Archive for 2021

Managing Parkinson’s disease

Monday, April 12th, 2021

Finding simple daily tasks like making breakfast, going to answer the phone, getting a glass of water, writing a shopping list exhausting? This may be due to Parkinson’s disease. You may look good, but you may feel entirely different from the way you look. Parkinson’s exhaustion makes it difficult to move, as though you don’t have any energy left. You may also suffer from a debilitating mental exhaustion, sometimes called Parkinson’s apathy, which impairs focus and makes it difficult to begin a task, follow directions or recall information.

Don’t give up!Parkinson’s disease is a type of movement disorder that affects the nervous system and is a chronic and progressive disease. As per statistics, India has 7 million elders afflicted with Parkinson’s disease. Early diagnosis, timely intervention and treatment that includes medication and surgery helps manage this disease and control its progression.

Symptoms of Parkinson’s disease

Many people mistaken Parkinson symptoms for normal signs of aging and may ignore them. However any early signs of Parkinson’s disease must be discussed with a doctor. Here are a few signs and symptoms that need attention:

  • Movement: There may be a tremor in the hands
  • Coordination: A reduced sense of coordination and balance may lead to falls and dropping of items held
  • Gait: The person’s posture may change and they may lean forward
  • Facial expression: This can become fixed
  • Voice: There may be a tremor in the voice, or the person may speak more softly
  • Handwriting: This may become more cramped and smaller
  • Sense of smell: A loss of sense of smell can be an early sign

Mood changes, difficulty chewing and swallowing, problems with urination, constipation, skin problems, sleep problems are some other symptoms. When you have Parkinson’s disease, the nature of the disease makes you more prone to suffering from mental health disorders like depression. It is important for the care giver to recognize this on time and seek appropriate counselling assistance for the patient.

Living healthy with Parkinson’s disease.

Have you been diagnosed with Parkinson’s disease? Your focus should be on improving your symptoms and maintaining an active and positive lifestyle. There is currently no cure for this disease, however it is possible to successfully manage symptoms through healthy choices, medications, and in select cases medical procedures too. Here are a few health tips to follow:

1. Exercise Regularly

When you have Parkinson’s disease, a regular fitness regime helps give you flexibility, better balance, less anxiety and depression, improved co-ordination and added muscle strength

2. Prevent falls

Balance problems can make falling a real concern when you have Parkinson’s. Here are a few things to keep in mind:

  • Plant your heel first when you take a step
  • Don’t move quickly
  • Work to keep your posture straight as you walk
  • Try not to carry anything when you walk

In spite of these steps if you find yourself falling often consider using a cane or a walker to help you move safely.

3. Sleep well

Sometimes, Parkinson’s can get in the way of a good night’s sleep and may lead to sleep problems. Create a relaxing pre-bedtime routine and follow it every night and maintain your sleep schedule.

4. Eat a healthy diet

It’s common for Parkinson’s disease to cause bone thinning, dehydration, weight loss, and constipation. Here are a few nutrition tips to follow:

  • Eat a variety of whole grains, vegetables, and fruits every day
  • Stay away from saturated and trans fats
  • Limit sugar, salt, and sodium
  • Say “No” to alcohol
  • Stay hydrated
  • Have foods high in vitamin D, magnesium, vitamin K, and calcium for bone strength
  • Take your medications

Being regular with your medicines helps manage the motor symptoms of Parkinson’s disease well.

Parkinson’s treatment at Kokilaben Dhirubhai Ambani Hospital

We understand the impact Parkinson’s disease can have on you and your loved ones. The loss of independence can be frustrating and emotionally draining for patients and carers alike. Our Centre for Neurosciences is committed to therapies that help improve the patient’s quality of life and help them regain the ability to perform their daily activities.

Meet renowned neurologists who are supported by state of the art technology to diagnose, treat and rehabilitate people with Parkinson and Movement Disorders. Our Parkinson’s Clinic offers a comprehensive screening and care program and is equipped with advanced facilities like a gait and balance lab, 3 tesla MRI, surgical suite and intratop MRI, and rehabilitation care.

Our Total Parkinson care program includes:

  • Movement Disorder Specialist Consultation
  • Physiotherapy
  • Speech and swallowing therapy
  • Dietary Counselling
  • Psychology Consultation

The team manages over 7430 Parkinson’s disease patients each year with their unmatched expertise. For further information please visit: https: www.kokilabenhospital.com

Keeping You Healthy

Tuesday, April 6th, 2021

With the second-largest population in the world, India is home to over 1.3 billion people. But are we a healthy population? Do we prioritise healthcare and are proactive with preventive healthcare? 1 in every 10 Indian suffers from a non-communicable disease mainly due to poor lifestyle choices, physical inactivity, uncontrolled stress, unhealthy diet, and environmental conditions. Non-communicable diseases like diabetes and hypertension are responsible for 2 out of every 4 deaths in India. Research also suggests that unhealthy eating patterns alone are a risk factor in one in five global deaths, raising the risk of heart disease, diabetes, obesity, high blood pressure immensely.

