Living with a bleeding disorder is not easy. If you are home-bound, it may be easier because you have access to the necessary equipment around you. However, if you are travelling, it can pose a challenge and become difficult to deal with due to lack of immediate facilities. Every year, World Haemophilia Day is observed on April 17 to raise awareness about the genetic blood disorder. It was first observed in 1989 on April 17 to honour Frank Schnabel, who founded the World Federation of Haemophilia (WFH) in 1963, on his birthday. The Canadian businessman, who suffered from severe Haemophilia A, helped many people suffering with the disorder and the day is marked to pay tribute to his efforts.This year, the theme is ‘Equitable access for all: Recognising all bleeding disorders’. According to the WFH, it focuses on the need for access to care for people who have inherited bleeding disorders, regardless of its type, their gender, age or where they live. While the disorder is genetic, Mumbai doctors believe a lot can be done to treat it as well as keep it in check. With the day celebrated earlier this week, mid-day.com spoke to Dr Rituja Ugalmugle, who is the consultant physician at Wockhardt Hospitals Mumbai Central, and Dr Santanu Sen, consultant, to paediatrics, paediatric haematology, oncology and stem cell transplantation at Kokilaben Dhirubhai Ambani Hospital. Ugalmugle and Sen not only dissect the disorder but also help with solutions on how people suffering from it can deal with it, and put the onus on their friends and family, as well as civic authorities to help make their lives easier. What is Haemophilia and how is it caused?Ugalmugle: Haemophilia is a genetic disorder where blood doesn't clot properly, leading to prolonged bleeding. It is caused by a deficiency in clotting factors, usually factor VIII (haemophilia A) or factor IX (haemophilia B). Sen: This deficiency occurs due to mutations in the genes responsible for producing these clotting factors, which are located on the X chromosome. Haemophilia is therefore inherited in an X-linked recessive pattern, meaning it predominantly affects males, as they have only one X chromosome.Females are typically carriers of the mutated gene and may experience mild symptoms, while males with haemophilia exhibit more severe symptoms. Haemophilia can range from mild to severe, depending on the level of clotting factor present in the blood. Also Read: Greasy and itchy skin in summer? Here is an easy guide for healthy skin during the hot season What is the incidence of Haemophilia in India and the world? What is the age group of people who can suffer from haemophilia? Sen: The incidence of haemophilia varies globally, with estimates suggesting that approximately 1 in 5,000 to 1 in 10,000 males worldwide are born with haemophilia A or B. In India, the prevalence is estimated to be around 1 in 5,000 to 10,000 males. However, due to underreporting and limited access to healthcare, the actual prevalence may be higher. Haemophilia primarily affects males, as it is an X-linked recessive disorder, meaning males have only one X chromosome. Females can be carriers of the gene but typically do not exhibit symptoms. People with haemophilia are often diagnosed at birth or in early childhood, as symptoms typically manifest during infancy or early childhood. However, the severity of the condition can vary, and individuals with milder forms of haemophilia may not be diagnosed until later in life, especially if they experience minor bleeding episodes or injuries. Overall, haemophilia affects individuals of all ages, but the majority of cases are diagnosed during childhood. What are the challenges of a person suffering from Haemophilia?Ugalmugle: The challenges for people with haemophilia include spontaneous bleeding into joints and muscles, which can lead to chronic pain, joint damage, and disability. Additionally, there is a risk of life-threatening bleeding, especially after injury or surgery. Sen: Beyond bleeding, managing bleeding episodes requires access to specialised medical care and clotting factor replacement therapy, which can be costly and inaccessible in some regions. Additionally, people with haemophilia may encounter social stigma and discrimination due to misconceptions about their condition, leading to limited educational and employment opportunities. They may also struggle with mental health issues such as anxiety and depression, stemming from the constant fear of bleeding episodes and the impact on their quality of life. Furthermore, the lifelong nature of Haemophilia requires continuous monitoring and management, which can disrupt daily activities and place a significant burden on individuals and their families. Overall, haemophilia presents multifaceted challenges that require comprehensive support and care to improve outcomes and quality of life for those affected. What are some other bleeding disorders seen in India?Sen: In addition to haemophilia, several other bleeding disorders are commonly seen in India. Von Willebrand Disease (VWD) is one such disorder, characterised by a deficiency or dysfunction of von Willebrand factor, a protein involved in blood clotting. VWD can result in prolonged bleeding, easy bruising, and mucosal bleeding. Another bleeding disorder is thrombocytopenia, which is characterised by a low platelet count in the blood. Platelets play a crucial role in blood clotting, and a low count can lead to excessive bleeding or bruising. In fact, low platelets due to a disease called Idiopathic Thrombocytopenic Perpura(ITP) is one of the common bleeding disorders seen in India. Additionally, disorders of coagulation factors, such as deficiencies in factors II, V, VII, X, XI, and XIII, can also lead to bleeding problems. These disorders may be inherited or acquired and can vary in severity. Overall, these bleeding disorders pose significant health challenges and require specialised diagnosis and management to prevent complications and improve quality of life for