Trying to locate a doctor or a clinic near your area is a difficult task in itself. People try to find doctors when they move in to a new city, they need specialist treatment, or they aren’t happy with the current treatment. There are many things you would probably want from your doctor. Your doctor should be such that you can be comfortable around and whom you can depend on during times of need. Internet has made the world a small place and you can find any information you need with just few clicks. You can find doctors in Ahmedabad online.
If you go online to search for doctors then you can see many websites that show up details of doctors in Ahmedabad and almost all the websites have similar details leaving you in dilemma which doctor to contact. After seeing so many websites and directories, you will only ponder over and book an appointment with a doctor by just merely looking at his picture, contact number, location and appointment days and time. You will then visit the doctor with an even chance of liking the treatment.
In such a case wouldn’t it be nice to have a platform where you can ask questions before you meet the doctor personally and read health tips shared by best doctors in Ahmedabad? If you agree to this then you can sign up in HealthKumbh to ask all your health-related queries and read healthtips shared by expert doctors in Ahmedabad. We want you to take the decision by judging the doctor only after looking into all the aspects and thus we pave the way for you to ask your concerns so that you get an idea about whether or not you want to get an appointment with him.
Gone are the days when there was no second chance for making your first impression. Today, the medium to showcase your first impression has gone online. Thus, a doctor’s reputation these days is active online. Therefore, it is imperative for a doctor to build positive online reputation so that his prospective patients can discover him.
Social media and websites are the best tools for building online presence. Internet has made the world a small place. Patients these days are evaluating your work and providing their feedback online for the world to see. In such cases a good review can have a good impact on your practice. But getting a good online presence is not as easy as it sounds. You have to get involved in a lot of promotional activities for your website and content.
Social media paves way for you to open up and speak to have a conversation with your patients and build credibility. Online presence is necessary for doctors because of misinformed patients. Patients tend to get confused with treatments and thus they seek a qualified source of information.
You can share your experiences about your complicated medical procedures or treatments in the form of content with health-conscious audience. This will not only boost your credibility among your patients but also will be extremely helpful for SEO strategy as this unique content will drive more traffic to your site.
If you are already baffled with the number of activities that you would have to do then you can save your time by simply signing up with HealthKumbh. All you have to do is register yourself online, create your HealthKumbh profile (that would serve as your website), and upload your case studies and health tips. The HealthKumbh team will do your online promotion for your articles and you would know that your valuable tips and experiences are not getting bypassed in the humongous world of web.
Healthkumbh has made a buzz on internet, especially among Doctors, Clinics, Hospitals and Health conscious people. Let us see what it is all about.
HealthKumbh is a free health-oriented social networking portal to promote casual interaction among doctors as well as between doctors and patients. What you find here is detailed information on a wide range of health categories, wherein a social interaction takes place between doctors and users. Here you find a list of doctors situated all over India, coming together and extending their social or professional network.
Let us discuss the top 10 reasons why you should join HealthKumbh.
A Doctor Behind HealthKumbh:
Behind the idea of HealthKumbh there is a doctor who had started this venture to address the drawbacks of other online platforms. The founder, Dr. Maulik Darji, being a doctor himself had realized the limitations of all other available platforms for a doctor to promote himself and thus, HealthKumbh was introduced. He has kept in mind all the difficulties encountered by a doctor / clinic to reach his target audience.
An Expedient Way For Doctors:
HealthKumbh is an expedient concept in social media arena that focuses on promoting health-related information. In HealthKumbh, you can share health-related information with all the social networking aspects such as online messaging, chatting, image sharing, video sharing, and so on.
Easy Online Marketing Strategies:
HealthKumbh eases online marketing making it easier for doctors, clinics, or hospitals to reach their patients. They can upload their listings with related details, users or patients find the same, and there is a win-win scenario for both.
Build Online Presence that Matters:
HealthKumbh is an SEO-friendly platform and once you share a post our HealthKumbh team of digital marketing experts engages in promotional activities for your posts. Search engine identifies your blog posts and caches the article and with time your online presence is increased. An increased online presence means your profile is visible to a wide pool of potential patients.
Build reputation :
HealthKumbh caches all information of a doctor like qualification background, his practice, and his achievements.Nowadays people look into lot of aspects such as his education, his skills, how advanced his clinic setup is, and his achievements. HealthKumbh is an ideal platform for doctors to showcase their skills to patients and serves as a medium for reputation building.
Introduced After Thorough Research on The Current Internet Trend:
Dr. Maulik Darji had done a thorough research before setting up HealthKumbh. His research indicated that almost 72% of the internet users search health-related information online. With the surge of the internet patients now locate a healthcare provider from the internet. Moreover, patients utilize the internet to get all possible details about a doctor before actually seeing him in person.
