Be Aware of the Silent Killer Called Ovarian Cancer

Many women aren’t aware that ovarian cancer is also known as the Silent Killer because generally no visible symptoms indicate the presence of this cancer and the symptoms surface only during the final stages. This cancer has known to affect as many as over 20K women across the world every year and due to the lack of visible symptoms indicating the cancer, it makes this cancer even scarier.

The causes of this cancer are not clear as yet but family history is one of the risk factors and the women having a family member or relative with ovarian cancer or breast cancer are definitely at a higher risk of the same. Age can also be termed as one of the risk factors because most women get it after 60 -63 years. Also, the women who have had one or more pregnancies before the age of 26 are at a lower risk. The risk is lower if the number of pregnancies is higher. Even using contraceptives frequently tends to lower the risk of ovarian cancer. As per doctors there is this contraceptive hormone called DMPA or Depo pro-vera CI that if injected of more than 3 years, reduces the risk of ovarian cancer even further. Women who make use of infertility treatment drugs over a period of one year are also known to have a high risk of getting ovarian cancer. Other risk factors include obesity, hormone therapy and gynecologic surgery as in surgery of reproductive organs and getting endometriosis at the age of 30 years.

Ovarian Cancer

The doctor on examination will ask for some tests that include blood test, a CT scan or MRI as well as Laparoscopy, biopsy, abdominal fluid aspiration test or colonoscopy for that matter.

As per the American Cancer society ovarian cancer has four stages
Stage 1 – This is the preliminary stage of ovarian cancer where only the ovary or the ovaries are affected.
Stage 2 – This is the secondary stage where the cancer is out of the ovaries and spread around the areas like fallopian tubes, uterus, rectum or the bladder.
Stage 3 – This is a later stage of cancer where the cancer affects the lymph nodes, abdominal lining or even the back of the abdomen.
Stage 4 – The last stage of cancer where the cancer has spread to other parts of the body outside the peritoneal cavity viz. abdomen or pelvis upto the liver, fluid around the lungs or the spleen.

The initial symptoms of ovarian cancer are easy to miss because they are very much similar to premenstrual syndrome. So, you have to be alert and if you find any of the below mentioned symptoms that persist for a long time then good idea is to go for checkup.

Recurring Abdominal Pain
If you have been experiencing stomach ache for a long time even if you don’t have your monthly cycles then its time you get it tested.

Appetite loss and Nausea
When ovarian cancer starts spreading around, it affects the bowel system and causes nausea. If you feel you have been experiencing and loss in your appetite or feeling full sooner than ever, check it out.

Bloating and Constipation
When a tumor is growing inside you even when you do not eat much you feel fuller and bloated. It can also affect your bowel movement leading to regular constipation issues.

Irregular monthly cycles
A tumor in the ovary will cause your monthly period to become irregular or sorts. So, if you haven’t been experiencing any irregularity in your monthly periods earlier but only lately for a while, good idea to meet up with your doctor.

Frequent urination
If you have been making frequent trips to the bathroom for peeing then this could be the sign. Do not ignore and visit your doctor.

The treatment is based on the diagnosis of the stage of the cancer and includes procedures like surgery, chemotherapy, radiation therapy, targeted therapy as well as hormonal therapy. One or more treatments in combination are usually used depending upon the stage of the cancer.

Surgery types
The extent of surgery is also based on the stage and includes removal of ovaries, fallopian tubes, uterus as well the affected surrounding tissues. Then there is de-bulking surgery and lymph node dissections also which is done to reduce the cancerous tissues if the cancer is spread beyond the pelvic region and removal of lymph nodes near the aorta respectively.

Therapy types
Chemotherapy is generally done post-surgery to kill the remaining cancer cells. A medication known as cytotoxic medication poisonous drugs to the cells in-order to prevent growth and division. This is a recurring process based on the cancer growth. Targeted Chemotherapy is another treatment that involves target specific function or pathways of cancer cells. Another therapy that is used as a part to treatment is Hormone therapy. It is done to cut the supply of estrogen from the cancer cells in order to slow their growth. Radiation therapy is also used for treatment of cancer and is generally used in advanced form of cancer.