affected individuals in India. Also Read: Doctors urge consideration of homoeopathic treatments for chronic and lifestyle diseases, here’s why Do you think there is enough awareness about Haemophilia in India?Ugalmugle: The awareness about haemophilia varies, but generally, it is considered insufficient. Many people may not be aware of the condition, leading to delayed diagnosis and treatment. Sen: While there is lack of awareness, it is particularly pronounced in India. In many parts of the world, including India, Haemophilia is often underdiagnosed and poorly understood, leading to delayed or inadequate treatment for affected individuals. In more developed countries, efforts have been made to increase awareness through public health campaigns, patient advocacy groups, and educational initiatives targeting healthcare professionals and the general public. However, in India, limited access to healthcare, especially in rural areas, as well as cultural taboos surrounding blood disorders, contribute to lack of awareness and understanding about Haemophilia. Moreover, misconceptions and stigma surrounding Haemophilia persist in many societies, further hindering efforts to raise awareness and promote early diagnosis and treatment. Overall, while progress has been made in increasing awareness globally, there remains a significant need for greater awareness and education about Haemophilia, particularly in regions like India. How can family and friends help those suffering from Haemophilia?Ugalmugle: Family and friends can support those with haemophilia by educating themselves about the condition, providing emotional support, helping with practical tasks, and encouraging adherence to treatment plans. Sen: Family and friends serve as crucial sources of support for individuals grappling with haemophilia. Their emotional support, marked by empathy and understanding, offers comfort during challenging times. Practical assistance with daily tasks, such as household chores and transportation, eases the burden on those with haemophilia, enhancing their quality of life. Educating themselves about haemophilia enables family and friends to provide informed support and advocacy within their community. Promoting safety measures and encouraging adherence to treatment plans are vital aspects of supporting individuals with haemophilia. By advocating for protective measures during physical activities and ensuring consistent medication adherence, loved ones contribute to their overall well-being. Creating a supportive environment characterised by love and acceptance is essential. By fostering understanding and empathy, family and friends empower individuals with haemophilia to navigate their condition with confidence and resilience. Ultimately, the unwavering support of loved ones plays a pivotal role in enhancing the lives of those affected by haemophilia, enabling them to live fulfilling and meaningful lives despite the challenges they face. What should a person suffering from Haemophilia always have in their bag?Ugalmugle: A person with haemophilia should always have their treatment supplies, such as clotting factor concentrates, bandages, and emergency contact information, in their bag. Sen: A person suffering from haemophilia should always carry a "bleeding disorder emergency kit" in their bag. This kit typically includes the following items:Factor Replacement Medication: This medication, such as recombinant clotting factor concentrates or plasma-derived clotting factor concentrates, is essential for treating bleeding episodes and preventing complications. Sterile Dressings: Sterile gauze pads or bandages are necessary to apply pressure to wounds and stop bleeding. Adhesive Bandages: These can be used for minor cuts or scrapes to prevent further bleeding and protect the wound. Tourniquet: In case of severe bleeding, a tourniquet can be applied above the wound to restrict blood flow and control bleeding temporarily. Medical Alert Card: A card indicating the individual's diagnosis of haemophilia, along with emergency contact information and specific treatment instructions, can be crucial for medical professionals in case of emergencies. Contact Information: It is essential to have contact information for healthcare providers, haemophilia treatment centres, and emergency services readily available. Pain Relief Medication: Over-the-counter pain relievers such as acetaminophen (paracetamol) can help alleviate pain associated with bleeding episodes. By ensuring they have these items readily available in their bag at all times individuals with haemophilia can be better prepared to manage bleeding episodes and emergencies effectively, improving their safety and well-being. Also Read: Catch autism early: Key steps for early intervention to support autistic people What are the treatment options available for haemophilia?Ugalmugle: Treatment options for haemophilia include regular infusions of clotting factor concentrates to prevent or treat bleeding episodes, as well as medications to manage complications like joint pain and swelling. Sen: Haemophilia, is typically managed through various treatment options aimed at preventing and controlling bleeding episodes. The primary treatment for haemophilia involves replacing the deficient or missing clotting factor in the blood. The two main types of treatment for haemophilia are: Clotting Factor Replacement Therapy: This treatment involves infusing clotting factor concentrates derived from either human plasma or through recombinant technology. These concentrates contain the specific clotting factors deficient in individuals with haemophilia. Factor replacement therapy can be administered on-demand to treat bleeding episodes or as prophylaxis to prevent bleeding. Desmopressin (DDAVP) Therapy: Desmopressin is a synthetic hormone that stimulates the release of von Willebrand factor and factor VIII from storage sites in the body. It is primarily used to treat mild haemophilia A and von Willebrand disease and can be