Archive for 2020

World Oral Health Day Posts

Tuesday, March 17th, 2020

World Oral Health Day is celebrated every year on 20 March. It is an international day to celebrate the benefits of a healthy mouth and to promote worldwide awareness of the issues around oral health.

Common oral health problems

People from all over the world and across all age groups suffer from common dental problems. Here are a few common oral health problems:

 

1. Cavities/Tooth Decay

Cavities are permanently damaged areas in or around the surface of your tooth that cause tiny holes. This one of the most common dental problems and can happen even to infants. They are caused by plaque from food high in sugar or starch content settling on the surface of the teeth. Bacteria inside your mouth feed on sugar and starch thus leading to the protective coat of your teeth (enamel) to slowly deteriorate. This then leads to tooth decay which will most likely need fillings.

2. Gum Disease

Gum disease is one of the most common dental diseases adults get. It has three developing stages starting from gingivitis. Gingivitis is a gum disease that is reversible but, if not treated on time it may lead to a more serious problem call periodontal disease. Periodontal disease must be treated as soon as possible as it may also lead to tooth loss.

3. Bad Breath

Nothing is more embarrassing than bad breath. Bad breath, also known as halitosis, is a common oral problem across all ages. Studies show about 85% of people with bad breath are suffering some other dental problem that is to blame. Bad breath is a common symptom of gum disease, cavities or oral cancer.

4. Dry Mouth

Dry mouth is also called xerostomia. This is a condition where saliva glands are not able to produce enough saliva to keep the inside of the mouth moist. Saliva has antibacterial components that help keep plaque off of teeth surface. It is caused by several things such as smoking, prescription medication, aging or stress. People who are on medication or chemotherapy are at very high risk of dry mouth.

5. Tooth Crowding

Tooth crowding isn’t only an aesthetic dental problem. It can cause alignment issues that eventually can cause a jaw disorder. Misaligned bites can cause jaw problems that might need surgery to fix. Braces are the best option to treat crowded teeth. Depending on the crowding, orthodontists might even suggest extraction to make room for teeth to shift. 

6. Root Infection

If you’ve heard of or tried a root canal treatment, then you know a root infection is a serious problem. It’s painful and very uncomfortable. Root infection occurs when bacteria infect the root part of your tooth. It enters the centre of your tooth and attacks the pulp tissue inside. If left untreated it may eventually develop into an abscess. A root canal procedure is highly recommended.

7. Tooth Loss

Many of the above mentioned dental problems can lead to tooth loss. Periodontal disease eventually leads to this if not treated immediately. Tooth decay can also lead to extraction if the tooth can no longer be saved. The same goes for root infections. Dentures or dental implants are recommended for tooth loss.

8. Oral Cancer

Oral cancer is the deadliest dental problem one can encounter. It starts with a small pinkish growth in the mouth. It’s unlikely to be noticed since our mouths don’t innately have smooth surfaces and are naturally pink or reddish in color. A regular visit to the dentist will help detect this who may advice further investigation. 

Here are the top oral hygiene tips to follow:
  • Brush twice a day: Brush your teeth once in the morning and then at night. Brushing your teeth at night helps thoroughly clean all the food particles, plaque, and germs from your teeth and gums and helps prevent cavities.
  • Do not forget to floss once a day, every day: Flossing is as important as brushing. Flossing helps you get rid of plaque more thoroughly as the flossing thread goes deep within the gaps between your teeth, something that your toothbrush is not able to do. This will prevent the build-up of bacteria and hence cavities.
  • Clean your tongue: You cannot ignore your tongue. Get a copper tongue scraper to thoroughly clean the surface of your tongue. Your tongue contains a lot of bacteria that need to be removed frequently. If you don’t do this, you could suffer from gingivitis,  bad breath, cavities, and even gum disease.
  • Use mouthwash regularly: Many don’t believe in using mouthwashes. A mouth wash will thoroughly cleanse your mouth. 
  • Schedule regular visits to the dentist:  It is necessary to get your teeth checked by a dentist regularly. That’s why a visit to the dentist every six months is highly recommended. Scaling or deep cleaning your teeth about twice a year is essential to remove plaque build-up.
  • Change your toothbrush every 3-4 months: Or when the bristles of the brush develop frayed ends. Your brush can harbour bacteria too. For effective cleaning,  replace your toothbrush regularly.
Do you make these oral hygiene mistakes?

Here are some of the most common oral hygiene mistakes people make:

  • Brushing your teeth only in the morning.
  • Brushing your teeth too hard.
  • Not spending enough time brushing.
  • Replacing flossing with mouth wash.
  • Drinking a sugary beverage at lunch.
  • Only seeing the dentist when you’re in pain.
  • Not gargling after having tea or coffee.
  • Using your tooth as a bottle opener.

