Elevating the boundaries of medicine.
Aster Hospital’s Multi-Organ Transplant centre is a multi-institutional and multidisciplinary centre designed to provide the best transplant experience. The centre is officiated by a skilled team of surgeons with technical expertise in performing different types of transplants including Liver, Kidney, Heart, Lung, Cornea and Bone Marrow Transplant.
Our doctors are highly experienced in performing multiple organs transplants like heart-liver, liver-kidney, heart-kidney and heart-lung-liver. Our surgeons perform highly complex transplants using innovative techniques. These techniques are a result of years of research and help reduce immunosuppressant usage, create synthesis transplants and advance stem cells, ensuring better patient care.
The centre is backed by state-of-the-art facilities such as dedicated Intensive Care Units, sophisticated Diagnostic & Radiology facilities and advanced Operating Theatres. The centre also boasts equipment required for safe surgery, including Ultrasonic Blood Vessel Sealing Systems, Surgical Aspirators and Laser Coagulators and a speciality Blood Bank.
Our transplant centre is one of the best in the country. We regularly treat both Adult & Pediatric patients requiring from India & abroad.
We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.
We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.
Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.
All Operation Theatre/ Operating Rooms are equipped with KLS Martin's state of the art LED surgical light with colour temperature adjustment and in-surgery video recording capability. The OR tables are all USFDA approved products with operating room staff and patient safety in consideration.
The state-of-the-art Surgical microscope with fluorescence and inbuilt camera recording gives the Neuro and Plastic surgeon an edge in quick decision making and knowledge sharing on table. The ceiling mounted medical gas and electrical supply pendants are first of its kind in north Malabar giving the surgeons and staffs more space, efficient utilisation of the OR space, safety, ease of maintenance and troubleshooting etc. The surgeon control panel another feature in Operating room provides the operating room manager an efficient tool in the optimum environment maintenance and data for preparation of MIS reports. The simple and complex versions of Nerve integrity monitor and the computer aided Navigation System for the ENT, Neuro surgeries help the surgeons in identifying and avoiding the nerves so that the unintended loss of senses are avoided or reduced and the exact margins of the lesions or surgical sites are traced and followed. HEPA filter mounted laminar air flow, Automatic hermetically sealed Doors and the clear non crossing direction of movement of sterile and non-sterile items makes the OR sterile in practice.
Pain and Palliative Care
Clinic For Lifestyle Against Cancer Recurrence
Full-fledged Ayurveda Department
ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster Medcity, for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system.
The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world, but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.
Aster Medcity is also the first surgical facility in the state to offer Robotic Surgery using high-precision da Vinci Surgery Robot.
Want to find out more about the treatment? The answer to your questions can be found below.
Who can be Organ donors?
Anyone can donate not less than 18 years, who voluntarily authorizes the removal of their organs and/or tissues, regardless of their medical condition at the time of death or throughout their lifetime.
What will a urologist do on the first visit?
They take your history and examine you. They also suggest few investigations as required.
What type of procedure does a Urologist perform?
When you visit a urologist, they’ll start by doing one or more of these tests to find out what condition you have:
Imaging tests, such as a CT Scan, MRI Scan, or Ultrasound, allow them to see inside your urinary tract.
They can order a cystogram, which involves taking x-ray images of your bladder.
Your urologist can perform a Cystoscopy. This involves using a thin scope called a cystoscope to see the inside of your urethra and bladder.
They can perform a post-void residual urine test to find out how fast urine leaves your body during urination. It also shows how much urine is left in your bladder after you urinate.
They can use a urine sample to check your urine for bacteria that cause infections.
They can perform urodynamic testing to measure the pressure and volume inside your bladder.
Urologists are also trained to perform different types of surgery. This may include performing:
Biopsies of the bladder, kidneys, or prostate.
A cystectomy, which involves removing the bladder, to treat cancer.
Extracorporeal shock-wave lithotripsy, which involves breaking up kidney stones so they can remove them more easily.
A kidney transplant, which involves replacing a diseased kidney with a healthy one.
A procedure to open a blockage.
A repair of damage due to injury.
A repair of urinary organs that aren’t well-formed.
A prostatectomy, which involves removing all or part of the prostate gland to treat prostate cancer.
A sling procedure, which involves using strips of mesh to support the urethra and keep it closed to treat urinary incontinence.
Transurethral resection of the prostate, which involves removing excess tissue from an enlarged prostate.
Transurethral needle ablation of the prostate, which involves removing excess tissue from an enlarged prostate.
A ureteroscopy, which involves using a scope to remove stones in the kidneys and ureter.
A vasectomy to prevent pregnancy, which involves cutting and tying the vas deferens or the tube sperm travel through to produce semen.
What is Kidney failure?
Kidney failure (also called renal failure) means one or both kidneys can no longer function well on their own.
How is kidney failure diagnosed?
Doctors use a variety of tests to measure kidney function and diagnose kidney failure. Through blood tests, Advance imaging which can show kidney abnormalities or obstructions (blockages) and urine tests.
What is Kidney Transplant?