As the stage increases the survival rate decreases. While for Stage I there is a 90% chance of survival, for stage IV, the chance is 17%.

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*Sourced from the Internet

Compulsive Doing Syndrome – Do you Have It?

Do you feel that you are very busy and occupied most of the times. Do you answer in a negative when someone asks you to meet up, hangout or for any other meet? Is the answer to most questions about availability as ‘Sorry, Busy’. Then, you have a compulsive doing syndrome. The symptoms of this syndrome include –

Compulsive Doing Syndrome

  • No time for family affairs
  • Not time to eat
  • Your to do list goes on increasing
  • Sleepless nights for a long time
  • You might seem busy and hardworking but nothing out of the box

Now, for the reason. This syndrome is because we are brought up believing that being busy means being worthy. This is the most common causes of Compulsive doing syndrome too.

Another reason is that we tend to overburden ourselves until there is no time left for anything to fit in. Many times it can be a sign of running away from problems, situations and issues. So, if you feel that you are busy all the time, know it once and for all that it is apparently a lifestyle issue and needs to be worked up.

Being over occupied without any time to spare apparently show that your time management skills are not good enough. Besides, it also points to clarity or work and focus issues. If you are focused on your work you can finish off your work faster and ample time left for other priorities.

Exercising Breathing for 5 minutes every day helps you calm down, distress and relax. Doing it will certainly help you manage yourself better. Have time allocated for activities that help you feel well mentally, physically and spiritually. Could be a jog, or exercise or music or some extra-curricular activity.

Try to get away from gadgets be it your phone, laptop or television and concentrate on eating while having your meals. Give your family the attention they deserve and not non-living objects over them. Sparing some time out for meditation is definitely a food idea for mental health and overall wellness.

Well, compulsive doing syndrome can be worked up if you are willing to understand that being busy is very much about time management, concentration and clarity.

Do You Legs Pain All Night? Know Why

Many of us experience leg pain at night. But, ever thought about the reasons behind it. Many of us should have and many should have not. So, if you are also amongst the ones who do experience leg pain at night on a regular basis and have been ignoring it or just bearing it through, here are a few reasons that could be the reason, perhaps.

Do You Legs Pain All Night

1. Deficiency of vital nutrients
Many of us never know if our diet is a balanced one of not. With a hectic life schedule and not time for to spare towards caring for health besides a diet that is more of junk and less of nutrient rich food, deficiency of vital nutrients like calcium, potassium and magnesium as well as Vitamin D can lead to leg pain.

2. Dehydration
Nocturnal leg pain is also known to be caused due to dehydration. Due to the electrolyte imbalance in blood, it can lead to nocturnal cramps. So keep yourself hydrated throughout the day and even if you tend to wake up at night stay hydrated.

3. Standing long hours
Standing for long hours can lead to leg pain at night. The reason is that standing for along time tends to accumulate the blood and water in your lower body causing fluid imbalance and cramping.

Health Conditions
If you are suffering from other health conditions that you are not aware of then, you could be having leg pain due to the same.

As you age your bones become weak and nocturnal leg pain is pretty common then. It is after 50 years that you may start experiencing this condition because you start losing neurons and get frequent cramps due to it.

Well, health is wealth and ignoring it can lead to an irreversible or life threatening damage to the body. So, if you are experiencing the symptoms get yourself checked and do the needful. Why compromise on quality of life.

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Leptospirosis – The Rat Fever that’s Killing People in Kerala Post Floods

Kerala floods have caused a havoc in kerala washing out villages and towns and post the floods the fear of epidemics is hovering already. Nipah the deadly virus had taken as may has over two dozen lives some months back and now it’s another fever called the rat fever of leptospirosis that has been causing deaths in Gods own country.