administered through injection or nasal spray. In addition to these primary treatment options, other supportive measures may be utilised to manage haemophilia, including:Gene therapy: Emerging treatments involve gene therapy techniques aimed at correcting the underlying genetic defect responsible for haemophilia. These therapies hold promise for providing long-term relief from the condition. Management of complications: Management of complications associated with haemophilia, such as joint damage and chronic pain, may involve physical therapy, pain management strategies, and orthopaedic interventions. Emergency treatment: In cases of severe bleeding episodes or trauma, immediate medical attention and supportive measures such as administering clotting factor concentrates, applying pressure to the bleeding site, and using tourniquets may be necessary. The choice of treatment depends on various factors, including the severity of haemophilia, the individual's medical history, lifestyle factors, and treatment preferences. A comprehensive treatment plan tailored to the individual's needs is essential for effectively managing haemophilia and optimising quality of life. Why should people be concerned with haemophilia and take it seriously?Ugalmugle: Haemophilia is a serious condition that can have significant impacts on quality of life and life expectancy, if not properly managed. Early diagnosis, appropriate treatment, and support services are essential for improving outcomes and minimising complications. Sen: People should be concerned about haemophilia and take it seriously because it is a potentially life-threatening bleeding disorder that can significantly impact the health and well-being of affected individuals. haemophilia can lead to prolonged bleeding after injuries or surgeries, spontaneous bleeding into joints and muscles, and other serious complications if not properly managed. Without timely treatment, individuals with haemophilia are at risk of developing chronic pain, joint damage, and disability due to recurrent bleeding episodes. Moreover, severe bleeding episodes, particularly into vital organs or the brain, can be fatal. Additionally, haemophilia requires lifelong management and specialised care, including regular monitoring, treatment with clotting factor replacement therapy, and adherence to safety precautions to prevent injuries and bleeding episodes. Raising awareness and taking haemophilia seriously can help ensure timely diagnosis, access to appropriate treatment and support services, and the implementation of preventive measures to improve outcomes and quality of life for individuals with haemophilia. Furthermore, by understanding and addressing the challenges faced by those with haemophilia, society can work towards creating a more inclusive and supportive environment for all individuals living with this condition. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.
19 April,2024 09:30 AM IST | Mumbai | Nascimento PintoIt is important to keep your liver healthy for the better functioning of the body, and because symptoms often remain hidden until the disease has progressed to an advanced stage, requiring surgery or transplantation, with the unfortunate potential for fatal outcomes, said doctors here on Thursday ahead of World Liver Day. World Liver Day is observed every year on April 19 to raise awareness about the diseases related to the liver. A concerning trend in recent years is the rise of fatty liver disease, which is increasingly affecting individuals as young as early teenagers. According to health experts, sedentary lifestyles, coupled with the consumption of unhealthy, and fatty junk food, have contributed to this alarming phenomenon. "Liver diseases can stem from various factors, including the consumption of unclean or contaminated food, excessive alcohol intake, and unsafe medical practices such as the use of unsterile needles in injections, hospitals, and blood transfusions. Regular liver function tests are essential to monitor the health of the liver and detect any abnormalities early on," Dr Naveen Ganjoo, a consultant hepatologist, at Aster RV Hospital, said. Data from the World Health Organisation shows liver disease ranks as the tenth most common cause of death in India. While early detection and intervention are paramount in combating liver diseases, often the symptoms remain hidden, leading to worse outcomes. Dr Monika Jain, Chief of Gastroenterology & Hepatology, Sri Balaji Action Medical Institute told IANS that jaundice, characterised by a yellowish discoloration of the eyes and skin, serves as a prominent indicator of liver dysfunction. "Additionally, patients may experience itchy skin, abdominal swelling resembling fluid accumulation in the stomach, and swelling of the feet, all indicative of underlying liver issues. Anorexia, or loss of appetite, further underscores the physiological repercussions of fatty liver disease, emphasising the need for comprehensive screening and preventive measures to mitigate its progression." Other signs and symptoms of acute liver failure include pain in the upper right abdomen, often a sign of liver inflammation or enlargement. Nausea and vomiting are common symptoms, accompanied by a general sense of feeling unwell, known as malaise, the doctor said. Further, liver disease also plays a role in infertility and bone health. "Being an immunocompromised state, the doses of medications for liver disease have to be decreased and all the medicines are also not safe to be continued during pregnancy. Patients who have prolonged liver diseases might have problems while they try to get pregnant also," Dr Meenakshi Ahuja, Senior Director, Obstetrics and Gynaecology in Fortis La Femme, told IANS. Dr Ahuja added that in vitro fertilisation (IVF) could be an option in such cases. Bone diseases in chronic liver disease (CLD) patients have also emerged as a serious concern. Various factors such as nutrition, hormones, and genetics contribute, and inflammation remains a persistent trigger for bone diseases in CLD patients. "There is an intricate interplay between chronic liver disease (CLD) and metabolic bone complications. 