Here is a way to erase your mistake

You may be familiar with this scenario – boy and girl fall in love. Their romance is the stuff of movies. From being together every single moment they could to taking a zillion selfies together that have made their friends unfollow them on Instagram, the couple’s love does not seem to dim even for a while. Then suddenly, the unthinkable happens – they breakup. Now both are left with bittersweet memories and their ex-‘s name tattooed across their arms.

Tattoos are valued for their characteristic of showing the world your beliefs or love without ever saying a word and also for its permanence. But sometimes like the couple in the story above, tattoos can lose their charm and become a burden. Sometimes, as they age a tattoo that a person had inked during their younger days lose meaning or they tend to garner unwanted attention and ridicule. Other times, you get a tattoo because it seemed cheap and you find that the face of Micheal Jackson looks surprisingly like E.T.

So, what is the solution? The couple in the story could reconcile but their friends seem dead set against it. The other two options are – tattoo removal or covering the tattoo with another tattoo. Tattooing over a tattoo is hard work and needs skilled hands. You should only ever take the help of an extremely expert tattoo artist for such a work. But, unfortunately, you will still think of the first mistake when you see the new tattoo. So the best bet is tattoo removal.

Unlike the scene in Ghajini where the bad guys erase the hero’s tattoos in a very crude and painful way, laser tattoo removal is safe, relatively pain-free and successfully removes most of the tattoo.

Priyanshu (name changed), a tax consultant talks about getting his tattoo removed, “When I was about 15, I was very crazy about a particular death-metal band and got their name tattooed across my arm. But later on I slowly lost interest in them and the tattoo was more of an embarrassment rather than pride. I was hoping for a way out. When I checked with renowned tattoo artist, he told me whatever design he created over it will only make the tattoo larger and more visible. I knew I had to get it removed. Thankfully, my friend was a close associate Dr. Shetty. When I can to know about his expertise, I instantly booked myself a laser procedure for tattoo removal with him. Now my arm is bare and there is no trace of a tattoo being there at all.”

Dr. M K Shetty, Consultant Dermatologist & Aesthetic Surgeon at Vikram Hospital clarifies, “Tattoo removal has become commonplace due to laser technology. With the advancement in equipment like the continuous wave lasers and Q-switched lasers it has become easier to get rid of tattoos. But be sure to go to professional aesthetic surgeons because these surgeries require a precision and knowledge that comes with experience.”

So, whether it is a tattoo of Pringles logo or a great saying spelled wrong, you can have your mistake erased with just a simple laser treatment.

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Can a breakup actually kill you?

If you are someone who would rather do the killing, you have nothing to be worried about. But if you have loved deeply, sincerely and with all your heart, a breakup just might kill you. The cause – a very peculiar condition called the “broken heart syndrome”. Yes, such a condition actually exists.

The medical term for broken heart syndrome is stress cardiomyopathy or takutsubo cardiomyopathy. According to experts, broken heart syndrome is caused due to a sudden surge in stress hormones which causes the heart to change shape or balloon (usually the left ventricle). This usually happens due to a stressful situation like the death of a loved one or a difficult divorce or breakup. But cases of broken heart syndrome have been documented where people have suffered from cardiomyopathy when their colleagues pulled a prank on them or when they had to speak to a large number of people. Basically, shock which causes the sudden release of hormones (adrenaline) and stuns the heart muscles is said to be the cause of cardiomyopathy.

The scientific name takutsubo cardiomyopathy comes from Japanese. Takutsubo is the name of a type of rounded, narrow-necked vessel, which is used for catching octopuses. The ballooning of the heart due to cardiomyopathy resembles the takutsubo vessel and hence the name takutsubo cardiomyopathy.

