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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.

Endometriosis: Symptoms, Causes & Treatments
Nov 21, 2023|Dr. Anjali Kumar

Endometriosis: 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.

When a tissue similar to the lining of the uterus grows outside it, it results in a disease known as endometriosis. In the pelvic area, this causes inflammation and the formation of scar tissue.

Endometriosis can cause severe pain in the pelvis and make it harder to get pregnant. There is no cure for endometriosis, but its symptoms can be treated with medicines or, in some cases, surgery. It is important to immediately contact an Endometriosis doctor if you feel you may have endometriosis to begin the process of getting an accurate diagnosis and eventually creating a plan based on your specific situation.

What is Endometriosis?

When endometriosis occurs, a tissue that mimics the lining of the uterus grows outside of the uterus. Your uterus’ lining is known as the endometrium.

Endometriosis occurs when endometrial-like tissue grows on the tissues lining your pelvis, bowel and ovaries. It is rare for endometrial-like tissue to spread beyond your pelvic region, but it is not impossible. An endometrial implant is a growth of tissue that resembles endometrium outside of the uterus.

The hormonal changes of your menstrual cycle affect the misplaced endometrial-like tissue, causing the area to become painful and inflamed. This implies that the tissue will swell, harden, and degrade. Over time, the tissue that has broken down has nowhere to go and becomes trapped in your pelvis.

In your pelvis, the tissue that is stuck may cause:

  • fertility problems
  • severe pain that occurs during the menstrual cycle
  • adhesions, which are tissue connections that hold your pelvic organs together
  • scar formation
  • irritation

What are the Symptoms of Endometriosis? 

Pelvic discomfort, frequently related to menstrual cycles, is the main symptom of endometriosis. Although many experience cramping during their menstrual periods, those with endometriosis usually describe menstrual pain that is far worse than usual. Pain also might increase over time.

Common symptoms and signs of endometriosis include:

  • Infertility 

Sometimes those seeking therapy for infertility are the ones who are initially diagnosed with endometriosis.

  • Excessive Bleeding

You might experience occasional bleeding between periods (intermenstrual bleeding) or heavy menstrual periods.

  • Pain with Urination or Bowel Movements

You are most likely to experience these symptoms during a menstrual period.

  • Pain with Intercourse

Pain after or during sex is common with endometriosis.

  • Dysmenorrhea (Painful Periods)

Cramping and pelvic pain might begin before and extend several days into a menstrual period. You might also have abdominal and lower back pain. 

  • Other Symptoms and Signs 

You might experience bloating, constipation, diarrhoea, fatigue or nausea, especially during menstrual periods.

The degree of your discomfort may not be an accurate measure of the severity of your ailment. Endometriosis can range from moderate and excruciatingly painful to advanced and hardly perceptible.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as ovarian cysts or PID (Pelvic Inflammatory Disease). It might be confused with IBS (Irritable Bowel Syndrome), a condition that causes bouts of abdominal cramping, constipation and diarrhoea. Endometriosis and IBS can coexist, which makes a diagnosis more difficult.

What Causes Endometriosis?

Although the precise reason for endometriosis is unknown, the following factors may contribute:

  • Immune System Disorder

A problem with the immune system might make the body unable to recognize and destroy endometrial-like tissue that is growing outside the uterus.

  • Endometrial Cell Transport

The tissue fluid (lymphatic) system or blood vessels might transport endometrial cells to other parts of the body.

  • Surgical Scar Implantation

After surgery, like a C-section or hysterectomy, endometrial cells might attach to a surgical incision.

  • Embryonic Cell Transformation

Hormones like oestrogen might transform embryonic cells – cells in the earliest stages of development – into endometrial-like cell implants during puberty.

  • Transformation of Peritoneal Cells

According to the so-called “induction theory,” hormones or immunological factors may encourage the transition of peritoneal cells, which line the inside of your belly, into endometrial-like cells.

