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GASTROENTEROLOGY Gastroenterology deals in treating diseases related to gastrointestinal tract and disorders associated with it. The branch also includes the understanding of gastrointestinal organs, like the functioning of the liver, digestion and absorption, removal of waste and several others. Any gastrointestinal disorder can cause problems in stomach, esophagus, pancreas, gallbladder, liver, small and large intestines. A gastroenterologist has a broad scientific knowledge to provide gastroenterology treatment and optimal health care for patients. Who is a Gastroenterologist? A gastroenterologist is a physician who specializes in gastroenterology (DM gastroenterology) and offers all kinds of medical treatments related to the speciality. They undergo training in the management of diseases of the liver and gastrointestinal tract. The gastroenterologist takes a broad understanding of the symptoms at presentation like difficulty in swallowing, constipation, heartburn, loose motions, vomiting and renal bleeding to diagnose and treat conditions effectively. We at Max Healthcare are committed to offer best in class healthcare services for our patients to treat life-threatening acute medical problems. Gastroenterologists do extensive research involving gastrointestinal endoscopic treatment and procedures as well as the interpretation of results and are experts in the field. Furthermore, it is their aptitude to provide broad, precise, and thorough care for patients with gastrointestinal conditions, which differentiates them from other physicians that provide similar services. Conditions and treatments taken care by gastroenterologists include peptic ulcer, irritable bowel syndrome, inflammatory bowel disease, esophageal cancer and colon cancer. They also perform endoscopic therapeutic interventions. Endoscopy is part of the endoscopic treatment which is used by the doctors for a better diagnosis of the condition the patient is suffering from. An endoscope is a flexible tube with a small camera attached to it which is used to perform the test. An endoscope is generally used to inspect body parts like urinary tract, respiratory tract, ear, gastrointestinal tract, and the reproductive system. A gastroenterologist may perform endoscopy procedure to identify the root cause of abdominal pain, gastrointestinal bleeding, ulcers or difficulty in swallowing, polyps or growth in colon and cancer of the digestive system. After a successful diagnosis, the doctor charts out the right medical therapy to cure the condition. Endoscopic treatment has various advantages including minimum blood loss, less pain, no tissue or muscle trauma, and low risk of infection. In the last few decades, the advantages of endoscopic treatment and procedures in the field of gastroenterology have augmented significantly. How Does Gastroenterology Treatment Work? A gastroenterology treatment usually starts in a gastroenterologist’s clinic or a hospital. It typically begins with a clinic staff recording the patient’s blood pressure level, heart rate, and weight. They also take a record of patient’s medications, allergies and medical history. During the consultation, the doctor may perform lab tests, X-Rays, motility tests and endoscopic procedures and interventions. The whole visit typically takes around 30 minutes to an hour, or longer if the gastroenterologist performs endoscopic procedures simultaneously. Visit us @:http://bhavsarhospitalbhandup.com/GASTROENTEROLOGY-Here-are-some-key-points-about-GASTROENTEROLOGY-More-detail-is-in-the-main-article-Normal-blood-pressure-is-120/b9
Menu Everything you need to know about jaundice Table of contents Jaundice is a term used to describe a yellowish tinge to the skin and the whites of the eye. Body fluids may also be yellow. The color of the skin and whites of the eyes will vary depending on levels of bilirubin. Bilirubin is a waste material found in the blood. Moderate levels lead to a yellow color, while very high levels will appear brown. About 60 percent of all infants born in the United States have jaundice. However, jaundice can happen to people of all ages and is normally the result of an underlying condition. Jaundice normally indicates a problem with the liver or bile duct. In this article,  Medical News Today will discuss what jaundice is, why it happens, and how it is diagnosed and treated. Fast facts on jaundice • Jaundice is caused by a buildup of bilirubin, a waste material, in the blood. • An inflamed liver or obstructed bile duct can lead to jaundice, as well as other underlying conditions. • Symptoms include a yellow tinge to the skin and whites of the eyes, dark urine, and itchiness. • Diagnosis of jaundice can involve a range of tests. • Jaundice is treated by managing the underlying cause. Causes  Jaundice turns the whites of the eyes yellow. Jaundice is a yellowing of the skin and the whites of eyes that happens when the body does not process bilirubin properly. This may be due to a problem in the liver. It is also known as icterus. Bilirubin is a yellow-colored waste material that remains in the bloodstream after iron is removed from the blood. The liver filters waste out from the blood. When bilirubin reaches the liver, other chemicals attach to it. A substance called conjugated bilirubin results. The liver produces bile, a digestive juice. Conjugated bilirubin enters the bile, then it leaves the body. It is this type of bilirubin that gives feces its brown color. If there is too much bilirubin, it can leak into the surrounding tissues. This is known as hyperbilirubinemia, and it causes the yellow color in the skin and eyes. Risk factors Jaundice most often happens as a result of an underlying disorder that either causes the production of too much bilirubin or prevents the liver from getting rid of it. Both