लिए दीर्घकालिक उपचार और सहायता की आवश्यकता होती है।
  • ओसीडी: ओसीडी में संकट को कम करने के उद्देश्य से लगातार, अवांछित विचार (जुनून) और दोहराए जाने वाले व्यवहार या अनुष्ठान (मजबूरियां) शामिल हैं। यह बेहद कष्टकारी और समय लेने वाला हो सकता है।
  • पोस्ट-ट्रॉमैटिक स्ट्रेस डिसऑर्डर (पीटीएसडी): किसी दर्दनाक घटना का अनुभव करने या देखने के बाद पीटीएसडी हो सकता है। इससे फ्लैशबैक, बुरे सपने और गंभीर चिंता जैसे लक्षण सामने आते हैं।
  • भोजन संबंधी विकार: एनोरेक्सिया नर्वोसा और बुलिमिया नर्वोसा जैसी स्थितियों की में अस्वास्थ्यकर खान-पान और विकृत शारीरिक छवि शामिल हैं। अगर इलाज न किया जाए तो उनके जीवन के लिए खतरनाक परिणाम हो सकते हैं।

इसके अलावा, सब्स्टेंस यूज डिसऑर्डर यानी मादक द्रव्य उपयोग विकारों में शराब या नशीली दवाओं का दुरुपयोग शामिल है, जिससे शारीरिक और मनोवैज्ञानिक निर्भरता होती है। वे अक्सर अन्य मानसिक स्वास्थ्य समस्याओं के साथ सह-घटित होते हैं।

और अधिक पढ़े :  मिर्गी क्या है – कारण, लक्षण और इलाज

मानसिक बीमारी के लक्षण

मानसिक बीमारी के लक्षणों को पहचानना समय पर मेडिकल हस्तक्षेप और उपचार के लिए महत्वपूर्ण है। इसके सामान्य लक्षणों में निम्न शामिल हैं:

  • उदासी होना
  • मूड में बदलाव आना
  • अत्यधिक चिंता या भय होना
  • सामाजिक गतिविधियों से विमुख होना
  • नींद के पैटर्न में बदलाव आना (अनिद्रा या अधिक सोना )
  • ध्यान केंद्रित करने या निर्णय लेने में कठिनाई होना
  • भूख और वजन में बदलाव होना
  • थकान या कम ऊर्जा का अनुभव होना
  • शारीरिक लक्षण जैसे सिरदर्द या पाचन संबंधी समस्याएं होना
  • भ्रम या मतिभ्रम होना
  • आवेग या जोखिम भरा व्यवहार करना
  • फ़्लैशबैक, बुरे सपने, और बढ़ी हुई उत्तेजना होना
  • पदार्थों के लिए बार-बार और तीव्र इच्छा होना होना
  • व्यक्तिगत स्वच्छता और जिम्मेदारियों की उपेक्षा करना

इस बात पर ध्यान देना महत्वपूर्ण है कि इनमें से एक या अधिक लक्षणों का अनुभव करने का मतलब यह नहीं है कि आपको मानसिक विकार है, क्योंकि ये लक्षण तनाव या अस्थायी जीवन चुनौतियों का भी परिणाम हो सकते हैं। 

और अधिक पढ़े : सेरेब्रल पाल्सी: कारण, लक्षण और इलाज

मानसिक स्वास्थ्य को बेहतर कैसे बनायें

अच्छा मानसिक स्वास्थ्य बनाए रखना एक सतत प्रक्रिया है जिसमें आत्म-देखभाल, परिवार वालों और दोस्तों से मांगना और स्वस्थ विकल्प चुनना शामिल है। मानसिक स्वास्थ्य को बढ़ावा देने के लिए आप निम्न उपायों को अपना सकते हैं:

  • स्व-देखभाल को प्राथमिकता दें: स्व-देखभाल गतिविधियों के लिए समय निकालें जो आपको खुशी और आराम दें। इसमें शौक, व्यायाम, ध्यान, या बस दोस्तों और परिवार वालों के साथ समय बिताना शामिल हो सकता है।
  • शारीरिक रूप से सक्रिय रहें: नियमित व्यायाम से मूड में सुधार और चिंता और अवसाद के लक्षणों को कम करने में मदद मिलती है। सप्ताह के अधिकांश दिनों में कम से कम 30 मिनट की शारीरिक गतिविधि का लक्ष्य रखें।
  • संतुलित आहार लें: फलों, सब्जियों, साबुत अनाज और लीन प्रोटीन से भरपूर पौष्टिक आहार शारीरिक और मानसिक स्वास्थ्य दोनों के लिए आवश्यक पोषक तत्व प्रदान करता है।
  • पर्याप्त नींद लें: मानसिक स्वास्थ्य के लिए गुणवत्तापूर्ण नींद महत्वपूर्ण है। हर रात 7-9 घंटे की आरामदायक नींद का लक्ष्य रखें।
  • तनाव को प्रबंधित करें: दैनिक तनावों को प्रबंधित करने में मदद के लिए गहरी साँस लेना, ध्यान, योग या माइंडफुलनेस जैसी तनाव कम करने वाली तकनीकों का अभ्यास करें।
  • नशीली चीजों का उपयोग सीमित करें: अत्यधिक शराब और नशीली दवाओं के उपयोग से बचें, क्योंकि वे मानसिक स्वास्थ्य समस्याओं का कारण बन सकते हैं।
  • माइंडफुलनेस का अभ्यास करें: माइंडफुलनेस तकनीक आपको वर्तमान क्षण में स्थिर रहने और अतीत या भविष्य की चिंताओं के बारे में चिंतन कम करने में मदद कर सकती है।
  • प्रोफेशनल मदद लें: यदि आप लगातार मानसिक स्वास्थ्य लक्षणों का अनुभव कर रहे हैं, तो मूल्यांकन और उपचार के लिए किसी एक्सपर्ट से संपर्क करें। थेरेपी और दवा कई मानसिक स्वास्थ्य विकारों के प्रबंधन में प्रभावी हो सकती है।

साथ ही, मानसिक स्वास्थ्य के प्रति समाज में मौजूद कलंक की भावना को कम करने और समझ को बढ़ावा देने के लिए मानसिक स्वास्थ्य और विकारों के बारे में अधिक से अधिक जानकारी प्राप्त करें। अपने आसपास के लोगों के साथ मानसिक स्वास्थ्य के बारे में खुली बातचीत को प्रोत्साहित करें।

Kidney Dialysis: Types, Risks & Outlook
Nov 24, 2023|Dr Vikram Kalra

Kidney Dialysis: Types, Risks & Outlook

Kidneys are your two reddish-brown bean-shaped blood-filtering organs. Each kidney is attached to a ureter, a tube that carries your excreted urine to the bladder. The kidney participates in the removal of toxins, various electrolyte concentrations, acid-base balance, fluid osmolality and control of the volume of various body fluids. 

Sometimes, the kidneys may not function due to chronic kidney disease, acute kidney failure or other kidney issues. Dialysis is a life-saving treatment that can take the place of the function of failing kidneys. It works by filtering your blood to help restore both electrolyte and fluid balances. 

There are also complications and risks to consider, as well as problems with treatment access. Talk with a doctor about the pros and cons of dialysis, and ask them which type might be best for your situation.

What is Kidney Dialysis?

By eliminating extra fluid and waste from your body, the kidneys filter your blood. When you urinate, the bladder receives this waste and excretes it.

When your kidneys can not perform well due to injury or disease, dialysis can help keep the body running using a machine. Kidney failure occurs when the kidneys perform only 10% to 15% of their typical function. Salts and other waste items build up in the blood without dialysis, which can harm other organs.

What are the Different Types of Kidney Dialysis?

Types of dialysis can include CRRT (continuous renal replacement therapy), peritoneal dialysis and hemodialysis. 

Hemodialysis

Hemodialysis is a form of dialysis that uses a filter called a hemodialyzer to remove extra fluid and waste from the blood. 

  • Before hemodialysis 

To get access to your blood vessels, a doctor conducts a little surgical procedure. This is done in advance, as it might take several months to heal.