  • Retrograde Menstruation

Menstrual blood with endometrial cells travels back through the fallopian tubes and into the pelvic cavity during retrograde menstruation as opposed to leaving the body. These endometrial cells stick to the surfaces of pelvic organs and pelvic walls, where they grow and continue to thicken and bleed throughout each menstrual cycle.

What is the Treatment for Endometriosis?

Treatments to manage endometriosis can vary based on whether pregnancy is desired and the severity of symptoms. No treatments cure the disease.

Many different drugs are available to treat endometriosis and its symptoms.

NSAIDs (Non-steroidal anti-inflammatory drugs) and Analgesics (painkillers) are often used to treat pain.

Contraceptive (birth control) techniques and hormone-based medications like GnRH analogues can both reduce discomfort. These methods include:

  • patches
  • injections
  • implants
  • vaginal rings
  • IUDs (hormonal intrauterine devices)
  • pills

These methods might not be suitable for those wanting to get pregnant.

Fertility procedures and medicines are sometimes used for those having difficulty getting pregnant because of endometriosis.

Surgery is sometimes used to remove endometriosis scar tissues, adhesions and lesions. Laparoscopic surgery (using a small camera to visualise inside the body) allows doctors to keep incisions small.

Discuss your treatment options with a healthcare provider. Treatments are based on individual preferences and effectiveness, availability, costs, long-term safety and side effects. 

Increasing awareness can aid in early diagnosis. Early treatment can halt or slow the natural progression of the disease and reduce the long-term symptoms.

In addition to talking to their doctor, people might find emotional assistance and additional advice in local patient support groups.

Endometriosis-related symptoms can occasionally return after therapy is over, and some therapies come with adverse effects. The choice of treatment depends on effectiveness in the individual, availability, costs, long-term safety and adverse side effects. Because they interfere with ovulation, the majority of current hormone treatments are not suited for endometriosis patients who want to become pregnant.

Success in increasing pregnancy rates and reducing pain symptoms through surgery are often dependent on the extent of the disease. In addition, anomalies in the pelvic floor muscles can cause chronic pelvic discomfort, and lesions may return even after effective eradication. Secondary changes of the pelvis, including the pelvic floor, and central sensitization might benefit from complementary treatments and physiotherapy in some patients. Treatment options for infertility due to endometriosis include laparoscopic surgical removal of endometriosis, in vitro fertilisation (IVF) and ovarian stimulation with intrauterine insemination (IUI) but success rates vary.  

Conclusion

Endometriosis is caused by tissue lining growing outside the uterus. It is usually painful and forms scar tissue in the pelvic region, making it difficult to get pregnant. It is always advisable to seek medical help from an experienced gynaecologist. 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 gynaecologist, reach out to us, or book a direct appointment with Dr. Anjali Kumar at the CK Birla Hospital. 

FAQs

Is Endometriosis a Serious Problem?

Endometriosis has significant economic, public health and social implications. It can decrease quality of life due to infertility, anxiety, depression, fatigue and severe pain. 

Is Endometriosis Curable?

There is no cure for endometriosis, but its symptoms can be treated with medicines or, in some cases, surgery. It causes a chronic inflammatory reaction that might result in the formation of scar tissue (fibrosis, adhesions) within the pelvis and other parts of the body.

Can Endometriosis be Cancerous?

Endometriosis is not a malignant condition, despite worries about how it affects cancer. The growth of abnormal tissues outside the uterine lining is not cancer. However, endometriosis can lead to several issues that can raise a person’s chance of developing cancer.

Facing Frequent Abdominal Pain: Know the Causes & Treatments
Nov 20, 2023|Dr. Anukalp Prakash

Facing Frequent Abdominal Pain: Know the Causes & Treatments

The stomach is a hollow, muscular organ in your gastrointestinal tract. It is situated between the small intestine and the oesophagus. The stomach secretes gastric acid and digestive enzymes to aid in food digestion. 

Abdominal pain is pain that occurs between the pelvic regions and the chest. It can be sharp, intermittent, dull, achy or crampy. Parasitic, bacterial or viral infections that affect the intestines and stomach might also cause significant abdominal pain.