Not Merely A Directory But, A Power to You:
HealthKumbh is not merely a directory where once you submit your information you have no idea if they are actually giving any effort to promote your website or your clinic. HealthKumbh is an amalgam of online directory and all existing social networking sites where you can engage in activities to promote yourself and gain visibility in the wide pool of web.
Wide Pool of Health-conscious Audience (Patients):
HealthKumbh also has a wide pool of registered health-conscious audience who seek advice from healthcare professionals. You can interact with this audience to get their queries resolved and those patients can seek your appointment to get treated. Registered HealthKumbh audience can follow your profile and there is a lot of possibility for these users to turn to potential patients.
Great Networking that Helps:
This is an excellent platform for doctors from same speciality as well as other specialities to interact with each other and thus HealthKumbh paves way to a world of opportunities for you.
Many Registered Doctors and Users:
We are glad to inform you that many doctors and health-conscious audience have already registered themselves in HealthKumbh and they are taking immense pleasure in exploring the new concept of social media networking and reaping benefits from it. The most important thing is you can avail all of these absolutely FREE.
Why delay then? Join today to explore the omnipotent platform for all healthcare professionals.
Contact Us to know more about HealthKumbh
It’s important for overall health to choose a brush that gets your mouth clean and keeps it healthy. Toothbrush is the principal and most important instrument to clean teeth.
Bariatric surgery (weight loss surgery) includes a variety of procedures performed on people who have obesity. Weight loss is achieved by reducing the size of the stomach with a gastric band through removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouch (gastric bypass surgery).
“Surgery should be considered as a treatment option for patients with a BMI of 40 kg/m2 or greater who instituted but failed an adequate exercise and diet program (with or without adjunctive drug therapy) and who present with obesity-related comorbid conditions, such as hypertension, impaired glucose tolerance, diabetes mellitus, hyperlipidemia, and obstructive sleep apnea. A doctor–patient discussion of surgical options should include the long-term side effects, such as possible need for reoperation, gallbladder disease, and malabsorption.
Classifications of surgical Procedures
Procedures can be grouped in three main categories
- Predominantly malabsorptive procedures
In predominantly malabsorptive procedures, although they also reduce stomach size, the effectiveness of these procedures is derived mainly from creating a physiological condition of malabsorption.
1.1 Biliopancreatic diversion
This complex operation is termed biliopancreatic diversion (BPD) or the Scopinaro procedure. The original form of this procedure is now rarely performed because of problems with malnourishment. It has been replaced with a modification known as duodenal switch (BPD/DS). Part of the stomach is resected, creating a smaller stomach (however the patient can eat a free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum.
In around 2% of patients there is severe malabsorption and nutritional deficiency that requires restoration of the normal absorption. The malabsorptive effect of BPD is so potent that those who undergo the procedure must take vitamin and dietary minerals above and beyond that of the normal population. Without these supplements, there is risk of serious deficiency diseases such as anemia and osteoporosis.
1.2 Jejunoileal bypass
This procedure is no longer performed. It was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel was detached and set to the side.
1.3 Endoluminal sleeve
A study on humans was done in Chile using the same technique however the results were not conclusive and the device had issues with migration and slipping. A study recently done in the Netherlands found a decrease of 5.5 BMI points in 3 months with an endoluminal sleeve.
2. Predominantly restrictive procedures
Procedures that are solely restrictive act to reduce oral intake by limiting gastric volume, produce early satiety, and leave the alimentary canal in continuity, minimizing the risks of metabolic complications.
2.1 Vertical banded gastroplasty
In the vertical banded gastroplasty, also called the Mason procedure or stomach stapling, a part of the stomach is permanently stapled to create a smaller pre-stomach pouch, which serves as the new stomach.
2.2 Adjustable gastric band
The restriction of the stomach also can be created using a silicone band, which can be adjusted by addition or removal of saline through a port placed just under the skin. This operation can be performed laparoscopically, and is commonly referred to as a “lap band”. Weight loss is predominantly due to the restriction of nutrient intake that is created by the small gastric pouch and the narrow outlet.It is considered one of the safest procedures performed today with a mortality rate of 0.05%.
2.3 Sleeve gastrectomy
Sleeve gastrectomy, or gastric sleeve, is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (typically with surgical staples, sutures, or both) to leave the stomach shaped more like a tube, or a sleeve, with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible.This combined approach has tremendously decreased the risk of weight loss surgery for specific groups of patients, even when the risk of the two surgeries is added. Most patients can expect to lose 30 to 50% of their excess body weight over a 6–12 month period with the sleeve gastrectomy alone. The timing of the second procedure will vary according to the degree of weight loss, typically 6 – 18 months.