Dental problems can be prevented and completely avoided if you be responsible for your oral health. Keeping your oral health up by staying away from food that contributes to plaque build-up is also a step in taking care of your fitness. For any tooth or gum problems consult a dentist immediately. Prevention is better than cure. Please find our Department of Dental Surgery for more details.

World Kidney Day

Wednesday, March 11th, 2020
What are Kidneys?

The kidneys are 2 bean-shaped organs, each about the size of a fist. They are found in your back on either side of the spine. Kidneys are mainly responsible for filtering waste products, excess water, and other impurities out of the blood. These toxins are stored in the bladder and then removed during urination. The kidneys also regulate pH, salt, and potassium levels in the body. They produce hormones that regulate blood pressure and control the production of red blood cells. The kidneys even activate a form of vitamin D that helps the body absorb calcium.

What is kidney disease?

It occurs when your kidneys become damaged and can’t perform their function. Damage may be caused by diabetes, high blood pressure, and various other chronic (long-term) conditions. Kidney disease can lead to other health problems, including weak bones, nerve damage, and malnutrition. If the disease gets worse over time, your kidneys may stop working completely.

What are the types of kidney disease?
Chronic kidney disease

The most common form of kidney disease is chronic kidney disease. Chronic kidney disease is a long-term condition that doesn’t improve over time. It’s commonly caused by high blood pressure. Kidney function will eventually deteriorate to the point where the kidneys can no longer perform their job properly and the patient may need dialysis. 

Diabetes is also a major cause of chronic kidney disease. The increased level of sugar in the blood damages the blood vessels in the kidneys over time. This means the kidneys can’t clean the blood properly. Kidney failure can occur when your body becomes overloaded with toxins.

Kidney stones

Kidney stones are another common kidney problem. They occur when minerals and other substances in the blood crystallize in the kidneys, forming solid masses (stones). Kidney stones usually come out of the body during urination. In some cases, they need medical help.

Polycystic kidney disease

Polycystic kidney disease is a genetic disorder that causes numerous cysts (small sacs of fluid) to grow in the kidneys. These cysts can interfere with kidney function and cause kidney failure. 

Urinary tract infections

Urinary Tract infections (UTIs) are bacterial infections of any part of the urinary system. Infections in the bladder and urethra are the most common. They are easily treatable, however, if left untreated, these infections can spread to the kidneys and cause kidney failure.

What are the symptoms of kidney disease?

Kidney disease is a condition that can easily go unnoticed until the symptoms become severe. The following symptoms are early warning signs that you might be developing kidney disease:

  • Muscle cramping.
  • Swollen feet/ ankles.
  • Puffiness around the eyes in the morning.
  • Dry, scaly skin.
  • Frequent urination.

Severe symptoms that could mean your kidney disease is progressing into kidney failure include:

  • Nausea/ vomiting.
  • Changes in urine output.
  • Fluid retention.
  • Anaemia.
  • Sudden rise in potassium levels. 
What are the risk factors for developing kidney disease?

Here are a few factors that increase your risk of getting a kidney disease:

  • High blood pressure.
  • Uncontrolled diabetes.
  • Heart disease.
  • Family history of chronic kidney disease.
  • Old age.
What is Kidney Failure?

Kidney (renal) failure is when kidneys don’t work as well as they should. The term “kidney failure” covers a lot of problems.

Dialysis and kidney disease

Dialysis is an artificial method of filtering the blood. It’s used when someone’s kidneys have failed or are close to failing. Many people with end-stage kidney disease must go on dialysis permanently or until a donor’s kidney is found.

There are two types of dialysis: Hemodialysis and Peritoneal dialysis.

Hemodialysis

In hemodialysis, the blood is pumped through a special machine that filters out waste products and fluid. Hemodialysis is done at your home or in a hospital or dialysis center.

Peritoneal dialysis

In peritoneal dialysis, the peritoneum (membrane that lines the abdominal wall) stands in for the kidneys. A tube is implanted and used to fill the abdomen with a fluid called dialysate. Waste products in the blood flow from the peritoneum into the dialysate. The dialysate is then drained from the abdomen.

Kidney transplant

A kidney transplant is a surgical procedure to place a healthy kidney from a living or deceased donor into a person whose kidneys no longer function properly. When your kidneys lose this filtering ability, harmful levels of fluid and waste accumulate in your body, which can raise your blood pressure and result in kidney failure (end-stage kidney disease). End-stage renal disease occurs when the kidneys have lost about 90% of their ability to function normally. A kidney transplant can treat chronic kidney disease or end-stage renal disease to help you feel better and live longer.