Cardiomayopathy is treatable. Though by itself cardiomyopathy is not fatal; it can lead to death if left untreated. Treatment might go wrong in many cases of cardiomyopathy as the symptoms are similar to a heart attack. The symptoms of cardiomyopathy include:

  • Chest pain
  • Difficulty in breathing
  • Fatigue
  • Swelling in the ankles, abdomen, feet, legs and the veins of the neck
  • Dizziness
  • Light headedness
  • Fainting during physical activity
  • Arrhythmia (irregular heartbeats)
  • Heart murmurs (extra or unusual sounds heard during a heart beat)

Correct diagnosis and treatment are essential to ensure cardiomayopathy does not become fatal for a patient. Unlike a heart attack which is caused due to blot clots and blocked arteries, most people who suffer from broken heart syndrome have normal coronary arteries and don’t have severe blockages or clots.

Though the exact cause of a broken heart syndrome is yet unclear and prevention is not exactly possible, the best bet to ensure you know whether you could possibly have an attack is by knowing the risk factors.

RISK FACTORS OF BROKEN HEART SYNDROME

  • Age
  • Most often broken heart syndrome is seen in people over 50 since their heart muscles tend to be weaker due to aging. Off course if you are younger but have weak heart muscles due to another condition, cardiomayopathy can happen to you during a stressful situation.

  • History of neurological condition
  • People suffering from head injuries or seizure disorders are at increased risk of cardiomayopathy.

  • Previous or current psychiatric condition
  • Anxiety and depression disorders can be a risk factor and can cause broken heart syndrome.

  • People who have been prescribed a certain medication
  • People who have been prescribed Epinephrine (to treat asthma attacks), Duloxetine (treatment for depression or diabetes), Venlafaxine (to treat depression) and Levothyroxine (to treat people with thyroid disorders) are also at increased risk of suffering from broken heart syndrome.

    PREVENTION

    It is hard to prevent broken heart syndrome since it has to do with the physical environment and situation of the patient. But it is very hard for a person who has already suffered from broken heart syndrome to have a second episode. Most doctors prescribe long term treatment with medication to block the effects of stress hormones on the heart. And though not scientifically proven, doctors urge the management of stress in a person’s life to prevent broken heart syndrome.

    If you are going through an emotional upheaval in your life remember your health might also be at risk. So manage your stress wisely and don’t let a breakup break your heart (literally).

    Are colas turning your bone to cheese?

    Wouldn’t that be delicious? Not to mention, life-threatening. But now we are talking about the structure of the bone or the bone matrix. While a healthy bone matrix should have a sponge texture, osteoporosis can make it look like cartoon cheese. Check the image below to know the difference.

    What causes brittle bones?

    Research has shown that drinking soft drinks and other caffeinated beverages like coffee have adverse effects on bone mineral density. But this was seen in women more often than men. Researchers are still trying to figure whether intake of caffeinated drinks is the reason for lower bone mineral density. Studies show that black tea that contains caffeine does not affect bone density. This has lead experts to believe that the phosphoric acid in colas may be the reason for low bone density.

    Phosphoric acid is present in many foods like cheese and chicken, it is also added to processed food. It is essential to help in the growth f bones in tandem with calcium, but too much of phosphoric acid can be bad for bones. The phosphoric acid in colas leeches the calcium out of the bones. The reason for coming to this conclusion is because sodas like ginger ale and lemon soda that do not have phosphoric acid have no adverse effect on bones.

    Another reason that caffeinated drinks are said to cause lower bone density or brittle bones is that high intake of these beverages means less of milk or tea (with milk) that promote bone health.

    Yet another reason is ageing. Bone is a growing tissue. Throughout our life old bone (cells and tissues) is discarded and new bone grows in its place, but this process slows down after 30 years of age. Added to that drinking too much-caffeinated beverage can increase the chances of osteoporosis in the older population, especially in women.

    So does that mean we should completely stop the having cola-based drinks?

    Truthfully, better health can be achieved by laying off cola drinks completely, especially the darker ones since they have more percentage of phosphoric acid. But if that is hard on you, drinking caffeinated drinks in moderation is fine. That means less than 4 cups of coffee a day and no more than 2 cans of cola drinks in the same time period.

