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October 4, 2018 By Dr Manali Rao 4 Comments

The 3 S of Breast Cancer: Signs, Symptoms and Self Examination

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CANCER!!! The very word is feared and dreaded by everyone around the globe. Most people suffering this illness feel it’s a death sentence that cannot be reversed. But, seriously it is not the end of the road. There are ways to overcome this illness.

But, before trying to understand how to overcome, it is important to understand what Cancer is? Cancer is a group of diseases involving abnormal cell growth which may or may not spread to other parts of the body. All forms are not cancerous as it is only the malignant ones that spread to various parts of the body and not the benign ones.

One of the most common invasive cancers prevailing around the world today is ‘BREAST CANCER’. More commonly seen in developed countries but, the outcome generally is better-developed countries than in developing countries.

Who would you say is at Risk for development of breast cancer?

More often seen in Females compared to males (yes males can also develop breast cancer although the occurrence is rare).
-Obesity
-Lack of exercise
-Sedentary lifestyle
-Hormone replacement therapy
-Early menarche
-Late pregnancy
-Nulliparous women
-Family history
-Alcohol consumption
-Smoking

Let me now take you through the 3S of Breast Cancer- Signs Symptoms and Self Examination

Look out for these Signs and Symptoms:

-Almost every time the first symptom noticed is a lump in the breast that feels different from the rest of the breast tissue.
-Dimpling or puckering of the nipple.
-Change in position or shape of the nipple may become inverted.
-Orangish discolouration of the skin around the breast or the skin appears like orange peel, called peau de orange.
-Discharge from the nipple.
-Size of one breast may vary from the other.
-Constant pain in the breast area or armpits.
-Swelling in the armpits or around the collarbone.
-Redness / itching / discoloration / increased sensitivity / burning

Please beware that you might not have any symptoms till very late which brings about the need for regular check-ups.

How to self-examine?

The best way to be aware of breast cancer is by self-detection.

Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.

Look out for:
– Their size, shape, and colour.
– Dimpling, puckering or bulging of the skin
– A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out).
– Redness, soreness, rash, or swelling

Step 2: Now, raise your arms and look for the same changes.

Step 3: While you’re standing in front of the mirror, look for any signs of fluid coming out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).

Step 4: Next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter.

Cover the entire breast from top to bottom, side to side — from your collarbone to the top of your abdomen, and from your armpit to your cleavage. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. Be sure to feel all the tissue from the front to the back of your breasts.

Step 5: Finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in step4.

Indian Breast Cancer Support Groups:

Support groups play a very important role in helping a patient fight cancer, as also give an opportunity to learn from others about the same. By seeing others who have faced the same disease, it gives the patient strength to face and fight her own battle. The most important thing for these patients is hope. If they have hope, they have everything.

September 9, 2017 By Dr Ashwin Nanda 17 Comments

Know all about Dengue and Chikungunya and how to prevent it

Dengue and Chikungunya

Chikungunya and Dengue have created havoc in the capital city of Delhi and certain other parts of the country. The death toll from the two vector-borne diseases has been climbing every day even as the number of affected people crossed 2,800. It has been reported that according to the National Vector Borne Disease Control Programme (NVBDCP), the number of chikungunya cases in Delhi had spiked to over 2000 till September 11 as fever clinics in the city continue to be swamped with patients.

The World Health Organisation has said that in recent years, globalisation of travel and trade, unplanned urbanisation and environmental challenges including climate change has had a “significant” impact on transmission of vector-borne diseases.

However, the key to averting such an adverse outcome is timely diagnosis and appropriate monitoring along with supportive care.

Let me begin with the basics about dengue and chikungunya…….the culprit for both is the Aedes aegypti mosquito and hence a person can be infected with both diseases simultaneously by its bite. Viruses are the cause of both problems, which enter the mosquito when it bites a human suffering from dengue or chikungunya.

The most likely time for this mosquito to bite is 2 hrs after sunrise and 2 hrs before sunset but, probability of a bite occurring is anytime during daylight hours. So it’s active during the time when most of us are also likely to be outdoors.

Chikungunya begins with sudden onset of high fever, ranging from 101 to 105 degree Fahrenheit accompanied by severe pain in joints. Other symptoms like chills, headache, fatigue, abdominal pain, nausea, vomiting, diarrhea, reduced appetite and conjunctivitis can also be seen. Rash occurs typically on day 2 or 3 when the fever has subsided along with itching.

The Complete Blood Count (CBC) may show reduction in the total White cell count and platelet count, though neither are severe nor life threatening. IgM (Immunoglobulin M) antibody against Chikungunya can be detected in blood after 5 days till months after onset of symptoms. Joint pains and stiffness can last for weeks or months and can be distressing.

