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Why Is Quarantine Important to Battle COVID-19 in India?
Mar 21, 2020|Dr Tushar Tayal

Why Is Quarantine Important to Battle COVID-19 in India?

India is fighting an arduous battle to contain the spread of novel coronavirus disease. According to the latest stats released by the Ministry of Health and Family Welfare, as of 21 March 2020, a total of 298 COVID-19 cases have been reported in 22 states/union territories of India. Out of this, 23 patients have been cured, one has migrated, while four succumbed to the disease.

How to Prevent the Spread of Coronavirus Disease

Washing your hands regularly for a minimum of 20 seconds and avoiding contact with contaminated surfaces are the best methods to keep yourself from contracting the disease. Apart from these precautions, self-quarantine has also been recommended to all citizens of India. 

India has been able to manage the outbreak until now with only a few reported cases. However, it is suspected that we are currently in the third stage of the pandemic, which means the number of infected people will multiply exponentially shortly unless we take proper precautions.

In light of this situation, the central and state governments have set up additional labs for free coronavirus testing. Moreover, for the good of the public, they have updated the protocols for screening for COVID-19. 

What Does Quarantine Mean? 

Quarantines are generally used by governments to prevent the spread of contagious diseases. Quarantine is meant for people who do not have any symptoms of the disease but have been exposed to the sickness. This group of people includes relatives of patients, caregivers, friends, etc.  Quarantine, however, must not be confused with isolation. Isolation is a precautionary measure for individuals who are already sick to keep them away from those who are healthy.

Home-Quarantine and COVID-19

Amid the pandemic outbreak, the responsible citizens of the country need to make educated choices for their own health, as well as of others. To prevent the spread of coronavirus disease, the Ministry of Health and Welfare has advised a self-quarantine of 14-days for anyone who: 

  1. Comes in contact with an individual infected with coronavirus, physically or with his or her infectious secretions without protective gear
  2. Lives in the same household as an infected person
  3. Had close or face-to-face contact (up to 1-metre) with a COVID-19 suspect, even during air travel

Presently, there’s no legal sanction behind this recommendation. However, it is an important step that will go a long way in helping India win this fight against COVID-19.

What to Do in Quarantine 

All quarantines are not the same. However, if you are home-quarantined for COVID-19, we have compiled a list of dos and don’ts to help you complete your quarantine successfully without adversely impacting your mental and physical health.

Stay at one place – This is the most crucial aspect of your quarantine. Limit yourself to one, well-ventilated room and avoid contact with others. You should strictly not entertain any visitors at this time. Instead, spend your time doing something you never had the time for – such as painting or writing or even catching up with friends over the phone.

Avoid mass gatherings – A person under quarantine must not attend any weddings, funerals or religious functions. They must also stay away from the elderly, small children, those with compromised immunity and pregnant women. 

Maintain proper hygiene – Do not swap plates, share food, or use common cutlery. Instead, eat in your room and wash your utensils properly before replacing them in the common area. You should clean and keep your utensils and laundry separate during this period.

Your dog is safe – Dogs and cats cannot transmit coronavirus, and there’s no reason to abandon them. However, if you are under quarantine, avoid kissing, petting or hugging your pets for a few days.

Wash your hands often – At the cost of sounding repetitive, we would once again reiterate the importance of washing your hands with soap for at least 20 seconds after you touch any surface and before touching your face or having meals.

Wear and change masks regularly – Wear a mask at all times and change it after every 6 to 8 hours. Used masks should be first disinfected and then burnt, instead of being directly disposed of.

Guidelines for Family Members

  • If you have a family member in quarantine, make sure that you limit contact by assigning only one person to take care of the quarantined individual.
  • Clean all the surfaces, including toilets, with household bleach or phenolic disinfectants. Frequently touched surfaces in the quarantined person’s room must be cleaned with 1% Sodium Hypochlorite Solution.
  • In case the quarantined person develops symptoms of COVID-19, contact a doctor immediately. In this situation, all the close contacts of the individual would be quarantined for 14 days, followed by compulsory testing and another 14-day quarantine or until the test results turn out to be negative.

Prevention Is Better Than Cure 

There is a lot of wisdom in this age-old saying that prevention is better than cure. That’s why we urge you to take proper precautions and play your part in helping India fight this global pandemic. Here are some tips to stay safe from COVID-19:

  • Avoid mass gatherings and unnecessary travel.
  • Practice social distancing by avoiding meeting people.
  • If you must meet someone, keep a distance of 1 meter from any individual in your vicinity.
  • Wash your hands with soap and water regularly.
  • Carry an alcohol-based sanitizer for emergency use.
  • Follow a healthy diet and avoid eating out.
  • Practice Yoga at home to maintain your health. 

 

What is Coronavirus: symptoms | how it spreads | how to avoid it
Mar 6, 2020|Dr Manisha Arora

What is Coronavirus: symptoms | how it spreads | how to avoid it

What is Coronavirus and COVID-19?

