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Arthritis of Knee: Symptoms & treatment
Sep 30, 2021|Dr Debashish Chanda

Arthritis of Knee: Symptoms & treatment

Knee joint pain is a common condition that affects people of all ages. Knee pain can be the result of an injury, like a torn ligament or cartilage. Other factors like arthritis, gout and infections can also cause knee pain. Various types of light knee pain respond well to self-care. Physiotherapy and knee pads can also help relieve pain. However, in some cases, the knee may require surgical repair. The knee joint is a hinge joint named for its movement, similar to opening and closing a door. The knee joint consists of three main bones, and each one has a protective covering of cartilage called the meniscus, which gives the knee more support. The daily demands on the knee and its injury potential make it a common source of arthritic damage. There are different types of arthritis, and the type will determine the treatment a doctor will recommend.

In this article, Dr Debashish Chanda, one of the best orthopaedic surgeons at the CK Birla Hospital, will discuss the common symptoms and treatments for arthritis of knee. 

Common symptoms of arthritis of knee

Depending on the causes of the knee pain, its location and severity, symptoms of knee arthritis may vary. Some of the common signs and symptoms that accompany knee pain are:

  • Swelling in the knee
  • Stiffness of the knee
  • Redness and warmth of the knee
  • Weakness or instability
  • Crunching noises of the knee
  • Unable to straighten the knee fully

When to see a doctor

If you notice any of the following signs, then you should consult with a doctor:

  • Unable to bear weight on your knee 
  • Unable to fully straighten your knee
  • A visible deformity in your knee
  • Redness, pain and swelling of the knee
  •  Severe knee pain due to an injury

It is always advisable that you should not ignore your early signs and symptoms. Taking external help or medical help is always a better option to cure any problem before it becomes untreatable. 

Treatment for arthritis of knee

Treatments for knee arthritis will vary, depending upon the symptoms and causes you are facing.

  • Medications for arthritis of knee

Your doctor may prescribe you medications that help in relieving the knee pain. These medications will also treat the conditions causing knee pain, like gout or rheumatoid arthritis.

  • Therapy for arthritis of knee

The main goal of knee arthritis therapy is to improve joint mobility, pain relief and provide strength to the knee. It also helps in controlling knee pain symptoms and prevents additional damage to the joint.

Strengthening the knee muscles will make the knees more stable. Your doctor may suggest physical therapy or different types of exercises depending on the specific condition causing your pain.

When you are physically active, you may need to exercise to correct your movement patterns that can affect your knees. Exercises to improve your flexibility and balance are also important. Arch supports and different orthotics can be used to protect and support the knee joint under certain conditions.

  • Surgeries for knee arthritis

If you have a problem that is the leading cause of your knee pain, your doctor might recommend surgery. There are both types of surgical reconstruction and nonsurgical rehabilitation, depending upon causes, these are: 

  • Knee arthroscopic surgery- In this surgery, your doctor will repair your joint damage by using a fibre optic camera and long, narrow tools inserted through some small incisions around the knee. Arthroscopy is also used to remove or repair damaged cartilage (if it blocks the knee) and reconstruct torn ligaments.
  • Partial knee replacement surgery-  In this procedure, your doctor will only replace the most damaged part of your knee with metal and plastic pieces. This surgery is performed through small incisions, so it is likely to heal faster than surgery that replaces the entire knee. 
  • Total knee replacement- In this procedure, your doctor will cut away damaged bone and cartilage from the thigh bone, kneecap, and shinbone. Lastly, the doctor will replace it with metal and plastic artificial joints.
  • Knee osteotomy- In this procedure, the doctor will remove bone from the shinbone or thighbone to properly align the knee and relieve arthritis pain. This surgery may help you to prevent or avoid total knee replacement surgery.

Also, read: Partial vs total knee replacement surgery: Which fits better?

Outlook

Arthritis pain in the knee is sometimes not curable due to its symptoms and causes but is easily manageable with knee arthritis treatments. These treatments will reduce the potential disability causes and slow down the joint damage. If you have similar symptoms to knee arthritis, don’t delay in getting treatment. You can book your appointment with our orthopaedics surgeons for managing your conditions, or you can call at +91 124 4882248.

Cholecystectomy (gallbladder removal Surgery): Types, risk & procedure

Cholecystectomy (gallbladder removal Surgery): Types, risk & procedure

The gallbladder is a four-inch organ in the upper-right abdomen area, under the liver. It helps produce, store, and transport bile, a yellowish-brown fluid produced by the liver.

This fluid is responsible for digesting and breaking down food with fats.

When problems arise, if first-line treatments do not work, and the issue is persistent, doctors may recommend removal to prevent further complications.

Though the gallbladder is a component of the biliary system, it is not considered to be an essential organ. Bile fluid can find its way directly to the small intestine through ducts in the liver.

What are the types of surgery?

The procedure for removal of the gallbladder is called Cholecystectomy. Two types of procedures come under cholecystectomy:

  • Laparoscopic cholecystectomy

This is the most common choice of surgery used to remove over 95% of gallbladders. This method is less invasive and entails 3 to 4 small incisions. The procedure involves the use of a small tube through the incision. This tube holds a camera (called a laparoscope) along with surgical devices. The surgeon extracts the gallbladder through one of the incisions.

  • Open cholecystectomy

A conventional method involves making a single large incision at the site and extracting the gallbladder through it.

Why is gallbladder removal surgery done?

Gallbladder removal surgery is mostly done to gallstones and complications related to it. There could be many reasons to opt for gallbladder removal. A doctor may also recommend the surgery for the following conditions:

  • Cholelithiasis (gallstones in the gallbladder)
  • Choledocholithiasis (gallstones in the bile duct)
  • Cholecystitis (gallbladder inflammation)
  • Enlarged gallbladder polyps
  • Pancreatitis (pancreas inflammation) due to gallstones
  • Improper functioning of the gallbladder itself
  • Increased risk of cardiovascular diseases (observed from a study where participants with gallbladder disease had a 23% increased risk of CVD)

Common factors that could increase the risk of gallbladder problems are: 

What are the risks of gallbladder removal surgery?

Gallbladder removal is a low-risk and frequently performed the surgery. While any form of surgery has threats, the risk of not having the procedure when recommended could be far worse.