'Hepatic osteodystrophy' encompassing osteomalacia and osteoporosis, is found in advanced liver disease, leading to heightened bone fragility and reduced mass. Osteoporosis, reminiscent of senile osteoporosis, emerges from an imbalance in bone formation and resorption, notably observed in liver cirrhosis and cholestatic liver diseases, posing a critical concern for liver transplant recipients," said Dr Deep Kamal Soni, Consultant, Gastroenterology at Indian Spinal Injuries Centre. Preventive measures and lifestyle modifications like adopting a balanced and nutritious diet, engaging in regular exercise, and screening for Hepatitis B and C, can be key to maintaining liver health, said the doctors. 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
18 April,2024 08:43 PM IST | New Delhi | IANSWhile alcohol is known to be bad for liver health, consuming foods rich in sugar and oil may be equally dangerous for the organ as well as for overall health, said doctors on Thursday, ahead of World Liver Day. World Liver Day is observed on April 19 every year to highlight the importance of a healthy liver for the normal functioning of the body. The theme this year is 'Be vigilant, get regular liver check-ups, and prevent fatty liver diseases'. The liver acts as the body's warehouse, processing everything one consumes. Eating more calories can accumulate in the liver, leading to fatty liver disease, which can trigger diabetes and other metabolic disorders. “While the dangers of alcohol-related liver disease are well-known, there is a rising concern over non-alcoholic liver disease caused by high-calorie foods, such as sugars and fats. This condition can lead to the same severe complications as alcoholic liver disease, including liver cirrhosis, which might eventually require a liver transplant," Dr Shreevidya, Medical Director, Apollo ProHealth, said. "Excess sugar and oil intake, like alcohol, give rise to fat droplets scattered through the liver tissue leading to a cascade of liver injury due to inflammation leading to liver failure,” explained Dr Pavan Dhoble, Junior Consultant - Gastroenterology, P. D. Hinduja Hospital & MRC, Mahim. Excess sugar and oil intake fuels obesity leading to adverse liver health, including non-alcoholic fatty liver diseases (NAFLD). Data shows nearly one out of every four Indian adults are either overweight or obese (at risk of fatty liver disease) and alcohol use is also on the rise. A study conducted by AIIMS, analysing reports on NAFLD in India, revealed a startling reality: over one-third (38 per cent) of Indians have fatty liver or NAFLD. This phenomenon extends to affect nearly 35 per cent of children as well, as per the Journal of Clinical and Experimental Hepatology and calls for attention to addressing lifestyle-related health issues from an early age. "Liver diseases have emerged as critical public health concerns in India. NAFLD often remains unrecognised in its early stages as it may not manifest symptoms. However, it can progress to severe liver diseases," Dr Rahul Roy, Consultant - Liver Transplant and Hepatopancreatic Biliary Surgery, RN Tagore Hospital and Narayana Hospital, Howrah told IANS. "The westernisation of diets, characterised by increased fast food consumption and a lack of fruits and vegetables, plays a pivotal role in the rise of fatty liver diseases," he added. 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.
18 April,2024 04:48 PM IST | New Delhi | IANS“Madhi, Badmash bachcha! Come and say hi,” hollers the Parel-based mother and autism activist – Mugdha Kalra at her son. After minor resistance, her son arrives and waves at this writer through the computer screen on a video call. While he avoided making eye contact, his greeting was heartfelt and topped with warmth. Madhav (14), son of Mugdha was diagnosed as being on the autism spectrum when he was 4. While Mugdha has spoken extensively about bringing up a neuro-diverse child, she is now onto raising awareness about the importance of building a community of parents who can support each other. To help autistic children, she has co-founded Not That Different – a child-led movement that focuses on inclusion and understanding neurodiversity. The project is the outcome of a collaboration between Mugdha and Nidhi Mishra, founder of Bookosmia. It comprises a comic strip, in which Bookosmia’s 12-year-old persona Sara introduces her readers to her new friend, Madhav, a child on the autism spectrum. Through Sara’s journey of meeting and accepting someone a little different, one can understand what being neuro-diverse entails. “Autism is a developmental difference that influences a person’s worldview and their social engagements. However, what one fails to realise is how society’s understanding and acceptance can positively impact the lives of autistic children and their families,” Mugdha shares with Midday. Also Read: Health cover denial sparks mother's advocacy for autistic son Systemic issues that affect the growth of autistic children“The government does not prioritise the creation of specialised policies for individuals with invisible disabilities, indicating a lack of recognition for their needs and challenges," opines Mugdha. Over a period of time, she has set 4 goals that she is primarily tackling to help the development of neurodivergent children: Curriculum crisis: In India, there is currently an absence of a tailored curriculum specifically designed for functional academics catering to children with special needs. This gap continues as there are no educational reforms to enforce the diverse learning requirements of these children. Lack of awareness on therapy: Is there a system by which the government is giving any kind of license to practice to the number of people who have now mushroomed in the name of therapy – questions Mugdha, highlighting the grave issue of