The 3 types of entrance points include:

  • Vascular access catheter
  • AV graft
  • AV (Arteriovenous) fistula

Both the AV graft and AV fistula are designed for long-term dialysis treatments. Catheters are designed for temporary or short-term use.

  • During hemodialysis

Your blood is drawn from your body during therapy and sent through the hemodialyzer to be purified. The body receives the filtered blood back after that with the aid of a dialysis machine.

Hemodialysis treatments last about four hours each, up to three times per week. You might also have hemodialysis treatment in shorter, more frequent sessions.

At first, most hemodialysis treatments are performed at a dialysis centre, doctor’s office or a hospital. The length of treatment depends on your current health, the amount of waste in your body and your body size. 

  • After hemodialysis

After you have been on hemodialysis for an extended period, you might be ready to give yourself dialysis treatments at home. People who require long-term therapy frequently choose this alternative. 

Peritoneal Dialysis

Peritoneal dialysis uses a PD (peritoneal dialysis) catheter in your abdomen to filter your blood. The catheter filters blood through the peritoneum, a membrane in your abdomen. 

  • Before peritoneal dialysis

A doctor performs surgery to implant the catheter. This usually happens about 3 weeks in advance.

You normally receive training from a dialysis nurse for a couple of weeks before dialysis to learn to perform the exchanges and care for the catheter site. 

  • During peritoneal dialysis

Dialysate, a unique fluid used in therapy, enters the peritoneum. The dialysate absorbs waste. Once the dialysate draws waste out of the bloodstream, it is drained from your abdomen.

This process can take a few hours and needs to be repeated three to five times daily. But this fluid exchange can happen while you are awake or sleeping, and even during daily activities.

Types of peritoneal dialysis include:

  • Continuous ambulatory peritoneal dialysis (CAPD): Your abdomen is filled and drained multiple times daily. This method doesn’t require a machine and must be performed while awake.
  • Continuous cycling peritoneal dialysis (CCPD): To cycle the fluid in and out of your abdomen, CCPD employs a machine. Usually, it’s done when you’re sleeping at night.
  • Intermittent peritoneal dialysis (IPD): This treatment is usually performed in the hospital, though you may perform it at home. Although it makes use of the same equipment as CCPD, the procedure takes longer.
  • After peritoneal dialysis

After treatment, you will need to take care of your catheter, exit site, and other supplies to prevent infection.

Continuous Renal Replacement Therapy (CRRT) 

CRRT is used mainly in the intensive care unit for people with acute kidney failure. It is also known as hemofiltration.

A machine passes the blood through the tubing. After that, a filter eliminates waste and water. A machine returns the blood to the body, along with replacement fluid. This process is carried out for at least 24 hours at a time.

You Can Also Read: 10 kidney disease symptoms to watch out for 

What Risks are Associated With Kidney Dialysis?

All 3 forms of kidney dialysis can carry certain risks:- 

Risks Associated with Hemodialysis

  • sudden cardiac arrest
  • irregular heartbeat
  • bacteremia (a bloodstream infection)
  • sepsis
  • pericarditis (an inflammation of the membrane around the heart)
  • hyperkalemia (high blood potassium levels)
  • itching
  • difficulty sleeping
  • muscle cramps
  • anaemia
  • hypotension (low blood pressure)

Risks Associated with Peritoneal Dialysis

Peritoneal dialysis might increase your risk of infections in or around the catheter site, like peritonitis. Other risks include:

  • stomach pain
  • fever
  • hernia
  • vomiting or nausea 
  • weight gain from excess fluids and dextrose 
  • Dialysate dextrose causes elevated blood sugar.
  • abdominal muscle weakening

Risks Associated with CRRT

  • anaphylaxis
  • weakening of bones
  • delayed renal recovery
  • bleeding
  • electrolyte disturbances
  • hypotension (low blood pressure)
  • hypothermia
  • infection

Long-term dialysis patients run the danger of contracting other illnesses, such as amyloidosis.

After learning they have long-term renal failure, some patients experience anxiety or sadness. If you are having thoughts associated with depression, talk with a mental health professional or a member of your care team. 

You Can Also Read: Diet Chart for Kidney Patients

Are there any Alternatives to Kidney Dialysis?

Other treatment options might help manage your symptoms if you decide not to pursue dialysis.

One option is anaemia management. When the kidneys work correctly, the EPO (hormone erythropoietin) is produced naturally. You can receive an EPO injection once a week to help with a kidney that isn’t working properly.

You can decrease kidney degeneration by keeping your blood pressure in a healthy range. Drink fluids to avoid dehydration. Before using any anti-inflammatory medications, see a doctor.

A kidney transplant might be an option. Find out if a transplant is right for you by speaking with a doctor. A kidney transplant may not be an option for you if you:

  • have an untreated mental health condition
  • have obesity
  • heavily use alcohol
  • smoke

What is the Long-term Outlook for Kidney Dialysis?

Dialysis can temporarily serve the same function as kidneys until your kidneys repair themselves and begin to work on their own again.

But if you have chronic kidney disease, you usually go on dialysis permanently or until a kidney transplant becomes an option.

While on hemodialysis, you will need to limit your sodium, phosphorus and potassium intake. You might need to keep a record of how much liquid you consume. Problems might arise from having too much fluid in the body.

A kidney doctor (nephrologist) usually has a dietician on the team to help guide dietary choices.

Maintaining a regular dialysis schedule will help lessen your need for a kidney transplant.

If you are considering stopping dialysis, mention any concerns to a doctor.

While it is in your right to stop any treatment at any time, they might suggest you talk with a mental health professional before ending this life-saving treatment. If the condition causing kidney failure has not been corrected, stopping dialysis will eventually lead to death.

Conclusion

Your kidneys perform many vital roles, including the removal of toxins. Sometimes, they may not function properly due to a disease or kidney failure. Kidney dialysis is a life-saving therapy but it also has risks and complications to consider, so it is always advisable to seek medical help from an experienced nephrologist. 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 nephrologist, reach out to us, or book a direct appointment with Dr. Umesh Gupta at the CK Birla Hospital.

FAQs

Is Kidney Dialysis Painful?

The dialysis treatment itself is painless. However, some patients might have a drop in their blood pressure that could lead to cramps, headaches, vomiting or nausea. However, if you take care to follow your fluid restrictions and kidney diet, these types of side effects can be avoided.

How Long Can a Kidney Patient Live on Dialysis?

Life expectancy on dialysis differs depending on how well you follow your treatment plan,  your other medical conditions and various other factors. The usual life expectancy on dialysis is 5 to 10 years. Many patients, nevertheless, have successfully maintained a 20- or 30-year dialysis regimen.

Testosterone
Nov 23, 2023|Dr. Abhay Ahluwalia

Testosterone

Your gonads (sex organs) primarily manufacture the hormone testosterone. Specifically, the ovaries in persons assigned female at birth (AFAB) and the testicles in those designated male at birth (AMAB) generate testosterone.

Dehydroepiandrosterone (DHEA), which your body converts into testosterone and oestrogen, is another hormone that your adrenal glands make.

The primary androgen, testosterone, is responsible for promoting the development of masculine traits. In comparison to AFAB individuals, testosterone levels in AMAB individuals are naturally substantially greater.

What is Testosterone?

Both humans and other animals contain the hormone testosterone. The primary source of testosterone in males is the testicles. While in far lesser quantities, the ovaries of women also produce testosterone.

During puberty, testosterone production starts to rise dramatically and then starts to decline around the age of thirty.

Testosterone is essential for the development of sperm and is most commonly linked to sex drive. It also has an impact on red blood cell formation, bone and muscle mass, and how men store fat in their bodies.

The amount of testosterone a man has might also impact his mood.

You Can Also Read: Importance of Vitamin D

What Does Testosterone Do?

Depending on the period of life, testosterone plays various functions. These responsibilities include:

  • Adulthood.
  • Puberty for male children.
  • Foetal development.

Testosterone and Adults Assigned Female at Birth

Testosterone increases libido in adults allocated to the feminine gender at birth. But most of the testosterone generated by the ovaries is transformed into estradiol, the main hormone involved in female sex.