Close to 60 to 70 million people in the country suffer from common and severe mental health disorders that have a lasting impact on their lives. India is the world’s suicide capital with over 2.6 lakh cases of suicide happening each year. Both physical and mental health needs to be identified and treated promptly. Healthcare is a basic human right and must be accessible and affordable to all. This year “World Health Day” focuses on the theme “Building a fairer, healthier world”. Let us eliminate inequalities, fight discrimination based on gender, race, caste, or creed and bring people together to build fairer and healthier communities.

Healthy living tips

The first step toward preventive healthcare is to choose to live a healthier lifestyle. This not only lowers your chances of contracting multiple chronic illnesses, but it also increases your chances of living a long life. Here are a few things you can do every day to improve your health:

Eat well
Have a variety of fruits and vegetables, whole grains, healthy fats, and consume a balanced diet to fulfil your body’s nutritional needs. Stay away from fad diets as they may deplete you of certain nutrients.

Exercise daily
A physically active lifestyle can aid in the prevention of a variety of health issues, including heart disease, type 2 diabetes, and obesity. Aim for consistency in your exercise routine and gradually increase the amount and intensity.

Get screened
Regular health screenings are important and essential to help detect diseases early. Age-appropriate tests based on any symptoms, risk factors or family history help detect chronic diseases like cancer, heart disease, osteoporosis, diabetes, etc and start prompt treatment.

Stay socially active
Staying connected with your family and friends, colleagues, your classmates, joining a hobby class, or volunteering helps you build a sense of community and boosts your overall happiness.

Manage safety risks
Take the required safety precautions to safeguard your and your family’s life. Drive within the speed limits, avoid distractions, don’t drink and drive, wear a seat belt or a helmet as required and wear appropriate equipment during an adventure sports too.

Maintain good dental hygiene
Brushing twice daily and flossing regularly protect your teeth  from decay and keeps your gums healthy. The inflammation in the gums may lead to heart disease, breathing problems and other health risks.

Quit Smoking and drinking
Smoking harms nearly every organ in your body, and is a leading preventable cause of death. By quitting, you can reduce your chances of serious health problems like heart disease and various cancers. Excessive use of alcohol has harmful effects on your liver and is also linked to various cancers.

Get immunized
Immunizations are a key way to stay healthy and ward off many life-threatening illnesses. Talk to your paediatrician about the recommended vaccine schedule for your child and also ask your doctor about essential adult immunizations.

Sleep well
Aim to sleep between seven to nine hours a night to optimize the amount of deep, restorative sleep you get. Maintain a regular sleep schedule, and minimize distractions like screens, caffeine, or noise before bedtime.

Manage stress better
Stress is a part of everyone’s life nowadays due to professional deadlines, multi-tasking and managing various responsibilities. Meditate daily, maintain a journal or take up a hobby you enjoy to reduce your stress levels.

Why choose Kokilaben Dhirubhai Ambani Hospital

Kokilaben Dhirubhai Ambani Hospital has been voted as Mumbai & Western India’s no. 1 Multispeciality Hospital for 5 consecutive years. We are proud of our team for scaling these heights and promise to continue delivering world-class healthcare services each day. Our team is at the forefront of research and adapts to the most advanced medical technologies. We believe that healthcare systems become more efficient and accessible as a result of digitization. Our hospital is driven by advanced surgical procedures, minimally invasive techniques, robotics, high-end imaging, and superior diagnostic methods to facilitate high-quality healthcare services for our patients. Our specialists are highly trained, experienced and offer expertise that match international standards.

Equipped with state-of-the-art infrastructure, innovative technologies, and a multi-disciplinary care approach our team offers specialised treatment to children, women, and the elderly. Our Centre for Cancer offers a range of therapies, medication as well as conventional and minimally invasive surgical support for patients suffering from various cancers. We help detect, diagnose and manage minor health problems as well as the most serious health conditions.

