MyCure Hospitals Visakhapatnam

MaxCure Group of Hospitals

MYCURE WELLNESS CENTRE — March 11, 2017

MYCURE WELLNESS CENTRE

MyCure Wellness Programme has been designed with your requirements in mind. The preventive health check-up packages have been prepared to suit the needs of a wide cross-section of people across all age groups. The focus is on pinpointing potentional areas of risk, in order to prevent future health problems.

We offer you a wide range of screening programmes to suit individual needs. This guide will help you choose the package most suited to you and also prepare you for the check-up. We have a Health Check-up cell to answer your queries and dedicated escorts who will take you through your tests and make you feel comfortable.

Choose the your health checkup:

Scheduling Appointments:

  • To avoid inconvenience, please take appointment with Health Check-up coordinator (Cell: 9652669351).
  • 12-hours fasting is required for all health check-ups. Water can be consumed, but please do not take any hot or cold beverage.
  • The approximate time required for completing a health check-up is 6 -7 hours.
  • In case you want to cancel or postpone the scheduled check-up, please do let us know a day in advance. This will help us make alternative arrangements as per your convenience.

Special Precautions:

  • Let us know in advance if you are a diabetic/cardiac patient.
  • Kindly carry your previous prescriptions and medications (if you are taking any)
  • If you are a diabetic on medication, please take it as per your normal schedule.
  • If you are a hypertensive on medication, please consult the Health Check-up Coordinator when you call for appointment.
  • If you use contact lenses, please do not wear them on the day of health check-up
  • Men will be required to shave their chest for treadmill (Stress) Test.
  • X-ray to be avoided by pregnant ladies.

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HEART BURN — March 7, 2017

HEART BURN

Overview:

The esophagus is a connected tube from the mouth to the stomach and it helps to push food toward the stomach in rhythmic waves. The stomach combines food, acids and enzymes are together to begin digestion. There are some protective cells that line the stomach to prevent the acid from causing inflammation. The esophagus does not have this same protection, and if stomach acid and digestive juices reflux back into the esophagus due to gastric problem, they can cause inflammation and damage to its unprotected lining.

Symptoms:

Stomach acid refluxes up into esophagus and causes pain. So, This pain can be felt as a burning sensation behind the sternum or breastbone located at center of chest. Many times the pain of acid reflux can be mistaken for the pain of a heart attack.

Symptoms are affected may often awaken from sleep with heart burn, after heavy meals, leaning forward or lying flat.

Causes:

Heart Burn is generally a symptom of Gastro Esophageal Reflux Disease (GERD), and is caused by acid refluxing back into the esophagus.  Risk factor includes:

  • Some common intake of acid foods and juices, stimulate increased stomach acid secretion setting the stage for heartburn.
  • Smoking and the consumption of high-fat content foods tend to affect function of the LES (Lower Esophageal Sphincter).
  • Obesity can also a cause increased pressure in the abdomen, and thus reflux in the same way.
  • Pregnancy can cause increased pressure within the abdominal cavity and affect LES function.

Diagnosis:

Heartburn is a common complaint, though it can be confused with other chest illnesses, which includes heart attack, chest wall pain, pneumonia and pulmonary embolus. Diagnosis begins with a complete patient medical history and physical examination (Like X- ray, Endoscopy and Manometry and pH testing etc).

Quick Tips to reduce heartburn:

Change your lifestyle as following:

  • Eat smaller, more frequent meals
  • Avoid alcohol, aspirin, caffeine and ibuprofen
  • Avoid eating before bedtime
  • If overweight, lose some pounds

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MEN’S EXECUTIVE HEALTH CHECKUP — March 4, 2017

MEN’S EXECUTIVE HEALTH CHECKUP

MEDICAL TESTS EVERY MAN SHOULD GET:

Screening should begin at 20 years of age and by the age of 35 have to checked for every year. To determine the risk factors, this includes:

  • Blood Pressure
  • Diabetes
  • BMI over 30
  • Ultrasound Abdomen and Pelvis
  • Family history of stroke
  • Lipid Profile
    • HDL (Good cholesterol)
    • LDL (Bad cholesterol)
    • Triglycerides

Blood Pressure:

  • If your blood pressure is within the normal range, you only need to have your blood pressure checked every two years. (Normal Range is less than 120/80 mm Hg)
  • If your blood pressure is high, you may require medication to control it and ward off heart disease, kidney disease and stroke. (Blood pressure higher than 135/80mm Hg may be a symptoms of diabetes)

Diabetes: Testing for diabetes may includes

  • Fasting Blood Sugar (FBS)
  • Hemoglobin A1C blood test (HgA1C)

Ultrasound Abdomen and Pelvis: Abdominal ultrasound is a type of imaging test. It is used to look at organs in the abdomen, including the liver, gallbladder, spleen, pancreas, and kidneys. The good news is that an ultrasound can detect an abdominal aortic aneurysm (AAA) before it ruptures. Recommended screening for men, who have smoked 100 or more cigarettes in their lifetime.

Lipid Profile:

High triglycerides are associated with metabolic syndrome, which increases your risk of heart disease, diabetes and stroke.

Prostate Specific Antigen (PSA):  Risks of the PSA blood test outweigh the benefits. False positive results lead to too many unnecessary biopsies. Talk with your doctor about your risks for prostate cancer and whether a digital rectal exam (DRE) should be part of your physical and whether testing for sexually transmitted infections (STIs) is appropriate for you.

  • PSA Screening in men under age 40 and above 70 is not recommended.
  • Routine screening in men between ages 40 and 54 at average risk is not recommended.
  • As compared to annual screening, it is expected that screening intervals of two years preserve the majority of the benefits and reduce over diagnosis and false positives.

 Body Mass Index (BMI): Your body BMI measures your body fat based on your height and weight and it can determine excess weight or overweight or obesity. Excess weight increases your risk for diabetes and heart disease.

Note: Normal BMI Range for adult: 18.5 and 25 Kg/m

So, these complete investigations are covered in our executive health screening package. Click here to review and book for men’s health checkup.

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BARIATRIC SURGERY — March 3, 2017

BARIATRIC SURGERY

Bariatric surgical procedures are an option for treating severe obesity, by reducing intake or absorption of calories. There are various options, all of which have potential complications. Bariatric surgery should always be performed in a specialist centre and long-term follow-up of patients is necessary.

Indications:

 

Bariatric surgery is an option in severely obese patients, where lifestyle and medication have been evaluated but found not to be effective. Surgery can be combined with other treatments.

Adults

weightBMI ≥40 kg/m2 OR BMI 35-40 kg/m2 with other significant disease (eg, type 2 diabetes, hypertension) that could be improved by weight loss and:

  • All appropriate non-surgical measures have failed to achieve or maintain adequate clinically beneficial weight loss.
  • They are receiving or will receive intensive specialist management.
  • They are generally fit for anaesthesia and surgery.
  • They commit to the need for long-term follow-up.

Young people

Surgery is not generally recommended, as it is fraught with ethical issues and the potential long-term benefits and complications are not yet known. NICE suggests that it may be considered in exceptional circumstances, if:

 

  • They have achieved or nearly achieved physiological maturity.
  • They are receiving or will receive intensive specialist management. This will include
  • Full information on procedures available and risks and benefits.
  • Management of comorbidities.
  • Psychological support before and after surgery.
  • Regular postoperative assessment, including specialist dietetic and surgical follow-up
  • Information about access to plastic surgery, such as apronectomy, where appropriate.
  • Access to suitable equipment for obese young people.
  • Assessment of fitness for anaesthesia and surgery.
  • They have had a comprehensive psychological, educational, family and social assessment before undergoing bariatric surgery.
  • They have had a full medical evaluation, including genetic screening or assessment before surgery to exclude rare, treatable causes of obesity. They should also have had a specialist assessment to exclude eating disorders
  • Unfit for surgery.
  • Uncontrolled alcohol or drug dependency.
  • Uncontrolled emotional disorders.
  • Lack of ability to understand surgery, consequences, need for follow-up.
  • Some centres advise pre-operative psychiatric and nutritionist assessment.

Bariatric surgery procedures currently used:

Restrictive:

  • Laparoscopic adjustable gastric banding.
  • Vertical sleeve gastrectomy.

Malabsorptive:

  • Biliopancreatic diversion with/without duodenal switch.