Testosterone and Adults Assigned Male at Birth

Testosterone is essential for the production of sperm. It also:

  • Increases libido, or the desire to have sex and well-being.
  • Make sure your muscles and bones continue to be strong.
  • Tells the body to start producing new red blood cells.

Testosterone and Puberty

Many of the changes observed in children designated male at birth during puberty are caused by testosterone and include:

  • Boosting libido (sex drive).
  • Enlargement of the prostate, testicles, and penis.
  • Body and pubic hair growth.
  • An increase in height.

Testosterone and Foetal Development

The Y chromosome’s sex-related gene starts the development of the testicles in male newborns at around week seven in gestation. Testicles generate testosterone.

Testosterone triggers the development of the male internal and external reproductive organs during foetal development.

What Are Normal Testosterone Levels by Age?

Based on age and gender, the two charts below show the typical normal ranges of testosterone. Nanograms per deciliter (ng/dL) is the unit of measurement for this level.

It’s crucial to remember that the typical ranges for testosterone levels might change depending on the kind of blood test performed and the laboratory that does it. When interpreting your results, your provider will always refer to the typical ranges of your laboratory. 

Normal testosterone levels for people assigned male at birth:

Age range Normal testosterone range
Under 1 year old Less than 12 ng/dL.
1 to 5 years old. Less than 12 ng/dL.
6 to 10 years old. Less than 25 ng/dL.
11 to 15 years old. Less than 830 ng/dL.
16 to 17 years old. 102 to 1010 ng/dL.
18 to 99 years old. 193 to 824 ng/dL.

For individuals designated female at birth, normal testosterone levels are:

Age range Normal testosterone range
Under 1 year old. Less than 21 ng/dL.
1 to 5 years old. Less than 12 ng/dL.
6 to 10 years old. Less than 25 ng/dL.
11 to 17 years old. Less than 79 ng/dL.
18 to 99 years old. Less than 40 ng/dL.

You Can Also Read: Top High Protein Foods

What Causes High Testosterone Levels?

Your body may overproduce testosterone for many reasons, such as:

  • Adrenal Tumours 

    Sex-hormone-producing adrenal tumours are rare tumours that make too much androgen (testosterone), oestrogen or both.

  • Ovarian or Testicular Tumours

    Androgen-producing ovarian and testicular tumours can release excess testosterone.

  • Congenital Adrenal Hyperplasia

    The adrenal gland experiences an insufficiency of enzymes due to genetic abnormalities in CAH. Normally, the body uses these enzymes to aid in the production of cortisol, a hormone necessary for responding to stress. The adrenal glands overproduce other hormones, such as testosterone, in place of cortisol when the enzymes aren’t functioning properly.

  • Polycystic Ovarian Syndrome (PCOS)

    Those with ovaries are susceptible to this hormonal imbalance. It takes place when the ovaries produce too much testosterone or androgens. Weight gain and excessive body hair are some of the physical signs brought on by this hormonal imbalance in reproduction.

    Depending on your age and sex, too much testosterone has varied effects on your body.

High Levels of Testosterone in Amab People (Assigned Male at Birth)

It is improbable, and challenging to determine, that an adult designated male at birth has higher-than-normal testosterone levels.

An overabundance of testosterone in male-assigned newborns can cause (early) puberty or the onset of puberty before the age of nine.

High Levels of Testosterone in AFAB People (Assigned Female at Birth)

Infants designated female at birth (AFAB) may have clitoris elongation, which might resemble a penis, due to high testosterone levels. Additionally, it may result in precocious puberty, or the onset of puberty before the age of eight.

In adults assigned to females at birth, high levels of testosterone may be a sign of polycystic ovary syndrome (PCOS). This condition is very common — up to 15% of people AFAB of reproductive age have it.

PCOS causes certain symptoms, including:

  • Deeper voice.
  • Balding at the front of your hairline.
  • Irregular menstruation (periods).
  • Excess body and facial hair (hirsutism).
  • Acne

How are Testosterone Levels Controlled?

Your body controls the level of testosterone in your blood. Generally speaking, levels peak in the morning and fall during the day.

Your gonads, or testicles or ovaries, generate and release testosterone under the direction of your hypothalamus and pituitary gland.

The production of gonadotropin-releasing hormone (GnRH) by your hypothalamus sets off the release of luteinizing hormone (LH) by your pituitary gland. After arriving in your gonads, LH causes the release and synthesis of testosterone. (LH more often causes the ovaries to produce more progesterone and oestrogen.)

A rise in blood testosterone levels inhibits the synthesis of gonadotropin-releasing hormone, assisting in the maintenance of normal testosterone levels.

Anomalies in your hypothalamus, pituitary gland, or gonads might result in abnormally high amounts of testosterone.

Conclusion

For those who are designated male at birth, testosterone plays a crucial role in both reproductive health and general health. You could feel uncomfortable if they are always high or low. It is always advisable to seek medical help from an experienced endocrinologist. 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 endocrinologist, reach out to us, or book a direct appointment with Dr. Kumar Saurav at the CK Birla Hospital.

FAQs

How Does Testosterone Affect the Body? 

The body uses the sex hormone testosterone for essential purposes. It’s believed to control men’s libido, or sex drive, as well as their bone mass, fat distribution, muscle mass, and sperm and red blood cell production. Converted from circulating testosterone to the oestrogen estradiol, very little testosterone remains in the body.

How Do I Fix My Low Testosterone?

Testosterone replacement therapy (TRT) is the most often used treatment. Usually, a doctor will only recommend TRT in cases when the patient exhibits several low testosterone symptoms and has blood test results that support the diagnosis. There are other ways to administer TRT, such as using skin patches.

Which Foods Help Boost Testosterone Levels?

Certain foods help in treating low testosterone levels, such as pomegranate, green leafy vegetables, ginger, onions, egg yolk, fatty fish, bananas and red meat. 

Palliative Care: Know the Facts
Nov 23, 2023|Dr Rajiva Gupta

Palliative Care: Know the Facts

Palliative care is a type of specialised medicine that aims to relieve pain and other severe sickness symptoms. Additionally, it might help you deal with the unfavourable effects of medical procedures. Palliative treatment is accessible regardless of whether your ailment is curable. 

Palliative care teams aim to improve the quality of life and provide comfort for people and their families. This form of care is offered alongside other treatments a person might be receiving. Palliative care is provided by a team of healthcare providers, including nurses, doctors, social workers and other trained specialists. The team collaborates with you, your loved ones, and your other healthcare professionals to give additional support and respite to go along with your continuing treatment.

If you or someone in your family has a serious illness, palliative care might be an option you want to consider. Talk with a doctor to find out more about palliative care and how to get this type of care.

What is Palliative Care?

The goal of palliative care is to enhance the general health of patients with life-threatening diseases. It addresses both the stress of living and the symptoms of a chronic illness. It might also involve support for caregivers or loved ones. 

Since it is based on individual needs, palliative care can be quite different from one person to the next. A care plan may involve one or more of the following goals:

  • accessing and identifying additional resources to provide support
  • assisting in coordinating care, making treatment decisions and understanding treatment options 
  • helping to cope with changes and feelings related to illness
  • identifying and addressing spiritual and practical needs
  • improving understanding of illness and its progression
  • alleviating symptoms, including side effects of treatment

You Can Also Read: Everything You Need to Know About Dysentery

Palliative Care is Helpful for Which Medical Conditions?

Numerous disorders may be candidates for palliative care. The following are a few of the most typical illnesses where palliative care might be extremely beneficial:

Palliative Care for Cancer

As both symptoms and therapy can significantly affect your quality of life, cancer is one of the most prevalent diseases connected with palliative care.

Palliative cancer care varies depending on:

  • prognosis
  • age
  • treatment
  • symptoms
  • the type of cancer

Someone with a recent cancer diagnosis may receive palliative care to manage the side effects of radiation or chemotherapy or to help them recover after surgery.

Palliative care for cancer often includes treatments for anxiety or depression and tools to help family members plan for the future. 