Some people with kidney failure may be able to have a kidney transplant. During transplant surgery, a healthy kidney from a donor is placed into your body. The new, donated kidney does the work that your two kidneys used to do.
Are there any dietary changes required to prevent Kidney disease?
Kidney-friendly meal plan( Low salt diet-avoid consuming canned foods, Pickles)
Voiding self/over the counter medication,
Abstinence from smoking
What can I do to protect my kidneys?
Get regular health checkup done(especially when there is a family history), Blood pressure and Blood sugar levels.
How does high blood pressure affect the Kidney?
Your kidneys and circulatory system depend on each other for good health. High Blood pressure will damage the delicate functioning units of the kidney which do not filter blood well, Damaged kidneys fail to regulate blood pressure. It's a vicious cycle.
Is drinking a lot of water good for kidneys?
Adequate hydration is good for healthy kidneys(for eg: A 70 kg individual is supposed to drink 10 glasses of water(2.5 -3 L/day).
Can kidney failure be controlled?
Healthy lifestyle, good control of blood sugar and blood pressure, adherence to Medication.
Is there surgery required for the removal of stones?
In modern management of renal stone disease, open laparotomy is seldom required as urolithiasis (kidney/ureter/bladder stones) can be dealt with endoscopically.
When is dialysis required?
Dialysis is required once the cumulative GFR falls below 15ml/min/1.73 sq meter BSA. Emergency dialysis may be required for uremic complications of
- Severe metabolic acidosis
- Fluid overload with pulmonary edema
- Uremic pericarditis
- Uremic encephalopathy
What should be the lifestyle to avoid kidney problems?
A balanced diet, no smoking, abstinence or modest alcohol consumption, adequate fluid intake depending on ambient weather conditions, salt restriction in diet, good glycemic control in diabetes and optimal control of BP in hypertension, regular exercise to avoid obesity are some of the measures to avoid kidney problems.
How can urinary incontinence be managed?
Essentially managed by urologists who are surgeons to the kidneys and genitourinary tract, incontinence can be managed alternatively with certain drugs and neurosurgical procedures where necessary.
What disease does a nephrologist treat?
All primary diseases of the kidney and renal diseases secondary to other diseases fall in the realm of nephrologists. To name a few, acute nephritis, Nephrotic syndrome, AKI, CKD, UTI, obstructive uropathy, nephrolithiasis, hypertension, renal tubular disorders, and asymptomatic urinary abnormalities.
Why tests do nephrologists perform?
What is MD in internal medicine?
MD internal medicine is a recognized postgraduate degree conforming to the stringent criteria of NMC (earlier medical council of India). The MD qualified doctors are permitted to practice and treat all medicine cases sans
interventions in cardiology or endoscopy in gastroenterology or performing dialysis in chronic kidney diseases.
What is the difference between internal medicine and general practice?
General practitioners are MBBS graduates who practice fundamental aspects of medicine, surgery to name a few.
What procedures do internal medicine doctors do?
Generally simple procedures like Pleural aspiration, peritoneal aspiration, pericardial aspiration. Ultrasound-guided aspiration of the Liver abscess, CSF analysis by spinal Tap, bone marrow aspiration, and biopsy can be done.
What to do while taking internal medicine treatment?
Just follow the prescription and, if required by follow up teleconsultation.
Is cancer curable?
Yes, cancer is a curable disease, if it is diagnosed at an early stage (Stage I and II) and appropriate treatment is prescribed by cancer specialists. The highly treatable types of cancers are breast cancer, skin cancer (non-melanomas), colon cancer, prostate cancer, testis cancer, and cervical cancer.
In the present day, even the early stage IV cancer can be curable. The focus has shifted to intent. From Stage I to early Stage IV (limited metastases) the approach now is with the intent to cure. The increasing use of immunotherapy and/or stereotactic ablative body radiotherapy (SABR) in early-stage IV is a welcome development.
Visit Best Cancer Centre in Bangalore to avail the advanced treatments for cancer.
Is cancer a communicable disease?
Here the answer has not changed. Cancer is not a contagious disease or disorder that can so quickly transmit from one person to another. The immune system of a healthy person will destroy the foreign cells, including cancer cells from another person. There is no such evidence that cancer is a communicable disease that can transmit from a cancer patient to a healthy person if they are in close contact or breathing common air. ONE CAN SAFELY MIX WITH CANCER PATIENTS, USE UTENSILS IN COMMON, AND ALLOW PLAYING WITH CHILDREN/GRANDCHILDREN. Occasionally, cancer can spread through tissue or organ transplantation methods due to immunosuppression medication.
How should I prepare when I visit the cancer specialist?
It is very important to use the time optimally with the time you spend during the consultation. Although you would be anxious to spend a lot of time knowing the outcome of the cancer vis a vis cure, the doctor may not exactly be able to assure the outcome of you in exact terms. The general statistics the doctors have is for choosing and recommending the treatment for you, and a specialist will not able to specify for you the cure. Instead, you should give enough time to regarding choices of treatment available and focus on what you can do to improve the probability of cure. Please check the survivorship program of Best Oncology Hospital in Bangalore
What is a Bone Marrow Transplant?
