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Watch out for these early symptoms of arthritis 
Jan 11, 2021|Dr Debashish Chanda

Watch out for these early symptoms of arthritis 

Arthritis mostly affects a person at old age. Most people experience a variety of health concerns at this age. You may be undergoing changes in your skin, heart health, mobility, digestive health and whatnot. It is, therefore, possible to miss the early symptoms of arthritis. 

Surprisingly, the prevalence of arthritis is higher than that of many popular ailments such as diabetes and cancer. This condition nearly 180 million people in India. The rising incidence makes it important to learn about the signs and symptoms of arthritis. 

In this article, Dr Debashish Chanda, a leading orthopaedic doctor in Gurgaon, discusses arthritis symptoms and treatment.

What are the early symptoms of arthritis?

Let us explore what arthritis is before we find out about arthritis symptoms.

Arthritis is a condition that causes inflammation of the joints. This ailment can impact people across ages, however, it is highly common in people over the age of 50. Arthritis in children and young adults is possible but rare. 

Signs and symptoms of arthritis

Arthritis symptoms depend on the joint that has been affected. However, some common warning signs indicate this ailment:

  • Pain: One of the primary symptoms of arthritis is pain. Pain associated with this condition is also known as arthralgia. You can experience a dull ache at one or multiple joints. Some people also experience a burning sensation or soreness in the affected area. This symptom is caused by excessive wear and tear of particular joints. You will begin to feel arthritis-related pain after you have put specific joints to extended use. The pain intensity in varying in each patient. 
  • Stiffness: The pain and inflammation associated with arthritis often lead to a restricted range of motion.stiff joints. Arthritis cause your joints to gradually become stiff. 
  • Swelling: Your joint cavities consists of a specific type of fluid called the synovial fluid. It is an essential substance that supports joint movements and restricts friction. When you suffer from arthritis, the amount of synovial fluid in your joint increases significantly. This buildup makes your joints to swell. 
  • Fever: You may develop a fever if you have been experiencing painful and swollen joints. The fever is mostly low-grade and indicates a specific type of arthritis. 
  • Fatigue: People suffering from arthritis often complain of excessive tiredness along with other symptoms. 
  • Redness: Redness is a common sign of arthritis. The skin on your affected joints may turn red as a result of inflammation. 

Sometimes, arthritis can also cause non-joint related symptoms. These include:

  • Shortness of breath 
  • Chest pain 
  • Itching and burning of eyes 
  • Discharge from eyes
  • Dryness in eyes and mouth 
  • Numbness and tingling in hands and feet 
  • Difficulties in sleep 

What are the different types of arthritis?

There are more than 100 different types of arthritis depending on the joint they affect. However, two types of arthritis are most common among all – Osteoarthritis and Rheumatoid arthritis. 

Osteoarthritis

Osteoarthritis is the most common among all types of arthritis. It is considered as degenerative arthritis that impacts most patients. 

The ends of your bones are protected by smooth cartilage. Osteoarthritis happens when this protective cartilage wears down and causes your bones to rub together. This situation leads to pain and inflammation in your joints that are at further risk of developing into other conditions. 

Symptoms: The common symptoms of osteoarthritis include pain, inflammation, loss of flexibility, joint soreness and morning stiffness. 

Osteoarthritis can affect any joint in your body. However, it mostly impacts the hands, knees, hips and spine. It is because these joints suffer from most wear and tear from bearing most of your body’s weight. 

Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disease (when your immune system mistakingly attacks healthy cells in your body). It is also one of the common types of arthritis. 

Women are three times more likely of being affecting by rheumatoid arthritis as compared to men. In this chronic disorder, your immune system targets your healthy joint tissues and causes pain and inflammation. 

Symptoms: Common rheumatoid arthritis symptoms include tenderness and swelling in joints, morning stiffness, fatigue, fever and loss of appetite. 

Rheumatoid arthritis majorly affects the joints that attach your fingers to your hands and your toes to your feet. This condition can also affect your eyes, skin, heart, kidneys, nerve tissues, lungs and more. 

Some other common types of arthritis include:

  • Juvenile arthritis – As the name suggests, juvenile arthritis is a type of arthritis that affects children under the age of 16. Pain, swelling, stiffness and fever are some symptoms of this condition. 
  • Gout – Gout is the form of arthritis in which a person experiences sudden and severe attacks of joint pain, swelling, redness and tenderness. This condition happens due to a buildup of uric acid crystals in the joint. Mostly, gout affects the joint of your big toe.  
  • Psoriatic arthritis – Psoriasis is a chronic skin condition that causes red and flaky patches covered with silver scales on the skin. Psoriatic arthritis is a condition that affects people suffering from psoriasis. This arthritis can affect any part of your body but mostly develop at your fingertips and spine. 

Lupus, Ankylosing spondylitis, infectious arthritis and reactive arthritis are more types of arthritis affecting people worldwide. 

Read: Your comprehensive guide to joint pains and their treatment

Can arthritis be cured?

There is no arthritis cure. Medical science has not yet discovered any curative measure for this condition. Although there have been no advancements in how to cure arthritis, effective measures are present to treat this condition. 

What is arthritis treatment?

Your doctor will indicate several diagnostic tests to confirm the type of arthritis. He/she will also discuss the severity of your symptoms during the preliminary exams. 

Some of the common tests done before arthritis treatment are laboratory tests, X-rays, CT scans, MRI, ultrasound and more. 

There are surgical and non-surgical interventions for arthritis treatment. Your healthcare provider will indicate the relevant treatment protocol based on your diagnosis. Your arthritis symptoms and treatment depend on several factors such as your overall health, type of arthritis, the severity of symptoms and more.

Most people feel relief from arthritis symptoms after medicinal support. Your doctor may indicate surgical joint repair, joint replacement or joint fusion as a remedy to your arthritis. 

What is arthritis prevention?

Arthritis prevention or management of arthritis symptoms is possible with the help of simple lifestyle changes. 

Here are some steps you can take for arthritis prevention:

  • Maintain a healthy weight: Being overweight can lead to quick wear and tear of your joints. It is essential to stay a healthy body weight to avoid arthritis. 
  • Control your blood sugar: High levels of sugar in your blood can cause easy joint stiffness. Ensure to keep your blood sugar levels moderate. 
  • Exercise most days of the week: Regular physical engagement keeps your body flexible and improves the strength of your joints.
  • Stop smoking: Smoking can put excessive stress on your tissues leading to their rapid degeneration. 
  • Avoid joint injury: If you suffer from a joint injury, you become predisposed to developing arthritis. Take precautions to stay clear of any joint injury. 
  • Add fish to your diet: Fish is a rich source of omega-3 fatty acids. This nutrient effectively helps in reducing joint inflammation. 

The concluding note

Albeit the fact that there is no arthritis cure, it is possible to live a healthy life and alleviate symptoms of this ailment. The early symptoms of arthritis allow us to take preventive measures and avail treatment at a sooner stage. 

