Interesting Medical Cases of Diabetes at Noble Hospitals

The very mention of the word diabetes invokes panic and depression in everyone. But is there a need to panic and feel sad about diabetes? What is the reality? Lets understand what is diabetes and the best approach to treatment through case studies of two individuals who came to Noble Hospitalsa 2-year old boy and a 38-year old woman. Hope makes all the difference in life and our approach to life. At Noble Hospitals, we stress on instilling this hope in our patients and drive them towards a positive approach in handling diabetes.

Diabetes is a disease that affects the pancreas causing loss of insulin and insulin resistance. There is high level of sugar in the blood stream, which needs to be controlled with dieting, physical activity, or with insulin tablets. This is more prevalent among obese individuals. For obese individuals, bariatric surgery is also a remedial option to control diabetes. If the sugar level in the blood is not controlled, it can lead to other health disorders that affect the heart, eyes, kidneys, brain, and the feet.

Patients diagnosed with diabetes initially panic and worry that this is a lifelong disorder that can affect their future. They feel bad that diabetes will affect their freedom to enjoy life, eat what they like, and lead a carefree lifestyle. But this isnt true.

A 2-year old boy and his mother visited us at Noble Hospitals with an array of problems, fever, recurrent urinary infections, loss of appetite to eat or drink, loss of weight etc. They had visited several hospitals for 3-4 months with no result. During our investigation, we found that he suffers from Type-1 diabetes with a high level of sugar of 487 and continuous loss of insulin from his pancreas.

At Noble Hospitals, we gave him the right treatment and he started eating well and gaining weight. However, the mother was broken when she realized that he is diabetic and requires lifelong medicines. Apart from the disciplined schedule of treatment, we gave them hope and instilled confidence in them. Today, the boy is about 13 years old leading a normal life, playing cricket and football. He is very disciplined than other boys, avoids oily food, and other unhealthy stuff as he understands his body well.

The experience of this boy confirms that diabetes is not a curse, rather a way to lead a disciplined life to ensure good health. Diabetes forces you to lead a perfect life with planned and timely food intake, avoiding binge eating, and doing physical activity for atleast half an hour. This is essential for healthy body, healthy mind, and happy life for a long time.

Another interesting experience is that of a 38-year old woman withType-2 diabetes. She was taking insulin injections for many years and was dejected in life. She was constantly complaining, was depressed and angry, and was anxious about her life ahead. She developed dislike towards her appearance and was cribbing about the injections. After she visited us, we gave her hope that she can do away with the injections if she follows the diet recommended and indulges in physical activities. We motivated her put her to follow a certain discipline, counseled her, and gave her hope that her condition will improve and we will keep her healthy for the rest of her life. Due to the trust that she had in us she followed a strict diet and avoided sweets, despite her liking towards it. With a planned diet chart and allowance to have a sweet during a holiday, her anxieties came down, and she started responding well to treatment losing about 5-10 kgs of weight. She increased her walking time from 20 minutes to 45 minutes. With constant support and counseling she became more confident, and surprisingly her sugar level started falling. It became low to such an extent that we stopped insulin and put her just on anti-diabetic medicines. She was extremely grateful to us and started enjoying her life with her husband, family, and friends.

These two medical cases confirm the reality that diabetes in fact creates discipline in you, akin to a strict but gentle father who would not take a no for an answer. Eventually, you can live a better lifestyle even with diabetes without any worry by focusing on diet and physical activities.

Visit us at Noble Hospitals if you would like to know more about your health and seek our guidance.

Sleep Apnea – Causes and Treatment

The way you feel when you wake up in the morning decides most of the activities that you do through the day. If you havent slept well you are most likely to feel sluggish, less productive in work, and end up making mistakes. Sleep plays an important role in determining your overall health. Sleep disturbance, medically called sleep apnea, can occur because of three major reasons.

Reasons for sleep disturbance

Physical discomfort: If a person suffers from any type of physical discomfort, it can lead to sleep apnea. Some of the most common reasons for physical discomfort are:

  • Burning sensation in the feet
  • Breathing difficulty
  • Burning sensation in the chest
  • Gastric issues
  • Pain in the anus
  • Constipation
  • Diabetic neuropathy of the feet
  • Abscess or pus collection anywhere in the body causing pain
  • Bone fracture

These reasons lead to discomfort preventing a person from having sound sleep. These physical conditions to be rectified to ensure good sleep. If still the person suffers from sleep disorder, then the psychological state of the person needs to be assessed.

