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Biopsy – All You Need To Know About Biopsy

For a variety of cancers the only way to provide a definite diagnosis about a condition is to carry out biopsy. The procedure involves the removal of a sample of cells or a tissue from the body for a closer examination.

Biopsy - Types of Biopsy

Types of Biopsy

Needle Biopsy – This type of biopsy is used mostly for diagnosis of cancers that can be felt through the skin. These include enlarged lymph nodes as well as breast nodes

  • Fine needle aspiration A needle and a syringe is used to get a sample from either breast lump or thyroid.

  • Vacuum assisted biopsy – There’s a suction device is used to extract more amount of fluid at a time so that the needle does not have to be inserted many times.

  • Image guided biopsy - Image guided biopsy uses a combination of imaging procedures like computerized tomography (CT), X-ray, sonography or MRI.

  • Core needle biopsy – It uses a needle that is larger with a cutting tip to draw the sample column of tissue.

Endoscopic Biopsy- An endoscope is used for taking tissues from the stomach during endoscopy. An endoscope is a tube with a camera at its end.

Incisional Biopsy – It involves taking a small part of skin

Excisional Biopsy – It involves taking a big part of the tissue/ tumor and requires a

Skin Biopsy – The procedure is carried out in order to check for lesions, rashes, growth, moles and lesions. The doctor takes samples of your skin surface with the help of a razor.

Punch Biopsy – A small instrument is used to punch a hole in the skin in order to get a sample.

Bone Marrow Biopsy – This biopsy involves taking samples of the bone marrow to check for cancerous or non-cancerous cells causing blood problems. A sample of the bone marrow is taken for diagnosis around cancers like lymphoma, leukemia and more.

Yes, biopsy does sound freaky but with the advanced procedures in place, its mostly a low risk as well as pain free procedure. So, if you are to undergo a biopsy procedure soon, do not panic. Stay calm, there’s nothing to worry about it.

*Sourced from the Internet

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Tree Man Condition – A Rare Genetic Disorder That Urged A Man To Request Doctors To Amputate Hands.

Also Known as Tree man syndrome, epidermodysplasia verruciformis (EV) is a rare genetic disorder putting the patient to high risk of skin cancer. It is known as Tree Man because the when the condition occurs, the virus spreads around the body to create tree like growth. Our body has over 100 strains of HPV but if the human body has a genetic mutation that affects the ability to handle HPV negatively, it results in Tree man Disease.

epidermodysplasia verruciformis

Recently, the news about a man with epidermodysplasia verruciformis seeking help from doctors to amputate his affected hands went viral. He was undergoing extreme and unbearable pain and wasn’t able to afford better treatment. He was treated earlier but the condition returned bigger and faster. Now, inorder to seek treatment outside Bangladesh required enormous funds which he didn’t have. This is when the Prime minister of Bangladesh offered him free Treatment. Most of us till the video went viral, weren’t even aware of a condition like this one. The sad news is that it is a condition one needs to live with as it is for life. Even if treatment is provided by removal of the existing lesions, it returns again. Furthermore 50% of the people suffering from this condition can get skin cancer at the age of around 40-50 years.

As on day, there is not cure for the condition so immediate treatment becomes very important. The condition does involve a surgery called curettage. The term is derived from the device called curette used in the surgery. The device is spoon shaped and the lesion is scrapped off with the help of this device in-order to preserve the skin underneath. The EV warts are treated using traditional methods of treating warts like ointments, chemical treatments and cryotherapy.

The symptoms are generally visible around early years of 5 to 11. The symptoms include beginning on flat lesions on skin areas that are exposed to sunlight and even scab like lesions, papules, plaques or bumpy lesions. The lesions can occur across the body including hands, legs, armpits and more. The growth could be less limited to a small cluster of warts or aggravate to over 100 warts across the body too. The diagnosis is tricky as the doctor requires the medical history of the patient in order to understand the symptoms. The diagnosis involves physical examination of skin and biopsy procedure if the doctor suspects.

Living with Epidermodysplasia Verruciformis could affect the quality of life of a person suffering from the condition if it aggravates as it could get painful too. As a part of care with EV, limiting exposure to sun is very important as skin cancer risk is high. So, if you know someone in your relative or family with this disease, then it’s advisable that you visit your doctor for checkup.