Consult your healthcare provider if the discomfort is persistent or getting worse. Make an appointment with your doctor if you experience significant acute stomach pain so that you can determine the cause and start the appropriate treatment. 

What is Abdominal Pain?

Any discomfort in the area of your abdomen between your ribs and pelvis is considered abdominal pain. Although stomach discomfort is commonly associated with the stomach, other organs might also be causing abdominal pain.

Your abdomen is home to your:

  • Large intestine.
  • Small intestine.
  • Pancreas.
  • Gallbladder.
  • Liver.
  • Stomach.

All of these are digestive system organs. However, the muscles and skin that make up your abdomen’s exterior might also hurt. This is known as your abdominal wall. Additionally, the discomfort you experience in your abdomen might occasionally originate from your back, pelvis, or chest.

There are several shapes and meanings that abdominal discomfort may have.

It may feel:

  • Generalised (all over) or localised (in one spot)
  • Constant or intermittent.
  • Crampy or colicky.
  • Burning or achy.
  • Dull or sharp.
  • Mild or severe.

In the end, stomach discomfort is a personal experience that you are the only one who can explain. Since your healthcare provider cannot quantify it, it is what you say it is. Your doctor will always treat your stomach discomfort carefully.

What are the Causes of Abdominal Pain?

There are several causes or reasons for discomfort in the abdomen. It might have anything to do with illness, injury, infection, or digestion. It might originate from an internal organ or the skin or muscles of your abdominal wall. Or it may have spread from a neighbouring location.

To find the source of your discomfort, your healthcare expert will probe you in-depth about your symptoms. The intensity of the feeling does not always translate into seriousness. Certain common, transitory diseases can feel overwhelming, while certain serious, life-threatening disorders might feel mild. 

Abdominal discomfort often has transient, non-serious causes. These could be related to the menstrual cycle, digestion, or a transient illness. For example:

Digestive Issues

Following a meal, abdominal discomfort might result from:

  • Food poisoning.
  • Food allergies and intolerances.
  • Diarrhoea.
  • Constipation.
  • Gas and gas pain.
  • Indigestion.

Inflammation

Temporary inflammation can result from irritation or infection in your organs, including:

  • Urinary tract infection (UTI).
  • Chronic acid reflux (GERD).
  • Peptic ulcer disease.
  • Viral gastroenteritis (stomach flu).

Female Reproductive Cycle

If you have a uterus, the following conditions may cause you occasional pain:

  • Ovulation pain.
  • Menstrual cramps.

Abdominal discomfort can occasionally be a sign of a significant medical issue that needs to be treated. various locations of pain may suggest the involvement of various organs. For example:

Right Upper Quadrant

Your liver, gallbladder, and bile ducts are located in your upper right abdomen. The right kidney is located at the rear. Your small and big intestines’ first segments also pass through.

Most likely, gallbladder or liver illness is the cause of upper right abdomen discomfort. Examples of such diseases include:

  • Liver cancer.
  • Gallbladder cancer.
  • Bile duct cancer, stones and strictures.
  • Cholecystitis (gallbladder inflammation).
  • Gallstones.
  • Hepatitis (alcoholic, toxic, metabolic, viral or autoimmune).

It could also be a localised problem in your duodenum, ascending colon or right kidney, such as a:

  • Large bowel obstruction.
  • Duodenal ulcer.
  • Kidney stone.
  • Kidney infection.

Left Upper Quadrant

Your stomach, pancreas, and spleen are located in your upper left abdomen. Your heart and left lung lie directly above your left kidney, which is located at the rear of your abdominal cavity.

Upper left abdominal pain could mean:

  • Kidney stone.
  • Kidney infection.
  • Stomach cancer.
  • Bile reflux.
  • Stomach ulcer.
  • Gastritis.
  • Splenomegaly (enlarged spleen).
  • Pancreatic cancer.
  • Pancreatitis (inflamed pancreas).

