Thursday 22 November 2018

Dysthymia Treatment in India – Best Hospitals for Dysthymia Treatment

The word dysthymia is also known as a persistent depressive disorder (PDD) and is a form of chronic depression. Similar to other types of depression, dysthymia is a continuous feeling of deep sadness and hopelessness affecting the mood and behavior as well as physical functions, including impairment in appetite and sleep. People with this disorder often lose interest in doing activities they once used to enjoyed and have difficulty in finishing daily tasks.

CAUSES
The exact cause of dysthymia is unknown, but a few combinations of factors like genetics can play a role, people with a family history of depression or dysthymia are more prone to it in an early age. Changes are chemical messengers (neurotransmitters) in the brain may also lead to dysthymia. Medical illness or chronic stress, social isolation and thoughts and perceptions about the whole world, may influence the development of dysthymia.

SYMPTOMS AND COMPLICATIONS
The symptoms include depressed mood for a prolonged period of time, low energy, tiredness, low self-esteem, change in appetite, irregularities in sleep pattern, difficulty in concentration or poor concentration and hopelessness. The severity of these symptoms depends upon each individual. Some can deal with the basic demands of life, while others may go under significant distress, leading to difficulty in coping with life at work, school or social situations.
A person is diagnosed as having chronic depression if he is suffering for at least two years, along with having low energy, tiredness, low self-esteem, sleep irregularities, poor concentration with changes in appetite and hopelessness. Doctors will also rule out any other medical or mental health conditions such as thyroids problems or anxiety or anemia. A patient may not think they themselves are depressed and most of the time visits a physician for physical complaints rather than psychological complaints. Mental health professionals are only consulted when more obvious symptoms are noticed. If it goes undiagnosed, there is always a danger of substance abuse or even suicide.

TREATMENT AND PREVENTION

Depression and dysthymia in India are treated with a similar approach. The most effective line of treatment is a combination of strategies. Antidepressant medications may be used in the treatment of dysthymia such as selective reuptake inhibitors (SSRIs) example fluoxetine, fluvoxamine, citalopram. Short term psychotherapeutic approaches to treat dysthymia are more effective at treating the symptoms of depression. Effective psychotherapy includes cognitive behavioral psychotherapy, peer support, and interpersonal psychotherapy. Cognitive behavioral therapy (CBT) helps the individual to understand how their thoughts affect feelings and how feelings affect their behavior. Interpersonal therapy (IT) is about focusing on the problems with personal relationships with others or surroundings. Group therapy may also manage and helps to treat dysthymia.


Lifestyle changes are a must like exercising at least three times per week, avoiding alcohol and drugs, eating healthy and nutritious food like fruits and fresh vegetables, practicing yoga or meditation, building on new coping skills, expanding the skill set and develop new, healthier social relationships.

Sunday 18 November 2018

Know About Erythema Nodosum Treatment in India


Erythema nodosum is a modular, erythematous skin eruption that is characterized by sudden onset of red, painful, firm nodules and is commonly found on the extensor aspects of the lower legs. It is usually acute in nature; however, chronic or recurrent erythema nodosum may occur rarely. Erythema nodosum is an acute or recurrent hypersensitivity reaction and is mainly found in the female population, resulting from exposure to various antigens; however, the pathogenesis is not fully understood. These painful nodules can stay inflamed for as long as the period of three to six weeks and then shrink and resolve on its own, leaving a bruised appearance. After it is gone, it may leave only a temporary bruised appearance or a chronic indentation in the skin.

CAUSES

Erythema nodosum may occur as an isolated condition or in association with other medical conditions. Conditions that are associated with erythema nodosum include: idiopathic cause, medications (sulfa-related drugs, birth control pills, penicillins, sulphonamides, bromides, iodides, tumor necrosis factor-alpha inhibitor and estrogens), bacterial infection (streptococcal infections-most common, tuberculosis, leprosy, salmonella, campylobacter gastroenteritis, mycoplasma pneumonia, Cat scratch disease, leptospirosis, brucellosis, psittacosis, chlamydia trachomatous, lymphogranuloma venereum), viral (Infectious mononucleosis, Hepatitis B, Hepatitis C, Human immunodeficiency virus, herpes simplex, epstein-barr virus) fungal (coccidioidomycosis, histoplasmosis, blastomycosis), parasitic (amebiasis, giardiasis), malignancy (leukemia, lymphoma, occult malignancies),inflammatory bowel disease (Crohn's disease, Ulcerative colitis), miscellaneous (sarcoidosis, pregnancy
Whipple disease, Behcet disease)

SYMPTOMS
Typically the skin eruptions are marked by fever, joint, and sometimes abdominal pain. Very often it is accompanied with nasopharyngeal infection and malaise. Inflamed and tender red nodules appear on the extended faces of the legs and knees, and sometimes thighs and forearms. These nodules are small, sometimes three to six nodules in number, many times occur bilaterally, and roughly symmetrical in nature. They resolve spontaneously in almost ten days, leaving a bruised blue appearance and completely disappear without sequelae. It never involves necrosis, ulceration, or scarring. However, in another pattern known as chronic erythema nodosum, the nodules may last for many years and not resolve soon.

