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Treatment-of-Frozen-Shoulder-radiance-hospital

What is frozen Shoulder?
If you are having stiffness of shoulder in all directions then it is called frozen shoulder.

Causes for frozen Shoulder.
Commonest cause is idiopathic that is the exact cause not known Second commonest is diabetes Third cause is it could be secondary to some injury or operation.

Treatment options for frozen shoulder Apart from physiotherapy, injection of steroid as well as sodium hyaluronate in the joint is one of the commonest modality to treat frozen shoulder.
If the patient does not respond to above mentioned therapy, arthroscopy (endoscopy) is the treatment of choice. In this operation doctor puts endoscope inside the joint & cuts the stiff tissues.

Advantages of arthroscopy guided treatment of frozen Shoulder.
It is precise, day care, key hole procedure which gives instant movements & pain relief.

Causes for difficulty in lifting shoulder You have to consult the doctor as it can be rotator cuff (tissue responsible for lifting the arm) tear. 
Doctor may advise for further investigations like MRI which is a very useful tool to diagnose the problem.

Treatment options for rotator cuff tear.
Arthroscopy guided repair is the gold standard. However one can go for mini-open repair which is cost- effective. It has it’s own limitations that one should consult with the doctor.

What to do if cuff repair is not possible?
Doctor may advise for shoulder joint replacement. It is one of the last treatment option. The cost is the factor in country like India.

Causes for recurrent dislocation of shoulder.
The inside structures like labrum, capsule or other bony problems lead to recurrent dislocation.

Treatment option for recurrent dislocation Arthroscopy guided repair is the gold standard.
However in selected cases open surgeries may be required.

What to do after first time dislocation?
Doctor reduces the joint under short anesthesia usually it is closed procedure but in rare cases open may be required.
If you have any question about your knee & shoulder disease, you can write to on preeteshjshah73@gmail.com

Written By : Dr. Preetesh J Shah

bariatric-surgery-in-ahmeadbad

When thinking of any surgical procedures, The first concern of any normal human being is about “safety”…!!
Here we examine the benefits and disadvantages of weight-loss surgery so that you can decide if it is right & safe for you.

Risks of Bariatric Surgery

When matched to the risks of living with obesity that includes complications related to diabetes type 2, hypertension, sleep apnea, Knee joint pain, OSA, Hyperlipidemia, Infertility and an increased possibility of early death, the risks of bariatric surgery are negligible.

Some potential risks of bariatric surgery include dumping syndrome, staple line leak, not losing the desired amount of weight or weight regain.

However, most patients who undergo bariatric surgery and make a commitment to sustained weight loss optically discern a significant improvement in their overall health.  Achieving a healthier weight can eliminate Sleep apnea, reverse diabetes type 2, and good of control high blood pressure, which leads to a longer and healthier life.

Bariatric Surgery is the Safest Surgical Procedures

While any surgical procedures has its own risk, but with the experienced Obesity surgeon, advanced laparoscopic equipments and high end post-surgical care, that risk is  minimised . 

Laparoscopic Bariatric surgery is being performed through the smallest possible incision ( 4 small incision). Even a Single port ( from one hole ) bariatric surgery is possible now a days.  The minimally invasive technique uses high definition cameras and very thin tools, and this approach has shown to cut down on recovery period, reduce your hospital stay, limit scarring and decrease post-operative discomfort.

Our bariatric surgeon at ANSH OBECURE has performed many advanced weight-loss surgeries with the highest success rate in Ahmedabad. Experienced team of Doctors and advanced instruments & technology has improved outcomes and minimised likelihood for surgical complications.

Talk with the Bariatric Expert – Dr. Apurva Vyas

It is always important to discuss any concerns with the bariatric team before deciding whether bariatric surgery is right for you.

We are available at every step of the way to support and guide you along your weight-loss journey. Patient care helpline is always open, including during Hospital visits, query via phone calls, ongoing support groups, and through the Social media portal. We’re here to answer any questions you may have about the process, and what we can do to help minimize the risk of complications.

To know more about weight loss surgery and the ways in which it might you reach a healthful, better-off weight, or just have questions about how we can help; get in touch.

RADIANCE HOSPITAL

Dr. Apurva Vyas , Robotic Metabolic & GI Surgeon
Successfully done 2500+ – Bariatric Surgery (Obesity Surgery)
Address: 3rd & 4th Floor, Shital Varsha III, Opp. Manan Motors, Nr. Vijay Char Rasta, Ahmedabad

Call : +91 70432 11118 Appointments

+91 99987 33377 – Obesity  helpline

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Are adolescent with obesity at a higher risk of hypertension?