CoV (Middle East Respiratory Syndrome), SARS-CoV (Severe Acute Respiratory Syndrome), and SARS-CoV-2 (Novel coronavirus) are the most severe. Of these, SARS-CoV-2 is responsible for the ongoing global pandemic. COVID-19 is the disease caused by the novel coronavirus (COronaVIrusDisease-19, as it was first detected in 2019) 

Novel Coronavirus

SARS-CoV-2 more commonly known as the novel coronavirus was first detected in December 2019 in China. In March 2020, WHO declared the COVID-19 outbreak (the disease caused by novel coronavirus) to be a pandemic. Countries around the globe are struggling to bring the situation in control, organizations like WHO, Ministry of Health and Family Welfare-India, CDC are posting live updates on their websites to make it easier to track the progress of this pandemic.

What is the cause of concern?

Since SARS-CoV-2 is novel in nature, studies are still being done to understand the virus, how contagious it is, its mortality rate and the disease (COVID-19) it causes. At present, there exist no specific vaccines or treatments for this disease and the most effective way to control the spread of this disease is social distancing and maintaining good sanitization practices.

Symptoms

Mild to severe symptoms might manifest 2 to 14 days after exposure. The most common symptoms are:

  • Fever
  • Dry cough
  • Fatigue

In some cases, the affected individual may also exhibit the following symptoms

  • Muscle ache
  • Sore throat
  • Diarrhea
  • Headache
  • Loss of taste or smell

For more serious cases symptoms also include

  • Difficulty in breathing or shortness of breath
  • Chest pain/pressure
  • Speech impairment and or loss of movement

In most cases the symptoms are mild or moderate, symptomatic treatment and self-isolation are prescribed. Severe symptoms are usually seen in individuals with preexisting conditions such as old age, diabetes, cardiac ailments, or any condition that has compromised their immune system.

How does it spread?

Novel Coronavirus was first detected in December 2019 and has managed to impact the whole world in a span of a few months. Highly contagious in nature, this virus propagates mainly through droplets from the nose or mouth which are spread through forceful exhalation of a person with COVID-19. The virus can stay viable outside the host for several days depending on the surface it is on which makes it even more troubling.

How can I protect myself?

As there are no cures or vaccines at present to tackle the novel coronavirus, the best practice would be to protect oneself from exposure to this virus. WHO has released certain safety procedures and guidelines which can minimize the risk of contracting COVID-19.

  • Avoid large crowds
  • Avoid close contact (keep a minimum of 6 ft distance) with any individual exhibiting COVID-19 symptoms
  • Practice social distancing as many a time the carrier may be asymptomatic (not exhibiting any symptoms)
  • Avoid stepping out of your home as far as possible. Limit going out only for essential needs especially if you fall in the higher risk category (aged above 60yrs, having preexisting conditions, are immunocompromised and so on)
  • Practice good hand hygiene. Wash your hands at regular intervals with soap and water or with alcohol-based hand sanitizer (min. 60% conc.) thoroughly
  • Cover your nose and mouth with cloth face masks when outdoors or in contact with any other individual
  • Avoid touching your eyes, nose, and mouth
  • Regularly disinfect surfaces before touching them
  • If you exhibit any flu-like symptoms, self-isolate and contact your medical advisor immediately
  • Avoid using public transport
  • Cover your face with a tissue or the nook of your elbow (never your hand) while coughing or sneezing

Please be aware that extra care has to be taken if you are at a higher risk from COVID-19, in such cases reach out to your doctor for any additional precautions that you could take.

COVID-19 self-assessment and tracking

Aarogya Setu is a mobile application developed by the ministry of electronics. It has been designed to enable individuals to carry out a self-assessment test while also tracking the presence of COVID-19 cases in the vicinity.

The users are asked a number of questions including exposure to any suspected coronavirus case or presence of symptoms and based on the answers as well as the density of COVID positive patients in the area, the app reflects whether the user is safe or high risk.

This app is especially useful to decide if it is time to self-isolate while giving government authorities the necessary information to track and monitor the rise of cases in the surrounding area.

How we ensure your safety at CK Birla Hospital

At CK Birla Hospital, your health and safety are paramount to us. We are constantly monitoring and taking steps to minimize the risk of COVID-19 to ensure that our facility is your safe space.

In order to ensure that our patients, employees, and visitors are protected from this pandemic, we have taken several measures. Some of these are:

1. Extensive screening

Anyone entering the facility is screened thoroughly as per government guidelines, hospital policy, and under the advice of the internal medicine specialist.

2. Restrictions on visitors

As a part of our current safety procedures, visiting hours have been suspended until further notice. One attendant can accompany a patient. At present only attendants, patients, and hospital staff are allowed inside the hospital premises.

3. Hygiene and sanitization protocol

Stringent hand washing and sanitization protocols are being followed throughout the hospital including an hourly signal reminding everyone to sanitize their hands. Cleaning rates of all high touch surfaces within the hospital surfaces such as doorknobs, reception desk areas etc. have been increased. Personal protection equipment such as masks and glasses have been provided to all our clinical and patient-facing teams and are mandatory while on hospital premises.

4. Raising awareness and training

To clear any confusion and to ensure that everyone stays up to date with the best practices regarding the prevention of COVID-19, we follow the Government of India and WHO guidelines to conduct extensive training for our staff. We emphasize following the right and latest protocols as laid out by the authorities.

 

While our OPD department is fully functioning and completely safe for you to visit, if you feel that you would rather consult your doctor over a video call, we now offer this service as well.

Please call us on +91 124 4882200 and our hospital representatives will guide you on the process and help you book an appointment.