Preventing Chronic Kidney Disease

You can protect your kidneys by preventing or managing health conditions that cause kidney damage. Here are a few health tips to keep your kidneys healthy:

1. Make healthy food choices

Choose foods that are healthy for your kidneys. Cut back on salt and sugar and avoid processed foods. Eat whole grains and fresh fruits and vegetables.

2. Make physical activity part of your routine

Be active for 30 minutes or more on most days. Start a workout plan you enjoy like gymming, pilate, running or join an active sport you like playing.

Get enough sleep

Aim for 7 to 8 hours of sleep each night. If you have trouble sleeping, take steps to improve your sleep habits.

3. Stop smoking

Smoking highly increases your risk of kidney disease, quit today.

4. Limit alcohol intake

Drinking too much alcohol can increase your blood pressure and add extra calories, which increases your risk of getting a kidney disease.

5. Explore stress-reducing activities

Take up activities like yoga, meditation or join a hobby to help manage your stress better.

6. Manage diabetes, high blood pressure, and heart disease

If you have diabetes, high blood pressure, or heart disease, the best way to protect your kidneys from damage is to keep your numbers in control and to take all medicines as prescribed. 

Are you suffering from any kidney disorders? Do you suspect any symptoms of kidney disease? Consult our highly experienced nephrologists at our Department of Nephrology for more help. Please find below link:

https://www.kokilabenhospital.com/departments/clinicaldepartments/nephrology.html

Coronavirus: How To Stay Safe

Monday, March 9th, 2020
What is coronavirus?

According to the WHO, coronaviruses are a family of viruses that cause illnesses ranging from the common cold to more severe diseases such as severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS). These viruses were originally transmitted between animals and people. SARS, for instance, was transmitted from civet cats to humans while MERS moved to humans from a type of camel. Coronaviruses are zoonotic diseases, meaning they spread from animals to humans.

The novel coronavirus, identified by Chinese authorities on January 7 and since named COVID-19, is a new strain that had not been previously identified in humans. It is said this virus originated from a seafood market in Wuhan where wildlife was also traded illegally.

As of now, a vaccine has not been formulated for the novel coronavirus. Coronavirus started in China and has affected many people worldwide. It has 106,490 cases to date and has caused 3600 deaths. As per the last record, 39 cases of coronavirus have been reported in India.

What are the symptoms?

According to the WHO, signs of infection include fever, cough, shortness of breath and breathing difficulties. In more severe cases, it can lead to pneumonia, multiple organ failure, and even death. Current estimates of the incubation period – the amount of time between infection and the onset of symptoms – ranging from one to 14 days. Most infected people show symptoms within five to six days. However, infected patients can also be asymptomatic, meaning they do not display any symptoms despite having the virus in their systems. The elderly, especially those with pre-existing conditions like diabetes, heart disease, and lung disease, may be severely affected by the new virus.

How does the coronavirus spread?

1. Person-to-person spread

The virus is thought to spread mainly from person-to-person.

  • Between people who are in close contact with one another (within about 6 feet).
  • Respiratory droplets produced when an infected person coughs or sneezes.
  • Some spread might be possible before people show symptoms; there have been reports of this occurring with this new coronavirus, but this is not thought to be the main way the virus spreads.

2. Spread from contact with infected surfaces or objects

It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes.

Coronavirus: Preventive measures

Here are a few important tips to protect yourself and others from coronavirus:

  • Wash your hands: wet your hands with clean, running water and apply soap. Lather your hands, including the backs, between your fingers, and under your nails and scrub for at least 20 seconds. Rinse.
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol.
  • Maintain high hand hygiene, avoid touching things around when at public places.
  • Avoid going to crowded areas. Avoid touching your eyes nose and mouth.
  • Avoid handshakes and hugs, greet people with a “Namaste”.
  • Cover your mouth and nose with a tissue when you cough or sneeze, then throw the tissue in the bin and wash your hands. If you do not have a tissue to hand, cough or sneeze into your elbow rather than your hands. Stay home if you are sick.
  • Avoid close contact with people who are sick. Maintain at least three feet distance between yourself and anyone who is coughing or sneezing.
  • Clean and disinfect frequently-touched objects and surfaces using a regular household cleaner.
  • Face masks offer some protection as they block liquid droplets. However, they do not block smaller aerosol particles that can pass through the material of the mask. The masks also leave the eyes exposed and there is evidence that some viruses can infect a person through the eyes.
  • If visiting live markets in affected areas avoid direct, unprotected contact with live animals and surfaces that have been in contact with animals.
  • If you have returned from an infected area and develop a high temperature, cough, runny nose, sore throat or difficulty breathing do not leave your home until you have been given advice by a doctor.
Face mask

