March, 2015 - Best Private Hospital in Dubai Al Mankhool | IMH Dubai

Trigger Finger – Things to Know

Trigger finger is a painful condition that causes the fingers or thumb to catch or lock when bent. In the thumb its called trigger thumb.

The problem

    • Painful condition characterised by:

    • Inability to bend fingers freely
    • Caused by inflammation and thickening of the annular pulleys of the flexor tendons
    • Disorder characterised by inability to extend the flexed fingers
    • Painful and very common

download

Features

Women above 45 are commonly affected Common in patients with rhuematoid athritis The ring and middle fingers are most commonly affected

Treatment

  • Steroid injection

images

Snoring and Sleep disorders

Most snoring is simply limited to a bedroom annoyance. However, for 4-10 percent of adults, snoring is an indication of a potentially life-threatening sleep disorder called obstructive sleep apnea. Snoring and sleep apnea are on a spectrum of sleep breathing.

apnea
Snoring is caused by turbulence and resistance in the back of the throat, usually as a result of excess soft tissues. As we go to sleep, the muscles that keep the airway open begin to relax. The area that is outlined by the uvula, tongue, and lateral pharyngeal walls comes closer together creating a narrowing and increased wind resistance, which leads to turbulence and the snore sound.

Risk factors for snoring include increased weight, advanced age, male gender, body position, and alcohol use. In children, large tonsils are often the culprit.

There are several treatment options for snoring and obstructive sleep apnea. Modifying some of the above variables often has a beneficial impact.
For simple snoring, there are several oral appliance options that are available. Stop Snoring snore guards, and antisnoring mouthpieces work by moving the jaw forward, which opens the back of the oral airway, which reduces snoring.

For sleep apnea, treatment options may include CPAP, CPAP supplies, weight loss if overweight, surgery, andsleep apnea mouthpieces, mouth guards.

Reference : American Sleep Association
Dr. Unnikrishnan Thamarassery,
MS ENT, MRCS ENT Edinburgh
Specialist Otolaryngology

Adding Mushrooms to Your Meals

They’re nutritious and low calorie


— Don’t be put off by the fact that mushrooms are a type of fungus. They’re nutritious, low-calorie, low in sodium, fat, cholesterol, and calories and have often been referred to as “functional foods.” In addition to providing basic nutrition, they help prevent chronic disease due to the presence of antioxidants and beneficial dietary fibers such as chitin and beta-glucans.

WHEN SLEEP IS SOUND, HEALTH AND HAPPINESS ABOUND

“WHEN SLEEP IS SOUND, HEALTH AND HAPPINESS ABOUND”

Most sleep disorders are preventable or treatable, yet less than one-third of sufferers seek professional help. Sleep problems constitute a global epidemic that threatens health and quality of life for up to 45% of the world’s population

The three elements of good quality sleep are:

A. Duration- The length of sleep should be sufficient for the sleeper to be rested and alert the following day.

B. Continuity- Sleep cycles should be seamless without interruption.

C. Depth- Sleep should be deep enough or sufficiently sound to be restorative and refreshing.

A recent American study on sleep shows(correlates well with world statstics)

General Statistics

Adults require an average of 8 to 8.5 hours of sleep each night

Sleep problems add an estimated $15.9 billion to national health care costs

84 classifications of sleep disorders exist

Insomnia Statistics

20-40% of all adults have insomnia in the course of any year

1 out of 3 people have insomnia at some point in their lives

Over 70 million Americans suffer from disorders of sleep and wakefulness

Of those, 60% have a chronic disorder

Sleep Apnea Statistics

Over 18 million Americans suffer from sleep apnea

An estimated 10 million Americans remain undiagnosed

Over 50% of all apnea cases are diagnosed in people aged 40 and over

More prevalent in men than women

4 to 9% of middle-aged men suffer from apnea

2 to 4% of middle-aged women suffer from apnea

Narcolepsy Statistics

Affects as many as 200,000 Americans

Fewer than 50,000 are diagnosed

8 to 12% have a close relative with the disease

Affects men slightly more than women

20 to 25% of people with narcolepsy have all four symptoms
(excessive daytime sleepiness, sudden loss of muscle function, sleep paralysis, hallucinations)

Restless Leg Syndrome Statistics

Affects as many as 10% of Americans

Can begin at an early age and worsens with age

Pregnancy or hormonal changes can temporarily worsen this disorder

Children & Sleep Statistics
Over 2 million children suffer from sleep disorders

Estimated that 30 to 40% of children to not sleep enough

Children require an average of 9 to 10 hours of sleep each night

Women & Sleep Statistics
Women are twice as likely as men to have difficulty falling and staying asleep

Pregnancy can worsen sleep patterns

Menopause and hormone changes cause changes in sleep

Older Adult Statistics
Over half of those over the age of 65 experience disturbed sleep

Those over 65 make up about 13% of the US population, but consume over 30% ofprescription drug and 40% of sleeping pills