If your chest is the source of the pain, it can originate from:

  • Pulmonary embolism.
  • Pleurisy.
  • Pneumonia.
  • Pericarditis.
  • Heart attack.
  • Noncardiac chest pain.
  • Angina.
  • Heartburn.

Lower Abdomen

The majority of your small and large intestines are located in your lower belly. Gastrointestinal disorders are most often the cause of lower abdomen discomfort. It could also have anything to do with your uterus, ovaries, or ureters.

Abdominal causes include:

  • Kidney stones.
  • Hernia.
  • Intestinal (mesenteric) ischemic syndrome.
  • Mesenteric lymphadenitis.
  • Peritonitis.
  • Abdominal aortic aneurysm.
  • Colon cancer.
  • Small intestine cancer.
  • Large or small bowel obstruction.
  • Inflammatory bowel disease (Crohn’s, ulcerative colitis).
  • Functional dyspepsia.
  • Irritable bowel syndrome.

Pelvic organ pain may result from one of the following:

  • Uterine cancer.
  • Ovarian cancer.
  • Ectopic pregnancy.
  • Pelvic inflammatory disease.
  • Ovarian cysts.
  • Endometriosis.

Left Lower Quadrant

The most common causes of pain in the lower left abdomen are colon diverticulitis and diverticulosis. Although they can appear anywhere in your colon, diverticula—small outpouchings in the gut wall—usually start in the lower left section.

Right Lower Quadrant

Your appendix might be the source of your lower right abdominal pain. Appendicitis, or inflammation, maybe the cause, or, less frequently, appendix cancer.

General Pain

Other, general causes of stomach pain include:

  • Shingles.
  • Abdominal muscle strain.
  • Traumatic injuries.
  • Abdominal bloating.
  • Visceral hypersensitivity.
  • Stress (psychosomatic pain).

What is the Treatment for Abdominal Pain?

Numerous factors can cause and cure abdominal discomfort. Surgery may be necessary for some illnesses, such as appendicitis or gallstones. Drugs may provide relief for other conditions including infections or ulcers. And occasionally, you might just need to endure a kidney stone or stomach flu episode until it reduces or goes away.

It’s critical to identify the cause of your stomach discomfort if you don’t already know it, particularly if it persists. Recall that situations can get dangerous even in mild cases. But if you believe with some certainty that your stomach discomfort is caused by digestion, you might start by taking:

  • Home remedies – For gas, try liquorice; for indigestion, try ginger; and for relaxing the muscles in your intestines, try peppermint.
  • Heat therapy – Try taking a bath or using a bottle of warm water.
  • Hydration – Go for a hydration formula or lots of water.
  • Bowel rest – Give up eating, or limit your intake to simple carbs like crackers or bananas.

Conclusion

Pain that is felt between the chest and pelvic areas is referred to as abdominal pain. It may feel crampy, achy, dull, acute, or sporadic. If the pain doesn’t go away or keeps getting worse, then 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 with Dr. Anukalp Prakash at the CK Birla Hospital. (Booking Link).

FAQs

How Long Can Abdominal Pain Last?

Acute stomach discomfort often appears and stops in a few hours to several days. Chronic abdominal discomfort may come and go. Pain of this kind might last for several weeks, months, or even years. Certain long-term illnesses result in progressive pain, which progressively worsens over time.

How Can I Determine Whether the Discomfort in My Abdomen is Serious?

Contact your healthcare provider if you have abdominal discomfort that lasts 1 week or longer, which does not improve in 24 to 48 hours, becomes more severe and frequent, and occurs with nausea and vomiting or bloating that persists for more than 2 days.

Costochondritis: Symptoms, Causes, Diagnosis and Treatment

Costochondritis: Symptoms, Causes, Diagnosis and Treatment

Your body has cartilage, which is a supple and durable kind of connective tissue. It protects and envelops the ends of long bones at the joints. Blood vessels and nerves are absent from cartilage.

The harmless inflammation (swelling) of cartilage in your chest is called costochondritis. Costochondritis feels like an aching or sharp pain, which can develop slowly or start suddenly and spread across your chest. 