Some of the possible gallbladder removal complications could be:

What are the preparations and precautions of gallbladder removal surgery?

Disclose your complete history to your doctor and discuss any fears about complications that may arise.

If you smoke, let the surgical team know and plan on quitting before the surgery to decrease the risk of complications.

If you have a laparoscopic cholecystectomy, you would mostly be discharged the same day. An open cholecystectomy may need you to stay overnight for monitoring.

What to expect from gallbladder removal surgery?

While your doctor will give you a comprehensive understanding about your surgery plan, here are some things to keep in mind:

Before surgery

  • Your surgeon will explain the complete procedure to you.
  • Along with a complete understanding of your medical history, you might be asked for blood reports and imaging.
  • Disclose all the medication you have been taking, even if they are supplements.
  • You would have to bring someone along to drive you to and from the hospital.
  • You would be asked not to eat or drink around 8 hours before the procedure.

On the day of the surgery

  • You would be asked to take off all jewellery and belongings.
  • They will place an IV line into your hand.
  • In case there is a lot of hair growth around the surgical site, it may be clipped/shaved.

For open gallbladder surgery:

You would be placed under anaesthesia, the surgery would be conducted, and if needed, fluid might be drained.

For laparoscopic cholecystectomy:

The surgeon will make incisions after anaesthesia. Carbon dioxide will be used to inflate your abdomen for easy visibility of organs.

Once the procedure is complete, the gas is let out through the incisions.

After surgery

  • You would either get a same-day discharge or be admitted overnight.
  • You would be monitored and given pain medication as suited.
  • As per your condition, you may be given food and liquids a few hours after surgery.
  • You would have a follow up scheduled a few weeks after for a review.

Symptoms to watch for after gallbladder removal surgery?

The following are common symptoms to watch out for:

  • Sharp pain in the upper-right area of the abdomen (especially after heavy meals)
  • Jaundice
  • Nausea
  • Bloating
  • Fever

Visit a doctor if these symptoms persist.

What are the advantages of gallbladder surgery?

Depending on the reason for surgery, the benefits may vary, but the general advantages of gallbladder surgery range from the following:

  • Relief from pain
  • Avoidance of further infection and complications
  • Prevention of blockages and obstructions that could lead to other diseases like jaundice
  • Prevention of gallstones from recurring
  • Reduction in chances of Gallbladder Cancer (as noted from multiple studies that gall stones were present in 70–90% of patients with Gallbladder Cancer)

When to See a Doctor

Before surgery

If you experience any of the above symptoms.

After surgery

  • If you develop a high fever (above 101°F) or chills
  • Have pain that does not respond to medication
  • Avoid lifting heavy things
  • Slowly increase your activity
  • See any abnormal discharge or if the surgical wound bleeds
  • Find it hard to eat or drink
  • Observe the yellowing of your skin or the whites of your eyes

Recovery

It is important to follow the instructions given by your doctor (gall bladder surgeon). Make sure to wash your hands and sterilize whenever caring for the wound. Avoid wearing tight clothing that might restrict the healing of the wound.

Patients usually take up to 3 weeks to return to normal activity. So, slowly increase your activity level and avoid abrupt exercises.

Further care

Maintain the health of your biliary and digestive system by eating right and keeping fit. Ensure to add nutritious high-fibre food like fresh vegetables and whole grains.

Avoid eating high-fat meals and processed food to prevent overloading your system. Drink 8 to 10 glasses of water daily to stay hydrated.

Conclusion

While the prevention of diseases with a healthy lifestyle should be your first priority, the cure for them is also advancing rapidly. If you have experienced any of the symptoms stated for a prolonged period, or are continually facing gastrointestinal issues, make sure to visit a doctor promptly. To know more about gallbladder surgery or issues related to gallbladder you can book an appointment with our expert or call us at  +91 124 4882248.

Premature Ejaculation – Causes and Symptoms
Aug 19, 2021|Dr. Shalabh Agrawal

Premature Ejaculation – Causes and Symptoms

When a man ejaculates sooner during sexual intercourse than he himself or his partner would like to, it is called as premature ejaculation. It is a very common sexual complaint and almost one out of every three males have faced this problem at some point of their lives.

A diagnosis of premature ejaculation occurs when a man always or almost always ejaculates within a minute or two of penetration or is unable to delay the process of ejaculation during intercourse always or almost always, or when the person is distressed or frustrated due to ejaculatory issues and hence is afraid of sexual intimacy.

Both biological and psychological factors play a role in the condition. Males usually avoid discussing this issue; however, this is very common and can be treated easily. Certain medications, counselling sessions and some sexual techniques that can help in delaying the process of ejaculation can help in improving sexual intimacy for both the partners.

Symptoms of a premature ejaculation

The symptom of a premature ejaculation is the inability to delay the process of ejaculation for longer than a minute after penetration. It can also occur during masturbation. The condition can be classified as primary and secondary.

A primary condition is one where one undergoes a premature ejaculation always or nearly always since the first ever sexual encounter.

Secondary premature ejaculation is a condition that has developed later on where the man has been able to experience intercourse previously without any ejaculatory issues.

Sometimes, men do feel that they have premature ejaculation, but the symptoms do not classify as premature ejaculation.

The exact reason for premature ejaculation remains unknown. Earlier it was believed that the condition is only psychological, but lately it has been stated that it is a condition where the psychological and biological factors both play a significant role.

Psychological reasons for premature ejaculation are:

  • Bad sexual experiences early in life
  • Sexual abuse
  • Poor self-body image
  • Depression
  • Stress about premature ejaculation
  • Guilty feelings leading to rush through sexual encounters
  • Other factors might include erectile dysfunction, anxiety and relationship problems

Biological causes of premature ejaculation are:

  • Abnormal hormonal levels
  • Low levels of neurotransmitters
  • Infection or inflammation of the prostate
  • Inherited traits

It is important to talk to a doctor that you are suffering from this condition. At times, counselling by a doctor and reassurance that it is normal to have premature ejaculation tends to reduce stress among males.

Some males, while going for treatment of the condition might feel awkward to initiate a conversation during the first interaction with the doctor. It is important to discuss and share the necessary information that the doctor might require about the patients’ current and past sexual and relationship history. Managing stress is important as stressing more about the condition can only worsen it over time.

