The girl, Radha, was first presented to Sir Ganga Ram Hospital (SGRH) seven years ago, in 2017, with a liver problem, swelling in her stomach, and swelling in her legs, which was diagnosed as Wilson's disease In a case of medical marvel, a 13-year-old girl has fought all odds against Wilson's disease (a rare inherited condition), hepatitis A, and liver failure to live. The girl, Radha, was first presented to Sir Ganga Ram Hospital (SGRH) seven years ago, in 2017, with a liver problem, swelling in her stomach, and swelling in her legs, which was diagnosed as Wilson's disease. It is a rare genetic disease that leads to the accumulation of copper levels in several organs, especially the liver, brain, and eyes. She was under treatment and her condition was controlled via diet and medication. But her condition deteriorated when hepatitis A dealt a deadly blow to her already damaged liver, leading to acute chronic liver failure in March this year. "Radha's body turned like a battlefield as her illness worsened at an alarming rate. Her jaundice, accompanied by skyrocketing bilirubin levels (44), was a clear sign of failing liver function," said Dr. Naresh Bansal, senior gastroenterologist at SGRH. Further, the subtle development of hepatic encephalopathy (loss of brain function) sent her into a state of altered consciousness. Making the situation much worse, she also suffered catastrophic upper gastrointestinal blood vomiting where she was put on life support. The family was advised to consider a liver transplant as a life-saving option, and her mother decided to give up a portion of her liver. The transplant was successfully done in a 12-hour-long surgery led by Dr. Ushast Dhir, Director of liver transplant and hepatobiliary Surgery. Radha opened her eyes on the second day after the liver transplant, said Dr. Ushast. "It was the toughest case to make it possible for a young patient with Wilson disease to get the success of this transplant. It was difficult to counsel the family, briefing the importance of a liver transplant which was the only way to save her life. "The child was critical and a living donor liver transplant had to be performed in the perfect time frame," he added. "The girl has recovered very well and now is back home with siblings and getting ready to go back to school after summer vacation," the doctor said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
17 May,2024 12:29 PM IST | New Delhi | IANSIn what is believed to be another major goof-up at Kozhikode Medical College Hospital, a four-year-old girl, on Thursday, fell victim to serious medical negligence, and a probe has been ordered. According to relatives of the child, she came to the hospital because she had six fingers on one hand. “We were told that it could be removed through a minor surgery so we agreed. A while later, when the child was wheeled back, we were surprised to see the girl’s mouth was in plaster. We did not know what happened and then when we checked her hand, the sixth finger was still there,” said a relative. “We informed the nurse and when she heard it, she was smiling. We were told that there was a problem with her tongue too, and that was rectified. Soon the doctor came and apologised for the mistake and said the sixth finger will be removed, and took the child away,” added the relative. With this becoming news, the concerned authorities have ordered a probe into the matter. This incident comes at a time when this hospital is in the news after Harshina, a lady in her 30’s, was on a long protest for her complaint that after her c-section, the doctors left a pair of scissors in her abdomen, This complaint turned out to be true and the erring staff members have been identified. Also Read: How this miracle surgery saved the tongue of a 32-year-old woman in Mumbai This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
16 May,2024 04:06 PM IST | Mumbai | mid-day online correspondentAbout 50 per cent of people with high blood pressure (BP) or hypertension are likely to experience kidney damage in the long term and may require dialysis or transplantation, said experts on Thursday ahead of World Hypertension Day. World Hypertension Day is observed every year on May 17 to raise awareness about the "silent killer" that affects a whopping 188.3 million people in India. "Uncontrolled hypertension may narrow, harden or weaken the arteries around the kidneys disturbing the kidney's process of filtering blood, regulating fluid and electrolytes in the body. Hypertension damages the blood vessels and filters in the kidney, and it is challenging to remove waste from the body," L H Suratkal, Nephrologist, at Lilavati Hospital told IANS. "Unmanaged hypertension causes scarring of kidney tissue kidney failure or end-stage renal disease (ESRD) leading to negative outcomes and deaths. About 30 per cent of people with hypertension tend to suffer from kidney damage in the long run and may require dialysis or transplantation," he added High BP is also known to affect the heart, brain, and eyes. According to health experts, a sedentary lifestyle, obesity, physical inactivity, and stress have increased the burden of hypertension in young Indians aged 15-60. Also Read: Uncontrolled hypertension in the young can raise risk of heart failure, vision loss and cognitive