Best Multi-Specialty Hospital in Kasargod

‘A healthy mind is as important as a healthy body for a happy and productive life.’ The Department of Psychiatry & Counselling Services at Aster Hospital strives to improve the mental and psychological well being of our patients.

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Neonatology

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Medical Gastroenterology

Medical Gastroenterology department is committed to providing world-class care for all gastrointestinal disorders.

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Geriatric medicine

Geriatric Medicine is a specialized field focused on the health and well-being of older adults.

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Gynec Oncology

The Gynaecologic Oncology Department is the comprehensive management of cancers affecting the female reproductive system, including ovarian, cervical, uterine, vulvar, and vaginal cancers.

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Plastic & Cosmetic Surgery Dermatology

The Department of Plastic, Cosmetic Surgery and Dermatology offers a wide range of advanced surgical and non-surgical treatments designed to restore, enhance, and maintain both function and appearance.

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FAQ's

16417

Why choose Aster CMI Hospital for robotic brain and spine surgery?

Aster CMI Hospital offers advanced robotic technology, experienced specialists, comprehensive neuro care, and minimally invasive treatment options for complex brain and spine conditions.

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When should I consult a spine specialist?

You should consult a spine specialist if you experience persistent back pain, neck pain, numbness, tingling, weakness, or difficulty walking.

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16417

Which conditions can be treated using robotic neurosurgery?

Robotic neurosurgery can be used for brain tumors, spine disorders, movement disorders, epilepsy, nerve compression, and several complex neurological conditions.

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What are the benefits of minimally invasive robotic surgery?

Benefits may include smaller incisions, less pain, minimal blood loss, shorter hospital stay, and quicker recovery.

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Is robotic spine surgery safe?

Yes, robotic-assisted spine surgery is considered safe and helps improve surgical accuracy, reduce complications, and support faster recovery.

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What is robotic brain and spine surgery?

Robotic brain and spine surgery is an advanced surgical technique that uses robotic-assisted systems and computer-guided navigation to improve precision during neurological and spinal procedures.

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How do I consult a Spine Robotic Surgery specialist at Aster CMI Hospital?

Patients can schedule a consultation with the spine care team at Aster CMI Hospital for evaluation and personalized treatment planning.

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What are the benefits of robotic-assisted spine surgery?

Benefits may include reduced pain, less blood loss, faster recovery, and improved surgical accuracy.

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Is robotic spine surgery safe?

Robotic-assisted spine surgery is designed to improve surgical precision and support safer minimally invasive procedures.

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What is the Mazor X Robot used for in spine surgery?

The Mazor X assists surgeons in planning and performing highly precise spine procedures with enhanced navigation and implant positioning.

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How do I consult a Brain Robotic Surgery specialist at Aster CMI Hospital?

Patients can schedule a consultation with the neuroscience team at Aster CMI Hospital for evaluation and personalized treatment planning.

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What are the benefits of robotic-assisted brain surgery?

Benefits may include smaller incisions, reduced trauma, faster recovery, and improved surgical precision.

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Is robotic brain surgery safe?

Robotic-assisted neurosurgery is designed to improve surgical precision and support safer minimally invasive procedures.

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What is the ROSA Robot used for in brain surgery?

The ROSA Robot assists surgeons in planning and performing highly precise brain procedures with enhanced navigation and accuracy.

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What happens after surgery?

After electrode implantation, the device is programmed over several sessions to achieve optimal symptom control. Regular follow-ups and adjustments ensure long-term success.

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Is the procedure safe?

DBS is considered safe when performed by experienced neurosurgical teams. Like any surgery, it carries some risks, which are minimized with proper planning and monitoring.

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Who is eligible for DBS surgery?

Patients with advanced Parkinson’s, essential tremor, or dystonia not responding well to medications may be suitable candidates after thorough evaluation.

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Is DBS a cure for Parkinson’s or tremors?

DBS is not a cure, but it significantly reduces symptoms and medication dependence, improving quality of life.

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What is Deep Brain Stimulation (DBS)?

DBS is a neurosurgical procedure where electrodes are implanted into specific areas of the brain to regulate abnormal signals, commonly used for movement disorders like Parkinson’s disease.

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Can Both Breasts Be Made Symmetrical?