self-anointed therapists that are emerging. How does one get to know which therapy center or which professional is qualified to be doing what they are doing? No health cover: Autism and Down's Syndrome fall under the category of intellectual disabilities as per the Rights of Persons with Disabilities Act, 2016. This Act obligates the central and state governments to design schemes ensuring inclusive insurance coverage for persons with disabilities – however, insurance companies breach these regulations by refusing coverage or denying claims of individuals living with neurodivergence. Disability certification: It requires 14 sittings spanning over 3 months to obtain the Unique Disability ID (UDID) Card. Usually, these sessions get extended leaving parent and their special-needs children harassed by the inefficient ways they are carried (elaborated later in this article). Data deficit for policy formationRegrettably, Mugdha sees little hope for progress, particularly because this disability is invisible, making it less likely to receive attention. Despite the recent efforts of the National Health Scheme to conduct a survey, it appears that individuals with invisible disabilities may not be adequately accounted for in the data collection process. “Any matters concerning invisible disabilities or disabilities in general remain overlooked. Without a specialised census focused on data collection for individuals on the spectrum or those with invisible disabilities, they'll never be important enough for the government. So why do you see today blind association or the blinds in the country have the most solid presence?” asks the autism activist Mugdha. Indeed, the visibility of blindness makes it impossible to conceal, and since individuals who are blind typically do not have cognitive impairments and are functional, they tend to receive the most support. Similarly, those who use wheelchairs often receive significant assistance. However, individuals with invisible disabilities face stigma and taboo, which complicates their access to support and understanding. The issue primarily lies in the lack of acceptance, remarks Mugdha. “Parents often hesitate to openly acknowledge that their child has an invisible disability. Consequently, accurate statistics on the prevalence of these disabilities are lacking. Without this data, the government may perceive this demographic as a small and insignificant group.” When disabilities are approached collectively, progress tends to be limited. However, when specific conditions like autism are individually addressed, significant strides can be made. It's essential to recognise the prevalence of various special needs children across the country and have accurate data to inform decisions regarding school placements and government support. Without precise numbers, appropriate interventions become challenging to implement. This highlights a significant gap in addressing discrimination, particularly between visible and invisible disabilities.Also Read: Catch autism early: Key steps for early intervention Obtaining UDID remains a complex taskDespite the government setting in place certain policies to address the needs of autistic children, it takes a lot of time and harassment to get the benefit of those policies, shares Mugdha. For example, obtaining her son's disability certification required 14 sessions spanning over three and a half months. While some may consider this relatively quick, it's worth noting that it typically involves a longer process. “Now, just imagine taking your specially-abled child to a government hospital, which may not have public bathrooms, which, in the same room is also, evaluating your son along with inmates of your local jail. You are made to wait in lines for two to three hours for 14 different sessions and you are not even based in Bombay,” Mugdha sheds light on the plight of parents and children who have to come from far off to obtain a UDID card. Also Read: How bureaucracy is failing the applicants of Unique Disability ID While the disability certificate indeed provides benefits such as access to writers or readers during examinations, additional time and permission to use a calculator, obtaining it is far from straightforward in our country. Mugdha and Madhav’s journeyWhen Madhav was diagnosed with autism, Mugdha was completely unaware of the developmental condition. It took her about three to four years to grasp the concept of autism and truly understand the needs of her differently-abled son. “Our journey began in Bangalore, which proved to be excellent in terms of therapy options. Following this, we relocated to Bombay, where his academic intervention began.” While Madhav began to make progress in academics, it was albeit slow. Regarding schools, Mugdha has exclusively turned to special needs schools to support her child, as mainstream schools, even those claiming to be inclusive or integrated, often lack the resources to adequately meet the needs of autistic children. Instead, the family embarked on a journey focused on special needs education and enrolled him in specialised schools. Now, at the age of 14, Madhav continues to attend a special needs school and is passionate about fitness and is progressing at his own pace, focusing on functional academics. Mugdha’s career as a broadcast journalist has been instrumental in her efforts to create acceptance around neurodivergent children. Apart from raising awareness, Mugdha actively engages with parents of children with intellectual disabilities, equipping them with valuable tools to support their special needs. On raising a child with a developmental difference, Mugdha opines that the initial difficulties are always there till you do not fully accept the fact that you have a differently abled child who perhaps is not neurotypical. Once that acceptance takes shape, you are ready to embrace the new life as new avenues open up. “I've been very open with my friends and my family and my neighbours and my collegiate society about the fact that my son is autistic and that he has different needs and that he is going to occupy his deserving space in the world,” says Mugdha who is indifferent to the opinions hurled at her. She concludes by saying: In India, everyone will have an opinion on your parenting style. Everyone will have an opinion on why in the first place you have a special needs child. So the only way to deal with it is to accept that your child is autistic and raise them by prioritising their needs and at all times being prepared to give back answers when tough questions are put to you and fighting for your child's rights! Also Read: Our expert answers some common questions about Autism