DIAGNOSIS
The diagnosis of is primarily clinical. However, a thorough case history looking out for tuberculous infection, fever, abdominal pain, respiratory problems should be taken with complete clinical examination and associated signs. The laboratory investigations like blood count, C-reactive protein, Mantoux text to rule out tuberculosis infection, X-ray chest, culture test, stool examination, and cutaneous biopsy may be carried out.
TREATMENT


The physician will treat the underlying condition responsible. Simultaneously, direct treatment needs to be given for the inflamed skin arising due to the erythema nodosum. Erythema Nodosum Treatment in India the treatments include anti-inflammatory drugs, corticosteroids, colchicine, analgesics to reduce inflammation and pain, are prescribed till the symptoms and signs improve. Personalized treatments may need to be given depending on the underlying condition and any associated diseases. Antibiotic therapy may be given in case of streptococcal infection.

Tuesday 13 November 2018

Cholera Treatment in India – Best Hospital for Cholera

 
Cholera is an acute, diarrheal sickness caused by Vibrio cholerae, a bacterial infection of the intestine. It is estimated that about 2.9 million cases and 95,000 deaths occur annually around the world. The disease is often mild or without symptoms, but few times be severe. Roughly one in 10 (10%) infected persons might have severe disease

An individual can get cholera by drinking water or eating any food contaminated with the cholera bacterium. The source of the contamination might usually the feces of an infected individual that further contaminates water and/or food, which further leads to an epidemic. The disease can then spread quickly in regions with inadequate treatment of drinking water and sewage. Common sources includes: foods and drinks sold by street vendors, vegetables grown with water containing human wastes, municipal water supplies, ice made from municipal water, and undercooked fish and seafood which have been caught from waters polluted with sewage. The illness is not likely to spread directly from one person to another; therefore, casual contact with any infected person is not a risk factor for becoming ill. People living in places with poor sanitation facilities, bad drinking water, crowding, war, famine, and inadequate hygiene are at a greater hazard for cholera.

Common locations which see lot of cholera cases include few parts of Africa, South Asia, and Latin America. If you are heading out and traveling to any of those areas, knowing the following cholera risk factors and symptoms can help protect you and your family.

SYMPTOMS 
It can take anywhere from a couple of hours to five days for symptoms to appear after infection. Symptoms typically appear in two to three days. Cholera illness is often mild or without symptoms, but can sometimes be severe. The disease is characterized by profuse and watery diarrhea, nausea, vomiting, and leg cramps. In these individuals, rapid loss of body fluids leads to further dehydration and shock. Without treatment, it can turn fatal and death can occur within hours. Signs and symptoms of dehydration include increase in the heart rate, loss of skin elasticity (the ability to return to original position quickly if pinched), dry mucous membranes including the inside of the mouth, throat, nose, and eyelids; low blood pressure, increase in thirst, and muscle cramps.

DIAGNOSIS 
To test for cholera, physicians must take a stool sample or a rectal swab and send it to a laboratory to look for the cholera bacteria.

TREATMENT 
Cholera Treatment in India, cholera can be simply and effectively treated by quick substitution of the fluid and salts lost due to profuse diarrhea. Individuals can be treated with oral rehydration solution (ORS), a pre-packaged blend of sugar and salts to be mixed in one liter of water and should be drunk in substantial large quantities. This solution is used globally to treat diarrhea. Severe cases also require intravenous fluid substitution. With prompt appropriate rehydration, fewer than one percent of cholera patients die. Antibiotics shorten the course and reduce the severity of the illness, but they are not as critical as receiving rehydration. Patients who develop severe diarrhea and vomiting, particularly in countries where cholera occurs a lot, should seek urgent medical attention.

Sunday 4 November 2018

Bone Marrow Transplant in India– Best Hospitals for Bone Marrow Treatment


A bone marrow transplant is a procedure done to replace the damaged or destroyed bone marrow due to disease, infection, or chemotherapy. This procedure involves transplanting blood stem cells, so that they can travel to the bone marrow and produce new blood cells as well as assist in the growth of the new bone marrow.

Bone marrow contains immature blood-forming stem cells known as hematopoietic stem cells (HSCs). These cells are unspecialized and have the ability to multiply through cell division and either remain stem cells or differentiate and mature into other different kinds of blood cells. Thus, it helps the body to make enough white blood cells, platelets, or red blood cells to avoid infections, bleeding disorders, or anemia. Healthy stem cells can come from a healthy donor or from your own body. Stem cells can be harvested, or grown, prior to the start chemotherapy or radiation treatment. Cells of bone marrow can be frozen for prolonged periods without damage. In autologous HSC the cells must be harvested from the recipient many months in advance of the transplant procedure as opposed to allogeneic transplants wherein fresh HSC are preferred.


Bone Marrow Transplant in India, bone marrow transplants are performed when a person’s marrow is not able to function properly. This may be due to disease, chronic infections, or cancer treatments. Some reasons for a bone marrow transplant include aplastic anemia in which the marrow stops making new blood cells, cancers such as leukemia, lymphoma and multiple myeloma, damaged bone marrow because of chemotherapy, congenital neutropenia that causes recurring infections, sickle cell anemia that causes misshapen red blood cells, thalassemia where the body makes an abnormal form of hemoglobin required for red blood cell.


The short-term complications include a drop in blood pressure, headache, nausea, pain, shortness of breath, chills, and fever.

Complications can be occasionally serious, and they can include: graft-versus-host disease (GVHD) in which donor cells attack your own body, graft failure when transplanted cells don’t begin producing new cells as planned, bleeding in the lungs, brain, and other parts of the body; cataracts characterized by clouding in the lens of the eye, damage to vital organs, early menopause, anemia, which occurs when the body does not produce enough red blood cells, infections, nausea, diarrhea, or vomiting, mucositis; soreness in the mouth, throat, and stomach.

The chances of developing these complications depend on several factors, including your age, your overall health, the disease you’re being treated for, and the type of transplant you have received.