Yes, making both breasts look as similar as possible is an important goal in oncoplastic surgery. Surgeons often plan procedures for both the affected and healthy breast, such as a lift, reduction, or augmentation, to create a natural and balanced appearance.

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Will Radiation Affect Cosmetic Results?

While radiation therapy can cause mild changes, advanced planning minimizes the impact. Radiation can sometimes lead to mild changes in breast shape, firmness, or size due to tissue tightening (fibrosis).3 However, modern oncoplastic surgery is specifically designed to counteract these effects. Advanced surgical planning involves anticipating the potential effects of radiation and using techniques (like tissue rearrangement and volume displacement) to ensure the reconstructed breast is better positioned to handle post-radiation changes, thereby preserving the long-term cosmetic result.

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How Long is the Recovery Time post surgery?

Most patients recover in stages and can get back to light activities fairly soon. Initial Recovery (2–3 weeks): Most patients are able to resume light, non-strenuous daily activities like walking, driving, and desk work within this timeframe.

Full recovery usually takes about 6 to 8 weeks, including the time needed to return to exercise and heavier activities. Your surgeon will give you a recovery plan that fits your specific surgery.

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Is the Surgery Painful?

Post-operative pain is managed exceptionally well with modern techniques. While any surgery involves some discomfort, the pain is typically mild to moderate and highly controllable. We utilize modern anesthesia protocols and a combination of prescription and over-the-counter medications to ensure your comfort. Our focus is on pain management, ensuring that your recovery experience is as smooth and pain-free as possible.

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Are radiation or chemotherapy needed after mandibulectomy?

Sometimes, yes. These treatments may be recommended after surgery to destroy any remaining cancer cells and reduce the risk of recurrence.

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Will I be able to eat and speak normally after surgery?

With proper reconstruction and rehabilitation, most patients can regain good eating, speaking, and facial functions over time.

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What are the different types of mandibulectomy?

Marginal Mandibulectomy
Segmental Mandibulectomy
Hemimandibulectomy
Total Mandibulectomy

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How long does recovery take?

Initial healing takes about 2–3 weeks, but complete recovery — including speech, swallowing, and physical rehabilitation — may take a few months.

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Which body parts are commonly used for tissue transfer?

Common donor sites include the forearm, leg (fibula), thigh, or back, depending on the type and size of the reconstruction needed.

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What technologies support pinhole interventions at AIPI?

We utilise advanced imaging systems, including flat-panel hybrid Bi-plane Cath Lab, Image Fusion, and low-dose radiation protocols for patient safety.

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16304

Is a referral required to consult the AIPI team?

While referrals are welcome, you can also directly consult our interventional specialists for an evaluation and personalised treatment plan.

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How soon can I return to normal activities after a pinhole procedure?

Recovery times are generally much faster than open surgery—many patients resume routine activities within a few days, depending on the procedure.

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Do I need general anaesthesia for these procedures?

Most pinhole interventions are performed under local anaesthesia or conscious sedation, significantly lowering anaesthesia-related risks.

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Are these procedures safe?

Yes, pinhole interventions are performed by experienced specialists using advanced imaging guidance and state-of-the-art equipment to ensure precision and safety.

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Which conditions can be treated through pinhole interventions?

AIPI provides solutions for stroke, aneurysms, thyroid , breast , fibroid, varicose vein, cancer, prostate, bleeding emergencies, and many others across multiple body systems.

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What are the benefits of pinhole procedures?

These procedures offer shorter hospital stays, faster recovery, reduced pain, minimal scarring, and lower risk of complications compared to traditional surgery.

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What is a pinhole intervention?

Pinhole interventions are minimally invasive, image-guided procedures that treat a wide range of medical conditions through tiny skin punctures, avoiding open surgery.

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Is CAR T-cell therapy a cure for cancer

It is not guaranteed to cure cancer but can lead to long-term remission in some patients, especially when other treatments have failed.

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What is Biochemistry in medical diagnostics?

Biochemistry involves the analysis of blood, urine, and other body fluids to assess organ function, detect diseases, and monitor treatment responses. It plays a crucial role in diagnosing conditions related to the liver, kidneys, heart, hormones, metabolism, and nutrition.

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How should I prepare for my first visit to Cardiologist?

Patients must carry their medical history documents, results of recently conducted diagnostic reports, and family heart disease reports and provide complete details if they have high blood pressure, diabetes, or chronic kidney disease. This information helps cardiologists examine patients' health and provide the best treatment plan for them.