Based on your symptoms our doctors will prescribe you some medicines which can help increase serotonin levels in your brain and help you ejaculate on time. Once the habit to ejaculate is changed the new habit of ejaculating on time takes precedence and the internal clock is restored to normal. It is then that the problem is cured permanently.

If premature ejaculation is causing stress in your relationship or affecting you, it is time to break the silence and consult a urologist today.

6 Tips for protecting your child against the coronavirus by expert paediatrician
May 26, 2021|Dr. Shreya Dubey

6 Tips for protecting your child against the coronavirus by expert paediatrician

Children can also become ill with COVID-19, although most infected kids do not become as sick as adults, and some might not show any symptoms at all. Parents generally asked questions like “What are the signs and symptoms of COVID-19 in babies and children?” “How do I know if my child has COVID-19?” and “What can we do to prevent the spread of the COVID?” Before discussing these issues and tips on how you can protect your child from coronavirus, let us find out how COVID-19 affects children and how COVID-19 reacts differently to children and adults.

 Why do children react differently to COVID-19?

 Paediatricians suggest that children might not be as severely affected by COVID-19 because other viruses spread in the community cause diseases like a common cold or flu. Since children often get cold, their immune systems might provide them with some protection against COVID-19. It’s also possible that children’s immune systems contact the coronavirus differently than adults’ immune systems. Some adults are getting sick because their immune systems overreact to the virus, causing more damage to their bodies. Whereas, in children, it may be less likely to happen.

 How does COVID-19 affect children?

Children, including very young babies and toddlers, can develop COVID-19 with no symptoms or milder symptoms such as low-grade fever, cough, and fatigue. Kids with underlying health conditions may be at higher risk for severe illness.

 A potentially severe complication can occur in children called Multisystem Inflammatory Syndrome in Children (MIS-C), which leads to critical problems with the heart and other organs in the body. 

Symptoms of MIS-C can include:

 Signs and symptoms of  COVID-19 in children

Adults and children experience similar symptoms of COVID-19, even so, children’s symptoms tend to be mild and flu-like. Most children recover from COVID-19 within one to two weeks. Possible symptoms can include:

  •     Fever or chills
  •     Cough
  •     Sore throat
  •     Diarrhoea
  •     Fatigue
  •     Nasal congestion or runny nose
  •     Shortness of breath or difficulty breathing
  •     New loss of taste or smell
  •     Headache
  •     Muscle aches or body aches
  •     Nausea or vomiting
  •     Poor appetite
  •     Tummy pain

If you find that your child is showing symptoms of COVID-19 and he or she might have COVID-19 infection, seek medical help from your paediatrician. Keep your child at home and follow all the COVID-19 guidelines provided by WHO.

Tips for protecting your child against the coronavirus

Wash hands

 Ask your child to wash hands with soap and water for 20 seconds, and to encourage them you too do the same. If water and soap are not available, use a hand sanitizer that contains at least 70% alcohol. Teach them how to use a hand sanitizer properly and if your child is below 6 years of age, supervise them when they use a hand sanitizer.

 Wear a cotton mask

 Make sure whenever your child (2 years of age or older) is in public and when around people who do not live in your house, he or she should wear a cotton mask. Ensure your child wears their cotton masks correctly and safely.

 Cover sneezes and coughs

Ask your child to use a tissue to cover the mouth and nose while coughing or sneezing, throw the tissue in a dustbin and wash hands.

 Avoid close contact

Teach your child to keep a distance of at least 6 feet from other people who do not live with them and avoid people who are sick (such as sneezing or coughing).

 Help your child to stay active.

Regular physical activity can improve your child’s mental and physical health. Engage your child in different activities throughout the day.

Help your child to manage stress.

The COVID-19 pandemic can be stressful for both children and adults. Children sometimes can not express their stress; try to talk to your child and play with them. If they face any issues related to study, friends or any other thing try to solve them.

Final thoughts

Understanding and following WHO guidelines to prevent the spread of the COVID-19 virus can be difficult for kids. Stay patient and handle them with love.

For more information or if you need any help, you can book an appointment with our consultants, or you can reach us at +91 124 4882248.

FAQs

Ques: How can I keep my child safe if they are going to school during COVID-19?

Ans: If your child is going to school during COVID-19, try to include the following habits to keep your child safe;

  •     Keep a check on your child’s health daily.
  •     Teach them good hygiene practices like washing hands with soap and water and proper use of a hand sanitizer.
  •     Ensure that your child drinks clean and boiled water.
  •     Teach your child proper use of tissue during cough and sneeze.
  •     If your child has the flu, avoid sending him to school.

 Ques: How should children wear a mask during COVID19?

Ans: Children more than 2 years old should follow the same guidelines provided by WHO for wearing masks. This includes few steps,

  •     Cleaning hands with soap and water or a hand sanitizer before putting on the mask.
  •     Masks should be of the right size that covers the nose to the chin.
  •     Teach your child how to wear the mask correctly, like not touching the mask and not removing it under the chin or into their mouth.

 Ques: What is the COVID-19 incubation period for children?

Ans: The incubation period for children and adults is the same, suggested by WHO. Generally, COVID-19 symptoms start around 5 to 6 days and range from 1 to 14 days.

Ques: What are the psychological effects of COVID-19 on children?

 Ans: Research shows the impact of quarantine, social isolation, and the pandemic on children as a behavioural health concern. Young children are facing issues related to mental health also. If you notice any behavioural changes in your kids, talk to their paediatrician, it will be helpful for your kid’s overall health.

Tips to look after your mental health
May 21, 2021|Dr Rajiva Gupta

Tips to look after your mental health

It is normal to experience anxiety, worry, and pain when you are diagnosed with a medical problem. Especially if you have tested positive for COVID-19 or you are waiting for your test result to come. 

If you are recovering or have mild symptoms of COVID-19, you should follow the healthcare guidelines provided by WHO until it is safe for you to be with others. Taking too much stress will negatively affect your body, so while you are at rest and recovering physically, it is important to keep your mental health in check. 

According to doctors, people addicted to tobacco or drugs are likely to have more severe health issues if they get COVID-19. That is because their addictions can harm lung function and weaken their immune system, causing chronic diseases such as heart and lung diseases, increasing the risk of significant complications from COVID-19. If you are one of those who are addicted to unhealthy habits or dealing with any health issues, then seek medical help.