Last month a total number of deaths registered in Kozhikode has risen to 17 due to leptospirosis of which 6 have been confirmed and rest are suspected to be due to rat fever. To avoid further spread and even as an immediate measure, 85 bed isolation ward is setup in Kozhikode general hospital as well as government hospitals in Koyilandy, Vadakara and Feroke. Meanwhile low lying Alappuzha and three north-central districts reported a total of nine casualties due to rat fever.


The rat fever attacked as many as over 559 people across the state last month already of which 229 were confirmed cases of Leptospirosis.

Here’s a look into the condition, its causes, symptoms, treatment and preventive measures.

Leptospirosis is a condition caused due to a rare bacterial infection caused by a bacteria called Leptospira interrogans and spreads through the urine of animals like rodents, dogs as well as farm stock. These animals never show any symptoms but act as carriers while the organism resides in their kidneys. Although it is not a life threatening disease like Nipah most of the times, there is a possibility of severe leptospirosis which can lead to a fever that returns. When the fever returns, the condition is called Weil’s disease and requires hospitalization because it can have serious symptoms like chest pain, legs and swollen arms.

You can easily contract the bacteria if you are anywhere near to the place where the carrier animal has peed as the germs can invade the body through the scratches, dry areas and open wounds besides genitals, nose or mouth. Human to human infection can only spread to intercourse or breastfeeding.

So, if you are even around animals a lot then you are at high risk of it. Hence, people like veterinarians, underground or sewer workers, farmers, military persons and veterinarians are at high risk of contracting the bacteria. People who are into adventure activities like rafting, camping or swimming.

The symptoms may include fever that can spike up to 104 degrees besides Muscle ache, Headache, Vomiting, Jaundice, Skin Rash and even jaundice.

The doctor will recommend a blood test and check for antibodies in the blood. Your body will produce antibodies to fight this bacteria but if you have had this condition before, it can give a false positive report. Hence, another test needs to be done for confirmation purpose after one week. The doctor could also advise you to go for a DNA test to be more precise, but it can get expensive to go for this test.

Treatment and Prevention
The treatment course runs across a period of one week where the doctor could prescribe ibuprofen tab for fever and muscle pain besides antibiotics like doxycycline and penicillin. A more serious condition like meningitis, lung issues and kidney failure might require you to get admitted immediately.

As they say prevention is always better, to avoid getting into this mess called Leptospirosis, stay away from domestic animals, live-stock and wild rats.


How Rural India is a Bearing the Brunt of Non Communicable Diseases

A doctor practicing in the rural area was taken by surprise to find numerous cases of non communicable diseases amongst men and women in and around rural areas. While a 55 year old male suffered from from a heart attack, a 53 year old female was suffering from depression and anxiety. Other cases included that of chronic back pain and more, that too from a tribal village that is situated in one of the most backward districts of the state.

The question that doctors are pondering on is how are rural and tribal areas populace experiencing the health issues that are commonly associated with lifestyle of urban people. The fact is that the pattern of India’s health structure is making a paradigm shift and this has been so over the past 15 years. The fact came to light when the Government of India released its report on the death causing diseases. Further more, the figures of the report of 2010-13 showed enormous growth revealing 47% of the deaths were due to NCD’s and 30% due to Communicable Diseases. This significant rise of 7% undoubtedly indicated taking a keen interest in the healthcare issues of rural population and Non communicable diseases more so.

Well, even though as per statistics the life expectancy of people in urban as well as rural India remains the same more or less, the health issues related to aging seems to crop up in rural areas as well and not just the cities. Having said that, there are challenging dealing with rural NCDs compared to that of cities. Here’s a look through a few –

  • Unavailability for diagnosis and treatment in rural areas.
  • It can be expensive and economic issues like poverty amongst families
  • Unavailability of advanced professionals needed for treatment of NCD’s
  • Data Collection issues around Rural NCD’s hampers working on the problem further in a systematic way.
  • In India compared to developed countries NCD is common among the younger generation
  • Awareness is one of the main reasons NCD’s in rural region is not gaining the kind of attention it needs to get.