decline: Doctors "The number of patients suffering from kidney disorders is increasing. About 80 to 100 patients come for treatment every month. Of those patients who come for treatment with kidney problems, 50 to 75 per cent are found to have hypertension," Ruju Gala, Consultant Nephrologist & Renal Transplant Physician, Zynova Shalby Hospital Mumbai, told IANS. The doctor explained that hypertension wreaks havoc on the kidney structure by straining the blood vessels in the kidneys and causing nephrosclerosis, where the kidneys become hard and their ability to filter waste products declines "Hypertension also leads to an imbalance in the hormones and enzymes involved in managing blood pressure and maintaining fluid balance in the kidneys," Ruju. As per the World Health Organisation (WHO), if half of the people with hypertension in India keep blood pressure under control, at least 4.6 million deaths can be averted by 2040. To manage hypertension, the experts advised eating a nutritious diet, reducing sodium intake, maintaining an optimum weight, quitting smoking and alcohol, and avoiding intake of processed foods. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
16 May,2024 02:56 PM IST | New Delhi | IANSInfertility treatment patients were twice as likely to be hospitalised with heart disease in the year following delivery as spontaneously conceived patients, according to a study conducted by Rutgers Health experts using more than 31 million hospital records. Infertility patients were 2.16 times more likely to be hospitalised for hypertension, or dangerously elevated blood pressure than normally conceived patients. "Postpartum checkups are necessary for all patients, but this study indicates they are particularly important for patients who undergo infertility treatment to achieve a conception," said Rei Yamada, an obstetrics and gynecology resident at Rutgers Robert Wood Johnson Medical School and lead author of the study. The study authors say their results support standards of care that now call for an initial postpartum checkup three weeks after delivery, standards that some health systems have yet to adopt. Much of the elevated risk came in the first month after delivery, particularly for patients who developed dangerously high blood pressure. Also Read: India’s fertility rate plummets, doctors seek solutions "And these results aren't the only ones to indicate that follow-up should occur early," said Cande Ananth, chief of the Division of Epidemiology and Biostatistics in the Department of Obstetrics, Gynecology, and Reproductive Sciences at Rutgers Robert Wood Johnson Medical School and senior author of the study. "We have been involved in a series of studies over the past few years that have found serious risks of heart disease and stroke to various high-risk patient populations within those initial 30 days after delivery - risks that could be mitigated with earlier follow-up care." The study analyzed the Nationwide Readmissions Database, which contains nationally representative data on about 31 million hospital discharges and readmissions per year. The database contains diagnosis codes, which let researchers find specific populations and identify reasons for readmission. The researchers used data from more than 31 million patients who were discharged following delivery from 2010 to 2018, including 287,813 patients who had undergone any infertility treatment. Although infertility treatment predicted a sharply elevated risk of heart disease, the study authors said the relative youth of infertility treatment patients kept their overall risk fairly low. Just 550 of every 100,000 women who received infertility treatment and 355 of every 100,000 who conceived naturally were hospitalised with cardiovascular disease in the year after delivery. Also Read: Dating but not ready for sex? Here’re expert intimacy tips for successful romantic relationship The cause of the elevated risk of heart disease associated with infertility treatment remains unclear. The increase in heart disease could stem from the infertility treatments themselves, the underlying medical issues that made patients infertile or some other cause. "Looking forward, I'd like to see if different types of infertility treatment and, importantly, medications are associated with different risk levels," said Yamada. "Our data gave no information about which patients had undergone which treatment. More detailed information might also provide insight into how infertility treatment impacts cardiovascular outcomes." This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