Here are some tips for good mental health while you recover from COVID-19:

Tips for good mental health during COVID-19

Self-care is a good option for both mental and physical health. Take care of your mind and body and connect with others to get the care you need to help you cope.

Be careful for your physical health

  • Eat healthily- Choose a balanced diet. Avoid intake of excess junk food and refined sugar. Limit caffeine as it can increase anxiety and stress.
  • Get ample sleep- Get 7-8 hours of sleep daily.
  • Physical activity- Physical activity and exercise can reduce anxiety and improve your mood. Do any physical exercise in the morning or evening to get fit mentally and physically. You can also do some other activities to improve mental health.
  • Avoid unhealthy habits- If you smoke or vape, you’re already at higher risk of lung infection. Because COVID-19 affects the lungs, so in this case, your risk increases even more. Avoid taking alcohol or any other things to cope with the situation. Also, you can strengthen your lungs by following some healthy tips for lung health.
  • Get proper rest– Taking proper rest during the COVID-19 recovery will boost your immune system and reduce anxiety.

Take care of your mental health

  • Limit watching the news and social media- Constant news about COVID-19 from news channels and social media will make you more upset and overwhelmed. Instead of this, develop a new hobby like painting, writing, etc., that will improve your mental health.
  • Maintain daily routine- Maintaining a proper schedule is important to your mental health. Doing things according to your regular schedule will keep your mind more in control.
  • Focus on positive things- When you focus on positive things more, then your mind feels decluttered, and your mental health improves. For example, you can list a few things that you are thankful for or keep hope for a better situation. 
  • Do yoga for mental health- Yoga is one of the best things you can do to boost your mental health. Yoga has also shown benefits for people with types of mental health conditions, including depression, anxiety, schizophrenia, ADHD, and PTSD.
  • Connect with family and friends- If you are staying apart from your families for work or study, try to talk daily and share your feelings with them. In this way, you will be able to manage your emotions. Friends act as all-time stress busters, connect with them as much as you can. 
  • Seek help when needed- A lot of people can not understand their mental health issues and suffer a lot. If you are facing any of the following conditions, connect with your doctor.
  1. Feelings of hopelessness, worthlessness, or guilt.
  2. Changes in your appetite.
  3. Trouble sleeping.
  4. Trouble focusing on things.
  5. Thoughts of hurting yourself.

The doctor will always advise you on the best possible solution to cope with stress during the pandemic.

Final thoughts

Assuming mental health problems like anxiety or depression will go away on their own can lead to severe symptoms. If you experience mental health symptoms or any other health issues which trigger your mental health, ask for help and be upfront about how you’re doing. For more information or seeking help, you can always contact the CK Birla Hospital in Gurgaon.

FAQs

Ques: How can I reduce stress down during the coronavirus pandemic?

Ans: In a difficult time, like this pandemic, it is important to keep looking after your physical and mental health. It will not only help you to keep healthy and fit in the long term but also help you to fight against COVID-19.

Try to do all the following things to keep your physical and mental health up,

  • Eat a healthy and nutritious diet, which helps the immune system to function properly. 
  • Quit smoking 
  • Limit your alcohol consumption and other sugary drinks. 
  • Exercise daily, WHO recommends 1 hour of physical activity for children and 30 minutes of physical activity for adults to stay fit.

Ques: How to take care of one’s physical and mental health?

Ans: The COVID-19 pandemic can feel disturbing due to news, long work hours, and worrying for your family and friends. But take a pause, give a thought, and make plans on how you can deal with worries to stay calm. 

Tips for you to take care of yourself:

Physical health:

  • Eat a healthy, well-balanced diet 
  • Drink lots of water.
  • Sleep enough (7-8 hours of sleep each night)
  • Exercise daily
  • Avoid taking alcohol or drugs
  • Spend some time outside (your house terrace or balcony) in the fresh air to feel relaxed. 

Mental health:

  • Follow your daily routine at home.
  • Connect with your family and friends
  • Write down things you are grateful for 
  • Listen to music or read books.
  • Avoid social media and news channels if you are not feeling good.

Ques: What are the signs of mental illness?

Ans: Mental illness refers to a wide range of mental health conditions that affect your mood, behaviour and thinking.

Many people have mental health concerns, but it becomes a mental illness when ongoing signs and symptoms cause constant stress and affect your ability to function.

Following are some of the signs of mental illness,

  • Feeling sad all the time
  • Confused thinking 
  • Decrease ability to concentrate
  • Feeling difficulty coping with stress
  • Suicidal thinking
  • Unreasonable fears or worries, or intense feelings of guilt
  • Problem in sleeping
  • Changes in eating habits
  • Tiredness and low energy 
  • Problems with alcohol or drug use
  • Excessive anger or violence

Ques: What are some suggestions on managing anxiety during the COVID-19 pandemic?

Ans: Concerns about COVID-19 can take emotional damage on anyone. The difficulty surrounding COVID-19 is one of the most difficult things to handle for anyone. Following are some suggestions that can help you to manage your anxiety during the COVID-19 pandemic.

  • Eat a well-balanced diet to get fit.
  • Stay updated about surroundings and situations from trustworthy sources like government bulletins or WHO.
  • Stay connected with your loved ones.
  • Be kind to yourself if you are experiencing more anxiety than usual. 
  • Take out some time for activities you love.
  • Do some relaxation techniques like meditation and deep breathing for anxiety or depression.

Tips to Strengthen Lungs & Increase the Oxygen Levels at Home
May 10, 2021|Dr. Kuldeep Grover

Tips to Strengthen Lungs & Increase the Oxygen Levels at Home

You already know exercise is good for your health. Doing regular exercise makes your lungs, muscles, and heart stronger. As physical fitness improves, the body becomes more efficient at getting oxygen into the bloodstream and transporting it all over the body. It will also give you the best chance of coping with a COVID-19 infection.

“How to strengthen lungs?” “How to improve lung health?” “Breathing exercises to strengthen lungs?” are some of the frequently asked questions to doctors. Let’s discuss these topics.

Before increasing the oxygen level in the lungs, one must do exercises to clear the lungs. Doctors recommend an active cycle of breathing technique (ACBT), which is one of the best exercises to clear out the productive cough from your lungs.