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How do cardiologists decide if surgery is necessary?

At Aster, expert cardiologists in Bangalore, cardiologists, and medical staff thoroughly study and examine the patient’s medical history and conduct diagnostic tests, stress tests, and cardiac catheterisations. Further, based on the patient’s preferences and medical staff considerations, a treatment decision is formed.

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When should I consider seeing a Cardiologist?

When you experience symptoms like severe chest pain, dizziness, fainting, palpitations, shortness of breath, swelling in legs, high blood pressure, and diabetic symptoms, they damage blood vessels and heart nerves. Provide complete information to medical staff for effective treatment.

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What documents should I carry on my first visit to a medical oncologist?

Cardiologists require the patient’s healthcare reports, heart disease reports, diagnostic test results, family heart disease history, and relevant information that influences the treatment plan decisions of expert cardiologists and staff. Detailed patient medical history assists cardiologists in accurately assessing patients' cardiovascular conditions.

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What are the most common types of conditions that Cardiologists treat?

Expert cardiologists in Whitefield at Aster treat coronary artery disease, heart failure, hypertension, valvular heart disease, congenital heart defects, peripheral artery disease, heart attack, cardiomyopathy, and endocarditis. Consult with cardiologists and experts to know your treatment plan.

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Will a Cardiologist help manage side effects during treatment?

Yes, trained and specialised cardiologists at Aster thoroughly examine patients’ health progress and diagnostic tests during regular check-ups. This enables them to determine if any side effects have developed as a result of the treatment. They also prevent patients from side effects with the best treatments and care.

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What question should you ask a Cardiologist?

Before opting for the cardiologist treatment and surgery, patients must know the side effects of the treatment, precautions required, expected duration of disease curation, specialisation of cardiologists, and their experience. Consult thoroughly to have a better understanding of the best medical treatments.

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How does a Cardiologist decide on a treatment plan?

Cardiologists and medical staff consult with patients regarding available treatment plans and monitor the patient’s and their family's medical history to take a look at any existing genetic conditions that might be affecting their present condition. The cardiologists also assess the possibility of any side effects that may occur as a result of treatment. With the patient’s approval, a treatment plan is put into action.

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What does a Cardiologist do?

A cardiologist examines and evaluates the patient’s cardiovascular system and provides necessary treatment plans according to the patient’s current medical health. They help patients prevent cardiovascular problems, like heart attacks, heart failure, or any kind of heart problem since birth.

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Is HDR Brachytherapy painful?

The procedure itself is not painful as local or general anesthesia is often used. Some discomfort may occur after the treatment.

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How can I prevent epilepsy?

Sometimes we can prevent epilepsy. The most common ways to reduce your risk of developing epilepsy are:

Have a healthy pregnancy. Some problems during pregnancy and childbirth may lead to epilepsy. Follow a prenatal care plan with your healthcare provider to keep you and your baby healthy.
Prevent head injuries.
Lower the chances of stroke and heart disease.
Be up-to-date on your vaccinations.
Wash your hands and prepare food safely to prevent worm infections such as cysticercosis.

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16007

What can I do to manage my epilepsy?

Self-management is what one should do to take care of self. You can learn how to manage seizures and keep an active and full life. Begin with these tips:

Take your medicine.
Discuss with your doctor or nurse when you have questions.
Recognize seizure triggers (such as flashing or bright lights).
Keep a record of your seizures.
Get enough sleep.
Lower stress.

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How is epilepsy treated?

A provider and person with epilepsy can do several things to stop or lessen seizures.

The most common treatments for epilepsy are:

Medicine: Anti-seizure drugs are medicines that limit the spread of seizures in the brain. A health care provider will change the amount of medicine or prescribe a new drug if needed to find the best treatment plan. Medicines act for around 2 in 3 people with epilepsy.
Surgery: When seizures arise from a single area of the brain (focal seizures), the surgery to exclude that area may stop future seizures or make them easier to manage with medicine. Epilepsy surgery is mostly used when the seizure focus is located in the temporal lobe of the brain.
Other treatments: When medicines fail to work and surgery is not possible, then other treatments can help. It includes vagus nerve stimulation in which an electrical device is placed or implanted, under the skin on the upper chest to transfer signals to a large nerve in the neck. Another option is the ketogenic diet, high fat and low carbohydrate diet with restricted calories.