*Sourced from the Internet

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Cerebral Palsy – Risk Factors And More

It is not one condition but a group of conditions that affects the balance, posture and movement of an individual. The cause of cerebral palsy is generally associated with brain damage during birth or in the early years. Apparently, doctors haven’t been able to figure out the exact cause of brain damage during CP, but few reasons and risk factors are listed below -

  1. Blood flow issues to important organs of the body

  2. Bleeding in the brain when baby is in the womb

  3. Genetic conditions

  4. Brain injury

  5. Seizures at birth or in the first month after birth

cerebral-palsy

Risk Factors at Pregnancy include

  1. Thyroid gland issues or health issues like seizures

  2. Consumption with toxic substances like mercury that is found in a few fishes

  3. Having RH diseases, meaning blood not compatible with that of the baby

  4. Multiple pregnancies, twins, triplets or more

  5. Infections like German measles, Rubella, Herpes or chicken pox during pregnancy

Risk Factors at child Birth include

  1. Head Position – If the child is not in the head first position but is in the feet first position, risk is involved.

  2. Premature Birth – If the baby is born any time before the completion of 37 weeks

  3. Delivery Complications – If there are complications during the labor and delivery concerning your baby’s circulatory system and breathing.

Risk factors due to Infections in Babies

  1. Severe Jaundice – It is caused due to excessive bilirubin accumulation in blood

  2. Bacterial Meningitis –It leads to swelling of tissues around spinal cord and brain swelling as well

  3. Viral Encephalitis – It also leads to swelling in brain and spinal cord tissues

 

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*Sourced from the Internet

Effects Of Cancer On Mental Health

Even today after so much advancement in the field of healthcare and medicine and so much rewarding research around cancer, it still remains a dreaded disease for people. Yes, innovation and research in the cancer field has brought about a lot of hope in terms of increasing longevity and improvement in quality of life, even today when we hear of been diagnosed with cancer, we do get goose bumps or a shocker. These days’ people have become quite vocal about disclosing the diagnosis to people and sharing their experiences particularly celebrities are quite vocal about it. Even though, different people experience differently depending upon their individual mental health.

Most of us feel that having cancer means a physical condition that is life threatening, causes fatigue, hair loss and nausea. But, beyond physical issues, comes the mental health issue which we are not able to see. Some might tell about it while some may not but the fact of the matter remains that hearing the news does not get easier for anyone. There comes some point in life where most of the cancer patients slip in depression. Here are the most common feelings that storm through the minds of cancer survivors –

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DEPRESSION – As per the National Cancer Institute, depression is known to affect around 15 to 25 percent of the cancer population. The condition is a result of diagnosis itself primarily. Other reasons for depression include cancer side effects, anxiety around the future with cancer, change in image of self, to name a few. Depression is not the same as feeling sad, it comes with symptoms like fatigue, emptiness, mood swings, worthlessness to name a few.

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GRIEF – Grief is not limited to the cancer patient but to his family and relatives as well for the period through the cancer battle. There is this term called anticipatory grief, apparently a mix of emotions that come when we live with a personal loss experience that results into grieving. This same grief is experienced by cancer patients and their relatives. Although it is normal to experience grief in such times, but grieving alone isn’t advisable.

ANXIETY – Anxiety is one of the most common problems that cancer patients face around their future prognosis, future reports, treatment related issues to name a few. The cancer community has also coined a special work for anxiety around future scans, calling it scanxiety.

All these mental health issues do need to be looked into and consulting a mental health specialist or therapist surely does help. Well, it important to understand that if mental health is better, the healing is faster and even the quality of life.

Vydehi is one of the best cancer hospital in banglaore, recently vims started VOICE – Vydehi Oncology Institute and Center of Excellence

*Sourced from the Internet

Hip Replacement Surgery – An Overview

Hip Replacement Surgery is a procedure carried out to replace the painful hip joint due to arthritis or fracture and replace it with an artificial joint made out of plastic and metal. This is usually the last approach after all other treatments fail to provide any relief from hip joint pain.

The surgery was first carried out in 1960 and today is known to be one of the most common and successful surgeries to be carried out. The innovations in area have greatly improved the effectiveness of Surgery in today’s times and even is considered to be a minimally invasive surgery.

Hip Replacement Surgery

The surgery does involves some amount of blood loss so better consider a blood donation before doing the same. The surgery is not a prolonged one but it does require you to stay in the hospital for around less than a week. The surgery is done to remove the damaged bone as well as cartilage and replacing it with prosthetics. The procedure is as follows

The damaged femora head is first taken out from the hollow Femur center and is replaced with a new metal stem, either through cementing or by press fitting it into the bone.

This is followed by placing a ceramic or metal ball in the stem’s upper part. This ball is a replacement for the damaged femoral head.

Further the surgery involves the removal of the damaged cartilage socket surface or acetabulum is removed and a metal socket is used to replace the same using cement or screws if required.

For the surface to remain smooth or gliding, a spacer made from ceramic, plastic or metal is inserted between the socket and the new ball.