 

Quality of life after Total Knee Replacement Surgery
Jan 10, 2020|Dr Ashwani Maichand

Quality of life after Total Knee Replacement Surgery

Ageing has various effects on the body. One of the most important areas that the ageing process affects, is bone strength. With advancing age bone strength tends to decrease and joints lose their mobility.

Knee joints are one of the most affected joints of the body which affects almost every ageing person. Knee pain due to osteoarthritis is an extremely disturbing condition that people go through. It affects the daily lives of the affected individuals significantly.

When all medical remedies have stopped bringing you relief, knee pain can be so pronounced that you might be unable to manage daily activities, and there could be swelling and even bowing of the knee.

In such a case, it is recommended to see a doctor who may advise knee replacement surgery as the best solution to improve your quality of life.

Your orthopaedic surgeon will make you go through diagnostic scans to ascertain if your knee joint is deformed or damaged in addition to a physical exam before deciding on knee replacement surgery.

Knee Replacement Surgery FAQs

Surgery is not the only solution to treat knee pain. Only about 20% of patients need knee replacement surgery, whereas 80% of patients don’t.

Increasing the amount of calcium, vitamin D and other essential nutrients in your diet also helps in maintaining bone health.

Surgery may be required only in case of chronic conditions such as constant problems in walking, unbearable pain, having to take pain relief medicines daily and difficulty in doing day-to-day activities.

What happens in a total knee replacement?

In a knee replacement surgery, the damaged cartilage and the bony tissues are removed from the knee cap and replaced with high-grade plastic or metal alloys that act as the joint.

The procedure is intended to relieve pain and restore the normal functioning of the joint. The replaced knee performs almost as good as the previous normal ones, but the patient might take some time to adjust to the new knee.

How long does it take to recover from knee replacement surgery?

A proper rehabilitation process is important so that you adjust to the knee joint and return to an active life. It not only helps in the long term but also helps you recover from the surgery quickly and properly.

With advancements in medical technology, within a day of your surgery, your orthopaedic specialist will make you stand, walk with assisted equipment like crutches, canes or walkers.

Your physiotherapist plays a very key role in the recovery and rehabilitation process. The endeavour is to use the new joint as much as possible and so will build out an exercise regime for you to strengthen your muscles.

Within 2-3 days of the surgery, your orthopaedic and physiotherapist will make you walk short distances, climb 2-3 steps, bend the knee to a certain angle and undertake daily activities like taking bath and using the toilet with minimal assistance.

In most cases, patients may take up to 6-8 weeks to perform most of the activities as normally as they used to with a normal knee joint.

Complete recovery and regaining of full strength might take from six months to a year. 90% of people who undergo a total knee replacement report to have a better quality of life.

Stay active for a faster recovery

Usually, if everything goes well, a patient is expected to stay in the hospital for 2 to 3 days following a total knee replacement surgery.

The doctor encourages movement from the next postoperative day itself with the help of some support. The patient should be able to walk without any support within two to three weeks of the surgery.

The patients will be able to perform activities which they were not able to do earlier, within a year’s time.

Adhering to an active lifestyle and exercising regularly will be helpful in regaining the strength of the joint quickly.

Set realistic goals

Though very close to the normal knee, the artificial knee does have certain limitations. It would not bend as much as the normal knee.

Also, one might find it difficult to perform activities like kneeling, jumping, running and heavy laborious work. Getting involved in contact sports might not be advisable.

It is important to talk to the orthopaedic surgeon before going for it.

There are risks of the artificial joint being broken and damaging surrounding tissues to a great extent! Feeling some sort of achiness or pain is common when initiating activities.

Some patients complain of cramps and stiffness after prolonged walking or bicycle riding. Few patients even experience a feeling of heat around the knees, they can apply an ice pack or take simple over-the-counter pain medications for relief.

Keep your weight under check

It is extremely important to maintain a healthy weight. An increase in weight can cause sooner wear and tear of the joint, it may even cause the artificial joint to break under undue pressure.

As the knees bear the complete weight of the body, it is important to maintain a healthy weight so that the knees are subjected to lesser stress.

Risk of infection

Patients who undergo a knee replacement are at a higher than normal risk of infection as with any other surgery. A surgical procedure carries the risk of infection along with it.

The patient might be advised to take antibiotics before any invasive or even a dental procedure. Microbes gaining access to body fluids can flourish more easily and can cause infections.

It is thus recommended to take antibiotics before undergoing any procedure which has chances of exposure to microbes.

Knee Replacement Surgery success rate

The success rate is usually very high. There are 90-95% chances of a replaced knee joint to last for about 10 years. And as high as 80-85% chances of the joint to last for 20 years.

With betterment in technology and advancements in surgical techniques, the likelihood of this time span to increase is high.

A patient who is beyond the age of 60 years at the time of surgery and takes proper care of the replaced knee is most likely to live the rest of living comfortably with an artificial knee.

Monitoring of the overall health and condition of the replaced knee is important to ensure the proper functioning of the joint.

Summary

Total knee replacement surgeries are usually very successful among people over the age of 60 years. People are very likely to return to their almost normal functioning joint following a replacement within a year.

They can perform most of the activities that they used to with a relatively high level of ease and comfort.