A bone marrow transplant is also known as stem cell transplant, a treatment which is used to replace an unhealthy marrow with a healthy one. It is used to treat diseases such as blood cancers like leukaemia or lymphoma, bone marrow diseases such as aplastic anaemia and other immune systems or genetic disease like sickle cell disease.
If you are searching for Best Oncology Hospital in Bangalore, then visit Aster CMI hospital located in Hebbal.
What are the symptoms of cancer?
- The earlier cancer is detected, the greater the chance of curing it
- Change in bowel or bladder habits
- Unusual bleeding or discharge
- Thickening or lump in the breast or other parts of the body
- Changes on skin.
Whom I should consult for Thyroid Tumours?
If you are worried about thyroid cancer, the first step you need to take is to visit your Head and Neck specialists. They can diagnose and treat your thyroid cancer so you can get on with your life.
What is a heart attack?
In some patients, the blood supply to a part of the heart muscle stops suddenly. This happens most often due to the formation of a clot inside one of the three coronary arteries supplying blood to the heart muscle. When this happens, the heart muscle that receives blood from the respective coronary artery gets damaged. This is termed as a heart attack.
It is advised to quickly visit the Best Cardiology Hospital in Bangalore nearby to get treated by a cardiologist.
Are there different types of heart attacks? If so, what are they?
Based on the variation in the ECG during a heart attack, doctors recognize two types of heart attacks.
ST-elevation Myocardial Infarction (STEMI)
Non-ST-elevation Myocardial infarction (NSTEMI).
STEMI and NSTEMI differ not only in the variation in the ECG but also in their severity. In general, STEMI is more likely to be immediately fatal or disabling than NSTEMI. Consequently, STEMI requires more urgent treatment than NSTEMI in most instances.
However, this is just a thumb rule: Some NSTEMIs can be equally ominous and may require emergency treatment just like STEMI.
What are the specific tests required to diagnose heart disease?
Patients suspected to have a heart attack require to undergo ECG or electrocardiogram immediately. If the initial ECG is not diagnostic but the symptoms and signs are highly suggestive of a heart attack, repeating the ECG after 30-60 minutes and performing a blood test to detect high levels of cardiac enzymes such as Cardiac Troponins or CK-MB are additionally useful. Old heart attacks are often diagnosed based on ECG or Echocardiography.
What time of the day does one usually get a heart attack?
Heart attacks can occur at any time of the day. However, due to various neuro-hormonal variations associated with the circadian rhythm, some clustering of heart attacks is noted in the mornings between 6 am and 12 noon. Some physicians have noted more heart attacks in the wee hours, i.e., between 3 and 6 am.
What are the common causes of heart disease?
Various risk factors increase the chances of a person having a heart attack. Smoking, High Blood pressure, Diabetes. physical inactivity, high cholesterol levels, obesity, and poor diet are important risk factors. These can be potentially controlled to reduce heart attack risk. Therefore, these are termed Modifiable Risk factors.
Older age, male sex, family history, Post-menopausal state in women are factors that can increase heart attack risk but cannot be altered. These are called non-modifiable risk factors.
South Asians appear to have a very high risk of having heart attacks at a younger age, compared to Caucasians and Asians such as Japanese.
How are heart attacks treated?
As soon as a diagnosis of heart attack is made, blood-thinning medications (Aspirin, Clopidogrel are common ones) are administered. The definitive treatment is Coronary angiography followed by primary coronary angioplasty to restore blood flow in the coronary artery causing the attack.
However, if for some reason, angioplasty cannot be performed, certain medicines (thrombolytic drugs, or clot busters) are administered in the form of injections. Primary Angioplasty is a more effective and safer form of treatment for a heart attack, but in some circumstances (e.g., remote areas) these drugs can be life-saving.
What is Coronary Angioplasty?
Coronary angioplasty is a procedure performed to widen narrow or blocked sections of the coronary vessels thereby restoring the blood flow. A thin balloon is inserted into the coronary artery and inflated at the site of the block to widen the narrowed artery. This makes a way for the opening of the blockages. A stent is generally then placed to prevent future blockages.
What is Coronary Artery Bypass Grafting (CABG) Surgery?
Coronary Artery Bypass Grafting (CABG) is a procedure where a surgeon makes new routes (bypass) around blocked or narrowed coronary arteries with one or more grafts allowing increased blood flow to the vessel past the blockage. These grafts are typically healthy blood vessels from the chest, arm, or leg of the patient.
What are the precautions to be taken post a heart surgery or angioplasty?
It is important to maintain a healthy lifestyle post a heart surgery includes: Quit smoking. Eat a healthy diet that is low in saturated fat. Lower your cholesterol levels. Try to maintain a healthy weight. Exercise regularly. Control other conditions, such as diabetes and high blood pressure. Do not skip any medications prescribed by your doctor.
What is Normal blood pressure?
Normal blood pressure is defined as blood pressure of 120 mmHg systolic, 80 mmHg diastolic. Blood pressure of 140/90 or higher is termed as hypertension.