Well, NCD in rural India is no myth today as can be seen from the figures and hence the policy makers and government need to focus on devising and implementing solutions to deal with this growing healthcare issue of rural India.

White Spots on Nails – Myths An More

There is one common myth around the condition where many people believe that white spots on nails are a sign of deficiency of calcium only. Apparently, the fact is white spots are not simply because of calcium or zinc deficiencies, there’s more to it. Scientifically known as Leukonychia, white spots on nails is a common condition. The main causes of this condition include either and injury to the matrix of the nail or an allergic reaction due to substances like nail hardeners, nail polish or sometimes even a mild infection.

White Spots on Nails

Also known as milk spots or white nails, Leukonychia refers to a condition where the complete nail turns white in color. Here’s a run-down the different types and sub types of Leukonychia –
Leukonychia totalis – As the name suggests, it causes white discoloration of the complete nail.
Leukonychia Partialis – This type causes a partial discoloration of the nail and is further divided in three main types.

  • Leukonychia Punctata – In this type, small white spots are seen on the nail.
  • Leukonychia Transverse – Also known as mees lines, striate or transverse leukonychia condition is responsible of causing horizontal white lines running parallel to the lunula. 
  • Longitudinal Leukonychia – In this type, a white band surfaces down the nail. 

Leukonychia is also divided based on the type of injury into two types.

  • True Leukonychia – This is caused when there is an injury or damage to the nail. The white area of this nail is not affected by any pressure and grows as the nail does.
  • Apparent Leukonychia – This is caused when the bed beneath the nail is affected. This white area does reduce under pressure and does not grow as the nail does.

Treatment – The treatment is based on the diagnosis and if the doctor finds any uncertainty then you need to undergo a few tests –

  • Nail Biopsy – A tissue from the mail is removed and sent for testing
  • Mycology – This test involves the examination of nail clippings and fungi
  • Blood Test – This test is done to check the presence of a systematic disease

The white spots that are caused without any injury are harmless and grow out over time naturally. While if injury or trauma is the cause, then the doctor decides on the course of treatment.
Yes, white spots can be prevented from resurfacing by taking care of your nails and being cautious. Some of the preventive measures are –

  • Avoid excess use of nail paint or polish
  • Cut your nails on a regular basis and keep them short
  • Use a moisturizer after washing nails to avoid dryness
  • Avoid contact with substances that cause irritation

Well, generally white spots or Leukonychia is harmless in nature but only rarely can it be a sign of an underlying serious condition. Hence, if you find one, it is advisable that you see the doctor immediately.

Egg Freezing – More Power to Women

Egg freezing is not an entirely unknown term. Awareness about it is fast spreading across cities in India. Even Gynaecologists have observed a spurt in the inquiries around egg freezing. Scientifically known as oocyte cryopreservation, this process involves the extraction of a woman’s egg from the ovary, freezing and storing it. Afterwards at the time of conceiving, this egg is thawed and placed in the uterus as embryos.

This is a boon for women in India today who want to make life choices on their own at their time. Many women delay marriages as they do not want to get married under pressure and want to prioritize education and career. Such women can freeze their eggs and use them later to conceive. There are numerous case studies to help you understand how egg freezing helped women in India conceive and deliver a healthy baby at a time when they were ready for it.

Case 1 – A 31-year-old female from Matunga wanted to conceive through IVF and her husband was in too much pressure while donating his sperm, so much so that he was not able to produce a semen sample required for the IVF on the day of collection. So, they extracted her egg and froze it. The IVF process was later completed once the semen was received and she had a hassle free pregnancy.

Case 2 – A 14-year-old female was diagnosed with cancer in one of her ovaries. The doctor extracted and froze her egg from the other ovary before she underwent chemotherapy. He mother was glad that her daughter had a choice to conceive in the future as freezing her egg granted protection to her fertility.