Proper exercising, staying active, managing a healthy weight and regular health checks are however extremely important.

The chances of damage are inevitable if not taken care of properly. Patients might require pain medications on and off and might need to take antibiotics when undergoing any invasive procedure.

However, the benefits and the quality of life that a patient gets after a knee replacement are worth these minor adjustments and cautiousness.

If continuous pain has pushed your daily walking to a back seat, it is time for you to visit an expert. Book an appointment today with Dr Ashwani Maichand, an expert orthopaedic doctor in Gurgaon.

Gestational Diabetes Mellitus
Dec 19, 2019|Dr. Astha Dayal

Gestational Diabetes Mellitus

Overview

Gestational diabetes is a condition where a pregnant female has a high level of blood sugar. It is important that the female had normal blood sugar levels prior to pregnancy to be called gestational diabetes. This condition usually resolves as the baby is born. There are very high chances of a female who has had gestational diabetes to develop type 2 diabetes eventually later on in her life.

Symptoms

Most of the women with gestational diabetes usually do not present with any symptoms. The condition is diagnosed while conducting routine tests. If the blood sugar levels are raised beyond a certain level, a female may experience:

  • Frequent urge to urinate
  • Increased appetite
  • Increased thirst

Cause

The main cause of gestational diabetes is the changes in the hormonal level that leads to increased blood sugar during pregnancy. Our body makes enough insulin to cater to that increase in blood glucose levels during pregnancy. However, in certain cases the blood sugar may continue to remain high and hence be diagnosed as gestational diabetes.

Risk factors

A woman is prone to gestational diabetes if she:

  • Is overweight in the non-pregnant state
  • A diabetic
  • Has a positive family history of diabetes
  • Has had Gestational diabetes in previous pregnancies
  • Has given birth to a large baby in her previous pregnancies
  • Has given birth to a baby who had some birth defects
  • Has other medical complications

Diagnosis

The condition usually surfaces in the second half of the pregnancy between 24 to 28 weeks, however, some females who are at risk of gestational diabetes may be tested sooner. The doctor may advise undergoing a Glucose Challenge Test/ Glucose Screening Test or a Glucose Tolerance Test or both.

  • Glucose Challenge Test: The female is given a drink loaded with Glucose in a non-fasting state. Blood sample is drawn and tested for the presence of blood sugar after an hour. A value above 140 mg/ dl might require the female to undergo a Glucose Tolerance Test.
  • Glucose Tolerance Test:  The patient is asked to take a glucose laden drink in a fasting state. Blood samples are drawn in an hourly frequency for 2 to 3 hours. The results are then interpreted to reach the diagnosis of Gestational Diabetes Mellitus.

Treatment

The pregnant female will be required to follow a diet consisting of food low in glycemic index. Keeping blood sugar levels under check is extremely important.

Complications

Complications of gestational diabetes for babies are

  • Preterm delivery
  • Type 2 diabetes later in life
  • Big baby
  • Respiratory distress syndrome

For mothers

  • Higher chances of a cesarean section
  • Risk of preeclampsia
  • Hypertension
  • Gestational diabetes in future pregnancies
  • Chances of diabetes later on

Women who have been diagnosed with gestational diabetes must get screened for diabetes 12 weeks after birth and keep undergoing screening tests every one or two years.

Some important steps to control gestational diabetes are having a diet that is low in refined or processed sugar. Managing weight is important as obese women are more likely to develop gestational diabetes.

Light exercises during pregnancy is recommended to keep blood sugar level under check. Proper antenatal care is important for the proper development and overall growth of the baby.

Consult Dr. Astha Dayal, an expert obstetrician-gynecologist at the CK Birla Hospital in Gurgaon to learn more about this condition and possible treatment. For an appointment click here!

Carpal Tunnel Syndrome
Nov 14, 2019|Dr Ashwani Maichand

Carpal Tunnel Syndrome

The hand and the wrist bones are flexible which offer the body with support and elasticity to move objects in many ways according to their wishes. The ulna and radius of the forearm, support many of the hand’s muscles. There are 27 bones in the hand and all of them have an incredibly precise range of flexibility.

The hand can be considered in four segments:

  • Fingers
  • Dorsum
  • Wrist
  • Palm

What is Carpal Tunnel?

The carpal tunnel is a narrow, tunnel-like structure in the wrist, with the carpal (wrist) bones forming the bottom and sides and the transverse carpal ligament, a strong band of connective tissue, forming the top of the tunnel.

The median nerve, which controls sensation in the palm side of the thumb, index finger, and long fingers as well as the muscles around the base of the thumb, extends from the forearm to the hand via the carpal tunnel.

Carpal tunnel syndrome is a hand and arm condition that occurs when synovium (tissues) surrounding the flexor tendons in the wrist is inflamed and as a result, puts pressure on the median nerve.

The swelling of the synovium narrows the already-limited space within the carpal tunnel and crowds the median nerve.

Women are more liked to develop carpal tunnel syndrome than men and there are several different ailments and conditions contribute to the development of the condition, including heredity, age, medical conditions such as diabetes or thyroid gland imbalance, as well as hormonal changes caused by pregnancy.

