Alleevia

Emergency Line (+91) 85059555511 | (+91) 9811277777 |  E-Mail drsdas@alleevia.com   Facebook pintrest linkdin Twitter Instagram

Treatment


  • Cancer Treatments
  • Cosmetic Treatment
  • Heart Treatment
  • Organ Transplants
    • Organ transplant is the process of surgically transferring a donated organ to someone whose organs has failed because of illness or injury. In organ transplant, doctors remove a diseased or failed organ and place a new healthy organ received from a living donor or a donor who has died. organ failure can happen due to many diseases, including heart disease, diabetes, hepatitis, cystic fibrosis, and cirrhosis. In some cases, injury and birth defects may also cause organ failure. The organs and tissues that can be transplanted include:

      • Liver

      • Kidney

      • Lung

      • Heart

      • Pancreas

      • Cornea

      • Middle ear

      • Intestine

      • Skin

      • Bone

      • Bone Marrow

      • Heart valves

      • Connective Tissue

      The most common type of transplant surgery is kidney transplants and the least common single organ transplants are the intestines. Organs are matched depending on several characteristics such as blood type, size of the organ required, medical history and age.

      Patient who need a transplant need to get on the national waiting list or can receive the organ from any potential donor who can be blood relation, close relative or close friend. The organ transplant team will evaluate the patient who needed a transplant on the basis of medical history, current health status, and other factors under the national health guidelines. The average waiting time may vary by organ, age, blood type, tissue type, medical urgency, distance between the donor and recipient and some other factors.

      Organ transplant is a major surgery that may carry a potential risks such as organ rejection. Doctors must match donors to recipients to reduce the risk of transplant rejection. When your immune system attacks the new organ, rejection occurs. Patient undergone an organ transplant must take drugs for the rest of their life to help keep the body from rejecting the new organ.

      Bone Marrow Transplant

      Kidney Transplant

      Liver Transplant

      Pediatric Bone Marrow Transplant

      Organ Transplant
  • Endovascular Neurosurgery
    • Neurosurgery treats conditions and diseases of the brain and nervous system. Endovascular neurosurgery is a subspecialty within neurosurgery that involves passing thin instrument (catheter) and wires through an artery in the groin, arm or sometimes the neck and guiding them to blood vessels in the brain. After reaching the brain, the endovascular neurosurgeon can use number of platinum coils or a glue-like substance to repair problems in arteries and veins within the head.

      Endovascular neurosurgery surgery is used to treat many disorders of the blood vessels in the head. The main purpose of endovascular neurosurgery is to avoid open surgery. This treatment procedure may give better results for medical conditions like aneurysm, stenosis such as carotid artery diseases (CAD), arteriovenous malformation (AVM), acute ischemic stroke, hemorrhagic etc. there are different types of endovascular treatment for brain aneurysm such as:

      1. Coiling of aneurysm – A brain aneurysm is a bulging and weakened area in the wall of an artery in the brain which causes an abnormal widening or ballooning. The artery wall has a weakened spot due to which the aneurysm is at risk for bursting if blood flow isn’t blocked or stopped. Aneurysm can be treated by coiling or clipping it closed. In this procedure, doctor can access brain through the bloodstream via arteries to diagnose and treat brain aneurysms. A surgeon will insert a very thin metal wire that forms a coil inside a brain aneurysm to block blood flow.

      2. Carotid artery angioplasty/ stent placement – stenosis also known as narrowing is a condition in arteries of the brain that includes carotids, vertebral and intracranial arteries which can lead to brain stroke. It can be treated by angioplasty or stent placement procedure in which the affected arteries can be treated non- invasively by endovascular route. This procedure is done under local anesthesia and uses a small balloon and/or a tiny metal scaffold called a stent to open a narrowed carotid artery that supply blood to the brain.

      3. Arteriovenous Malformation of Brain – AVM is a condition in which malformed swollen blood vessels causes intracranical hemorrhage, bleeding that occurs inside the cranium (skull) creating seizures and headache. It can be treated by injecting glue like substance through a small and thin catheter placed correctly into these defected blood vessels.

      4. Thrombolytic therapy – In this procedure doctor will give “clot-busting” medicine to dissolve a clot in a blood vessel in the brain or in other areas of the body.

      5. Cerebral angiography – Cerebral angiography is a radiology procedure that looks at how blood is flowing in the brain.

      6. Chemoembolization – giving cancer treatment directly to a tumor through its blood supply

      7. Biopsy – taking of a tissue sample from the specific area for pathological examination

      8. Radiofrequency – ablation for destruction of tissue by heat

      9. Drain insertions –placing drainage tubes into different parts of the body to drain fluids

      Endovascular neurosurgery is a minimally invasive technique to treat patients for whom traditional surgical treatments are not much successful. Some of the advantages of this procedure are:

      • Minimal injury to the brain
      • Less risk and complications with better results
      • Shorter stay at hospital
      • Shorter recovery time
      • Less discomfort
      • Less risk for patients with other medical problems.
      • Treatment of untreatable diseases in the past

      Endovascular Neurosurgery In India

      Endovascular neurosurgery uses tools which pass through blood vessels to diagnose and treat several medical conditions and diseases. This is much preferable option over the traditional open surgery method. With the help of radiology images during endovascular neurosurgery, surgeons can see brain and other parts of the body that are involved in the treatment procedure. Surgeons can also treat various medical conditions of spinal cord using the similar method but may not do through a blood vessel. These techniques are known as minimally invasive as they require a small incision instead of larger incisions needed in open surgery method. Doctors require a particular training in both radiology and neurosurgery for specializing in endovascular neurosurgery. After completing radiology residency they will required to complete the fellowship program in interventional neuroradiology to get qualified as an endovascular neurosurgeon.