    A great way to prevent low bone density is to have sufficient amounts of calcium and Vitamin D. Vitamin D is essential to help the calcium stick to the bones so ensuring some sun time every day will ensure that the calcium you take is absorbed by your body to make larger, heavier and denser bone.
    Another important dietary guideline is to ensure that you do not have a very high protein diet (especially meat) since they are very rich in mineral phosphorus and can unbalance the calcium-phosphoric acid ratio leading to brittle bones.

    Women should take utmost care of their bones because they are most likely to have osteoporosis. Multiple pregnancies and other factors like menopause and weight play a significant part in bringing about osteoporosis in women. Women should partake in exercises and correct diet before the age of 30 since these are the bone growth years.

    Like always a good diet, healthy lifestyle and regular exercise can ensure your bone safety. Make sure to follow them and turn your cheesy bones to healthy ones.

    Tinnitus–A Buzz word you could do well without

    Where you ever in this situation? You are trying really hard to concentrate on something being said and suddenly there is this shrill ringing in your ears. Though you try hard to ignore the sound, you can’t concentrate until it subsides. What you are suffering from is known as Tinnitus. Even though it has a very cute name, tinnitus in itself is quite annoying and might be a symptom of another underlying condition.

    Dr. Srinivas K, Consultant ENT and Head & Neck Surgeon at Vikram Hospital, explains the condition, “Tinnitus is the hearing of phantom noises when no sound is present in the external environment. These phantom noises can be anything from ringing, buzzing, roaring, clicking, hissing to even dial tone and music. Though it is not a very serious condition, tinnitus has been known to erode people’s quality of life by intruding on concentration, sleep and daily activities. Sometimes the pitch of volume of the phantom noises are so loud, it can interfere with your perception of actual sounds. There are no definite treatments for tinnitus, but understanding the underlying cause can go a long way in either permanent treatment or management of tinnitus.”

    Causes of Tinnitus

    The exact cause of tinnitus is still unknown. But physicians and audiologists consider the following as potential causes of tinnitus –

    1.Excessive Noise Exposure

    Being exposed to loud noises for a long time is one of the common causes of tinnitus. Working in environments with high decibel noise like a factory, construction site can increase your chances of having tinnitus. Listening to loud music for a long time can also lead to tinnitus and other hearing problems.

    2.Ear Wax

    A lesser known cause of tinnitus is build up of ear wax. Tinnitus caused by ear wax can be easily treated with the removal of the ear wax.

    3.Medication

    Certain drugs like high doses of aspirin, antibiotics and antidepressants are also known to cause inner ear problems including tinnitus. You need to check with your ENT to understand whether any medication that you are taking is the cause of tinnitus.

    4.Dental Issues

    Sometimes problems in your jaw or teeth might also cause phantom noises like clicking or popping in your ear. You might have to check with your dentist to know whether the tinnitus is being caused by any problems in your jaw and teeth.

    5.Fluid pressure in inner ear

    Abnormal fluid buildup in the inner ear due to a disease or injury can also be the reason for tinnitus. Consulting with a doctor to figure out whether tinnitus is due to a disease can also help find a permanent solution to the problem.

    6.Hearing loss due to aging

    As people grow older, they start experiencing hearing loss. This can cause tinnitus.
    Understanding the cause of tinnitus can really help fight the condition. If tinnitus is caused by ear wax blockage or Meniere’s disease, physicians can remove the blockage or treat the disease and the patient can be cured of tinnitus. But, if the cause cannot be ascertained or if the cause has no permanent treatment, your ENT will recommend these methods to find relief –

    Cognitive behavioral counseling – This helps you change your behavior or thinking to better manage tinnitus.

    Sound Therapy – This therapy uses external sounds to help you react better to tinnitus. Some patients use bedside noise generators that creates soothing sounds people can concentrate on to lose focus on their phantom noises.

    These and other behavioral treatments are available to help tinnitus patients change their focus and ignore the annoying noises. If the phantom noises appear during boring lectures or when your mother berates you for not doing your chores, tinnitus could be a welcome relief to tune out the external noise.

