Archive for February 2017

Laparoscopic VVF Repair- First Time in Jharkhand

Recently Dr Raj Kumar Sharma, M.ch Urologist has performed a rare & complicated surgery on a 40 years old lady from Koderma. This lady was suffering from V.V.F. (Vesico- Vaginal Fistula) after an operation of Hysterectomy performed 6 month ago at Hazaribagh.

V.V.F. is an abnormal communication between Vagina & Urinary bladder, that leads to involuntary leakage of urine through vagina. Ladies suffering from this disease can not perform their day to day social activities, they have to stay indoor cut off from society.
Dr Raj Kumar Sharma who did his M.ch in Urology from Kolkata, has already made a big name in the field of Urology by performing the most complicated Urological surgeries at Raj Hospitals, Ranchi, in last three years.

He is the only Urologist in Jharkhand, who has used Laparoscopic technique to perform complicated urological operations like Laparoscopic VVF repair, Laparoscopic Nephrectomy, Laparoscopic Pyeloplasty etc.

Patient Manju Devi whose VVF repair was done laparoscopically by Dr Raj Kumar Sharma, one & half month ago is now fully recovered. This is a matter of great pride for our state.

Dr Raj Kumar Sharma’s team that performed the surgery comprised of Dr Ashish & Dr Anshuman as well.

for Raj Hospitals

(Dr. Harminder Singh)
Medical Superintendent

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What Triggers a Heart Attack?

Smoking: Did you know that nicotine and carbon monoxide put a lot of stress on the heart by forcing it to work faster? This, in turn, accelerates the risk of blood clots. Besides, the presence of different chemicals in the smoke injures the lining of your coronary arteries. It is estimated that smoking can enhance heart risk by 24 percent.

High blood pressure: Hypertension tends to deteriorate the coronary arteries, thus making them absolutely vulnerable to coronary heart disease. Hence, a person with high blood pressure is at a high risk of attacks and coronary heart disease.

Diabetes: When blood glucose levels associated with type 1 and type 2 diabetes increases, there is a certain amount of damage to the victim’s coronary arteries. As a result, the risk of coronary heart disease increases.

Obesity: People who are obese or are highly overweight may not be directly at risk of an attack, but they are at a greater risk of developing hypertension and diabetes. Overweight individuals also tend to have high cholesterol level that results from eating fat-rich diet.

Alcohol: Uncontrolled consumption of alcohol can develop high cholesterol levels and high blood pressure, thus augmenting the risk of coronary heart disease. Also, heavy drinkers tend to follow unhealthy lifestyles such as physical inactivity, consumption of high fat-diet and smoking.

Family history: If you have an immediate relative with a history of heart attack, then your chances of getting a stroke or attack doubles up in comparison to the general population with no immediate family history of an attack.

Age and Sex: With age comes greater risk of an attack and coronary heart disease. In addition, research suggests that men are at a greater risk of suffering from an attack than their female counterparts.

Intense outbursts of anger: Sudden and intense bouts of anger may also trigger a heart attack. In fact, it is estimated that there is an 8.5 times more tendency for a heart attack to occur within the initial two hours of an anger outburst.

Cold climate: Colder temperatures may constrict the arteries. This, in turn, raises the blood pressure, which is again a factor that may trigger a heart attack.

Miscellaneous factors: Acute anxiety and strenuous physical exercise may sometimes increase the pace at which the heart beats and the blood flow in the arteries. This may trigger a heart attack in rare cases. In addition, high binge of excessive junk food can escalate cholesterol levels in your arteries that eventually increase your heart rate, culminating into a heart attack.

How Can One Naturally Lower Their Blood Sugar Without Drugs?

Diabetes, also known as diabetes mellitus, has become a very common heath problem. Largely there are two types of diabetes that are known.i.e.

type 1 diabetes in which the body does not produce insulin
type 2 diabetes in which the body does not produce enough insulin or the insulin that is produced does not work properly.
Although the correct medication is required to regulate the blood sugar, there are few other steps you can take to get it under control, without resorting to drugs. Some of these remedies are well within your reach and in-fact some are present right in your kitchen.

Getting a regular Blood Sugar Test is one part of managing your diabetes successfully. Your blood sugar is tested both pre and post meal (i.e. before and after). This allows you to see how the meal affects your blood glucose levels and helps you to understand which meals may be best for your blood glucose control.

Low glucose, otherwise called hypoglycemia, can be an unsafe condition. Low glucose can happen in individuals with diabetes who take medications that expansion insulin levels in the body. Taking an excess of medicine, skipping dinners, eating not as much as expected, or practicing more than expected can prompt low glucose for these people.