16 May,2024 02:19 PM IST | New Jersey | ANIRising temperatures, unprecedented floods, and challenges in public health infrastructure are all contributing to the rising burden of dengue in India, said experts on Wednesday, ahead of National Dengue Day. Every year, National Dengue Day is observed on May 16 in India. The theme for this year is ‘Dengue Prevention: Our Responsibility for a Safer Tomorrow'. Dengue is a vector-borne disease transmitted through the bite of an infected mosquito and is endemic to more than 100 countries. “Dengue fever's widespread presence in India can be attributed primarily to the region's climate, which creates an ideal environment for Aedes mosquitoes, the primary vector for dengue virus transmission. These mosquitoes thrive in warm, humid conditions prevalent across many parts of India, particularly during the monsoon season,” said Dr Rohit Kumar Garg, Consultant, Department of Infectious Diseases, Amrita Hospital, Faridabad. Urbanisation and the density of the human population also facilitate the rapid spread of the virus. “The rising burden of dengue in India reflects these conditions, alongside challenges in public health infrastructure to control the spread and manage outbreaks effectively,” Dr Rohit said. According to the experts, the transmission of dengue is closely associated with three key factors: Rainfall, humidity, and temperature which dictate the geographies in which it spreads and the transmission rate. “Unpredictable rains, coupled with rampant construction and inadequate drainage systems, create stagnant water pockets that are ideal breeding grounds for mosquitoes,” Dr. Divya Gopal, Internal Medicine, Sir HN Reliance Hospital and Research Centre, told IANS. “Rising temperatures and unprecedented flooding have also encouraged the spread of mosquitoes well beyond their traditional breeding grounds, bringing dengue fever to areas never before threatened by these debilitating illnesses,” she added. Despite the challenges, progress has been made, particularly in the development and implementation of strategies for vector control in India, which can be seen in the declining cases and death rates. As per the data from the Health Ministry’s National Vector Borne Disease Control Programme (NVBDCP), dengue claimed 91 lives and affected 94,198 people in the country in India in 2023 -- a marked decline from 1,93,245 cases and 346 deaths in 2021. However, in 2022, the cases declined (23,3251) but deaths rose (303). Meanwhile, the World Health Organisation (WHO) has prequalified two dengue vaccines -- Japanese drug maker Takeda’s live-attenuated TAK-003 and Sanofi Pasteur’s CYD-TDV. “These vaccines offer hope for reducing the incidence of dengue, although their effectiveness depends on broader strategies including vector control, public awareness, and robust surveillance systems to monitor and respond to outbreaks efficiently,” Dr Rohit said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
15 May,2024 06:17 PM IST | New Delhi | IANSIn a remarkable medical feat, a team of specialists led by Dr Mazda Turel, neurosurgeon at Wockhardt Hospital and ENT Specialist Dr Neepa Vellimuttam, consultant ENT & Endoscopic Skullbase surgeon, achieved a ground-breaking success in treating a highly unusual case of sinonasal malignancy. This extraordinary case, which involved a 30-year-old male patient, Sachin Kesharwani, showcased the power of collaboration and innovation in modern medicine. The patient initially presented with persistent headaches, nosebleeds, and bulging eyes—a distressing combination of symptoms that signalled a severe underlying condition. An MRI revealed a tumour nestled within the nasal cavity, eroding the base of the skull and infiltrating the brain, leading to the displacement of orbital structures and causing the patient's eyes to protrude. Dr. Turel and his multidisciplinary team, including ENT specialist Dr. Neepa, embarked on a comprehensive treatment strategy. The procedure was complex and extensive, requiring meticulous planning and execution. Dr. Neepa skillfully excised the tumor from the nasal cavity, while Dr. Turel performed a delicate cranial surgery to remove the tumor extension into the brain. Further mentioning the details of the surgery, Dr Turel said, “One of the most critical aspects of the surgery was the meticulous repair of the skull base. We utilised a combination of autologous tissue from the patient's thigh, along with synthetic materials, to seal the defect and prevent cerebrospinal fluid leakage—a potential complication that could lead to severe infections.” However, on the success of this critical surgery, an elated Turel mentioned, “Following the successful surgery, the patient experienced a remarkable recovery. His debilitating headaches subsided, his vision improved, and the position of his eyes returned to normal, marking a significant milestone in his journey to recovery.” However, the joy of this success was tempered by the biopsy results, which revealed the tumor to be a highly malignant sinonasal carcinoma. Despite this setback, the patient's resilience and the unwavering commitment of the medical team remained steadfast. The subsequent course of treatment involved a rigorous regimen of chemotherapy and radiation therapy, aimed at targeting any remaining cancer cells and preventing recurrence. The patient endured numerous sessions of therapy, demonstrating immense courage and determination throughout his ordeal. Dr. Turel emphasized the rarity and complexity of this case, underscoring the unique challenges posed by the intricate connection between the nasal cavity and the brain. Despite the inherent risks, the successful outcome serves as a testament to the expertise and innovation within the medical community. This extraordinary case exemplifies the transformative potential of modern healthcare, where collaboration, cutting-edge technology, and unwavering determination converge to defy the odds and restore hope to those facing life-threatening illnesses.