of these result in bilirubin being deposited in tissues. Underlying conditions that may cause jaundice include: Acute inflammation of the liver:This may impair the ability of the liver to conjugate and secrete bilirubin, resulting in a buildup. Inflammation of the bile duct: This can prevent the secretion of bile and removal of bilirubin, causing jaundice. Obstruction of the bile duct: This prevents the liver from disposing of bilirubin. Hemolytic anemia: The production of bilirubin increases when large quantities of red blood cells are broken down. Gilbert's syndrome: This is an inherited condition that impairs the ability of enzymes to process the excretion of bile. Cholestasis: This interrupts the flow of bile from the liver. The bile containing conjugated bilirubin remains in the liver instead of being excreted. Rarer conditions that may cause jaundice include: Crigler-Najjar syndrome: This is an inherited condition that impairs the specific enzyme responsible for processing bilirubin. Dubin-Johnson syndrome: This is an inherited form of chronic jaundice that prevents conjugated bilirubin from being secreted from of the cells of the liver. Pseudojaundice: This is a harmless form of jaundice. The yellowing of the skin results from an excess of beta-carotene, not from an excess of bilirubin. Pseudojaundice usually arises from eating large quantities of carrot,  pumpkin, or melon. ADVERTISEMENT Treatment  Medication or supplements can help jaundice depending on the cause. Treatment will depend on the underlying cause. Jaundice treatment targets the cause rather than the jaundice symptoms. The following treatments are used: Anemia-induced jaundice may be treated by boosting the amount of iron in the blood by either taking iron supplements or eating more iron-rich foods. Hepatitis-induced jaundice requires antiviral or steroid medications. Doctors can treat obstruction-induced jaundice by surgically removing the obstruction. If the jaundice has been caused by use of a medication, treatment for involves changing to an alternative medication. Prevention Jaundice is related to liver function. It is essential that people maintain the health of this vital organ by eating a balanced diet, exercising regularly, and not consuming more than the recommended amounts of alcohol. Symptoms  An excess of bilirubin can cause the yellow tinge in the eyes and skin. Common symptoms of jaundice include: a yellow tinge to the skin and the whites of the eyes, normally starting at the head and spreading down the body pale stools dark urine itchiness Accompanying symptoms of jaundice resulting from low bilirubin levels include: fatigue abdominal pain weight loss vomiting fever pale stools dark urine Complications The itching that accompanies jaundice can sometimes be so intense that patients have been known to scratch their skin raw, experience insomnia, or, in extreme cases, even have thoughts of suicide. When complications happen, this is usually because of the underlying problem, not the jaundice itself. For example, if an obstructed bile duct leads to jaundice, uncontrolled bleeding may result. This is because the blockage leads a shortage of vitamins needed for clotting. ADVERTISEMENT Types There are three main types of jaundice: Hepatocellular jaundice occurs as a result of liver disease or injury. Hemolytic jaundice occurs as a result of hemolysis, or an accelerated breakdown of red blood cells, leading to an increase in production of bilirubin. Obstructive jaundice occurs as a result of an obstruction in the bile duct. This prevents bilirubin from leaving the liver RELATED ARTICLE  Causes and treatments of infant jaundice For more information on jaundice in infants, click here. READ NOW Newborns Jaundice is a common health issue in newborn infants. Around 60 percent of newborns experience jaundice, and this increases to 80 percent of premature infants born before 37 weeks of pregnancy. They will normally show signs within 72 hours of birth. Red blood cells in the body of an infant are frequently broken down and replaced. This causes the production of more bilirubin. Also, the livers of infants are less developed and, therefore, less effective at filtering bilirubin from the body. Symptoms will usually resolve without treatment within 2 weeks. However, infants with extremely high bilirubin levels will require treatment with either a blood transfusion or phototherapy. In these cases, treatment is vital as jaundice in newborns can lead to kernicterus, a very rare type of permanent brain damage. ADVERTISEMENT Levels The level of bilirubin is defined in a blood test called a bilirubin test. This measures unconjugated, or indirect, bilirubin levels. These are responsible for the onset of jaundice. Bilirubin levels are measured in milligrams per decilitre (mg/dL). Adults and older children should have a level of between 0.3 and 0.6 mg/dL. Around 97 percent of infants born after 9 months of pregnancy have levels lower than 13 mg/dL. If they show higher levels than this, they are usually referred for further investigation. These ranges may differ between laboratories. How far above the normal range a person's levels are will set out a course of treatment. Diagnosis Doctors will most likely use the history of the patient and a physical exam to diagnose jaundice and confirm bilirubin levels. They will pay close attention to the abdomen, feel for tumors, and check the firmness of the liver. A firm liver indicates cirrhosis, or scarring of the liver. A rock-hard liver suggests cancer. Several tests can confirm jaundice. The first is a liver function test to find out whether or not the liver is functioning properly. If a doctor cannot find the cause, a doctor may request blood tests to check bilirubin levels and the composition of the blood. These include: Bilirubin tests: A high level of unconjugated