Kidney Stones: Unhealthy Habits & Dehydration

What Causes a Kidney Stone?

Diet, stress and unhealthy living have made us prone to various health disorders. One such health issue is the possibility of developing kidney stones. Kidney stones are a culmination of salts and mineral that collect in urine. They range from being pebble sized to being as large as golf balls. While most times kidney stones can be passed through the urinary tract, sometimes they stay in the kidneys.

The urinary tract is the system responsible for making and passing urine out of the body. It includes the kidneys, bladder, urethra (the tube that connects the bladder to the outside of the body) and ureter (connects bladder to kidneys). When urine, containing kidney stones, passes through the ureter and urethra, it can be painless or very painful.

A main reason for kidney stones to be formed in the body is because of dehydration. We pay a lot of attention to what we wear, eat and perform at the work place. However, the rat race causes us to forgo the small daily necessities for our health. Being hydrated is on such habit. Prevent getting kidney stones by constantly hydrated!

If you have pain in the following areas: groin, belly or side of the body, get a diagnosis for kidney stones done. Additionally, if urine passed is pink or reddish in color, get yourself checked for kidney stones. An early diagnosis will help prevent the condition from worsening.

Tags: Kidney Stones , Stone , Kidneys , Bladder , Urethra , Ureter , Unhealthy , Health , Urine , Dehydration , Tubes , Hydrated , Columbia Asia Hospital

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Dermatology, Venereology & Leprosy

The Department of Dermatology was established to provide comprehensive treatment for skin related problems at affordable costs. Equipped with state of the art medical equipment and managed by qualified and experienced skin-specialists, the Dermatology Department focuses on evidence-based medicine and quality care. The department also offers treatment for leprosy and venereal diseases.

Our range of services includes:

1. Skin peeling /polishing
2. Treatment of acne scars
3. Microdermabrasion
4. Laser hair removal using Diode laser technique
5. Mole removal using dermatosurgical techniques
6. Hair related therapy using techniques like follicular unit extraction transplant
7. Photo-therapy using UVA/UVB facilities for treatment of vitiligo, psoriasis & other skin conditions for hand/foot and whole-body
8. Dermatosurgery
9. Vitiligo Surgery
10. Nail Surgery
11. Platelet rich plasma therapy for hair loss and facial rejuvenation
12. Mesotherapy
13. Electrolysis hair removal and removal of extra skin growths and skin tags using Radio Frequency Unit and Electro Cautery(2-in-1)

Reproductive Medicine –IVF Unit

The Department of Reproductive Medicine has all facilities to treat couples for infertility, providing appropriate diagnosis, medication and treatment. Infertility affects almost 10-15 percent of couples in the child bearing age. It is important to create awareness about the causes and realities of infertility, so that couples can be more open about their condition and benefit from reproductive medicine. BBH is making every effort to build awareness about reproductive medicine and provide couples with holistic care.

The department is well-equipped to conduct a detailed diagnosis of patients’ infertility conditions. The evaluation and treatment is done based on evidence-based medicine and we ensure that a truly humane approach is taken for every case. The department houses a team of highly qualified and experienced clinicians and in-house embryologists to ensure that patients get results in line with international standards, while also maintaining the confidentiality and privacy of our patients.

Our range of services includes:

1. Infertility diagnosis
2. Advanced laparoscopic surgery
3. Ovulation induction with ultrasound monitoring
4. Intrauterine insemination
5. In vitro fertilization (IVF)
6. Surgical retrieval of sperm
7. Blastocyst transfer
8. Embryo freezing – vitrification
9. Sperm freezing
10. Fertility preservation
11. Counselling services
12. Intra Cyto Plasmic Sperm Injection (ICSI)

The In Vitro Fertilization (IVF) program at BBH, introduced in March 2012, recorded its first successful delivery – fraternal twins – in November 2012. Since then, the program has been helping childless couples conceive. The department of Reproductive Medicine comprises an experienced and dedicated team of specialists, and the latest technology in IVF.

