Sleep Apnea Treatment

Have you ever heard about the medical term called “Sleep Apnea”? If not, you should. Now, why you should know all about Sleep Apnea because there are certain signs that you might come across in your daily routine during the morning or a whole day and in the absence of the awareness about the disease, you may overlook the signs or symptoms which can become life-threatening if not attended and treated in time.

So, let’s begin to learn something about the disease and throw lights on the symptoms, causes, precautions, treatment and care.

Let’s first look at to the common symptoms of Sleep Apnea disease

  • Loud snoring
  • Episodes in which you stop breathing during sleep — which would be reported by another person
  • Gasping for air during sleep
  • Awakening with a dry mouth
  • A morning headache
  • Difficulty staying asleep (insomnia)
  • Excessive daytime sleepiness (hypersomnia)
  • Difficulty paying attention while awake
  • Irritability

The majority of the above symptoms suggest that you might have Sleep Apnea and you should seek the advice of your Doctor and rule out the disease as this will help you out to avoid the risk of heart problems and other associated complications.

There are three types of Sleep Apnea classified following the symptoms and health condition of a person.

  • Obstructive sleep apnea, the more common form that occurs when throat muscles relax
  • Central sleep apnea, which occurs when your brain doesn’t send proper signals to the muscles that control breathing
  • Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, which occurs when someone has both obstructive sleep apnea and central sleep apnea

Now, let’s bring more understanding to the common cause Obstructive sleep apnea.

While you sleep, the muscles in the back of your throat relax and results in narrowing the airway you breathe in from. In this condition, you cannot get enough air and subsequently it lowers the level of oxygen in your blood. Your brain senses this inability to breathe and rouses you from sleep to reopen your airway. Generally, you don’t remember it at all during the night. However, the deprived sleep symptoms come out during the daytime. Along with a morning headache and irritability, there are incidences reported of road accidents where such person slept during driving.

Now, after knowing all above, it is mandatory for you to know the risk factors which are responsible for the disease called Sleep Apnea. Apart from Nasal congestion, smoking, use of alcohol or sedatives, or family history, there is a common risk factor ‘excess of weight’ is becoming the lead risk factor nowadays.

More than half of people with obstructive sleep apnea are either overweight or obese, which is defined as a body mass index (BMI) of 25-29.9 or 30.0 or above. Each unit increase in BMI is associated with a 14% increased risk of developing sleep apnea, and a 10% weight gain increases the odds of developing moderate or severe obstructive sleep apnea by six times. Compared to normal-weight adults, those who are obese have a sevenfold increased risk of developing obstructive sleep apnea. However, the impact of BMI on obstructive sleep apnea becomes less significant after age 60.

BMI isn’t the sole marker of obesity that’s important. Men with a neck circumference above 17 inches (43 centimetres) and women with a neck circumference above 15 inches (38 centimetres) also have a significantly increased risk of developing obstructive sleep apnea.

So going by the above information, if you know that you are at risk of sleep apnea, immediately consult your doctor. Depending upon the stage, condition and type of sleep apnea, your doctor may suggest lifestyle changes if it is mild or may recommend you the proper therapy or treatment if above mild or severe. Even in the worst cases, your doctor may suggest you to go for Surgery to remove enlarged tonsils or adenoids or weight-loss (Bariatric) Surgery also.


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A Brief Guide on Obesity Causes, Symptoms & Treatment

Written By : Dr. Apurva Vyas

Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty is a newer type of weight-loss procedure. Endoscopic sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without the need for surgery. This procedure may be an option if you’re significantly overweight — a body mass index of 30 or more — and diet and exercise haven’t worked for you.

Endoscopic sleeve gastroplasty leads to significant weight loss. It helps you lose weight by limiting how much you can eat And the procedure is minimally invasive, reducing the risk of operative complications.

Like other weight-loss procedures, endoscopic sleeve gastroplasty requires the commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of endoscopic sleeve gastroplasty.

Why it’s done

Endoscopic sleeve gastroplasty is performed to help you lose weight and potentially lower your risk of serious weight-related health problems, including:

  • Gastroesophageal reflux disease
  • Heart disease and stroke
  • High blood pressure
  • Sleep apnea
  • Type 2 diabetes

Endoscopic sleeve gastroplasty and other weight-loss procedures or surgeries are typically done only after you’ve tried to lose weight by improving your diet and exercise habits. Endoscopic sleeve gastroplasty is less invasive than other forms of bariatric surgery.

Who it’s for

Endoscopic sleeve gastroplasty is often an option for people who aren’t candidates for other bariatric surgeries. The procedure is available to people whose body mass index (BMI) is above 29 who haven’t been successful maintaining weight loss with other methods.


Endoscopic sleeve gastroplasty can lead to significant weight loss. The amount of weight you lose also depends on how much you can change your lifestyle habits.