Costochondritis that is not severe may go away in a few days. The majority of instances don’t last more than a year, however chronic cases might linger for weeks or longer. If you suffer chest discomfort while engaging in activities such as manual labour or high-impact exercises, get medical help right away.

What is Costochondritis?

Costochondritis is the medical term for cartilage inflammation in the rib cage. It might happen due to an illness, an accident, or other health problems. This ailment often affects the cartilage at the costosternal joint or costosternal junction, which is where the upper ribs join the breastbone, commonly known as the sternum.

Costochondritis can result in mild to severe chest discomfort. Mild instances may simply result in a mild tenderness or soreness when you press on the affected area in your chest.

Deep breathing and certain motions may make more severe instances worse. The problem often goes away within a few weeks or months, although in certain situations, treatment may be necessary.

What are the Symptoms of Costochondritis?

Costochondritis frequently manifests as chest pain in the upper and middle rib area, on either side of the breastbone. This discomfort may worsen over time gradually or unexpectedly.

Additional symptoms can include:

  • pain that increases with physical activity
  • pain that intensifies with coughing or deep breaths
  • pressure on your chest, such as when you wear a seatbelt, causes pain that intensifies
  • pain that becomes worse when lying down

It’s crucial to remember that signs like tightness in the chest and radiating pain might signify a variety of illnesses, including a heart attack. If your chest discomfort is severe and persistent, get medical help right away.

You Can Also Read: 10 tips to prevent back pain during work from home

What are the Causes of Costochondritis?

In the majority of cases, the actual cause of costochondritis is unknown. However, the following circumstances might lead to it:

  • severe coughing
  • certain viruses or respiratory conditions, such as tuberculosis, that can cause joint inflammation
  • physical exhaustion is caused by exerting oneself vigorously or moving big objects
  • trauma to the chest, such as a fall or a vehicle accident with a blunt impact

According to some studies, women, particularly athletes, are more likely than males to develop costochondritis. You may also be more susceptible to developing this illness if you:

  • have allergies and are frequently exposed to irritants
  • recently had a chest injury from a fall or physical trauma
  • participate in high-impact activities

How is Costochondritis Diagnosed?

While there is no specific test to identify costochondritis, your doctor will almost certainly do some tests and ask you several questions to identify the cause of your chest discomfort.

Lab Tests

However, depending on your unique medical history, your doctor may order certain tests to rule out other possible causes of your chest discomfort, such as pneumonia or coronary heart disease. Typically, lab tests are not required to identify costochondritis.

X-Rays and ECGs

To be sure your lungs aren’t emitting anything odd, your doctor could ask you to obtain an X-ray.

Your X-ray ought to be normal if you have costochondritis. To make sure your heart isn’t the source of your chest pain, they can also advise getting an electrocardiogram (ECG).

When diagnosing costochondritis, it is frequently necessary to rule out other potential, more serious causes.

What is the Treatment for Costochondritis?

Usually, costochondritis resolves on its own, however, it may persist for a few weeks or longer. The therapy aims to make people feel less uncomfortable.

Medications

Your health care provider might recommend:

  • Anti-Seizure Drugs – Some epilepsy medications have proved successful in controlling chronic pain.
  • Antidepressants – Tricyclic antidepressants are often used to control chronic pain — especially if the pain interferes with sleep.
  • Nonsteroidal Anti-Inflammatory Drugs – Some of these medications are available over-the-counter. By prescription, stronger versions are available. Damage to the kidneys and stomach lining are examples of side effects.

Therapies

Physical therapy treatments might include:

  • Nerve Stimulation – Transcutaneous electrical nerve stimulation (TENS) involves applying adhesive patches to the skin near the painful area and using a device to transmit a small electrical current. The current may interfere with or obscure pain signals, blocking their passage to the brain.
  • Stretching Exercises – It could be beneficial to perform gentle chest-muscle stretching exercises.

Surgery or Other Procedures

Injecting numbing medicine and a corticosteroid straight into the affected joint is another possibility if conservative procedures don’t relieve the pain.