Palliative Care for Cardiovascular Diseases

Cardiovascular diseases can affect a person’s ability to care for themselves and their quality of life. Cardiovascular diseases include:

  • aortic stenosis
  • stroke
  • coronary artery disease
  • heart failure

Palliative care might be underutilised globally for people with cardiovascular diseases. 

Early palliative care might help increase the likelihood that people with these diseases will experience their desired end-of-life outcomes. Increasing early palliative care might also increase referrals to hospice care.

Palliative care for cardiovascular disease might help in decision-making for people with these diseases and their families, mental health support and symptom relief. It might also include help with end-of-life planning, should that be needed.

Palliative Care for Dementia

Dementia is associated with deteriorating brain function. It greatly impacts a person’s:

  • behaviour
  • judgement
  • language
  • memory
  • cognition

Treatment for dementia-related anxiety may be part of palliative care. As the illness progresses, it may involve helping family members make difficult decisions about caring or feeding for their loved one. Support for family caregivers might also be a part of it. 

Palliative Care for COPD

Palliative care can help people manage COPD, a respiratory illness that causes shortness of breath and coughing. 

For this condition, palliative care may include treatments for anxiety, discomfort, or insomnia associated with difficulty breathing. You may receive education on lifestyle changes, like quitting smoking, that can slow the progress of your illness and improve your activity level. 

What are the Benefits of Palliative Care?

Palliative care aims to enhance the quality of life for those dealing with serious or terminal illnesses while also providing support for their families. Some of the benefits can include:

  • Improved caregiver satisfaction – Palliative care consistently improves both caregiver and patient satisfaction. 
  • Support for caregivers and family members – Palliative care can include emotional support and instructional guidance for family members caring for a loved one with a serious illness.
  • Support in making decisions – Palliative care specialists provide support to people diagnosed with a serious illness and their families to make decisions about treatment, care for their illness, and support in emotionally coping with the diagnosis.
  • Longer survival – The same review makes the connection between depression and mortality, which might lead to a higher life expectancy for those with advanced cancer who get palliative care.
  • Reduced risk of depression – Early palliative care is associated with a lower risk of depression in people newly diagnosed with advanced cancer.
  • Improved quality of life – Those who receive palliative care usually have a higher quality of life than those who undergo traditional treatments.
  • Symptom management support – Palliative care specialists might help people with pain management and symptom management in people living with advanced cancer.

When to Consider Palliative Care?

If you have a life-threatening or serious illness, you can ask about palliative care at any time.

There is a widespread misperception that receiving palliative care requires you to wait until your disease is advanced or fatal. Several studies suggest that palliative care is most effective when started early, closer to diagnosis.

Early use of palliative care improves both overall survival and the quality of life. There is evidence that palliative care can help people with depression and other mental health issues.

Your loved ones are also likely to benefit if you receive palliative care, which can help them access support and resources to cope with your illness.

Can You Get Palliative Care at Home? 

It depends on where you live. Palliative care has become more accessible in recent years, but it is still not available everywhere.

Depending on where you live, you may have more than 1 option as to where you can receive palliative care. Some options might include:

  • your home
  • an outpatient clinic
  • an assisted living facility
  • a nursing home
  • a hospital

Find out more about the palliative care choices you have and where you may get treatment in your region by speaking with your doctor. 

You Can Also Read: Everything You Must Know about Subdural Hematoma

How do you Get Palliative Care?

The first step in receiving palliative care is to ask a healthcare professional or doctor about it. Your treating physician should suggest that you seek out a palliative care professional.

By establishing a list of your symptoms and how they affect your daily activities, you can be ready for your meeting with a palliative care provider. You will also want to bring a list of medications you take and any relevant medical history.

It is a good idea to ask a family member or friend to accompany you to your appointment. After the consultation, you will work with your palliative care team to develop a plan. The plan will be based on your symptoms and any treatments you are currently undergoing, as well as how your illness is affecting your family members, everyday activities and mental health. 

The plan will be carried out in cooperation with any additional medical care you are getting. As your needs vary over time, they should alter as well. If it becomes needed, your plan can also involve advanced care and end-of-life planning.

Conclusion

Palliative care helps in providing relief from pain and other symptoms of a serious illness. It also gives comfort to people and their families and aims to improve their quality of life. Palliative care can be quite different from one person to the next, so it is always advisable to seek medical help from an experienced palliative care 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 palliative care physician, reach out to us, or book a direct appointment with Dr. Rajiva Gupta at the CK Birla Hospital.

FAQs

What Are the 3 Forms of Palliative Care?

The 3 main forms of palliative care are spiritual care, emotional support and symptom management. The primary purpose of palliative care is symptom management. It includes monitoring and treating symptoms that might include anxiety, depression, difficulty breathing, fatigue, nausea or pain. 

What Stage of Life is Palliative Care?

While the length of palliative care can differ, it typically begins when a serious illness is diagnosed and could last until the end of life. It is important to note that palliative care can begin at any stage of an illness and can be provided alongside other treatments.

Heart Valve Disease: Causes, Symptoms, and Treatment

Heart Valve Disease: Causes, Symptoms, and Treatment

The circulatory system’s blood arteries are used by the heart, a muscular organ, to pump blood. The pumped blood carries nutrients and oxygen to the body while carrying metabolic waste such as carbon dioxide to the lungs. 

Diseases in the heart valve can affect any of the valves in your heart. The cause can be a narrowing of the valve opening (stenosis), a leakage of blood (regurgitation), or a combination of the two.

Some people with a heart valve (valvular) disorder might not have any symptoms. However, it can lead to heart failure if left untreated, with symptoms that get worse over time. This may result in a fatal ventricular arrhythmia, depending on how poorly your heart is working. Talk with your doctor about any symptoms you have that you are concerned about, and make sure you schedule routine checkups with your doctor. This will increase the likelihood that your doctor will identify any potentially dangerous issues early on.

What is Heart Valve Disease?

One or more of your heart’s valves may not function correctly if you have heart valve disease.

Your heart has 4 valves that keep blood flowing in the correct direction. In some cases, one or more of the valves do not open or close properly. This may interrupt the blood flow from your heart to the rest of your body.

Your heart valve disease treatment depends on the severity and type of the disease and the heart valve affected. Sometimes heart valve disease requires surgery to replace or repair the heart valve.

You Can Also Read:  How is blood pressure related to heart failure?

What Are the Symptoms of Heart Valve Disease?

It is common for people with heart valve disease to be without symptoms. But when the issue with your heart valve gets worse, your heart has to work harder to compensate for the decreased blood flow. Over time, heart valve disease might get bad enough that these symptoms begin to appear:

  • If the valve disease is caused by infection, you might notice body aches, chills or fevers
  • Fatigue
  • Chest discomfort, especially when you exert yourself
  • Rapid weight gain
  • Dizziness or weakness 
  • Swelling of the abdomen, feet or ankles (oedema) 
  • A flip-flop feeling in the chest or skipped beats (palpitations)
  • Increasing shortness of breath, especially lying down or with physical activity

Also Read: Healthy Diet Chart for High Blood Pressure Patients

What Are the Causes of Heart Valve Disease?

There are several causes of heart valve disease, including degenerative conditions (wearing out with age), infections, congenital conditions (being born with it) and conditions linked to other types of heart disease.

    • Rheumatic Disease, is the failure to administer antibiotics to a patient who has contracted the streptococcus bacterium. The heart valve may become scarred as a result of the infection. In the whole world, this is the most typical cause of valve illness. 
    • Endocarditis is an infection of the inner lining of the heart caused by a severe infection in the blood. The infection may spread to the heart valves and harm the leaflets there. Intravenous drug use can also lead to endocarditis and cause heart valve disease.
    • Congenital heart valve disease refers to heart valve defects, such as missing leaflets. The most commonly affected valve with a congenital defect is a bicuspid aortic valve, which has only 2 leaflets rather than 3.
    • Other types of heart disease:
      • Heart failure happens when the heart cannot pump enough oxygen and blood to support other organs in your body.
      • Aortic atherosclerosis at the place where it connects to the heart. Plaque buildup within blood arteries is known as “atherosclerosis.” Plaque is made up of cholesterol, calcium and fat.
      • A thoracic aortic aneurysm is a ballooning or bulge where the aorta attaches to the heart.
      • High blood pressure.
      • A heart attack (also known as MI or myocardial infarction), can damage the muscles that control the opening and closing of the valve.
    • Other:
      • Autoimmune disease, like lupus.
      • Marfan syndrome is a connective tissue disorder that can harm heart valves.
      • Exposure to high-dose radiation might lead to calcium deposits on the valve.
      • The ageing process can cause calcium deposits to develop on the heart valves, making them thickened or stiff and less efficient with age.