Ways to Lower Blood Sugar Naturally

You can lower your blood sugar levels without drugs by using supplements and making a few simple, yet effective lifestyle changes.

Get some light exercise regularly and usually the effects are seen within an hour. Exercise really helps to lower your blood glucose
Practicing breathing exercises will keep a check on your stress levels and ultimately result in lower blood sugar levels
You need to get adequate sleep to keep the blood sugar level in control.

Taking smaller meals in a day. This helps you to breakdown your carbohydrates, proteins and fats in the right proportion and avoids the problem of overeating, eventually keeping your body weight in control.

Lower Blood Sugar without drugs

You can include supplements in your diet and which will relatively bring down your sugar levels quickly.

You can take Cinnamon in the form of powder by adding it to your food or taking it as a supplement in the form of capsule. It has been noticed that cinnamon reduces blood sugar. Dosages of up to six grams per day can reduce blood sugar and other diabetes risk factors.

Most of us include Curry Leaves in our diet, it is believed that curry leaves contain an ingredient that reduces the rate at which starch is broken down to glucose in diabetics. So, you can simply chew about 10 fresh curry leaves daily in the morning. Also, it helps reduce high cholesterol and obesity

From time immemorial the benefits of Neem are well known. Apart from having anti-bacterial activity, this plant also has anti-diabetic activity, antimalarial, antifertility and antioxidant effects.

The delicate and tender Mango leaves can be used to treat diabetes by regulating insulin levels in the blood. They can also help improve blood lipid profiles.
Bitter Gourd helps increase pancreatic insulin secretion and prevents insulin resistance. Thus, bitter gourd is beneficial for both type 1 and type 2 diabetes.

Indian Blackberry or Jamun, each part of the plant such as the leaves, berry and seeds can be used by those suffering from diabetes. In fact, research has shown that the fruits and seeds of this plant have hypoglycemic effects as they help reduce blood and urine sugar levels rapidly
Other home remedies that are rich in vitamins and fiber are Guava, Ladies Finger and Indian Gooseberry(Amla)

While there is no cure for diabetes, with your blood sugar level under control you can live a totally normal life.

Are You a Victim of Diabetic Neuropathy?

Diabetic Neuropathy is a painful nerve-damaging disorder generally believed to be caused by high levels of sugar in the blood. This neurological disorder caused by diabetes affects the different parts of your nervous system, thus damaging your systems and organs severely. A study conducted by the U.S Department of Health & Human Sciences revealed that almost 60% to 70% of diabetic patients get affected by some form of neuropathy.

In this write-up, we will throw light on the types and characteristics of Diabetic Neuropathy so that you can identify the early symptoms of each type and take the right measures to prevent the disorder from aggravating.

There are four types of Diabetic Neuropathy – autonomic, focal, peripheral, and proximal. Here is a brief description of the characteristics of each type.

Autonomic Neuropathy: This diabetic complication generally affects your digestive system including the stomach, urinary system, blood vessels, and reproductive organs. Autonomic Neuropathy is characterized by vomiting, nausea, abnormal pulse rate, constipation, excessive sweating, weight loss, diarrhoea, bloating, and heartburn.

Some of the early symptoms of Autonomic Neuropathy include – sudden nausea or a feeling of throwing up after eating, feeling lightheaded, or unexplained changes in bladder or bowel movement, including sexual function. Some women also experience frequent tendency to urinate, incontinence, or discomfort while emptying their bladder.

If you experience the above-mentioned symptoms, you should immediately consult your physician for the right treatment as an early diagnosis can help control the symptoms of Autonomic Neuropathy. The extreme cases of Autonomic Neuropathy call for a surgery.

Focal Neuropathy: This unpredictable disorder is characterized by a severe pain in the eye, vision changes often caused by double vision, acute pain in the legs or lower back, speech impairment caused by Bell’s palsy (paralysis of muscles that affects one side of the face) stomach ache or chest pain that is often mistaken as appendicitis or heart attack. Focal Neuropathy usually affects the nerves of your leg, torso, and head.
Though Focal Neuropathy is painful, it does not cause permanent damage, and the pain subsides after a certain period of time.

Peripheral Neuropathy: This normally affects your legs and feet. Peripheral Neuropathy is characterized by permanent numbness of the feet or legs, tingling sensation, acute or burning pain, or losing balance while walking. This disorder initially affects the legs and feet, and once aggravated, it may affect the hands and arms as well.

Some patients suffering from this disorder report distressing symptoms, while others report minor symptoms. If you notice the early symptoms of Peripheral Neuropathy, it is advisable to avoid alcohol and tobacco, and take measures to keep your blood sugar level under control. At the same time, you should consult your physician for appropriate medication to get relief from the distress.