  1. Gentle breathing
  • Rest your shoulders and body.
  • Gently breathe in and out in a relaxed position.
  1. Take deep breaths
  • Slowly, take a deep breath in.
  • Gently breathe out, and avoid putting pressure.
  • Repeat three-four times.
  1. Forced expiration
  • Take a medium-sized breath in.
  • Breathe out quickly and forcefully.
  • While breathing out, open your mouth and involve your stomach and chest muscles.
  • Repeat the process twice and end the exercise with an exhaling huff.

Continue doing these simple ACBT exercises daily until your chest is cleared out. If you feel your cough is too much then you can do these exercises twice a day. Doctors recommend that you should clear out as much phlegm as you can without getting exhausted. So, do these exercises for at least 10 minutes in one go, but not more than 30 minutes.

Exercises for Improving Oxygen Levels & Strengthening Lungs

1. ACBT Exercises

While doing ACBT exercises, doctors recommend using a few body positions that will help in the clearing out of the chest.

But if you are not feeling well, or you have acid reflux, blood in your phlegm, nausea, recent injuries to the chest, spine or rib, or if you’re feeling breathless, do not try these positions.  Also, avoid these positions immediately before or after having your meal.

  • To drain mucus from the upper lobe: Sit in an upright position leaning against a pillow on the headboard.
  • To drain mucus from the middle lobes: Lie down one side using one or two pillows placed under the hips.
  • To drain mucus from the lower lobes: Lie down another side with two or three pillows placed under the hips

2. Proning Posture

Proning is the process in which a patient is lying from his/her back onto the abdomen (stomach). The process is beneficial in COVID-19 patients with compromised breathing comfort.

Proning is a medically accepted body posture to improve breathing comfort and oxygenation. 

Importance of proning position

It improves ventilation, keeps alveolar consonants open and breathing easy. Those patients who feel difficulty in breathing and their SpO2 percentage decreases below 94 are suggested to do the proning.

Constant monitoring of SpO2 level, along with other signs like blood pressure, temperature, and blood sugar, is important during home isolation. Regular proning and having good ventilation could save many lives from COVID-19.

How to do Proning

  • Take one pillow below the neck.
  • Use one or two pillows below the chest through the upper thighs.
  • Two pillows below the shins.
  • Regular changes in lying position.
  • Spend at least 30 minutes in each position.

illustration showing proning exercises for lungs to increase body oxygen levels naturally at home

Cautions

  • Avoid this exercise for an hour after meals.
  • Maintain proning posture according to your body’s comfort.
  • Keep a track of any injuries, especially, around bony prominences.
  • Avoid proning posture, if you are pregnant.
  • Avoid proning posture, if you have any major cardiac conditions.
  • Avoid proning posture, if you have unstable femur, spine, or pelvic fractures.

Other than these exercises, making a few lifestyle changes will also help strengthen the lungs.

  • Quit smoking
  • Avoid eating an excessive amount of salty, surgery, and oily food
  • Do laughing yoga
  • Try other normal exercises like morning walks
  • Meditation 

How to Improve Lung Health to Prepare Yourself for a Possible COVID-19 Infection

1. Changes in Diet

Antioxidants protect our body cells against free radicals, which play a vital role in defending against heart disease, cancer and other diseases.

Antioxidants, like vitamins C, E and carotenoids, help in protecting cells from free radicals. Other naturally occurring antioxidants include tannins, phenols, flavonoids, and lignans. Also, plant-based foods are the best sources of antioxidants.

These include vegetables, fruits, nuts, seeds, herbs, whole grains, and spices. If you are looking for tips on how to strengthen the immune system, check the article now.

2. Exercise 

Doing exercise regularly, helps oxygen to reach each body organ and function properly. If you do aerobic activity, such as bicycling, walking, or swimming, it helps you live healthier and longer. Aerobic activities involve legs, arms, and hips muscles.

Hence, the body responds quickly and increases breathing. This will increase the amount of oxygen in the blood as the heart will beat faster, blood flow to muscles and back to the lungs increases, small blood vessels (capillaries) will open up to deliver more oxygen, and the body will even release endorphins (natural painkillers).

3. Hydration

Keeping yourself hydrated makes a great impact on your ability to breathe well. Research has shown that dehydration affects all of the systems in the body including the respiratory system.

Doctors suggest that taking enough water helps to thin the mucus lining the airways and lungs. The recommended adequate amount of water intake for men is about 3.7 litres a day and for women is about 2.7 litres a day.

When to see a doctor

Shortness of breath is one of the common symptoms caused by the COVID-19 infection. If your oxygen level in the blood on a pulse oximeter is below 95, consult a doctor. Also, try not to follow any home remedies to increase oxygen levels. Get yourself checked and get treated.

Final thoughts 

For more information or personalised guidance, you can book an appointment with Dr Kuldeep Kumar Grover, a well-renowned pulmonologist, sleep medicine and critical care specialist at the CK Birla Hospital or call us at +91 124 4882248

FAQs


Ques: What are 4 ways to keep your respiratory system healthy?

Ans: Making some small changes in daily life is very helpful to keep your respiratory system healthy. If you are dealing with any serious illness, disease, or allergies, then consult with a doctor for proper medication. With this, try to do the following changes, 

  • Stop smoking.
  • Exercise regularly.
  • Eat a healthy and balanced diet.
  • Maintain a healthy weight.

Ques: What is good for respiratory health? 

Ans: We all are well aware of the importance of lungs in keeping us strong and well. Like other body parts, our lungs need daily care and attention. 

Follow these tips to improve your lung health:

  1. Diaphragmatic breathing –
  • Lie on the back on a flat surface. Use a pillow under the knees to support the legs. Put one hand on the upper chest and the other hand below the rib cage. After this, you will feel your diaphragm is moving as you breathe.
  • Slowly, breathe in through the nose so that the stomach moves out.
  • Tighten the stomach muscles, letting them fall inward and then release slowly.
  1. Simple deep breathing – It helps in keeping the body and the mind calm. 
  2. “Counting” your breaths – By keeping an eye on the number of breath inhalations and exhalations, you can increase lung capacity. It will also help to keep the respiratory system healthy.
  3. Correct posture – Body posture is one of the important things to keep your lungs healthy. 

Ques: What best exercises for the lungs?

