Archive for 2020

Work at Home Tips for those Working from Home!

Monday, June 15th, 2020

The COVID 19 pandemic has led to a situation where a majority of people have begun to work from home. In most cases, with domestic help not being available, they have to ‘work at home’ as well as ‘work from home’ and cope with both domestic chores and office work. For homemakers, the lack of domestic help has added to their workload. Among other issues, one complaint that is emerging is an increase in their symptoms and pain for many patients who are restricted to their homes, the most common being back pain and knee pain.

An increase in workload is contributing to this increase in pain. It is important for all members of the family to participate and share the domestic chores. If family members are not supportive, then the onus falls on the homemaker who now has to care for a larger number of people at home and spend more standing cooking in the kitchen with along with the burden of other household work. If there are only senior citizens living alone, then many elderly patients cannot manage heavy physical work at home, and their pain worsens.

For professionals, working from home, they end up sitting for longer periods of time, which can worsen their pain. The lack of exercise arising from closure of gyms, parks, walking areas during lockdown has caused muscle weakness and led to many individuals putting on weight.

Here are some work at home tips for those working from home:

  • Avoid sitting for more than 30-60 minutes continuously. Take breaks, walk around and stretch a little
  • Make a regular schedule for basic stretching exercises at home. Some like to do this early in the morning, some prefer it to be in the evening. Find out what works for you best and fit it in your daily schedule
  • In the kitchen, avoid bending down while cooking or over the sink while washing dishes as this posture can aggravate back pain. Keep a footstool to rest one leg, and keep alternating your weight between each leg, so that when you bend, the stretch is taken off the back
  • Use floor mops, long handle brooms and stand, instead of bending/ squatting while mopping the floor or sweeping
  • Get regular sleep. Good sleep ensures good health and reduces pain levels
  • Meditate for some time every day. This helps in two ways – It helps to reduce pain levels, and also helps in coping with stress during these times from the negative messages floating around
  • Listen to your body. Pain is your body’s way of telling you something is wrong. Do not push yourself when you have chronic pain, because this may worsen your pain levels
  • Use cold packs or warm packs for local application. Avoid using very hot bags for a long period, as this can be harmful. Apply these for a few minutes only, and repeat frequently
  • Use lumbar belts or walking sticks even while inside the house. This will support the back and take load off the knee
  • Most important, do not hesitate to connect with your doctors! Physical distancing is needed, but today technology allows us to connect with doctors virtually on telemedicine. This will help in getting the right advice to help you manage the pain in its early stages and prevent it from worsening

This blog post is written by: Dr. Mahesh Menon, Consultant – Pain and Palliative Medicine, Kokilaben Dhirubhai Ambani Hospital. Find out more about Dr. Menon by clicking here

World Blood Donor Day

Thursday, June 11th, 2020

Blood donation happens when a person voluntarily agrees for his or her blood to be extracted and donated to a person in need. It is a noble deed that helps humanity.  Donated blood can be used for an emergency transfusion or can be separated into individual components to be used later. Donating Blood is a safe and easy process and helps save many lives.

According to the World Health Organization (WHO), India suffers from an annual deficit of two million blood units, as only 1% of the Indian population donates blood each year. India faced a shortage of 1.95 million units of blood in 2019.

Who needs Blood Transfusions?
Blood transfusions are a critical part of everyday medicine. A person may need a blood transfusion for a variety of reasons. The most common situations include:

  • Surgeries
  • Accidents and Trauma
  • Childbirth complications
  • Organ Transplant
  • Cancer therapies
  • Thalassemia patients
  • Sickle cell anaemia patients

Blood Donation Process

The complete blood donation process which includes all the registration and formalities takes about an hour. The donation itself is only about 15 minutes. Here is the blood donation process:

  • If you’re donating whole blood, the area on your arm is cleansed and a sterile needle is used to extract blood.
  • The blood donor is seated comfortably or lying down.
  • Once the blood donation is complete a bandage is placed on your arm.
  • Platelet donation is slightly different from giving a whole-blood donation.

During the platelet donation, blood is removed from one arm, and then a centrifuge separates out the platelets. The rest of the blood then returns to the donor through the other arm.

