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What should be the Diet and Nutrition Plans for…

March 19, 2020March 30, 2024
by Eva Hospital

Usually one in every ten girls suffers from irregular periods, unwanted hair growth, and acne on the face.

This is the case of the dreadful Polycystic Ovary Syndrome (PCOS) which means no menstruation at all or irregular periods. PCOS causes delayed, infrequent, or prolonged menstruation.

Women with PCOS develop multiple cysts in their ovaries because of the overproduction of hormones in the body. This hormone is called androgens and is a male hormone.

Excess production of androgens can lead to hirsutism. Women of reproductive age can face serious implications because of PCOS.

Dr. Shivani Bhutani, the best gynecologist in Ludhiana, Punjab, says that women with PCOS suffer from infertility, miscarriage or premature birth, sleep apnea, Type 2 diabetes, depression, eating disorders, and cancer (in the outer lining) in the worst cases. Since the exact cause of PCOS is unknown, women suffering from PCOS must consult a gynecologist at the earliest.

Can Diet help in Relieving PCOS?

Dr. Bhutani states that more than 85% of women with PCOS are obese. This additionally exposes them to risks of heart diseases, diabetes, high blood pressure, and cancer.

The reason is that women with PCOS have a potentially higher insulin level than the normal range. The body pumps more insulin to keep the blood sugar levels normal as your body becomes insulin resistant.

As the body becomes insulin resistant, a vicious chain circle is triggered. High insulin resistance means the body pumps more insulin and this implies that any food or diet rich in carbohydrates can add to insulin resistance making weight loss difficult.

Dr. Shivani insists on incorporating the right kind of food and a few lifestyle changes to keep PCOS-related health disorders at bay.

At EVA Hospital, she guides all her patients to stay active, eat well and focus on healthy body weight. Stress affects fertility and pregnancy and Dr. Shivani advises her patients with PCOS a stress-free lifestyle.

What are the Foods to avoid in PCOS?

The best gynecologist in Punjab, Dr. Shivani Bhutani will outrightly recommend you to avoid these three categories of food strictly:

Sugary Foods and Drinks

Sugar is a carbohydrate and must be avoided. Packed juices, sugary aerated drinks, and canned fruits are high in sugar.

You must avoid any kind of drink or snack that mentions sucrose, high fructose corn syrup, and dextrose on the label.

The delicious morning cereals like frosted flakes and fruit loops are also high in sugar. While at work, mid-meal munching should also be fresh fruits and water infused with fruits (for flavor).

You must also avoid giving in to the temptations of sweet tooth and pop in a chunk of candies, cakes, and cookies. No matter what the ingredients are, sugar is always a prime component. For PCOS, you must switch to snacks with fiber-like popcorns or vegetable crackers.

Foods rich in Carbohydrates

Dr. Bhutani emphasizes understanding the role of different types of carbohydrates on your body. Carbohydrates with fiber such as whole grains, fruits, and vegetables are the best to lower insulin levels.

However, carbohydrates infused with sugar will make you hungry very soon and enhance insulin levels. Foods such as starchy potatoes, corn, and peas must be avoided.

Even refined carbohydrates aggravate inflammation and insulin resistance and food items like white bread, muffins, breakfast pastries, and white flour-based products must be removed from your plate.

Whole grains like whole-wheat pasta, brown rice, oats, and whole wheat bread are a must-to-be incorporated into the diet.

You must also be able to differentiate between items that are high in carbohydrates but low in fiber. Pasta made from bean or lentil flour must be preferred over pasta made from semolina or durum wheat flour. Always insist on purchasing high-fiber cereals that have at least 5gm of fiber per serving.

Inflammation-causing Foods

It is mandatory to remove food items that cause inflammation from your daily consumption. Fries, margarine, processed foods, and red meats are a strict-to-avoid food category.

What are the Foods that Must be Included in the Diet for PCOS?

For women with PCOS, a balanced diet with high fiber foods and vegetables is quite essential. Foods like high fiber vegetables (broccoli, cauliflower, Brussels sprouts, green and red peppers, beans, almonds, berries, sweet potatoes, and pumpkin) help in keeping insulin resistance low by slowing down digestion.
Dr. Shivani highly recommends foods that reduce inflammation like tomatoes, kale, walnuts, fruits like blueberries and strawberries, and fatty fish like salmon and sardines rich in Omega-3 fatty acids.
It is also notable that sometimes patients prefer a high protein diet (like Atkin’s diet). But for women and teenagers with PCOS, this diet isn’t recommended because this type of diet is usually low in fiber content and vitamins like Vitamin B and C. You must also focus on the right diet to improve fertility.