Some important healthcare statistics at our hospital:

  • Centre for Cardiac Sciences
    2577+ Angioplasties
    7850+ Cardiac surgeries
  • Centre For Cancer
    12,298 complex cancer surgeries
  • Centre for Bone & Joint
    1960+ Joint Replacement Surgeries
    1902+ Spine surgeries
  • Centre for Neurosciences
    1373+ Brain tumour surgeries

Your health is important to us. With over 750 beds, 180 ICU beds, 15 Centres of Excellence, 140+ OPD Clinics, Diagnostics & Day Care Services, Full-Time Specialist System and cutting-edge technology, Kokilaben Dhirubhai Ambani Hospital is committed to your well-being. Our team is dedicated to offer comprehensive healthcare solutions to you and your family. Keeping you healthy at all times. For further information please visit: https://www.kokilabenhospital.com

Kidney Cancer: Myths and Facts

Tuesday, March 30th, 2021

In India, the estimated incidence of kidney cancer is around 2/100,000 people (males) and approximately 1/100,000 people (females). Kidney cancer treatment options vary depending on the severity of cancer present, the size, and location of the tumour. Dr. Santosh S. Waigankar – Consultant, Urologic Oncology & Robotic Surgery shares some of the common myths and facts concerning kidney cancers and their various aspects:

Myth: Kidney cancer primarily affects young people.
Fact: Not entirely a myth. Some cancers do disproportionally affect younger people, but, kidney cancer is not one of them. The average age of diagnosis being 64. Thought present Indian study suggests more prevalence in the younger population with one-third being less than 50years of age. Having said that changing lifestyle and food habits, more executive health check-ups lead to diagnosis of kidney cancers at an early stage and in younger generations. Familial cancers are a rare entity where early age could be affected.

Myth: Kidney cancer is rare.
Fact: Kidney cancer is one of the ten most common cancers in both men and women. Early cancers are picked up by the increase in the health check-ups done annually.

Myth: Smoking does not contribute to Kidney cancer.
Fact: In fact – smoking doubles the risk of developing kidney cancer – and is believed to cause about 30% of kidney cancers in men and about 25% in women.

Myth: Women are at higher risk of developing kidney cancer.
Fact: Kidney cancer is about twice as common in men as in women. Why? Increased smoking and exposure to cancer-causing toxins at the workplace may account for much of the difference.

Myth: Blood in the urine is a sure indication of kidney cancer.
Fact: Blood-coloured or burgundy urine can be a symptom of kidney cancer – but it can also be a sign of noncancerous conditions like a urinary tract infection (UTI). The underlying message is that it should not be overlooked or neglected. However, while red-coloured urine should never be ignored simultaneously, do not think it means cancer always.

Myth: Your kidneys are fine if you have no obvious discomfort like difficulty urinating.
Fact: Lack of external symptoms does not mean that a person does not have kidney disease. Why? Because kidney conditions typically do not present any symptoms until they have progressed to an advanced stage. If you do have symptoms – be sure to consult a doctor or healthcare provider.

Myth: Kidney cancers are not curable
Fact: With the available diagnostic modalities, kidney cancer can be picked up at an early stage, and kidney-sparing surgeries can be offered. This can help a patient avoid losing his kidney and have a near-normal life with regular follow-up.

Myth: Kidney cancer amounts to the removal of the entire kidney always.
Fact: No. With a better understanding of the disease process and newer technology, entire kidney need not be removed. Only the tumour is removed, and the kidney remains in the body. This is called kidney-sparing surgery.

Myth: Kidney cancer can’t be diagnosed early.
Fact: With increasing health awareness and people resorting to annual check-ups, kidney cancers can be picked by even routine ultrasound and urine tests. Early diagnosis leads to earlier treatment and prolonged life for the patient. Everyone needs to vigilant.

Myth: Kidney cancers are not hereditary.
Fact: Meagre percentage of kidney cancers can be familial (2-3%). Patients with a family history of kidney cancers should be vigilant and seek advice from their physician.

Myth: Robotic surgery in kidney cancer has no advantages.
Fact: Robotic platform provides increased magnification and dexterity to a surgeon in performing kidney surgeries, especially kidney-sparing surgeries. The 10x magnification improves accuracy & precision of surgery, amounting to lesser blood loss, early return to routine work/job, and better cancer outcomes for the patients in the long term.

Myth: Robotic surgery is costly as compared to laparoscopic or open surgery.
Fact: The IRDAI, India’s insurance regulatory authority, has approved the inclusion of robotic surgery in insurance coverage. Maximum people can take advantage of this technology which is already established in the world around. Moreover, when we compare surgery costs, we do not consider the costs that the patient faces for being hospitalized for a long time after an open surgery or the costs due to late return to the job, which we call disability-adjusted life years (DALYs).