    Even though tinnitus might seem welcome at times, seek treatment for tinnitus in case its cause is a disease or injury.

    Book an appointment for an ENT consultation

    Meningitis – The Menace to our Children

    As parents, we have to be always on the lookout for pesky diseases that can affect our children. Why? Firstly, because their immunity is weaker and secondly because it is easier for contagious diseases to spread among children.

    One rare contagious disease is meningitis. Meningitis is the inflammation of the meninges which are the 3 protective layers that cover the brain and spinal cord. There are various types of meningitis, the most common are viral meningitis (caused by certain types of virus) and bacterial meningitis (caused by bacteria like Streptococcus pneumonia, Neisseria meningitides, Haemophilus influenza ). Most viral meningitis disappears without treatment. Bacterial meningitis sometimes turns out to be fatal even when provided the proper treatment.
    Children are more susceptible to meningitis compared to adults. Certain types of meningitis bacteria spread through infected food, but most of the time the infection is spread from person to person. The bacteria which cause meningitis usually reside in the nasal cavity or throat. Most often these bacteria remain dormant and harmless, it is only when they enter the bloodstream and reach the brain and spinal cord do they start the infection.

    Prevention

    The best way to prevent bacterial meningitis infection is through vaccination. Many vaccines are available for the different types of bacteria that cause meningitis. The same bacterium, Streptococcus pneumonia, causes both pneumonia and meningitis. Getting vaccinated against the bacteria can protect against both diseases.

    Book an appointment for a vaccination

    Symptoms

    The following symptoms are common for both viral and bacterial meningitis. The difference is that for bacterial meningitis the symptoms are more severe. If you see these symptoms in your child, immediately take her/him to a hospital.

    1. Fever that happens suddenly

    A symptom of meningitis is a fever that starts suddenly. It is accompanied by shivers and the child complains of cold frequently. The child’s fever would go up quickly and it takes a long time and difficulty to bring it down.

    2. Severe Headache

    When your child complains of an unbearable headache, make sure to take notice and see if other symptoms of meningitis also appear. The meningitis pain can be excruciating so make sure to be patient with your child and try to make them as comfortable as possible.

    3. Double vision

    If your child complains of blurry or double vision, immediately take her/him to the hospital.

    4. Stomachache, vomiting and nausea

    All three symptoms along with the loss of appetite could be a symptom of meningitis. But if only these symptoms manifest otherwise the cause could be something else too. Make sure to consult your paediatrician, but take your child to the hospital to be safe.

    5. Sensitivity to bright light

    Fear of bright light is also a prominent symptom of meningitis. Dim the lights in the room to give your child some relief.

    6. Occipital muscle rigidity

    A position in which your child is laying on her/his back, her/his head is thrown back and legs are bent is sure sign meningitis. Call for an ambulance immediately, if you find your child in this position.

    7. Brudziński neck sign

    Another sign of meningitis is the Brudziński neck sign. It is when the child is lying supine and her/his neck is flexed, her/his extremities also flex.

    8. Skin rashes that don’t fade

    A rash that does not fade under pressure is a sure sign of meningococcal bacteria. If your child develops rashes, take a glass and press on the rashes, if the rashes don’t fade you can be sure your child has meningitis.

    If these symptoms are present in your children, immediately call for an ambulance. Meningitis can be treated, but getting the treatment on time could mean the difference between life and death. Delay in treating meningitis may also increase chances of brain damage, which is why immediate hospitalization is important. Keep on the lookout for meningitis and keep the menace away from your children.

    Will removing the uterus stop menopause?

    Hot flashes, fatigue, night sweats, heavy bleeding during menstruation – the symptoms of menopause are countless. From mood swings to anxiety, menopause brings with it many physical and mental agonies. Though it is a part of the natural cycle of reproductive life, many a times it can become unbearable and even lead to depression.