15 May,2024 11:57 AM IST | Mumbai | mid-day online correspondentHridayansh, a 23-month-old child, was administered an injection worth Rs 17.50 crore at JK Lon Hospital in Jaipur on Tuesday. Medical practitioner Priyanshu Mathur, in charge of the Rare Disease Unit in the hospital, and his team administered the injection of Zol Genesma, which was imported from America. Hridayansh suffers from a rare disease called Spinal Muscular Atrophy (SMA). His family worked round the clock to raise the mammoth funds via crowdfunding. His parents Naresh Sharma and Shama came to know about this rare disorder when Hridayansh turned six months old. The hapless parents took him to the doctor and came to know about this rare disorder. Dr. Priyanshu Mathur after administering the injection said that the child will be kept under observation for 24 hours. The child's maternal grandfather Naresh Kumbaj thanked everyone for extending support to the child. Hridayansh’s family had launched a crowd-funding campaign on social media to buy the injection. Indian cricketers Deepak Chahar and Sarfaraz Khan had also appealed to save the child’s life. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
15 May,2024 11:54 AM IST | Jaipur | IANS
Global data, according to Dr Prashant Nair, consultant, cardiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, suggest that over five per cent of adolescents have hypertension and 14 per cent have elevated BP levels (prehypertension). A recent study from India showed a prevalence of over seven per cent for adolescent hypertension. In India, high prevalence of hypertension among young adults (20–44 years) is also found. The prevalence in this age group is more than twice the prevalence in a similar population in the United States. “This is a disturbing trend because it puts an increasing number of young Indians at an increased risk of premature mortality due to cardiovascular causes,” highlights Nair. Similarly, Dr C. K. Ponde, section head, invasive and non-invasive, consultant, cardiologist, P. D. Hinduja Hospital & MRC, Mahim, says, “Young adults are at risk of hypertension. This is due to several social and lifestyle-related factors. Many Indian studies have shown that the prevalence of hypertension in the young group – between the age group of 20-45, has significantly increased over the past 10 years. Today, one in four young adults living in urban areas have hypertension and sadly only half of them are aware that they suffer from it. Out of which, only half take proper treatment.” Ahead of World Hypertension Day, observed annually on May 17 to raise awareness and promote the prevention, detection, and control of hypertension, Mid-day.com conversed with health experts who shed light on the increasing number of young adults having hypertension and tips to keep it under check for living an overall healthy life. Hypertension, also known as high blood pressure, is a medical condition that is characterised by elevated pressure in the arteries. Blood pressure is the force exerted by the blood against the walls of the arteries as it circulates through the body. Dr. V.K.G. Rajasekar, chief director, cardiology, Artemis Cardiac Care and GEM Artemis Heart Centre, Chennai, states, “When the pressure remains consistently high over time, it can cause various health complications, like heart disease, stroke, kidney damage, and vision problems.” Normal and elevated blood pressure“Normally any blood pressure above 130/85 is considered high. As per new guidelines, any blood pressure above 120/80 is considered high/normal,” says Ponde. Rajasekar elucidates, “Blood pressure measurements basically consist of two numbers: systolic and diastolic pressure. The systolic pressure represents the force of blood against the artery walls when the heart beats, while the diastolic pressure is the pressure when the heart is at rest between beats.” The basic blood pressure chart is as follows:1. Normal: - Systolic: Less than 120 mmHg - Diastolic: Less than 80 mmHg 2. Elevated: - Systolic: 120-129 mmHg - Diastolic: Less than 80 mmHg 3. Hypertension Stage 1: - Systolic: 130-139 mmHg - Diastolic: 80-89 mmHg 4. Hypertension Stage 2: - Systolic: 140 mmHg or higher - Diastolic: 90 mmHg or higher 5. Hypertensive Crisis: - Systolic: Higher than 180 mmHg - Diastolic: Higher than 120 mmHg It's important to understand that a single high reading doesn't necessarily mean you have high blood pressure. Diagnosis generally involves multiple readings over time. Causes of hypertension in young adults Ponde highlights four main causes of hypertension in young adults. 