Why is high blood pressure dangerous?
Higher the blood pressure, higher is the risk of damage to the heart and blood vessels in major organs such as the kidney and brain.
Uncontrolled hypertension can lead to an enlargement of the heart, heart attack, and eventually heart failure. Hypertension can also lead to blindness, stroke, and kidney failure.
What is heart failure?
Heart failure is a condition in which your heart is not pumping normally and is unable to deliver oxygen-rich blood throughout the body. It does not mean the heart has stopped working. It means that it is working at lower efficiency.
The heart muscle is either too weak and cannot pump blood to the rest of the body with enough force (systolic failure) and/or has trouble relaxing and becomes stiff (diastolic failure). This causes a build-up of fluid (congestion) in the lungs, feet, and other body tissues. This generally develops slowly but can also present very rapidly.
Is there a link between blood sugar and heart attack?
Anything in excess or deficiency is a problem. The same applies to blood sugar. High blood sugar levels can increase the risk of heart diseases like heart attack and heart failure. Low blood sugar (Hypoglycaemia) can precipitate arrhythmias and heart attacks. Long term uncontrolled blood sugar can lead to blocks in the peripheral arteries like in the brain, legs, and abdomen.
What is heart attack?
A heart attack occurs when a blood clot blocks blood flow to the heart. It is also called Myocardial Infarction (MI) and is a medical emergency treated without delay.
What are the common causes of heart disease?
High-risk factors are:
- Having high blood pressure
- Physical Inactivity
- High cholesterol
- High levels of lipoprotein
- Excessive use of alcohol or caffeine
- Heart problem present at birth.
How bad is alcohol for the heart?
Excessive alcohol intake can lead to high blood pressure, heart failure or stroke. Excessive drinking can also contribute to a disorder that affects the heart muscle.
Alcohol can contribute to obesity and the long list of health problems that can go along with it.
How can you prevent blood pressure?
Lead an active lifestyle, Exercise regularly, Keep yourself at a healthy weight and avoid drinking alcohol and smoking.
What will happen during the surgery?
You will be under the effect of Anesthesia, totally in an unconscious state, you won’t feel pain, and you won’t even know that the surgery has been done.
How long will my surgery take?
Surgical time varies depending upon the type of surgery and diseased condition of your heart. Usually, the average heart surgery lasts for 4-6 hours.
What can I do or cannot do after surgery?
Avoid weight lifting and driving for three months.
How many hours does open-heart surgery take?
Surgical time varies depending on the type of surgery and diseased condition of your heart. Usually, the Average heart surgery lasts for 4-6 hours.
What are the side effects of Open Heart Surgery?
Like any other operation, the patient has a risk of infection and bleeding.
Can I live a long life after Bypass Surgery?
Sure, you live long, provided the surgery is done within the right time and for the correct indication.
How much walking or exercise do I need after the surgery?
You have to walk for a minimum of 20-30 minutes daily after surgery, which can be further increased after 4-6 weeks of surgery.
Which is the best heart hospital in Kerala?
One of the best heart hospitals in Kerala is Aster Medical City's Centre of Excellence in Cardiac Sciences. It provides advanced cardiology, interventional cardiology, electrophysiology, cardiac surgery, heart transplant, and cardiac rehabilitation services to all age groups.
With the assistance of skilled nurses, technicians, dieticians, and rehabilitation specialists, it provides the best treatment possible.
The outstanding medical team of adult cardiologists, cardiothoracic surgeons, pediatric cardiologists, cardiac surgeons, and interventional radiologists at Aster Medcity hospital can handle all cardiac emergencies successfully.
What are the treatment options for a heart attack?
A heart attack occurs when one or more coronary arteries get blocked, reducing or stopping blood flow to the heart, and depriving a part of the heart muscle of oxygen.
The treatment options vary based on the extent of obstruction (total or partial). Medications to treat a heart attack include aspirin, clot busters, thrombolytics or fibrinolytics), blood-thinning medications like Heparin, Nitroglycerin, morphine, beta-blockers, ACE inhibitors, and statins.
Surgeries and procedures to treat a heart attack include:
- Coronary angioplasty
- Coronary artery bypass surgery (CABG).
How to book an appointment with a heart specialist online?
Booking online consultation with a heart specialist is simple now.
All you have to do is visit the official page of the hospital or doctor's private clinic. Click on the link below to book an appointment with Aster Medcity.
This link takes you to a list of qualified and experienced doctors. Click on the book an appointment tab and follow the instructions, and you are done.
What are the symptoms of a heart disease/problem?
The symptoms that indicate heart problems are as follows.
- Chest discomfort
- Chest pain (tightness or pressure)
- Difficulty in breathing
- Cold sweat
- Sudden dizziness
- Pain radiating to the back, neck, jaw, throat, or upper belly.
Who does heart surgery?
A surgeon with advanced education and training in operating on the heart and the major blood arteries surrounding it is known as a cardiac surgeon. A cardiac surgeon can specialise in certain cardiac operations. For instance, pediatric cardiac surgeons perform surgeries on children.
Are bypass surgery safe?