Case 3 – A 36-year-old who was not ready for marriage, froze her eggs at 32 so that whenever she is ready for it and for maternity, there are no issues with conceiving.

Today, egg freezing awareness is spreading fast amongst the society and many women are opting for the alternative as it empowers them to make a choice of becoming a mother, at the time they want to. Across the world, egg freezing has already helped conceive and deliver over 2000 babies. Having said that, even though the freezing can be done at any age based on the count of antral follicles and hormone levels, the doctors generally advise doing the egg freezing before 35 years.

In today’s times when the world is embracing gender equality and women are determined to match the abilities of men in almost every walk of life, egg freezing is an amazing addition to their empowerment arsenal.

RRMCH has got best gynecologist in Bangalore and the department provides the best treatment for women health care. RRMCH provides regular clinical services as well.

Top 5 Medical Tourism Destinations in the World

We all know about the recent spurt in medical Tourism, but what you might not know and perhaps, would want to know is,  names of the countries that top this list. Before we look into that, here’s some information on medical tourism. As per international statistics, 11 million people from the USA opted for medical tourism in 2016. Now, that is a huge number. Furthermore, the medical tourism industry is slated to grow by 25% in the coming years. People are choosing medical tourism alternative for reasons like quality healthcare at impressive costs, convenience and more. Lets run-down 5 of the most sought-after medical tourism destinations in the world.

BRAZIL – As per World Health Organization, Brazil tops the list of medical tourism destinations in the world. With over 40 JCI accredited hospitals and world’s best experts under their belts, Brazil is a one-stop solution for healthcare needs around cosmetic and plastic surgery. The reason it is third on the list of most visited countries for cosmetic and plastic surgery is due to its quality services at affordable rates.

MEXICO – Mexico is one of the most preferred destinations for medical healthcare as it is known to reduce the medical costs by a staggering 40% to 65%. It boasts of over 98 JCI accredited hospitals and offers advanced treatment procedures in areas of cosmetic surgery and dentistry. Most of the people residing in the USA are known to travel to Mexico for their healthcare needs.

INDIA – India is brimming with medical tourists as on day and the reason it stands in this list is its ability reduce healthcare costs by a mammoth 65% to 90% as compared to the USA, making it one of the most visited countries for healthcare services. India is a preferred location not only due to its affordability or quality healthcare services but because there is zero waiting time for scheduling surgeries and living here is a relaxing experience as well.

THAILAND – The land of the white elephants as it is known, Thailand is also famous for its pristine beaches. But many of us aren’t aware of the fact that it is also a popular destination for medical tourism. You can not only reduce your medical expenditure by 50% to 75% but also avail facilities like private recovery gardens, Thai massage and other relaxation therapies at affordable prices.

TURKEY – The reason Turkey is on the list of most favored destinations for medical tourism is that it offers zero waiting times for services of healthcare particularly like transplant, neurosurgery, genomic medicine, radiation therapy for cancer. The Turkish airlines also offers discounts for medical tourists and the best part is the bottom line –  you end up saving around 50% to 65% of your money as compared to the USA.

Well, healthcare has broadened its horizons and is available across borders at affordable prices. Hence, umpteen people across countries are opting for medical tourism.

All You Need to Know About Terminal Illness

The term terminal illness means disease that is not curable and is expected to result in death of the patient over a course of time. It is a commonly used term for illnesses like cancer, heart disease of advanced stage, to name a few. When a person is said to be suffering from a terminal illness, there is near certainty that the patient is going to die in a course of time irrespective of the treatment. Once diagnosed with a terminal condition the patient knows that death is certain and the doctor informs the patient about the time left, in days, weeks, months or years.

Once a patient is diagnosed for terminal illness, the disease management process is decided. The options for it include continual of treatment, caregiving, hospice care and even physician assisted suicide. The decision making is done keeping the patient as well as the family in loop. Many a time patients with terminal illness experience anxiety around the nearing death as well as depression and hence requires psychotherapeutic treatment to help them deal with the same.