2.4 Intragastric balloon (gastric balloon)
Intragastric balloon involves placing a deflated balloon into the stomach, and then filling it to decrease the amount of gastric space. The balloon can be left in the stomach for a maximum of 6 months and results in an average weight loss of 5–9 BMI over half a year.The intragastric balloon is approved in Australia, Canada, Mexico, India, United States (received FDA approval in 2015) and several European and South American countries.The intragastric balloon may be used prior to another bariatric surgery in order to assist the patient to reach a weight which is suitable for surgery, further it can also be used on several occasions if necessary.
2.5 Gastric placation
Basically, the procedure can best be understood as a version of the more popular gastric sleeve or gastrectomy surgery where a sleeve is created by suturing rather than removing stomach tissue thus preserving its natural nutrient absorption capabilities. Gastric plication significantly reduces the volume of the patient’s stomach, so smaller amounts of food provide a feeling of satiety.The procedure is producing some significant results that were published in a recent study in Bariatric Times and are based on post-operative outcomes for 66 patients (44 female) who had the gastric sleeve plication procedure between January 2007 and March 2010. Mean patient age was 34, with a mean BMI of 35. Follow-up visits for the assessment of safety and weight loss were scheduled at regular intervals in the postoperative period. No major complications were reported among the 66 patients. Weight loss outcomes are comparable to gastric bypass.
The study describes gastric sleeve plication (also referred to as gastric imbrication or laparoscopic greater curvature plication) as a restrictive technique that eliminates the complications associated with adjustable gastric banding and vertical sleeve gastrectomy—it does this by creating restriction without the use of implants and without gastric resection (cutting) and staples.
3. Mixed procedures
Mixed procedures apply both techniques simultaneously.
3.1 Gastric bypass surgery
A common form of gastric bypass surgery is the Roux-en-Y gastric bypass, where a small stomach pouch is created with a stapler device and connected to the distal small intestine. The upper part of the small intestine is then reattached in a Y-shaped configuration.The gastric bypass had been the most commonly performed operation for weight loss in the United States, and approximately 140,000 gastric bypass procedures were performed in 2005. Its market share has decreased since then and by 2011, the frequency of gastric bypass was thought to be less than 50% of the weight loss surgery market.A factor in the success of any bariatric surgery is strict post-surgical adherence to a healthy pattern of eating.There are certain patients who cannot tolerate the malabsorption and dumping syndrome associated with gastric bypass. In such patients, although earlier considered to be an irreversible procedure, there are instances where gastric bypass procedure can be partially reversed.
3.2 Sleeve gastrectomy with duodenal switch
A variation of the biliopancreatic diversion includes a duodenal switch. The part of the stomach along its greater curve is resected. The stomach is “tubulized” with a residual volume of about 150 ml. This volume reduction provides the food intake restriction component of this operation. This type of gastric resection is anatomically and functionally irreversible. The stomach is then disconnected from the duodenum and connected to the distal part of the small intestine. The duodenum and the upper part of the small intestine are reattached to the rest at about 75–100 cm from the colon.
3.3 Implantable gastric stimulation
This procedure where a device similar to a heart pacemaker is implanted by a surgeon, with the electrical leads stimulating the external surface of the stomach, is being studied in the USA. Electrical stimulation is thought to modify the activity of the enteric nervous system of the stomach, which is interpreted by the brain to give a sense of satiety, or fullness. Early evidence suggests that it is less effective than other forms of bariatric surgery.
Eating after bariatric surgery
Immediately after bariatric surgery, the patient is restricted to a clear liquid diet, which includes foods such as clear broth, diluted fruit juices or sugar-free drinks and gelatin desserts. This diet is continued until the gastrointestinal tract has recovered somewhat from the surgery. The next stage provides a blended or pureed sugar-free diet for at least two weeks. This may consist of high protein, liquid or soft foods such as protein shakes, soft meats, and dairy products. Foods high in carbohydrates are usually avoided when possible during the initial weight loss period.
It is very common, within the first month post-surgery, for a patient to undergo volume depletion and dehydration. Patients have difficulty drinking the appropriate amount of fluids as they adapt to their new gastric volume. Limitations on oral fluid intake, reduced calorie intake, and a higher incidence of vomiting and diarrhea are all factors that have a significant contribution to dehydration. In order to prevent fluid volume depletion and dehydration, a minimum of 48–64 fl oz should be consumed by repetitive small sips all day.