      Endovascular neurosurgery can treat some conditions and diseases like carotid – cavernous fistula, brain arteriovenous fistula, head/neck tumors, stroke, vasospasm, bleeding of nose, vertebral body tumors, traumatic vascular lesions, vertebral body compression fracture, spinal vascular malformations, intracranial atherosclerosis, meningiomas, dural arteriovenous fistula etc.

      Some of the endovascular procedure performed by doctors as following:

      • Thrombolytic therapy
      • Endovascular coiling
      • Minimally invasive spine surgery
      • Cerebral Angiography
      • Carotid artery angioplasty/ stenting

      India has many affiliated brain and neurosurgery hospitals equipped with the advance and high end technology at an affordable cost at par with global medical standards. These specialized hospitals in India provides excellent opportunity and results for patients coming from abroad seeking high quality advanced treatment for brain tumors, aneurysm, tumor embolisation, vascular tumor, spinal cord disorders, stroke, epilepsy, movement disorder of the body parts etc. at much lower costs. Doctors, surgeons and healthcare professional in India can provide best solutions to complex and serious health issues. Hospitals in India have most advanced technology infrastructure such as 24 hr blood bank, advanced laboratory, microbiology support, advanced cardiology, interventional radiology, liver fibro-scan , 64 slice CT scan, 3 T MRI and more. Indian doctors are very skilled, well known all over the world and have the experience of studying and working at the best neurosurgery hospitals and institutions.

      Alleevia medical services, a well known medical tourism company in India provides best assistance and advance treatment with great hospitality to international patients. They can avail an advantage of lowest and best treatment package for Brain and Endovascular Neurosurgery treatment with highest quality of medical care. Our team has thorough knowledge about the services and medical branches provided by the Indian Hospitals and can guide the patients to the best doctors and specialized hospitals with better services at lower cost. We are associated with top most doctors and surgeons who have more than 20 years of experience in their respective fields and are qualified members of medical boards in India, America, UK, and Australia.

      Advanced Epilepsy Surgery

      Deep Brain Stimulation for Parkinsons Disease

      Endovascular Neuro Treatment In India

  • Weight Loss Treatment
    • Weight loss surgery also known as bariatric surgery is the treatment for people suffering with obesity. This will help people to lose weight and lower the risk of medical problems caused by obesity by maintaining the weight for longer period of time. Bariatric surgery can also help in improving morbid conditions like type 2 diabetes, hypertension, pain in the joints, sleep apnea, cardiac diseases, infertility problem etc. Bariatric surgery mainly contributes to weight loss in two ways:

      1. Restriction – it helps in limiting the amount of food stomach can hold which limits the calories consumed.
      2. Mal-absorption - operation is used to bypass part of the small intestine that reduces the amount of calories that body absorbs.

      Most surgeons use laparoscopic surgery method over traditional open surgery. Open surgery involves one single large incision in the stomach whereas in laparoscopic surgery, many tiny incisions are made and thin surgical tools are inserted through the cuts. Small scope attached to a camera that projects images onto a video monitor is also inserted in the body. Laparoscopic treatment involves less risk and complications and causes less pain and scarring than open surgery method. It may also lead to speedy recovery. But patient having a high level of obesity, had abdomen surgery before, or having any complex medical conditions may need open surgery which is a better option for them.

      Bariatric surgery can be done in four ways:

      1. Gastric bypass – also called Roux –en- Y gastric bypass are divided into two parts: 1) surgeon will create a small pouch in the upper section of the stomach which will make stomach much smaller in size. This way patient will eat less and feel satiated sooner. 2) Surgeon will cut the small intestine and attaches the lower part directly to the stomach pouch. Food will bypasses most part of the stomach and the upper part of small intestine so the body will absorb fewer calories. The surgeon will connect the bypassed part farther down to the lower part of the small intestine while the main part of the stomach will continue to make digestive juices. The bypass can also change gut hormones, bacteria, and suppress hunger by keeping satiated. This surgery is difficult to reverse. Some of the advantages of gastric bypass surgery are as follows:

      a) Significant weight loss for longer period
      b) Limits the amount food consumed
      c) Conditions that increase energy consumed
      d) Maintenance of excess weight loss
      e) Makes person feel satiated and fuller

      Apart from few advantages, gastric bypass surgery is more complex operation and can result in further complications. This also requires a restricted diet along with lifelong intake of vitamins and mineral supplements as gastric surgery can lead to long term vitamins/mineral deficiencies especially B12, folate, calcium and iron.

      2. Sleeve Gastrectomy - surgeon will remove major part of the stomach leaving behind only a narrow banana shaped section of the upper part of the stomach that is closed with staples called gastric sleeve. The amount of food that can be fit in the stomach is reduced, making the patient feel more satiated sooner. This surgery has impact on gut hormones including hunger, satiety and blood sugar level. This surgery is quiet similar to gastric bypass surgery and effective in improving type 2 diabetes. Sleeve gastrectomy has some following advantages:

      a) Limits the amount of food stomach can store.
      b) Significant rapid weight loss
      c) Requires no bypass or re-routing of the food path
      d) Shorter stay at the hospital
      e) Suppress hunger, appetite and keeps person satiated

      This surgery is irreversible procedure and can cause long term vitamin deficiencies and early complications.