You can consult Dr Debashish Chanda – best bone & joint specialist at the CK Birla Hospital to learn more about arthritis symptoms and treatment.

Also, read: Can you prevent osteoporosis by just increasing your calcium intake?

Urinary tract infection – A guide for men
Jan 11, 2021|Dr. Shalabh Agrawal

Urinary tract infection – A guide for men

Most of us are familiar with the term Urinary Tract Infection or UTI. It is a condition that is more commonly associated with women. While women are more prone to developing urinary tract infections, men can also develop UTIs. In this article, Dr Shalabh Aggrawal – a leading urologist and andrologist in Gurgaon answers common questions about urinary tract infections or UTI in men, their symptoms, treatment and preventive measures. 

What is a urinary tract infection or UTI? 

The male urinary system or urinary tract comprises of the kidneys, ureters, bladder, urethra and prostate gland. It is responsible for removing waste from the body and expelling it in the form of urine. Infections in any of these body parts are referred to as urinary tract infections. It is caused by bacteria that can get inside the urinary tract. 

If the infection is limited to the bladder and urethra (the lower part of the urinary tract), it is referred to as a lower UTI or cystitis. In more severe cases, the infection can spread to rest of the urinary tract, impacting the bladder and the kidneys. This is known as pyelonephritis. It is much more serious and can cause irreversible damage to the kidneys. 

Why are UTIs more common in women as compared to men?

The male urinary tract has a longer urethra as compared to women, which makes the passage of bacteria much more difficult. Hence, women are more prone to developing UTIs. The proximity of the anus to urethra also increases the risk of developing UTI in women. 

What causes UTI in men?

UTIs are caused by bacterial buildup in any part of the urinary tract. 

Infections in the urethra are called urethritis. It is most commonly caused due to sexually transmitted infections such as chlamydia or gonorrhoea. Other types of infections are less common as urine sterilises the urethra before it can get infected. 

Bladder infections are less common in men due to the length of their urethra. Infections in the prostate is called prostatitis. It can be due to bacteria from the bladder or bloodstream. In severe cases, kidneys can also get affected. 

What are the risk factors of UTI?

Some men may have a higher risk of developing urinary tract infections. The risk factors of UTI include:

  • Enlarged prostate: Benign prostatic hyperplasia or PH is a noncancerous increase in the size of the prostate gland. It can cause an obstruction in the flow of urine, increasing the risk of UTI. 
  • Practicing unsafe sex: Engaging in unprotected sexual intercourse with multiple partners can put you at the risk of contracting sexually transmitted infections such as gonorrhoea and chlamydia. These are some of the most common causes of UTI in men. Anal sex is also known to increase the risk of UTI as it exposes the urethra to bacteria. 
  • Kidney stones: Kidney stones are hard deposits of minerals and salts that are formed in the kidneys. While small stones do not cause any significant problem, larger stones or more number of stones can block the flow of urine and increase the risk of UTIs. 
  • Diabetes: Diabetes is a metabolic disorder that can result in several health conditions such as cardiovascular disease, nerve damage (neuropathy) etc. Diabetic patients are also more prone to developing infections including UTIs. 
  • Urethral Stricture: Urethral stricture refers to any abnormal narrowing of the urethra. Any blockage in urine flow is one of the most significant risk factors of UTIs. 
  • Use of urinary catheter: Urinary catheters are long thin tubes which are inserted into the bladder through the urethra in order to drain out urine. If care is not taken and hygiene is not maintained, it can expose the urethra to bacteria resulting in UTIs. 
  •  Urinary incontinence: This refers to the inability to control the urge to urinate. 
  • Age: Studies show that UTIs are less common in younger men and its incidence increases significantly in men ageing over 50 years. 
  • Obesity: Obesity and overweight are complex disorders associated with a number of health conditions including heart disease and diabetes. Patients who are obese or overweight are more prone to developing infections due to underlying complications and a compromised immune system. 
  • Lifestyle: Insufficient hydration can increase the risk of UTIs (less urine to sterilise the urinary tract) as well as kidney stones. It is important to maintain at least 2 litres of water intake in a day. This may need to be increased in summers. 

Also, read: Everything you need to know about prostate enlargement: Benign prostatic hyperplasia

What are UTI symptoms?

Signs and symptoms of UTI in men include:

  • Frequent need to urinate (especially if you have to wake up at night to urinate)
  • Strong urge to urinate 
  • Burning or discomfort during or right after urination 
  • Cloudy urine with a strong odour 
  • Haematuria or blood in the urine 
  • Difficulty in urinating
  • Feeling full even after urinating 
  • Low-grade fever

Diagnosing this condition in elderly patients may be challenging, especially if the patient is unable to express his/her issues due to age-related conditions such as dementia. In such cases, the patient may exhibit fever and confusion. 

How is a UTI diagnosed?

UTI is diagnosed on the basis of the patient’s medical history. The doctor will make a detailed note of all your symptoms and assess your risk of developing UTIs. Your urine sample will be tested for bacteria to confirm the diagnosis. If this is a recurrent problem, further tests may be done to identify the root cause. 

How is UTI treated?

Like any bacterial infection, UTI is also treated with antibiotics. The doctor may also recommend pain medication in case of severe discomfort. 

How can UTIs be prevented?

Some causes of UTI may not be preventable. But with a little care, the risk of developing it can be reduced significantly. Preventive measures for UTI include:

  • Hydrate yourself as required. Alcohol, caffeinated or sugary drinks are not suitable for hydration as they can irritate the bladder and exacerbate the symptoms. 
  • Urinate after sexual intercourse
  • Perform Kegel exercises to strengthen pelvic floor muscles to prevent issues like urinary incontinence. 
  • Do not delay urination if you feel the urge. 

When should you worry about a UTI?

Seek immediate medical attention if:

  • You are not able to urinate or are passing very little urine
  • You have a high fever with or without chills 
  • You have pain in your back or side that is increasing in intensity

UTIs are seldom a cause of worry. However, recurrent or severe UTIs do need medical attention at the earliest. You can meet Dr Shalabh Aggrawal at the CK Birla Hosptial Gurgaon for treatment of all urological problems. 

Also, read: Guide to identifying UTI and managing its risk

High risk of breast cancer: Screening guidelines 

High risk of breast cancer: Screening guidelines 

No single woman is exempt from the risk of developing breast cancer. Nevertheless, some women have a definitive increased risk. Your screening instructions differ when you have a high risk of breast cancer. In this article, Dr Rohan Khandelwal, a leading breast cancer expert at the CK Birla Hospital, sheds some light on the breast cancer screening guidelines for women with above-average risk. 

What determines a high risk of breast cancer?