    So, how can you counteract menopause? Many believe getting a hysterectomy, a surgery to remove the uterus, can stop menopause. This is completely false!

    Menopause is the stage in the reproductive cycle of a woman where the body starts producing less reproductive hormones (estrogen). The start of menopause is usually seen in women in the 40s and 50s. Other than the ovaries, estrogen is only produced in the brain. (For men, the testosterone they produce is converted to estrogen by an enzyme called aromatase.) As you can see the uterus does not directly contribute to menopause, it is the ovaries that are more responsible in bringing about menopause with a decline in production of estrogen.
    But removing the ovaries surgically (oophorectomy) can only lead to Menopause that much faster. Because with the ovaries gone, estrogen production will stop abruptly and menopause will come swiftly. If you are thinking of removing your ovaries, ensure you have a long talk with your gynecologist to weigh its pros and cons before you proceed with the surgery.

    So, when do you need to have a hysterectomy? Here are the possible scenarios where getting a hysterectomy would be advantageous to you –

    1.Cancer of the cervix, ovary or the uterus

    The direst situation, cancer of a cervix, ovary or uterus means immediate removal of the uterus, ovaries and fallopian tube. In most cases, uterine cancers are diagnosed at the earliest stage and they can be contained in the uterus itself. It is shown that uterine cancer survival rate (5 years) is 95%.

    2.Uterine haemorrhage or infection

    If a woman has severe uterine infection or haemorrhage, doctors go in for emergency hysterectomy to save the patient’s life.

    3.Abnormal vaginal bleeding leading to anemia

    If menstrual bleeding is heavier than normal and the doctor fears anemia, gynecologists may advise hysterectomy. This is to ensure that your body does not loss too much blood causing other health problems to arise. Most often, experts ask women to undergo lifestyle and diet changes to ensure blood production is boosted to counteract the heavy blood loss. But if abnormal vaginal bleeding is accompanied by other terrible conditions, the gynecologist will recommend hysterectomy.

    4.Uterine Fibroids (benign tumors in the uterus)

    A woman with uterine fibroids may also opt for hysterectomy if she believes she does not want any more children. Uterine fibroids can be very painful, during menstruation and pregnancy. If the fibroid has grown too deep into the uterine wall and touches on a major blood vessel, it would be hard to remove it surgically. That is why gynecologist would recommend hysterectomy in women who do not want to bear more children, since treatment can only relieve the symptom and not stop the cause.

    5.Uterine Prolapse

    A stage where the pelvic muscles that hold up the uterus weaken and the bladder or rectum sags with the weight of the uterus sags. Though not a serious condition, gynecologist will recommend hysterectomy if the woman has no more need of children and pelvic exercises and lifestyle changes bring no effect.

    Overall the need for hysterectomy should be made in consultation with your gynecologist and after thorough research. Most often, diet and lifestyle changes are the best way to counter the effects of menopause.

    Why you need to make less contact with your contact lens?

    A movie scene – The leading lady/leading man (we try to be politically correct) wakes up and does a graceful yawn. Soft sunlight falls on carefully set hair (not one strand out of place), eyes shining, she/he gets up to start a great new day. OH PLEASE!

    Reality – Woman/Man (again, very much politically correct) gets up reluctantly. Drags her/his feet to the bathroom, looks at mirror – junglee hair, drool lines and crusty eyes (eew). But what is this? SHE/HE FORGOT TO TAKE OFF HER/HIS CONTACTS THE NIGHT BEFORE!! Now slowly and carefully, she/he tries to remove the dry contacts from her/his eyes (OUCH).

    The above scene is the reality of many contact lens users. Contacts have become such an integral part of their lives, they forget to take it off even while sleeping.

    Contact lens use has made it easier for people to take part in physical activities like sport. They also provide people a natural field of view and unlike spectacles, do not get dirtied or fogged up. But even though they provide a great service, unless properly used, contact lens can also lead to many eye-related problems.