      3. Laparoscopic adjustable gastric band – this surgery is performed using a laparoscope. The surgeon places a small band or a ring around the top of the patient’s stomach. The band has a small circular balloon inside filled with salt solution that controls how tight or lose the band is. Surgeon can adjust the size of the opening from the pouch to the rest of the patient’s stomach by injecting or removing the solution through a port (a small device) inserted under the patient’s skin. This band will restrict the amount of food in the stomach making the patient feel more satiated. Post surgery, patient may require several follow visits to adjust the size of the band opening and surgeon can also remove the band if it is not proving helpful in loosing enough weight or causing other problems.

      4. Duodenal switch – is also known as biliopancreatic diversion with duodenal switch is more complicated than the other surgeries. This involves two separate operations. First surgery is similar to that of gastric sleeve surgery and in second surgery food is redirected to bypass most part of the small intestine. Surgeon will also reattach the bypassed part to the last section of the small intestine letting the digestives juices to mix with food. This can result in significant decrease in absorption of calories and nutrients. Similarly like in gastric bypass and sleeve gastrectomy, this surgery also affects gut hormones impacting hunger and blood sugar. This is the most effective surgery for controlling diabetes.

      Patient needs to consult dietician, psychiatrists, psychologist and bariatric surgeon before undergoing the weight loss or bariatric surgery. Doctor will seek medical history of the patient, examine the patient physically and suggest few blood tests. Patient need to give up on smoking at least 6 weeks before the surgery and have to follow proper healthy diet recommended by dietitian. In some cases, patient need to lower their blood sugar level to normal and may also require to lose some weight that can cause problems related to surgery.

      Patient may require a proper rest and medications or supplements like vitamins and minerals prescribed by doctors along with follow up visits. Moderate walking and movements as suggested by the doctor may help the patient to recover faster. The amount of weight loss after a bariatric surgery depends on person to person and the type of surgery performed.

      Laparoscopic Gastric Banding Surgery

      Laparoscopic Sleeve Gastrectomy

      Weight Loss Treatment
  • Advanced Technology Treatement
  • Orthopedic Treatment
  • Laparoscopic & Minimally Invasive
    • Laparoscopic surgery, also known as minimally invasive surgery is an advance technique of performing surgery with less damage to the body than the open surgery. Minimally invasive surgery is associated with less pain, shorter hospital stay and fewer complications. In conventional “open” surgery, surgeon uses a single incision to enter into the abdomen whereas in laparoscopy, a surgery is done through one or more small incisions with the help of small tubes (catheter), special surgical instrument with attached tiny camera known as laparoscope. This laparoscope enables surgeon to see the internal images of the abdomen on high resolution video monitors in the operating room. This allows surgeon to perform same surgery with great precision and ease.  In some cases, surgeon may use a special hand port inserted in a hand; this type of surgical technique is called “hand assisted” laparoscopy. The incision for hand port is larger than the other laparoscopic incisions and is generally smaller than the incision required in the conventional surgery method. Another type of minimally invasive surgery is robotic surgery that provides a magnified, 3-D view of the surgical location and helps the surgeon to operate with precision, flexibility and control.
      Minimally invasive surgery makes it beneficial for people with a wide range of conditions. Some of the surgeries that can be done through laparoscopy or minimally invasive technique include:
      Adrenalectomy – is done to remove one or both adrenal glands
      Hiatal hernia repair or anti-reflux surgery – is done to relieve gastroesophageal reflux disease (GERD)
      Cancer surgery – is done to destroy a tumor
      Cholecystectomy – is done to remove gallstones that cause pain
      Colectomy – is done to remove parts of diseased or damaged colon
      Endovascular surgery – is done to treat or repair an aneurysm
      Thoracic surgery or video-assisted thoracoscopic surgery (VATS) lobectomy
      Splenectomy to remove the spleen
      Rectal and colon surgery
      ENT surgery
      Thoracic surgery 
      Gastroenterologic surgery – including gastric bypass
      General surgery
      Gyneocologic surgery
      Robotic Heart surgery
      Robotic myomectomy
      Kidney surgery
      Neurosurgery
      Urologic surgery


      Minimally invasive surgery has many benefits as compared to conventional open surgery that may include:
      Less damage or trauma to the body
      Less blood loss
      Less surgical incision scars
      Less painful
      Shorter hospital stay
      Faster recovery

      Some of the limitations involved in “MIS”:
      May not be suitable for all patients
      More expensive
      Not available everywhere 
      In some cases, if any complications arise then minimally invasive surgery needs to be converted into open surgery.

       

      Fundoplication for GERD,Hiatal Hernia

      Laparoscopic Cholecystectomy and Appendicectomy

      Laparoscopic Fibroids Treatment

      Laparoscopic Hernia Repair Surgery

      Minimally Invasive Hysterectomy Surgery

      Stapled Hemorrhoidectomy Piles Surgery

      Thyroidectomy

      Laparoscopic & Minimally Invasive
  • Dental Treatment
  • Spine Treatment
    • Back pain is one of the most common health problems faced by a large number of people especially with increased weight, improper body mechanism, trauma, age and structural abnormalities leading to other symptoms such as leg pain, numbness or leg weakness. Generally, back pain can be treated with simple medications or physical therapy. But if the person is struggling with prolonged back pain and all other treatments fail to provide any relief from pain, doctors recommend surgery as a treatment option. Surgery is specifically considered in case of severe pain that occur from the problems like herniated disc, scoliosis or spinal stenosis. Conservatively, spine surgery is performed as open surgery that requires a large incision on the area to be treated so that surgeon can view and access the spine. But now, with the advancement in technology, spine problems can be treated with minimally invasive techniques which don’t require a long incision, can prevent damaging the muscles and tissues surrounding the spine, requires shorter operative time and faster recovery time.