There are many misconceptions regarding the use of a face mask. Here is when you must use a face mask:

  • If you are healthy, you only need to wear a mask if you are taking care of a person with the suspected 2019-nCoV infection.
  • Wear a mask if you are coughing or sneezing.
  • Masks are effective only when used in combination with frequent hand-cleaning with alcohol-based hand rub or soap and water.
  • If you wear a mask, then you must know how to use it and dispose of it properly.

How to put on, use, take off and dispose of a mask:

  • Before putting on a mask, clean hands with alcohol-based hand rub or soap and water.
  • Cover mouth and nose with mask and make sure there are no gaps between your face and the mask.
  • Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand rub or soap and water.
  • Replace the mask with a new one as soon as it is damp and do not re-use single-use masks.
  • To remove the mask: remove it from behind (do not touch the front of the mask); discard immediately in a closed bin; clean hands with alcohol-based hand rub or soap and water.

As the coronavirus outbreaks continues, lets us take the necessary precautions to stay safe. Be responsible while sharing information regarding coronavirus and do not believe in rumours shared from unknown sources. Please note coronavirus is currently being tested only at Government approved hospitals in India. You can dial 011-23978046 for the 24X7 control room or email to ncov2019@gmail.com for further details.

Women’s Health Matters

Saturday, March 7th, 2020

Despite making up half of the world’s population, women face major bias when it comes to healthcare. Most women don’t get timely access to healthcare services. A research conducted by a well known medical institute in India found only 37% of women got access to health care, as compared to 67% of men. Many of today’s health problems are preventable and manageable, as long as the appropriate time and care are given. It is time to increase the awareness about women’s diseases and ensure they get equal access to medical care. Women themselves must also make their health a priority and take the time to address their health concerns.

Common Women’s Diseases

Here is a list of the most common health disorders suffered by women:

1. Breast Cancer

Breast cancer is the most common form of cancer found in women. The earlier breast cancer is detected, the more treatable it is, so it’s important that women over the age of 40 years must do regular self-checks and mammograms. Here are the common risk factors of breast cancer:

  • Genes such as BRCA1 and BRCA2.
  • Family history of breast cancer.
  • Early onset of menstruation (before age 12) or menopause.
  • Smoking or excessive alcohol intake.
  • Obesity.

2. Osteoporosis

Women have a lower bone density than men and they tend to lose bone mass more rapidly as they age, this can lead to osteoporosis. Like many other common health issues for women, osteoporosis is influenced by the hormone estrogen. Estrogen helps regulate your reproductive cycle and keeps your bones strong. Because women experience dramatic drops in estrogen with menopause, they’re more likely to experience bone loss and osteoporosis at that time.

Here are a few health tips for stronger bones:

  • Ensuring adequate calcium intake.
  • Maintaining proper vitamin D levels.
  • Be regular with your exercise routine.
  • Avoid aerated drinks.
  • Reducing your intake of salt.

3. Heart Disease

Although heart disease is often thought of as a problem that mainly affects men, heart disease is the most common cause of death for both men and women. Women experience different symptoms of a heart attack as compared to men. Here are a few symptoms:

  • Neck, jaw, shoulder, upper back or abdominal pain.
  • Shortness of breath.
  • Pain in one or both arms.
  • Nausea or vomiting.
  • Sweating.

4. Depression

More women are diagnosed with depression, compared with men, with one in five experiencing depression at some time in their life. Women are more likely to experience these conditions during pregnancy and postpartum. Here are a few symptoms to watch for:

  • An ongoing sad and anxious mood.
  • Loss of interest or pleasure in activities.
  • Irritability, restlessness or persistent crying.
  • Feelings of worthlessness and hopelessness.
  • Sleeping problems – oversleeping or insomnia.

5. Fertility issues

10% of women between the ages of 15 and 44 have struggled with getting pregnant and/or staying pregnant. Some of the underlying reasons why women may be having issues with fertility are endometriosis, uterine fibroids, dysmenorrhea and polycystic ovary syndrome (PCOS).

6. Cervical Cancer

Cervical cancer is cancer arising from the cervix. It is due to the abnormal growth of cells that can invade or spread to other parts of the body. Early on, typically no symptoms are seen. Later symptoms may include abnormal vaginal bleeding, pelvic pain or pain during sexual intercourse.