    One of the most common problems is of course eye infection. In extreme cases, prolonged incorrect use of contacts can lead to scarring, reduced vision and even blindness. The reason that contact lens can bring about long term damage is because the cornea (the outermost layer of the eye) has no blood vessels and takes oxygen directly from the atmosphere. The oxygen dissolves in the tears which diffuse across the cornea. Also, carbon dioxide is expelled into the air from the cornea in a reverse process.

    This means that contact lenses tend to shut off the oxygen supply to the cornea during use. Overtime, the corneas could get warped and lose their transparency.

    Does this mean you should not wear contacts? Of course not, if used properly and given the proper care, contact lenses can be a great asset rather than a pain.

    Keep these things in mind to keep your relationship with your contacts a healthy one –

    1.Give each other space

    The recommended usage time for most contacts is 8 hours per day, though many people wear the contact lens for 14 to 18 hours a day. Even though soft lenses are supposed to be wearable to bed, ophthalmologists say it is better to sleep without them.

    Dr. Leslie Ravi Kumar, Consultant Ophthalmologist at Vikram Hospital agrees, “Many a time I get patients who complain of eye irritation and pain and it turns out that they have the habit of sleeping with their contacts still on. Your eyes need rest and oxygen that it has been denied the whole day. Make sure to remove the contacts before bed. Also ensuring that you only use your contacts for a maximum of 10 hours a day can go a long way in ensuring your eyesight does not get worse than it is.”

    2.Break up when the time comes

    Don’t keep using the lenses after the period that they are supposed to be replaced; you might be harboring a bacterial colony in them. Even if you take the utmost care of the lenses, an expiry date means they are not safe for use after.

    3.Take care of them

    Always give your contacts the utmost care. Do not wash them in tap water. Always wash your hands with soap before picking up your contacts. Clean your lenses in commercial contact lens solution and follow the instructions specified by the manufacturer. Your cases also need to be cleaned and dried every day. Don’t top up on the cleaning solution, always clean the case and add new solution to it.

    Even if you maintain a healthy relationship with your contacts, never forget to meet up with your optometrist and ophthalmologist at least once a year. This will ensure that your contacts fit you right and that no infection is in sight (pun intended).

    To consult with ophthalmologist at Vikram Hospital

    book an appointment here.

    Are We turning Into A Generation Of Silencers ?

    Remember Chatur Ramalingum aka “Silencer” from 3 Idiots? The rote-learning, NRI was named thus for his silent flatulence, which the movie attributed to churna tablets. One of the funniest scenes in the movie is when during a speech; Silencer explains his farting strength through a verse that he believed to be a Sanskrit Shlok.

    Joking aside, the truth is that flatulence and its unpleasant cousin gastric pain has become a common part of the present generation’s daily life. A combination of unhealthy diet, untimely or skipped meals, overwork and stress has lead to a generation that is only too knowledgeable about gastritis, GERD and other intestinal diseases.

    Pritam (name changed), a social media marketer, tells of how his lifestyle took a 360 degree turn when he was diagnosed with GERD (gastroesophageal reflux disease). “I was in the very acute stage. If I had been diagnosed a little later, I would have been treated for Peptic Ulcer which would have been even worse. The inflammation and irritation in my stomach caused me excruciating pain. The doctor said that if I didn’t change my lifestyle I would be in worse trouble. I quit smoking, starting having my meals on time and followed the treatment to the T. Thankfully, at least the diagnosis was not painful. The video capsule endoscopy at Vikram Hospital ensured that my condition was diagnosed without giving me any more pain.”

    Dr. Dheeraj Karanth C., Medical Gastroenterologist at Vikram Hospital gives his input, “Most of the patients who come here regarding gastro-intestinal problems fall under the 20-35 age groups. Most of the time the culprit is poor lifestyle and undue stress. With pressure at the workplace increasing and most of the office-goers taking the route of partying and drinking as a way to relieve stress, the digestive tract is taking the brunt of an unhealthy lifestyle. But the good news is the effects of gastric trouble can be reversed by inculcating the right habits.”