Psychological reasons: Psychological trauma or pain because of any event in life can also disturb sleep causing sleep apnea. Some of the most common causes of psychological distress include:

  • Loss of loved one
  • Accident and damages due to that either physically or financially
  • Natural or man-made disasters
  • Losses in business or loss of job
  • Disappointments in relationship
  • Problems at work place

Thoughts related to these reasons can keep a person awake and prevent him or her from having peaceful sleep. Such people require counseling to overcome their emotional problems or even administering anti-depressants or anti-anxiety medicines.

Obesity: Obese individuals do not get good sleep because of the thickness of neck. People generally sleep superficially in the initial few hours and then fall into deep sleep. Deep sleep is similar to coma sleep, the tongue falls back into the throat and airway narrows down because of the loss of muscle tone. Some people snore because of the loss of streamlined flow of air into the lungs and the throat. This causes low levels of oxygen and there are periods of no breathing called apnea. Apnea refers to the saturation of oxygen level. Obese individuals never enter into deep sleep state.

For obesity related sleep apnea the patient is asked to sleep in an upward position where the tongue does not fall into the throat. Patients are asked to turn sideways and sleep to facilitate easier breathing and thereby promote sleep. But some patients may require the help of a sleep app machine. This machine is used for those people who are unable to shed weight. The sleep app machine involves a mask that is placed on the patient ensuring a good push of air into the system, facilitating good sleep.

For obese people, bariatric surgery is also recommended to reduce weight and to ensure better breathing. Losing weight makes the body lighter and helps the person relax and sleep.

Importance of Sleep Study

The best way to assess sleep is by conducting a sleep study. Sleep study is a procedure where the patient is asked to lie down and some wires and electrodes are attached to the body and connected to a machine. This machine measures the level of oxygen, studies breathing pattern, the flow of air, and the depth of the patients sleep.

Sleep study helps ascertain the apnea hypopnea index, which is an index used to indicate the severity of sleep apnea. If the ratio is below 20 or 25 or more, then it indicates poor sleep quality. Even if the patient states that he or she has slept well without moving, it does not indicate deep sleep. Sleep study is more about the REM-Rapid Eye Movement and Non-REM sleep.

If a person does not have required hours of sleep, in the long run it will lead to faster ageing, emotional instability, depression, bad food habits, sexual disorders, hypertension, diabetes, weight gain, and other health complications.

Good quality sleep is the most important requirement for good health. Talk to us at Noble Hospitals if you require any assistance on sleep disorders.

Best Approaches to Manage PCOS

Polycystic Ovary Syndrome (PCOS), a hormonal disorder affects women in the reproductive age group. Symptoms include irregular menstruation, excessive facial hair, weight gain, mood swings, insulin resistance etc. These symptoms are a result of the imbalance in female hormones and a higher level of androgens. The hormonal disturbance results in growth of cysts in the ovaries. Women with PCOS find it difficult to conceive.

Though there is no complete cure for this disorder, PCOS can be effectively managed based on the functioning of your endocrine system. Best approach to deal with PCOS is explained here.

Indulge in physical activity: Try to include moderate to vigorous physical activity in your daily routine. Walking is also good if you cannot indulge in other physical activities. This promotes weight loss and helps balance your hormones and regulate menstrual cycle. Lifestyle changes go a long way in curing PCOS.

Eat healthy food: Visit a dietician and plan your intake of food. Preferably, eat lot of fruits and vegetables and cut down on foods high in saturated and trans fat.

Foods that you should avoid are:

  • High Glycemic Index (GI) foods to regulate blood sugar levels
  • Dairy products to prevent increase in testosterone levels
  • Soy products to avoid delay in ovulation

Consult your doctor about medications: Medications are available to control the hormonal imbalance that causes PCOS. These are mainly birth control pills. Your doctor may prescribe these pills if you are not planning to get pregnant. For women who are infertile because of PCOS, doctors prescribe fertility drugs that aid ovulation. Anti-androgen drugs help in reducing male hormones. Your doctor will suggest the best medication that suits your condition.

Check out the possibility of surgery: Surgery is the last option but effective for women who suffer for a long time and with large ovaries. Laparoscopic surgery with the help of laser to destroy the abnormal tissue is effective to cure PCOS. But this surgery carries its own risks.

To know more about how to manage PCOS, book for a consultation at Noble Hospitals.

Surgical Indications and Non-Surgical Remedies for Hysterectomy

Surgical Indications and Non-Surgical Remedies for Hysterectomy

Hysterectomy is the surgical removal of the uterus. There are several reasons why doctors recommend hysterectomy for a patient. Hysterectomy can be performed through an open surgery or a laparoscopic surgery.