How is Heart Valve Disease Diagnosed?

If you are experiencing symptoms of heart valve disease, your doctor will begin by listening to your heart with a stethoscope. They will listen for any heart rate abnormalities that may indicate a problem with your heart valves. 

Your doctor might also listen to your lungs to determine if there is fluid buildup and check your body for signs of water retention. These are both signs of heart valve problems.

Other tests that might be used to diagnose heart valve disorders include the following:

  • Stress test: To tell your doctor how bad your problem is, you can utilise this to ascertain how exertion affects your symptoms.
  • MRI scan: This might provide a more detailed picture of your heart.
  • Chest X-ray: This might be ordered to take a picture of your heart.
  • Cardiac catheterization: This test uses a catheter or thin tube with a camera to take pictures of your blood vessels and heart.
  • Transesophageal echocardiogram and echocardiogram: The former is done via a probe placed on the chest, whereas the latter involves putting the probe into the oesophagus. Both tests use sound waves to create a picture of the heart chambers and valves.
  • Electrocardiogram: This test can detect aberrant cardiac rhythms by displaying the electrical activity of the heart.

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

What is the Treatment for Heart Valve Disease?

Treatments for heart valve disease depend on the symptoms and severity of the disorder. Most doctors suggest beginning with conservative treatments, which include:

  • following a healthy diet
  • quitting smoking
  • getting consistent medical supervision

Medications that are typically prescribed are:

  • vasodilators, which are drugs that dilate or open blood vessels
  • diuretics to reduce fluid retention
  • calcium channel blockers and beta-blockers, which help control blood flow and heart rate.

You might need surgery if your symptoms increase in severity. This might include a heart valve repair using one of the following:

  • an artificial or mechanical valve
  • a donated valve from another person
  • an animal valve if you have a biological valve replacement
  • your tissue

Valvuloplasty might also be used to treat stenosis. During valvuloplasty, your Heart Valve Surgeon inserts a small balloon into your heart, where it is inflated slightly. The inflation increases the size of the opening in the valve, and then the balloon is removed. 

Another less invasive option is TAVR (Transcatheter Aortic Valve Replacement), in which the surgeon replaces the blocked or narrowed heart valve through a catheter.

Conclusion

Heart valve disease affects the valves in your heart and may not display any symptoms. In case of no treatment, it can lead to heart failure with symptoms becoming worse over time. It is always advisable to seek medical help from an experienced cardiologist. 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 cardiologist, reach out to us, or book a direct appointment with Dr. Sanjeeva Kumar Gupta at the CK Birla Hospital. 

FAQs

Can Heart Valve Disease Be Fixed?

Most heart valve conditions are treatable. Medicine might treat symptoms or prevent the condition from getting worse. Your doctor might also suggest surgery or another procedure to replace or repair a faulty heart valve. 

When to See a Cardiologist for Heart Valve Disease?

You will need to book regular follow-up appointments with your cardiologist to make sure your heart valves work as they should. Contact your provider sooner if your symptoms become more frequent or severe. 

Who is at Risk for Heart Valve Disease?

A family history of early coronary heart disease can raise your risk of developing a heart valve disease. Risk factors for other types of heart disease might put you at risk for heart valve diseases too, like obesity, smoking, unhealthy eating patterns and a lack of physical activity.

Breast Cancer: Causes, Symptoms & Treatments

Breast Cancer: Causes, Symptoms & Treatments

Cancer is one of the most widely known and common diseases worldwide. The diseases that cause the most deaths in the world include cancer; it disrupts your body’s regular function due to the rapidly growing cells which may cause tumours. It can also affect and spread to other organs and tissues in your body. 

Cancer which forms in the cells of the breasts (the cells develop mutations and begin to divide and multiply) is known as breast cancer. People might first notice a lump in the breast, texture changes, discolouration or other symptoms. Breast cancer can occur in both women and men, but it is far more common in women. 

The stage of your breast cancer, the extent of its invasion (if any), and the size of the tumour all have a significant impact on the type of treatment you will require. You may then talk with a doctor about your treatment choices after that.

What is Breast Cancer?

Mutations in the genes that control cell development are what lead to cancer. Cells can proliferate and divide in an uncontrolled manner because of the mutations.

Breast cancer is a kind of cancer that starts in breast tissue. Usually, the cancer forms in either the ducts or the lobules of the breast.

The milk-producing lobules and the ducts that carry it to the nipple are two different types of glands. Additionally, cancer can develop in your breast’s fatty tissue or fibrous connective tissue.

Unchecked cancer cells can travel to the lymph nodes under the arms and commonly invade nearby healthy breast tissue. The lymph nodes provide cancer with a pathway to other parts of the body.

Also Read: Treatment of fibroadenoma without surgery | Is it possible?

What are the Symptoms of Breast Cancer?

In its early stages, breast cancer might not cause any symptoms. In many cases, a tumour might be too small to be felt, but an abnormality can still be seen on a mammogram.

If a tumour can be felt, the first sign is typically a new lump in the breast that was not there before. However, not all lumps are cancer.

There are several symptoms that each form of breast cancer might produce. While many of these symptoms are comparable, others might differ. The most typical breast cancer symptoms are as follows:

  • a swelling or lump under your arm
  • alterations in the breast skin’s appearance
  • inverted nipple
  • a sudden, unexplained change in the size or shape of your breast
  • flaking, scaling or peeling of skin on your breast or nipple 
  • bloody discharge from your nipple
  • a nipple discharge other than breast milk
  • swelling in a part or all of your breasts
  • Discoloured or red, pitted skin on the breast
  • breast pain
  • a breast tissue or lump thickening that feels different from surrounding tissue and is new

If you have any of these symptoms, it does not necessarily mean you have breast cancer. For instance, a benign cyst may be the reason behind a breast soreness or a lump.

Still, if you find a lump in your breast or have other symptoms, contact your doctor for further testing and examination.

You Can Also Read: Breast Cancer – Myths vs Facts

What are the Causes or Risk Factors of Breast Cancer?

Various risk factors increase your chances of getting breast cancer. However, having any of these does not mean you will develop the disease.

Some risk factors can not be avoided, like family history. You can change other risk factors, like smoking. Risk factors for breast cancer include:

Previous Breast Cancer 

If you have had breast cancer in 1 breast, you have an increased risk of developing breast cancer in your other breast or a different area of the previously affected breast. 

Never having been Pregnant

People who have never carried a pregnancy to full term or become pregnant are more likely to develop breast cancer.

Late Menopause Start

People who start menopause after they are 55 years old are more likely to develop breast cancer.

Inherited Risk

You run a higher chance of getting breast cancer if you have a close female relative who has. This includes your daughter, sister, grandmother or mother. If you do not have a family history of breast cancer, you can still develop breast cancer. The majority of those who contract it don’t have any relatives who have the condition.

Hormone Therapy 

People who are taking or took postmenopausal progesterone and oestrogen medications to help reduce their signs of menopause symptoms have a higher risk of breast cancer.

Giving Birth at an Older age

Breast cancer risk is higher in people who have their first child after age 35.

Early Menstruation 

 You have a higher chance of developing breast cancer if you start your periods before becoming 12 years old.

Genes 

People who have the BRCA1 and BRCA2 gene mutations are more likely to develop breast cancer than people who do not. Other gene mutations might also affect your risk.

Having Dense Breast Tissue 

Mammograms are challenging to read when breast tissue is dense. It also raises your chance of developing breast cancer.

Drinking Alcohol 

An alcohol use problem increases your risk.

