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IMPORTANCE OF LIVER HEALTH AND HEPATITIS B

Many of us are not aware that liver is an organ that is responsible for the overall maintenance of the human body. The liver is an important organ that filters toxins out of the blood, stores energy for later use, helps with digestion, and makes substances that fight infections and control bleeding.

It is rather surprising that although the liver is such an important part of our daily health and well being, it is often overlooked when it comes to proper care and attention. There are so many ailments that can befall the liver. The main reason for damage of liver is attributed to alcoholism, but bad food habits, sedentary lifestyles and cholesterol accumulation in the liver is equally risky. Liver is also susceptible to infections like Hepatitis B virus infection.

Hepatitis B infection causes liver damage and is today one of the most challenging reasons for liver damage.


What is Hepatitis B?

Hepatitis B is an infectious Hepatitis cause by the Hepatitis B virus (HBV). All most all adults who get infected are affected for a short time and then get better. This is called the acute hepatitis B infection. Sometimes the virus causes a long-term infection and then it is called the chronic infection. Such infections can over sometime cause severe liver damage. It is seen that babies and young children are more prone to get chronic hepatitis B. Many a time the symptoms of hepatitis B infection are not easily detected and if you feel the symptoms then they are like a mild flu.

How is the virus transmitted?
Hepatitis B is a blood-borne virus and it is transmitted from one person to others mainly through blood or fluids contaminated with blood. Yet another important route of transmission is from the infected mother to a newborn child, occurring during or shortly after birth. Contact with blood between persons happen through the use of needles among drug abusers. The virus can also be transmitted through sexual contact with infected person. The transmission occurs when the body fluids come in contact with broken skin or mucous membrane in the mouth, genital organs or rectum of the infected person.


The symptoms of Hepatitis B

The symptoms of Hepatitis B are not always well manifested instead you’ll feel that you run a mild flu. Some other symptoms include feeling tired always, mild fever, and headache, loss of appetite, vomiting, stomach ache, dark urine, tan colour stools, yellowish eyes and skin (jaundice) which usually appears after other symptoms have subsided. People with chronic Hepatitis may not show any symptoms at all.

Diagnosis and treatment

Usually a simple blood test for Hepatitis B is done to detect the infection. From the result of the blood test the doctor will be able to clearly tell whether you have the Hepatitis B virus or if you had it in the past. If the doctor suspects that there is some sort of liver damage that has happened then a liver biopsy is undertaken. From the blood test the doctor will also be able to tell you if you have had any vaccination to prevent the virus.
As far as treatment is concerned Hepatitis B virus infection usually goes away on its own. Most of the symptoms of Hepatitis B infection can be treated at home with plenty of rest, healthy foods, good hydration and an absolute no to alcohol and drugs. Chronic Hepatitis B infection can be treated with Antiviral if required. In patients with Hepatitis B related Cirrhosis Liver with decompensation may require Liver Transplantation.

Prevention is in your hands
Hepatitis B vaccine is the best option to prevent the infection. The vaccine is administered in a series of 3. Adults, children, babies and teenagers should all be vaccinated for Hepatitis B to prevent its onset and spread. Other steps involve not sharing common needles, using sterilized gloves to handle infected persons, not sharing razors or toothbrushes, avoid body tattooing if you feel the needles are not properly cleaned. Definitely use condoms during sexual contact and ensure your safety at all times.

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Department of Gastroenterology – CME Programme

Department of Gastroenterology conducted a CME on 21st July 2017 at Zone by the park hotel. Dr. S. Joseph Jensingh Babu MD, DNB presented about GERD – When to Refer?, Dr.M. Bharath Kumar MD., DNB., MRCP presented about Approach to Jaundice, Dr. P. Mahesh Sundaram DNB, MRCS., DNB., FIAGES., presented “An Overview about minimally Invasive Surgery at Annai Arul Hospital, and Dr. N. Venkatesh presented about “Management of Obesity by Diet”. Around 110 practitioners and consultants participated in the programme.