Surgical indications for Hysterectomy

  • Excessive bleeding from the uterine lining during menstruation: This is also called as Dysfunctional Uterine Bleeding (DUB)
  • Presence of fibroids in the uterus: Fibroids are benign tumors that grow in the uterus due to hormonal imbalance
  • Prolapse of the uterus: The uterus prolapses into the vagina. This is because of multiple child births, which weaken the ligaments causing the uterus to sink into the vagina.
  • Cancer: Women who have cancerous tumors in the uterus may also be advised hysterectomy.

If surgery is the option for you, remember to ask the following ten questions to your surgeon.

  1. Why should I undergo a hysterectomy?
  2. What are the non-surgical options available for my condition?
  3. Is an open surgery suitable for me or should I opt for laparoscopic surgery? If laparoscopy is not suitable for me, why?
  4. What are facilities available in the hospital for an hysterectomy surgery?
  5. Are the doctors and the para medical staff well experienced to handle the surgery?
  6. Will I get insurance coverage for this type of surgery, including the other expenses?
  7. What is the recovery period? How good is the post-operative care, such as wound healing and suture removal in the hospital?
  8. What are the changes that I can expect in my body after the surgery, if my uterus and ovaries are removed and how will it affect my quality of life?
  9. Will the surgery affect sexual life with my partner?
  10. What are the complications of hysterectomy in the long run?

Seek clarity regarding all the above questions before you consent for the surgery.

Non-Surgical Remedies

Non-surgical remedies are available for all the surgical indications listed for performing hysterectomy.

DUB: Laser therapy is used to destroy the lining of the uterus to prevent recurrent bleeding, anemia and related problems.

Uterine prolapse: In cases of prolapse of uterus, laparoscopic repositioning is suggested if the patient is unwilling for a surgery. The procedure involves placing a mesh to reposition the uterus back into the abdomen and preventing it from sliding down into the vagina.

Fibroids: For women suffering from fibroids, the Department of Interventional Radiology uses angiogram catheters to block uterine arteries and their branches that feed the fibroid. The growth of the fibroid gets regressed because of the lack of blood supply.

Cancer in the uterus: If cancerous growth is present in the uterus and if the patient wants to preserve her uterus for child birth, then chemotherapeutic drugs are provided to contain the cancerous growth. Selective removal of the tumor also helps in preserving the uterus.

It is best advised to consult your doctor before you opt for any of the non-surgical remedies.

Gallstones – Complications and Treatment

Though gallstones do not pose any immediate life threatening problem, complications do arise if not treated at an early stage when you just have pain. This article describes the complications associated with gallstones and treatment available for gallstones.

Complications of Gallstones

Serious complications of gallstones include obstructive jaundice because of the accumulation of bilirubin in the body. Sepsis is yet another threatening complication, which is a result of bacteria from an infected gallbladder entering into the blood stream and spreading throughout the body.

The best ways to prevent gallstones is to get more active, and burn the stored energy and increase your metabolism. This also improves your immunity and prevents breakdown of red blood cells.

Treatment for Gallstones

The treatment options for gallstones have not met with great success. Hence, surgery is the only option available for treatment, whether you are symptomatic, that is you are having pain or you are asymptomatic, without any symptoms. In both cases, the treatment approach is to first undergo a physical fitness test with the Anesthetist to ascertain your fitness for surgery, and then undergo a laparoscopic surgery to remove the gallstones along with the affected part of the gallbladder. You may have to stay in the hospital for about a day or two. The cost for the surgery is approximately between Rs.75,000 to Rs.1,50,000 based on the extent of complication in your case.

If you would like to know more about your specific condition, book for a consultation at Noble Hospitals.

Types of Gallstones and Common Symptoms

Gallstones are deposits formed in the gallbladder, which is a small pear-shaped organ located under the liver. It is hard for a person to even know that they have deposits of gallbladder stones until they experience pain. This article describes the types of gallstones and common symptoms that you may notice if there are gallstones in the gallbladder.

Types of Gallstones

There are two types of gallstones:

  • Cholesterol stones: These stones are usually yellow in color and are a result of obesity, high cholesterol in the blood, lack of physical activity, and fatty liver.
  • Pigment stones: These stones are black in color, varying in size, and are formed as a result of breakdown of red blood cells.

Common Symptoms of Gallstones

Though most people with gallstones are unaware that they have gallstones, symptoms appear as complications develop. Some of the common symptoms of gallstones include:

  • Pain in the right upper abdomen, which is localized, or radiates to the right shoulder or the right back and chest
  • Fever and vomiting associated with gallstone infection
  • Severe catching pain in the mid epigastrium or the mid chest, similar to a heart attack or gastric reflux associated pain