18 April,2024 09:36 AM IST | Mumbai | Ainie RizviMr and Mrs Salian from Mira Road welcomed their first child into the world, however, their happiness faded when they learnt that the newborn had a congenital condition called anorectal malformation (ARM). It refers to the absence of an anal opening in the infant's body. The baby had other problems like Hypospadias which implies that the penis was bent and the opening of the urinary hole was not at the place. Despite these challenges, the baby is now successfully reaching developmental milestones appropriate for his age with the help of Mumbai-based doctors. The infant underwent a series of five surgeries such as colostomy, anal reconstruction and colostomy closure to address issues of ARM, hypospadias and tongue tie. The baby was immediately admitted to the Neonatal Intensive Care Unit (NICU) at Wockhardt Hospitals, Mira Road, and initiated on parenteral nutrition since breastfeeding was not feasible. A team consisting of Dr Bhavesh Doshi, consultant pediatric surgeon, and Dr Nitu Mundhra, neonatologist successfully treated the one-year-old. Also Read: What is Mumbai bidding for at this ancient relic auction? Dr Nitu Mundhra, Consultant Neonatologist and Lactation expert, Wockhardt Hospital, Mira Road said, “ARM (anorectal malformation) is rare, and often comes as a shock to parents as it may not be diagnosed in the antenatal USG scans. It’s a rare disease and one in lakh children are born with this defect. In the delivery room, all the babies are examined from head to toe to look for any abnormalities, especially when they have one abnormality." Dr Bhavesh Doshi and Dr Nitu Mundhra Upon finding that this baby had anal malformation, the doctors immediately looked for other abnormalities. They found out that he also had a bent-over penis along with an abnormal position for urinary meatus (Hypospadias) and a tongue tie - a condition where the tongue is attached to the floor of the mouth, it is not possible to protrude the tongue which may lead to breastfeeding problem and speech difficulty. After appropriate counseling of the parents, the baby underwent multiple surgeries. The complete treatment of anorectal malformation was done in 3 surgical steps. At birth, a colostomy was done. In this situation, the doctors have to make a temporary opening (making a bypass passage for stool, so that the baby can be started on feed). At 2 months of age, a 4-hour-long surgery called posterior sagittal Ano Rectoplasty (PSARP) was performed where the new anus was created at the normal position. 2 months after the second surgery, the child underwent the final surgery for ARM, colostomy closure. During the surgery, the opening which was created in the abdominal wall is closed and the child now passes motions from the normal opening, informs Dr Bhavesh Doshi, pediatric surgeon, at Wockhardt Hospitals Mira Road said. Doshi further added, “Finally, at one year of age, the child again had to undergo major surgery for correcting the bent-over penis and get the urinary opening to the normal position. After the 3-hour-long surgery, the child passed urine from the normal position at the tip of the penis.” Now the child is one year old and able to achieve all milestones as per his counterparts owing to 5 surgeries that he underwent by 1 year of age. "Not treating him at the right time could have failed him to thrive and survive," said Dr Nitu Mundhra. “We are thankful to the Doctors for saving our baby and giving us a new way of life. My baby is doing well now and is at par with the other kids of the same age" concluded the couple Mr. and Mrs. Salian. Also Read: Mumbai doctors save micro-preemie baby born at 23 weeks weighing 620 grams
17 April,2024 04:13 PM IST | Mumbai | mid-day online correspondentAchieving flawless skin is a common goal for everyone, and one aspect of this goal is skin tightening. Natural face packs can be a great way to tighten the skin and improve its overall health and appearance. Dr. Neha Khuraana, MD, a Board-certified Dermatologist shares six effective skin-tightening face packs to achieve that dreamy flawless skin. Egg White Face Pack Egg whites are rich in proteins that can help tighten the skin and reduce the appearance of fine lines and wrinkles. To make this face pack, simply whisk an egg white until it becomes frothy, apply it to your face, and leave it on for 15-20 minutes. Then, rinse it off with lukewarm water. Banana Face Pack Bananas are packed with nutrients that can nourish the skin and improve its elasticity. Mash a ripe banana and mix it with a teaspoon of honey to create a skin-tightening face pack. Apply this mixture to your face. Leave it on for 20 minutes, and then wash off with water. Cucumber Face Pack Cucumbers have a cooling effect on the skin and can help tighten pores. Blend a cucumber into a smooth paste and mix it with a tablespoon of yoghurt. Apply this pack to your face. Let it sit for 15-20 minutes, and then rinse off with cold water for refreshed and tightened skin. Aloe Vera Face Pack Aloe vera is known for its skin-tightening and hydrating properties. Take out some fresh aloe vera gel using a spoon/knife and apply it directly to your face. Leave it on for 15-30 minutes before washing off with water. Regular use can help improve skin elasticity and firmness. Also Read: An expert