1. Sedentary lifestyle 2. Regular high salt intake 3. Fast food and fatty food that leads to the expansion of body mass index or obesity4. Psycho-social stress at the workplace and in nuclear families Additionally, Rajasekar shares, “Poor dietary habits, low consumption of fruits and vegetables, obesity, excessive alcohol consumption, and smoking, lack of adequate sleep, and underlying health conditions like diabetes or kidney disease can also elevate blood pressure in young people.” Health risks of hypertension in youngHypertension in young people can cause various health complications and risks, including an increased likelihood of developing cardiovascular diseases like heart attack, stroke, and heart failure at a younger age. Also, uncontrolled hypertension can damage blood vessels and organs over time, leading to kidney disease, vision loss, and peripheral artery disease. Hypertension also increases the risk of cognitive decline and dementia later in life. Furthermore, it can complicate pregnancies in young women, increasing the risk of preeclampsia and other pregnancy-related issues. Early detection, lifestyle modifications, and appropriate medical management are necessary to prevent and manage these potential health risks. Also Read: 18-year-old girl gives new lease of life to four; parents donate organs after daughter's tragic death Symptoms of hypertension in young According to Nair, “Most people with hypertension don’t feel any symptoms. However, very high blood pressure can cause headaches, blurred vision, chest pain and other symptoms.” People with very high blood pressure (usually 180/120 or higher) can experience symptoms including: Severe headachesChest painDizzinessDifficulty breathingNauseaVomitingBlurred vision or other vision changesAnxietyConfusionBuzzing in the earsNosebleedsAbnormal heart rhythm It's important to understand that these symptoms can vary widely among people. Regular blood pressure monitoring, especially for those with risk factors, is necessary for early detection and appropriate management of hypertension in young adults. Treatment to keep high blood pressure in check As stated by Ponde, “Key lifestyle modifications like a healthy diet and stress management activities are recommended to keep hypertension within normal limits. However, in cases of critical high blood pressure, multiple drugs can be used such as ACE inhibitors, ARBs and calcium blockers. These drugs in combination or isolation are effective in treating hypertension.” Additionally, Rajasekar says, “It's important to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while limiting sodium, saturated fats, and added sugars is crucial. One must include plenty of fruits, vegetables, whole grains, lean proteins like poultry, fish, tofu, and legumes, and healthy fats from sources like nuts, seeds, and avocado. Emphasising fiber-rich foods, like fruits, vegetables, and whole grains, helps in maintaining a healthy weight and promotes heart health.” Foods to strictly avoid or limit are those high in sodium, saturated fats, and added sugars, such as processed foods, sugary beverages, fried foods, and excessive amounts of red meat. Minimising intake of these foods helps in having good overall health and helps in preventing conditions like obesity and hypertension. Further, Regular physical activity, like brisk walking, swimming, or cycling, helps in lowering blood pressure and improve overall cardiovascular health. Managing stress through relaxation techniques like deep breathing, meditation, or yoga can also be beneficial. Avoiding tobacco use and limiting alcohol consumption are essential. Furthermore, ensuring an adequate amount of quality sleep at night promotes healthy blood pressure levels. Regular monitoring and follow-up with doctors are necessary for tracking progress and making adjustments as needed.” Reversing high blood pressure in young adultsWhile Ponde and Rajasekar mention that high blood pressure in young adults can be reversed provided one maintains optimal body weight, very low sodium intake, a balanced diet, and manages stress, Nair says, “Whether or not hypertension can be cured largely depends on what is causing it. It helps to understand that there are two main types of high blood pressure – Primary (or essential) hypertension, a high blood pressure that is not caused by an underlying medical condition or medication, which affects 90 per cent of people with hypertension and secondary hypertension which is high blood pressure that is caused by another medical condition or by medication. This accounts for about 10 per cent of hypertension cases. Nair opines, “Primary hypertension cannot be completely reversed. But that doesn’t mean everyone with this kind of high blood pressure needs to take medication. Some people can keep their blood pressure within a healthy range with lifestyle changes. But that requires sustaining these habits long term. However, in some cases, secondary hypertension can be cured by treating the underlying condition.” In conclusion, early detection, lifestyle modifications, and appropriate medical management can help in preventing and managing the woes of hypertension. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.