Myth: Kidney cancer patients should refrain from taking the flu vaccine.
Fact: Patients with kidney cancer should receive the influenza vaccine, whichever is recommended as per their national guidelines. Many of our patients with kidney cancer are receiving targeted treatments or immunotherapies and they tolerate the influenza vaccine well without having any complications. But, as always, they should follow the advice of their treating physician.

Treatment at Kokilaben Dhirubhai Ambani Hospital
Avail of world-class technology and surgical expertise in treating even the most complex cases of kidney cancer at our Centre for Cancer. Since kidney cancer needs a multidisciplinary team approach, we have a tumour board made up of uro-oncologists, medical oncologists, radiation oncologists, oncopathologists, and radiologists who make decisions based on international guidelines. The uro-oncology service of the Centre for Cancer has performed over 250 kidney cancer surgeries in the past and now is also equipped with the Da Vinci Robotic System. For further information please visit: https://www.kokilabenhospital.com

About the Author:
Dr. Santosh S. Waigankar is a Consultant, Urologic Oncology & Robotic Surgery at Kokilaben Hospital specializing in Open/Laparoscopic and Robotic Urooncological Surgeries. He is board certified in Genitourinary Surgery and is the 1st Vattikuti Fellow in Robotic Urooncology in India. Find out more by visiting: https://www.kokilabenhospital.com/professionals/santoshwaigankar.html

Tuberculosis (TB) – Awareness & Management

Tuesday, March 23rd, 2021

India accounts for about a quarter of the global TB burden, which is about 2.6 million cases out of 10 million cases worldwide. Tuberculosis (TB) is a contagious infection that usually attacks your lungs but can also spread to other parts of your body, like your brain and spine. A person with infectious tuberculosis can infect up to 10–15 other people per year. But with timely diagnosis and treatment, most of these patients are no longer infectious after just two weeks of taking the medication. Removing the stigma around TB, increasing the awareness and seeking timely medical help will help fight the TB battle in India.

Stages of TB

When exposed to the tuberculosis bacteria in your body, it goes through the below stages:

  • Latent TB – Your body contains the TB germs, but your immune system prevents them from spreading. You’re not infectious and don’t have any symptoms. However, the virus is still alive and could resurface at any time.
  • Active TB – The TB germs multiply and make you sick and you can also spread the disease to others. Ninety percent of active cases in adults come from a latent TB infection.

Signs and symptoms of TB

When you are suffering from latent TB, it does not show any symptoms. A skin or blood test can help detect latent TB. Here are a few signs of active TB disease:

  • A cough that lasts more than 3 weeks
  • Chest pain
  • Coughing up blood
  • Night sweats
  • Fever and chills
  • Loss of appetite
  • Weight loss

If you have any of these symptoms, you must see a doctor to get yourself tested.

Risk factors of TB

People with impaired or immature immune systems, such as those infected with HIV, the elderly, or those with existing medical conditions have a higher risk of getting TB. Here are some other situations that increase your TB risk:

  • A friend, colleague, or family member has active TB
  • You live in or have travelled to an area where TB is common
  • You are a healthcare worker
  • Use of cigarettes

How does TB spread?

When someone who has active TB coughs, sneezes, talks, laughs, or sings, they release tiny droplets that contain the germs. If you breathe in these germs, you can get infected with it. This airborne disease is contagious and you are more likely to get it from co-workers, friends, and family members. However, the germs do not thrive on surfaces and you cannot get it from shaking hands with someone who has it or by sharing their food or drink. 

Complications of TB

Without treatment, tuberculosis can be fatal. Untreated active disease typically affects your lungs, but it can also spread to other parts of your body through your bloodstream over a period of time. Examples of tuberculosis complications include:

  • Spinal pain
  • Joint damage
  • Meningitis
  • Liver or kidney problems
  • Heart disorders

Preventive measures – TB infection

If you test positive for latent TB infection, your doctor may advise you to take medications to reduce your risk of developing active tuberculosis. The only type of tuberculosis that is contagious is the active variety. Take all the precautions as suggested by your doctor to prevent your latent tuberculosis from becoming active. Here are some additional recommendations:

1. Protect your family and friends

  • Stay at home and isolate yourself from others
  • Ventilate the room
  • Cover your mouth while coughing or sneezing
  • Wear a mask when you are around people

2. Finish your entire course of medication

This is the most important step you can take to protect yourself and others from tuberculosis. When you stop treatment early or skip doses, TB bacteria have a chance to develop mutations and turn into drug-resistant TB that is deadly and difficult to treat.