How a Bone Marrow Transplant Is Performed


The procedure of a bone marrow transplant is very much similar to a blood transfusion. If you are having an allogeneic transplant, bone marrow cells will be harvested from your donor a day or two prior to the procedure. If your own cells are being used (autologous transplant), they will be retrieved from the stem cell bank. For a bone marrow harvest, cells are collected through a needle from both hipbones. You will be under anesthesia for this procedure, meaning you will be asleep and free of any pain.

Monday 29 October 2018

Types of Cancer Treatment – Best Hospitals for Cancer Treatment


Cancer can occur anywhere in the body and many times, the diagnosis is delayed and sometimes the cancer is detected in the last stag. It requires multidisciplinary team of medical oncologist, radiation oncologist, surgical oncologist, nurses, social workers, dietitians to come together to provide a holistic care to a patient suffering from cancer.

Symptoms

Any one or few symptoms may coexist in cancer patients from the list provided below, depending on the location of cancer and its spread- Fever, chills, recurrent infections or fever, loss of appetite, nausea, persistent fatigue, weakness, unexplained weight loss, night sweats, bone/joint pain and prone to easy fractures, shortness of breath, itchy skin or skin rash, swollen lymph nodes, easy bruising, bleeding gums, sweating of body during night, abdominal pain and back pain, headaches along with visual difficulties etc.

Treatment

Cancer Treatment In India, the factors that determine what type of treatment regimen the patient may receive depends on the type of blood cancer, disease's subtype, phase, category and/or stage, cytogenetic analysis results, overall health and symptoms, laboratory investigations like white blood cell count, cancer location, stage, rate of disease progression and spread; past history and family history of cancer and subsequent chemotherapy to treat it, how the quality of life will get impacted by the receipt of treatment

There are various treatment options for cancer and are listed below

Surgery  is the removal of the tumor and is performed as the tumor can improve symptoms and improve the prognosis of a person with cancer. The surgeon will try to remove as much of the tumor as possible, including any areas of spread and nearby enlarged lymph nodes

Chemotherapy  is the use of drugs to destroy tumor cells, usually by stopping the cells ability to grow and divide, usually given after surgery or with or after radiation therapy. Chemotherapy can be given via an intravenous (IV) tube placed into a vein using a needle or in a pill or capsule that is swallowed (orally). A chemotherapy schedule means the number of treatment cycles that need to be given over a defined period of time. In chemotherapy, either a single drug or combination of different drugs is given. The side effects of chemotherapy include fatigue, risk of infection, nausea, vomiting, hair loss, loss of appetite, diarrhea, and neutropenia. These side effects are transient and disappear once the treatment is finished.

Radiation therapy Radiation therapy is the use of high energy x-rays to destroy tumor cells. The schedule of radiation therapy regimen consists of a specific number of treatments given over a given set period of time. Side effects from radiation therapy may include fatigue, mild skin reactions, upset stomach, and diarrhea. These side effects are transient and disappear once the treatment is finished.

Targeted therapy In addition to standard chemotherapy, targeted therapy is a treatment that targets the tumor and blocks the growth of tumor cells while simultaneously limiting the damage to healthy cells

Palliative and symptomatic care includes supporting the patient with his or her physical, emotional, and social needs, improving quality of life, and supporting patients and their families. Palliative treatments include support related to medication, nutritional changes, relaxation techniques, emotional support, and other therapies.

Monday 22 October 2018

Know About Bariatric Surgery in India – Best Hospitals for Bariatric Surgery


Bariatric surgery is a minimally invasive technique (laparoscopic surgery) that causes weight loss by limiting the amount of food the stomach can hold. Bariatric Surgery in India, the most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Immediately after bariatric surgery, the patient is restricted to a liquid diet, which includes foods such as fruit juices or sugar-free drinks and desserts until the patient recovers from the surgery.

Laparoscopic Adjustable Gastric Band
In this type of surgery, the surgeon places an inner inflatable band at the top of the stomach that creates a small pouch. By this method, eating even a small quantity of food will make the stomach full and reduces hunger by promoting the feeling of fullness, thus inducing weight loss. Reducing the size of the pouch is done gradually over time.

Gastric Sleeve
In gastric sleeve surgery, also called vertical sleeve gastrectomy, a surgeon removes a part of the stomach such that it looks like a banana-shaped section that is closed with staples. Like gastric band surgery, this surgery reduces the amount of food (and thus calories) that can be consumed, making you feel full sooner. The greater impact also is on the gut hormones and gut bacteria that may affect appetite and metabolism. This type of surgery cannot be reversed because some of the stomachs is permanently removed. Recent evidence suggests that the gastric sleeve procedure and the gastric bypass procedure are effective in improving type 2 diabetes and weight loss.

Gastric Bypass
Gastric bypass surgery, also called Roux-en-Y gastric bypass, has two parts. First, the surgeon staples the stomach and creates a small pouch in the upper section. The staples make the stomach very small, so the patient eats less and feels full sooner. Next, the surgeon cuts the small intestine and connects the lower part of the small intestine directly to the small stomach pouch. Once this is done, food bypasses most of the stomach and also the upper part of the small intestine. Since there is less digestion of food by the smaller stomach pouch, and small intestine the body absorbs fewer calories. The surgeon then connects the bypassed portion beyond down to the lower part of the small intestine. The reroute of the food stream produces changes in gut hormones suppresses hunger and reverse obesity induces type 2 diabetes. Gastric bypass is difficult to reverse, although a surgeon may do it if medically necessary.