Who can Donate Blood?
Most people can give blood if they are in good health.

What makes you Eligible:

  • Any donor, who is healthy, fit and not suffering from any transmittable diseases can donate blood.
  • The Donor must be 18 -60 years age and should weigh minimum 50 kgs.
  • The Donor’s Haemoglobin level must be 12.5g/dl minimum.
  • A donor can again donate blood after 3 months of the last donation.
  • Pulse rate must be between 50 to 100mm without any irregularities.
  • Blood Pressure Diastolic 50 to 100 mm Hg and Systolic 100 to 180 mm Hg.
  • Body temperature should be normal.

What makes you Non-Eligible:

  • Patients of cardiac arrest, hypertension, kidney disease or epilepsy.
  • Consumption of alcohol within the last 24 hours.
  • HIV + status
  • Having a cold, flu, sore throat, or any other infection.
  • Pregnant women and breastfeeding mothers cannot donate blood.

Myths and Facts

Every year there is a shortage in the actual demand and supply of Blood donations across India. There are many misconceptions regarding blood donations that must be cleared. Here are a few myths and facts about blood donation:
Myth #1: Giving blood hurts.
Fact: The only pain you’ll feel is the quick prick of the needle when it is inserted. The area may be slightly sore afterward, but this settles in a few hours.

Myth #2: Blood donation increases the risk of infections.
Fact: A new sterile needle is used each time someone donates blood and is then immediately discarded. Strict procedures are followed to avoid any kind of infection.

Myth #3: I can’t give blood because I have high cholesterol.
Fact: Having high cholesterol does not disqualify you from donating blood, as long as you are otherwise healthy. Consult your doctor for more details.

Myth #4: I can’t give blood because I am on medication.
Fact: As long as you are healthy, most medications will not disqualify you from donating blood. Speak to your doctor to clear your doubts about this.

Myth #5: Blood donation takes a lot of time.
Fact:  The whole procedure of blood donation from the time of registration takes less than 1 hour.

Myth #6: Blood donation lowers your immunity.
Fact: This is completely false. Your body’s immunity level is not affected by blood donation.

Myth #7: Donating blood frequently causes an iron deficiency.
Fact: No, a healthy individual with good eating habits can donate blood four times a year with a gap of three months. It does not affect your iron levels.

Blood Group Types
There are eight different blood types, and they’re not always compatible with each other. People who have O-negative blood are considered universal donors for the entire population. Here are the further details for quick reference:

Blood Donation and COVID-19

Does COVID-19 spread through blood donations?

No, this is a reparatory illness and does not spread by blood transfusion.

Anyone who is not showing any symptoms of COVID-19 currently or has not come in contact with a patient of COVID 19, can donate blood. The fear of the current pandemic and the lockdown has seen a reduction in the number of blood donors. It has caused an unprecedented shortage of blood in the blood bank. There is no substitute for blood. Donate blood, help save lives.

Take these precautions when you go for Blood Donation:

  • Take an appointment to avoid crowds.
  • Wear a mask.
  • Carry a hand sanitizer and use it frequently.
  • Maintain social distancing while at the hospital.

The Blood Bank at Kokilaben Dhirubhai Ambani Hospital is equipped with state-of-the-art equipment, and use advanced techniques for processing and screening of blood and its components. We follow a stringent check on all samples before blood transfusion. Donating blood now is more important than ever before. Call our Blood Bank on 022-30937293 to donate blood. Please find below link for further details:

https://www.kokilabenhospital.com/departments/clinicaldepartments/transfusionmedicine/blooddonation.html

World Brain Tumour Day

Thursday, June 4th, 2020

A brain tumor is an abnormal growth of tissue in the brain or central spine that can disrupt proper brain function. There are over 120 types of brain and central nervous system tumors. Brain and spinal cord tumors are different for everyone. They form in different areas, develop from different cell types, and may have different treatment options.