Ans: Despite your age, weight or athletic skill, doing aerobic activities is good for you. Doctors recommend that aerobic activities have many health benefits such as it keeps your body active, it involves almost every muscle, very helpful in keeping your lungs healthy. Aerobic activities like walking, bicycling or swimming are some of the best to keep you healthy.

Ques: How much oxygen level is good?

Ans: In normal pulse oximeter readings, oxygen level ranges from 95 to 100 percent considered as good. Values under 90 percent are considered low oxygen level in the body and will indicate the need for supplemental oxygen.

Ques: How to use a pulse oximeter correctly?

Ans: The pulse oximetry is a plastic clip-like device with a light attached to it. The oximeter helps in measuring the oxygen saturation level of arterial blood and heart rate. The correct technique to use a pulse oximeter is,

  • Your hand should be clean. If you are female, then avoid using nail paint while doing the pulse oximetry test.
  • Keep your body and hand relaxed.
  • Place the oximeter on your index or middle finger.
  • Place your hand on your chest near the heart.
  • Keep the oximeter on your finger for at least 1-2 minutes till the reading stabilises.
  • Record the highest reading that shows on the machine after the reading keeps unchanged for more than 5 seconds.

Tips to boost your immune system
May 7, 2021|Dr Rajiva Gupta

Tips to boost your immune system

In the current pandemic, “How to increase immunity?” “What are immunity-boosting foods?” “Tips to boost immunity?” “Foods that help you boost your immune system?” are some of the most searched queries. There are many ways to boost your immunity naturally or by supplements. Let us discuss what immunity boosters you should include in your daily diet. But first let us begin by understanding how the immune system works?

What happens when the immune system is weak?

People with a weak immune system have a higher risk of getting infections frequently and developing more severe symptoms of viral and bacterial diseases. Bacteria and viruses can have a damaging effect on a person with a weak immune system. Seek medical attention if you seem to be falling sick often, like frequently catching a cold or flu.

How can you boost your immune system?

Your immune system consists of several organs that need different vitamins and minerals to function well, and to have vitamins and minerals- your body requires a balanced and a healthy diet. In the meantime, having healthy living habits can help you boost your immune system.

Taking care of your body and mind is the best way to improve immunity. The better your immune system functions, the better your body will function.

1. Eating the right food

Eating a healthy and well-balanced diet is one of the most important things to boost your immunity. Try to include whole foods, fruits in your diet, and avoid taking a large amount of salt, sugar, or processed foods. Additionally, you should focus on eating more whole plant foods. 

Nutrients are an essential part of building a healthy immune system. A good healthy diet with plenty of fruits, vegetables and lean protein is a good source of most of these nutrients. Supplements can be included as per the advice of your doctor to fill any nutritional gap.

Vitamin A: It is a powerful antioxidant and acts as a natural defence against illness and infection.

Source: sweet potatoes, pumpkin, carrots, and squash.

Vitamin C:  It is an antioxidant that fights against free radicals in the body.

Source: citrus fruits (like orange, lemon), leafy green vegetables, strawberries, carrots, bell peppers and many more fruits and vegetables.

Vitamin B6: It supports biochemical reactions of the immune system.

Source: lean poultry, tuna, bananas, and chickpeas.

Vitamin D: Vitamin D protects you from a number of health problems and it keeps your teeth, bones, and muscles healthy. The body creates vitamin D from sunlight on the skin when outdoors, but you may need a supplement to fulfil the requirement.

Source: fatty fish, red meat, liver, egg yolks, and fortified foods. 

Vitamin E: Antioxidant that fights infections in the body.

Source: spinach, almonds, peanuts, broccoli, and hazelnuts.

Folate (folic acid): It helps the body form healthy red blood cells. Folic acid deficiency can lead to a weakened immune system. Folate reduces the risk of unusual birth defects such as spina bifida in unborn babies.

Source: beans, peas, leafy green vegetables, broccoli, and brussels sprouts.

Iron: Iron forms an important part of hemoglobin that absorbs oxygen and carries it in the blood to take it to the rest of the body. 

Source: red meat, beans, nuts, fortified breakfast cereals, soybean flour, and dried fruit. 

Zinc: It helps to control inflammation in the body.

Source: oysters, crabs, poultry, beans and chickpeas.

On top of these elements, you should also cut down your sugar intake. As high levels of blood sugar increase your possibility for a range of health conditions including having a poor immune system.

Also Read: Ivy Gourd: Benefits & Side Effects

2. Manage stress

Stress and anxiety can have a physical and mental effect on our bodies, impacting the body’s natural defences. 

One study reveals a link between autoimmune diseases and chronic stress-related conditions. Try a few stress-busting techniques like breathing techniques, meditation or yoga to manage your stress.

3. Exercise

Engaging your body with regular exercise daily or 3-4 days a week can strengthen your immune system. Other than this, it also helps you sleep better and reduces your stress levels.Try to engage in moderate exercise and not heavily strenuous activity.

4. Get 8 hours sleep

Sleep and immunity are very closely interrelated. Poor sleep quality makes you more prone to a compromised immune system. When you sleep, your body produces proteins called cytokines, which fight against infection and inflammation. So, not getting enough sleep will impact the immune system. If throughout the day your body is feeling fatigued then probably you aren’t getting enough sleep.

5. Special attention to gut health

Doctors always advise that your gut health has an impact on your overall health. If you have a weak digestive system, then it will affect your immune system. Healthy gut microbiomes promote a healthy immune system.

Many studies are being conducted on the importance of gut microbiomes for overall health and bodily functions. An imbalance in levels of gut bacteria contributes to chronic diseases like diabetes, carcinoma, and IBS. Gut health is linked with depression, mental health, obesity, and cholesterol levels.

6. Personal hygiene

Taking care of all the above things while maintaining good personal hygiene will keep your immune system strong and healthy. Practising good personal hygiene will stop germs from entering your body and keep your health good. 

Other ways to boost your immune system

Maintaining a healthy lifestyle is the first way to boost your immune system. Making changes according to good-health guidelines, suggested by experts, will also help you to keep your immune system strong. Making small changes and developing the following habits will improve your immunity:

  • Don’t smoke.
  • Have one seasonal fruit in a day.
  • Maintain a healthy body weight.
  • Avoid excessive consumption of alcohol.
  • To avoid infection, wash your hands frequently.
  • Avoid eating half-cooked food.
  • Take all recommended vaccines. Vaccines improve the immune system.