bilirubin compared to levels of conjugated bilirubin suggest hemolytic jaundice. Full blood count (FBC), or complete blood count (CBC): This measures levels of red blood cells, white blood cells, and platelets. Hepatitis A, B, and C tests: This tests for a range of liver infections. The doctor will examine the structure of the liver if they suspect an obstruction. In these cases, they will use imaging tests, including MRI, CT, and ultrasound scans. They may also carry out an endoscopic retrograde cholangiopancreatography (ERCP). This is a procedure combining endoscopy and X-ray imaging. A liver biopsy can check for inflammation, cirrhosis, cancer, and fatty liver. This test involves inserting a needle into the liver to obtain a tissue sample. The sample is then examined under a microscope. Jaundice is a yellow discoloration of the skin, mucous membranes, and the whites of the eyes caused by increased amounts of bilirubin in the blood. Jaundice is a sign of an underlying disease process. Bilirubin is a by-product of the daily natural breakdown and destruction of red blood cells in the body. The hemoglobinmolecule that is released into the blood by this process is split, with the heme portion undergoing a chemical conversion to bilirubin. Normally, the liver metabolizes and excretes the bilirubin in the form of bile. However, if there is a disruption in this normal metabolism and/or production of bilirubin, jaundice may result. Visit us http:// bhavsarhospitalbhandup.com/ HEALTH
Bhavsar Nursing home and iccu Bhandup west, CAUSE AND SYMPTOMS OF DENGUE 1. Cause There The dengue virus is spread by mosquitos, mainly the Aedes Aegypti mosquito. These mosquitos are known to bite early in the morning and late in the night. Infections can be acquired by a single bite! Medical records have shown that the Dengue fever has been around since as early as 1779. However, details on the transmission and the cause of the diseases came to light only in the 20th century. 2. Symptoms While it has been observed that the dengue fever is treatable with proper medical care, it can be fatal if it goes untreated. Thus, it is very important to know about the symptoms of dengue, in order to detect it early. Let us look at some of the symptoms which might be indicating towards dengue. People likely suffering from Dengue usually go through the following symptoms: 1. High Fever 2. Headache 3. Vomiting 4. Muscle and Joint Pain 5. Skin Rashes While these symptoms may or may not necessarily point out towards Dengue, it is advisable to get yourself checked if you are experiencing one or more of these symptoms. However, these are the early symptoms of the disease. Sometimes people tend to overlook them, and it develops into a more serious form of Dengue, where the symptoms are: 1. Bleeding 2. Low levels of blood platelets 3. Blood plasma leakage 4. Low blood pressure. One must keep in mind that dengue is a dangerous disease and they should immediately seek medical help during the early symptoms itself. Precaution is always better than cure. Visit.us at: www.bhavsarhospitalbhandup.com
Bhavsar Nursing home and iccu Bhandup west, CAUSE AND SYMPTOMS OF DENGUE 1. Cause There The dengue virus is spread by mosquitos, mainly the Aedes Aegypti mosquito. These mosquitos are known to bite early in the morning and late in the night. Infections can be acquired by a single bite! Medical records have shown that the Dengue fever has been around since as early as 1779. However, details on the transmission and the cause of the diseases came to light only in the 20th century. 2. Symptoms While it has been observed that the dengue fever is treatable with proper medical care, it can be fatal if it goes untreated. Thus, it is very important to know about the symptoms of dengue, in order to detect it early. Let us look at some of the symptoms which might be indicating towards dengue. People likely suffering from Dengue usually go through the following symptoms: 1. High Fever 2. Headache 3. Vomiting 4. Muscle and Joint Pain 5. Skin Rashes While these symptoms may or may not necessarily point out towards Dengue, it is advisable to get yourself checked if you are experiencing one or more of these symptoms. However, these are the early symptoms of the disease. Sometimes people tend to overlook them, and it develops into a more serious form of Dengue, where the symptoms are: 1. Bleeding 2. Low levels of blood platelets 3. Blood plasma leakage 4. Low blood pressure. One must keep in mind that dengue is a dangerous disease and they should immediately seek medical help during the early symptoms itself. Precaution is always better than cure. Visit.us at: www.bhavsarhospitalbhandup.com
Dengue Fever Facts And Information For Dengue Fever Recovery Dengue fever is an infectious disease caused by the dengue virus, which is carried by mosquitoes. There are four types of related dengue viruses known as DEN-1, DEN-2, DEN-3, and DEN - 4. Before this disease was called "break-bone fever" because it causes relentless joint pain that is so severe patients feel their bones are breaking. Dengue fever is known to exist for at least the last two centuries. You can be affected by at least two types of viruses if not all four types. The symptoms of dengue infection usually begin to appear with fever within 4 to 7 days after you have been bitten by a virus carrying mosquito. Symptoms And Treatment Of Dengue Fever The symptoms of dengue are: Very high fever of the order of 105°F Severe headache Pain behind the eye (known as Retro-orbital pain) Severe to very severe pain in joints and muscles Continuous acute pain in the stomach; internal bleeding may occur due to hemorrhage Nausea and vomiting. There is no specific treatment for dengue fever, though treatment is given to protect from other bacterial or viral infections.
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