When weight-loss surgery doesn’t work

It’s possible to not lose enough weight or to regain weight after any type of weight-loss procedure, even if the procedure itself works correctly. This weight gain can happen if you don’t follow the recommended lifestyle changes. To help avoid regaining weight, you must make permanent healthy changes in your diet and get regular physical activity and exercise.


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The Diverse Categories of Bariatric Surgery

Written By : Dr. Apurva Vyas

Bariatric Surgery

Overeating is a kind of addiction which is similar to smoking or alcoholism being a thorny psychological habit to shatter. The weight loss accomplishment after Bariatric Surgery may appeal the patients to gradually pamper in overeating, making them consider that a small further portion of an ice cream or a bar of chocolate is not going to effect after the surgery. However, it does matter in both longer and shorter run.

So, patients even themselves have to play a vital role in getting better on their eating and food habits after the surgery to keep hold of their preliminary success for a lifetime after the surgery.

Here are some of the top tips when followed on a daily basis, will lend a hand to you for avoiding weight regain even after a long time of surgery.

      1. Take smaller food bites

After your operation, when your stomach space has been surgically made compact to put a ceiling on overeating, a few bites of the healthy part of food will fill you up. So take bites as smaller as possible.

      2. Eat gradually

You need to take time to chew and get pleasure from food. This is applicable to each and every person being operated or not.

      3. Don’t drink while you are eating

It is better not to take drinks with food no matter which meals you take. Having a glass of water previous to an hour of your meal is good for health. You can take another glass after an hour of your food.

      4. Use a smaller food plate

You need to use plates that hold less amount of food which is a good way to avoid subliminal overeating routine from taking over devoid of your sense.

     5. Order less food in restaurants

You should order a lesser amount of food when you go to restaurants, order little portions or from the children menu as the fewer food you order, the fewer food you are liable to eat.

    6. Stop eating when you feel occupied

While eating food even if you have just one bite left out in your plate, don’t eat it as your body is not a waste bin. It is like a temple that you require to take care of else you would need to face the consequences. So admire contentment signals from your stomach and not give in to the childhood sessions of “clean your entire plate” as advised from the elders.


At Radiance Hospital, we have operated and cured thousands of patients with Bariatric Surgery and we make possible India’s prevalent active post surgery support groups. A big percentage of our patients fruitfully maintain weight-loss even subsequent to years of surgery following suggested healthy lifestyle and diet plans from our medical experts. Also, our lifetime follows up programs are open to all our patients and those treated by other doctors or surgeons.

For more information about our post bariatric surgery diet, you can any time contact us and set up a swift appointment with our trained dieticians or be present at one of our support group discussions or meetings.

Written By : Dr. Apurva Vyas

Bariatric surgery

The types of bariatric surgery that may be best to assist a person to lose weight. You should converse with your doctor what type of surgery might be precise for you.

Open approach and Laparoscopic Surgery

Open surgery is a good option for people having a higher level of obesity. In open bariatric surgery, surgeons make a sole, big cut in the abdomen. More frequently, surgeons now use laparoscopic surgery, in which they make numerous small cuts and slot in thin surgical tools through the cuts. Surgeons also pop in a small scope attached to a camera that captures as well as projects required images onto a video monitor.

Laparoscopic surgery has less risk than open surgery causing fewer pains and scarring as compared to open surgery. Laparoscopic surgery even leads to a swift recovery.

What are the Surgical Alternatives?

There are four kinds of operations which are described below. Let’s discuss the types of bariatric surgery.

  •       Laparoscopic adjustable gastric band
  •       Gastric bypass
  •       Gastric sleeve surgery
  •       Biliopancreatic diversion with duodenal switch

1. Laparoscopic Adjustable Gastric Band

In this sort of surgery, the surgeon places a ring with an inner inflatable band across the top of your stomach to generate a small pouch. This makes you feel complete after eating a smaller quantity of food. The band has a circular balloon within that is being packed with a salt solution. It is considered as the best bariatric surgery type.

The surgeon can fine-tune the size of the opening from the pouch to the stomach by putting or removing the solution by using a small device known as a port placed under your skin.

Subsequent to surgery, you will require follow-up visits to regulate the size of the band opening. If the band leads to troubles or is not enabling you to lose adequate weight, the surgeon may get rid of it.

2. Gastric Bypass

Gastric bypass surgery has two parts foremost the surgeon staples your stomach having a small pouch in the top section. The staples make your stomach small, so you eat fewer and feel packed sooner. It is one of the safest weight loss surgery.

Subsequently, the surgeon cuts your small intestine and links the lowermost part of it straight to the small stomach pouch. Food then bypasses the stomach and the high part of your small intestine so your body soaks up fewer calories.