Effectiveness of surgery
Weight Loss – The maximum weight loss occurs in the first 10 months after surgery. More recent studies have demonstrated that the medium (3–8 years) and long term (> 10 years) weight loss results for RYGB and LAGB become very similar.However, the range of excess weight loss for LAGB patients (25% to 80%) is much broader than that of RYGB patients (50% to 70%). Data (beyond 5 years) for sleeve gastrectomy indicates weight loss statistics similar to RYGB.
Reduced mortality and morbidity
In the short term, weight loss from bariatric surgeries is associated with reductions in some comorbidities of obesity, such as diabetes, metabolic syndrome and sleep apnea, but the benefit for hypertension is uncertain. It is uncertain whether any given bariatric procedure is more effective than another in controlling comorbidities. There is no high quality evidence concerning longer-term effects compared with conventional treatment on comorbidities
Some studies have suggested that psychological health can improve after bariatric surgery.
Costs of Surgery
The costs of bariatric surgery depend on the type of procedure performed and method of payment along with location-specific factors including geographical region, surgical practice and hospital in which the surgery is performed.
The four established procedure types, Roux-en-Y gastric bypass, gastric banding, vertical sleeve gastrectomy (gastric sleeve) and duodenal switch, carry an average cost in India of Rs 15 lakhs, Rs 9 Lakhs , Rs 12 Lakhs and Rs 16 lakhs approximately respectively. However, location-specific costs can vary significantly. Quoted costs generally include day-of-surgery fees for the hospital, surgeon, surgical assistant, anesthesia and implanted devices (if applicable). Depending on the surgical practice, quoted costs may or may not include pre-op, post-op or longer-term follow-up office visits.
Complications from weight loss surgery are frequent. A study of insurance claims of 2522 who had undergone bariatric surgery showed 21.9% complications during the initial hospital stay and a total of 40% risk of complications in the subsequent six months. This was more common in those over 40 and led to an increased health care expenditure. Common problems were gastric dumping syndrome in about 20% (bloating and diarrhea after eating, necessitating small meals or medication), leaks at the surgical site (12%), incisional hernia (7%), infections (6%) and pneumonia (4%) where the mortality was 0.2%. As the rate of complications appears to be reduced when the procedure is performed by an experienced surgeon, guidelines recommend that surgery be performed in dedicated or experienced units.It has been observed that the rate of leaks was greater in low volume centres whereas high volume centres showed a lesser leak rate. Leak rates have now globally decreased to a mean of 1-5%.
Metabolic bone disease manifesting as osteopenia and secondary hyperparathyroidism have been reported after Roux-en-Y gastric bypass surgery due to reduced calcium absorption. The highest concentration of calcium transporters is in the duodenum. Since the ingested food will not pass through the duodenum after a bypass procedure, calcium levels in the blood may decrease, causing secondary hyperparathyroidism, increase in bone turnover, and a decrease in bone mass. Increased risk of fracture has also been linked to bariatric surgery.
Rapid weight loss after obesity surgery can contribute to the development of gallstones as well by increasing the lithogenicity of bile. Adverse effects on the kidneys have been studied. Hyperoxaluria that can potentially lead to oxalate nephropathy and irreversible renal failure is the most significant abnormality seen on urine chemistry studies. Rhabdomyolysis leading to acute kidney injury, and impaired renal handling of acid and base has been reported after bypass surgery.
Nutritional derangements due to deficiencies of micronutrients like iron, vitamin B12, fat soluble vitamins, thiamine, and folate are especially common after malabsorptive bariatric procedures. Seizures due to hyperinsulinemic hypoglycemia have been reported. Inappropriate insulin secretion secondary to islet cell hyperplasia, called pancreatic nesidioblastosis, might explain this syndrome.
This will help you to know about the surgery that can be possible considered against Obese Situation.
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10 best baby care tips for new moms
Any couple, without using any contraceptive fails to conceive after 1 year should be considered INFERTILE.
Incidence of Infertility is rising, nearly 15-18%.
Most Common Causes:-
HPO axis dysfunction
Obesity and PCOD
Tubal Factor: Partial or Complete Block, Hydrosalpinx, Pyosalpinx.
Uterine Cavity Defects and Poor Cervical Mucus
Endometrial Defects: Ashermanâ€™s syndrome
Most Common Causes:–
ONLY SERTOLI CELLS SYNDROME
ABSENCE OF VAS DEFERENS SYSTEMIC ILLNESS:DM,TUBERCULOSIS
BLADDER NECK SURGERIES
INFECTIONS : PROSTATITIS,TUBERCULOSIS, MUMPS ORCHITIS.