10 COMMANDMENTS OF SLEEP HYGIENE

1. Set a consistent bed time and an awakening time.
2. If you are in the habit of taking naps, try not to exceed 45 minutes of daytime sleep.
3. Avoid excessive alcohol ingestion four hours before bedtime and do not smoke.
4. Avoid caffeine six hours before bedtime. This includes coffee, tea and sodas, as well as chocolate.
5. Avoid heavy, spicy or sugary foods four hours before bedtime. A light snack before bed is acceptable.
6. Exercise regularly, but not right before bed.
7. Use comfortable bedding.
8. Find a comfortable temperature setting for sleeping and keep the room well ventilated.
9. Block out all distracting noise and eliminate as much light as possible.
10. Reserve the bed for sleep. Don’t use the bedroom as an office, workroom or recreation room

IMH SLEEP CLINIC(MIND WELLNESS CLINIC)

We are here to Identify, Assess, and Advice

Dr.Shaju George
Specialist psychiatrist
International modern hospital
Mind Wellness Department
Burdubai,Dubai
Appointments : 971 4 406 3000

Laparoscopy in Gynecology

Laparoscopy in Gynecology

Laparoscopic surgery is performed using an instrument called a laparoscope, a thin, lighted telescope that is inserted through a tiny, ½ -inch incision made in the navel. The laparoscope allows a surgeon to see and operate in the abdomen without having to use a long incision. Two or three smaller incisions are made along the sides of the abdomen, to allow passage of highly specialized surgical instruments. Laparoscopic techniques allow surgery to be performed with fewer traumas to patients, and minimal damage to body tissues
With miniaturized instruments, doctor can perform a variety of surgeries.
Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars.

Reasons for Gynecologic Laparoscopy

Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can turn into treatment.
Indications for diagnostic laparoscopy are:
• unexplained pelvic pain
• unexplained infertility
• history of pelvic infection

Conditions that might be diagnosed include:

• endometriosis
• uterine fibroids
• ovarian cysts or tumors
• ectopic pregnancy
• pelvic abscess (pus)
• pelvic adhesions (painful scar tissue)
• infertility
• pelvic inflammatory disease
• reproductive cancers

Types of laparoscopic procedures include:

• Hysterectomy (Removal of the uterus)
• Oopherectomy (Removal of the ovaries)
• Cystectomy (Removal of ovarian cysts)
• Myomectomy (Removal of fibroids)
• Laparoscopic uterine artery ligation (blocking blood flow to fibroids)
• Endometrial tissue ablation (endometriosis treatment)
• Adhesiolysis (separation of adhesion)
• Tuboplasty / reanastomosis (opening of blocked tubes)
• Burch procedure for incontinence of urine
• Sacrocolpopexy (vault suspension for vault prolapse)

Preparing for Gynecologic Laparoscopy

Preparation depends on the type of surgery. One will need imaging tests and relevant blood tests. You will be required to be fasting for 6-8 hours before the procedure. Tell your doctor about any medication you take. This includes over-the-counter drugs and supplements. You may need to stop them before the procedure.

Procedure

Laparoscopy is almost always performed under general anesthesia. This means you will be unconscious for the procedure. However, you may still be able to go home the same day. The surgeon will make a small cut in your navel. The laparoscope will be inserted. It transmits images to a screen. This gives your doctor a clear view of your organs. What happens next depends on the type of procedure. For diagnosis, doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide. Once the procedure is over, all instruments are removed. Incisions are closed with stitches. Then you will be bandaged and sent to recovery.

Recovery after Laparoscopy

Once the procedure is over, nurses will monitor your vital signs. You will stay in recovery until the effects of anesthesia fade. Recovery time varies. It depends on what procedure was performed. You may be free to go home a few hours after surgery. You might also have to stay in the hospital for one or more nights.
After surgery, your belly button might be tender. There may be bruises on your stomach. The gas inside you can make your chest and shoulders ache. There is a chance that you will feel nauseated for the rest of the day.
Before you go home, you will be given instructions regarding medication and side effects. Your doctor may prescribe pain medication. You may also receive antibiotics to prevent infection.

Depending on the surgery, you may be told to rest for a few days or weeks. Serious complications of laparoscopy are rare. However, you should call your doctor if you experience:

• serious abdominal pain
• prolonged nausea and vomiting
• fever of 101 degrees F or higher
• pus or significant bleeding at your incision
• pain during urination or bowel movements

Outcomes of Laparoscopy

The results of these procedures are usually good. This technology allows the surgeon to easily see and diagnose many problems. Recovery time is also shorter compared to open surgery. Patient experiences less pain in postoperative period. This procedure requires shorter hospitalization and there is less blood loss associated with laparoscopy.

Dr. Preeti Tandon,
Specialist Obstetrics / Gynecology
MBBS, MD(Obs/Gynae), F.MAS(Laparoscopic Surgeon), FICOG,
Diploma in Adv Gynae Endoscopy (France),
Certified Robotic Surgery Training (USA)

 
×