15 May,2024 10:28 AM IST | Mumbai | Aakanksha AhireHomoeopathy is an alternative medical practice that treats diseases with extremely diluted medicines. Dr Mukesh Batra, founder and chairman, Dr Batra’s Group of Companies debunks some common misconceptions. Myth 1: Homoeopathy is slow Homoeopathy has proven outstanding outcomes in the treatment of acute disease over the years. As a result, diseases such as diarrhea, colds, coughs, and body aches react promptly to homeopathic treatment. Long-term chronic illnesses, such as arthritis, asthma, allergies, anxiety, and depression take time to treat since they are not suppressed but are treated from the root. Myth 2: Homoeopathy is just a placebo effectThis is a common misunderstanding that suggests homoeopathy's effects are solely psychological and have nothing to do with physiological changes in the body. Many clinical and double-blind investigations have been conducted to scientifically confirm its efficacy. Furthermore, the millions of cases that have been cured by homoeopathic treatment have been validated by medical data and are proof of its scientific effectiveness. Also Read: Ayurvedic experts suggest natural home remedies to combat cold and cough Myth 3: Homoeopathy medicines are not safeHomeopathy is one of the world's safest medicines. It has no toxicity or negative effects because it is diluted and administered in small dosages. It is however, advised to consult a professionally competent homeopath before starting self-treatment. Myth 4: Homoeopathy cannot be used with other treatmentsHomeopathy can be used with other treatments. Patients who come to homoeopathy often come with chronic complaints and are already on other forms of medicine. Some of the allopathic medicines that they are on cannot be suddenly stopped. Sudden withdrawal of chemical medicine can cause problems. Hence, it is better to add homoeopathy and gradually withdraw other forms of treatment. Myth 5: Homoeopathic treatments impose various food restrictionsThere are no specific diet restrictions while taking homoeopathic medicines. People with different illnesses may receive advice about what foods to avoid based on their condition. For example, those with high blood pressure may be told to eat less salt, while people with diabetes might be advised to cut down on sugar and carbohydrates. Most homoeopaths recommend a half an hour gap either way before taking homoeopathic medicines for better efficacy. Read More: Doctors urge consideration of homoeopathic treatments for chronic and lifestyle diseases, here’s why Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.
14 May,2024 11:30 PM IST | Mumbai | mid-day online correspondentThe Indian Council of Medical Research and National Institute of Nutrition (ICMR-NIN), last week, released 17 dietary guidelines to prevent nutrient deficiencies, as well as address the rising risk of obesity, diabetes and cardiovascular diseases in India. The new guidelines, which include evidence-based food and lifestyle-related recommendations, called out against the need for protein supplements. It noted that a healthy and proper diet is enough to fulfil the protein requirements of all individuals. As per the new guidelines, the recommendation for protein is 0.83g/kg/day, and the estimated average intake is 0.66 g/kg/day. “With increased knowledge and information about micronutrients and their importance in a balanced diet, people have resorted to protein powder, protein supplements, among other artificial nutritional supplements,” Dr. N Vijayshree, Head and Chief Dietician of MGM Healthcare told IANS. “These protein powders are usually made with eggs, milk, whey, or plant sources such as soy, peas, or rice, sometimes with a mix of these sources. “These supplements, with added sugars and additives, defeat the purpose of having a balanced diet, causing severe or more damage to our kidneys and bone health,” the doctor added. Vani Krishna, Chief Nutritionist, at Manipal Hospital Varthur, shared that protein intake can be achieved by adding legumes, pulses, nuts, seeds, eggs, poultry, fish, etc with a balanced diet for all age groups. “An individual's protein intake has to be assessed and checked by a qualified clinical nutritionist before administering any kind of protein powders/supplements. For obtaining good quality protein, a combination of cereals with pulses in the ratio of 3:1 will help to meet the amino acids needed in the body,” Vani said. Dr. Vijayshree also advised physical activity to use the protein consumed and avoid muscle loss, as well as an adequate amount of carbs and fats for the effective utilisation of the consumed protein. “A balanced diet must meet the need for 20 essential amino acids required for bodily functions. To obtain some of these amino acids, which cannot be synthesised in our body, it is important to consume diverse food groups like carbohydrates, fats, and protein. “Protein supplements are not recommended for normal, healthy people. Critically ill, hospitalised patients may require protein supplements, which should be recommended and monitored by clinical professionals,” Dr. Vijayshree said. Also Read:
14 May,2024 04:54 PM IST | Mumbai | mid-day online correspondent
In 2022, Shahnaz Fatima (32) noticed an uncommon white scar forming on her tongue, informs her husband, Mohammad Israr. Over time, this scar transformed into a persistent non-healing ulcer, remaining on her tongue for months. Concerned about the ulcer's persistence, the couple opted to consult local medical professionals in their hometown Sidhartha Nagar, Uttar Pradesh, seeking advice and treatment. Following consultations with several doctors, they were advised that the condition was leukoplakia. However, Israr found the diagnosis to be less than convincing and felt prompted to take his wife to Mumbai for a more thorough and accurate diagnosis. Upon reaching Mumbai, Shahnaz received a diagnosis of carcinoma at the Head and Neck Cancer Institute of India. The prognosis initially included the possibility of tongue amputation, which would have resulted in her losing the ability to speak. However, following the tongue cancer surgery conducted three months ago, a portion of her tongue was successfully removed, and she has since regained her ability to speak. Dr Kanav Kumar, a surgical oncologist at the Head and Neck Cancer Institute of India, along with Dr Sultan Pradhan, Dr Rajan Kannan, and Dr Mohsin Shaikh conducted surgery on Shahnaz, ultimately saving her from losing her tongue. In an exclusive interview with Midday, Dr Kumar sheds light on the symptoms, diagnosis and treatment of tongue carcinoma: Dr Mohsin Shaikh, Dr Kanav Kumar, Dr Sultan Pradhan What were the symptoms that led to the diagnosis of tongue carcinoma?Kumar: The specific characteristics of the ulcer on the tongue that led to the diagnosis of carcinoma included its non-healing nature and painlessness. Typically, malignant ulcers, such as carcinomas, exhibit a lack of healing and are initially painless. In this case, the patient had been experiencing a non-healing ulcer over the tongue for the past month, which raised concerns regarding its nature. The absence of pain initially is a common feature of cancerous ulcers, as the disease progresses and involves surrounding nerves, pain may develop as a later symptom. The combination of the ulcer's persistence and painlessness prompted further investigation to rule out malignancy. While non-malignant ulcers can also occur for various reasons, the duration of one month without signs of healing, coupled with the lack of pain, raised suspicion for carcinoma. Additionally, considering the location on the tongue, which is a common site for oral cancers, heightened the concern for malignancy. Consequently, the patient likely underwent diagnostic tests such as a biopsy to confirm the diagnosis of carcinoma and initiate appropriate treatment. What was the extent of the surgery performed to remove the cancer from the tongue and ensure clear margins?Kumar: The tongue cancer surgery performed on Shahnaz aimed to ensure complete eradication of the tumour while preserving as much healthy tissue as possible. The procedure involved excising the tumour along with a surrounding margin of approximately 1cm of normal tissue. This margin was crucial to ensure that any potentially cancerous cells were completely removed, minimising the risk of recurrence. To verify the adequacy of the resection and ensure clear margins, the excised tissue was immediately subjected to examination using a technique called frozen section analysis. This process involves quickly freezing the tissue sample and then slicing it thinly for microscopic examination. The advantage of frozen section analysis lies in its rapid turnaround time, providing results within 10-15 minutes while the patient is still in the operating room. This immediate feedback allows the surgical team to assess whether the margins are free of tumour cells and if further resection is necessary to achieve clear margins. Also Read: How this new heart procedure saved the life of a 72-year-old woman in Mumbai Were there any signs of metastasis?Kumar: During Shahnaz's surgery, lymph nodes from the same side of her neck were meticulously cleared as part of the procedure. This step was essential to assess whether the cancer had spread beyond the primary site in her tongue to nearby lymph nodes, a common pathway for cancer metastasis. Fortunately, the findings from the lymph node clearance were reassuring. Despite the potential risk of metastasis, no definitive signs of cancer spread were observed during the surgery. This initial assessment was further confirmed upon final