Neurology

The Department of Neurology provides comprehensive neuro-care to outpatients and inpatients, including super-specialty services for stroke, epilepsy, and critical care. We also provide 24/7neuro-care supervision to patients placed under critical care.

The department has a state-of-the-art electrophysiology lab. It is one of the few centers with portable electrophysiology equipment. We are well-equipped to offer highly specialized services like palliative and neuro-oncology care. The hospital is also a referral center for all neurology cases along the Hebbal-Doddaballapur axis.

Currently, we are in the evolving stage of setting up the stroke and neuro-critical care unit.

Our super specialty services include treatment of:

1. Epilepsy
2. Stroke
3. Vertigo
4. Migraine
5. Multiple Sclerosis
6. Alzheimer’s disease
7. Neuromuscular disorders

MUMBAI: She stands in front of a bedroom mirror, colour-coordinates her dress and makeup, and steps out into the living room of her Vasai bungalow. After eight long years.

Amita Rajani (42) recently got back to her feet after being confined to bed since 2007 with a genetic condition that caused her weight to touch 300kg.

Once a businesswoman, Rajani underwent bariatric surgery, more specifically laparoscopic sleeve gastrectomy, this April. It brought down her weight to 183kg. She is still losing it.

“Amita’s is a classic case of ‘super super morbid obesity’. She had the highest circumference at 100 inches among any Indian and her body mass index was over 100,” said bariatric surgeon Dr Shashank Shah who operated on her in Pune. The BMI of an average person should be 18-23. The circumference should be less than 80cm.

Plastic surgeon Dr Ravin Thatte said obesity cannot be linked to lifestyle alone. “This seems to be more of a genetic problem.”

Amita, the youngest in a joint family of 28, weighed a normal 3kg at birth. At six, she began to gain weight. “By the time I reached Class X, I weighed 128kg.” Her mother Mamta (top right pic, with Amita) blames heredity. Amita’s grandmother weighed 250kg. Her father Avinash underwent a weight loss surgery four decades ago. When he died in November last year, he was 95kg.

Amita was initially averse to surgery, as her weight did not stop her from running a soft toy factory in Vasai. She would board a train at Vasai and travel to distant Crawford Market. Stares and remarks did not bother her. “Since I was going about life like any normal person, surgery was not on my mind,” said the science graduate.

By 2007, her weight crossed 200kg. Her feet and hands began to swell. She had trouble breathing and was left with only one functional kidney. She could not get up without the support of four-five people. What was more devastating for her was performing all her bodily functions in bed. Dr Shah said, “When I first saw her picture, I could not see the sofa on which she was seated.”

MUMBAI: She stands in front of a bedroom mirror, colour-coordinates her dress and makeup, and steps out into the living room of her Vasai bungalow. After eight long years.

Amita Rajani (42) recently got back to her feet after being confined to bed since 2007 with a genetic condition that caused her weight to touch 300kg.

Once a businesswoman, Rajani underwent bariatric surgery, more specifically laparoscopic sleeve gastrectomy, this April. It brought down her weight to 183kg. She is still losing it.

“Amita’s is a classic case of ‘super super morbid obesity’. She had the highest circumference at 100 inches among any Indian and her body mass index was over 100,” said bariatric surgeon Dr Shashank Shah who operated on her in Pune. The BMI of an average person should be 18-23. The circumference should be less than 80cm.

Plastic surgeon Dr Ravin Thatte said obesity cannot be linked to lifestyle alone. “This seems to be more of a genetic problem.”

Amita, the youngest in a joint family of 28, weighed a normal 3kg at birth. At six, she began to gain weight. “By the time I reached Class X, I weighed 128kg.” Her mother Mamta (top right pic, with Amita) blames heredity. Amita’s grandmother weighed 250kg. Her father Avinash underwent a weight loss surgery four decades ago. When he died in November last year, he was 95kg.

Amita was initially averse to surgery, as her weight did not stop her from running a soft toy factory in Vasai. She would board a train at Vasai and travel to distant Crawford Market. Stares and remarks did not bother her. “Since I was going about life like any normal person, surgery was not on my mind,” said the science graduate.