Symptoms of Carpal Tunnel

Individuals who have developed carpal tunnel syndrome commonly have the following symptoms:

  • Pain, numbness, or tingling in the affected hand
  • The overall weakness in the hand signaled by a greater tendency to drop things
  • Unusual or strange sensation and pain going up the arm towards the shoulder
  • Shock-like sensation in the fingers – primarily thumb, index, and long fingers

Shrugging of the hand offers relaxation or relief from pain – this is often a typical explanation by the patient when they explain the pain to the Doctor.

Early diagnosis and treatment of carpal tunnel syndrome can greatly help in reducing symptoms and avoiding more permanent damage to the nerves and muscles.

Therefore, it is strongly advised to visit a physician if and individual experiences any of the symptoms or suspect carpal tunnel syndrome.

Diagnosis of Carpal Tunnel

The diagnosis of carpal tunnel syndrome is generally made upon a physical examination only. Sometimes imaging and nerve conduction studies are also needed in severe condition to quantify the problem.

After taking a full history of the symptoms and any prior injuries, the physician will examine the hand for feeling in the fingers and the strength of the muscles in the hand.

The physician might put pressure on the median nerve by bending the wrist or simply pressing or tapping on the nerve to see if symptoms worsen. If the individual has limited motion in the wrist, the physician may order x-rays to rule out other conditions.

To confirm the diagnosis and identify the best treatment option, the physician may also conduct electrical testing of the median nerve.

Treatment of Carpal Tunnel

Early diagnosis of carpal tunnel syndrome will typically respond quite well to non-operative treatment, and for most people, the condition will only worsen if left untreated.

The main objective of treatment is controlling inflammation and reducing symptoms. Operative treatment is typically a last resort after non-operative approaches have been exhausted.

  • Activity Modification: Pain is often aggravated when making certain movements with the wrist, therefore changing the patterns of hand usage to avoid activities that worsen the symptoms may be helpful.
  • Medication: Pain relief medication such as acetaminophen as well as non-steroidal anti-inflammatory medicines can significantly reduce pain and swelling.
  • Brace or Splint: The physician might recommend the use of a supportive brace or splint worn throughout the night or the day to limit the movement of the wrist and keep it in a neutral place.
  • Steroid Injections: Injecting the wrist with cortisone, a powerful anti-inflammatory medicine, might aid in decreasing pain, however, the pain is likely to return.
  • Surgery: Surgery may be an option when more-conservative treatments don’t relieve pain or numbness caused by severe carpal tunnel syndrome. The goal of surgery will be to reduce or eliminate the pressure on the median nerve by trimming the ligament that is contributing to the pressure. Options must be discussed extensively with the physician to identify the appropriate surgical procedure.

Recovery after Carpal Tunnel Surgery

Recovery after surgery depends on the initial symptoms of the patient and delay in undertaking the procedure. Surgery done properly and in time results in 100% recovery within a week.

The signs and symptoms start disappearing just after the surgery. Each patient is unique, and their recovery will depend on the treatment method prescribed by the physician.

Sometimes recovery after surgery may be delayed if the treatment is delayed till severe injury to nerve has already happened.

Hence, it is recommended that the patient should consult the physician/orthopedic specialist soon after experiencing the symptoms initially.

The Growing Problem Of An Enlarged Prostate Gland
Nov 12, 2019|Dr. Shalabh Agrawal

The Growing Problem Of An Enlarged Prostate Gland

The prostate is a gland in the body that produces the fluid which carries sperm during ejaculation. It surrounds the urethra and bladder.

An enlarged prostate represents a prostate gland that has grown bigger than its normal size which is about 18-22 grams.

It is a very common condition and almost every male undergoes through a prostate enlargement as they age. The condition is also called as benign prostatic hyperplasia.

This is not a cancerous condition and does not increase the risk of developing a prostate cancer.

The actual cause of a prostatic enlargement remains unknown. Age is considered to be a risk factor leading to the prostatic enlargement. The process of aging leads to changes in the cellular structure of testicles (which has a role in growth of the prostate gland) and in the levels of testosterone in the body.

Males who have undergone testicle removal at a very young age due to some condition like a testicular cancer do not develop benign prostatic hyperplasia.

Similarly, when testicles are removed following development of a benign prostate enlargement, (doctor for enlarged prostate) the prostate shrinks in size.

Common symptoms of prostatic enlargement are:

  • Dribbling of urine at the closure of urination
  • Retention of urine
  • Incomplete emptying of bladder or feeling as if some amount of urine is left in the bladder
  • Incontinence or inability to control the urge for urination
  • Frequent urination at night
  • Pain while urinating
  • Presence of blood in urine, in case of an infection
  • Delayed start of urinary stream
  • Sudden urge to urinate

Diagnosis may be done with a rectal examination to feel the prostate gland.

Another important test that may be required are:

  • Urinary flow – Uroflowmetry
  • Post void residual urine test
  • Routine and microscopic urine examination to check for infection
  • Urine Culture
  • Test for Prostate Specific Antigen for the possibility of prostate cancer
  • Blood urea and creatinine levels

The treatment modality is usually based on the intensity and severity of the symptoms and their effects on the daily life of the patient.

In some cases, watchful waiting is suggested and patient is advised not undergo any treatments if the symptoms are not too bothersome. In certain cases, self-care, medicines or surgery may be required.