Heart bypass surgery lowers the risk of death and heart attack and is generally safe and effective. Today, majority of patients with coronary bypass surgery experience no significant side effects, and the chance of death is reduced to 1-2 percent.
How long will it take to heal from heart surgery?
An average hospital stay following open-heart surgery is four to five days. Following hospital discharge, it typically takes six to eight weeks for your breastbone and chest muscles to heal as you gradually reintroduce your daily activities.
How long does heart stent surgery take?
Typically, a heart stent surgery lasts between 5-6 hours. If you're receiving treatment for angina, you'll typically be allowed to leave the hospital later that day or the next.
Which hospital is the best for heart surgery in kerala?
The Centre of Excellence in Cardiac Sciences at Aster Medcity, one of the most cutting-edge facilities in Kerala, provides advanced cardiology, interventional cardiology, electrophysiology, cardiac surgery, heart transplant, and cardiac rehabilitation for all age groups.
The outstanding medical team of adult cardiologists, interventional cardiologists, and cardiac electrophysiologists provides patients with the best care possible.
Which doctor to consult for a heart problem?
A specialist in detecting, diagnosing, treating, and preventing conditions of the heart, arteries, and veins is a cardiologist, often known as a "heart doctor," "heart physician," or "heart specialist." A regular check-up with this heart specialist doctor can help you stay on top of your heart health and lower the risk for heart disease.
What is pediatric cardiology?
The pediatric cardiology focuses on children under 18 with heart abnormalities and cardiac diseases. Paediaric cardiologists treat children born with congenital heart problems or other cardiac ailments or conditions in their early years.
Is there any chance of a heart attack after an angioplasty?
Heart attack is one of the rare complications of angioplasty. Although unlikely, the person could get a heart attack during or after the angioplasty.
What Organs and tissues can be donated?
- Heart Valves
How long Does it take to heal from Cystoscopy?
These symptoms should get better in 1 or 2 days. You will be able to go back to work for usual activities in 1 or 2 days
When should I consult a Urologist?
Have blood in your urine (Hematuria).
Experience consistent pain or burning while urinating, which could indicate a Urinary Tract Infection (UTI).
Have a frequent need to urinate or have difficulty urinating.
Have frequent UTIs.
Have severe constipation.
Conditions exclusive to men include problems with getting or keeping an erection; anything related to fertility; an elevation or change in your prostate-specific antigen (PSA); an abnormal prostate exam or a testicular mass or persistent pain. Prostate cancer is the most common cancer among American men, yet in its early stages, prostate cancer often has no symptoms.
Women experience urological problems differently, such as urinary incontinence and urinary tract infections. They also may have a urinary fistula, pelvic organ prolapse, and voiding dysfunction.
What causes kidney failure?
The most common causes of kidney failure are diabetes and high blood pressure. Sometimes, though, kidney failure happens quickly due to an unforeseen cause.
What is Dialysis?
Dialysis is a treatment for people whose kidneys are failing. Dialysis does the work of your kidneys, removing waste products and excess fluid from the blood.
How to find a match and compatibility with a Kidney Transplant donor?
There are three main blood tests that will determine if a patient and a potential donor are a kidney match. They are blood typing, tissue typing and cross-matching.
How is early-stage CKD treated?
Low Protein Diet, Low salt diet, keeping Blood Sugars and Blood Pressure under control, maintaining BMI<23 kg/m2.
Is there a diet that is good for kidneys?
Low protein and low salt diet. By reducing protein intake, people with kidney disease who are not on dialysis can reduce stress on their kidneys and prevent the buildup of urea in the bloodstream. Limiting sodium can help lower the risk of developing hypertension, cardiovascular disease, congestive heart failure and chronic kidney disease.
Lower-protein foods: Bread, Fruits, Vegetables, Pasta and rice.
Avoid higher-protein foods: Red meat, Poultry, Fish, Eggs.
Low Potassium and low phosphorus foods.
What habits damage the kidney?
Obesity, Physical inactivity, Smoking, less intake of water, abusing salt shaker, eating processed food, eating too much meat and too much food high in sugars, Heavy alcohol drinkers, pain killer abuse.
How is Diabetes control related to my kidney function?
With diabetes, the small blood vessels in the kidney are injured, your kidneys cannot clean your blood properly. The body of an individual will retain more water and salt than it should, which can result in weight gain and ankle swelling. You may have protein in your urine. Also, waste materials will build up in your blood.
Is there a surgery required for removal of stones?
The need for surgery is decided based on the size of the stone, their location and obstruction caused by the stones.
Can something be done to prevent the recurrence of stones?
Relevant dietary advice, including liberal fluid intake, can mitigate the recurrence of renal stones to a considerable extent.
Can kidney failure be controlled?
Kidney failure can be controlled, and its progression can be slowed done for a period with good conservative measures for chronic kidney disease. However, the final outcome is almost always ending stage renal disease (ESRD) requiring renal replacement therapy (RRT). Early detection of diabetic kidney disease at the stage of microalbuminuria can be reversed with diligent treatment and regular follow-up.
What is end-stage renal disease?