You Can Also Read: Causes of stomach pain after eating

What are the Complications of Costochondritis?

Normally, treatment of the inflammation and pain causes costochondritis to eventually go away on its own.

Even with therapy, the pain from chronic costochondritis may come back or linger when you exercise or do particular activities. In these circumstances, it may be necessary to seek long-term care to prevent costochondritis from impairing your quality of life and capacity for everyday tasks.

Costochondritis-related pains might be a sign of other problems. When you have chest pain, you should seek medical attention right away to rule out pneumonia or a heart attack. Chest discomfort is frequently a sign of heart or lung problems.

Costochondritis-related chest discomfort may be a sign of fibromyalgia. You could also have pain in your chest if you have fibromyalgia in addition to:

  • headaches
  • feelings of depression
  • difficulty focusing or concentrating
  • pain resulting in weariness and an inability to rest.
  • pain throughout your body

Inquire with your doctor about a fibromyalgia test if you also suffer chest pains in addition to these other symptoms. Understanding this disease will make it easier for you to deal with the symptoms and prevent it from interfering with your everyday activities.

Conclusion

Costochondritis is a benign inflammation (swelling) of the cartilage in your chest. The majority of cases last no more than a year, however, chronic cases might persist for weeks or longer. It is always advisable to seek medical help from an experienced rheumatologist. 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 rheumatologist, reach out to us, or book a direct appointment with Dr. Chirag Arora at the CK Birla Hospital.

FAQs

How Far Can Costochondritis Spread?

Typically, the front left side of your breastbone is where discomfort first manifests. It frequently affects more than one rib. It might impact your arms and shoulders in addition to the rest of your chest.

What Should You Avoid With Costochondritis?

Any action that puts stress on your chest area, such as rigorous exercise or even basic movements like reaching up to a high cabinet, might cause costochondritis. You should refrain from engaging in any activities that aggravate your chest pain until the cartilage and rib inflammation have subsided.

Osteochondritis Dissecans (OCD)
Nov 20, 2023|Dr. Praveen Tittal

Osteochondritis Dissecans (OCD)

Your knee is the largest joint in your body and it joins your leg with the thigh. Each knee has 2 joints, one between the femur and patella (patellofemoral joint) and one between the femur and tibia (tibiofemoral joint). 

The joint condition which occurs when your bone separates from cartilage and starts to die is known as osteochondritis dissecans (OCD). It is typically due to a lack of blood flow to the bone. When small pieces of the separated cartilage and bone start to break loose, it can reduce your range of motion in the affected area and cause pain. 

Although the majority of patients recover completely, having OCD can raise your chance of subsequently getting osteoarthritis in the affected joint. OCD usually requires you to rest the affected area for several weeks or might even require surgery in some cases (if the symptoms do not improve after 4 to 6 months). Your doctor will also likely recommend surgery if you have loose cartilage or bone fragments in your joints. 

What is Osteochondritis Dissecans (OCD)?

Osteochondritis dissecans is a disorder where the interior of the joints (where the ends of one bone meet the ends of another bone) become mushy due to a lack of blood flow. As a result, a tiny portion of the bone degenerates and splits away from the larger bone. The bone portion may then split and come free, along with the cartilage that covers and shields the bone.

The cartilage and loose bone may stay where they are or they may slide inside the joint, making the joint unstable. Where the bone and cartilage part ways, a lesion results from the disorder. The entire process may take many months or even years, and symptoms may not manifest for a long period.

Osteochondritis dissecans often affects the knee, elbow, ankle, and thigh bone (femur) area. Other joints, such as the hip and shoulder, are also susceptible to the illness.

Osteochondritis dissecans frequently affects just one joint. The condition, known medically as sporadic osteochondritis dissecans, presents as a single lesion in a single joint.

You May Also Read: Arthritis of Knee: Symptoms & treatment

What are the Symptoms of Osteochondritis Dissecans?