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What causes epilepsy?

Epilepsy can be caused due to various conditions that affect a person’s brain.

Some known causes include:

Stroke
Brain tumor
Brain infection
Traumatic brain injury or head injury
Loss of oxygen to your brain. Example: Birth time
Hereditary causes
Developmental anomalies of the brain
The cause of epilepsy is unknown for 2 in 3 people. This kind of epilepsy is termed as cryptogenic or idiopathic.

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16007

If I have a seizure, then does it mean that I have epilepsy?

Not always. Seizures can also happen because of other medical problems.

These problems include:

A high fever.
Low blood sugar.
Alcohol or drug withdrawal.

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16007

What are the major types of seizures?

Sometimes it is difficult to determine when a person is having a seizure. A person with a seizure may look confused or as if they are staring at something that is not there. Other seizures can cause a person to fall, shake, and become unaware of what’s going on around them.

Seizures are classified into two groups.

Generalized seizures affect both sides of the brain.
Focal seizures affect just one area of the brain. These seizures are also called partial seizures.

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How long do seizures usually last?

Usually, a seizure may last from a few seconds to a few minutes, based on the type of seizure.

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What is epilepsy

Patients having two or more seizures or a tendency to have recurrent seizures, are termed to be having epilepsy.

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What is a seizure?

A Seizure is a condition in which sudden, uncontrolled electrical irregularity occurs in our brain. It may cause changes in behaviour, movements or feelings, and levels of consciousness.

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When should I consider seeing a general physician?

There are several health conditions that are considered to be treated by general physicians. These include heavy breathing, nausea, fainting, bleeding or deep cuts, vaccinations, viral infections, or regular health checkups. Our general physician remains well-prepared to treat these health problems any time.

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What are the most common types of conditions that general physicians treat?

General physicians treat several common conditions, such as diabetes, indigestions, muscular pains, high blood pressure, migraines, bleeding or fractures, skin allergies, and viral infections. Our general physician treats these issues with effective medications and personalised treatment plans.

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What is the role of a critical care physician in a patient's treatment journey?

Critical care physicians in Ongole examine patients’ critical illnesses and diseases through a comprehensive monitoring process. This process includes a physical examination, diagnostic and imaging tests, analysis of previous reports, identification of potential side effects and associated risks, and, after considering all steps, treatment of patients with the best treatment plan.

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What advancements or technologies are utilised by Sports Medicine & Orthopaedics?

Aster Mother Hospital has required medical equipment and devices such as diagnostic tools, MRI machines, CT scanners, X-ray machines, ultrasound machines, bone densitometer, arthroscopy equipment, joint replacement implants, and physical therapy equipment.

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What advancements or technologies are utilized by Orthopedic surgeons?

Orthopedic surgeons utilize advancements and technologies such as arthroscopic surgery, computer-assisted navigation systems, 3D printing for customized implants, regenerative medicine techniques, minimally invasive procedures, and advanced imaging modalities for accurate diagnosis and treatment.

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What are the precautions of 1st Trimesterpregnancy?

Precautions during the first trimester include:

Avoiding harmful substances (e.g., alcohol, smoking, certain medications).
Eating a balanced diet with sufficient folic acid, iron, and calcium.
Maintaining regular prenatal visits.

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What are the early signs of Pregnancy?

Common early signs of pregnancy include:

Missed period
Nausea or morning sickness.
Fatigue.
Tender or swollen breasts.
Increased urinationLight spotting (implantation bleeding)
Food cravings or aversions.
Mood swings.

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What is pre natal care visit?

A prenatal care visit is a medical appointment for pregnant women to monitor the health of both the mother and the developing baby. It includes physical exams, lab tests, ultrasounds, and discussions about health, nutrition, exercise, and any potential complications.

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What conditions do Obstetrics and Gynaecologists treat?

Obstetricians manage:

Pregnancy and prenatal care
Labor and childbirth
Postpartum care
High-risk pregnancies
Miscarriages

Gynecologists treat:

Menstrual problems (e.g., heavy periods, pain)
Reproductive health issues (e.g., endometriosis, fibroids)
Fertility problems, Menopause management,
Sexually transmitted infections (STIs),
Gynecologic cancers (e.g., ovarian, cervical, uterine).