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A GRAPHIC GUIDE TO ULCERATIVE COLITIS

A GRAPHIC GUIDE TO ULCERATIVE COLITIS

Ulcerative Colitis is a inflammatory bowel disease that causes chronic inflammation of the cells that line the rectum and the colon (large intestine). The result is formation of ulcers, which can bleed profusely and upset the digestion process. Lifestyle adaptation and medication can control the inflammation and the effects of Ulcerative Colitis.

WHAT ARE THE SYMPTOMS OF UC?

Stomach Pain & Diarrhoea

The first sign of Ulcerative Colitis is the stomach pain you get along with bloody diarrhoea. These symptoms may be irregular of persistent and very severe.

Sudden Weight Loss

Chronic inflammation of the alimentary canal leads to loss of appetite, weight loss, nausea and cessation from normal growth for children.

Other Warning Signs

Sometimes Ulcerative Colitis exhibits symptoms outside the alimentary canal. These symptoms include skin sores, joint pain, anaemia, fatigue and frequent fatigue are some other symptoms of UC.

PEOPLE AT RISK

More and more Indians are now diagnosed with Ulcerative Colitis. This can be attributed to their food habits and inability to be active. Ulcerative Colitis is more common between the age of 15 to 25 years. UC can be also hereditary.

Causes for Ulcerative Cancer

Ulcerative Colitis is still a mystery as far as any specific cause is found out. It is though suspected that it is an immune system. What happens is that the inflammation in the alimentary canal prevents the good bacteria in the Intestine to react differently. Gene mutation may contribute. Yet another cause is stress or diet that can bring about UC.

Urgent Care for UC

Ulcerative Colitis can sometimes get serious and usher you into a hospital. The condition can be due to a bleeding ulcer, uncontrolled diarrhoea and dehydration. The first thing a doctor will do is to prevent the loss of blood or fluids. If you get a tear in the colon then you will have to visit the doctor and undergo a surgery.

Effects of UC

Ulcerative Colitis hikes the risk of colon cancer especially when the entire colon is affected for long periods of time. Medical attention on priority is needed to put the UC into remission and lower the risk of cancer. Colonoscopy can detect colon cancer at an early stage.

How to Control UC?

Modern medicine has many drugs that can help get the inflammation out of the body and help with recovering the power of the alimentary system. Anti-inflammatory medicines are prescribed by doctors or use of biologic therapy which is the latest treatment for high risk Ulcerative colitis. If everything fails then the final treatment is surgery.

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DOES DIABETES MELLITUS AFFECT THE SKIN?

Diabetic patients should always be aware of the many effects it causes on human body. One such affliction is the skin disease that diabetes mellitus causes rampantly. When a diabetic patient discovers abnormality on the skin it is better to consult a doctor and start a treatment otherwise it will be very difficult to cure later. In most cases skin disease in diabetes can be managed by early diagnosis and treatment.

Some of the more widespread skin diseases in diabetic patients are discussed here.

Vitiligo

This is a skin condition that affects those people with type 1 Diabetes than type 2 Diabetes. With Vitiligo the pigments that make skin color get destroyed or the special pigment cells in the body are destroyed. These leaves patches of depigmented skin lesion. Vitiligo affects the whole body including chest, abdomen, face, around the mouth, and eyelids. Topical steroids and micro-pigmentation or tattooing the discoloured area are the treatment.

Diabetic Dermopathy

This is also called as shin spots. The skin condition develops due to the changes in the blood vessels that supply the skin. The dermopathy appears as shiny round or oval lesions of thin skin over the front lower parts of the lower legs. The patches do not hurt but rarely they can be itchy and cause burning. Usually medical treatment is not necessary.

Digital Sclerosis

Digital sclerosis is a condition in which the skin on the toes, fingers and hands become thick and waxy. There can be a certain stiffness of the finger joints also. The only treatment is to get the sugar levels back under control. Lotions and creams can help soften the skin.

Diabetic blisters

In some rare cases, people with diabetes may develop blisters on the skin that resembles burn blisters. The blisters are commonly seen on the fingers, hands, toes, feet, legs or forearms. Diabetic blisters are generally painless and heal on their own. This skin problem occurs in people who have uncontrolled diabetes and diabetic neuropathy.