Treatment involves paracetamol to control fever, although NSAIDS (Non-Steroidal Anti Inflammatory Drugs like Brufen and diclofenac) may be needed to reduce fever and joint pains as paracetamol may not suffice. Ice compress on the joints can reduce pain. Ensuring water intake of at least 3 liters/day for adults is a must to counter the dehydration resulting from high fever. Antihistamines reduce the rash and itching. Extreme joint pains get relieved by oral steroids.

Dengue is equally dangerous and spreading. According to New Johns Hopkins Bloomberg School of Public Health’s research finds that the Dengue virus is the most rapidly spreading virus transmitted by mosquitoes and is a major source of illness in the tropics and subtropics, infecting as many as 400 million people annually.

Dengue symptoms are no different from Chikungunya. Both have similar onset with high grade fever (102 to 105 degree fahrenheit), headaches especially behind the eyes, back pain, muscle & joint pains, weakness. Rash can also occur. Cold and cough, vomiting and diarrhoea may accompany other symptoms. The diagnosis can be done through blood tests like Dengue NS1 which comes positive during first 3 days of fever & Dengue IgM which is detected from 5th to 7th day from onset of fever.

Treatment of uncomplicated dengue is same as chikungunya. Hospitalization is a must in worsened abdominal pain & vomiting, significant fall in blood pressure, breathlessness and platelet count going lower than 30,000. Platelet transfusions may be needed along with fluid infusion.

There are no antiviral medicines yet for dengue and chikungunya. Prevention of mosquito bites is the easiest way of avoiding these diseases, wearing full length shirts & trousers helps, applying mosquito repellent & using mosquito nets goes a long way in avoiding bites.

The Aedes aegypti mosquito breeds in stagnant fresh water which is avoidable by disposing used plastic bottles & discarded tyres properly. Pooling in plant trays and coolers also needs to be prevented. Also one should cover water containers that can be mosquito breeding grounds.

February 21, 2017 By Anusha Subramanian Leave a Comment

Know your HeartBeat

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Heart disease has been a leading cause of death for both men and women. Bad lifestyle is one the main reasons for people developing heart ailments at a young age.It’s remarkable that heart attacks are so common and cause so much pain (emotional and physical) disability when they can more often than not be prevented.

The good news is that people are getting aware of the risks of a bad lifestyle leading to many taking to fitness and indulging in activities such as running. They have become more conscious of their well-being and their bodies. With the heart being one of the most vital organs, they at every juncture are keen to monitor their heart rate.

What is heart rate? Heart rate is the number of heartbeats per unit of time. Simply put, it is also how well your heart is able to pump oxygenated blood.

Keeping in mind the above factors and also as a part of extending their services, GOQii, one of the leading health ecosystem and preventive healthcare platform has launched its latest service offering-GOQii Heart Care which focuses on cardiovascular health.The key feature of this service is its ability to connect consumers to cardiovascular specialists through the GOQii application and a new GOQii tracker which has capabilities to monitor heart rate.

The constant rise of cardiovascular cases across the globe was one of the primary reasons behind the development of this specialised offering. With this new service, GOQii aims to create the world’s leading health eco-system which connects the GOQii users to leading professionals in the fitness and healthcare space.

Today, there are so many devices generating huge data most of which is essentially junk if not analysed and acted upon. “When we launched the GOQii service, we launched it precisely with personal coaching so that the user is aware of the data and the coach can help him or she follow a routine and lifestyle based on that data. Similarly, the GOQii Heart Care is a one-stop solution that tracks and analyses data generated by the Heart Rate trackers and can connect the GOQii user to the GOQii doctor who can help make sense of the data. It is a unique offering as compared to any other wearable device or service available in the market,” says Vishal Gondal, CEO, GOQii.

To use this new feature, all that the GOQii users have to do is share their health and heart rate data via the new GOQii tracker with the GOQii Doctor for his analysis. The doctor will go through this data and provide specific inputs to the users on how to maintain good heart health. In specific cases, if required the GOQii doctor will refer the user to a cardiac specialist at Max Hospital and other partner hospitals. GOQii has partnered with max Hospitals.

The constant rise of cardiovascular cases across the globe was one of the primary reasons behind the development of this specialised offering. With this new service, GOQii aims to create the world’s leading health eco-system which connects the GOQii users to leading professionals in the fitness and healthcare space. Having said that, the heart care service is not a replacement for a regular doctor and does not apply to any emergency medical or chronic situations.

Consumers can upgrade their existing wearable devices with the new service as well.  With regards to third party hardware which includes the Heart Rate Monitor, consumers can avail of the service by paying a nominal consultation fee. The services along with the new GOQii Heart Rate tracker will be available at a subscription Rs 2999 for 6 months and 3999 for 12 months respectively.

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