Some general steps of self-care for prostatic enlargement symptoms are:

  • Urinate right when you get the urge to, do not hold urine.
  • Schedule timing for urination and do it even when you don’t feel the need to do so.
  • Restrict caffeine and alcohol intake in the late evening hours.
  • Avoid drinking too much of water or any other fluids at one go.
  • Limit fluid intake 2 to 3 hours before bedtime.
  • Do not take decongestants or antihistamines without doctors’ prescription as they tend to increase the symptoms of a benign prostatic hyperplasia.
  • Keep yourself adequately warm in cold weather as cold temperature tends to worsen the symptoms.
  • Keep yourself active and exercise regularly.
  • Perform Kegel’s exercise to strengthen pelvic floor.
  • Reduce stress and tension as they often lead to increased frequency of urination.

Prostate surgery may be recommended for people who have incontinence, blood in urine, retention of urine, recurrent infections, kidney damage or other bothersome conditions not responding to medicines.

Depending on the severity of the symptoms and the size and shape of prostate gland different procedures can be recommended. Transurethral resection of prostate or TURP is the most commonly performed procedure for a benign prostatic hyperplasia.

In this procedure, a scope is inserted through the penis and the prostate gland is removed.

Men who are diagnosed with prostatic hyperplasia since a long time and the symptoms are worsening over time, are at the risk of developing urinary tract infections, severe damage to Kidneys and presence of blood in urine.

A benign prostatic hyperplasia may recur even after undergoing a surgical procedure. One must contact the doctor in case of less urine output than normal, fever or chills, pain in the back or sides of abdomen or presence of blood in urine. In modern day, medical treatment can help reverse prostate enlargement when started at the right time.

If you have any urinary symptoms like increase in frequency, sudden compelling urge to pass urine, getting up more than once to visit the washroom, poor stream, straining to pass urine, or feeling of incomplete emptying of the bladder then you should visit a urologist near you and get a uroflowmetry test and ultrasound to treat this common problem in time.

Varicocele
Nov 11, 2019|Dr. Shalabh Agrawal

Varicocele

Varicocele is a common cause of pain in the scrotum in men and often a cause of infertility or the inability to bear children in men. It is with these complaints the patient comes to a urologist.

But many times, the varicocele problem is detected incidentally through an ultrasound. Hence, a small percentage of cases who come to the Urologist show no symptoms.

What is Varicocele?

Varicocele means that the veins which are taking blood from the testes to the heart get abnormally dilated because they have some valves which get damaged.

Due to this, the blood starts to collect in these veins. When the blood starts to collect in these veins, these veins become dilated and the blood flow back from the testes to the heart is impaired.

Since the blood persists in these veins, the temperature of the testes increases. The testes have been placed outside the body so that their temperature can remain about two to four degrees lower than the core temperature of the body as this is the temperature that is required for the optimal production of the sperms.

But when the blood starts to collect in this area, then:

  • it can cause pain
  • it can cause a swelling around the scrotum, which is often visible if it is a high-grade varicocele
  • it impairs the process of sperm formation

Most commonly what is found in these patients is that in the sperm parameters on semen analysis such as the motility of the sperms is impaired, which means that even though the sperms may be good in number, they are not able to move to the extent that they should be able to move to be able to fertilize the egg.

Symptoms of Varicocele

The most common symptom usually would be an impaired semen parameter which means that there will be some problem in the motility or the number or the shape of the sperms.

Also, there could be a pain in the scrotum which is usually a constant dragging pain. This pain increases or aggravates on standing for prolonged periods of time.

Usually when the patient gets up in the morning, there is no pain. Only when he is standing for prolonged periods, he would experience a discomfort or pain in the scrotum.

The third common symptom that the patient often notices is a swelling in the scrotum. He will find a wormy sort of a swelling, which means that he will feel that veins or the vascular structures around the testes appears to be dilated and enlarged.

Diagnosis

The diagnosis is usually done through a clinical examination. When the patient comes to the Varicocele Enlargement doctor who checks the scrotum, he will find that there are dilated veins felt on examination of the scrotum.

This in medical science is called the ‘bag of worms’ feeling as if there are worms in a bag and you are kind of trying to feel them. To confirm the diagnosis a scrotal ultrasound is used. This is not a normal ultrasound, but a Doppler powered ultrasound.

Through a Doppler Ultrasound, the radiologist will be able to see the veins as engorged and there would be reversal of the flow of blood in these veins, which means that some blood will be going back from these veins into the testis.

So, based on the diameter of these veins, the radiologist will give a grade to the Varicocele which will also help the clinician to understand how severe the Varicocele is and how it should be best managed.

Varicocele Staging or Grades

With regards to the clinical staging of the Varicocele, there are three grades of Varicocele.

  • Grade 1: The first grade is when the doctor can barely feel these veins. But when the patient is asked to cough or do a special manual called the Valsalva manoeuvre, at that time the doctor is able to feel those dilated veins.
  • Garde 2: The second grade of Varicocele is when the doctor can feel them without this manoeuvre but are not able to see those veins as enlarged when looking at it from the outside.
  • Grade 3: The third grade or the most severe grade of Varicocele is when the doctor can just look at the scrotum and say that you have Varicocele. So, there’s a visible enlargement of the veins and the veins look like a swelling on the upper part of the scrotum.