guide to reverse grey hair with natural remedies Papaya Face Pack Papaya contains enzymes that can help tighten the skin and promote a youthful glow. Mash a ripe papaya and mix it with a teaspoon of honey to create a skin-tightening face pack. Apply this mixture to your face, leave it on for 15-20 minutes, and then rinse off with lukewarm water. Gram Flour Face Pack Gram flour, also known as besan, has skin-tightening and exfoliating properties. Mix gram flour with rose water or yoghurt to form a paste. Apply this pack to your face, let it dry for 15-20 minutes, and then gently scrub off while rinsing with water for tightened and glowing skin. Incorporating these natural skin-tightening face packs into your skincare routine can help you achieve a firmer, more youthful complexion. Remember to patch-test any new ingredients to ensure they suit your skin type, and enjoy the benefits of these simple yet effective treatments for flawless skin. 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 April,2024 03:09 PM IST | Mumbai | IANSIndians have increased their spending on dieticians by a remarkable 125 per cent in FY24, indicating a strong commitment to healthy eating habits, a new report revealed on Tuesday. According to the full-stack financial services platform Razorpay, health coaching also saw a notable 45 per cent jump in transactions, showing a clear interest in fitness guidance. "There's a noticeable emphasis on holistic well-being, as evidenced by a 39 per cent uptick in products related to preventive healthcare," said Shashank Kumar, MD & Co-founder, Razorpay. Also Read: Do this to make the most of your intermittent fast "This signals a collective shift towards expanding horizons while prioritising health, affirming the adage that 'health is truly wealth," he added. The report analysed more than a billion transactions between April 1, 2023, and March 31, 2024, to know the spending habits of Indians. Moreover, the report found that mutual fund investments increased by an impressive 86 per cent, insurance payments saw a significant 56 per cent growth and trading experienced a remarkable 62 per cent jump in value in FY24. Payments for air travel surged by 2.4 times while spending on travel accommodations soared by 29 per cent in the same period. Multiplex transactions witnessed a staggering 42 per cent increase in volume. Ticket agencies also reported a remarkable 2.7 times surge in sales. "Indian consumers are evolving rapidly, encouraging brands to revolutionise their customer engagement strategies across all touchpoints," said Kumar. In addition, the report noted that close to the New Year, aviation spending soared to nearly three times the daily average. On December 31 last year, online food orders doubled and dine-ins soared to 60 per cent above the daily average. 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 April,2024 03:00 PM IST | Mumbai | IANSIt is a known fact that tobacco consumption is one of the significant causes of head and neck cancers. Dr Satish Rao, oncology surgeon, Lilavati Hospital, highlights the need for quitting tobacco in every form (cigarettes, beedis, and meisheri) and how it can keep head and neck cancers at bay. Head and Neck cancer constitutes 25 per cent of solid organ cancers. Cancer of the cheek, jaw, and tongue are common cancers of the head and neck. The most common cause of these cancers is the consumption of tobacco and pan masala. Tobacco is either chewed in raw form or smoked in the form of cigarettes and beedis. ‘Meisheri’, a form of tobacco paste is used by rubbing it on teeth – especially underprivileged and rural populations. Common symptomsCancer of the tongue, cheek, or jaw usually starts as a painless ulcer that may bleed minimally upon touching. Symptoms are usually silent. Gradually, if neglected cancer grows to cause pain, difficulty in swallowing, difficulty in opening the mouth, movement of mouth bone, foul-smelling ulcer, and presence of neck nodes. These are signs of advanced cancers. Need for more awareness of ill effects of tobacco consumptionIt is imperative to diagnose cancer in its early stage, i.e. when it presents as a painless ulcer. There has to be awareness in society that tobacco consumption is the most common cause of head and neck cancer. Head and neck cancers are largely completely preventable. The government issues warning messages on cigarette pouches and in advertisements on TV, bus stops, and social media. However, the message has to be delivered strongly. Strict implementation of ‘No Sale’ of tobacco within 500 meters of educational intuitions has to be enforced. Rigorous enforcement of the ban on smoking in public spaces and offices is essential. Educating school and college students that smoking or vaping is hazardous to health will contribute a long way to preventing head and neck cancers. The most important message of abstaining from smoking not only preventing cancer and other diseases but also improving a person’s health has to be delivered to everyone from school children to adults. If tobacco consumption is minimised, head and neck cancer, which are largely preventable, will be drastically reduced. The takeawayRemember, abstaining from tobacco consumption is a potent way to prevent head and neck cancer. Tobacco contains harmful chemicals that can damage the cells in the lining of the mouth, throat, and voice box, increasing the risk of cancer. By quitting smoking and other forms of tobacco, one can lower the risk of these fatal cancers. By promoting tobacco cessation and implementing strict smoking regulations, it is possible to curb the cases of head and neck cancers. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.