      Doctor will perform several tests for spine surgery such as CT scan, MRI, intra-operative fluoroscopy that enables surgeons to operate with a high level of precision and safety. Computer assisted image guidance allows surgeon to see inside the part to be treated with finer clarity than other traditional visualization techniques. Not all patients are good candidates for minimally invasive spine surgery procedures. There are different surgical approaches to access the spine such as:

      • Anterior approach – the surgeon accesses the spine from the front of the body through the abdomen.

      • Posterior approach – spine approached through the incision made in the back

      • Lateral approach – approach to the spine made through the side of the body.

      There are different kinds of spinal surgeries that the doctors may recommend after evaluating the medical conditions of the patient. Some common procedures include:

      • Discectomy or Microdiscectomy – is used to treat the herniated disc in the vertebrae by removing all or part of the disc. A disc separates two vertebrae and if it herniated inwards it put pressure on the spinal nerves causing pain. Surgeon may have to make a large incision in the back to perform the surgery. Microdiscectomy is a minimally invasive spine surgery procedure.

      • Laminectomy – this type of surgery is considered for the spinal conditions caused by spondylolistheis and stenosis. In this procedure, surgeon will remove parts of the bone, bone spurs or ligaments in the back to relive pressure on the spinal nerves and can ease pain or weakness. In some cases, it can make the spine less stable and required to perform in combination with spine fusion surgery.

      • Laminotomy – in this procedure, a portion of the vertebral arch (lamina) that covers the spinal cord is removed. Laminotomy removes less bone than in a laminectomy. Both these procedures are decompression procedures in which a tissue compressing a spinal nerve is removed.

      • Foraminotomy – this surgical procedure involves removing the tissues that compress the nerves in the back. During this, surgeon removes parts of the bone that constricts the nerves in the spine. Like a laminectomy, this procedure can make the spine less stable. Surgeon may require performing a spinal fusion surgery at the same time.

      • Disc replacement – it is an alternative method to fusion and is not very common. In this, surgeon removes the injured or damaged disc and replaces it with an artificial disc between the vertebrae. This surgery let the patient continue to move his/her spine. Recovery time is also shorter but there is the slight risk of the new slip disc.

      • Spinal fusion – a surgical technique that involves joining of the vertebrae that can result in restricted movements and limits stretching of nerves. Spinal fusion may include the use of bone graft (autograft or allograft) with or without instrumentation like rods, screws etc.

      • Interlaminar implant – the surgeon implants a U-shaped device between two vertebrae in the lumbar spine (lower back) that helps in keeping the space open between the vertebrae and releases the pressure on the spinal nerves. This can be done along with a laminectomy. This procedure also provides stability in the spine and let the patient move their back more easily but may not be able to bend backward with much ease.

      There are some risk and complications involved with the spine surgery:

      • Reaction to anesthesia or any other drugs

      • Unexpected bleeding

      • Infection at surgery site

      • Thrombophlebitis (Blood clots)

      • Heart attack

      • Stroke

      • Herniated disc

      • Damage to nerves that can cause weakness, paralysis, pain or loss of bowel or bladder control

      • Lung problems

      • Persistent pain

      • Sexual dysfunction


      Cervical Disc Replacement Or Cervical Discectomy

      Herniated Disc Or Ruptured Disc Spine Surgery

      Kyphoplasty

      Laminotomy

      Low Cost Cervical Disc Replacement Or Cervical Discectomy in India

      Minimally Invasive Disc Nucleoplasty Surgery

      Minimally Invasive Laminoplasty Spine Surgery

      Minimally Invasive Slipped Disc Surgery PELD

      Minimally Invasive Spine Surgery

      Minimally Invasive Spine Tumor Removal Surgery

      Scoliosis Surgery

      Spinal Fusion Surgery (PLIF/TLIF)

      Vertebroplasty

      Spine Surgery
  • Urology
  • Male & Female Infertility Treatment
    • Many people have a strong desire to start a family at some point during their lifetime.  Most of the people achieve pregnancy within one year of trying but couples, who still cannot conceive even after many years of trying lose hope, feel dejected, or depressed. There are many reasons of infertility that may involve male, female or a combination of factors which includes problems with the production of sperms or eggs, structural or functional problems of male or female reproductive systems or hormonal and immune conditions. A fertility specialist may conduct some fertility tests to know what exactly the current condition is, explore all the options and help couple conceive sooner.
       