Also Read: Top High Protein Foods

Final thoughts

If you are stuck in some situation where you do not understand how to strengthen your immune system, you can always take external help. For more information or personalized guidance, you can book an appointment with a leading internal medicine specialist at the CK Birla Hospital.

FAQs

Ques: What are the signs of a weak immune system?

Ans: Usually, our immune system protects our body from infection and illness and naturally develops antibodies to fight any foreign organism inside the body.

However, due to several reasons, the immune system can weaken and become less effective against infections. These reasons include lifestyle factors such as excessive alcohol intake, smoking, and poor nutrition.

If you do have a weak immune system, your body will indicate this to you through some signs, including:

  • Being frequently unwell
  • Feeling tired throughout the day
  • Wounds that are slow to heal

Ques: Does honey boost your immune system?

Ans: Honey has antioxidant, anti-viral, anti-fungal and anti-bacterial properties of phytonutrients that improve the digestive system. The other two main bioactive molecules, flavonoids and polyphenols, act as antioxidants. These antioxidants help in neutralising the free radicals in the body.

Honey can be considered an immune system builder with antioxidant, anti-bacterial and anti-tumour properties. Eating honey is generally safe for adults and children older than age 1. Some people are allergic to particular components present in the honey and may experience symptoms like wheezing, nausea, vomiting, and dizziness after having it. If you also experience the same, seek doctor’s advice.

Ques: How do you know if your immune system is strong?

Ans: If you recover from common illnesses and seasonal flu quickly and don’t generally fall sick, you probably have a strong immune system.

Ques: Do supplements help the immune system?

Ans: Supplements can help fill nutritional gaps. With age, taking vitamin supplements like vitamin C and D, calcium, and vitamin B12 tablets can be recommended based on the doctor’s advice.

Ques: Why do I have a weak immune system?

Ans: There are many reasons for a weak immune system. People with primary immunodeficiency, lack some of the body’s immune defences, which impact their body and make them more susceptible to germs that can cause infections. These immunodeficiencies could be present from birth or can be acquired later. Other than this, some other factors are also responsible for a weak immune system like an unhealthy lifestyle.

Blood in stool: Common causes & treatment

Blood in stool: Common causes & treatment

Blood in stool (rectal bleeding or haematochezia) can refer to any blood that passes from the anus, although blood in the stool is usually assumed to refer to bleeding from the lower colon or rectum. However, not all bleeding passing out from the body comes from the rectum. The blood or blood clot can come from anywhere in the gut. The correct term used in medicine is gastrointestinal tract bleeding.

Haematochezia also causes or is accompanied by the following symptoms:

  • Pain in the rectal region
  • Diarrhoea
  • Change or disruption in bowel habits
  • Cramping and abdominal pain
  • Weight loss
  • Fever
  • Fainting or confusion

Normally, blood in stool is a symptom rather than a condition by itself. Thus, bleeding in stools could be an indication of an underlying condition or problem and must be taken seriously.

Possible reasons for blood in stool

Typically, blood in stools indicates bleeding in the digestive tract. However, when you delve deeper into what does blood in stool indicate, the following reasons for blood in stools come to light:

Diverticular Disease

Diverticular Disease blood in stool
Source

Although the prevalence of diverticulitis in India is 1-3%, it could be the reason behind abdominal pain and bleeding. Diverticula are small pouches that form on the colon wall. The formation and excessive growth of the diverticula up to several centimetres cause diverticulosis. The infection of these overgrown diverticula causes diverticulitis.

Ischemic colitis

Ischemic colitis often affects the elderly and is caused by inadequate blood flow to the colon. In addition to blood in stools, ischemic colitis also exhibits symptoms of diarrhoea, abdominal pain, and vomiting. Thus, if you experience no constipation but blood in stools, you may have ischemic colitis.

False alarm

If you experience blood in stool but no pain, it is possible that the pigments in foods consumed have resulted in red-coloured stools, which may be mistaken for blood.

Inflammatory bowel disease (IBD)

IBD is an autoimmune disease that causes inflammation of the bowels. Crohn’s disease and ulcerative colitis are the most prevalent forms of IBD.

Cancer

Blood in stools could also be an indication of colorectal cancer. Polyps, which are benign tumours that eventually grow and become cancerous, can also cause bleeding in the stools.

Today, we will discuss at-length the commonest blood in stool causes, namely, piles and fissures.

Piles

Piles, also known as haemorrhoids, are characterised by inflamed blood vessels, muscles, support tissue, and elastic fibres in the anus and rectum.

These could be internal or external and are categorised from Grade I to IV.

piles blood in stool grade
Source

 

Fissure

Anal fissures are a tear in the anal lining. The cut in the skin caused by hard stools that come with blood flow and severe pain after every bowel movement.

It may take the body about 4-6 weeks to recover from an anal fissure. On the other hand, severe cases may result in the exposure of the muscle tissues present underneath.

fissures blood in stool
Source

 

What are the risk factors associated with the blood in stool?

The risk of having blood in your stool could increase if you have:

  • A history of haemorrhoids or stomach bleeding
  • History of peptic ulcers
  • Diagnosed or undiagnosed inflammatory bowel disease
  • Genetic, predisposed a risk for colorectal or upper gastrointestinal cancers.

When to See a Doctor?

Unknown bleeding inside the body is always a reason for you to get a diagnosis from your doctor. Seek medical help if the bloody stool persists for more than two days or if you are experiencing diarrhoea that is not becoming better.