Some women are more vulnerable to developing cancerous cells in their breasts. There is a wide variety of risk factors that determine this predisposition. Some of the common risk factors of breast cancer include:

  • Personal history of breast conditions: If you have suffered from breast-associated ailments and undergone a biopsy, your chances of developing this cancer increase significantly. 
  • Family history: Breast cancer can be inherited. If one of your blood relatives have lived with breast cancer, you are at a higher risk for breast cancer as well. 
  • Genetic mutations: There are specific genetic variations that make you more vulnerable towards developing cancer. If you have inherited or experienced such a change in your genes, your risk of breast cancer largely increases. 
  • Obesity: Obesity attracts multiple illnesses such as heart diseases, high blood pressure and even breast cancer. 
  • Getting periods early: If you have started your periods at an early age, that is before age 12, your risk for breast cancer increases. 
  • Getting menopause late: Your breast cancer risk increases if you start your menopause after the age of 50.
  • Not becoming pregnant: Women who experience pregnancy and breastfeed their babies benefit from a reduced risk of breast cancer. This possibility, on the other hand, increases if you choose not to get pregnant.
  • Excessive alcohol: Studies have shown that an excessive intake of alcohol leads to breast cancer in women. 

Breast cancer early detection is the ideal strategy for effective treatment. If you have an association with any of the above-given risk factors, your breast cancer screening guidelines are altered to offer an optimal diagnosis. 

What are breast cancer screening tests?

Breast cancer early detection is possible with routine screening tests. Breast cancer screening tests are a group of tests that help in the identification and detection of cancer cells in the breast at an early stage. Screening tests are used by healthcare providers to look for signs and symptoms of cancer cells.  

Patients can avoid developing cancer to an advanced stage and receiving relevant treatment beforehand with the help of screening tests. These tests are only a way for detection and should not be misunderstood as breast cancer prevention options. 

Some of the common types of breast cancer screening tests include:

  • Mammogram: A mammogram is an imagining test for breasts. It is similar to an X-ray and helps your doctor to visualise the insides of the breast. 
  • Breast MRI: Breast MRI (Magnetic Resonance Imaging) is an important medical tool for diagnosing breast cancer. This technique uses high-frequency radio waves to produce cross-sectional images of the breasts. This test is useful in the detection of smaller lumps of breast cancer cells. Women who have high breast density also benefit from breast MRI. 
  • Clinical breast exam: One of the most common types of breast cancer screening is a clinical evaluation of the breasts. It a manual checkup of the breasts. Your doctor or nurse will screen your breasts for lumps or abnormal changes.
  • Self-exam: A breast self-exam is similar to a clinical evaluation, except it is done by a woman herself. In a breast self-exam, you are required to stand in front of a mirror and analyse your breasts for possible changes in its size, shape or appearance. A self-exam also requires you to feel your breasts for any lumps.

Your doctor may indicate other screening tests such as CT scans, ultrasound, PET scans, biopsy and more if and when the need for them is suspected. 

Watch the video as Dr Rohan Khandelwal, Breast cancer specialist – the CK Birla Hospital explains how to perform breast self-examination and how often it should be done.

What are the breast cancer screening guidelines?

The breast cancer screening guidelines differ for women depending on their risk factors. All women have an average risk of breast cancer, irrespective of their predisposition. However, only some have a higher risk. 

Since breast cancer early detection is more crucial for women with an increased risk, the instructions for screenings are different for them. 

Guidelines for women with an average risk for breast cancer

Women with an average risk for breast cancer should implement the following protocol for screening:

  • Women should start going for annual breast cancer checkups between the age of 25-40 years. 
  • You should have yearly mammograms starting from age 40. 
  • You should schedule annual checkups to watch out for breast cancer signs and symptoms
  • You should discuss the findings of the mammogram with your breast cancer specialist. 
  • You should perform breast self-exam routinely starting from the age of 25 to check any changes in your breast size, shape or appearance. 

Guidelines for women with high risk for breast cancer 

Frequent and additional tests are indicated for women with high risk for breast cancer. 

  • Women who have high risk of breast cancer should start getting annual mammograms from the age of 30. 
  • You should also consider taking yearly breast MRI starting from age 30 in addition to a mammogram. 
  • If you have a family history of breast cancer, you should take a breast exam every six months starting at age 25. 
  • You should perform breast self-exam every month starting at an age of 25. 

There are important differences in screening guidelines between average and high-risk women – increased frequency of tests and an early age for screening. 

The concluding note

While knowing that you have a high risk of breast cancer can be overwhelming, it also paves way for early detection. Breast cancer screening guidelines need to be taken seriously whether or not you have an increased possibility for developing this ailment. 

If you wish to learn about your risk of breast cancer, you can consult with Dr Rohan Khandelwal, breast cancer specialist at the CK Birla Hospital. 

Also, read: Breast Cancer- Screening & Diagnosis

What is rickets, is your child at risk
Jan 11, 2021|Dr. Shreya Dubey

What is rickets, is your child at risk

Rickets is a bone disorder that can be traced as far back as the 17th century. During this time it rose to infamy as “the English disease” due to its outbreak in 17th century England.  Until the 1920s not much was known about the disorder or what causes rickets. With time, further research highlighted the role that diet, lifestyle, environment and genetic factors played in developing this condition. Rickets affects infants and children causing long-term developmental problems and stunted growth.

In this article, we will shed more light on this condition and ways to manage it.

What causes rickets?

In the early days, rickets was mistakenly thought to have socio-economic roots. Today, that misconception has been cleared up and rickets is no longer considered to be a disease limited to lower economic countries or regions. So, what causes rickets? 

Rickets can be inherited or be caused due to diet and lifestyle. The latter is called nutritional rickets. In some cases, underlying conditions can also increase the risk of developing rickets. 

The most common cause of rickets is:

  1. Vitamin D deficiency
  2. Calcium deficiency

The importance of Vitamin D in our diet and lifestyle has come into light daily recently. Vitamin D is produced in our body when we are exposed to sunlight. This vitamin helps us absorb and process calcium. In adults, vitamin D deficiency can cause osteomalacia.

Rickets can occur in any child. Some children however are more prone towards developing this condition. Studies show that ethnicity can also increase the risk of developing rickets. Premature babies also have a greater tendency to develop this condition during their childhood as babies build up stores of vitamin D while they are inutero. 

Today, children tend to spend more time indoors. This further decreases their exposure to healthy sunlight. This greatly contributes to the increasing incidence of rickets in children. You should encourage your child to spend some time outside regularly to ensure that they get their daily dose of the sun.experts recommend 10-15 minutes of sunlight exposure daily. Remember to avoid direct sunlight, use ample amount of sunscreen and protective clothing to keep them safe from harmful rays. 

Symptoms of rickets

Delayed growth and delayed motor skills are some of the most obvious symptoms of rickets to watch out for. Read more on important growth and developmental milestones for your child

Children and infants with rickets may also experience pain in the spine, pelvis and legs as well as exhibit muscle weakness. 

Physical deformities such as bowed legs (commonly called knocked knees), thickened wrist and ankle joints as well as breastbone projection are common physical symptoms of rickets. Idetifying symptoms in infants can seem challenging. Babies with rickets are generally fussy and have soft skulls.

If these symptoms become too obvious and is becoming a cause of concern, consult a paediatric orthopaedic doctor immediately to form a treatment plan for arresting and correcting the deformity. 