 

Written By : Dr. Apurva Vyas

Choosing whether to undergo weight loss surgery can be a difficult and worrying decision to make for a patient. Though nowadays the awareness regarding its benefits is increasing amongst patients, but some myths still persist. False information about obesity and its correlated health issues still persists. Indeed, there are a number of myths proliferating about weight loss surgeries, as the following list explains:

Myth 1: Weight loss surgery means eating a liquid diet for the whole of your life

While liquids are mentioned for the early period after surgery, patients can suppose to enjoy solid foods after some of the weeks. Of course, they will not be able to eat the same amount of as before the surgery, but there are no real restrictions when it comes to the actual kinds of food they eat afterwards.

Myth 2: Weight loss surgery is a facile way out

Like all earnest healthcare ways and lifestyle changes, undergoing weight loss surgery does not mean patients will be able to go about their lives in the same way as they did afore. Indeed, patients are advised to cerebrate about making dietetic changes and take up exercise as a component of their care plan, which will avail avert them from incrementing weight again and destruction any positive changes that have been made.

Myth 3: Weight loss surgery will cause wide scarring

All weight loss surgery is done through keyholes, i.e laparoscopically. The surgery is performed through small holes made over abdomen. So patients will only be left with a small mark. In cases where advisable the surgery can also be performed through a single hole through belly button so as the mark is not visible at all. In these cases it is also helpful cosmetically.

Myth 4: Doing weight loss surgery avoids future pregnancy

While it is often suitable to wait a year or two after having surgery and to attain a lower weight before getting pregnant, weight loss surgery itself will not prevent women from having a child. It should be noted, that having the surgery can cause some hormonal fluctuations, if you are planning of having children then it is a good idea to wait for a minimum of 18 months after surgery, To maintain nutrition during pregnancy for mother and fetus both are most important.

For Know more about weight loss surgery and the ways in which it might you reach a healthful, better-off weight, or just have questions about how we can help; get in touch.

 

RADIANCE HOSPITAL

Dr. Apurva Vyas , Robotic Metabolic & GI Surgeon
Successfully done 2500+ – Bariatric Surgery (Obesity Surgery)
Address: 3rd & 4th Floor, Shital Varsha III, Opp. Manan Motors, Nr. Vijay Char Rasta, Ahmedabad

Call : +91 70432 11118 Appointments

+91 99987 33377 – Obesity  helpline

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Common Winter Diseases: How to Prevent?

 

Written By : Dr. Apurva Vyas

Winter might be best known for holidays and fun-filled activities, but it is also known for being cold and flu season. Spreadable viruses are active all year, but some say we may be weaker in the winter because we spend more time together indoors, and the viruses can spread easily from person to person.  The best way to protect ourselves from them is to make sure we follow proper hygiene, such as washing your hands commonly and covering our mouths and noses when we cough and sneeze. The more you know about winter illnesses, the better you can protect yourself and family members from them.

Here’s a list of winter-specific diseases/illnesses and ways to protect you and your family.

Cold and Fever

One of the most common illnesses related to winter is cold or fever. While these can affect the people of all ages and at any time, winter is awful due to a sudden drop in the temperature. Symptoms include weakness and pain in the body, continuous sneezes, headache as well as lack of taste. Home solution includes washing hands regularly to kill cold and fever causing germs that the children might have picked up from touching surfaces like door handles, ground, sports equipment, and even phones. Do not give children banana and curds. Give them fruits rich in Vitamin-C. If fever persists for more than three days, consult your family physician.

Sore Throat

One of the most common viral infections in children during winter is a sore throat. Symptoms include difficulty in eating, swallowing, and talking. Home solution includes gargling with salt with warm water four-five times a day.

Asthma

Winter season is a major cause of asthma and related symptoms like coughing. Although it’s difficult to exactly pinpoint what causes asthma in winters, allergens, especially pollens present in the air can trigger shortness of breath in children with a previous history of the disease. Symptoms include difficulty in breathing. Home solution includes wearing of the scarf over nose and mouth, using the air purifier at home, staying indoors, and keeping inhalers accessible.

Tonsillitis

Caused by air-borne bacteria and viruses, and most common during winters, tonsillitis, also commonly called as tonsils in India, is the inflammation or swelling of the tissues of the tonsils at the back of the throat. Symptoms include swelling, difficulty in swallowing and eating, sore throat, and irritation. Gargling with warm water mixed with salt is one sure shot method to reduce the pain. Don’t eat any cold items like ice cream and others.

Ear Infection

Ear infection is an extension of cold and can also be caused by water retention in the ear. It can cause severe pain in children. It can occur overnight without any warning signs. Symptoms include ear pain, swelling, pus formation and difficulty in hearing. Basic Precaution includes draining the water from the ear after shower or swimming.