17 April,2024 12:40 PM IST | Mumbai | mid-day online correspondentIf you think you can compensate for your night’s sleep during the daytime you may be wrong, said Dr Sudhir Kumar, a Hyderabad-based neurologist on Wednesday. Dr Sudhir, a neurologist at Indraprastha Apollo Hospitals, in a post on X.com, said that daytime sleep is not aligned with the body’s clock and also increases the risk of dementia and other psychiatric disorders. “Daytime sleep is lighter, since it is not aligned with the circadian clock, and hence fails to fulfill the homeostatic function of sleep,” the doctor said. “This fact is supported by numerous studies of night shift workers, who as a group are predisposed to stress, obesity, cognitive deficits, and an elevated risk of neurodegenerative diseases,” he added. Also Read: Fixing sleep cycle crucial to dodge diabetes, obesity, heart diseases: Doctors This is because the glymphatic system, which is known to clear the brain of protein waste products, is most active during sleep. Hence when sleep loss occurs, the glymphatic system faces failure, raising the risk of dementia, explained the doctor. “Glymphatic failure as the common pathway of dementia. Suppression or failure of the glymphatic system results in accumulation of abnormal proteins in various parts of the brain, leading to many neurodegenerative diseases, including Alzheimer's disease (AD),” Dr Sudhir said. Besides poor sleep quality, age, sedentary lifestyle, cardiovascular diseases, obesity, sleep apnoea, circadian misalignment, substance abuse, and depression are factors that suppress or result in failure of the glymphatic system. Also Read: Sleeping naked is good for health? Expert lists down surprising benefits “Good sleepers live longer, weigh less, have a reduced incidence of psychiatric disorders, and remain cognitively intact longer,” the neurologist said. “Habitually sleeping well at night could result in better cognitive function and reduce the risk of dementia and psychiatric disorders,” he added. 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 April,2024 11:33 AM IST | New Delhi | IANSWhen a relative or friend is suffering from burnout, they need your help. Burnout is the result of a long period of stress which negatively affects your wellbeing. While seeking professional help and being diagnosed is a first, important step, relatives and friends can also do their part to make things easier for the person affected. The most important thing when someone close to you suffers from burnout is to be understanding, says Professor Petra Beschoner, a specialist in psychiatry, psychotherapy and psychosomatic medicine. "Ideally, relatives should educate themselves about the illness and organise professional help - also for themselves," Beschoner, who heads a clinic in southern Germany, recommends. "People who suffer from burnout often react cynically and irritably, which can be very stressful for their social environment. Those affected also withdraw. However, this should not be seen as a personal offence, but as a symptom of burnout." People tend to think that they need to handle those affected by burnout with kid gloves, Beschoner says. But this can be counterproductive, according to the expert. "Relatives often tend to keep everything away from the person affected. But burnout patients in particular often define themselves by their responsibilities, so restricting their autonomy is not very effective," she explains. Some symptoms of burnout, like signs of exhaustion, overlap with those of depression. According to the doctor, it is therefore important that the diagnosis is always made by specialists or psychotherapists who have the necessary differential diagnostic experience. According to Britain's National Health Service, other symptoms of burnout include muscle pains, headaches, sleeping problems, weight gain or loss and memory problems. 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 April,2024 04:31 PM IST | Berlin | IANSIndia bears a significant burden of oral cancers, and the country contributes to about 30 per cent of all global cases, said doctors on Tuesday. April is Oral Cancer Awareness Month. Also known as mouth cancer, the disease is the most common form of head and neck cancer and includes cancers of the mouth and the back of the throat. Traditionally known to affect older adults, the disease is seeing an early onset, Dr Sowrabh Arora, Senior Director - Surgical Oncology (Head & Neck), Max Hospital, Vaishali, told IANS. “Oral cancer is a significant health concern in India, ranking as the second most common cancer overall and the most common among males. Annually, there are over 100,000 new cases diagnosed. One emerging trend is the increasing incidence of oral cancer among young adults,” he said. “Alarmingly, the incidence of oral cancer is on the rise, with approximately 70 per cent of cases diagnosed at an advanced stage, complicating treatment efforts,” added Dr Mohit Saxena, Senior Consultant - Medical Oncology, Marengo Asia Hospital, Gurugram. The doctors attributed the rise to the use of tobacco, chewing betel nuts, or smoke, accounting for 80-90 per cent of cases. Other contributing factors include excessive alcohol consumption, human papillomavirus (HPV) infection, weakened immune system, poor nutrition, excess body weight, and excessive sun exposure. “This highlights the pressing need for awareness campaigns and preventive measures to curb the rising prevalence of oral cancer, particularly among the younger population, and to address the root causes,” Dr. Sowrabh said. The doctors also advised to be vigilant of symptoms to help in crucial early detection and better outcomes. “Recognising the symptoms of oral cancer is crucial for early detection and intervention. These include persistent mouth ulcers, red or white patches, intraoral swelling or lumps, difficulty in swallowing, hoarseness of voice, neck or throat swelling, and unexplained weight loss,” Dr Mohit told IANS. He also called for prevention strategies such as abstaining from tobacco, and alcohol, practising safe sex to minimise HPV exposure, using sunscreen to protect against sun damage, and undergoing regular oral screenings for early detection. 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 April,2024 03:21 PM IST | New Delhi | IANSADVERTISEMENT