    Below we have outlined the ways you can ensure a healthier digestive tract and you:

    The right diet

    It is not just about eating healthy, it is about eating right. Gastrointestinal diseases are the direct result of not just the wrong type of food, but also what is wrong for you personally. We know that we should stay away from fast or processed food and also oily food, but sometimes even healthy options can cause you gastric trouble. For example; cruciferous vegetables like broccoli, Brussels sprouts, cabbage etc. These sulfur-rich food are digested in the large intestine releasing hydrogen sulfide, which is responsible for gas in many people. So, it is advisable to consume smaller portions of these food groups.Some people are lactose intolerant; having dairy products can cause them difficulties. Therefore, it is essential for each person to check and understand the type of food they can and can’t have.

    Exercise

    Yes, it is what everybody says and it is the truth. Regular exercise can help keep your body and your digestive tract in ship-shape. Exercise should never be undermined because it helps the unwanted gas pass through the digestive tract. A healthy gastric passage is a result of proper digestive care and physical exertion.

    Get enough sleep

    The body needs enough sleep and it does not just help with our brain activity, it has consequences for our entire body function. If your sleep schedule is staggered, it adversely affects your body clock which in turn leads to untimely meal schedules. Take care to get enough sleep.

    Reduce alcohol intake and quit smoking

    Alcohol and smoking are both bane to the digestive tract and the liver. For a healthy body, you need to control your spirits and kick the butt.

    Reduce stress

    A joke goes like this – My doctor told me to start killing people. Well not the exact words. She told me to reduce the stress in my life. Same thing.

    We don’t advise you to go on a killing spree but try and keep an eye on the brain pressure cooker like what Rancho said (again 3 idiots). Otherwise it might spoil your stomach.

    Gastric troubles can be distressing, but with some thoughtful questioning, a change in eating patterns and a commitment to a healthy lifestyle, things can get better in a matter of days. Let’s keep the Silencers to the minimum, shall we?

    Are​ ​you​ ​suffering​ ​from​ ​fibroids?​ ​Check​ ​these​ ​symptoms​ ​to​ ​know.

    Fibroids are muscular tumors most frequently seen in the female reproductive system. Fibroids, also
    known as uterine myomas, leiomyomas or fibromas, are almost always benign (non-cancerous) and
    aren’t associated with the risk of uterine cancer. Fibroids can range from the size of a walnut to the
    size of a cantaloupe or even larger. They’re linked to hormones and only develop between puberty
    and the menopause.

    The main causes of uterine fibroids are unclear, but genetic predisposition and hormonal imbalance
    can be the factors that play a role.

    Many women experience no symptoms from their fibroids. However, women with large or
    numerous fibroids may be associated with these symptoms.

    ● Heavy or prolonged menstrual bleeding

    The most common symptom of uterine fibroids is heavier than normal menstrual bleeding that
    lasts longer than usual, 7 days or more. Passing clots is very common with excessive bleeding as
    well as prolonged monthly periods. Not only can excessive bleeding interfere with everyday
    activities, it can have serious side effects over time. Untreated, it can lead to fatigue, low blood
    pressure, and anemia. Abnormal bleeding between menstrual cycles can also be associated with
    fibroids.

    ● Pelvic pressure and pain

    If fibroids grow larger in the muscle of the uterus or outside the uterus, they can put additional
    pressure on the surrounding organs which can be extremely painful. Depending on the location of
    the fibroids, they can cause swelling in the abdomen, making the stomach look large and
    distended.

    ● Frequent urination and difficulty in emptying bladder

    The tumors in the uterus can put an added pressure on the bladder causing the risk of urinary
    inconsistency or loss of bladder control as well as increased frequency of urination.

    ● Difficulty with digestion or constipation

    When the fibroid is growing very large and is present at the back of the uterus, the pressure to the
    bowel increases and women can develop bowel compression which leads to trouble with bowel
    movements.