Flu
Also commonly known as influenza, it’s one of the most common infections to everyone in winters. It’s a highly spreadable viral infection that affects the breathing tract. Symptoms include fever, body pain, headache, sleepiness, and cough. Helpful measures include getting annual flu vaccination and showing to a doctor if any of the above symptoms are detected.

Just follow these steps and you can prevent your Family from falling sick:

PREVENTION TIPS

  1. Avoid contact with people that are already unwell
  2. Teach your child hand hygiene. Teach them to use tissue paper when they are coughing or sneezing. If tissue paper is not available, tell them cough or sneeze in the area where the elbow bends. Use an alcohol-based hand sanitizer to disinfect palms and the back of the hand.
  3. All cold medications contain paracetamol in some forms, so do not use both cough medications and paracetamol separately. Take paracetamol only to reduce pain, headache, and fever.
  4. Do not self medicate. Go to your Family Doctor.
  5. Stay home, and take rest.
  6. Everyone 6 months and older should get a flu vaccine every year before flu activity begins in winter Time. Consult your physician for the same.

 

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Written By : Dr. Apurva Vyas

weight-loss

Weight gain may be seen in people taking medicines for diabetes. However, keeping your weight in check is not only possible but an important part of your diabetes care.

What Is the Effect of Diabetes Medicines on Weight?

The medicines (oral diabetes pills and insulin), that you take for your diabetes, lower blood glucose levels by ushering glucose from the blood into the cells. This is good. But if you take in more calories than you can burn, your cells will end up getting more glucose than they need. The excess glucose gets stored as fat leading to weight gain.

Insulin plays a role in regulating blood sugar levels and converting food energy into fat. It also helps break down fats and proteins.

During digestion, insulin stimulates muscle, fat, and liver cells to absorb glucose. The cells either use this glucose for energy or convert it into fat for long-term storage.

Eating more calories than the body needs will lead to excess glucose levels. If the cells do not remove glucose from the blood, the body will store it in the tissues as fat.

When a person takes insulin as a therapy for diabetes, their body may absorb too much glucose from food, resulting in weight gain.

Why Is Weight Loss Important for Diabetes?

It’s different to what many believe, you don’t have to lose a lot of weight and look thin in order to enjoy the benefits of weight loss.

As per the expert doctor’s advice and studies have shown that some amounts of weight loss in overweight and obese people with diabetes improve blood glucose control, and lower the risk of developing heart disease and stroke.

Additional benefits of ordinary weight loss include being less reliant on medicines for blood glucose control, as well as improved quality of life and physical working.

How Much Weight Should I Lose?

Ideally, lose 5% to 10% of your current body weight. It is better to set small realistic weight loss goals that you can achieve than high ones. Even if you are not trying to lose weight, making an effort to eat less and eat more healthily can have long-term beneficial health effects

Below is a list of ideas to lose weight and maintain weight loss. Take the advice from your healthcare and ask for guidance on what works best for you.

  • Plan your meal to have the right mix of carbohydrates (brown rice, wholemeal bread, and noodles), fruit and vegetables, meat and others (fish, tofu, beans and nuts, milk and dairy products), and healthy fats and oils.
  • Choose carbohydrates that contain plenty of nutrients (vitamins, minerals, and phytochemicals) and raise blood glucose slowly or a little.
  • Don’t skip meals to cut calories. In fact, you are more likely to make poor food choices at the next meal because you are too hungry. Furthermore, skipping meals can cause a mess to your blood glucose levels if you don’t adjust your insulin dose. Instead, drink a glass of water before a meal and chew your food slowly.
  • Be physically active. Aim for at least 150 minutes of moderate-intensity physical activity and resistance exercise two to three times per week. Most people with diabetes can perform the exercise safely as long as they take precautions. Talk with your doctor about activities and exercises that are suitable for you.
  • Ask your doctor about other diabetic medicines. Check with your doctor whether there are diabetes medicines that can promote weight loss and enable you to reduce your insulin dose without affecting your diabetes treatment plan.
  • Take your medicines as per the doctor’s advice. Don’t skip or reduce medicines to avoid weight gain. Although you may lose some weight, the consequences of taking fewer medications than prescribed are serious. Without enough medicines, your blood glucose level will rise, and so will your risk of diabetes complications.


You have also a good option for Weight loss surgery or Obesity surgery for Diabetes. In Ahmedabad, Radiance Hospital is one of the best for the Metabolic and Bariatric (Obesity) Surgery

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Written By : Dr. Apurva Vyas