Long term impact of rickets includes an abnormally curved spine, failure to grow, bone and dental deformities and seizures in extreme cases. 

Is your child at risk?

If your child has certain underlying or preexisting health conditions, they have a greater risk of developing rickets. You would need to take special care in spotting symptoms early if you child has condition such as Celiac disease, inflammatory bowel syndrome, Cystic fibrosis or kidney problems. These conditions impact the way vitamin D is absorbed in the body, resulting in rickets.

In some cases, long term use of specific medications such as anti-seizure medication and antireteroviral medications can also interfere in the body’s ability to absorb vitamin D. In such cases, consult your child’s paediatrician to develop a plan for preventing rickets. 

Treatment for rickets

Depending on the severity of the condition and its root cause, treatment approaches can be medical, dietary or surgical. In case the condition is caused by some other underlying ailment, treating the primary disease is essential. Inhertited rickets requires a more specialised approach and it is best to consult a doctor experienced in managing rickets. 

Extremely serious deformities such as extreme cases of knock-knees can also be surgically corrected. 

Medical management of rickets includes annual injections of vitamin D (recommended if the child is unable to take oral supplements or has intestinal/liver disease), oral vitamin D & calcium supplements and dietary changes. 

Also, read: Importance of Vitamin D

Tips for preventing rickets

  • The most important thing to keep in mind for preventing rickets is ensuring your child is getting atleast 10-15 minutes of sunlight exposure daily and is getting adequate calcium through diet.
  • If your baby is being fed only breastmilk, consult your paediatrician for vitamin D nutritional support.
  • Vitamin D and calcium supplements is aslo recommended during pregnancy to help your baby build their reserves before birth.
  • For older children, food rich in calcium such as milk, cheese, guava and green vegetables are a must. Other foods that are rich in vitamin D and calcium are fatty fish like salmon and tuna, orange juice, soy milk and fortified cereals. 

A paediatrician or a paediatric orthopaedic doctor will be able to provide more insight into your child’s health and help you create a customised diet that addresses any nutritional gaps your child has. You would need to take extra care if your child is lactose intolerant. In India, we get most of our calcium from dairy products. If your child is lactose intolerant, talk to your doctor to know more about dietary substitutes. 

For more information, you can visit at the CK Birla Hospital, Gurgaon. Book your appointment today!

Also, read: Countering Vitamin D deficiency with little sunshine and right lifestyle

High Risk Pregnancy? Here’s All You Need to Know!
Jan 11, 2021|Dr Alka Gupta

High Risk Pregnancy? Here’s All You Need to Know!

A woman becomes a mother from the moment she learns that she is carrying a child. The news of pregnancy irks the behaviour of motherhood. She encounters a variety of emotions ranging from joy, excitement, calmness and worry. However, for some women, the extent of worry goes overboard. It is because they have a possibility of a high risk pregnancy. 

In India, nearly 20-30% gestational women go through a high risk pregnancy. Despite such high figures, there is little understanding of the management and prevention of high risk pregnancy. 

In this article, Dr Deepika Aggarwal, the best obstetrician & gynecologist in Gurgaon for high risk pregnancy, provides an overview of this health condition. 

What Is High-Risk Pregnancy Definition?

As the name denotes, a high risk pregnancy is the one that has higher risks of health complications for the newborn, the mother or both. 

These health complications can arise anytime during, before or after pregnancy. There is special gynecologist for high risk pregnancy that offer additional monitoring and care. 

What Are the Risk Factors of Having a High-Risk Pregnancy?

Some women are more prone to endure a high-risk pregnancy than others. Several risk factors result in this condition. Some common factors include:

Maternal Age: If you are an expecting mother over the age of 35 years or younger than 17 years, you would have higher odds of going through a high-risk pregnancy. There are additional risks of genetic deformities and miscarriage in women over the age of 40. 

Lifestyle: Your lifestyle choices directly impact your child’s life. The chances of high-risk pregnancy increase in women who lead a sedentary life. If you have a history of smoking, drinking alcohol or substance abuse, you would be more vulnerable to this condition. It is recommended that you discuss your medical history with your doctor so that preventive healthcare can be given to you. 

Underlying health conditions: Pre-existing health conditions such as high blood pressure, thyroid, obesity, diabetes, asthma, epilepsy, cancer, autoimmune diseases, sexually transmitted diseases, blood disorders, fertility issues and more can cause serious health concerns to the unborn child.

Obstetrics history: Your previous pregnancies can also cause a high-risk pregnancy in the present. You should discuss your obstetrics history with your doctor to plan the care you need. Previous obstetrics medical conditions that can lead to high-risk pregnancy are-

  • Stillbirth
  • Premature infant
  • Post-term pregnancy 
  • Cesarean delivery 

Pregnancy Complications

Numerous complications can arise during pregnancy. Some of the common pregnancy complications are:

1. Preterm Labour

Among the top pregnancy complications that pave way for high risk pregnancy is the possibility of preterm labour. Preterm labour is the one that is induced before 37 weeks gestation. 

2. Preeclampsia 

One of the most common pregnancy complications in women is preeclampsia. It is a disorder that leads to a sudden rise in blood pressure. It mostly develops after the 20th week of gestation.

3. Gestational Diabetes 

It is a specific type of diabetes that develops during pregnancy. In most cases, gestational diabetes can be treated post-delivery with the help of lifestyle-based treatment plans.

4. Birth Defects 

Numerous birth defects can affect a child. If the presence of such birth defects is seen during screening, there are higher odds of a high-risk pregnancy. In such cases, expecting mothers require closer medical care. 

5.Problems in the Baby’s Growth 

A baby is expected to grow at a moderate pace. If the baby’s growth is interrupted for some reason, the expecting mother would have to deliver pre-term. This situation raises the likelihood of a high-risk pregnancy. 

6. Multiple Pregnancies

There is a greater chance of undergoing a high risk pregnancy if the mother is expecting multiples. Birthing more than one baby can give rise to several complications. 

If you are impacted by any of these risk factors, you should consult the best gynecologist in Gurgaon for high risk pregnancy.

What Is the Prevention of High-Risk Pregnancy?

You can avoid high-risk pregnancy with an attentive approach. Here is a list of measures you can take for the prevention of high-risk pregnancy:

  • Consult a gynaecologist before conception: If you are planning to conceive, meet your gynecologist in advance to discuss the risk factors. Your healthcare provider can help you in making lifestyle modifications to achieve a healthy pregnancy.
  • Discuss medical history: If you have an underlying health condition, discuss it with your doctor. He/she can help to formulate a treatment plan to minimise your chances of a high risk pregnancy.
  • Healthy lifestyle: You should lead a healthy life that includes eating nutritious meals, doing moderate physical activity and maintaining a healthy weight. You should stop smoking or drinking alcohol. 
  • Practice self-care: The time of conception can be stressful for you. You should engage in activities that keep you calm and help you relax. 

You can book an appointment with Dr Deepika Aggrawal to learn more about how to prevent high risk pregnancy. 