Duodenal Switch
This surgery, also called biliopancreatic diversion with duodenal switch, is a bit complex than the other surgeries. The duodenal switch involves two separate surgeries. The first is similar to gastric sleeve surgery. In the second surgery, the bypassed small intestine is redirected food to bypass most of your small intestine. The surgeon also attaches the bypassed section to the last part of the small intestine reconnected to the last portion of the small intestine so that digestive juices mix with food. When the patient eats, the food goes through a newly created tubular stomach pouch empties directly into the last part of the small intestine.

Monday 15 October 2018

Know About Baldness Treatment in India – Healing Touristry



Baldness is also called as alopecia or hair fall. Hair loss is usually caused or aggravated by stress, pregnancy, aging, thyroid disorder, lack of protein, anemia, and heredity. Progressively as hair tufts disappear, it shows a bald patch between hairs.

Types of hair fall
·         Male pattern baldness
·         Female pattern baldness
·         Alopecia areata
·         Telogen effluvium
·         Anagen effluvium

1.     Male pattern hair loss
Hair loss is caused due to thinning related to hormone (androgens) and genetically called has androgenetic alopecia. Male pattern hair loss pattern is characterized by hair loss on the front of the head and is marked by a receding hairline.

2.     Female pattern hair loss
The early signs of diffuse hair loss and marked reduction in hair volume are visible at the age of 50 years and by the age of 80 years; full head hair loss is seen. It can cause psychological distress, particularly during menopause.

3.     Alopecia areata
It is an autoimmune disorder, where hair falls out in small patches around the size of a quarter or more which can leads to complete loss hair of scalp called as Alopecia Totalis or in extreme cases entire body called as Alopecia Universalis.

4.     Telogen effluvium (temporary hair loss)
Thinning or shedding is caused when a large amount of scalp hair is shifted in the resting phase (telogen phase) of hair growth cycle. Factors contributing are stress, anxiety, poor diet, post-pregnancy, menopause, illness, and smoking. Telogen effluvium is reversible and hair normally grows to a healthy state once the cause is identified and removed.

5.     Anagen Effluvium
Anagen effluvium is caused due to abnormal or rapid loss of hair from drugs used in the cancer treatment or exposure to the chemical toxin. Growth is quick after eliminating exposure to the cause.

Diagnosis
Diagnosis can be established by examination of the scalp to see the pattern of hair loss. A blood test may be carried out to determine the levels of female and male sex hormone levels and thyroid functions. A proper and detailed case history can also help identify the cause. Females with an increased level of androgens are more likely to suffer from symptoms like acne, excessive facial and body hair with irregular menses. These symptoms are characterized as a polycystic ovarian syndrome.

Treatment
Baldness Treatment in India, permanent hair loss is being treated by hair replacement procedures, such as hair transplantation methods (such as micro-grafting, slit grafting, punch grafting), and by scalp reduction. Hair grafting/ hair transplant is an outpatient hair replacement procedure performed wherein the surgeon cuts the removed scalp into small segments with varying amounts of hair in each graft. After transplanting into the balding area, it produces a thick and "natural" look.
A scalp reduction is the removal of non-hair-bearing skin from the scalp (mainly back area) so that the remaining hair-bearing skin can be stretched to fill in the bald area of the head.
The type of hair loss, as well as the patient's circumstances and desires, determine which hair replacement procedures are most suitable.

Minoxidil solution used to treat baldness. Hormonal treatment helps to block effects of androgen (example- spironolactone, cyproterone, finasteride, and flutamide). Cosmetics camouflage colored hairspray to cover thinning areas of the scalp, hair wigs bulking fiber powder are few other ways to manage baldness.

Tuesday 9 October 2018

Know About Angioplasty Surgery in India


An angioplasty is a surgically invasive procedure to open the narrowed blood vessels and restore the supply of blood to your heart muscle. These blood vessels are mainly known as coronary arteries. Angioplasty Surgery in India, surgeons often perform angioplasty immediately after a heart attack, and takes about 30 minutes to 3 hours, depending on the patient’s condition. Performing an angioplasty within the first hours after a heart attack may reduce the risk of complications. The sooner you take treatment for a heart attack; the lower is the risk of getting heart failure or other complications.

How is angioplasty performed?
Cardiologists usually perform this procedure while you are under local or general anesthesia. First, they make an incision in your arm, where the catheter (a thin flexible tube) with a tiny inflatable balloon on the end into your artery is inserted. Using X-ray, video, and special dyes, the cardiologist carefully guides the catheter through the arteries into the blocked coronary artery. Then another guided wire attached with a deflated balloon through the catheter. Once it is in position, the balloon is inflated and deflated several times to remove the plaque or fatty deposits and also to widen the artery. The fatty deposits, or plaque, get pushed against the wall of the artery, thus improving the blood flow.

In some cases, the catheter is also accompanied by a stainless steel mesh called a stent. The stent is used to keep the blood vessel open. This stent remains in place after the balloon is deflated and removed. Once the balloon is removed, the cardiologist can also remove the catheter.

Many surgical procedures come with a certain amount of risk. Just like many other types of invasive procedures, after undergoing this procedure, you may have an allergic reaction to the anesthetic, the dye, or some of the materials used in the angioplasty. Some risks associated with coronary angioplasty include bleeding, clotting, or bruising at the site of insertion; blood clots forming in the stent; an irregular heartbeat, or arrhythmia; damage to a blood vessel, heart valve, or artery; risk of stroke during the procedure, a heart attack, kidney damage, especially in people who have pre-existing kidney problems, and an infection.