While you have to use a bed with a cushion to support your joints post the surgery and a tube in the bladder to help you with the bathroom calls, you need to take adequate rest and avoid doing few things. Even physiotherapy and exercise sessions will follow in order to aid the healing process.

VIMS is one of the best Super Speciality Hospital in Bangalore

*Sourced from the Internet

5 Side Effect Sleep Deprivation You Need To Know

Many a times we do care for our health and fitness but our concentration is towards nutrition and exercise mostly. What we often tend to ignore is sleep. Today lifestyle is sedentary but very hectic and stressful and sleep often takes the back seat. Furthermore, if you have addictions then sleep deprivation is going to haunt you more. If you’re alcohol consumption is high or even if you drink a lot of coffee, you are sure to experience sleep difficulty particularly if you consume it before bedtime. Here’s some of the side effects of sleep deprivation you need to know to keep it up your health management list alongside food, nutrition and fitness schedule.

5 Side Effect Sleep Deprivation

Immunity Issues – Sleeping helps strengthen the immune system by producing more antibodies for battling the bacteria and toxin. If you don’t sleep well then it automatically affects the immune system as the production goes down, making your body vulnerable to umpteen conditions and infections. The most common being cold and flu, but could lead to lung problems as well.

Weight Gain – The hormone leptin is responsible for sending the brain signal about hunger satiation. Less sleep reduces the level for this hormone while increasing the level of ghrelin hormone that increases appetite. Thus, leading to obesity.

Chronic Conditions – Lack of Sleep for a longer duration raises the risk of getting life threatening health conditions like, blood pressure, diabetes, stroke, heart disease, to name a few.

Appetite Rise – Sleep deprivation can lead to increase in appetite and food cravings on an untimely basis. This could further lead to hormonal imbalance.

Memory Loss – Lack of sleep can stress up your nervous system and affect the brain functionality adversely. Studies do indicate that sleeplessness does impair the memory of many.

The moral here is pay equal attention to sleep hygiene and keep it on your priority list. Create an environment at night that helps you get disturb free sleep like eating early, no alcohol before sleeping, maintain a bedtime routine, keep your sleeping space clean and dark and most importantly stay away from gadgets.

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*Sourced from the Internet

Anemia – An Emergency Like Situation In India That Needs Immediate Attention

If we go by latest statistics around anemia, then the news is surely bad because it says that almost 40% of the population in India Is Anemia. Anemia, as we all know is caused due lack of hemoglobin, a substance carries oxygen to the RBCs. Iron rich dark green leafy vegetables are the source of the essential nutrients required to fight anemia.

Even worse, the global nutrition report of 2017 shows India in the last spot which is worrisome for sure. Also another report of 2016, shows over 45% of female population in India is anemic and over 20% women are overweight.

Anemia - India

Though, the government has been able to curb population of people living below extreme poverty lines from a humungous 306 million to 48 million. But, as far as curbing malnutrition is concerned, the government hasn’t been as much successful, despite efforts.

Even today Anemia is known to affect every second child in the country. There is not much decline in the condition over the past two decades. Even among the age group of 15 – 49 year olds, there isn’t any significant decline. This is an emergency situation as it seems and needs immediate attention.

The factors that are the real obstacles in the fight against anemia besides poverty are poor sanitation, gender bias, iron deficient diet and the government has been working on resolving these problems consistently.

One of the projects of the government which gave great results was that of Iron Supplementation program which increased the consumption of folic acid tablets by 30%. Thus simple strategies like Food Fortification, could be the possible answer to this problem which is taking a toll on the health of Indians for a long time now. Rice which seems to be the staple of over half of the population in India can supplied through a network of shops that offer it at an affordable price.

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Risk of Breast Cancer in Trans Women Post Hormone Therapy Escalates To Over 45 Times

A Study has found that trans-women undergoing the gender change procedures increase their risk of getting breast cancer by over 46% as compared to men. The study was carried out on over 2000 trans-women and it was found that after undergoing the sex change procedures 1 in 200 came under the risk scanner of breast cancer as compared to less than 8000 in men.

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The studies that were carried out earlier have shown that hormone replacement therapy (HRT) does increase the risk of breast cancer particularly in women post menopause. Suggestively, it would increase the risk in trans-women undergoing hormone treatment.

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As study involving 2260 women, 15 cases of invasive breast cancer came to light of that of women of over 50 years of age post 18 years on an average of hormone therapy. Dr. Martin Den Heijer from Amsterdam University Medical Centre says that the issues and side effects of hormone therapy are knowns are discussed also with the people who undergo treatment.