ESRD is a stage in the progression of chronic kidney disease, and the kidneys are no longer capable of carrying out their function to maintain the milieu interior. Renal replacement therapy (regular dialysis and transplantation) is the only option to preserve life.
Which test can a nephrologist recommend?
Since kidneys are essential for optimal functioning of all organ systems by maintaining the milieu interior, a nephrologist can and does order all the investigations in a clinician’s armamentarium.
What do nephrologists do on the first visit?
Detailed history taking, complete physical exam, recording of BP and BMI, and ordering of investigations (based on provisional diagnosis), including a mandatory complete urine examination and basic USG for kidneys.
Is there surgery required for the removal of stones?
In modern management of renal stone disease, open laparotomy is seldom required as urolithiasis (kidney/ureter/bladder stones) can be dealt with endoscopically.
Do internists perform surgery?
Internists do not perform any surgeries since it is the domain of surgical specialty.
What does a doctor in internal medicine do?
Internal Medicine doctors practice various illnesses related to all sub-branches of Internal Medicine.
What is the difference between internal medicine and primary care?
MBBS graduates give primary care, and the practice of Internal medicine involves secondary care, and tertiary care is given by super-specialist.
Is dialysis the only option if I develop ESRD?
Unless renal transplant is envisaged and planned patient has to be on maintenance dialysis either or hemodialysis.
Can radiotherapy cause hair loss on the scalp?
Yes, radiotherapy can cause hair loss only when treating head, brain or scalp of a patient. It means hair loss is a common side effect that occurs in the area being treated with radiotherapy. Usually, hairs will start to fall out 2 to 3 weeks after treatment starts.
In a female, radiotherapy to the breasts will lose hair in the armpit and male hair loss will occur in facial/beard/mustache.
With radiotherapy of the head, brain and scalp, earlier the hair loss used to be permanent due to higher effect on the skin. In the present day, all these situations hairs start to regrow from 6 months to 1year in almost all people. In many it comes to the original level.
When should I visit the cancer specialist?
Earlier it used to be 7 warning signals of the cancer. Presently, since the cancer is not uncommon, the advice would be, any persistent (lasting beyond a couple of weeks or months), progressive (increasing in intensity despite regular medication) complaints not responding to regular medication requires investigation to rule out cancer. Consult Best Cancer Care Specialists in Bangalore at Aster CMI hospital.
What can do I to enhance the cure?
Earlier not much importance was given to the patients and attendant's role in the management of cancer. Nowadays a lot of importance need to be given regarding lifestyle led by patients and their attendants. For one, it will improve quality of life of patients and people around them and secondly, these lifestyle changes have the chance of improving the cure rate. Refer to survivorship program Aster CMI Best Oncology Hospital in Bangalore.
What are the most common types of cancer?
- Non-melanoma Skin Cancer
- Breast Cancer
- Kidney Cancer
- Pancreatic Cancer.
How does radiation therapy work?
Radiation therapy is a cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumours.Cancer cells begin to die days or weeks after treatment starts, and continue to die for weeks or months after it finishes.
What is Surgical Oncology?
Surgical oncology is a field of medicine that uses surgery to treat cancer. Its main goal is to find harmful tumours in the body and remove them. Doctors who practice surgical oncology can find out if the disease has spread to other parts of your body.
Are heart attacks hereditary or can they be age-dependent?
Family history plays an important role in the causation of heart attacks. The risk of a heart attack in a person more than doubles if a first-degree relative (parents, siblings, or children) has had a heart attack in the past.
While there are exceptions, heart attacks are generally seen in older adults. The typical age for a man to have a heart attack is 55 years and above and for a woman it is 65 years and above.
When heart attacks are seen in men younger than 55 years and women younger than 65 years it is termed as Premature Heart Attack or Premature Coronary artery disease.
In India, during the last two decades, more and more adults who are younger have been noted to have heart attacks. Studies have shown that between 15-22% of all heart attacks are seen in adults younger than 40 years of age.
Do all types of heart attacks have the same symptoms?
Of course not. Symptoms of heart attack can vary from case to case. The commonest symptom of a heart attack is chest pain. This is seen in about 70% of all heart attack patients. The remainder can present with breathlessness, arm or back pain, cold sweats, loss of consciousness, or palpitations. Some patients may have no symptoms at all and are said to have a Silent Heart attack.
If you experience any of these symptoms, then immediately consult the Best Cardiologist in Bangalore.
How do a heart attack and stroke differ?
A lot of people use these terms interchangeably.
Heart attack refers to damage to the heart muscle. Stroke refers to paralysis of limbs or face or any other neurological function due to damage to the brain resulting from clotting or bleeding in the blood vessels of the brain. They are clinically different and the terms should ideally not be interchanged.
What should I do if I have symptoms suspicious of a heart attack?
First, seek help. Make any person in proximity aware of your situation. The most important step to ensure a safe outcome in a heart attack is to see that you reach a hospital with appropriate facilities as soon as possible. It is a good practice to be aware of the hospitals around you and the facilities they provide.