So, these are the three grades of Varicocele on clinical examination and there are four grades of Varicocele on ultrasound, which are based on the diameter of these veins.

Varicocele Management

Usually grade one and two Varicocele can be managed or controlled with medicines. The medicines in the form of tablets can increase the strength of the veins by depositing calcium in the wall of the veins.

Hence, they stop the further deterioration or damage to the veins and try and control the situation.

However, if it is the grade three, Varicocele, where a surgery is required wherein the veins must be ligated so that the blood does not flow in them any further.

It is also important to understand that many times if there is pain or discomfort in the testis despite the grade not being very high and all other causes have been ruled out, urologist consider surgical treatment for these patients as well because surgical treatment is more effective in pain management.

Surgery is also indicated when the size of the testicle is shrinking.

Surgical Treatment Options

Till few years back, a laparoscopic surgery was done and the root of the veins, from where the veins arise was ligated or tied which helped cure Varicocele.

But this laparoscopic surgery required the administration of general anaesthesia and was also an expensive surgery. Also, because of the other complications associated with this type of surgery such as hydrocele, recurrence and damage to the testis, the laparoscopic surgery became less in vogue.

The other treatment options used to be an inguinal approach to tying the veins in which a large cut was made just like for a hernia operation and the veins were exposed and individually tied.

And since this required a large scar of about three to four inches and because several complications were associated with this process, it became less common.

The two processes which are followed today for the surgical treatment of Varicocele are:

  • Embolization – In this process, through a large vein of the groin region called the femoral vein, a wire is inserted until the veins of the testis.
    And then an angiography sort of a process is done in which the veins are visualized, and a coil is placed in the veins. Hence, it is a major vascular procedure. But the advantages are that it is a short procedure and usually the patient can be discharged on the same day as the surgery.
    This is one key reason why many patients like to go for the vascular embolization of the Varicocele. The problems with this option are that the coil can sometimes migrate and because we are invading the main blood vessels, it is a riskier procedure.
    It is also a relatively newer procedure and hence not as time trusted as a conventional surgery. The complications associated are similar to Sub inguinal Microscopic Surgical Repair of the Varicocele, but coil migration and vascular complications are peculiar and dangerous. Cost wise also this process is more expensive.
  • Sub inguinal Microscopic Surgical Repair – This process is now accepted as the gold standard or the preferred way to manage Varicocele.
    In this process, a small cut of about 7-8mm is made at the root of the scrotum. Through this cut all the veins are exposed. Each vein is individually identified and tied and cut, and the artery is preserved. This entire process is done under a microscope with high magnification of about 20 times.
    The advantage of using a microscope is that the damage to other structures such as the lymphatics, the artery and the tube that carries the sperm called the ‘Vas’ is very less. Hence, it is the simplest way of treating a Varicocele with least chances of recurrence and any associated complications.
    This procedure lasts for about an hour and it can be done under regional or local anaesthesia. The patient can be discharged the same day. The cost too is almost half of what a patient would spend in the Embolization procedure.

The recovery period after any sort of procedure is about a week because there may be some swelling around the area and the tied veins still have accumulated clotted blood in them.

The veins slowly shrink in size and the swelling recedes and disappears completely in about 4-6 weeks. However, the patient can resume his normal work in a couple of days after the procedure.

Hence, Varicocele management is simple in today’s time. If it’s a high-grade Varicocele, the suggested treatment is a sub-inguinal microscopic surgical repair. And if it is a low-grade Varicocele, the patient can be treated through medication.

For more details on Varicocele surgery and management, you can contact our experts from the Urology center at the CK Birla Hospital. Book an appointment on +91 124 4882200 to evaluate and provide customized treatment options based on your condition.

Breast Cancer in males

Breast Cancer in males

The percentage of men with breast cancer is extremely rare, compared to the prevalence among women. For men, the lifetime risk of being diagnosed with breast cancer is about 1 in 1,000, representing 0.4-1.2% of all male cancers.

In 2018, about 2,550 men are expected to be diagnosed with the disease, compared with 2 million news cases for women in 2018.

However, while the numbers are low, the risk remains real and should not be ignored. The “breasts” of an adult man are like the breasts of a girl before puberty. In men, the tissue doesn’t grow, but because it is still breast tissue, men can get breast cancer.

In Western countries, the age of onset in men is approximately 60-65 years, about 8 to 10 years later than in women, and that risk increases with age.

Late diagnosis decreases the odds of recovery

Screening procedures for women are well established, with recommendations for regular mammograms, fundraising and awareness events to finance research and publicize the importance of early diagnosis.

None of these events is aimed at men and this lack of readily available information means that most men are unaware that it could happen to them.

Men are also less likely to be suspicious of something abnormal in that area. Also, the small amount of breast tissue in men makes it harder to feel and so more difficult to spot a problem early.

Symptoms of breast cancer in men

Like those in women and most male breast cancers are detected when a man complains soreness and lump in nipples.

But men usually procrastinate going to the doctor until they have more severe symptoms, like bleeding from the nipple.

At that point, cancer may have already spread to another part of the body. Men also find it embarrassing to talk to a doctor about their breasts.

Risk factors for men 

In 20-25% of men who develop breast cancer, there may be a genetic abnormality, a mutation of the gene Brca2. In other cases, certain risk factors may be identified.