Angioplasty procedure is also associated with the risk of stroke, however, the risk is low. Post-heart attack, if there is a need of performing an emergency angioplasty, then the risk is far higher than a planned angioplasty.  However, angioplasty should not be considered as a complete cure as there are always chances of the arteries becoming narrow again due to plaque build-up in the artery or in a previously placed stent, called as restenosis.

After the procedure

After a heart attack, your cardiologist will explain how to maintain a heart-healthy lifestyle. Always take your medications as prescribed by your cardiologist. It is better to quit smoking, as it damages the arteries and leads to impairment in blood supply to the heart. To help lower your blood pressure and blood cholesterol levels, it is imperative that you eat a well-balanced diet and getting exercise every day. Also, important is to maintain a healthy lifestyle to reduce your chances of having another heart attack.

Thursday 4 October 2018

Dry Skin Treatment in India – Healing Touristry


A medical term for dry skin is Xerosis. Dry skin is the most common condition due to lack of water in the most superficial layer of skin, the epidermis. Humidity and temperature in the environment have a profound effect on the amount of water which retains within the skin. The epidermis is composed of fat and protein, which helps in preventing skin dehydration. Deficiency of protein or fat may make skin more sensitive and prone to rashes and skin breakdowns. Avoidance of harsh soaps and chemical cleaners would be the basic prevention.

Cause There is no specific cause for dry skin. It can be classified as external and internal causative factors. External causes include cold temperature and low humidity, especially in winter. Internal causes include impairment in overall health, age, genetics, family history, personal history or medical condition such as atopic dermatitis, thyroid disease is more prone to dry skin.

Overuse of sanitizer and lipid solvents (alcohol), cold temperature, over washing with harsh soaps are few other risk factors. Normally bathing and showering add water to the skin, but evaporation of this water results in dry skin. When skin feels over tight after bathing, it indicates the excess amount of water and natural skin oil are removed.

Soap is an emulsifier that removes oil from the skin, more the use more the dry skin even improper moisturizer can also cause dry skin. Material such as wool and synthetic irritates the skin and worsen it more. Dry skin condition may be because of medicines also, for example, high blood pressure, allergy, high cholesterol, and acne medicines. Few factors associated with dry skin are eczema, psoriasis, diabetes, hypothyroidism and malnutrition (deficiency of vitamin A may suffer from xerosis).

Sign and Symptoms
The signs and symptoms include rough dry skin, itching, a red plaque of eczematous skin (nummular eczema), itching can lead to itch-scratch-cycle. Common areas like lower legs, hands, arms, and groins. Due to constant scratching and rubbing, it causes small red raised bumps on the skin can open and get infected because of scratching.

Diagnosis is confirmed by visual inspection with medical and family history can help a physician to support the diagnosis, a biopsy would be recommended in difficult cases.

Treatment for Dry Skin
One of the best Dry Skin Treatment in India is daily lubrication with an emollient (which inhibits evaporation of water). Mainly cause requires treatment such as lotion and creams. Dry skin can be improved by application of bland over the counter moisturizer. Once the cause of dry skin is ruled out main focus of treatment will be to stop itching, prevent loss of water and restore skin hydration. For mild dry skin, light moisturizing lotion or lubriderm lotion or Cetaphil lotion is used. Curel lotion is a highly moisturizing product for severely dry skin. Vaseline is also used frequently to moisturize the skin. Various topical steroids can be used –mild strength like hydrocortisone 1% creams, pramosone 2.5% cream), medium 

Tuesday 2 October 2018

Obsessive Compulsive Disorder Treatment in India – Healing Touristry


Obsessive-Compulsive Disorder (OCD) is a chronic and common disorder in which a person has frequent thoughts (called as obsessions) and uncontrollable behaviors (called as compulsions) that he or she feels the urge to repeat over and over.

SIGNS AND SYMPTOMS

People with OCD may have symptoms either of only obsessions, or only compulsions, or both obsessions and compulsions. These symptoms can interfere with all facets of life, such as work, and their personal relationships.

Obsessions are repeated and uncontrollable thoughts, images, or urges that cause high levels of anxiety and uneasiness. Common symptoms include fear of germs or contamination, wanting things to be at the perfect place and in perfect order, unwanted or forbidden thoughts involving sex, religion, and harm; and aggressive thoughts towards others or self.

Compulsions are repetitive behaviors that a person does in response to an obsessive uncontrollable thought for at least an hour a day, and when it doesn’t give a pleasure, rather affects their life significantly. Once they do the activity, they may get some relief, and hence keep on doing the activity. Common compulsions include excessive cleaning with or without handwashing, arranging things in a particular way only, repeatedly checking on things such as checking repeatedly to see if the door is locked, or compulsive counting.


TREATMENTS AND THERAPIES

OCD is mostly treated with medication, psychotherapy or a combination of the two. Although most patients respond to treatment, some patients continue to experience symptoms.
Sometimes people with OCD also have other mental disorders, hence it is important to consider these other disorders when making decisions about treatment.

Medication

Serotonin reuptake inhibitors and selective serotonin reuptake inhibitors (SSRIs) are used to alleviate reduce OCD symptoms. Examples of medicines that have been proven effective in both adults and pediatric population with OCD include clomipramine, which belongs to an older class of “tricyclic” antidepressants, and several newer SSRIs, including fluoxetine, fluvoxamine, and sertraline. Serotonin reuptake inhibitors are likely required higher doses in the treatment of OCD than of depression, and may usually take 8 to 12 weeks to start working; however, some patients experience fast improvement.