What Is the Management of High-Risk Pregnancy?

The incidence of high-risk pregnancy is very common for gynaecologists. Some specialised doctors help in the management of high-risk pregnancies.

Each pregnancy is unique and so is its prenatal care. Your gynaecologist for high-risk pregnancy will carefully monitor your health. Depending upon on your health conditions, he/she indicate certain tests or screenings. These include:

  • Targeted ultrasound: A targeted ultrasound is similar to a regular ultrasound except that it targets to screen abnormalities present in the baby. This ultrasound is recommended if the fetus shows signs of deformities. 
  • Prenatal cell-free DNA screening: It is a type of DNA test that examines the presence of chromosomal abnormalities in the fetus. 
  • Biophysical profile: Along with prenatal targeted ultrasound, the doctor may conduct a nonstress test to examine the heart rate of your baby. This test offers a complete health profile of the fetus. 
  • Laboratory tests: Lab tests such as urine tests and blood tests help in identifying whether the fetus has caught any infections like UTI, HIV or more. 
  • Checking cervix length: Your gynecologist may also indicate for you to undergo an ultrasound to check the cervical length of the baby. This scan helps to determine if you require preterm delivery or not. 

What Is the High-Risk Pregnancy Treatment?

High-risk pregnancy treatment is varying in every case. The type of treatment offered depends upon the type of disease, its effect on the baby, the patient’s overall health condition and more. Most of the high-risk pregnancy complications can be treated effectively if the condition is highlighted in the early stages. This is why it is more important to have regular prenatal care. 

You can get customised high-risk pregnancy treatment in Gurgaon at the CK Birla Hospital

When to Seek Immediate Medical Care for a High-Risk Pregnancy?

Undoubtedly, high-risk pregnancy is a critical time for expecting parents. You would have to practice extra prenatal care and look out for any problems.

You should immediately consult your healthcare provider in case you have:

  • Vaginal bleeding
  • Painful urination 
  • Vomiting or consistent nausea
  • Blurred vision 
  • Pain in the lower abdomen area
  • Watery discharge from the vagina 
  • Fever or chills
  • Self-harm thoughts
  • Sudden swelling in the face and hands

Read: Vaginal Discharge: What’s normal and what is not?

How Safe Is My Baby During a High-Risk Pregnancy?

High-risk pregnancy puts, both, the mother and child at risk of health complications. However, these complications can be minimised with the early intervention of a specialised gynaecologist and extra prenatal care. 

The concluding note

A high-risk pregnancy is an ordinary phenomenon around the globe. Due to its high prevalence, it requires an increased amount of awareness. The above article is your complete guide for a high-risk pregnancy.

To know more about maternal and child health, you can book an appointment with Dr Deepika Aggarwal, the best gynecologist in Gurgaon for high-risk pregnancies. 

You can also visit the CK Birla Hospital for more details.  

FAQ’s on High-Risk Pregnancy


Ques: How will a high-risk pregnancy alter my prenatal care?

With a high-risk pregnancy, you can expect to visit your obstetrician/gynaecologist more frequently. Your doctor will monitor your health more closely than for a normal pregnancy

Ques: How do I know my pregnancy is high risk?

Your gynaecologist will be able to tell if you have a high-risk pregnancy. However, you can get a better idea by yourself by knowing the risk factors of a high-risk pregnancy.

Also, read: Tips to ensure healthy Pregnancy

Complete Dialysis Patient Diet Plan: Foods to Eat and Avoid 
Jan 11, 2021|Dr. Mohit Khirbat

Complete Dialysis Patient Diet Plan: Foods to Eat and Avoid 

“You are what you eat” 

Notice how models and gym-goers emphasise on eating a well-balanced diet. One week of a salad-based diet can prepare them to feature on a magazine cover. What you eat literally acts as fuel for your body. A highly nutritious diet can do wonders for a healthy person. For a chronically ill person, it can alter the course of life. People living with chronic kidney diseases would understand the importance of consuming sufficient nutrients. However, planning a dialysis patient’s diet chart needs clinical help. 

In this article, Dr Mohit Khirbat, a leading nephrologist at the CK Birla Hospital will help you design the best diet plan for dialysis patients. 

Why Is a Dialysis Patient Diet Important?

To understand the importance of diet for patients on dialysis, let us rewind some school-time biology. Dialysis is offered to patients suffering from chronic kidney diseases. 

In human anatomy, kidneys are bean-shaped organs responsible for filtering waste generated by our body. However, sometimes the functioning of the kidneys can be disrupted due to various reasons. As the kidneys fail to function properly, the waste can get buildup and cause harm to the body, in general. 

In such situations, healthcare providers offer dialysis to keep the body functioning. A dialysis machine helps to maintain the balance by managing the kidney’s functions. Dialysis treatment helps to remove extra waste, salt and water from the body. 

However, even during dialysis some waste can fluid can buildup. A prolonged collection of these substances in the body can lead to heart and bone problems. 

Dialysis patient diet comes in place when the patient is willing to benefit entirely from the treatment and avoid additional health problems. It is important to properly track and consume only sufficient nutrients. A dialysis patient is required to cautiously avoid specific food items as well to prevent any health complications. 

What Is Necessary for a Dialysis Patient’s Diet Chart?

It is important to understand that dialysis cannot replace the functioning of a kidney. Dialysis is a treatment that only offers support to patients with end-stage kidney diseases. Therefore, a conscious choice of food should be made to maintain health. 

There is a range of foods good for a kidney dialysis patient. However, in a dialysis patient diet chart, the focus should be kept on four key areas:

  • Potassium 
  • Sodium 
  • Phosphorus 
  • Fluids 

1. Potassium Foods for Dialysis Patient

Potassium is an essential mineral which is considered highly beneficial for dialysis patients. It is important for the healthy functioning of nerves and muscles including the heart. 

An increased amount of potassium in the body can lead to heart problems such as irregular heartbeats and even cardiac arrest. On the other hand, a low potassium intake can cause muscle cramps and difficulty in breathing. The key is moderation. 

Dialysis patients are required to monitor their potassium intake and restrict it to a moderate level. 

Most fruits and vegetables are generally high in potassium. You can remove some amount of potassium from vegetables by the process of leaching. Leaching means removing potassium amount from raw vegetables by soaking them in the water at least two hours before cooking. 

Other food products with a high amount of potassium are nuts, seeds, coconuts, wholegrain cereals, brown sugar and more. 

2. Sodium Foods for Dialys is Patient

Sodium is a necessary electrolyte for body functions that helps in the regulation of blood pressure. Sodium also helps in regulating acid and base balance in the body fluids. 

Despite being necessary, an increased level of sodium can lead to multiple health problems in a kidney dialysis patient. These include hypertension, edema and shortness of breath among others. 

Therefore, it is mandatory for dialysis patients to restrict their sodium intake. Sodium is most commonly found in salt. Minimising the levels of salt in your meals can be really helpful. Other items such as processed foods are some foods for a dialysis patient to avoid. 