When someone has chest pain or other symptoms suggestive of a heart attack, the immediate first aid should be to take 350 mg of the soluble form of Aspirin (common trade names Disprin or Aspisol in India). Ideally, the tablet should be chewed because the medicine is absorbed from the mucosal membrane of the oral cavity and starts to act immediately. If the patient cannot chew the tablet for some reason, the tablet can be dispersed in a small quantity of water and taken orally.
If I see someone who is having a heart attack, what can I do to ensure he survives till help arrives?
Call the nearest hospital with cardiac facilities as soon as you recognise that someone around you might be having an ongoing attack. Shift the person to a comfortable position and reassure them. If possible, give them an Aspirin tablet to chew. While waiting for help to arrive, monitor their breathing and pulse. If they lose consciousness, initiate Cardiopulmonary resuscitation (CPR).
How can I reduce my risk of developing heart disease?
A disciplined lifestyle would not only take care of the heart but also keep other diseases at bay. The key changes are
Maintain a healthy weight
Control blood pressure and diabetes well
Keep cholesterol levels in check
What is Coronary Angiography?
It is a procedure to detect blockages in the blood vessels of the heart. A thin hollow tube or catheter is inserted via the artery of the forearm or the thigh. Through this catheter, a special contrast dye is injected into the coronary arteries and X-ray images are obtained to visualize the blood flow in the coronary arteries.
Can a stent get blocked again? Is it possible to insert another stent in the same place?
Yes. In about 5-10% of patients, especially those who are not on medication, have uncontrolled diabetes, develop kidney failure, or continue to smoke, stents can show narrowing (restenosis). If a disciplined lifestyle is not followed, new blockages can appear in other areas of the vessels too.
Stent restenosis can be treated by balloon angioplasty, a second stent, drug-coated balloons, or by Bypass surgery.
Is bypass surgery a permanent solution for heart blocks?
No treatment for coronary blocks can be considered a permanent solution. A small number of patients can have the failure of bypass surgery very early. In a majority, Bypass surgeries can help to feel better and prolong life for over 10-15 years. Again, lifestyle and adherence to medical advice after bypass surgery are of paramount importance in keeping the procedure durable. Visit Best Heart Hospital in Bangalore to avail of advanced heart surgeries or procedures.
What are the various types of heart diseases?
There are various types of disorders related to the heart.
Congenital heart disease is a defect of the heart which are present since birth.
Arrhythmias are abnormal heart rhythm or irregular heartbeat affecting the electrical conduction.
Coronary artery disease is caused by the narrowing of the coronary arteries leading to the decreased blood supply to the heart.
This can potentially lead to angina, heart attacks, weakening of the heart muscle, or sudden death.
Cardiomyopathy refers to diseases affecting the heart muscle. Some types of cardiomyopathy are genetic, while others occur because of an infection or reasons that are less well understood.
Heart failure happens when the heart is not properly pumping blood throughout the body. In this condition often the heart's pumping capacity is reduced.
Valvular heart disease affects how the valves function to regulate blood flow in and out of the heart chambers.
Hypertension is a condition in which the blood vessels have persistently increased pressure, putting them under increased stress. It is often known as high or raised blood pressure.
Pericardial diseases affect the outer layer (pericardium) of the heart. It can be affected by a variety of conditions that include inflammation (pericarditis), stiffness (constrictive pericarditis), and fluid accumulation (pericardial effusion).
What causes high BP or hypertension?
The cause of high blood pressure is unclear in most people. However, older age, physical inactivity, poor diet, obesity, kidney problems, alcohol use, certain birth control pills, and persistent stress can all contribute to the development of hypertension.
People with high blood pressure usually have no signs when their blood pressure is excessively high, or if they have already had high blood pressure.
How to prevent high blood pressure?
High blood pressure can be prevented and controlled by maintaining a healthy diet.
Reduce your salt intake. Increase the intake of vegetables and fruits. Avoid saturated fats.
Engage yourself in moderate exercises. Aim for a minimum of thirty minutes of aerobic activity, such as brisk walks for five days a week.
Avoid and stop smoking and other tobacco products and avoid alcohol abuse.
Reduce stress levels by engaging with fun activities and meditation.
If advised medications, please take them regularly.
Does erratic sleep over the long run lead to a potential heart attack? Are the professionals working night shifts at a higher risk of a heart attack?
Yes. Every individual needs at least 6-8 hours of undisturbed sleep. Studies have shown that working night shift meddles with the body’s circadian rhythm, putting it under stress and making it more susceptible to heart problems like irregular heartbeats and heart attack.
What is valvular heart disease?
The heart’s valves keep blood flowing through the heart in the right direction. But a range of conditions can result in valvular damage. Valves may narrow (stenosis), not close properly (prolapse) or leak (regurgitation or insufficiency). This can cause your body to be disrupted by the blood flow through your heart.
Is there a link between obesity and heart disease?
Yes. Being overweight and obese can cause a high risk of multiple heart problems. It can lead to high blood pressure. Excess weight also increases the chance of atherosclerosis (cholesterol deposits in the arteries causing blocks), abnormal heart rhythms, heart attacks and significantly increases the risk of heart failure.