Proximal Neuropathy (Diabetic Amyotrophy): This type usually weakens the legs and causes excruciating pain on one side of the hips, thighs or buttocks. Patients suffering from this disorder require physical therapy along with medication to alleviate the pain. The length of medication depends on the intensity of nerve damage.

If you notice the symptoms of proximal neuropathy, you should undergo proper treatment and take measures to control your blood sugar levels by following a healthy diet regime. At the same time, you should avoid alcohol and other addictions such as smoking or tobacco. Indulging in physical exercise and yoga goes a long way in recharging your mind and body, thus reinvigorating the nerves in your legs.

Diabetic Neuropathy can be treated by identifying the underlying causes for controlling its symptoms. This is the best preventative strategy where focusing on high blood sugar levels can check further nerve damage. Therefore, if you think you are experiencing nerve disorders, you should immediately consult your physician to diagnose the underlying cause and get proper treatment.

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Deep Brain Stimulation Treatment Cost In India

India’s popularity has gradually increased among medical tourists, especially for treatment pertaining to movement disorders, orthopedic conditions and cardiovascular diseases. There are several factors that make people select India as their medical tourism destination, and high quality of medical care at reasonable cost is a major deciding factor.

Deep brain stimulation treatment cost in India is one such deciding factor that makes patients travel hundreds of miles to find relief against symptoms related to movement disorders and Parkinson’s disease.

Deep brain stimulation (DBS) treatment cost in India is just one factor, there are several other reasons that make people select India as a medical tourism destination, as compared to Canada, US or UK. Some of the reasons include following factors:
 Highly trained and specialized team of medical professionals, including neurodiologists, movement disorder neurologists and top neurosurgeons in India arranges and design the treatment with great care.
 Use of highly advanced technologies including Biplane Neuroendovascular Angiography, Synergy Synergy S Linac System, Endoscopic Neurosurgery, 3 Telsa MRI, Brain Suite and 256 slice CT scan are done at the best neurology medical centres in India.

Most neurology centres in India have special treatment options for movement disorders and other neurological disorders.
 Deep brain stimulation treatment cost in India is much more economical and affordable compared to other countries
 Travelling to India is easier.

Deep brain stimulation is the most preferred for treating the symptoms associated with some common neurological disorders such as dystonia, Parkinson’s disease, obsessive compulsive disorder and essential tremor.

In India, the most popular medical centres value the importance of improving the health condition of the patient and make all efforts to maintain proper well-being of the medical tourists. Therefore, they aim to provide best deep brain stimulation surgery at most economical and affordable prices.

The cost of deep brain stimulation depends on your medical condition, city and the type of facility where you have decided to get treated, in addition to the duration of stay, associated complications and the fees of the surgeon.
Still, deep brain stimulation treatment cost in India is much cheaper as compared to other developed countries such as the US and the UK.

Therefore, deep brain stimulation treatment cost in India is 60 to 80 percent cheaper than what it costs in other countries.
Deep brain stimulation treatment in India is performed keeping in mind the health of the individual patient or if the patient suffers from a pre-existing condition.

Most medical and health care experts in India are internationally trained and are experienced in handling multiple cases of deep brain stimulation. The hospitals in India are very popular for their advanced infrastructure, advanced technology and state of the art amenities.

Besides, there are many hotels which are world class standards, making the stay of the medical tourists easy and simple. Hence, people across the globe visit and prefer India as their medical treatment destination. DBS treatment is most commonly used in the case of Parkinson’s disease. However, italso can be used for Alzheimer’s disease. According to Canadian researchers, the use of deep brain stimulation treatment is completely safe for early Alzheimer’s and parkinsons patients as it helps lower the pace of memory loss and mental decline.

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Effects And Health Complications That Comes With High Blood Pressure

Hypertension or high blood pressure is capable of affecting and damaging several parts and organs of your body, even before you experience symptoms. Uncontrolled high blood pressure can destroy a lot of your organs and disrupt their functioning. Here are the various effects and health complications that come with high blood pressure:

Arteries

High blood pressure causes the pressure of blood that flows through your arteries to increase. The cells present in the lining of your arteries can get damaged because of high blood pressure. Fats coming from the food you consume enter your bloodstream and accumulate in your damaged arteries. This makes your artery walls less elastic and limits blood flow all over your body. The constant pressure of blood moving along a weak artery can lead to the formation of a bulge due to the enlargement of its wall known as aneurysm.