The surgeon joins the bypassed fraction farther down to the lower part of the small intestine. This bypassed part is still linked to the major part of your stomach so that the digestive juices can move from the stomach and the foremost section into the lower section of small intestine. The bypass even alters gut hormones and gut bacteria that may affect the overall appetite and metabolism. Gastric bypass is tough to reverse, although a doctor may do it if medically crucial.

3. Gastric Sleeve

In gastric sleeve surgery, a surgeon takes out most of your stomach, leaving back a banana-shaped section that is closed with staples. It reduces food intake making you feel full sooner. Taking out a section of your stomach may even affect the gut hormones and gut bacteria that may affect body appetite and metabolism. The surgery cannot be reversed as some of the stomach is lastingly removed.

4. Duodenal Switch

This surgery is much more complicated than the others. The duodenal switch incorporates two breaks up surgeries. The foremost is similar to gastric sleeve surgery and the second one directs food to bypass the small intestine. The surgeon even attaches the bypassed part again to the last section of the small intestine, enabling digestive juices to blend with food.

This sort of surgery enables you to lose a larger amount of weight than the other three mentioned. But, this surgery is even the most likely to lead to surgery-related issues and lack of vitamins, minerals as well as the proteins in the body.

Moving Forward

Before the above surgeries, you need to meet with numerous health care providers, such as a bariatric surgeon, a dietitian, a psychiatrist, and a psychologist. These medical care providers will recommend you to turn out to be more active and have a healthy eating diet both before and after the surgery.

Written By : Dr. Apurva Vyas

Obesity Surgery

Obesity is one of the principal causes of illness and death across the world. In latest years, the number of overweight people has increased radically. Due to this reason, the World Health Organization (WHO) has named obesity an epidemic.

People who are obese are at a higher threat for severe medical conditions like heart attacks, high blood pressure, diabetes, diseases related to gallbladder and cancers.

The Major Obesity Causes

Obesity starts when your body takes more calories as compared to the amount it burns. In the earlier period, many people thought that obesity was merely originated by overeating and under-exercising, caused by a lack of willpower and less control over your selves. Even though these are major contributing factors, doctors distinguished that obesity is a composite medical crisis that involves stuff like genetic problems, environmental issues, and other social factors.

All these factors have some or the other role in influencing a person’s overall weight. Recent research shows that in several cases, definite genetic factors may cause the modification in appetite and fat metabolism that drives to obesity. For a person who is genetically leveled to overweight gain with a low level of metabolism can lead to an unhealthy lifestyle, with the higher rate of becoming obese.

Behavioral and Environmental Factors Influencing Obesity

Even though a person’s genetic constitute may add to obesity, it’s not the prime cause. The behavioral and environmental factors also have an influence in taking up excess calories from higher fat foods and doing less or no day to day physical activities over the long run will steer to increase in weight. Psychological factors may even increase obesity. Low level of self-esteem, emotional stress, guilt, or trauma can increase overeating as a means to deal with the setbacks.

Some medical scenarios like binge eating disorder (BED), polycystic ovary syndrome and Cushing’s disease can even lead to weight increase and obesity. A BED is an eating chaos where a person has repeated episodes of eating. During these time periods, the person eats a large amount of food rapidly and be short of control over this eating habits.

The Symptoms and Complications

Prostate and bowel cancer in men, breast and uterine cancer in women and stroke in both cases are certain risks involving diseases. The health risks allied with obesity include:

  • Breathing disorders
  • Sleep apnea
  • Chronic obstructive pulmonary disease
  • Coronary artery disease
  • Depression and diabetes
  • Gallbladder or liver disease
  • Gastroesophageal reflux disease
  • High blood pressure and cholesterol
  • The Joint disease like Osteoarthritis
  • Joint pain in the knees and lower back

The more obese a person is, the more likely they are to have health issues in relation to obesity. Aside from the medical worries, obesity is also correlated to psychosocial troubles such as lower self-esteem, discrimination, complicatedness finding employment, and compact quality of life.

Treatment and Prevention of Obesity

Body mass index (BMI) and waist circumference, obesity surgery are some of the ways for diagnosis of obesity. The objective of obesity treatments is to arrive at and remain at a healthy weight. When you observe the warning signs of obesity, you may require working with a team of health professionals comprising a dietician, behavior or obesity counselors to assist you to understand and make modifications in the eating and goings-on habits.

The preliminary treatment aim is more often than not a modest weight loss of 4 to 6 percent of your overall weight. That means that if you weigh 90 kg and are obese by standards, you would require losing around 4.5 kg for your health to commence to improve. However, the further weight you lose, the superior the benefits.

Moving Forward

We hope the mentioned obesity symptoms and treatment would help you control Obesity at early stages. All weight-loss programs necessitate alterations in your eating schedules and increase the physical activities. The treatment process those are precise for you depend on your stage of obesity, on the whole, health status and your keenness to chip in your weight-loss plan.

Written By : Dr. Apurva Vyas