       

      Female Infertility Treatment

      IVF, ICSI, IUI, Male & Female Infertility

      Male Infertility Treatment

      Male & Female Infertility Treatment
  • Health Checkup
    •  
      Health program for Men

      BASIC PREVENTIVE HEALTH PACKAGE

      1.     Consultation:

      •       Internal medicine complete review
      •       Consultation for internal medicine
      •       Dietician

      2.     Tests:
      •       TSH
      •       ECG
      •       Whole abdomen ultrasound 
      •       Complete haemogram, peripeheral smear and ESR
      •       RH factor and blood grouping
      •       Complete lipid profile – HDL, VLDL, LDL, Cholestrol, Triglycerides
      •       SGOT –aspartate amino transferase, serum
      •       Blood sugar (fasting)
      •       Billirubin –total and direc
      •       TSH
      •       SGPT – alkaline phosphatese
      •       Creatinine, serum
      •       Urine routine and microscopy
      •       X-ray chest PA/AP view
      •       Stool routine and microscope

      BRONZE PREVENTIVE HEALTH PACKAGE

      Consultations:
       
      ·         Internal medicine complete review
      ·         Consultation for internal medicine
      ·         Ophthalmology
      ·         Dietician
      ·         General surgery

      2. Tests:
      •   TSH
      •   ECG
      •   Complete haemogram, peripeheral smear and ESR
      •   RH factor and blood grouping
      •   Complete lipid profile – HDL, VLDL, LDL, Cholestrol, Triglycerides
      •   SGOT –aspartate amino transferase, serum
      •   Blood sugar (fasting)
      •   Billirubin –total and direct
      •   SGPT – alkaline phosphatese
      •   Creatinine, serum
      •   Urine routine and microscopy
      •   X-ray chest PA/AP view
      •   Stool routine and microscope
      •   Urea
      •   Uric acid
      •   Total PSA (prostate specific antigen)
      •   TMT (tread mill test)

      SILVER PREVENTIVE HEALTH PACKAGE

      1.   Consultations:

      •       Internal medicine complete review
      •       Consultation for internal medicine
      •       Ophthalmology
      •       Dietician
      •       General surgery
      •       Dental
       
      2.   Tests:
       
      •       TSH
      •       ECG
      •       Complete haemogram, peripeheral smear and ESR
      •       RH factor and blood grouping
      •       Complete lipid profile – HDL, VLDL, LDL, Cholestrol, Triglycerides
      •       Liver function test profile GGTP, SGOT, SGPT, Bilirubin, alkaline phosphatese
      •       Blood sugar (fasting)
      •       Glycosylated haemoglobin
      •       PFT / spirometery
      •       Renal profile - Creatinine, sodium, potassium, chloride , bun, bicarbonate, urine routine 
      •       Urine routine and microscopy
      •       X-ray chest PA/AP view
      •       Stool routine and microscope
      •       Stool for occult blood
      •       Urea
      •       Uric acid
      •       Total PSA (prostate specific antigen)
      •       TMT (tread mill test)

      GOLD PREVENTIVE HEALTH PACKAGE

      1.     Consultation:

      •       Internal medicine complete review
      •       Consultation for internal medicine
      •       Ophthalmology
      •       Dietician
      •       General surgery
      •       Dental
      •       Cardiologist
      •       ENT

      2.     Tests:

      •       TSH
      •       ECG
      •       Complete haemogram, peripeheral smear and ESR
      •       RH factor and blood grouping
      •       Complete lipid profile – HDL, VLDL, LDL, Cholestrol, Triglycerides
      •       Liver function test profile GGTP, SGOT, SGPT, Bilirubin, alkaline phosphatese
      •       Blood sugar (fasting)
      •       Glycosylated haemoglobin
      •       Renal profile - Creatinine, sodium, potassium, chloride , bun, bicarbonate, urine routine
      •       Inorganic phosperous, serum 
      •       Calcium, serum
      •       X-ray chest PA/AP view
      •       Stool routine and microscope
      •       Uric acid
      •       Total PSA (prostate specific antigen)
      •       TMT (tread mill test)
      •       PFT/Spirometery
      •       Echo
      •       Whole abdomen ultrasound
      •       Pure tone audiogram
      •       Dexa-Bone spine & femur study 

      TITANIUM PREVENTIVE HEALTH PACKAGE

      1.           Consultations:
      •       Internal medicine complete review•       Consultation for internal medicine
      •       Ophthalmology
      •       Dietician
      •       General surgery
      •       Dental
      •       Cardiologist
      •       ENT

      2.           Tests:

      •       TSH
      •       ECG
      •       Complete haemogram, peripeheral smear and ESR
      •       RH factor and blood grouping
      •       Complete lipid profile – HDL, VLDL, LDL, Cholestrol, Triglycerides
      •       Liver function test profile GGTP, SGOT, SGPT, Bilirubin, alkaline phosphatese
      •       Blood sugar (fasting)
      •       Glycosylated haemoglobin
      •       Renal profile - Creatinine, sodium, potassium, chloride , bun, bicarbonate, urine routine
      •       Inorganic phosperous, serum 
      •       Calcium, serum
      •       X-ray chest PA/AP view
      •       Stool routine and microscope
      •       Uric acid
      •       Total PSA (prostate specific antigen)
      •       TMT (tread mill test)
      •       PFT (with/without broncodialater)
      •       Echo
      •       Whole abdomen ultrasound
      •       Pure tone audiogram
      •       Dexa-Bone spine & femur study
      •       Iron studies
      •       Stool for occult blood
      •       Carotid IMT
       
       