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What are Obstetrics and Gynaecology?

Obstetrics: The branch of medicine that deals with pregnancy, childbirth, and the care of women during and after childbirth.

Gynecology: The branch of medicine that focuses on the health of the female reproductive system, including the diagnosis and treatment of disorders and diseases related to the uterus, ovaries, fallopian tubes, and breasts.

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Are Obstetricians and Gynaecologists same?

True

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Who are spine surgeons, and what do they do?

Spine surgeons are medical specialists trained to diagnose and treat conditions related to the spine. They perform surgeries to correct issues such as spinal deformities, injuries, and degenerative diseases. Their work often involves collaborating with other healthcare professionals to provide comprehensive care.

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14075

How do I prepare for the EMU Admission

To prepare for an EMU Admission:
•   Wash your hair the night before or the day of the test, but do not apply any conditioners, hair creams, sprays or styling gels to your hairs. Hair products use should be avoided as it can make tougher for the sticky patches that are used to hold the electrodes to adhere to your scalp. If you have weaves or braids, need to be removed before a test is completed.
•   Wear loose-fitting clothes
•   Follow your physician’s instructions regarding your medication.
•   Arrive at the hospital on scheduled time, delays can occur if you are late.
•   You may bring electronics like a laptop to use during your stay.
•   Visitors are allowed during your EMU admission. A family member or loved one who is familiar with the seizure is asked to stay along with the patient at the hospital.

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14075

What are EEG and video EEG and their necessity?

Video EEG is nothing but a simultaneous recording of EEG along with a video camera focused on you all the time. You will be admitted, and EEG leads will be connected to you. You will be under the camera for 24 hours while your EEG on. When you have a seizure, it will record the exact movements you do during your seizure activity and simultaneous EEG recordings. This will provide us with the exact idea of the area of your brain accountable for producing these seizures. Generally, 3-10 episodes of seizure will be recorded and so patients usually stay for 5-7 days in the hospital. We generally stop your drugs so that more seizures can be obtained in a short time. It is secure as you are having seizures in a controlled environment of the hospital, supported with doctors and nurses all the time.

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14075

What is an Epilepsy Monitoring Unit (EMU?)

It is a specialized unit in the hospital for constant monitoring of brain activity using EEG and Video, where a patient is admitted for 3-5 days. This provides your doctor with a better understanding of your seizures by seeing how your brain functions and what you are physically doing during the event.

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14075

What are the investigations required for a patient with drug-resistant epilepsy?

Basic tests include Video EEG, 3 Tesla MRI epilepsy protocol and Neuropsychological assessment. Additional tests needed may be PET scan, SPECT scan, functional MRI, WADA.

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What is the incidence of epilepsy and drug-resistant epilepsy?

There are 70 million persons with epilepsy (PWE) worldwide, nearly 12 million PWE are expected to reside in India, which contributes to nearly one-sixth of the global burden. One million Indians have medically refractory seizures. An approximate 5 -6 lakh people are candidates for epilepsy surgery in India.

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14075

What is Epileptology and what is the role of epileptologist?

Epileptology is a subspecialty of Neurology, focussing on evaluation and management of difficult to treat or complex epilepsy cases where seizures were not controlled despite starting anti-epileptic medications prescribed by a physician, paediatrician, or Neurologist.
Epileptologist is trained in detailed evaluation and management of complex paediatric as well as adult epilepsy cases and plays the key role in precisely finding out whether there is an epileptogenic focus in the brain which can be surgically removed to permanently cure epilepsy.

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14075

What can I do to manage my epilepsy?

Self-management is what one should do to take care of self. You can learn how to manage seizures and keep an active and full life. Begin with these tips:

Take your medicine.
Discuss with your doctor or nurse when you have questions.
Recognize seizure triggers (such as flashing or bright lights).
Keep a record of your seizures.
Get enough sleep.
Lower stress.

True

14075

What are complications with epilepsy surgery?

Epilepsy surgery is a carefully planned procedure, carried out under optimal circumstances to remove the region of brain causing the seizures, and to spare parts of the brain necessary for everyday functions.
Complications are very infrequent in epilepsy surgery, major complications like motor deficits, language deficits, vegetative states and disabilities are seen in 3-5% of cases. Other treatable complications like infections, prolonged hospitalizations, transient deficits, speech problems, mood problems, visual field deficits are common and do not alter the normal daily life. Overall, epilepsy surgery is safe surgery, and it improves quality of life of many patients and their care takers significantly.