The brain is the body organ composed of nerve cells and supportive tissues like glial cells and meninges – there are three major parts – they control your activity like breathing (brain stem), an activity like moving muscles to walk (cerebellum) and your senses like sight and our memory, emotions, thinking and personality (cerebrum). This is how brain tumors are classified:

  • Benign: The least aggressive type of brain tumor is often called a benign brain tumor. They originate from cells within or surrounding the brain, do not contain cancer cells, grow slowly, and typically have clear borders that do not spread into other tissue.
  • Malignant: Malignant brain tumors contain cancer cells and often do not have clear borders. They are considered to be life-threatening because they grow rapidly and invade surrounding brain tissue.
  • Primary: Tumors that start in cells of the brain are called primary brain tumors. Primary brain tumors may spread to other parts of the brain or the spine, but rarely to other organs.
  • Metastatic: Metastatic or secondary brain tumors begin in another part of the body and then spread to the brain. These tumors are more common than primary brain tumors and are named by the location in which they begin.

Types of Brain Tumours

Doctors group brain tumors by grade: grade I, grade II, grade III, or grade IV -the most severe. The grade is determined by the way the cells look under a microscope. The higher the grade number, the more abnormal the cells appear, and the more aggressively the tumor usually behaves.

The most common types of primary brain tumors among adults are astrocytoma, meningiom (a tumor that arises from the membranes surrounding the brain and spinal cord), and oligodendroglioma.

The most common types of primary brain tumors in children are medulloblastoma, grade I or II astrocytoma, (or glioma) ependymoma, and brain stem glioma.

Symptoms of Brain tumor:

Symptoms of brain tumors depend on the location and size of the tumor. Some tumors cause direct damage by invading brain tissue and some tumors cause pressure on the surrounding brain. You’ll have noticeable symptoms when a growing tumor is putting pressure on your brain tissue. Some of these symptoms include:

  • Severe headaches that become more frequent.
  • Unexplained nausea or vomiting.
  • Gradual loss of sensation or movement in an arm or a leg.
  • Difficulty with balance.
  • Vision problems, such as blurred vision double vision or loss of vision.
  • Speech difficulties.
  • Seizures, with no previous history of seizures.

Risk factors of Brain tumors:

Although there are no known causes why Brain tumors occur certain factors highly increase a person’s risk of getting brain tumors. Here are the common risk factors:

  • Family history: Only about 5 to 10 percent of all cancers are genetically inherited, or hereditary. It’s rare for a brain tumor to be genetically inherited.
  • Age: The risk for most types of brain tumors increases with age.
  • Chemical exposure: Being exposed to hazardous chemicals at work or elsewhere can increase your risk of brain tumor. 
  • Exposure to radiation: People who have been exposed to ionizing radiation have an increased risk of brain tumors. This can happen during high-radiation cancer therapies.

Treatment at Kokilaben Dhirubhai Ambani Hospital:

Treatment options for Brain tumors depend on several factors:

  • The size, type, and grade of the tumor.
  • Whether the tumor is putting pressure on vital parts of the brain.
  • If the tumor has spread to other parts of the body.
  • Possible side effects.
  • The patient’s overall health.

In most cases, a brain tumor diagnosis requires immediate surgery or alternative treatment. Experts at our Centre for Neurosciences work together and create a comprehensive treatment plan for the patient. A multi-disciplinary team that includes neurosurgeons, neurologists, medical and paediatric oncologists, radiation oncologists, pathologists and other medical professionals may be part of the treatment team.

The standard treatment for brain tumors includes surgery, radiation therapy, and/or chemotherapy. Advanced treatments like targeted therapy,  stereotactic radiosurgery and robotic surgery are also being used to treat a brain tumor. Additionally Palliative care, as well as neuro-rehabilitaion services, help support the patient’s recovery.

Looking for the best Brain Tumor treatment for a loved one? Consult highly trained experts at our Centre for Neurosciences which are supported by high-end technologies too. Please find below link for more details:

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_neurosciences/braintumor.html

Stay Healthy this Summer

Monday, May 25th, 2020

This summer we have been hit by the highly infectious COVID-19. This pandemic has affected people all over the world and India has seen above 1 .38lakh cases to date. Hospitals are already overstretched attending to patients suffering from the coronavirus. This makes it even more important to take extra care of your health this summer. High temperatures can cause dehydration, heat exhaustion and heat stroke, or intestinal infections too.