      Advanced Diabetes Treatment

      Whole Body Checkup

      Health Checkup
  • ENT Surgery
    • Otolaryngologists, commonly known as ENT are physician who are trained in diagnosing and managing the diseases or disorders of the ears, nose, sinuses, larynx, mouth, neck and head region medically or surgically in order to improve our quality of life. Some ENT specialist also treats cancers in these parts of the body and undertakes some cosmetic surgery.
      Some conditions that may affect our senses like hearing, smelling, taste problems, voice, breathing and swallowing, head or neck tumors, balance disorders etc are often treated by ENT surgeons. These surgeons may treat people of all ages from new born to elderly people. The wide range of symptoms treated by ENT surgeons may include:
      1.     Head and neck conditions:
      ·        Benign (non-cancerous) and malignant (cancerous) tumors affecting the mouth, oral cavity, throat, larynx, salivary glands, skull base, nose and sinuses
      ·        Facial trauma
      ·        Facial skin lesions including skin cancer
      ·        Face deformities
      ·        Facial weakness
      ·        Thyroid disorders
      They perform both cosmetic plastic and reconstructive surgery.
      2.     Ears:
      ·        Otosclerosis causes hearing loss and deafness
      ·        Otitis media with effusion
      ·        Age related hearing issues
      ·        Earache
      ·        Tinnitus
      ·        Dizziness and vertigo
      ·        Infections in ear
      ·        Perforated ear drum
      ·        Cholesteatoma
      ·        Protruding ears
      ·        eustachian tube dysfunction
      ·        glue ear
      ·        otoplasty 
      Otolaryngologists also manage congenital (birth) disorders of the outer and inner ear.
      3.     Nose
      ·        Sinus infection and rhino-sinusitis
      ·        Nasal injuries
      ·        Blockage in nose
      ·        Nose deformity
      ·        Nose tumors
      ·        Nasal polyps
      ·        Facial pain
      ·        Cosmetic surgery like rhinoplasty
      ·        Smell disorder
      ·        Deviated septum
      4.     Throat (larynx)
      ·        Sore throat
      ·        Tonsillitis
      ·        adenoid problems
      ·        Snoring
      ·        Swallowing problems
      ·        Obstructive sleep apnea
      ·        Hoarse voice
      ·        Laryngitis
      ·        Throat tumor
      Some of the common surgically procedures used by ENT specialist may include:
      ·        Septoplasty
      ·        Endoscopic sinus surgery
      ·        tympanomastoid surgery
      ·        tonsillectomy
      ·        microlaryngoscopy
      ·        oesophagoscopy
      ·        tympanomastoid surgery
      ·        tracheostomy
      ·        grommet insertion

       

      Cochlear Implant Surgery

      Endoscopic Sinus Surgery

      Septoplasty Procedure

      Tonsillectomy Surgery

      ENT
  • Vascular Surgery
    • Vascular system, also known as the circulatory system is made up of the vessels that carry blood and lymph through the body. The arteries and veins carry oxygen –rich blood throughout the body, delivering nutrients to the body tissues and taking away tissue waste matter. Lymphatic system helps protect and maintain the fluid which is carried by the lymph vessels of the body by filtering and draining lymph away from each part of the body. The vessels of the blood circulatory system consist of arteries, veins and capillaries. 

      A vascular disease affects the arteries and veins by damaging the valves in the veins or by affecting the blood flow wither by blocking or weakening blood vessels. Other body structures and organs may be damaged by vascular disease as a result of decreased or completely blocked blood flow.  Some of the causes of vascular disease include:• Trauma or injury – inflammation or infection in blood vessels can cause damage to them and may lead to blockage or narrowing of blood vessels. • Genetic – some vascular diseases are inherited by the family. • Blood clots – an embolus or a thrombus can block the blood vessels. • Inflammation – vasculitis is an inflammation of blood vessels that may include various disorders. Inflammation can also cause narrowing and blockage of blood vessels. • Atherosclerosis – atherosclerosis occur when fatty deposits buildup along the innermost layer of the arteries. It is most common cause of vascular disease and is a slow and progressive that may start since childhood. Vascular surgery is one of the treatment procedures for the diseases of the vascular system, or arteries, veins and lymphatic circulation that cannot be treated by less invasive, non-surgical treatments. Blood clots, arteriosclerosis and vascular conditions occurring in the arteries are known as arterial disease. Veins diseases and problems are known as venous diseases. Some vascular diseases occur in arteries, other in veins and some affect both veins and arteries. Vascular diseases are very common in older age. It is not easy to detect the symptoms of the vascular diseases in the early stages. Some of the factors that increase the chances of vascular diseases may include:• Genetic or family history of heart and vascular disease• Excessive smoking• Over weight• Any illness, injury or trauma• Pregnancy• Inactive lifestyle• Old age• Conditions affecting cardiovascular system such as hypertension, diabetes, high cholesterol etc.Balloon angioplasty, aortic and peripheral vascular endovascular grafting, thrombolysis, stenting are some of the techniques used in vascular surgeries.  Some common diseases affects the arteries are peripheral vascular disease (PVD), carotid artery disease, and aortic aneurysms (AAA). Surgeries are done to treat atherosclerosis to prevent heart attacks and strokes, to relieve hypertension, remove aneurysms, repairing, bypassing or replacing the artery to prevent amputation.