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14075

What are the chances of improvement after epilepsy surgery?

Chances of seizure control depend on many variables and varies between 50-90%. If MRI shows some lesion which could be completely removed, then 9 out of 10 people can achieve seizure freedom and almost 6 out of 10 patients can be off medicine. However, outcome is in the magnitude of 50% with palliative surgeries. Outcome typically depends on the responsible pathology.

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What are different types of epilepsy surgeries?

Epilepsy surgeries are of two types. In patients where we find a small, focal brain area responsible for epilepsy, we go for resection of that area. These surgeries are called curative surgeries where once that area is removed; patient will be mostly free of epilepsy. However, there is a group of patients in which a large area is responsible, or we could not define a small area or removing complete area is not feasible; surgeries are meant to just reduce seizure frequency and improve quality of life. These surgeries are called palliative surgeries.

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Who is a general surgeon, and what do they do?

A general surgeon is a medical specialist qualified to carry out a broad spectrum of surgical treatments, ranging from simple to intricate. They identify and surgically treat a wide range of illnesses, traumas, and ailments that affect the skin, breasts, abdomen, and other organs.

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How often should I get a wellness health checkup?

The frequency of wellness health checkups depends on your age, health status, and risk factors. Generally, it is recommended to have an annual checkup, but your doctor may suggest a different schedule based on your specific health profile.

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Why should I get a wellness health checkup?

Regular wellness health checkups help detect health problems at an early stage when they are easier to treat. They also provide valuable insights into your health status, allowing you to take proactive steps to maintain or improve your well-being.

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What are the most common types of conditions that gastroenterologists treat?

Gastroenterologists at Aster MIMS Kannur commonly address prevalent conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), ulcers, liver disorders, gallbladder issues, pancreatitis, and gastrointestinal cancers. With expertise and precision, they offer effective care for a broad spectrum of digestive system conditions tailored to individual needs.

True

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What question should you ask an anesthesiologist?

When you consult an anesthesiologist before a surgical procedure, you can ask them about the type of anesthesia they will perform. Also, if you have any questions regarding the procedure, you must not hesitate to ask them.

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What are the common heart conditions in children?

The most common heart conditions in children include:

Congenital heart defects
Cardiac arrhythmias
Acquired heart diseases

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15147

What can you expect from Bariatric surgery?

Bariatric surgery is done in the hospital using general anesthesia. This means you're unconscious during the procedure. The specifics of your surgery depend on your situation, the type of weight-loss surgery you have. Today, bariatric surgery is performed laparoscopically or Robotic without making the traditional large cuts. Laparoscopic / Robotic surgery can make recovery faster and shorter. Depending on your procedure, you may need to stay a few days in the hospital.

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What are the risks factors of Bariatric Surgery?

As with any major procedure, bariatric surgery poses potential health risks, both in the short term and the long term such as:

Excessive bleeding.
Infection.
Reactions to anesthesia.
Blood clots.
Lung or breathing problems.
Leaks in your gastrointestinal system.

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Who benefits from Bariatric surgery?

In general, bariatric surgery could be an option for you if:

Your body mass index (BMI) is 40 or more, called extreme obesity.
Your BMI is 35 called obesity, and have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems.

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How many days do I have to get admitted?

Day care /one day/short stay admission: surgeries such as lap cholecystectomy / lap appendicectomy / lap hernia surgery

Early morning admission > 6 to 8 hours of fasting > pre op medications > surgery > post op monitoring in recovery room > overnight ward stay > discharge next day

Long stay admission: abdominal surgery, cancer surgery, intestinal surgery

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How to plan and schedule surgery?

Post consultation you can meet anaesthetist(PAC- Pre Anaesthetic Check-up )and undergo basic blood investigations, and submit insurance documents / finance counselling to avoid hassle free admission and surgical procedure.

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What happens in outpatient department?

Generally, most of you will approach surgeon with primary diagnosis, however symptoms such as abdominal pain, swellings, weight loss, bleeding, etc will be further investigated and diagnosed. Plan of care will be discussed to patient and family members.

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