What are the symptoms of a heart attack?
Chest pain :
- This symptom can be mild and feel like discomfort or heaviness
- Pain on left arm and shoulder, neck, jaw, back or down toward your waist
- Shortness of breath or trouble breathing
- Nausea or stomach discomfort
- Feeling lightheaded, dizzy, or passing out.
What is Angioplasty?
Procedure to improve blood flow in blood vessels that have become narrow or blocked.
What is high blood pressure?
High blood pressure is a common condition that affects the body's arteries. It is also called hypertension. Normal pressure is 120/80 or lower.
When to see a cardiologist?
If you notice a pattern of heart disease, chest pain, shortness of breath, palpitations or dizziness including high cholesterol and high blood pressure, take action and get checked by a cardiologist.
What should I do on the day of my surgery?
Get up in the morning with a positive mind. You are not allowed to take anything by mouth.
How will my pain be managed?
You will be given pain killer intravenously (IV) in the postoperative period, which reduces your pain to a negligible level.
How long will I stay in the hospital for heart surgery?
Usually, straightforward cardiac surgery recovered patients will be discharged on the 5th day of surgery.
Which is the most serious Heart surgery?
All Heart surgeries are considered to be serious.
What are the restrictions after Open Heart Surgery?
Avoid weight lifting and driving for three months.
Will I require a Blood Transfusion during surgery?
It depends upon the pre-operative Hemoglobin levels of the patient. If it is above 12gm/dl, the requirement of blood during surgery is 0-1 bottle. But we always arrange four bottles as standby.
How long do heart patients stay in the hospital?
- Heart attack minimum of 3-5 days
- Angiogram as Day care
- Heart Angioplasty in 2 days
- Heart Failure in 5-7 days.
What is the primary treatment for heart attack?
Medications and primary Angioplasty
What is the best treatment for blocked arteries in the heart?
The two standard treatment procedures for blocked arteries are:
- Angioplasty of the heart.
- Coronary artery bypass grafting (CABG).
- Medical Management.
Is heart treatment possible without surgery?
Medications can treat some heart conditions without surgical intervention, including heart attacks. Cholesterol medications are just another way to treat coronary artery disease. These drugs can lower bad cholesterol and lessen plaque formation in the arteries. Aspirn aspirin and clopidogrel used as blood thinners.
For instance, clot-busting medications aid in dissolving the blood clots during haert attack. Heparin, which is administered intravenously or intramuscularly, makes the blood less sticky and less likely to clot. Nitroglycerin helps to enhance blood flow to the heart by widening blood vessels.
What are the causes of heart attacks?
The causes of heart attacks are listed below.
- Cardiovascular atherosclerosis: Family history of Coronary Artery diseases, BP, Diabetics, Cholesterol, Age, Smoking and other habits.
Is heart surgery dangerous?
Heart surgery has inherent risk of death. But death risk is more in those individuals who are very ill before cardiac surgery or when cardiac surgery is done in an emergency (for example, during a heart attack).
The good news is that risks have dramatically decreased over the past few decades, and the chance of death during surgery has reduced to 1-2 percent.
When is open heart surgery necessary?
Cardiac surgeons may advise open-heart surgery or CABG.
- Replacement or repair of heart valves,
- Repair or replacement of damaged or abnormal heart tissue
- Heart transplantation
- Aortic surgeries.
What are the different types of heart surgery?
Different types of heart surgeries are:
- Coronary artery bypass grafting
- Open heart surgery
- Heart valve repair
- Heart valve replacement
- Heart transplant
- Maze surgery
- Aneurysm repair.
Which is the best private hospital for heart disease in kerala?
Aster MedCity center of excellence is one of the best private hospitals in Kerala. Established to operate as an independent cardiac hospital in Kochi, this facility has an outpatient department, an inpatient department, a day care area, and a state-of-the-art cardiovascular imaging section with nuclear medicine. In addition, they have a dedicated electrophysiology lab, a dedicated interventional cardiology wing, dedicated adult and pediatric cardiac surgical suites, dedicated cardiac ICUs, and a 24-hour Rapid Access Chest Pain Clinic to handle all emergencies.
What are Invasive, Non-Invasive, and Interventional Cardiology?
Invasive cardiology uses open or minimally invasive procedures to find and treat structural or electrical abnormalities in the heart. Non-invasive cardiologists focus on diagnosing and managing heart conditions through extracorporeal tests rather than intravenous devices. Interventional cardiology uses special catheter techniques for diagnosing and treating coronary artery diseases.
What does a cardiologist do?
Doctors specializing in the prevention, diagnosis, and treatment of cardiac diseases are cardiologists. A cardiologist examines the patient and goes through their medical history to assess the severity of the condition. They might perform some tests and assess the person's blood pressure, blood vessels, heart rate, and other factors determining heart health.
Can a blood clot cause a heart attack?
Blood flow is obstructed when coronary arteries are constricted due to plaque buildup. But when this plaque breaks, it forms a clot that could entirely cut off the blood supply: when this blood clot plugs the coronary arteries, it causes a heart attack.
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