      Aortic Aneurysm Surgery

      Diabetic Foot Treatment

      Non Surgical Treatment For Varicose Veins

      Vascular Surgery
  • Hepatitis Treatment
    • Hepatitis C is a viral infection which causes liver inflammation and can lead to serious liver damage that may require liver transplants or even liver cancer. Person can catch hepatitis C virus (also called HCV) if he/she comes into contact with contaminated blood, from reusing the tattoo needle, intravenous drug abuse or through sexual contact or breastfeeding etc. long term hepatitis C virus infection is known as chronic hepatitis C and generally people with this infection doesn’t see any signs and symptoms until the virus damages the liver causing extensive scarring (cirrhosis)of the liver. Acute Hepatitis C infection doesn’t always become chronic and its symptoms may appear in a month or two after person is exposed to the virus but it does responds well to the antiviral therapy.
      Some of the signs and symptoms may include:
      ·        Bruising
      ·        Fatigue and tiredness
      ·        Poor appetite
      ·        Bleeding easily
      ·        Discoloration of the skin and eyes (yellowish skin)
      ·        Itchy and irritable skin
      ·        Ascites (fluid buildup in the stomach)
      ·        Swelling in legs
      ·        Dark urine color
      ·        Weight loss
      ·        Drowsiness and slurred speech
      ·        Spider angiomas
      ·        Fever and muscle ache
      Hepatitis C infection has high chances of increasing when a person have ever injected or inhaled illicit drugs, have HIV, got piercing or tattoo through infected needle, babies  born to mothers with HCV infection, received hemodialysis treatment for longer period of time. 
      Doctor may perform several tests such as:
      ·        Blood tests - to measure the quantity of the hepatitis C virus in the blood and to identify the genotype of the virus.
      ·        MRE or Magnetic Resonance Elastography –it is non-invasive test. MRE along with MRIT (magnetic resonance imaging technology) with patterns formed by sound waves in the liver to create a visual map showing the stiffness throughout the liver which indicates the presence of fibrosis or scarring of the liver due to chronic hepatitis C infection.
      ·        Transient elastography – is also a non-invasive test. It is type of ultrasound that transmits vibration into the liver to determine the amount of liver fibrosis present.
      ·        Liver biopsy – In this, a thin needle is inserted through the abdominal wall to remove a small sample of liver tissue under the guidance of ultrasound for laboratory testing.
      If the patient is diagnosed with hepatitis C, doctor will recommend some lifestyle changes to prevent any further damage or complications and to protect the health of others also. These changes may include:
      ·        Stop smoking and drinking alcohol
      ·        Avoiding any medications that can cause liver damage
      ·        Preventing others from coming in contact with the patient’s infected blood
      Chronic HCV can be cured these days with oral medications taken every day from 2 to 6 months depending on the condition such as how damage the liver is, genotype, how much HCV infection is present in the body or any another health conditions.  Some medicines used to treat HCV infection can cause serious side effects and may not work for everyone. These medicines are expensive also. Injection free treatment options are becoming most common treatment method these days.
      People with acute hepatitis C don’t get treatment on time as they are not aware of having HCV infection. People who know that he/she may have been infected by this virus can get treated if it is found out on time with medicine which may prevent chronic infection. 
      People with chronic HCV infection can be given treatment with a combination of antiviral medicines to fight the viral infection and to prevent serious liver problems such as cirrhosis or liver cancer. The treatment can take anywhere from 12 weeks to a year to get rid of the virus. Infected person requires undergoing routine blood tests to know how well the liver is functioning.
      Several types of Treatment for hepatitis C (HCV) infection may include:
      ·        Antiviral Medications – some antiviral medications are given to the patient to get rid of the infection and there should be no virus detected at least 12 weeks after the treatment is completed. There have been some significant advances made in treatment for HCV by using direct-acting anti-viral medications in combination with existing ones depending on the genotype, presence of existing liver damage or any other medical conditions.  This method has shorter treatment times and less side effects.
      ·        Vaccinations – there is no specific vaccine for hepatitis C but it is recommended to receive vaccines against the hepatitis A & B viruses that also can cause liver damage and complicate the course of chronic HCV.
      ·        Liver transplantation – liver transplantation can be an option in case the liver develops serious complications from HCV infection. Surgeon will remove the damaged liver and replaces it with a healthy liver that can be from deceased donors or living donors who may donate a portion of their liver. Infection can return even after the liver transplant that may require treatment with antiviral medication to prevent damage to the new transplanted liver.

       

      dfas
  • Diabetes Treatment
    • Diabetes occurs when the blood sugar or blood glucose levels are too high. Blood sugar is the main source of energy that comes from the food. Insulin is a hormone made by pancreas (an organ that lies near the stomach) that helps the glucose gets into the cells to provide energy. Sometimes pancreas produces very little or no insulin which then causes glucose or sugar to buildup in the blood. Too much glucose in the blood causes serious health problems including:
      ·        Heart disease – such as ischemic heart disease
      ·         Blindness – glaucoma, cataracts, diabetic retinopathy etc
      ·         kidney failure – uncontrolled BP can lead to kidney failure
      ·        lower –extremity amputations
      ·        dental disease – gum disease
      ·        nerve damage – can lead to several problems
      ·        foot problems  - ulcers, gangrene etc
      ·        skin problems – skin infections or diseases
      ·        hypertension – can increase the risk of kidney, eye problems or heart stroke etc
      ·        hearing problem – difficulty in hearing or even deafness
      ·        Peripheral  arterial disease (PAD) – pain in legs or tingling
      ·        Erectile dysfunction – male impotence
      ·        Healing of wounds – slower healing of the wound or infection
       
      Type 1 and Type 2 diabetes are most common types of the diabetes. Several types of diabetes are as follows:
      1.     Type 1 – in type 1 diabetes, the immune system attacks and destroys the cells in the pancreas which make insulin. So when, body does not make insulin then person needs to take the insulin externally every day to stay alive. This type of diabetes occurs most often in children and young adults.
      2.     Type 2 – in this, body make insulin but cells cannot use blood glucose efficiently for energy. This is called insulin resistance. This happens when cells become insensitive to insulin and glucose gradually starts building up in the blood instead. This type of diabetes is the most common and occurs in the middle and older age people.
       