Though the risk for naturally born women is one third less, the experts from Netherlands said that not only the patients but even the doctors needed to be aware of the fact that injections of female hormones do have an increased threat.

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In Britain there has been a drastic rise in the number of operations and it’s around 250 per year presently as compared to 54 around 2000. The researchers were unclear though if some of the cases were genetic or due do lifestyle because one of their trans gender woman study did carry the BRCA gene mutation that lead to breast cancer. Besides, it also showed that trans- gender men were at a considerably lower risk as compared to female population. The study that determined the same involved 1229 trans men of which four had invasive breast cancer have diagnosed at 47 years post 15 years of hormone treatment.

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*Sourced from the Internet.

Heat Strokes – Warning Signs And How To Deal With It

Heat stroke is a condition that is caused when the body overheats due to physical exertion or staying in higher temperatures. Heat stroke can turn serious if the body temperature soars to 40 degree Celsius or higher. Heat stroke is a common particularly in Andhra Pradesh region of India. 1 out of every 5 person dead due to heat stroke in India is from Andhra Pradesh. Between 2010 and 2015 1825 people from Andhra Pradesh have been reported dead due to heat stroke, accounting to 24% of All India figures. A study also says that there could be a 200 fold rise in heat wave exposures by 2100.

heat strokes sympotms

Symptoms of Heat Stroke include confusion, disorientation, no sweating, breathing issues, hallucinations, agitation and coma. If you suspect of someone having a heat stroke, understand it is an emergency and opt for immediate medical help. If a heat stroke is not treated promptly and properly it can be life threatening. Do not compare heat stroke to stroke, a condition where the oxygen to the brain is decreased. The people who are known to be at a higher risk of heat stroke include Athletes, Infants, aged people and those who work in extreme heat conditions. Even children or pets if left in car for a long time unattended can be at the risk of getting a heat stroke.

First aid includes cooling the body temperatures primarily. Take the person indoor or in the shade. Remove excess clothing and use a tub of water or a cool shower to or a sponge soaked in ice water to bring the temperature down. You may also use ice packs around the head, armpits, groin and neck as well. If water is not available you may use the evaporation cooling technique in which misting cold water on the body while fanning warm air. If the patient tends to shiver then the doctor might give a muscle relaxant as well.

The best way to avoid is staying hydrated all the time, avoiding excess intake of alcohol or over clothing in summer.

VIMS is one of the leading medical colleges in Bangalore, Karnataka

*Sourced from the Internet

Fatty Liver Disease – An Insight

For those who haven’t heard of fatty liver, it means that liver has extra fat in it. The scientific name for the same is hepatic steatosis and is a resulting of addiction to alcohol. Due to high consumption of alcohol fat builds up inside the liver making it hard to work properly. It does not mean that if you do drink, you don’t get fatty liver. For those who don’t consume alcohol and still have fatty liver condition, it is a result of mainly a metabolic syndrome, insulin resistance, high amount of belly fat and is known as Nonalcoholic Fatty liver Disease (NAFLD).

NAFLD

Simple Fatty Liver – This means there is only extra fat and no inflammation on the liver cells. Most people suffer from Simple fatty liver and it does not get worse.

Non Alcoholic Steathohepatitis (NASH) – This is known to be serious as compared to simple fatty liver. It occurs when the liver gets inflamed. Your liver cells get damaged due to NASH and can lead to further life threatening conditions like cirrhosis, liver cancer and fibrosis.

Alcohol related fatty liver disease – Also known as ALD, it might or might not exhibit any symptoms. If there are symptoms, they include discomfort or pain in the upper right side of belly. Though if drinking is not stopped, it can lead to complication like alcoholic cirrhosis and hepatitis.

Alcoholic Cirrhosis – The condition causes scar tissue buildup in liver. Symptoms that surface include fluid buildup in the belly, body bleeding, enlarged spleen, liver failure, dis-orientation and behavior changes as well.

Alcoholic Hepatitis – This kind of lever swelling can cause belly pain, jaundice, nausea and vomiting. Alcoholic fatty lever worsens to lead to alcoholic hepatitis and further more into Cirrhosis.

Symptoms – NAFLD as well as ALD as mentioned before may or may not give any symptoms other that fatigue or pain in the upper right side of the belly.
Though NASH as well as cirrhosis do exhibit symptoms like red palms, breast enlargement in men, swollen belly, enlarged blood vessels below skin.

Diagnosis – The diagnosis is based on physical exam, health history and based on tests like blood tests as well as imaging tests. If required a liver biopsy may also be advised.

Treatment – There is no treatment as such in terms of medications for NAFLD, but in case of NASH complications like liver failure or cirrhosis, you may have to go for a liver transplant.

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*Source from the Internet