This summer is different from every year. The lockdown has forced people to stay indoors, eat home-cooked food, and maintain high hygiene due to the COVID-19 pandemic. This has helped reduce the incidents of summer illness. Cases of stomach infections and food poisoning have all come down as people are aware of hand hygiene.

Even when you stay at home it is important to eat the right foods and follow healthy practices to stay healthy and fit. Here are a few healthy tips to follow this summer:

  • Have seasonal fruits and vegetables
    It is best to consume only seasonal summer fruits and vegetables this season as they are filled with properties to fight the summer heat. Watermelon, muskmelon, oranges,  mangoes are some of the seasonal summer fruits. Pumpkin, bitter gourd, bottle gourd, cucumber, etc are some of the seasonal summer vegetables.
  • Stay hydrated
    Drinking water is extremely important as it helps rehydrate your body and regulates the various functions of the body. Avoid drinking extremely cold water.
  • Eat regularly but light
    Summer time tends to reduce one’s appetite because of excessive heat. But you need eat regularly because your body requires the nutrients to fight the heat and keep you healthy. It is good to have lighter meals rather than having heavy ones, especially at night.
  • Skin care in summer
    Are you sweating profusely this summer? Summer makes your skin more prone to rashes, prickly heat, and fungal infections. Have a bath twice daily and use a medicated powder if needed.
  • Choose healthy juices
    Summers make you thirsty more often. However avoid sipping on fizzy drinks, alcohol, caffeinated drinks or packaged juices. Choose healthy alternatives like nimbu pani, homemade juice, or aam panna a seasonal favourite.
  • Snack healthy
    The harsh climate can drain you off your energy, making you prone to infections, vomiting, nausea, prickly heat, and low blood pressure. Avoid fried foods and foods that are highly processed and heavy to digest.
  • Don’t Exert Yourself
    Physical activity is essential for good health, but during summers, make sure that you don’t overexert yourself. If household chores are exhausting you, take some rest or split the activities during the day. Follow a light exercise routine and remain indoors.
  • Wear Loose Clothes
    Wear loose and comfortable cotton clothes even if you are staying at home. Avoid wearing any synthetic fabrics. 

Summer Special Foods

What are you eating every day? Is your diet a summer-friendly?

Here are some of the summer special foods that are extremely high on vitamins, minerals, and other essential nutrients. Have them daily:

  • Melons – Watermelons and muskmelons good for the digestive system, propel weight loss, and are very high in water content.
  • Lauki or Bottle Gourd – It’s rich in calcium, magnesium, Vitamin A, C, and, folate. The summer vegetable works well on high blood pressure, keeps the heart healthy, and is considered an excellent blood purifier.
  • Aam panna – Aam panna made from raw mangoes helps fight constipation and chronic stomach problems like Irritable bowel syndrome (IBS). Make it at home to ensure the use of recommended quantities of sugar and salt.
  • Cucumber – Loaded with fibre, eating cucumber in summer helps in keeping constipation at bay. Cucumber also contains a high amount of water content that helps keep you cool.
  • Curd – Curd is not only delicious but also gives a coolant effect to your body. You can make buttermilk or have a plain bowl of curd with your meals. It can also be mixed with fruits and made into a seasonal smoothie.
  • Mint – Mint leaves or pudina not only keeps your body temperature cool but also gives you a refreshing effect.
  • Green leafy vegetables – Having green leafy vegetables around the year gives you numerous benefits. And adding them to your daily diet is also beneficial as green leafy vegetables contain a high amount of water content.
  • Onions – You may get surprised to know that onions too provide cooling properties. The red onions are loaded with quercetin, which is considered as a natural anti-allergen. Adding onion to your daily diet also helps in protecting you against the sun-stroke.
  • Nimbu pani water – Lemonade or nimbu pani is another refreshing drink for summer. Sip on some nimbu pani everyday to stay hydrated.

An extreme heatwave is set to hit many parts of India during the end of May. Stay at home and stay safe as you are already fighting the COVID-19 pandemic. If you are stepping out to buy essentials do not step out between 11 am to 4 pm as the heat is at its peak at this time. Wear protective clothing like a cap or scarf if required. Take preventive steps and protect your and your family’s health in summer. Please consult doctors at Kokilaben Dhirubhai Ambani Hospital for any summer ailments.