Both restrictive and malabsorptive:

  • Roux-en-Y gastric bypass (RYGB).
  • Other types of gastric bypass.

Other procedures:

  • Gastric stimulation.
  • Intragastric balloon.

Laparoscopic adjustable gastric banding:

Places a constricting ring around the stomach, below the gastro-oesphageal junction. The bands incorporate an inflatable balloon which can adjust the size of the ring, to regulate food intake.

Sleeve gastrectomy:

Most of the stomach is removed, leaving a sleeve-shaped cylinder of stomach with reduced capacity. This procedure is irreversible.

Gastric bypass:

Creates a small gastric pouch (restrictive) joined to the jejunum, bypassing the duodenum and proximal jejunum (malabsorptive). The RYGB is the usual procedure at the current time.

Biliopancreatic diversion:

This is a more extensive form of the gastric bypass, with the gastric pouch joined to the ileum, totally bypassing the duodenum and jejunum. It produces more extreme malabsorption.

Duodenal switch:

 Biliopancreatic diversion is sometimes performed with a duodenal switch. This produces a short distal length of small intestine, severely limiting caloric absorption. This is a complex operation which takes some hours to complete.

Gastric stimulation:

This uses an implanted pacemaker-type device to produce electrical gastric stimulation, thought to cause a feeling of satiety.

Intragastric balloon:

This is an endoscopic rather than surgical procedure, placing a silicone balloon inflated in the stomach to promote a feeling of satiety. There is insufficient evidence to assess its effectiveness and there have been complications such as gastric erosions and ulcers. It is therefore usually removed after six months.

Endoscopic techniques:

It is apart from balloon insertion, various other endoscopic procedures are being developed but are not currently in common NHS use. These are collectively known as primary obesity surgery endolumenal (POSE)

Pre-operative discussion is important; patients may have unrealistic ideas about the amount of weight they are likely to lose, the need for follow-up and the potential complications. Peri-operative mortality is low at less than 0.3%, and is declining.

The incidence of complications within the first six months varies from 4-25%, and depends on procedure used, duration of follow-up and individual patient characteristics. Complications to consider include:

  • Peri-operative complications as for any abdominal surgery include venous thromboembolism. The use of prophylaxis has reduced the incidence of deep vein thrombosis and pulmonary embolism considerably
  • Possible complications of banding are band slippage, leakage, infection or migration.
  • Surgical complications of bypass surgery include leakage or stenosis of the stoma, gastrointestinal ulcers or bleeding, small bowel obstruction and hernias.
  • Nausea and vomiting may occur due to overeating or to stenosis at the surgery site.
  • Dumping syndrome: symptoms are flushing, light-headedness, palpitations, fatigue and diarrhoea, typically triggered by sugar after a RYGB. It is a neurohormonal reaction. It may help to discourage overeating.

Malnutrition:

Micronutrient deficiencies are a recognised problem, especially with malabsorptive procedures. Iron-deficiency anaemia is the most common complication. Calcium, zinc, folate and vitamin D deficiencies can occur. Thiamine, B12 and copper deficiencies may cause neurological symptoms and should be remembered. Protein-calorie malnutrition can also occur. Long-term follow-up is important.

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How To Survive A Heart Attack When Alone? —

How To Survive A Heart Attack When Alone?

Let’s say it’s 7.25pm and you’re going home (alone of course) after an unusually hard day on the job. You’re really tired, upset and frustrated. Suddenly you start experiencing severe pain in your chest that starts to drag out into your arm and up in to your jaw. You are only about five km from the hospital nearest your home. Unfortunately you don’t know if you’ll be able to make it that far. You have been trained in CPR, but the guy who taught the course did not tell you how to perform it on yourself.

How To Survive?

Since many people are alone when they suffer a heart attack without help, the person whose heart is beating improperly and who begins to feel faint, has only about 10 seconds left before losing consciousness.
However, these victims can help themselves by coughing repeatedly and very vigorously. A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest. A breath and a cough must be repeated about every two seconds without let-up until help arrives, or until the heart is felt to be beating normally again.Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. The squeezing pressure on the heart also helps it regain normal rhythm. In this way, heart attack victims can get to a hospital.