3. Phosphorus Foods for Dialysis Patient 

The energy that our body produces is stored with the help of phosphorus. It is an essential mineral required by our body to utilise other vitamins and minerals. Additionally, the strength of our bones and teeth are maintained by phosphorus and calcium. 

Products rich in phosphorus are foods for a dialysis patient to avoid. It is because dialysis cannot manage the required level of this mineral in our body. A high level, on the other hand, can cause various complications such as renal bone disease, skin itching and more. 

4. Fluids in the Best Diet Plan for Dialysis Patient

A patient who receives kidney dialysis needs to establish a strong control on his/her fluid intake. It is because fluid removal is an integral function of the kidneys. When the kidneys do not function properly, the excess water can get collected and move to the body cells. An excess buildup of fluids in cells can cause swelling of the feet and hands, commonly known as edema. More so, the extra volume of fluids can enter tissues present in the lungs and disrupt their functioning leading to breathlessness. 

In such cases, a patient is only dependent on dialysis for the removal of fluids from the body. The best method to avoid the above-given health complications is to limit the intake of fluids. 

Furthermore, even dialysis can remove a certain quantity of fluids, therefore a restriction on the consumption of fluids at the first hand is the best preventive measure. 

Tips to limit your fluid intake – 

  • Do not gulp down a whole glass of fluids in one go. Try to drink it in sips. 
  • Choose drinks such as juices to restrict water intake. 
  • Reduce salt intake as more salt makes you more thirsty.

Dialysis Patient Diet Plan Infographic

Dialysis Patient Diet Plan: 20 Best Foods to Eat

 

 

Note: The requirements of each dialysis patient is different. The above-given information can help you custom-make your diet chart. You should ensure to restrict sodium and phosphorus intake while moderately managing the quantity of potassium. Sometimes food items have low sodium but are rich in calories. It is, thus, important to carefully design a plan that does not overwhelm you with one nutrient and drive you of another. You can discuss these tips with your healthcare provider to prepare a personalised dietary plan. 

The Concluding Note

Dialysis diet plan becomes significant from the day you start taking treatment. The treatment of kidney disease is key for managing symptoms and removing waste from your body. It is up to you to make a conscious choice and live a healthy life during dialysis sessions. Dietary intake along with the following medications are vital components for the success of the treatment. 

To learn more about kidney disease or plan your dialysis patient’s diet chart, you can book an appointment with Dr Mohit Khirbat, a leading nephrologist at the CK Birla Hospital.  

Also, read: Common signs of Kidney Stones & steps to preventing Kidney Stones

Tips for faster recovery from sprained ankle
Jan 11, 2021|Dr. Anuj Chawla

Tips for faster recovery from sprained ankle

Picture this: Your school football team has made it to the finales. You have to play in the big game tomorrow but you accidentally fall and sprain your ankle. Now before you stress out in such a situation, let us tell you some expert-approved ways on how to heal a sprained ankle as soon as possible. 

A sprained ankle is a common occurrence among athletes and people who routinely exercise. It is also considerably easy to prevent common foot and ankle injuries

In this article, Dr Anuj Chawla, best foot and ankle specialist in Gurgaon discusses some top tips for the prevention of ankle injuries and how to manage them. 

What is a sprained ankle?

A sprained ankle happens when you hurt the ligaments in your ankles. Ligaments are flexible tissues that hold two adjacent bones together. You can sprain your ankle when you are rolling or twist it by mistake. 

Common symptoms of a sprained ankle include:

  • Swelling and bruising of the ankle
  • Limited range of motion
  • Pain and Instability 
  • Tender ankle
  • Popping sound at the time of injury 

How to heal a sprained ankle?

Athletes would understand how recurring sprained ankles are. However, this injury can also be healed comfortably. The following remedies can be applied at home if a person suffers from an ankle sprain. 

Tips on how to heal a sprained ankle-

1. R.I.C.E.

The R.I.C.E approach is very popular and beneficial for a swift recovery. It is a traditional tried and tested healing method. The acronym R.I.C.E. stands for – Rest, Ice, Compression and Elevation, respectively. 

Rest: If you suffer from any injury at any body part, the primary step is to give proper rest to the affected area. You should not engage in any activity that could worsen the swelling or pain. 

Ice: Applying ice to the sprain has also been proved favourable in most cases. You should place an ice pack to the ankle to reduce swelling and pain. If an ice pack is not available, you can simply wrap some ice cubes around in a towel and use it. 

Compression: Doctors recommend compressing the sprained ankle by using an elastic or crepe bandage. This helps in reducing the swelling and alleviates pain. It is also helpful in maintaining joint stability. While the bandage should be wrapped around firmly, you should not bind it too tight. If the bandage is excessively tight, it can obstruct blood circulation and cause numbness. 

Elevation: The last step of the R.I.C.E. is to elevate the sprained ankle. Elevating the ankle helps to avoid the buildup of fluid in the joints. It is suggested that you should support the ankle by placing a pillow under it while sleeping. You should keep the ankle at an elevated level from the heart to help reduce swelling. 

2. Protection

In severe ankle sprains which limit the ability of the person to walk, some form of protection is helpful to prevent worsening of the injury. Protection and immobilization can be in the form of a cast, pneumatic walker boots or ankle brace. In fact, the acronym for healing acute ankle sprain has been changed by many from RICE to PRICE so as to include protection.

3. Medicines

Non Steroidal Anti Inflammatory Drugs (NSAIDS) like ibuprofen and Voveran (diclofenac)  have been proven to be of significant benefit in early healing These medicines work by reducing the pain and swelling and hence hastening the recovery.

4. Physical therapy

Exercises and rehabilitation play a paramount role in preventing stiffness, early recovery and prevention of recurrence in future. Physical therapy after an ankle sprain should be started after a brief period of rest of 5-7 days or after the plaster is removed. The rehabilitation for acute ankle sprain can be divided into 3 phases:

  1. Stretching and mobilization- Gentle mobilisation of the ankle and stretching of calf muscles is started first to combat the stiffness, promote blood circulation, reduce the swelling and hence boost the process of healing.
  2. Strengthening– Once the movement of the ankle is restored close to normal, strengthening of the muscles around the ankle needs to be initiated. Strengthening primarily focuses on muscles on the outer side and the front of the ankle, namely evertors and dorsiflexors respectively but it has to be done all around the ankle 
  3. Proprioception training- The most neglected yet the most important part of rehabilitation after an ankle sprain is prevention of recurrence. Proprioception or balance training plays an important role in this. It helps in improving the coordination between the brain and ankle without involving the eyes. Simple exercises like single leg stance with eyes open and closed can be started to improve balance training as soon as one recovers from ankle sprain.

5. Massage

You can also go to a verified healthcare provider and choose for lightweight massage. You may also do a gentle massage at home yourself.

Sprained ankle prevention tips

Besides effective management, ankle sprains can also be prevented. Since such injuries are frequent events in sports. Athletes need to learn about the prevention of ankle injuries. 