7. Pregnancy issues

Certain complications during pregnancy can threaten the health of a mother and her child. Asthma, diabetes, hypertension, and depression can harm the mother and child during pregnancy if not managed properly.

8. Autoimmune Diseases

Autoimmune disease occurs when body cells that eliminate threats, such as viruses, attack healthy cells. Common autoimmune disease seen in women includes psoriasis, lupus, rheumatoid arthritis, thyroid disorders.

Recommended health tests for women

Women’s bodies go through a lot of hormonal imbalance during their life. Make regular health screenings a part of your life. Being proactive regarding your health can prevent several health problems. We highly recommend these health tests for women:

1. Breast Examination

It is recommended to start your mammograms once you cross 40 years. Early detection ensures better chances of recovery. Complete self breast self-examination is also recommended every month. Talk to your doctor if you spot anything unusual.

2. Pelvic examination

It is always advisable that you visit your Gynaecologist periodically and have a complete pelvic examination and a Pap smear test. Cervical cancer is a leading cause of death amongst women in India.

3. Bone density test

A Bone Density Test helps detect your bone condition. This helps detect osteoporosis.

4. Thyroid test

Many women complain of unexplained weight gain, hair loss, brittle nails, and exhaustion. A common reason for this is an underactive thyroid or hypothyroidism which controls the metabolism of the body. Get your thyroid levels checked.

5. Vitamin D test

This is a vital nutrient needed for bone growth and maintenance. The most important source of vitamin D is exposure to the sun. As we age, the tendency to synthesise this nutrient decreases.

6. Lipid profile tests

This test checks for good and bad cholesterol along with triglycerides and total cholesterol levels. Cholesterol is a fat molecule, which is present in higher levels can get accumulated in the blood vessels and can affect the health of your heart, blood vessels, and brain.

7. Blood sugar test

A blood sugar test helps to diagnose diabetes and pre-diabetes. Diabetes has a tremendous impact on a woman’s health and has severe long-term complications.

8. Cardiac check-up

Get your cardiac check-up done if you have a family history of hypertension, heart disease or if you’re overweight, or if you are a smoker.

This International Women’s Day be proactive about your health. Consult experts when in doubt, do not rely on home remedies and self-medication. Please find below link to our Departments which specialize in women’s healthcare:

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_motherchild.html

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_cancer.html

https://www.kokilabenhospital.com/departments/clinicaldepartments/gynaecologyobstetrics.html

Causes, Risk Factors & Symptoms of Cervical Cancer

Thursday, February 27th, 2020
What causes Cancer Cervix?

The causative factor for cervical cancer is a virus called Human Papilloma Virus (HPV), which causes over 99% cases of cervical cancer. This virus is transmitted through sexual contact. There are over 90 types of HPV viruses which have been identified. These are categorized into Low risk /high risk depending on there ability to cause cervical cancer. Women with persistent infection with High risk types are likely to develop cervical cancer

What are risk factors for developing cervical cancer?

Sexual intercourse at an early age, multiple sexual partners, multiple childbirth, smoking and weakened immune system are known risk factors associated with the development of cervical cancer.

Is it preventable?

Cervical cancer is definitely preventable, as there is an effective screening test available to detect precancerous changes which can be treated and progression to cancer can be stopped.

What is screening?

Screening is looking for cancer before you have symptoms. It is a test which helps us to diagnose the precancerous changes or cancer early and hence the disease can be treated more effectively.

What are the screening tests available for cervical cancer?

Worldwide cervical cytology (Pap smear) is used as a screening test for cervical cancer.

Current evidence also points effectiveness of HPV- DNA testing as a screening test for cervical cancer.

What is a Pap smear test?

It is a simple outpatient procedure in which cells will be collected from the cervical surface by scrapping and will then be evaluated by Pathologist to see if abnormal cells are present. Depending on the result further evaluation is planned.

When should I get myself tested?

As per international recommendations, one should start getting regular Pap tests at age 21, or within three years of the first time you have sex, which ever happens first. The Pap test is one of the most reliable and effective cancer screening tests available.

It is vital for women over 30 yrs to be part of the screening programme. The screening initially is done at yearly interval and after three negative smears the interval can be increased. It is also important to follow-up results of the test, after you have done a Pap smear

What are the signs and symptoms of cervical cancer?

Following are some of the symptoms of cervical cancer: –

  • Abnormal bleeding-.
  • Unusual heavy discharge-
  • Pelvic pain
  • Pain during urination-
  • Bleeding between regular menstrual periods, after sexual intercourse or douching.