    Other symptoms of uterine fibroids include pain during sexual intercourse, backaches, and pain in
    the legs or anemia.

    Vikram hospital has a dedicated Department of Obstetrics Gynaecology which provides a complete
    range of care to meet the needs of women of all ages. We understand that the treatment of
    fibroids does not have a one-size-fits-all approach and hence take a woman’s health concerns
    seriously and have the expertise to diagnose and treat it accordingly.

    To consult with gynaecologist at Vikram Hospital

    book an appointment here.

    The​ ​Golden​ ​Hour​ ​–​ ​Can​ ​it​ ​really​ ​reduce​ ​the​ ​death​ ​rate​ ​in​ ​trauma​ ​cases?

    According to the Bangalore City Traffic Police, the overall casualties (including fatal and non-fatal cases)
    due to traffic accidents in the city totaled to 7506 in 2016. In another report by The Hindu, 40% of the
    deaths due to road accidents happened at or near the crash site, while 20% on the way to the hospital.
    This highlights the importance of the correct Emergency Medical Services (EMS) and the Golden​ ​Hour​.

    The Golden​ ​Hour,​ ​in emergency care, refers to the period of time (about 60 minutes or less) from the
    moment of a traumatic injury during which time; the patient has the highest chance of survival if given
    prompt medical treatment.

    Though many studies have been conducted on the effectiveness of the Golden Hour in reducing
    mortality among trauma patients, they have been inconclusive. Therefore, the validity of this concept is
    still controversial. But overall, doctors do believe the correct emergency procedures while the patient is
    brought to the hospital after a traumatic accident and prompt medical treatment within an hour of
    incurring the injury can substantially help in preventing death.

    This​ ​is​ ​why​ ​it​ ​is​ ​all​ ​the​ ​more​ ​important​ ​to​ ​call​ ​up​ ​an​ ​ambulance​ ​when​ ​you​ ​witness​ ​an​ ​accident.​ ​Taking
    the​ ​injured​ ​victims​ ​to​ ​the​ ​hospital​ ​sooner​ ​can​ ​save​ ​lives.

    Another concept that reinforces the importance of the Golden Hour is the Trimodal​ ​Mortality​ ​Model​.
    This model shows the mortality rate in patients with traumatic injuries due to 3 core factors.

    The Trimodal Mortality Model

    1​st​ ​ ​Peak​ ​–​ ​Immediate​ ​Deaths

    The deaths that happen seconds to minutes after an injury. Usually caused due to severe brain injury
    (apnea) or severe vascular injury (blood loss).

    2​nd​ ​ ​Peak​ ​–​ ​Early​ ​Deaths

    The deaths that occur minutes to hours after an injury. It is usually caused due to liver/spleen injury,
    pelvic fracture or injuries related to hemorrhage. As you can see from the model, this is the critical
    deaths that can be averted with timely intervention. Observe the curve of the 2nd peak, till the first hour
    the numbers are relatively low, after the first hour is the peak number of early deaths.

    3​rd​ ​ ​Peak​ ​–​ ​Late​ ​Deaths

    These deaths occur days to weeks after an injury. It is mostly caused due to sepsis or multiple organ
    failure.

    As we can see, the Golden Hour is crucial to ensure better chances for trauma patients. It is also the
    reason why patients are carried to the hospital immediately rather than doctors trying to administer on
    the spot of injury. With better facilities and more tools at their disposal, doctors are better prepared to
    care for the injured patient. The role of the Emergency Medical Service (EMS) personnel is to stabilize
    the patient for safe travel to the hospital.

    Experienced EMS personnel ascertain the injuries sustained by the patient and call the hospital in
    advance to get the necessary equipment prepared for treatment. The importance of fully-equipped
    ambulance and professional EMS providers cannot be stressed enough.

    So​ ​the​ ​next​ ​time​ ​you​ ​witness​ ​an​ ​accident,​ ​don’t​ ​wait​ ​call​ ​an​ ​ambulance​ ​immediately

    During emergencies, call 080-45004600