Here are some useful tips to prevent foot and ankle injuries:

    1. Warm-up before any sports activity – Whether you are about to participate in a marathon or hit the gym, you should always do warm up in advance. Light stretching, jogging and more are considered good warm-ups to prepare the body for a workout.
    2. Wear proper footwear – The idea of playing football in heels is most bizarre. There is a variety of footwear made for their specific purposes. While playing a sport, you should wear shoes specifically designed for sports. These shoes have the right arch support that helps to prevent foot and ankle injury. 
    3. Replace old shoes – Even if you have the right footwear, it is important to ensure that they constantly offer the right arch support. If your sports shoes have worn out, you should replace them for the prevention of ankle injuries. 
    4. Avoid uneven surfaces – Everyone likes an adventure but none likes a sprained ankle. If your physical activity involves running, jumping or walking, you should avoid going to uneven surfaces. Flat surfaces help you play better and avoid injuries. Even in outdoor sports such as hiking, while you cannot completely avoid rocks and steps, you should watch out for the ones that may pose danger. 
    5. Do ankle exercises – Particular exercises can help to prevent foot and ankle injuries. You should include these exercises in your regular workout schedule. Some of the common exercises for ankle include:
      • Ankle circle: You simply have to sit on a flat surface with your legs outstretched and move your ankles in a circular motion. 
      • Heel raises: This exercise requires you to stand against a wall or another support. You are required to keep your legs a few inches apart. Slowly lift your heels and stand on your toes. Hold that position for a few seconds and repeat. 
    6. Prevent recurrent injuries – If you have suffered from a sprained ankle earlier, your chances of hurting your ankle, again, increases. To avoid ankle sprains, you can use a tape at the sight of the previous injury or wear an ankle brace during the sporting event. 
    7. Choose physical therapy – A certified physical therapist would be able to help with your ankle sprain and recovery. You can choose to go for physical therapy if you have suffered from a seriously sprained ankle that may affect your physical ability or strength. 

When to consult a doctor in case of a sprained ankle?

If your pain does not alleviate after implementing these tips, you should instantly seek medical support. You should consult your healthcare provider if:

  • Your pain is worsening 
  • You are unable to walk at all
  • Your swelling does not reduce

The concluding note

A sprained ankle usually heals on its own without clinical intervention. The above-given tips can help you to encourage the healing process for a quicker recovery. 

To learn more about muscle and joint injuries, consult Dr Anuj Chawla, best foot and ankle specialist at the CK Birla Hospital.

What is a hernia? Do I need surgery to treat it?

What is a hernia? Do I need surgery to treat it?

The incidence of hernia in India is very high. Men, in comparison to women, are more susceptible to developing hernias. Although this ailment can occur in people across ages, a hernia is most common among the elderly. In this article, Hernia surgeons in the CK Birla Hospital, explores what is a hernia about and when a hernia surgery required. 

What is a hernia?

A hernia is a condition in which a body organ pushes through weak muscles holding it together. A hernia can occur anywhere between the chest and the groin. It appears in the form of an abnormal bulge. 

Apart from dull recurrent pain and discomfort, hernia mostly does not cause severe symptoms. You can expect to notice a lump or swelling that highlights this condition. 

The hernia is of different types depending upon its location. Some major forms of hernia include inguinal, femoral, umbilical, hiatus and incisional among others. Inguinal hernias are the most common type. 

There is no single cause attributed to the development of a hernia. Weak muscles that may be present since birth is one reason behind this condition. Excessive and repeated strain on abdomen and groin can also cause hernias. Simple health concerns such as physical exertion, coughing, obesity, constipation etc can unknowingly cause much abdominal strain.

Read: All you need to know about inguinal hernia | Symptoms and treatment

What is hernia treatment?

Accurate investigation of the ailment is necessary before hernia treatment. The diagnosis of hernia is fairly simple. At most times, the lump (hernia) is visible and even felt. Your healthcare provider will assess the bulge and ask about your symptoms. 

Sometimes, your doctor may also indicate screening tests such as ultrasound and CT scans to visualise the state of the hernia

Hernia treatment is varied for each patient. Several factors help your healthcare provider decide which treatment protocol to follow. Some of these factors include:

  • Type of hernia – Each form of hernia affects a person differently. Hence, its treatment type is also different. 
  • Content of hernia – A hernia may simply be a bulge of fatty tissues, bowel, muscles or some other tissue. 
  • The severity of symptoms – The effects of the condition on your everyday life is assessed to determine which treatment modality to opt. 
  • Overall health – Your age and general wellness are also important. If you are suffering from chronic illness or health conditions such as heart diseases, your doctor may implement a treatment plan following that. 

At most times, surgery for a hernia is the relevant method for improving your health. 

There are majorly two treatment types – watchful waiting and hernia surgery. If your symptoms are mild and do not interrupt your life, your healthcare provider may suggest active surveillance as hernia treatment. You will be frequently examined for changes in symptoms. Your doctor will provide medicinal support to relieve pain and discomfort.  

What is hernia surgery?

A hernia repair surgery is when your general surgeon cuts open the area of the bulge and push the muscles back into their original place. Hernia surgery is an effective remedy and provides complete relief for an extended period. 

Hernia surgery is a safe procedure when performed by a qualified surgeon. It does not have severe side effects and has high success rates. 

Call +911244882200 to know the hernia operation cost in Gurgaon.

What are the types of hernia surgery?

Hernia repair surgery is done in two ways – traditional surgery and advanced laparoscopic hernia surgery. 

  1. Open hernia surgery – Open hernia surgery is a conventional surgical method. Your surgeon makes a large incision at the site where the hernia is located. Through this incision, he/she accesses the bulge and pushes back the tissues in place. The weak muscle wall is stitched back. Your surgeon will provide support to the weakened wall with the help of a surgical implant or mesh. 
  2. Laparoscopic hernia surgery – Laparoscopic hernia surgery, also referred to as a keyhole procedure, is a more advanced and innovative surgery for a hernia. Your surgeon uses advanced medical tools to access the bulge. In this surgery, multiple small incisions are made at the hernia location. Through one of the incisions, the surgeon inserts a laparoscope, a thin tube with a tiny camera attached at one end. This medical device allows the surgeon to visualise the internal organs. The other incisions are used to access the hernia. The surgeon repairs the bulge by pushing it back in its place with the help of surgical devices. 

Laparoscopic hernia surgery is a minimally invasive procedure and outscores the benefits of open hernia surgery. The patient experiences lesser pain during keyhole surgery. The amount of blood loss and scarring is also minimal. 

Also, read: How safe is Laparoscopic surgery?

What is a Hernia, Hernia Treatment, Types of Hernia Surgery, Hernia Surgery, Surgery for a Hernia, Laparoscopic Hernia Surgery, Hernia operation cost, What is Hernia Surgery, Open Hernia Surgery, Hernia Repair surgery

Are there any risks associated with hernia surgery?