On the flip side, knowing about the terminal illness condition gives them time to get ready for advance treatment and care procedures as well as living will, to help them deal with end of life care effectively. Let us run through the different disease management or end of life care procedures for terminal illness patients.

Terminal Illness

Treatment Continuation

Palliative Care – Palliative care is more about after care of the physical needs of the patients post diagnosis. This includes emotional support, management of pain, psychological and spiritual care. It is a methodology that concentrates on improvement of quality of life of the patients and satisfaction besides helping family members deal and cope with the difficult situation.

Care Giving – Care giving is an integral part of terminal disease management. It involves keeping a nurse to take care of the person suffering from the condition. The care givers provide support like psychological support, food, assistance with movement and routine activities on a day to day basis.

Medications – Terminal patients who suffer from cancer related pain, need medications for relief. The medication prescribed varies based on the pain severity as well as status of disease. One of the common symptoms that terminal illness patients experience is dyspnea viz. breathing issues.

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Hospice Care – There is a misconception that people choosing hospice care live less compared to others, but study has proved that patients with hospice care live for the same span than others. It includes spending more time with family, friends or other inmates undertaking hospice disease management procedures. They usually stay away from a hospital at home or at an inpatient hospice facility.

Physician assisted Suicide (PAS) – This concept is legally approved only in a few countries in the world. It is when a patient decides to die with dignity that he or she opts for physician assisted suicide. The decision could be based on various different reasons like avoiding pain, disability, healthcare costs, family impact, personal and religious beliefs, to name a few. The patient has to give request in writing as well as orally after which the physicians offer them lethal drugs to help them die.

Well, some terminally ill patients stop all the treatments that they are undergoing to avoid side-affects while some go for even more aggressive treatment in a hope to increase their life span to the maximum. Some also opt for alternative methods of treatment that are non-proven as well as diet changes that are required.

What is Food Poisoning? An Overview

Recently, there was news of over 100 prisoners in Delhi falling sick suddenly and being admitted to the hospital. The reason cited for the same is either food poisoning, drug poisoning or contaminated water. Food poisoning is a common term and you hear people and kids suffering from it every now and then. It is a very uncomfortable condition that leads to nausea, vomiting or diarrhea and is caused due to the intake of toxic, contaminated or spoiled food.

Food poisoning can either be caused by bacteria, viruses or parasites. The most common though is through bacteria like Listeria, E coli and salmonella. The latter is said to be the biggest cause of serious food poisoning cases. Another rare or lethal bacteria responsible for food poisoning includes the C. botulism and Campylobacter. Norovirus is a virus type which can also lead to food poisoning but is not fatal mostly. Others include Rotavirus, Astrovirus, Sapovirus and Hepatitis A, wherein the latter can be serious. Toxoplasma is a parasite which causes food poisoning. Parasites live within your digestive tract but can go undetected for years.


Usually, food poisoning is detectable based on the symptoms. The symptoms differ as per the infection source. The symptoms appear anytime within 1 hour or 28 days depending on the infection source again. Most people suffering from food poisoning show atleast three of the following symptoms.

  • Headache
  • Weakness
  • Nausea
  • Mild fever
  • Loss of appetite
  • Diarrhea
  • Abdominal cramps

Food poisoning ain’t life-threatening. But, this does not mean that you take the condition lightly. There is always a rare possibility of it getting life-threatening as well. Look out for the following symptoms and initiate immediate medical assistance –

  • Fever of 105 or higher
  • Severe dehydration, dry mouth, no urine passage
  • Difficulty speaking or seeing
  • Diarrhea that does not go for 3 or more days
  • Blood in urine

Food poisoning generally does not require any treatment and can easily be managed at home. It can take three to five days to subside but the most important part is to stay hydrated all along. Consumption of Sports drink that has electrolyte in them works really well in dealing with the condition. To help yourself out of fatigue try natural drinks like coconut water and fruit juice.

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