Heart
High blood pressure affects your heart in several ways.
Coronary artery disease
This disease affects the arteries supplying blood to the heart muscle. Being narrowed down because of this condition, your arteries do not allow the smooth and the free flow of blood. This may cause a heart attack, chest pain, or arrhtymias.
Enlarged left heart
High blood pressure makes your heart work harder than it usually has to, for pumping blood to the different parts of your body. This may cause the heart’s left ventricle to become thick or stiffen. This condition is known as left ventricular hypertrophy.
Heart failure
The strain on your heart that is caused due to high blood pressure over time can lead to the weakening of the heart muscle, and make its functioning improper. This may make your heart wear out and ultimately stop functioning.
Brain
Similar to the heart, your brain also gets affected because of high blood pressure in several ways.
• Transient ischemic attack
TIA or transient ischemic attack, or a mini stroke occurs when there is a temporary disruption of sufficient supply of blood to the brain. It is commonly caused because of a blood clot or atherosclerosis, which develops from hypertension.
• Stroke
A stroke is experienced when a part of the brain is totally deprived of nutrients and oxygen, which leads to the death of brain cells. High blood pressure can cause a stroke by weakening the blood vessels present in your brain. They become narrow, and may rupture. Blood clot formation also results from high blood pressure that blocks blood flow to your brain, and causes a stroke.
• Dementia
Dementia is a brain health condition which causes issues with your thinking, reasoning, speaking, movement, vision, and memory. Among the various causes of dementia, vascular dementia occurs because of the blockage of arteries supplying blood to your brain.
Kidney

High blood pressure damages the blood vessels that go in, and come out from your kidneys. This may result in several forms of kidney diseases. Kidney failure commonly develops from high blood pressure. Damage to the arteries causes disruption in the kidney’s functioning to filter waste from the blood. This causes high levels of waste and fluid to accumulate. Kidney scarring is also likely to be experienced because of high blood pressure.

It is recommended for you to get your blood pressure checked regularly from the Best hospitals in Ranchi, in order to prevent hypertension, and keep away from several health complications.

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What are the Symptoms of Brain Tumor and How to diagnose it?

A brain tumor is a growth of abnormal cells in your brain or near your brain. There are several forms of brain tumors, which are commonly diagnosed at any Hospital In Ranchi. Some brain tumors are benign, or noncancerous in nature, while some can be malignant, or cancerous. Primary brain tumors develop in your brain and secondary or metastatic tumors start as cancer in some part of your body that spreads to the brain.

Symptoms

The symptoms of brain tumors depends of the size, location, and type of a tumor. Symptoms are experienced when a brain tumor presses itself against a nerve or damages some part of the brain. Symptoms are experienced when a brain tumor blocks the fluid flowing around your brain. The most common symptoms include the following:

• Headaches that worsen in the morning.
• Nausea and vomiting.
• Change in your hearing, vision, and speech.
• Issues with walking and balancing properly.
• Mood swings, change in personality, and problems with concentration.
• Issues with memory.
• A numb and tingling sensations in the arms and legs.
• Jerking and twitching of muscles, or seizures.

Most of the symptoms are not experienced because of a brain tumor, but because of other problems that lead to the development of a brain tumor.

Diagnosis

The diagnosis of a brain tumor is carried out using several tests and procedures after a physical examination and analyzing of your health history. They are as follows:

Neurological examination

Here, your vision, alertness, hearing, coordination, muscle strength, and reflexes are checked out. Your eyes are observed closely for finding swelling by a tumor that presses against the nerve, which connects your eye to the brain.

MRI

In an MRI scan, a machine with a magnet that is linked to a computer is utilized for obtaining highly detailed pictures of your brain. A special dye is injected into a blood vessel in your arms, which helps in showing the differences between tissues present in your brain. Brain tumors are detected from these images.

CT scan

In this process, an X ray machine linked to a computer is used for taking several detailed images of the head. Contrast material can be received, which helps in detecting areas that are abnormal.

Angiogram

In this procedure, a dye is injected into your bloodstream to takes the blood vessels in your brain show on an X ray. In case a tumor is detected, it is shown in the X ray, along with the blood vessels going into the tumor.

Spinal tap

In this process, a sample of cerebro-spinal fluid is removed. A long and thin needle is used for removing the fluid from the lower portion of your spinal column. The obtained fluid is tested and checked in a laboratory for signs of cancer and other abnormalities.

Biopsy

This process involves the removal of tissues in order to study them under a microscope for detecting abnormal cells. This method is the best and most certain way of diagnosing a brain tumor, and know about its type. After proper diagnosis, the most ideal treatment plan is sought.
It is important for you to recognize the symptoms of a brain tumor well, and choose the best Hospital in Ranchi for undergoing diagnostic tests, followed by treatment.

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