Recent data also shows that some patients may respond well to an antipsychotic medication (such as risperidone). If you are prescribed a medication, you should talk to your physician to understand the risks and benefits of the medications and do not stop taking a medication without talking to your doctor first. It is suggested to not stop a medicine abruptly as it may lead to "rebound" or worsening of OCD symptoms.

Psychotherapy


Psychotherapy can be an effective treatment for adults and children with Obsessive Compulsive Disorder Treatment in India. Research shows that certain types of psychotherapy, which includes cognitive behavior therapy (CBT) and other related therapies (e.g., habit reversal training) are as effective as medicines for many individuals. A type of CBT called Exposure and Response Prevention is also effective in reducing compulsive behaviors in OCD, even in people who did not respond well to medication.

Thursday 27 September 2018

Best Carpal Tunnel Syndrome Treatment in India


Carpal tunnel syndrome is a medical condition arising from compression of the median nerve when it travels through the wrist at the carpal tunnel.

SYMPTOMS
Symptoms of carpal tunnel syndrome may include numbness, tingling, and pain in the thumb and index, middle, and ring fingers. Occasional shock-like sensations along with weakness and clumsiness in the hand; making it difficult to perform fine movements such as buttoning the clothes and dropping things. In the majority of the cases, the symptoms begin gradually without any specific injury. As the situation worsens, symptoms occur more frequently or may persist for longer periods of time. Many a times, symptoms get aggravated during the night or even during the day when the wrist is kept in the same position like when talking on the phone.
Numerous patients find that moving or shaking their hands relieve them of their symptoms like pain and numbness. Despite it being a gradual process, for the majority of the people with carpal tunnel syndrome, the symptoms are bound to get worse with time if left untreated. Consequently, it is imperative to be assessed and diagnosed by the physician early on. In the early stages, it may be possible to slow down or even stop the progression of the disease.

TREATMENT

Nonsurgical Treatment

Carpal Tunnel Syndrome Treatment in India is usually recommended as, without surgery, the symptoms of carpal tunnel syndrome can often get relieved, if diagnosed and treated early. Also, it is recommended if the diagnosis is uncertain or if the symptoms are mild, and does not necessarily require surgical intervention. Non-surgical treatment includes wearing a splint or brace to reduce the pressure on the median nerve by helping in keeping the wrist in the straight position. Administering nonsteroidal anti-inflammatory drugs (NSAIDs) such as can help relieve pain and inflammation. Sometimes change in certain types of activities which requires the hand and wrist to be in the same position for long periods of time helps

In some cases, this also includes making changes to your type of job, change in work location or even works station. A steroid injection like corticosteroid acts as a powerful anti-inflammatory agent and may relieve symptoms for some period of time.
Some patients may benefit from exercises that help the median nerve move more freely within the confinement of the carpal tunnel.

Surgical Treatment

If nonsurgical treatment does not relieve your symptoms, the surgeon may recommend for a surgery. This decision is based on the severity of the symptoms of pain and numbness. Also, in chronic cases with wasting of thumb muscles, surgery may be recommended and required to prevent irreversible damage.

The surgical procedure performed for carpal tunnel syndrome is called a "carpal tunnel release." The goal of the surgery is to relieve pressure on the median nerve by cutting the ligament that forms the roof of the tunnel. This further leads to an increase in the size of the tunnel and decreases pressure on the median nerve.

Sunday 23 September 2018

Best Brain Tumor Treatment in India- Brain Tumor Best Hospitals & Doctors


The brain is the composed of nerve cells and supportive tissues like glial cells and meninges.
Primary brain tumor begins within the brain and can be either malignant (contain cancer cells) or benign (do not contain cancer cells). A secondary brain tumor may originate elsewhere in the body and then migrate to the brain. The exact cause of brain tumor is still unknown; however, the risk factors are exposure to ionizing radiation and family history.

The signs symptoms of depending on their size of a tumor, type of tumor, and where it is located. Treatment options and recommendations depend on several factors:

The size, type, grade, and spread of the tumor
Whether the tumor is pressurizing vital parts of the brain
Possible side effects
Overall health and quality of life of the patient

Symptoms
Symptoms can include hemiparalysis, seizures, personality changes, changes in grasp reflex, speech changes, loss of smell unilaterally, inability to recognize objects in hand, contralateral visual field defects, tremors, nystagmus, one-sided deafness, vomiting, headaches, unequal pupils, amnesia for recent events, and somnolence.

Treatment

Treatment options include chemotherapy, radiation therapy, surgery, and targeted therapies, along with symptomatic treatment and care for side effects.

Chemotherapy

Chemotherapy is the use of drugs to kill tumor cells and ends the growth of cancer cells, usually given after surgery or with or after radiation therapy. Chemotherapy can be given via oral route in the form of a pill or capsule or via intravenous injection placed into a vein using a needle or via a catheter or port. A chemotherapy regimen usually consists of a specific number of cycles given over a fixed period. A patient may receive one drug or different combinations of a drug at the same time.

The side effects of chemotherapy include fatigue, neutropenia with an increased risk of infection, nausea, vomiting, hair loss, loss of appetite and diarrhea.


Radiation therapy

Radiation therapy is the use of high-energy x-rays to destroy tumor cells to inhibit or kill the growth of the tumor. It is mostly given after surgery and may also be given along with chemotherapy. The most common type of radiation treatment is called external-beam radiation therapy, which is radiation given from a machine outside the body. When radiation treatment is given by means of implants, it is called as internal radiation therapy or brachytherapy. External-beam radiation therapy can be directed at the tumor by conventional radiation therapy, 3-dimensional conformal radiation therapy, intensity modulated radiation therapy, proton therapy, or Fractionated stereotactic radiation therapy.