If a close relative (male or female) has had breast cancer, the risk is higher and this risk increases if several close relatives are affected; if one of the affected parents was under 40; or if cancer has spread to both breasts.

Children whose fathers have breast cancer are also more likely to have the disease.

In addition, the risk is higher if the level of estrogen (female sex hormone) is significant, if the level of androgens (male hormone) is low as is the case for rare genetic diseases such as Klinefelter syndrome (a genetic disorder that affects men and is characterized by abnormalities in the genital tract).

Other risk factors are related to obesity, which increases the risk of breast cancer in women and could also increase the risk in men.

Fat cells turn androgens into estrogen, so men who have more fat cells have higher estrogen levels. A man who has had mumps in adulthood and has had inflammation of a testicle may also be at higher risk for this type of cancer.

The impact

The symptoms, diagnosis and management of breast cancer in men are largely identical to that in women.

In principle, men cannot undergo surgery that just removes the lump, because there is little tissue in the breast and the cancer is usually near the nipple.

Treatment options depend on the progress of cancer once it has been diagnosed. In general, treatment involves a mastectomy, an operation that involves removing the entire breast. Lymph nodes located nearby (e.g. under the arm) are also removed in case cancer has spread, followed by radiotherapy, chemotherapy or hormonal therapy.

Although the medical procedures are like those for women, the aftercare for men is very different. There is no discussion of breast reconstruction or any consideration of the emotional fallout post-cancer.

Yet the psychosocial impact on men is considerable. Support during and after treatment is crucial and much remains to be done in this area.

How to reduce your risk

Here are some tips to help lower your odds of getting breast cancer:

  • Keep your weight within a healthy range. Obesity can shift the hormone balance in your body, making you more likely to get breast cancer. If you’re overweight, talk to your doctor and a dietitian about making changes to your eating and exercise plan.
  • Daily workout. A lack of physical activity can alter your hormone levels, making you more susceptible to cancer.
  • Avoid or limit alcohol. Having two or more alcoholic drinks daily has been linked to an increased risk of breast cancer in women.

Keep checking for any abnormalities/unusual changes in your breast from time to time. Consult our expert Breast cancer Doctors at The Breast Centre to help detect breast cancer in its early stage.

Complications in diabetes and how to avoid them
Nov 7, 2019|Dr Manisha Arora

Complications in diabetes and how to avoid them

Diabetes has multiple long-term complications that develop gradually over a period of time. The longer a person is diabetic and lesser the control he has on his blood sugar, higher is the risk of complications.

Some common complications of diabetes are:

  • Heart diseases: Different types of heart diseases, which include coronary artery disease, stroke, narrowing of arteries, heart attack and stroke are more likely to develop among diabetics than non-diabetic people.
  • Nerve damage or neuropathy: Excess sugar in the blood can cause injuries to the wall of the blood vessels, especially legs. This can lead to tingling sensation, numbness, pain or burning sensation in limbs which may gradually spread upwards. If left untreated, this can lead to loss of sensation in the affected limbs. When nerves of the digestive system are affected, they may cause digestive disorders. It can lead to erectile dysfunction among males too.
  • Nephropathy: Nephropathy or damage to the kidney is another important complication of diabetes. Glomeruli in the kidneys can get damaged due to excess blood sugar. Severe damage to the Kidney can lead to irreversible kidney failure which might even call for the need for a kidney transplant or dialysis.
  • Retinopathy: Diabetes can lead to damage to the blood vessels supplying the retina which can even lead to blindness. Diabetes also predisposes to other vision-related conditions like cataracts and glaucoma.
  • Skin complications: Diabetes can lead to various skin complications if left untreated. Cuts and blisters might develop in the feet due to reduced sensation, which might take very long to heal and can ultimately lead to amputation. Diabetes also predisposes to infections caused by bacteria and fungus.
  • People affected with diabetes are more prone to hearing impairment.
  • Diabetes also increases the risk of Alzheimer’s disease and dementia.
  • Symptoms of depression are common among diabetics can also affect the management of diabetes in the long run.

Tips to manage diabetes-related complications include:

  • Manage and monitor your blood sugar regularly. Follow doctors’ prescriptions and take diabetes medication as advised.
  • Maintain healthy body weight. Overweight people are more likely to develop complications as a result of diabetes.
  • Quit smoking. Smoking increases the chances of infection, heart diseases, nephropathy, neuropathy, and stroke among people suffering from diabetes.
  • Maintain blood pressure and keep cholesterol levels under check. Complications associated with high blood pressure and cholesterol are worsened when coupled with diabetes.
  • Conduct regular eye checkups to screen for the possibility of retinopathy, cataract or other eye disorders
  • Get regular health checkups to ensure that the condition is not affecting the kidneys or nervous system and hence prevent chances of developing complications.
  • Take regular vaccines as and when required. Diabetic people are more prone to be affected by seasonal and other illnesses, hence, taking vaccines can help in preventing untoward illnesses.
  • Diabetes often predisposes to gum problems. Bleeding of gum can be common. Hence maintaining good oral hygiene is important to prevent dental troubles.
  • Take proper care of your feet as any cuts and blisters can take too long to heal and might lead to the spread of infection.
  • Reduce stress. Practice yoga or meditate to keep yourself stress-free.