By 2007, her weight crossed 200kg. Her feet and hands began to swell. She had trouble breathing and was left with only one functional kidney. She could not get up without the support of four-five people. What was more devastating for her was performing all her bodily functions in bed. Dr Shah said, “When I first saw her picture, I could not see the sofa on which she was seated.”

Endocrinology
We take care of patients with thyroid, pitutary, adrenal, and other endocrine related problems.

Thyroid related problems can occur irrespective of age or gender. Hypothyroidism (underacting thyroid) and hyperthyroidism (overacting thyroid) are the two common conditions which affect a large population. The symptoms which occur in these conditions can be easily overlooked by the affected people and usually diagnosed incidentally in the initial stages. These conditions can be easily managed by various treatment methods if diagnosed properly.

Our department is a tertiary referral centre for various pituitary, adrenal and other endocrine related diseases. We work in close collaboration with Neurosurgery, Head and Neck surgery and GI Surgery department as some of the endocrine conditions need combined surgical and medical treatments.

by
NH City Hospital

Rheumatology

Rheumatology in modern terms is called Clinical Immunology. It is now acknowledged that the under lying cause for a disease like rheumatism is a dysregulation of the normal functioning of the immune system. However for the sake of continuity and ease of identification among patients the term rheumatology is still retained and this branch is often referred to as Clinical Immunology and Rheumatology.

Therefore diseases resulting from the dysregulation (meaning altered regulation) of the normal functioning of the immune system, ( which often results in the immune system – which is meant to protect the body – turning on its own body and hence causing disease of the immune system ) can affect virtually any organ of the body, however the systems most commonly involved are
Joints : Disease of joints is called ARTHRITIS (which in turn are of many varieties)
Blood Vessels : Diseases of blood vessels are called VASCULITIS (and since blood vessels are ubiquitous in the body, any organ like the brain, heart, lungs, kidneys, gut, skin joint, muscle, etc can be affected)
Muscles : Disease affecting muscles is called MYOSITIS
Skin : Disease affecting the skin is called Systemic SCLEROSIS
Eyes : Disease affecting part of the eyes is called UVEITIS
Kidney : Disease of the kidney is collectively called NEPHRITIS
Soft Tissue Rheumatism : A group of conditions which are not included in the above but which can cause tremendous pain over the entire body called FIBROMYALGIA which is fairly commonly.
Chronic Fatigue Syndrome : A rarer condition in our country, the disorder causes pain at the insertion of muscles, tendons called ENTHESOPATHY or TENDINITIS respectively
Tenosynovitis : Inflammation around tendons and ligaments called TENOSYNOVITIS which can manifest as CARPAL TUNNEL SYNDROME or TRIGGER FINGERS
SLE (Systemic Lupus Erythematosus) : A chronic generalized inflammatory condition which is characterized by fever and affecting all or any combination of organs mentioned above. This condition is diagnosed by the presence of typical antibodies in the blood called ANA antibodies.

Ophthalmology

Ophthalmology is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems. Ophthalmology includes sub-specialities which deal either with certain diseases or diseases of certain parts of the eye.

Some of them are:

Anterior Segment Surgery
Retinal Ophthalmology – emphasis on LASER treatment of the retina and actual retinal surgery
Cataracts – not usually considered a subspecialty per se, since most general ophthalmologists perform cataract surgery
Cornea, Ocular Surface and External Disease
Glaucoma
Medical Retina deals with treatment of retinal problems through non-surgical means
Neuro-ophthalmology
Ocular Oncology
Oculoplastics & Orbit Surgery
Ophthalmic Pathology
Pediatric Ophthalmology/Strabismus (mis-alignment of the eyes)
Refractive Surgery
Uveitis
Immunology
Vitreo-retinal Surgery deals with surgical management of retinal and posterior segment diseases and disorders
Medical Retina and Vitreo-retinal Surgery sometimes together called posterior segment subspecialisation.