PCOS can be frustrating and depressing at times. For the best guidance about diet and lifestyle changes, get in touch with Dr. Shivani Bhutani at EVA Hospital and seek help.

Eat healthily and be proactive in responding to the lifestyle changes so that PCOS doesn’t reflect on infertility and other diseases. Happiness is the cure to many diseases and adopts a lifestyle pattern that endorses happiness.

Hip Replacement surgery

What are the risks of Hip Replacement Surgery

February 17, 2020March 30, 2024
by Eva Hospital

As arthritis in the body worsens, it may aggravate the pain in the hip to an extent that it interferes with your daily chores and sleep. You may be experiencing difficulty in climbing the stairs up or down.

Is walking, even with a walker or cane, getting difficult? This is the most appropriate time to get a diagnosis under a specialized orthopedic and seek help on replacement of the hip.

Hip replacement surgery or hip arthroplasty is the surgery where the surgeon removes the painful hip joint or the damaged section of the hip joint and replaces it with a prosthesis made of metal, hard plastic, or ceramics. This makes your hip less painful and prosthesis improves the ability to walk and carry on daily functions.

Why do You Need Hip Replacement Surgery?

When the conventional methods of treatment fail to provide relief or are not effective in relieving hip pain, hip replacement surgery becomes mandatory.

Difficulty in getting up from a seat, climbing the stairs, disturbed sleep because of pain, and persistent pain despite pain killers are a few symptoms to must consider before a hip replacement surgery.

Problems like Osteoarthritis, Rheumatoid Arthritis, and Osteonecrosis are also known to aggravate hip pain and discomfort. These problems tend to produce inflammation and result in damaging the bone.

What Happens During the Procedure?

The hip replacement surgery can be performed with a minimally invasive technique or traditional hip replacement surgery. The difference between the two approaches is mainly the size of the incision.

During the traditional hip replacement procedure, general anesthesia will be administered and then the surgeon makes an incision of about 8-10 inches along the side of the hip or the over the front.

The damaged ball portion of the joint and cartilage are removed using a saw. The surgeon then implants the newly constructed prosthesis and a new ballpoint of the joint into the pelvic bone to replace the damaged socket. He then closes the incision after reattaching the muscles.

In a minimally invasive surgery, the same procedure is involved with a smaller incision which implies lesser blood loss, smaller scar, shortened hospital stay, and speedier recovery.

Are there any Risks of Hip replacement Surgery?

Hip replacement surgery must be performed by an experienced and skillful surgeon. However, there may be one or more of the following risks after hip replacement surgery:

Infection and Blood Clots

After the surgery, there may be blood clots in veins and the risk level rises when the clot may travel to the heart or lungs. You may be prescribed blood-thinning medications post-surgery to avert this risk.

Also, chances of infection in the incision are high and if any infection occurs near the prosthesis, it may damage the new prosthesis. The doctor will be administering strong antibiotics to ward off infections.

Dislocation

The new ballpoint may get dislocated with somebody’s postures. This may call for another surgery or braces to rectify the dislocated ballpoint.

Need for a Second Hip Replacement Surgery

In some cases, the hip joint wears out gradually and this may require a second hip replacement surgery. However, with advanced technology, prosthesis is getting more durable and safe.

Altered Leg Length

Sometimes due to the new hip, the legs may not be of equal length after the surgery. You may be required to practice some stretches and exercises to avoid this situation.

Allergies to Metal

There may be a chance you are allergic to the metal implant and this may cause certain complications. Also metal on metal implants may release metal ions in the bloodstream causing trouble.

The skill and experience of the surgeon determine the level of complications after the hip replacement surgery. Dr. Tanveer Bhutani, from EVA Hospital, is the best orthopedic in Punjab with credible experience in hip replacement surgeries. With his surgical acumen, the risks of the surgery are reduced to a minimum.

The surgery takes around 6-12 months to recover fully and revive the routine activities. Regular follow-ups with the surgeon, physical therapy, and following the precautions are ways to enhance the success of the surgery.

Final Thoughts

For a successful hip implant, make sure your diagnosis and surgical procedure are under the guidance of an experienced surgeon. The new hip joint will reduce the pain (before the surgery) drastically and enhance your mobility.

You may have to avoid high-movement physical activities like playing basketball, but activities like swimming, playing golf, and riding a bike are advisable.

For relief from excruciating pain or any query, contact the best orthopedic-Dr. Tanveer Bhutani at EVA Hospital.