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Foods For Maintaining Strong Bones —
Health Quiz —
MIDDLE EAR INFECTION — February 28, 2017

MIDDLE EAR INFECTION

A middle ear infection is also called otitis media, It occurs when a bacteria or virus causes the area behind the eardrum to become inflamed. This infection occurs during winter and early spring and most commonly seen in children that to by the time they reach age 3.

Often, middle ear infections go away without any medication. However, if you have a fever or if pain persists, you should seek to doctor for better medical treatment.

Symptoms:

Some of the most common symptoms for middle ear infections are:

  • Ear pain
  • Irritability
  • Fever
  • Loss of balance
  • Nausea and vomiting
  • Sleeping difficulty
  • Hearing problems
  • Diarrhea
  • Decreased appetite
  • Congestion

Causes:

There are many reasons, why children get middle ear infections.

  • When middle ear to pharynx (Eustachian tube) connected tube is blocked, fluid will collect behind the eardrum. That causes pain and infection, when bacteria grow in the fluid.
  • They often stem from a prior infection of the respiratory tract that spreads to the ears.

Diagnosis:

  • A doctor can usually diagnose a middle ear infection by assessing the patient’s symptoms and looking into the patient’s ear with an otoscope.

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Hemorrhoids — February 27, 2017

Hemorrhoids

HEMORRHOIDS – ALSO CALLED: PILES

Piles (Arshas) are swollen and inflamed veins around the anus or in the lower rectum. Rectum is the last part of the large intestine leading to the anus.

Piles are of two types viz. EXTERNAL PILES – which are located under the skin around the anus and INTERNAL PILES – develop in the lower rectum which may protrude or prolapse through the anus.

According to the severity of the prolapse of the internal pile masses through anal aperture they are further divided into 4 grades also.

WHAT ARE THE SYMPTOMS OF PILES?

  • bright red blood in the toilet bowl while passing stools
  • non prolapsed internal piles are usually painless
  • prolapsed piles often cause pain, discomfort and anal itching
  • blood clots in external piles are called thrombosed piles which cause severe pain, bleeding and hard lump around the anus

HOW COMMON ARE PILES ?

  • Hemorrhoids are very common in both men and women.
  • About half of the population have hemorrhoids by age 50.
  • Hemorrhoids are also common among pregnant women.
  • The pressure of the fetus in the abdomen, as well as hormonal changes, cause the hemorrhoidal vessels to enlarge.
  • These vessels are also placed under severe pressure during childbirth.
  • For most women, however, hemorrhoids caused by pregnancy are a temporary problem.

WHAT CAUSES PILES ?

  • straining during bowel movement
  • chronic constipation or diarrhoea
  • sitting on the toilet for long periods of time
  • a lack of fiber in the diet
  • weakening of the connective tissue in the rectum and anus in old age
  • pregnancy may cause piles by increasing the pressure in the abdomen

HOW ARE PILES DIAGNOSED ?

  • On performing physical examination of anus and proctoscopy doctor will diagnose the condition
  • Sometimes patient s may have to undergo for sigmoidoscopy , colonoscopy and barium enema X-ray to rule out the other conditions

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Healthy Women Checkup Package — February 24, 2017

Healthy Women Checkup Package

Investigations Include:

  • Hemogram profile
    • Hemoglobin – Hb
    • Total Leukocyte Count – TLC
    • RBC
    • ESR
    • MCV
    • MCH
    • MCHC
    • Platelet Count
    • WBC
  • Lipid Profile
    • Total cholesterol
    • Total triglycerides
    • HDL cholesterol
    • LDL cholesterol
    • VLDL cholesterol

Diagnostic Center in Vizag

  • Thyroid 1 Profile (T3, T4 and TSH)
  • ECG
  • Fasting Plasma / Serum Glucose (FBS)
  • RA Factor
  • Complete Urine Test
  • Pap Smear
  • Mammography Both Breast
  • Serum Creatinine
  • Uric Acid / Blood Urea
  • Serum Calcium Total
  • Serum Phosphorus
  • Chest x-Ray PA View
  • Ultra Sound Pelvis

Consultation Includes:

  • Gynecologist Consultation
  • General Physician Consultation

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