histopathological examination of the excised lymph nodes. This outcome was particularly encouraging as the presence of metastasis in the lymph nodes would have significantly impacted her prognosis and treatment plan. The absence of lymph node involvement suggests that the cancer was localised to the tongue without spreading to other parts of the body, indicating a more favourable prognosis for Shahnaz. Side effects associated with the surgical removal of tongue cancer and lymph nodesKumar: The surgical removal of tongue cancer and lymph nodes, while crucial for treating the disease, can potentially lead to various complications and side effects. One significant concern is the impact on speech and swallowing function. Since the tongue plays a vital role in articulating sounds and manipulating food during swallowing, its removal or significant alteration can result in speech difficulties and swallowing problems. Patients may require speech therapy and dietary modifications to manage these challenges effectively. Additionally, the surgery can cause changes in taste sensation and mouth dryness, affecting the overall quality of life. Patients may experience discomfort, pain and swelling in the surgical area following the procedure. Moreover, there is a risk of infection at the surgical site, which requires vigilant monitoring and prompt treatment to prevent complications. Furthermore, the removal of lymph nodes can disrupt the normal drainage of lymph fluid, leading to lymphedema, a condition characterised by swelling in the affected area. Lymphedema management typically involves physical therapy and compression garments to alleviate symptoms. Despite these potential complications, it is essential to note that advancements in surgical techniques and post-operative care have significantly reduced the incidence and severity of complications associated with tongue cancer surgery. Moreover, in the case of Shahnaz, the absence of cancer spreading beyond the primary site to other parts of the body, as confirmed by examinations and investigations such as X-ray and MRI, suggests a more favourable prognosis and lower risk of systemic complications. Are there any factors that may affect their long-term outcome?Kumar: Following surgery, the prognosis for Shahnaz appears favourable, particularly considering the absence of cancer spread beyond the primary site and the successful removal of the tumour and affected lymph nodes. However, the long-term outcome for patients with tongue cancer can be influenced by various factors, including the stage of the disease, the extent of surgical intervention and the presence of any underlying health conditions. In her case, the early detection of the cancer played a crucial role in minimising potential side effects and improving the prognosis. Early-stage cancers typically require less extensive surgical intervention, reducing the risk of complications such as speech alteration, swallowing difficulties and shoulder stiffness. Moreover, early detection allows for more conservative treatment approaches, preserving as much healthy tissue and function as possible. Nevertheless, factors such as the aggressiveness of the cancer, the presence of any residual tumour cells and the patient's overall health and response to treatment can also impact the long-term outcome. Adjuvant therapies such as radiation therapy or chemotherapy may be recommended based on these factors to further reduce the risk of cancer recurrence and improve survival rates. Are there any lifestyle changes for such patients to reduce the risk of recurrence or further complications?Kumar: In addition to undergoing surgery and potentially adjuvant therapies, there are several lifestyle changes and precautions that patients of carcinoma need to consider. First and foremost, avoiding tobacco and alcohol consumption is paramount, as both are significant risk factors for the development and progression of oral cancers, including tongue cancer. Maintaining excellent oral hygiene is also essential in preventing oral health issues and reducing the risk of complications. Regular brushing and flossing can help remove plaque and bacteria from the mouth, reducing the likelihood of oral infections and other dental problems. Another important consideration is the use of well-fitting dentures. Ill-fitting dentures can cause irritation and trauma to the oral tissues, increasing the risk of complications and potentially hindering the healing process following surgery. Furthermore, regular follow-up appointments with medical professionals are crucial for monitoring progress, detecting any signs of cancer recurrence or complications early, and adjusting treatment plans as needed. Also Read: Indian startup develops AI-based blood test to detect 32 cancers early
14 May,2024 03:10 PM IST | Mumbai | Ainie RizviADVERTISEMENT