ADDICTIONS, MOBILE EXPOSURES.
EXCESS EXPOSURE TO HEAT,VIBRATIONS,CHEMICALS,RADAR RAYS.(OCCUPATIONAL HAZARDS)
MOBILE PHONE OVER USE
Norman Semen Parameters
VOLUME : 2 ML
COUNT : >20MILLION/ML
FORWARD PROGRESSIVE MOTILITY : >50%
MORPHOLOGY : <20%ABNORMAL FORMS
ABSENCE OF PREMATURE CELLS
ABSENCE OF INFECTION
VISCOSITY : NORMAL
AGGLUTINATION : ABSENT
ABSENCE OF ANTISPERM ANTIBODIES
Most Common Terminology
BOTH PARTNERS SHOULD BE INVESTIGATED BEFORE STARTING THE TREATMENT.
BASIC : SEMEN EXAMINATION
BASIC EVALUATION OF FEMALE
TUBAL PATENCY TESTS : HSG/LAPAROSCOPY
DIAGNOSTIC LAPAROSCOPY AND HYSTEROSCOPY.
HORMONAL PROFILE FOR BOTH PARTNERS
S.INHIBIN AND ANTIMULLERIAN HORMONE SOS
SCROTAL DOPPLER ULTRASOUND FOR VARICOCELE
ANATOMY OF UTERUS:
MULLERIAN ANOMALIES:BICORNUATE,SEPTATE UTERUS
ENDOMETRIAL MORPHOLOGY AND RECEPTIVITY
OVARY:ANATOMY AND FUNCTION
OVARIAN RESERVE:ANTRAL FOLLICLE COUNT
STROMA AND PCOD
CHOCOLATE CYSTS OR ANY RETENSION CYSTS
DOPPLER STUDY FOR BLOOD FLOW
SEMEN CULTURE SOS.
TB PCR SOS.
S.INSULIN AND FBS.
IN SELECTED CASES OF UNEXPLAINED INFERTILITY:
INITIAL TREATMENT FOR 3-4 CYCLES OF ORAL OVULATION INDUCTION AGENTS GIVES APPROX 25% CUMMULATIVE PR.THEN, ADDING GONADOTROPINS FOR 3-4 CYCLES ADD UPTO 35% MORE PR.THEN,IUI OR IVF-ICSI SHOULD BE OFFERED.
ROLE OF INSULIN SENSITISERS
#Health #obstetric #pregnancy #IVF #HealthyLiving
A patient’s guide to root canal treatment
People are now aware of dental diseases, and they are cautious about dental health also. Root canal is most discussed topic and treatment in dentistry.
When someone needs a root canal treatment
1) Dental abscess: abscess leads to swelling on cheeks and may cause fever.
2) Trauma to tooth
3) Dental cavity extending to pulp of tooth
4) Damage to the nerve in pulp
5) Inflamed pulp
6) Tooth fracture
What signs indicate the need of root canal treatment?
1) Severe pain in tooth
2) Tooth pain with swelling on cheeks
4) Increased sensitivity
5) Tooth discoloration
6) Swelling of gums
7) Recurring pimples on gums
6 steps of root canal treatment
1) X-ray of affected tooth Dentist first takes the x-ray of the affected tooth in order to decide the damage and severity.
2) Local anesthesia Your tooth needs to be numb, so that procedure can be easy and painless.
3) Removal of the infected pulp
Infected pulp irritates the nerves, and pain occurs. So removal of the infected pulp helps stop the further progress of damage.
4) Room created for filling
After removal of the pulp, room is created for filling materials
5) Inserting filling materials
Various types of filling materials are available in the market, you can chose what is best and advised by your dentist.
6) Placing crown
Crown protects the further damage
If you are affected from a condition which requires root canal treatment, do not worry about the procedure. Modern dentistry has made this procedure easy and painless.
#rootcanal #cosmeticDentist #Cosmentic #HealthyLiving #Fitness
Facts about Dry Eyes !
Tears keep the surface of the eyes Clean and Protects your eyes from infections.
Tears also provide constant moisture and lubricant to maintain the vision and comfort to the eyes.
If your eyes do not produce enough tears or if the tears dry up too quickly, the condition is termed as Dry Eye.
What are the Symptoms of Dry Eye. ?
Symptoms may include any of the following:
Stinging or Burning of the eye
sensation of something in the eye
Pain & redness such as “blood-shot” eyes
Discharge of mucous
#Dryeyes #Eyecare #Health #Fitness #HealthyLiving #HealthTips