Depending on the affected joint, the following osteochondritis dissecans signs and symptoms may be present:

  • Decreased range of motion – You might not be able to straighten the injured limb fully.
  • Joint weakness – You can experience a “give way” or weakening sensation in your joint.
  • Joint popping or locking – If a loose piece gets entangled between bones while you’re moving, your joint might pop or become stuck in one place.
  • Swelling and tenderness – Possible swelling and tenderness of the skin around your joint. 
  • Pain – Physical exertion, such as climbing stairs, or a hill, or participating in sports, may cause this osteochondritis dissecans symptom to flare up.

What are the Causes of Osteochondritis Dissecans?

Most of the time, there is no recognized aetiology for sporadic osteochondritis dissecans. One reason for the syndrome is that repetitive damage or stress to a joint over time, such as from participating in sports, can cause it.

The ACAN gene, which produces the aggrecan protein, is the source of the hereditary mutations (changes) that lead to familial osteochondritis dissecans. The protein cannot properly produce cartilage as a result of the mutation, leaving the cartilage weak and disorganized. It is unclear, nevertheless, how the brittle and disorderly cartilage contributes to lesions and bone separation. 

What is the Treatment for Osteochondritis Dissecans?

Sporadic osteochondritis dissecans in children and young adolescents will often go away on their own as they age. Rest and a break from physically demanding activities like jogging and jumping might help them reduce discomfort and swelling. The doctor could suggest using an over-the-counter painkiller or anti-inflammatory drug. 

The damaged joint will resume normal function within six to twelve weeks. The young athlete should ease back into sports activity with mild workouts (yoga, swimming, cycling, or stretching).

The doctor may advise using crutches or may apply a brace, splint, or cast to the joint if the recovery is taking too long. A recommendation for physical treatment from the doctor is also possible.

For patients with osteochondritis dissecans, the doctor could advise surgery if:

  • The detached bone and cartilage are larger than 1 centimetre in diameter.
  • According to tests, the cartilage and bone fragment that has come loose from the joint are moving around.
  • Time and rest do not lessen discomfort and swelling.

A camera and small equipment are frequently used during arthroscopic surgery, which is done through very small incisions. There are three types of surgery:

  • To restore healthy tissue to the injured location, the removed bone and cartilage are replaced with a transplant. Bone and cartilage are harvested from the patient’s own body or a cadaver. A healthy bone and cartilage sample taken from the patient can also be used in the lab to generate new bone and cartilage.
  • Using pins and screws to fix the dislodged bone and cartilage in place.
  • Drilling a hole through the damaged cartilage and bone. New blood vessels can then grow in this area, supplying the bone with oxygen and promoting healing.

Following surgery, the patient will use crutches for approximately six weeks before beginning physical therapy for two to four months to strengthen the body and regain the range of motion in the joint. Four to five months following surgery, the patient might be ready to start engaging in strenuous physical activity again.

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How can you Prevent Osteochondritis Dissecans?

Since its origins are unknown, osteochondritis dissecans can be challenging to prevent. By wearing pads and other protective gear, for example, young athletes can take precautions to safeguard their joints. They should also practise the required physical skills for their sport, stretch and warm up before engaging in strenuous exercise, and stretch and cool down afterwards.

Conclusion

Osteochondritis dissecans (OCD) is a disorder of the joints in which the bone begins to detach from the cartilage and die. It might make the afflicted region more painful and limit your range of motion. If you don’t feel better after resting, you could need surgery since OCD increases your risk of developing osteoarthritis later on. It is always advisable to seek medical help from an experienced orthopaedist. 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 orthopaedist, reach out to us, or book a direct appointment with Dr. Praveen Tittal at the CK Birla Hospital.

FAQs

What makes Osteochondritis Dissecans Worse?

Pain frequently becomes worse with exercise. If left untreated, the problem may result in arthritis and cause discomfort, swelling, catching or locking of the joint.

Can Osteochondritis Dissecans Come Back After Surgery?

Once the patient heals, osteochondritis dissecans often don’t reoccur. But occasionally the illness just looks to get better when the symptoms disappear. In such circumstances, symptoms may eventually reappear.