Bacterial & Fungal Infections

Patients with diabetes are prone to bacterial and fungal infection of the skin because bacteria and fungi feed on sugar. Bacteria like Staphylococcus are more common and serious in patients with uncontrolled diabetes. The bacterial infection can result in boils at hair follicles. Other infections like styes which occur in the eyelids and nail infection are common. The rampant fungal infection occurs mostly in the toes and in-between toes with itchy rashes. The common fungal infections are jock itch (on genitals and crevices) athlete’s foot (inbetween toes) and ring worm.

How to control diabetic skin Infection?

High blood sugar makes the immune cells slow and sluggish, that is why it is harder to fight an infection once it takes hold. Prevention is important in skin care. Check the skin daily for injury, cuts or scrapes. Eating healthy food alone can’t cure skin problems; keeping blood sugar under control is the best option. Avoid extreme temperatures when you have diabetes. Diabetes can cause nerve damage called neuropathy, where you can lose the feeling in your hands and feet and may not realize pain when you are hurt. Frequent foot soaks may be recommended for calluses and dry skin but when you soak and don’t dry properly it causes infection between toes and on the nails due to fungal attack. Never cut calluses by yourself. Sometimes a skin problem is the first sign of diabetes.

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WHAT IS SWELLING OF THE PROSTATE GLAND OR PROSTATITIS?

Prostate gland usually gets enlarged in older men. The prostate gland enlargement is also called prostatic hyperplasia. The main problem with prostate gland enlargement is that it causes difficulty in passing urine. Symptoms in prostate gland enlargement are often mild and overtime may even improve. If the symptoms turn out to be troublesome then you may need surgical intervention or medicines to cure it.

Among leading hospitals for prostate enlargement treatment Annai Arul Hospital stand with its advanced facilities for prostate treatment including surgery.

What is a Prostate?

The prostate gland is found in men and lies just beneath the bladder. It is normally the size of a chestnut.  The tube that carries urine from the bladder runs through the prostate. The prostates function is to produce the fluid that protects and enriches the sperm. The prostate has a tendency to slowly start enlarging after the age of 50 and by the age of 90 most men have an enlarged prostate.

How to find Prostate Enlargement?

When the prostate enlargement happens it slowly narrows down the urethra. This will partially affect the passage of urine. At this state the symptoms will include:

Poor streaming – The flow of urine is weak and it takes a long while to empty the bladder

Feeling Hesitant – When you are about to urinate you will have to wait for some time

Dribble Effect – At the end of the passing urine, the flow gets really slow and starts dribbling

Unsatisfactory Emptying – Even after urinating the feeling of not quite emptied bladder

Irritable Sensation – The enlarged prostate causes irritation in the bladder and indicates enlargement

Mostly the symptoms of enlargement are mild at the beginning but over months and years the symptoms become more troublesome and severe, it is at this juncture that complications develop in rare cases.

What are treatment options for PE?

There is no treatment option that is likely to clear all symptoms and improve the condition fairly except waiting and watching in most of the cases. The treatments are carried out based on how desperate is the urine blockage and how bothersome is your life due to prostate enlargement.

Medicines

The treatment of prostate enlargement largely depends on the condition of your prostate enlargement and how much of trouble it is giving. If there is not much symptoms then it is best to wait and watch. Two groups of medicines are prescribed usually the alpha – blockers and 5-alpha reductase inhibitors. But is seen that medicines do not cure the problem nor do they make the symptoms go away completely. The only advantage being that medicine eases the body and various symptoms.

Surgery

Another option in prostate treatment is removal of the prostate or surgery. This is an option in cases where the symptoms get out of control and seems to have no result with medicines. In the surgery the central part alone of the prostate is removed which creates a channel for the urine to flow freely. Meanwhile another part is left behind. If there is a case of prostate cancer then the procedure involves total removal of the troublesome prostate. The surgical methods involve transurethral Resection, open prostatectomy and laser prostatectomy.

If you have the symptoms for prostate enlargement and still you are waiting it is always advisable to visit the Speciality Urology Department of Annai Arul Hospital to find a proper solution for prostate problems.

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