All about Hypertension

Saturday, May 16th, 2020

Hypertension is high blood pressure, a very common condition in older adults. Blood pressure is the physical force exerted by the blood as it pushes against the walls of the arteries. Blood pressure readings are written in two numbers separated by a line. The top number represents the systolic blood pressure and the bottom number represents the diastolic pressure. The systolic blood pressure is the pressure in the arteries as the heart contracts pushing the blood forward. The diastolic pressure is the pressure in the arteries as the heart relaxes. 1 in 5 adults have Hypertension in India. 33% of urban Indians are Hypertensive whereas 25% of rural Indians are Hypertensive.

Normal blood pressure is below 120/80. High blood pressure can also damage the walls of the arteries. Over time, hypertension increases the risk of heart disease, kidney disease, and stroke. Here are the revised 4 blood pressure categories:

  • Normal.
  • Elevated.
  • High blood pressure, Stage 1.
  • High blood pressure, Stage 2.
Blood Pressure Categories

Symptoms of Hypertension
Most commonly high blood pressure causes no symptoms at all. This means that people with high blood pressure can be having damage that occur to their heart, kidneys, eyes, and circulation without any symptoms. This makes regular check-up of blood pressure very important.

High blood pressure can impair the function of the kidneys, leading to fluid retention and swelling of the legs, and even kidney failure. High blood pressure can affect the eyes, causing vision loss. High blood pressure can seriously affect the circulation causing pain in the legs with walking, cold feet, and stroke. Fortunately, when high blood pressure is detected early, treated, and monitored, the consequences of high blood pressure can be avoided.

Symptoms of high blood pressure may be present in those who have extremely high blood pressure. Some of the symptoms include:

  • Severe headaches.
  • Fatigue.
  • Vision problems.
  • Chest pain.
  • Difficulty breathing.
  • Irregular heartbeat.
  • Pounding in the chest, neck, or ears.

Causes of Hypertension
There are several factors that may cause high blood pressure, but the exact cause is unknown. The following factors may increase one’s risk for high blood pressure:

  • Smoking.
  • Overweight or obesity.
  • Lack of physical activity.
  • Too much salt consumption.
  • Excessive alcohol consumption.
  • Stress.
  • Older age.
  • Family history of high blood pressure.
  • Chronic kidney disease.
  • Adrenal and thyroid disorders.
  • Sleep apnoea.

Elevated Blood Pressure
An elevated blood pressure reading means that your blood pressure falls just above the normal level, corresponding to a systolic pressure between 120 and 129 or a diastolic pressure of 80 or less.

Treatment
If elevated blood pressure levels are accompanied by diabetes, kidney disease, or cardiovascular disease, your doctor may suggest blood pressure medication as well as  lifestyle changes. If elevated levels are your only condition, lifestyle changes can help prevent blood pressure from rising. Here are a few health tips to help lower your blood pressure:

  • Maintain a healthy weight.
  • Eating a healthy, low-salt diet.
  • Exercise regularly.
  • Limit alcohol consumption.
  • Quit smoking.
  • Stay hydrated.

Some facts about High Blood Pressure:

  • High blood pressure may be linked to dementia.
  • Young people can also have high blood pressure.
  • Anxiety causes some of the same symptoms as hypertension.
  • High blood pressure usually has no symptoms.
  • Many people who have high blood pressure don’t know it.
  • High Blood pressure can be life-threatening.

COVID-19 and Hypertension
Having hypertension does not make you more susceptible to COVID-19. However, a person with high blood pressure who gets the virus is more likely to require hospitalisation or even ventilation, as opposed to infected patients without blood pressure. Any co-morbidity or existing medical conditions like diabetes, hypertension or heart disease may result in a more severe impact of the virus on the body due to a weaker immune system. Those who have high blood pressure and are already on medication may have compromised immunity.

Are you or a family member suffering from Hypertension? Get expert advice and treatment at our Department of Internal Medicine. Please find below website link for more details:

https://www.kokilabenhospital.com/departments/clinicaldepartments/internalmedicine/hypertension.html