Surgery for a hernia is a safe and common procedure. It is a low-risk method for a permanent solution for a hernia. However, both open and laparoscopic surgery for hernia has certain side-effects. 

Common risks associated with a hernia repair surgery are infection, pain, headache, nausea, bladder injury, nerve damage and blood clots. 

Sometimes, a patient may experience recurrence of the hernia. However, disease recurrence is extremely rare post-surgery. 

What does the recovery for hernia surgery look like?

The time taken to recovery from hernia surgery depends on the type of hernia, patient’s overall health and type of surgery. Most patients can return home the same day. 

The estimated time for recovery from open hernia surgery is at around 3 weeks. You should, however, avoid strenuous physical activities for up to 6 weeks. The recovery from laparoscopy is much less than open surgery.

You should follow your surgeon’s guidelines for proper postoperative care:

  • You can expect minor pain till healing 
  • Avoid lifting any heavy objects 
  • You should exercise according to your doctor’s instructions
  • You should come for follow-up visits 
  • Make sure to complete your course of medication 

In case of any complications, consult your healthcare provider instantly. 

The concluding note 

Hernia affects every person uniquely. If you have severe symptoms, surgery may be the ideal fix for your condition. An untreated hernia can cause several complications as it grows. 

To learn more about hernia surgery, you can book an appointment with best hernia surgeon at the CK Birla Hospital. You can also call +911244882200 to know the Hernia operation cost in Gurgaon.

Watch out for these warning signs of Pregnancy
Dec 18, 2020|Dr. Astha Dayal

Watch out for these warning signs of Pregnancy

Congratulations on your pregnancy! You can now prepare to go through a rollercoaster of emotional and physical changes during the next 9 months. While pregnancy is mostly a joyous life event, it is also a time that calls for caution. You need to stay informed and practice watchfulness at every step. It is, therefore, important to learn about the warning signs of pregnancy. 

In this article, Dr Astha Dayal, one of the best obstetricians in Gurgaon explains the most common warning signs during pregnancy. 

Facts about warning signs of pregnancy

  • According to UNICEF India, pregnancy-related complications is the number cause of death among younger girls.
  • As per the World Health Organisation (WHO), India is the top country with most preterm births. 
  • Around 800 women succumb to childbirth complications all over the world. 

What are the warning signs of pregnancy?

You can expect to feel the effects of pregnancy as growing a baby inside your belly is no easy task. However, sometimes, a woman may experience bad pregnancy symptoms. These symptoms should not be mistaken for ordinary body changes. 

You should proactively monitor your health and stay alert of the following warning signs during pregnancy:

1. Vaginal bleeding

There are diverse reasons that cause bleeding during pregnancy. During the first trimester, vaginal bleeding could be a sign of ectopic pregnancy. An ectopic pregnancy is when the embryo is implanted outside the uterus. Ectopic pregnancies can lead to complications for the mother and child. 

Bleeding during pregnancy, in the second trimester, may indicate a loss of pregnancy or miscarriage. 

While bleeding during the final trimester is a sign of placental abruption. At any stage of gestation, bleeding should be considered a warning sign. You should consult your gynaecologist even if you experience spotting and not heavy blood flow.

2. Persistent back pain during pregnancy

Severe back pain should not be taken lightly at any stage during pregnancy. The several changes in your body can lead to some level of discomfort. Nonetheless, persistent back pain during pregnancy requires clinical care. 

3. Dizziness

Unlike popular opinion, fainting during pregnancy is not common. You can expect to feel a certain amount of light-headedness. However, fainting or feeling extremely dizzy in pregnancy is not a healthy sign. 

4. Severe nausea and vomiting

It is highly common to feel nauseated and vomit during the first trimester of pregnancy. These symptoms are popularly called ‘morning sickness’. 

However, if these symptoms persist for a longer time, it could be a cause of concern. This warning of pregnancy can also lead to a condition called hyperemesis gravidarum. Excessive nausea and vomiting could dehydrate your body and harm fetal health. 

5. Headache and abdominal pain during pregnancy

Your hormones may be a reason for frequent headaches and abdominal pain during pregnancy. However, if your aches are persistent and unbearable, you may need to see your gynaecologist. 

Consistent pain is among the bad pregnancy symptoms. It may indicate high blood pressure and lead to the development of preeclampsia (a fatal pregnancy complication). 

6. Change in vision

A sudden change in vision or blurry vision is one of the top pregnancy symptoms you should never ignore. This warning sign is an indicator of preeclampsia or gestational hypertension. 

7. Painful urination

If you feel a sense of pain or burning during urination, you might have contracted a urinary tract infection (UTI). If not treated, this warning sign can lead to other serious infections or even preterm labour

8. Itching

One of the most serious pregnancy symptoms you should never ignore is itching all over the body. It could be a sign of cholestasis during pregnancy. 

Cholestasis is a liver condition. In this illness, the production of bile juice from your gall bladder is either stopped or disrupted. Cholestasis does not form any kind of rash. 

Skin dryness and itching are not unusual for pregnant women. Your skin stretches to accommodate your baby and can become dry over time. Nonetheless, if the itching is extreme and beyond control, you should immediately consult your healthcare provider. 

9. Early contractions

Early contractions in the uterus could be a sign of preterm labour. Preterm labour is the one that starts before 37 weeks of pregnancy. Preterm labour can cause multiple birth complications. 

Sometimes, a pregnant woman may confuse these contractions as false labour. You should ask your OB-GYN to explain the difference between true and false labour.

10. A decline in baby’s activity

Through the 9 months of gestation, you will become accustomed to the different types of movements made by your baby. You can begin to feel these movements between 18 and 25 weeks of pregnancy. 

Your baby will turn, kick and flutter. If you feel a decline in this activity, you should meet your healthcare provider. It is essential to keep a track of these movements over time. 

You can lie down and notice how long it takes for your baby to kick, roll or flutter 10 times. You can eat a light snack and lie down again if you do not notice any movement for over an hour. 

11. Water breaking

If you feel a rush of fluid flowing down your vagina before 37 weeks, you should consider it a warning sign during pregnancy. This phenomenon indicates an early rupture of membranes. 

12. Sudden weight gain or swelling

Undoubtedly, you will gain weight during pregnancy, However, the weight gain is associated with swelling in legs and hands could be a sign of preeclampsia. 

Some of the above-given symptoms are misinterpreted for normal events during pregnancy. This is why it is significant to educate yourself and your partner about the bad pregnancy symptoms. 

You should not panic if you experience any of these atypical symptoms. Simply contact your OB-GYN and seek clinical intervention. Your healthcare provider will assess your situation and offer the relevant treatment.  

The concluding note

An expecting mother should actively monitor her health. You can maintain a notebook to highlight any warning signs of pregnancy. You should also have a detailed discussion with your gynaecologist on what are the warning signs of pregnancy.  

If you wish to learn more about maternal health during pregnancy, you can book an appointment with Dr Astha Dayal, obstetrician and gynaecologist at the CK Birla Hospital. 

Also, read: Tips to ensure a healthy pregnancy