Dermatology & Cosmetology:

Skin is the largest organ of our body hence care needs to be taken to keep it healthy and glowing. Many factors like good and healthy nutrition, plenty of water and fluids, adequate exercise and sun protection add to the well being of our skin. A good nutrition consisting of green leafy vegetables, proteins, fruits, atleast 6 to 8 glasses of water every day is required to maintain a good skin texture and glow. Half an hour of moderate exercise everyday helps retain a good skin tone and a good sun block cream to protect your skin from the intense ultraviolet radiation reduces the effects of aging and protects your skin from skin cancers.
Dermatologis provide management and care for diseases related to skin, hair, nails, sexually transmitted diseases, cosmetology and dermatosurgical procedures.

Sub-specialities services of dermatology at NH include

Paediatric dermatology
Dermatosurgery
Cosmetology
Allergies All infections related to skin
Venereology

We treat common skin conditions like eczemas, psoriasis, vitiligo, leprosy, fungal, viral and common bacterial conditions. Others include hair disorders like baldness, hair loss, and nail disorders as well. All kinds of allergies along with sexually transmitted diseases and HIV are also treated.

In addition to our daily out-patient services, we carry out diagnostic and cosmetic procedures like skin biopsies, electrocautery for removal of skin tags, warts curettage of molluscum contagiosum, chemical peels for pigmentation and scars, treatment of acne scars, dermaroller for scars, ear piercing, cryotherapy for warts, corns, intralesional injections for keloids, patchy hair loss, patch testing and allergy testing.
We also have in patient services for dermatology. Our daily services also include referrals from other departments every day.

Training programs are offered for Post – Graduates in Dermatology and Venereology.

Derma-Oncology (Skin Cancer)
Skin being the largest organ, is subjected to non-stop exposure of various harmful agents such as intense sunlight, UV rays, chemicals and environmental agents. This constant irritation and exposure make the skin susceptible to cancers. Most common types of skin cancers are
Basal Cell Carcinoma (BCC) Melanoma Squamous Cell Carcinomas Lymphomas

Cosmetology
If genetics didn’t oblige you with striking features, you need not worry. Surgeons at Narayana Health have a solution. With an excellent track record of success in high-end Cosmetic Surgery, thanks to a team of skilled medical professionals, backed by advanced surgical facilities and expert nursing care, we follow the latest and safest techniques, often opting for endoscopic procedures with minimal recovery time and discomfort. The services offered include Facelift, Rhinoplasty, Liposuction, Eyelid surgery, Breast Reduction, Breast Augmentation, Breast Lift, Tummy Tuck and Body Lift.
Surgeons at Mazumdar Shaw Medical Center at NH Health City Bangalore have performed over 1000 cosmetic and reconstructive surgeries in a year.

Article by
Narayana Health city

Thoracic Surgery

All thoracic diseases pertaining to the lungs, esophagus, mediastinum, chest wall and diaphragm.

We are a state-of-the-art tertiary referral centre offering all major thoracic surgical procedures such as complex lung resections including segmental and sleeve resections for lung cancer, tuberculosis and other infective conditions, emphysema and congenital lesions.

Tracheal surgery and reconstructions is our forte and we have the largest series of tracheal reconstructions in Bangalore.

The unit also specializes in Video Assisted Thoracoscopic Surgery and Mediastinoscopy (one of the few in the country) capable of performing major intra-thoracic surgical procedures through “key holes” with the help of a thoracoscope.

We have a considerable expertise in surgery for major mediastinal tumors, chest wall tumors and reconstructions. We are also well versed with esophageal surgery for cancer, strictures, etc. Management of major cardiothoracic trauma due to road traffic accidents, assault and stab injuries, gunshots, etc., are some of the routinely handled procedures and surgeries. Due to our capacities of handling the most intricate cases with immense diligence, we have become a major referral centre for all types of thoracic surgical problems.

Lung volume reduction surgery is performed for emphysematous conditions as well as chronic COPD on a regular basis. Health City, Bangalore has been accredited and ready to embark on a Lung and Heart-Lung transplant programme.

We are ably complemented with well equipped systems of Chest Medicine with very experienced Chest Physicians, Interventional Pulmonologists and respiratory technicians and it makes us a “one stop centre” for all thoracic surgical conditions.

Article By
Narayana Health City