Age 

As you become older, your chance of getting breast cancer rises. Women over the age of 55 are most commonly diagnosed with invasive breast cancer.

You Can Also Read: 5 Common Cancers Affecting Women

What is the Treatment for Breast Cancer?

The stage of your breast cancer, the extent of its invasion (if any), and the size of the tumour all have a significant impact on the type of therapy you will require.

To start, your doctor will determine your cancer’s grade, stage and size. The grade of your cancer indicates how probable it is to advance and spread. You may then talk about your therapy choices after that.

Surgery is the most often used treatment for breast cancer. Many people have additional treatments, like hormone therapy, radiation, targeted therapy or chemotherapy. 

Surgery

Various types of surgery might be used to remove breast cancer, including:

  • Contralateral prophylactic mastectomy – Even though breast cancer might be present in only 1 breast, some people elect to have a contralateral prophylactic mastectomy. Your healthy breast is removed during this procedure to reduce your chance of getting breast cancer again.
  • Axillary lymph node dissection – If lymph nodes removed during a sentinel node biopsy contain cancer cells, your doctor might remove additional lymph nodes.
  • Sentinel node biopsy – A couple of the lymph nodes that get drainage from the tumours are removed during this procedure. These lymph nodes will be tested. If they do not have cancer, you might not need additional surgery to remove more lymph nodes.
  • Mastectomy – A surgeon removes a whole breast during this operation. The removal of both breasts occurs during a double mastectomy.
  • Lumpectomy – The remaining breast tissue is unaffected by this treatment, which eliminates the tumour and some surrounding tissue.

Radiation Therapy

High-powered beams of radiation are used to target and kill cancer cells in radiation therapy. Most radiation treatments use external beam radiation, in which a large machine is used on the outside of the body.

A treatment called brachytherapy enables doctors to irradiate cancer from inside the body. The surgeons place radioactive pellets or seeds inside the body near the tumour site. The seeds stay there for a while and start to get rid of cancer cells.

Chemotherapy

A medication therapy called chemotherapy is used to kill cancer cells. It is often used along with other treatments, especially surgery.

Some individuals will need further treatments like radiation or chemotherapy after their surgery. This is called adjuvant therapy. Others may get neoadjuvant treatment, or chemotherapy, to shrink the malignancy before surgery.

Before beginning chemotherapy, talk to your doctor about any concerns you may have as there are several undesirable side effects.

Hormone Therapy

Your doctor might start you on hormone therapy if your type of breast cancer is sensitive to hormones. Progesterone and Oestrogen, 2 female hormones, can stimulate the growth of breast cancer tumours.

Hormone therapy works by blocking your body’s production of these hormones or by blocking the hormone receptors on the cancer cells. By taking this measure, you may be able to reduce or even halt the spread of your cancer.

Any specific therapy they suggest for you will be further explained by your doctor.

Conclusion

Breast cancer develops in the breast cells and is more common in women. People may see some symptoms like discolouration, texture changes and lump in the breast; the treatment is ascertained by the cancer’s size, stage and grade. 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 Dr. Rohan Khandelwal at the CK Birla Hospital.

FAQs

What are the First Symptoms of Breast Cancer?

For most people, a lump in their breast or some thickening is the initial sign of breast cancer. There may also be a change in the shape, size or feel of your breast.

Is Breast Cancer Serious or Not?

Breast cancer frequently begins as a tiny, unnoticeable lump. As it develops, it has the potential to spread outside of the breast or to other body regions. This causes serious health problems and can result in death.

Inflammatory Bowel Disease: Causes, Symptoms & Treatments

Inflammatory Bowel Disease: Causes, Symptoms & Treatments

In your body, the intestine is the segment of the gastrointestinal tract extending from the pyloric sphincter of the stomach to the anus. There are 2 types of intestines  –  the small intestine and the large intestine. 

A series of intestinal illnesses known together as inflammatory bowel disease (IBD) result in persistent inflammation of the digestive system. The digestive tract comprises the large intestine, small intestine, stomach, oesophagus and mouth. 

IBD can be disruptive and very painful. In certain rare instances, it might even be fatal. You can manage the disease and live an active, healthy lifestyle by actively following your doctor-advised treatment plan. 

What is Inflammatory Bowel Disease?

IBD (Inflammatory bowel disease) is a term that describes disorders involving chronic (long-standing) inflammation of tissues in your digestive tract.

Types of IBD include:

  • Crohn’s Disease

This type of IBD is characterised by inflammation of the lining of your digestive tract, which often can involve the deeper layers of the digestive tract. Small intestine damage from Crohn’s disease is rather prevalent. However, it can also harm the large intestine and, less frequently, the upper gastrointestinal tract. 

  • Ulcerative Colitis

This condition involves ulcers (sores) and inflammation along the lining of your rectum and colon (large intestine). 

Both Crohn’s disease and ulcerative colitis typically are characterised by weight loss, fatigue, abdominal pain, rectal bleeding and diarrhoea. 

For some people, IBD is only a mild illness. For others, it is a debilitating condition that can lead to life-threatening complications.

You Can Also Read: Heartburn: Causes, Symptoms & Medication

What are the Symptoms of Inflammatory Bowel Disease?

Symptoms of IBD vary depending on the severity and location of inflammation, but they might include:

  • anaemia and weight loss, which can cause delayed development or physical growth in children
  • bloating, cramping and stomach pain due to bowel obstruction
  • bleeding ulcers, which might cause blood to show up in the stool (a condition known as hematochezia)
  • diarrhoea, which occurs when affected parts of the bowel cannot reabsorb water

People with Crohn’s disease might also get canker sores in their mouths. Sometimes fissures and ulcers also appear around the anus or genital area. 

IBD can also be associated with problems outside of the digestive system, like:

What are the Causes of Inflammatory Bowel Disease?

The exact cause of IBD is unknown, however, several factors can increase your risk of developing Crohn’s disease and ulcerative colitis. 

Genetics and family history 

People who have a child, sibling or parent with IBD are at a much higher risk of developing it themselves. This is why scientists believe IBD might have a genetic component. 

The immune system

The immune system might also play a role in IBD. The immune system usually defends the body from pathogens, which are organisms that cause infections and diseases. 

The immune system may react to a bacterial or viral illness of the digestive tract. The digestive tract swells with inflammation as the body attempts to create an immunological defence against the invaders. When an immune system is functioning properly, the inflammation subsides once the infection is treated.

However, individuals with IBD might have digestive tract inflammation even without an infection. The immune system attacks the body’s cells instead, which is known as an autoimmune response.

IBD can also occur when the inflammation does not go away after the infection is cured. The inflammation might continue for months or even years.

Smoking

Smoking is one of the main risk factors for developing Crohn’s disease. Smoking exacerbates the discomfort and other symptoms of Crohn’s disease. It also raises the possibility of complications.

However, ulcerative colitis mainly affects former smokers and nonsmokers. 

Ethnicity

IBD is present in all populations. However, according to research, certain ethnic groups have a higher risk of developing the condition. 

Age

IBD can occur at any age, however, it often manifests before the age of 35.

Environmental factors

People who live in industrialised countries and urban areas have a higher risk of developing IBD. Residents of industrialised countries also tend to eat more processed food and fat, which is connected to the development of IBD. 

IBD is also more common among people living in northern climates, where it is often cold.  

Having a sedentary job or lifestyle increases the risk of IBD. The likelihood of developing IBD was lowered by physical exercise before getting sick. 

Gender

IBD tends to affect women and men equally. 

Ulcerative colitis is generally more common among men over 45 years old than it is among women of the same age range. On the other hand, Crohn’s disease is more common among women and girls over the age of 14.

You Can Also Read: Irritable Bowel Syndrome

What is the Treatment for Inflammatory Bowel Disease?

The different treatments for IBD include:

Medications

The initial stage of IBD treatment is anti-inflammatory medication. These medications aid in reducing digestive tract inflammation. However, they have many side effects.