      3.     Gestational diabetes – this type of diabetes develops in pregnant women and needs to be diagnosed and treated quickly because it can cause some health problems for both mother and baby. In most cases, it goes away after the baby is born as blood sugar level will likely return to normal quickly. 
       
      4.     Cystic fibrosis related diabetes (CFRD) – person with cystic fibrosis can develop this type of diabetes. Thick, sticky mucus causes scarring of the pancreas that prevents the pancreas from producing normal amount of insulin. CFRD can be managed successfully with early diagnosis and proper treatment.
       
      5.     Monogenic diabetes – this is rare type of diabetes which is caused by a single gene mutation and in this person makes insulin but not enough and not always at the right time. It has characteristics of both type 1 and type 2 diabetes. People with this rare diabetes are usually very sensitive to insulin and may use small dose of it.
       
       
      Some common signs and symptoms of diabetes may include:
      ·        Frequent urination
      ·        Hunger
      ·        Thirst
      ·        Weight loss
      ·        Tiredness and fatigue
      ·        Weakness
      ·        Nausea or vomiting
      ·        Mood swings
      ·        High sugar level in blood and urine
      ·        Blurry vision
      ·        Skin infections or dry skin
       
      Doctor may perform some tests such as fasting glucose test, oral glucose tolerance test (OGTT) A1c test to diagnose whether the patient is having diabetes or not. Doctor will make a diabetes treatment plan to keep close watch over the blood sugar levels with combination of medications, exercise, and diet. It is very important to keep close attention on what to eat and when to eat which will help in quick changes in medication dosages, especially insulin.   
       
      Treatment for type 1 and type 2 diabetes includes insulin, regular blood sugar monitoring, healthy diet, regular exercise, maintaining healthy weight and active lifestyle.
       
      Type 1 diabetes - When pancreas no longer makes the insulin then it can be given through a continuous pump on set basis or in the form of injections. Generally there are five types of injectable insulin that include:
      ·        Rapid acting insulin – effects within a few minutes and lasts 2-4 hours
      ·        Long acting insulin – effects in 1-2 hours and lasts for more than 24 hours
      ·        Intermediate acting – effects in 1-2 hours and lasts up to 18 hours
      ·        Regular or short acting insulin – effects within 30 minutes and can lasts 3-6 hours
      ·        Ultra-long acting insulin – effects in 1-2 hours and lasts 42 hours
      1.     Insulin through injections – insulin can be given through injection or an insulin pen to inject insulin subcutaneously. Insulin pens can be refilled or are available in disposable varieties.
       
      2.     Insulin through pump – the device is placed on the outside of the body. The doctor will program this computerized insulin pump and patient will be given a certain amount of rapid acting insulin throughout the day based on the blood sugar level in fasting. This pump can be worn on waistband, in the pocket or with specially designed pump belts. Insulin pump can be more effective at controlling the blood sugar levels than injections.
      3.     Artificial pancreas – also called closed loop insulin delivery. The device is implanted in the body that links a continuous glucose monitor which checks blood sugar levels every 5 minutes to an insulin pump to deliver the right amount of required insulin automatically.
      4.     Other medications – doctor may also prescribe some medicines for high blood pressure including angiotensin converting enzyme (ACE) inhibitors or angiotensin 2 receptor blockers (ARBs) to help keeping the kidneys healthy, aspirin to protect the heart, cholesterol lowering medicines etc.
       Type 2 diabetes – to control blood sugar levels in type 2, patient will be given certain medicines, insulin therapy along with healthy diet and exercises. Some medicines to control the type 2 diabetes include:
      1. Metformin – this is usually a first medication given in type 2 diabetes which helps in improving the sensitivity of the body tissues to insulin so that the body uses insulin more effectively. This drug also lower glucose production in the liver. Some of the side effects of metformin may include nausea and diarrhea which usually go away as the body gets used to the medicine.
      2. Sulfonylureas – this helps body to secrete more insulin and its possible side effects are low blood sugar and weight gain.
      3. Meglitinides –it just works as sulfonylurea but is faster acting medicine and the duration of its effect in the body is shorter.
      4. DPP – 4 inhibitors – this helps in reducing the blood sugar levels and don’t cause weight gain.
      5. SGL T2 inhibitors – these medicines are the newest in the market for controlling diabetes. They prevent the kidneys from reabsorbing the sugar in to the blood. Instead sugar is excreted in the urine. Yeast infections and UTIs, increased urination, hypotension are some side effects of these drugs.
      ·        Insulin therapy - some of the patient with type 2 diabetes may also require taking insulin therapy as well. As normal digestion can interfere with insulin taken orally, so it must be injected. There are several types of insulin that work in their different ways such as apidra, humalog, novolog, lantus, levemir, humulin N, novolin N.
      Healthy diet – it is advised to take high nutrition diet, low fat and high fiber foods such as fruits, vegetables, whole grains and restricts the intake of some animal products and refined products such as white breads or sweets etc. a good dietician can help in planning a perfect meal plan that fulfills all the nutritional requirements of the patient.
      Regular exercises and physical activity – after consulting the doctor, patient should do some exercises and physical activities which will affect the blood sugar levels. 
      Pancreas transplant - patient would not need any insulin with a successful pancreas transplant. But in many cases, procedures pose serious risk and don’t prove successful. People who find it very difficult to maintain their diabetes or who need a kidney transplant can go for this procedure.
      Islet cell transplantation – in this procedure, new insulin producing cells are provided from the donor pancreas. This is yet in a experimental stage and had some problems in the past.

      Diabetes
Submit your details
to know more