3. Vaccination

The BCG vaccine is given to infants to protect them from tuberculosis. Ensure that your child is immunized against TB.

Tuberculosis Treatment at Kokilaben Dhirubhai Ambani Hospital

Early detection and treatment is the key to controlling the spread of TB. We help patients in the diagnosis and testing of both active and inactive TB. The Department of Pulmonary Medicine at Kokilaben Dhirubhai Ambani Hospital provides state-of-the-art care for all respiratory diseases. The team is equipped with advanced infrastructure and world-class service in the diagnosis and management of tuberculosis. Our dedicated team guides patients through the various stages of TB and ensures a successful treatment. For more information please visit our website:

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

Protect your Kidneys

Wednesday, March 10th, 2021

Kidneys are incredible organs that keep you safe by filtering chemicals, waste products, and excess water from your body. India sees over 100,000 patients diagnosed with End Stage Kidney Disease (ESKD) every year. Also called kidney failure, patients with this condition require dialysis or a transplant to survive and perform regular functions of the body. The most common causes of kidney disease in India in both men and women are diabetes and hypertension. Early detection and treatment of these conditions are essential for maintaining good kidney health. Be proactive about your kidney health, lead a healthy life and be regular with your health checkups.

Your kidneys are fist-sized organs located at the bottom of your rib cage, on both sides of your spine. They serve a variety of purposes apart from filtering waste and making urine. Your kidneys also regulate the pH, salt, and potassium levels in your body and regulate various hormones. They are also responsible for activating a form of vitamin D that helps your body absorb calcium for building bones and regulating muscle function.

Common Kidney Diseases

In India one in ten people have some form of chronic kidney disease. This disorder, where the kidney suffers irreversible damage, has become closely linked with lifestyle-related disorders. Diabetes and hypertension are responsible for more than 60 percent of cases of chronic kidney disease. Here is the list of some common kidney ailments:

  • Acute kidney injury
  • Chronic kidney disease
  • Kidney stones
  • Nephrotic syndrome
  • Urinary tract infection
  • Inherited / congenital diseases

Kidney disease starts silently and progresses slowly over a number of years. Chronic Kidney Disease is divided into 5 stages depending on the degree of the residual renal function. The outcomes and complications worsen as one progresses from stage 1 to stage 5. Timely treatment helps prevent further damage to the kidneys and slows or halts the progression of the disease.

Signs of Kidney Disease

Maintaining kidney health is important to your overall health and general well-being. Here are some symptoms of a kidney disease that need further investigation:

  • Feeling tired, having trouble concentrating
  • Dry and itchy skin
  • Frequent urination
  • Having trouble sleeping
  • Seeing blood in urine
  • Foamy urine
  • Puffy eyes and swollen ankles and feet
  • Poor appetite
  • Muscles cramps

Risk of kidney disease

Knowing if you are at risk for kidney disease is the first step to a healthier life. Find out if you are at risk and work with your doctor to take preventive action. Some of them include:

  • Diabetes or Hypertension
  • Heart disease
  • Family history of kidney failure, diabetes, or high blood pressure
  • Obesity
  • Age 60 or older
  • Low birth weight
  • Prolonged use of certain painkillers
  • Certain autoimmune disorders
  • Chronic urinary tract infections
  • Kidney stones

How to keep your kidneys healthy?

Undiagnosed and undetected kidney disease may cause health complications like high blood pressure, anaemia, weak bones, poor nutritional health, and nerve damage. Also, kidney disease increases your risk of having heart and blood vessel disease. Follow these simple health tips every day to keep your kidneys healthy:

1. Stay active

2. Control your blood sugar

3. Monitor blood pressure

4. Monitor your weight

5. Drink plenty of fluids

6. Don’t smoke

7. Eat a healthy diet

8. Have your kidney function tested if you’re at high risk

9. Use herbal supplements with caution

10. Don’t overdo over the counter medicines

Kidney disease treatment at Kokilaben Dhirubhai Ambani Hospital

Specialists at our Department of Nephrology offer comprehensive services to diagnose and treat various kidney disorders. We have Mumbai’s largest dialysis unit, which is equipped with 42 machines and the most advanced technology to support all types of dialysis. We understand the nuances of kidney disease and our Department of Nephrology is equipped to handle critical cases too. Early detection and appropriate treatment are important in slowing the disease process, with the goal of preventing or delaying kidney failure. Our Centre for Transplant has a dedicated kidney team that uses cutting-edge procedures and is backed by a team of highly trained nurses who provide compassionate post-transplant care. The team has successfully performed over 130 kidney transplants in the past. For more information please visit: www.kokilabenhospital.com