Sports Injuries Treatment

Sports Injuries- What are the Types, Prevention and Treatment

January 14, 2020March 30, 2024
by Eva Hospital

Are you the weekend warrior, a regular sportsman, or a gym freak? If you are either of them, you would understand what adrenaline gush means while you are playing your game or even merely talking about it. The only grim part of games and sports is getting a minor or a major sports injury.

What are the Types of Sports Injuries?

Sports injuries can happen at any time while exercising or while at the game. Sports injuries can happen to anyone-children or adults. You shall be more prone to sports injuries in the following cases:

If you have a sedentary lifestyle
If you avoid proper warm-up before the game
If you play contact sports
If you are not active

Different types of sports injuries have different protocols to follow. Here are the most common types of sports injuries:

Sprains

The injury to ligaments caused due to tearing of ligaments is called a sprain. This is the most common sports injury. The tissues connecting two bones to one another in a joint are ruptured.

Strains

Strains are the over-stretched muscles or the ‘pulled muscles’ which cause tears in the muscle fibers or tendons. Tendons are thick, fibrous cords of tissue that connect bone to the muscle.

Knee Injury

The knee is the most commonly twisted or bent body part while playing. Overstretching, tear in the tissues, ACL tear or the injury resulting from repetitive movement of the knee cap called Patellofemoral Syndrome are all types of knee injuries.

Tennis Elbow

Tennis elbow or Epicondylitis is the pain related to the muscles and tendons of your forearm. There may be a tear in the tendon due to repetitive stress and overuse of the muscles around the elbow. This is also called ‘golfer’s elbow.’

Fractures and Dislocations

Most commonly heard and most prolonged maybe this type of injury-fractures or dislocations. Bone fractures or when a bone is dislocated in the body are both painful injuries and may take a while to heal.

Groin Pull

The side-to-side motion may trigger a push off causing strain of inner thigh muscles or groin. This may sometimes cause significant swelling.

What are the Ways to Prevent Sports Injuries?

Dr. Tanveer Bhutani, a leading orthopedic of Punjab, is a strong advocator of ‘warm-up’ before any workout or game. He says that injuries are likely to happen when your body isn’t conditioned to a particular movement or angle per se.

Every movement or activity must begin with a proper warm-up and you must make sure to be properly dressed and geared up according to the activity you indulge in.

Read through the following pointers and you can prevent the majority of sports injuries:

Learn the proper technique of the game and movements. Different games require different postures and focus on different angles.
Wear proper shoes and equip yourself with proper pads and preventive gear.
Never push yourself beyond the limits suddenly.
Cooldown post the activity is equally important as a warm-up is. Rolling out the muscles using a foam roller is also recommended.

In case you feel pain or overstretch in any of the muscles, do not rush to the activity and give the body a chance to heal.

Dr. Tanveer advocates adequate Rest (R), Ice packs (I), Compression (C), and Elevation (E) as the foremost treatment of any sports injury. If the swelling or the pain or discomfort prolong, you must not delay in contacting an orthopedic immediately.

What are the Treatments of Sports Injuries?

“Some sports injuries will heal with RICE (Rest-Ice-Compression-Elevation) methodology,” says Dr. Tanveer, “however for the severe sprain or strain or a ligament tear, surgery may be recommended”.

Here are some common treatment protocols in the most frequent sports injuries:

In the case of Ankle Sprain or Strain:

Complete healing of a hamstring strain may take about one year. It is advised to exercise and revive flexibility so that the chances of re-injury are zilch. The doctor will examine a high ankle sprain to make sure that the bones in the lower leg are intact and not separated.

In the case of Groin Pull:

RICE can help heal a groin pull. However you should not be in a haste to resume the activity, else the problem can be permanent. For persistent swelling, your orthopedic must be consulted immediately.

In case of Knee Injury:

An anterior cruciate ligament (ACL) holds the leg bone to the knee and in case of suspected ACL, an orthopedic may recommend surgery as this is the most common type of injury.

While in games like running, volleyball or basketball repetitive movements of the knee cap against the thigh bone may damage the tissue under the kneecap. This is called Patellofemoral syndrome which may take up to six weeks to recover. The doctor may advise continuing low-impact exercise particularly working out quadriceps for relieving the pain.

In the case of Tennis Elbow:

Epicondylitis or tennis elbow causes irritation and tears in the elbow tendons. You may be advised against playing the game till the pain recovers.

Final Words

Sports injuries can be prevented with precaution and warm-up. Worst cases of sports injuries may not heal with RICE and expert advice of the orthopedics may be needed. Dr. Tanveer Bhutani, at EVA Hospital, is a sports injury specialist and has treated the gravest of sports injuries with precision and care. Stay fit, stay healthy and take care of injuries carefully.

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