  • Anti-inflammatory medications used for IBD include glucocorticoids, a subclass of corticosteroids. These drugs are available in a variety of forms, including rectal foams, injections and oral tablets. They are usually given at the lowest dose possible for the shortest amount of time. 
  • 5-ASA drugs (aminosalicylates) also decrease inflammation, primarily in the last part of the small intestine and in the colon.  
  • Immunomodulators might be an effective option if 5-ASA and corticosteroid drugs are not enough. They prevent the immune system from attacking the bowel and causing inflammation.
  • Biologics are genetically designed drugs that might be a choice for people with moderate to severe IBD. 

Some biologics block TNF (tumour necrosis factor). The immune system generates TNF, a molecule that causes inflammation. Excess TNF in the blood is usually blocked, but in people with IBD, higher levels of TNF can lead to more inflammation

Biologics are not available as generic drugs. But for some of these medications, there exist biosimilars, which are less expensive and have been reverse-engineered to deliver the same outcomes as biologics.

  • Antibiotics kill bacteria in the small intestine that might aggravate or trigger the symptoms of Crohn’s.
  • Laxatives and antidiarrheal medications can help keep your bowel movements regular.

 Lifestyle choices

With IBD, lifestyle decisions are crucial.

  • Quitting smoking and exercising can help preserve your health if you have IBD.
  • Avoiding triggers, like stressful situations and dairy products can help improve symptoms and reduce flare-ups.
  • Drinking plenty of fluids helps you make up for fluids lost in your stool.

Supplements

Supplemental vitamins and minerals can assist with dietary deficits. For example, iron supplements can help treat anaemia. Before including any new supplements in your diet, consult your doctor.

Also Read: Ivy Gourd: Benefits & Side Effects

Surgery

Individuals with IBD may occasionally require surgery. Some IBD surgeries include:

  • removal of the entire rectum and colon — for severe cases of ulcerative colitis
  • removal of affected portions of the intestines (for people with Crohn’s disease)
  • removal or closure of fistulas
  • strictureplasty to widen a narrowed bowel

Given that people with IBD have a higher chance of developing colorectal cancer, your doctor will likely advise doing a regular colonoscopy to check for the disease. 

Conclusion

Inflammatory bowel disease comprises various intestinal disorders which cause prolonged inflammation of the digestive tract. This condition can be very painful and disruptive, even life-threatening in some cases. It is always advisable to seek medical help from an experienced gastroenterologist. 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 gastroenterologist, reach out to us, or book a direct appointment  at the CK Birla Hospital.

 FAQs

Can Inflammatory Bowel Disease be Cured?

Inflammatory bowel disease cannot be cured. There will be times when the illness is dormant, or in remission. Medicines can reduce inflammation and increase the length and number of periods of remission.

Is Inflammatory Bowel Disease Serious?

Although inflammatory bowel disease normally is not fatal, it is a serious disease that, in some cases, might cause life-threatening complications. See your doctor if you experience a persistent change in your bowel habits or if you have any of the signs and symptoms of this disease.

Endometrial Cancer: Symptoms, Causes & Treatments

Endometrial Cancer: Symptoms, Causes & Treatments

The uterus is the organ in the reproductive system in females that accommodates the embryonic and foetal development of one or more embryos until birth. It is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment.

Endometrial cancer is a kind of uterine cancer that develops from the inner lining of the uterus. This lining is called the endometrium. Experiencing abnormal vaginal bleeding is normally the main symptom of endometrial cancer, but this could be a sign of more benign health conditions as well.

If you have symptoms that could be a sign of endometrial cancer or another gynaecological condition, make an appointment with your doctor. Your chances of remission rise with early diagnosis and therapy.

What is Endometrial Cancer?

A proliferation of cells in the uterus is the precursor of endometrial cancer, a particular form of cancer. The uterus is the pear-shaped, hollow pelvic organ where foetal development happens.

The layer of cells that make up the endometrium, or uterine lining, is where endometrial cancer first appears. Endometrial cancer is sometimes called uterine cancer. One of the many malignancies that may arise in the uterus is uterine sarcoma, albeit it is far less common than endometrial cancer.

Due to its symptoms, endometrial cancer is frequently discovered at an early stage. Often the first symptom is irregular vaginal bleeding. Early detection of endometrial cancer generally results in a cure through uterus removal surgery

What are the Symptoms of Endometrial Cancer?

Abnormal vaginal bleeding is one of endometrial cancer’s most prevalent symptoms. This can include:

  • vaginal bleeding after menopause
  • spotting between menstrual periods or vaginal bleeding
  • changes in the heaviness or length of menstrual periods

Other potential symptoms of endometrial cancer include:

  • unintentional weight loss
  • pain during sex
  • pain in the pelvis or lower abdomen 
  • watery or blood-tinged vaginal discharge

Make an appointment with your doctor if you notice any of these signs. These symptoms are not necessarily a sign of a serious condition, but it is important to get them checked out.

Menopause or other noncancerous diseases can result in abnormal vaginal bleeding. But in some cases, it is a sign of endometrial cancer or other types of gynaecological cancer.

What Causes Endometrial Cancer?

The cause of endometrial cancer is not known. What is known is that something happens to cells in the lining of the uterus that changes them into cancer cells.

When cells in the uterine lining (also known as the endometrium) experience DNA alterations, endometrial cancer develops. The DNA of a cell contains the instructions that inform the cell what to do. The adjustments instruct the cells to proliferate fast. When healthy cells would naturally expire as a part of their life cycle, the alterations instruct the cells to stay alive instead. There are a lot of additional cells as a result. Tumours, or masses made of cells, may result. The cells can penetrate and demolish healthy biological tissue. The cells may eventually separate and spread to other bodily regions.

What is the Treatment for Endometrial Cancer?

Endometrial cancer is typically first treated with surgery to remove the cancer. This might include removing the ovaries, fallopian tubes and uterus. Other treatment options might include radiation therapy or treatments using medicines to kill the cancer cells. Options for treating your endometrial cancer will depend on the characteristics of your cancer, such as your preferences, your general health and the stage.

Surgery

Treatment for endometrial cancer normally involves an operation to remove the uterus, called a hysterectomy. Treatment also typically includes the removal of the fallopian tubes and ovaries, called a salpingo-oophorectomy. 

To check for evidence of cancer spread, your surgeon will also examine the regions around your uterus during surgery. Your surgeon also might remove lymph nodes for testing. This helps determine your cancer’s stage.

Radiation Therapy

Radiation therapy uses powerful energy to kill cancer cells. The energy can come from protons, X-rays or other sources. In certain situations, radiation therapy might be recommended before surgery. Radiation therapy can shrink a tumour and make it easier to remove.

If you are not healthy enough to undergo surgery, you might opt for radiation therapy only.

Radiation therapy can involve:

  • Radiation from a machine outside your body – You lie on a table while receiving external beam radiation, which uses a machine to target particular areas of your body with radiation.
  • Radiation placed inside your body – Internal radiation, called brachytherapy, involves a radiation-filled device, such as a cylinder, wires or small seeds. For a brief length of time, this device is inserted into your vagina.

Chemotherapy

Chemotherapy uses strong medicines to kill cancer cells. Some people receive 1 chemotherapy medicine. Others receive 2 or more medicines together. While some chemotherapy medications must be taken orally, the majority are administered intravenously. These medications destroy cancer cells by entering the bloodstream and then moving throughout the body.

Chemotherapy is sometimes used after surgery to lower the risk that the cancer may return. Chemotherapy also can be used before surgery to shrink the cancer. This increases the likelihood that the malignancy will be eliminated after surgery.

Chemotherapy might be recommended for treating advanced endometrial cancer that has spread beyond the uterus or to treat cancer that has come back.

Hormone Therapy

Hormone treatment involves taking medications to reduce the body’s hormone levels. As a result, cancer cells that rely on hormones to drive their development may perish. Hormone therapy might be an option if you have advanced endometrial cancer that has spread beyond the uterus.

Targeted Therapy

Drugs that target certain chemicals in cancer cells are used in targeted treatment. Targeted therapies can make cancer cells perish by obstructing these substances. Targeted therapy is typically combined with chemotherapy for treating advanced endometrial cancer. 