Short-term side effects from radiation therapy may include mild skin reactions, weakness, hair loss, upset stomach, vomiting, upset stomach, and neurologic symptoms. Radiation destroys healthy tissue as well and is not recommended for small children.

Surgery

Surgery is the removal of the tumor and is usually the first treatment for a brain tumor and for a low-grade brain tumor. Removing the tumor can improve symptoms and improve the prognosis of a person with a brain tumor. If the tumor is near the speech center of the brain, many times the operation is performed with the patient remaining awake during the surgery. In addition to removing the size of the brain tumor, surgery can provide a tissue sample for biopsy analysis. For a cancerous tumor, even if it cannot be cured, removing the tumor itself can help in reducing the symptoms which were arising from the pressure on the brain.


Targeted therapy

In addition to standard chemotherapy, targeted therapy is a treatment that targets the tumor and blocks the growth of tumor cells while simultaneously limiting the damage to healthy cells

Anti-angiogenesis therapy is also a type of targeted therapy used that focuses on inhibiting angiogenesis (forming new blood vessels that helps tumor to spread fast). The objective of anti-angiogenesis therapies is to “starve” the tumor. Bevacizumab (Avastin) is an anti-angiogenesis therapy used to treat glioblastoma multiforme (GBM) when the standard or existing or prior treatment has not worked.


Palliative and symptomatic care

An important part of care is alleviating the patient’s symptoms and side effects. This approach is called palliative or supportive care, and it includes supporting the patient with his or her physical, emotional, and social needs, improving quality of life, and supporting patients and their families. It works finest when palliative care is started as soon as possible and as needed in the treating process. In fact, patients who receive both the treatment and palliative care at the same time often have less severe symptoms, better quality of life, and report that they are more satisfied with treatment.

Palliative treatments vary widely and often include medication, nutritional changes, relaxation techniques, emotional support, and other therapies. Supportive care for people with a brain tumor includes corticosteroids to lessen swelling in the brain, improve neurological symptoms by decreasing the pressure and anti-seizure medicines to control seizures.


Tuesday 28 August 2018

Know Everything About Seeking Alcohol Liver Disease Treatment in India


Consumption of liquor containing (ethanol) drinks is an overall reason for the occurrence of preventable alcoholic liver disease and can add to the progression of other liver illnesses, for example, hepatitis C infection. Alcohol is an overall reason for the death of the majority of drinkers around the world. The mortality rate of men is more than women when it comes to alcoholic liver disease. As awareness is increasing, more and more people are seeking treatment in other countries because of expensive healthcare facilities in their native countries.

Let’s start with a lesson- an excess of everything is bad (and alcohol consumption is no different). This is where Healing Touristry Private Limited steps in. Not only you will get a plethora of information about an alcoholic liver disease (or cirrhosis), you will also come to know about seeking the cost-effective treatments in the world’s largest democracy.

What Causes Alcoholic Liver Disease?
Alcoholic liver disease (ALD) is caused by drinking too much liquor. The more you drink, the higher are your chances of getting this deadly disease.

There are two different ways of alcohol abuse (drinking excessively) which can cause alcoholic liver disease. These are:
● Drinking a lot of liquor in a short measure of time (hard-core drinking) can cause fatty liver disease and, less generally, alcoholic hepatitis.
● Drinking more than the prescribed liquor over numerous years can cause hepatitis and cirrhosis, which are the more severe forms of the alcoholic liver disease.

How does Liquor Impact the Liver?
Drinking too much liquor, either on a single event – known as hard-core boozing – or drinking a considerable measure after some time, can take a genuine toll on your health and prosperity. In addition to damaging the liver, liquor affects your body in the following ways:
● Reducing your capacity to think clearly and move with coordination; it can change your temperament and conduct.
● Upsetting the processes associated with digestion, prompting ailing health and rapid weight loss.
● Debilitating your immune system and the capacity to battle diseases. It increases your danger of developing specific tumours including cancers of the colon, liver, throat, mouth, and breast.

What Symptoms Should You Look Out For?
Manifestations of alcoholic liver disease normally develop when a person is between the ages of 30 and 40. At that age, your body has the ability to compensate for your liver's constrained capacity in the early stages of the disease. As the ailment advances, symptoms turn out to be more observable.
The indications or symptoms of the alcoholic liver disease are like other liquor-related liver issues. Indications include:
● Jaundice.
● Tingling or itching in the skin (pruritus).
● Portal hypertension, which expands blood pressure in the vein that travels through the liver.

What Should be Done to Treat this Deadly Disease?
Liver damage is mostly irreversible and progressively worsens with continued drinking. Early stages of the alcoholic liver disease can be managed by not drinking liquor. A few phases of the alcoholic liver disease may react to treatment, including steroids. Notwithstanding, different stages of alcoholic liver illness may require regular screenings since they might be pre-malignant conditions that could prompt permanent scarring of the liver. An advanced alcoholic liver disease may need a liver transplant.