You should receive medical treatment at the earliest if you develop additional symptoms, including:

  • Vomiting blood
  • High fever
  • Dizziness or fainting
  • Severe or increasing abdominal pain
  • Rapid pulse

To confirm the diagnosis, your doctor may order several diagnostic tests, including:

  • Stool culture test: In this process, a stool sample is taken and analysed under a microscope for signs of blood, parasites, infections etc. 
  • Esophagogastroduodenoscopy (EGD): The endoscope is inserted into the oesophagus and passed down into the patient’s stomach and the upper part of the small intestine. Air is then passed through the endoscope to see the lining of the oesophagus. During the test, the doctor might take a small sample using the endoscope. These samples can later be examined with a microscope to identify any abnormalities in the cells. 
  • Nasal irrigation: It helps the doctor to see where the bleeding is occurring; during the procedure, the contents of the stomach will be removed to see if the stomach is bleeding. If there are no signs of gastric bleeding, the most likely cause of the bleeding is in the lower digestive tract.
  • Colonoscopy: Colonoscopy is a process to detect changes or abnormalities in the large intestine and rectum. During the colonoscopy process, a long, flexible tube (colonoscope) is inserted into the rectum. A tiny video camera attached at the tip of the tube allows the doctor to view the inside of the entire colon.
  • Enteroscopy: Examines the small intestine for abnormalities; your doctor will insert a tube with a camera into your mouth or rectum and route it through your upper or lower digestive tract. As the camera moves through the digestive tract, it takes pictures to diagnose the location of the bleeding.
  • Barium X-ray: Barium inserted into the rectum to detect changes or abnormalities in the large intestine, which shows on an X-ray.
  • Angiography – Can determine the location of the bleeding in the digestive tract; during the procedure, a dye is injected into a vein so that the vessels appear on an X-ray or CT scan.

What are the treatments for blood in stool?

The initial treatment for blood in the stool is to stop the bleeding. Once the bleeding has stopped, your doctor will suggest a plan to treat the cause of the bleeding.

Depending on the cause, your doctor may recommend:

  • Medication – Antibiotics, anti-inflammatory drugs, or drugs used to suppress stomach acid are often prescribed to stop rectal bleeding.
  • Surgery: It may be necessary to repair or correct abnormalities in the digestive tract.

Final thoughts

If you spot blood in your stool, it need not always be a cause of concern. But if the bleeding persists for more than two days, consulting a gastroenterologist is a must. If you are concerned about bleeding in your stool or if you have any other stomach problems that you need help with, you can book an appointment with our consultants, or you can reach us at +91 124 4882200

Consult a doctor for blood in stools now!

Premature ejaculation-causes, symptoms and treatment

Premature ejaculation-causes, symptoms and treatment

Premature ejaculation is a type of sexual dysfunction which occurs when a man releases (ejaculates) semen quickly during sexual intercourse than his partner would like. It often happens before or shortly after penetration during sexual intercourse. Premature ejaculation is a common sexual complaint and, at least 1 out of 3 men have experienced this premature ejaculation problem at some time.

Occasional episodes of early ejaculation are common and are not a cause for concern. However, if you’re experiencing that around half of your sexual intercourse attempts result in premature ejaculation, seek medical attention.

Causes of premature ejaculation 

Many physiological and psychological factors can cause a man to experience premature ejaculation.

Physiological causes of premature ejaculation include:

  • Prostate problems
  • Using recreational drugs
  • Thyroid problems ( over and underactive thyroid gland) 
  •  Hormone imbalances

Psychological causes of premature ejaculation include:

  • Depression
  • Stress
  • Anxiety about sexual performance 
  • Relationship problems 
  • Poor body image
  • Biological reasons (like an extra sensitive penis)
  • Disturbing sexual experience from childhood (like sexual abuse)
  • Early sexual experiences

Types of premature ejaculation 

A common symptom of premature ejaculation is when a man is unable to delay or control ejaculation during sexual intercourse. Depending on experiences of premature ejaculation, it is divided into two types:

  • Primary premature ejaculation

When a man is experiencing premature ejaculation nearly all the time, starting from early sexual intercourses. It is often due to psychological causes. 

  • Secondary premature ejaculation 

When a man has recently developed the problem. It is also known as acquired premature ejaculation and can cause due to both psychological and physiological factors.  

Risk factors associated with premature ejaculation 

Many factors can increase the risk of premature ejaculation, including:

  • Stress: Taking emotional or mental stress can play a role in premature ejaculation.
  • Erectile dysfunction: You might be at increased risk of premature ejaculation if you consistently or occasionally have trouble getting or keeping an erection during sexual intercourse. Fear of losing an erection might cause you to hurry through sexual encounters.

Complications associated with premature ejaculation 

Premature ejaculation can cause difficulties in your personal life, including:

  • Relationship problems: A common complication of premature ejaculation is relationship stress, where you will be under the stress of early ejaculation and not keeping your partner happy.
  • Fertility problems: Premature ejaculation can occasionally create problems for couples trying to have a baby if ejaculation does not occur intravaginally.

Diagnosis of premature ejaculation 

For diagnosing premature ejaculation, the urologist will ask about the patient’s medical and sexual history. If the urologist is unable to find any physiological or psychological reason for the condition, he may recommend neurological tests.

Treatment for premature ejaculation  

There are various treatment options available for premature ejaculation based on its causes. A urologist will use anyone or a combination of the following treatment to treat a patient depending upon its severity.  

Behavioural therapy 

In behavioural therapy, a patient may ask to masturbate an hour before sexual intercourse to delay ejaculation during sex. The doctor may recommend avoiding intercourse for a while and focus on other types of sexual activity to remove pressure on the patient’s sexual encounters.

Pause-squeeze technique

In this technique, the doctor will ask the partner to squeeze the end of the penis (the point where the glans joins the shaft) for a few minutes during sex until the urge to ejaculate passes. Repeat this technique often to increase ejaculation time during sexual intercourse.  

Condoms 

Condoms decrease penis sensitivity which helps premature ejaculation during sexual intercourse. These condoms are also known as “climax control” as they contain numbing agents like benzocaine or lidocaine that help delay ejaculation. 

Medications

Some creams and sprays that contain numbing agents like benzocaine, lidocaine or prilocaine can be applied topically on the penis 10 to 15 minutes before sexual intercourse to reduce sensation and help delay ejaculation. Some oral medications after a doctor’s prescription can also use to reduce and delay premature ejaculation.

Counselling

Sometimes premature ejaculation can be due to psychological factors. Talking to a doctor regarding issues related to premature ejaculation can be helpful for a couple. After taking counselling sessions, the doctor can develop a suitable treatment plan for them. 

Preventions of premature ejaculation 

There is no known way to prevent premature ejaculation. Some advice might be helpful to reduce the risk of having premature ejaculation, such as maintaining a healthy attitude about sex, following a healthy lifestyle, communicating with your partner, and addressing issues like depression and anxiety.

Final thought

If you are experiencing issues of premature ejaculation or if you have any other problems that you need help with, you can book an appointment with our consultants, or you can reach us at +91 124 4882200.