Immunotherapy

Immunotherapy makes use of drugs that boost the body’s natural defences against cancer cells. The immune system fights off diseases by attacking germs and other cells that should not be in the body. Cancer cells evade the immune system to live. Immunotherapy helps the immune system cells discover and kill the cancer cells. If the disease is advanced and previous therapies have failed for endometrial cancer, immunotherapy may be tried. 

Palliative Care

Palliative care is a special type of health care that helps you feel better when you have a serious illness. If you have cancer, palliative care can help relieve pain and other symptoms. Palliative care is done by a team of healthcare professionals. This can include nurses, doctors and other experts with specialised training. They want to make life better for you and your loved ones.

You can have palliative care at the same time as strong cancer treatments, such as surgery, chemotherapy or radiation therapy, which might lead to cancer patients feeling better and living longer. 

Conclusion

The inner lining of the uterus is where endometrial cancer first manifests itself. Abnormal vaginal bleeding is the primary symptom of endometrial cancer, however, it could be a sign of more serious health conditions as well, so 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 Dr. Pooja Babbar at the CK Birla Hospital. (Booking Link). 

FAQs

Is Endometrial Cancer Curable?

The majority of endometrial cancer cases are caught early and treated surgically. If you have symptoms that could be a sign of endometrial cancer or another gynaecological condition, make an appointment with your doctor. 

What is the Most Common Symptom of Endometrial Cancer?

The most common symptom of endometrial cancer is abnormal vaginal bleeding, ranging from a blood-streaked and watery flow to a flow that contains more blood. Vaginal bleeding before, during, or after menopause is frequently a warning indication.

Heartburn: Causes, Symptoms & Medication

Heartburn: Causes, Symptoms & Medication

A lot of people love enjoying big meals, however, this and certain foods may cause them to experience a condition known as heartburn. 

Just behind your breastbone, a burning pain in your chest is known as heartburn. The pain is often worse when lying down or bending over, in the evening or after eating. Heartburn occurs often and is not a cause for concern. Most people can manage the discomfort of heartburn on their own with nonprescription medications and lifestyle changes. 

Heartburn that interferes with your daily routine or is more frequent might be a symptom of a more serious condition that requires medical care. If you are especially worried it could be a heart attack, seek emergency medical attention.

What is Heartburn?

Heartburn is a burning sensation behind your breastbone in your chest. It occurs when stomach acid travels back up your oesophagus (the tube that carries food from your mouth to your stomach). You might also experience a bitter taste in your mouth or throat. The symptoms of heartburn might get worse when you are lying down or after you eat.

In general, home remedies for treating heartburn problems are effective. If frequent heartburn makes it difficult to swallow or eat, however, your symptoms might be a sign of a more serious medical condition. 

What are the Symptoms of Heartburn?

Heartburn symptoms can range from minor discomfort to excruciating anguish. The most common symptom of heartburn is a burning feeling in your throat and chest.

Heartburn feels like a burning or uncomfortable pain in the middle of your chest. You might also experience:

  • hoarseness or coughing  
  • a sour, acidic, or bitter aftertaste
  • worsening pain after bending over or lying down
  • difficulty swallowing
  • pain or pressure behind your breastbone
  • a burning sensation in your throat

Heartburn can affect people differently. Heartburn symptoms typically start soon after eating and linger for a few minutes to many hours, or even longer.

The underlying reason will determine how long you will have symptoms. It also depends on what you do at the first sign of symptoms. For instance, heartburn symptoms may persist as your body digests the triggering food. Other times, discomfort goes away if you get up after eating rather than lying down.

If you take prescription medications or antacids as part of a treatment plan, you might experience fewer or shorter-duration heartburn symptoms.

You Can Also Read: Foods to avoid to prevent acid reflux (GERD)

What are the Causes of Heartburn?

Heartburn usually occurs when contents from the stomach back up into the oesophagus. The oesophagus is a tube that carries fluids and food from the mouth into the stomach.

Your oesophagus connects to your stomach at a juncture known as the lower oesophagal sphincter. If the lower oesophagal sphincter is functioning properly, it closes when food leaves the oesophagus and enters the stomach.

In some people, the lower oesophagal sphincter becomes weakened or does not function properly. This leads to contents from the stomach leaking back into the oesophagus. Stomach acids can irritate the oesophagus and cause symptoms of heartburn. This condition is known as reflux.

Certain conditions and other factors might make it more likely for you to experience heartburn. Risk factors include:

  • Taking certain medications – Some medications, sedatives and blood pressure medications can increase your risk of heartburn. 
  • Having obesity or being overweight – Obesity is a major contributing risk factor to gastroesophageal reflux disease (GERD), with regurgitation and heartburn being the usual way this condition manifests. 
  • Smoking – Smoking is weakly associated with an increased chance of developing GERD. It is worth noting because people who decreased or quit tobacco smoking were 3 times more likely to have a reduction of heartburn.
  • Pregnancy – Pregnancy frequently causes heartburn, especially in the third trimester.
  • Hiatal hernia – A hiatal hernia occurs when the upper part of your stomach penetrates through the diaphragm, typically by way of a tear or weakness.

If you have heartburn, you might find that certain drinks and foods can trigger your symptoms. These might include:

  • alcohol
  • spicy foods
  • high-fat foods
  • fried foods
  • peppermint
  • tomatoes and tomato-based products
  • citrus fruits
  • chocolate
  • carbonated drinks

Additional factors that may cause heartburn include:

  • wearing tight clothes
  • lying down immediately after eating
  • eating a large meal

What are the Complications Associated With Heartburn?

Heartburn that occurs sometimes seldom requires medical attention. However, frequent heartburn might be a symptom of GERD. This condition might require a cure with prescription medication or surgery. 

If left untreated, GERD might lead to additional health problems, like an inflammation of the oesophagus (called esophagitis), or Barrett’s oesophagus. Barrett’s oesophagus causes changes in the lining of the oesophagus that can increase your risk of oesophagal cancer. 

Long-term heartburn could reduce your quality of life. See your doctor to determine a course of treatment if you find it difficult to carry on your daily life or are severely limited in your activities due to heartburn.

You Can Also Read: Gas Problem – Symptoms, Causes and Treatment

What is the Treatment for Heartburn?

If your heartburn is not the symptom of an underlying condition, you should be able to successfully treat it with OTC (over-the-counter) medications. 

You might also find relief from the following lifestyle changes:

  • Wear loose clothing, especially around the waist. Constrictive clothing might make your heartburn worse.
  • Consider sleeping with your upper body elevated if nighttime heartburn is a problem. You can do this by elevating the head of the bed with blocks or by using a special wedge pillow. Note – It is not a good idea to prop yourself up with extra pillows to get this elevation. Your body may bend in such a way as a result, which might put more pressure on your stomach and make your heartburn sensations worse.
  • If you smoke, avoid cigarettes or other types of nicotine while you are experiencing heartburn.
  • If you have any specific food triggers, like soda, coffee, alcohol, citrus or tomato-based foods avoid them while you have heartburn.
  • Avoid eating any additional food until your heartburn has passed, especially citrus, acidic or spicy foods.
  • Avoid lying down within 2 hours of eating. Instead, go for a stroll to encourage digestion.

If lifestyle changes or OTC medication do not help your heartburn or if you experience heartburn frequently, talk to your doctor. They can assist in determining the root reasons for your heartburn and the best course of action.

Conclusion

Heartburn causes a burning pain in your chest. Many people can manage the unease themselves at home, however, if it does not go away or is frequent, it can be an indicator of a more serious condition. It is always advisable to seek medical help from an experienced gastroenterologist. 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 gastroenterologist, reach out to us, or book a direct appointment at the CK Birla Hospital. 

FAQs

How Do You Get Rid of Heartburn?

Heartburn can mostly be treated with OTC (over-the-counter) medications. If you still get heartburn, consult your doctor to determine the underlying causes and the best course of action.  

When Should You Consult a Doctor for Heartburn?

Seek help right away if you have severe chest pressure or pain, especially when combined with pain in the jaw or arm or difficulty breathing. Make an appointment with your healthcare provider if your heartburn occurs more than twice a week. Symptoms persist despite the use of nonprescription medications.