● Treatment for ARLD includes stopping liquor consumption altogether. This is known as forbearance, which can be vital, contingent upon what stage the condition is at. If you have the fatty liver disease, the damage might be reversed in case you go without liquor for about fourteen days. Your liver function will never be the same; however, your chances of survival will be more.
● Numerous individuals with liquor dependency think that it’s helpful to go to self-help groups which encourage them to quit drinking. The support from others may strengthen the desire to quit alcohol and live healthily.
Medications that have been used to treat alcohol-related liver damage include:
● Anabolic steroids (a more powerful type of steroid medication)
● Propylthiouracil (a kind of medicine initially designed to treat overactive thyroid glands)

How Can Healing Touristry Help?
Healing Touristry Private Limited is one stop where you will get a rundown of specialists and healing centers which will help in the recovery of the patients suffering from an alcoholic liver disease. Once you get in touch with us, you will be able to access alcoholic liver disease treatment in India in the healing facilities or hospitals which have the noteworthy accessibility of beds, best hygienic conditions, and the best procedures which meet the global standards. Remember, the key to quitting alcohol lies in your determination: we simply assist you in that.

Friday 17 August 2018

Bell's palsy – Symptoms, Causes and Treatment – Healing Touristry


Bell's Palsy, or facial paralysis, is a loss of motion or severe weakness of the facial muscles on one side of the face. This occurs when the nerve that controls the muscles of face swells and half of your face droops. This condition can be worrying, yet a lot of people make a full recovery.
In 19th century, Sir Charles Bell, a Scottish surgeon described the connection of facial nerve to the condition.

What Causes Bell’s Palsy?
The facial nerve controls the vast majority of the muscles in the face and parts of the ear. It passes through a narrow gap of bone (called the Fallopian canal) from the brain to the face.
If the facial nerve is inflamed, it will press against the cheekbone or may squeeze in the narrow gap. This can cause damage to the protective covering of the nerve.
If the protective covering of the nerve ends up harmed, the signals that move from the brain to the muscles in the face may not be appropriately transmitted, prompting debilitated or paralysed facial muscles.
The precise reason for this condition’s occurrence isn't apparent, although doctors have pointed out the contribution of the herpes virus in aggravating the nerve. This is a similar virus that causes cold sores and genital herpes.
Other viruses that have been connected to Bell's palsy include:
● Chickenpox and shingles virus
● Cold sores and genital herpes virus
● Cytomegalovirus
● Epstein-Barr virus, or EBV
● Hand-foot-and-mouth sickness (coxsackievirus)
● Influenza B
● Mumps virus

What are the Symptoms of Bell’s Palsy?
The facial nerves control flickering, opening and shutting of the eyes, smiling, salivation, lacrimation (generation of tears), and frowning. They connect with the muscles of the stapes, a bone in the ear associated with hearing.
At the point when the facial nerve suffers a breakdown, as in Bell's paralysis, the accompanying side effects can happen:
● An affected ear may cause sensitivity to sound.
● Changes in the volume of tears the eye produces.
● Drooping in parts of the face, e.g., one side of the mouth.
● Drooling from one side of the mouth.
● Feeling of taste may end up altered.
● Persistent headache.
● Irritation in the eye (the eye doesn't blink and becomes dry).
● Sudden weakness in one side of the face.
● Trouble shutting one of the eyelids.
● Pain in the front or behind the ear on the affected side

What is Bell’s Palsy Diagnosed?
If the reason for your symptoms isn't apparent, your specialist may prescribe different tests, including:
● Physical Examination
In this exam, your specialist studies your face and requests that you move your facial muscles by shutting your eyes, lifting your forehead, showing your teeth and staring, along with other different movements.
● Electromyography (EMG)
This test can affirm the presence of nerve damage and determine its severity. An EMG measures the electrical movement of a muscle in response to stimulation, and the nature and speed of the conduction of electrical impulse along a nerve.
● Imaging Scans
Magnetic Resonance Imaging (MRI) or Computerised tomography (CT) might be required once in a while to detect other likely sources of weight on the facial nerve, for example, a tumour or skull fracture.

What Essential Steps You Should Take?
● Record any symptoms you're experiencing. Make sure to incorporate any that may appear to be random to the purpose behind which you booked the appointment.
● Record key individual data. Have you had any significant stress or life changes as of late? Sharing this kind of data may enable your specialist to make a diagnosis. It will also help you in recognising stressors and eliminating them.
● Make a list of all medications. Incorporate the dosage amount of any medicines you're taking, and remember to record any vitamins or supplements that you're taking. Sometimes medicines start affecting us without giving any warning signs. It is essential to screen the multivitamins and syrups as well.
● Take a relative or friend along, if possible. Sometimes, it can be hard to recall the more significant part of the data in an appointment. Somebody who goes with you may recollect something that you missed or overlooked.

What is Treatment Procedure for Bell’s Palsy?
In case you are have facial pain:
● Apply moist,warm cloth on face. Putting a washcloth soaked in warm water all over face a few times each day may help ease the pain.
● Take over-the-counter pain relievers. Aspirin, ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) can help with the pain.
● Use Acupuncture. For a large number of years acupuncture or needle therapy has been utilised to aid Bell's Palsy recuperation by tending to a hidden lack in qi (one's intrinsic energy). Through treatment, qi is stimulated as bloodstream is enhanced to the face.
● Facial Nerve Decompression Surgery
Just in case your symptoms do not improve, the doctor may recommend facial nerve decompression surgery. Usually, the final result of the facial nerve decompression surgery is seen about one year after surgery. Complete Blood Count, imaging (MRI and/or CT scans), and EMG and ENoG are often performed to conclude if facial nerve decompression is a good treatment option. This procedure is the last resort in case other methods fail to work.

What are the Alternative Options to Improve the Symptoms?
In case your eye doesn’t close totally, attempt these tips:
● Use your finger to close your eye repeatedly for the day.
● Use lubricating eye drops.
● Wear eyeglasses during daytime to protect your eye.
● Wear an eye patch during the evening.
● Do facial exercises to strengthen your muscles.