June 14, 2021 0

From helping us chew and digest food to keeping our face in proper shape, teeth have several roles to play. Healthy teeth ensure overall good health preventing the body from several infections and severe diseases.

We all want to achieve healthy teeth but remain confused between what to do and what not. If you too experience such confusions, read this blog till end. Here Dr. Rohit Agarwal shares some tips and practices that help in keeping teeth healthy and infection-free. Dr. Rohit Agarwal currently leads the dental wing of AHRI Gwalior. Dr Agarwal stands as the best dentist in Gwalior who holds experience of 10+ years in conducting the most crucial dental surgeries.

Dr. Agarwal suggests his patients to brush their teeth at least twice a day. It is essential to brush your teeth before going to bed at night. Patients, who avoid proper brushing, welcome several oral infections. While brushing one must give proper time (minimum) five minutes making sure that brush bristles are gentle on teeth. Brushing in circular motion removes plaque ensuring clean and shiny teeth.

Apart from teeth, plaque develops on tongue as well. For achieving good oral health tongue must also be cleaned twice a day.

Mouthwash is an essential element of oral hygiene. It not only cleans mouth but also mineralizes teeth. Dr. Agarwal emphasizes mouthwash solutions that are easily available in market. They are effective and maintain oral freshness throughout the day.

Dr. Rohit advises his patients to drink 8-10 glasses of water daily. Water prevents acidic accumulations and keeps the mouth germ-free.

Food habits also play a major role in ensuring good oral health. Eat healthy and crunchy food that is rich in fiber and easily chewable. Dr Agarwal asks his patients to limit the intake of acidic and sugary foods as they damage tooth enamel.

Visit your dentist for a complete dental check-up every six months. A dentist not only cleans your teeth properly but also examines risks of several dental infections and cures them easily at initial stages.

Inculcate these tips as habits in your daily life. These suggestions by Dr. Rohit Agarwal are ample to achieve healthy and infection-free teeth.

 

 

 

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May 16, 2021 0

 

Nosebleeds or epistaxis, can be quite scary but are not usually indication of anything serious. This involves bleeding from one or both the nostrils. It generally sustains from a few seconds to 1 minute. Front and back of our nose contain several blood vessels that are quite delicate.

Nosebleeds can be categorized into two types, anterior and posterior. Anterior nosebleed takes place when the frontal blood vessels of nose break whereas posterior nosebleed occurs in the backward portion of nose. Posterior nosebleed involves flowing of blood through the throat and can be therefore quite dangerous.

Most nosebleeds don’t require medical attention. However, you should seek medical attention if your nosebleed lasts longer than 20 minutes, or if it occurs after an injury. This may be a sign of a posterior nosebleed, which is more serious.

Causes of nosebleed

Nosebleed can take place due to various reasons out of which, dry air is the most commonly observed. A dry environment causes dryness in tissues inside the nose that are also known as nasal membranes. Further, this dryness becomes a reason for crusting inside the nose leading to itching and irritation. Generally in due to this irritation, patient scratches his nose that causes bleeding.

Apart from the above, there exist several other causes of nosebleeds as well that majorly include;

Heavy doses of aspirin

Chemical irritants

Respiratory infection

Nasal injury of any kind

Picking in nose

Blood clotting

High blood pressure

Cancer

Nosebleeds that take place after an injury may signify skull fracture, broken nose or any other severe nasal damage.

Treatment of nosebleeds depends upon their type. Anterior nosebleed takes place in the frontal area of nose, usually through nostrils. This is not so serious and can be handled effectively by sitting up and squeezing the softer portion of nose.

Lean down forward keeping your nostrils closed and breathe through your mouth. Repeat this for 8-10 minutes and monitor your bleeding accordingly. If the bleeding remains, repeat this exercise for another 10 minutes.

Besides this, a nasal spray or decongestant can also be used. If you are unable to control bleeding on your own, visit your doctor as soon as possible as it may be a sign of posterior bleeding that requires proper medication.

Posterior nosebleed, being more serious and dangerous than anterior nosebleed involves flowing of blood through the back of nose, down the throat. It should not be treated at home.

For treating persistent and frequent nosebleeds, cauterization is used.

AHRI Gwalior provides the best treatment for nosebleeds. Under the leadership of two highly experienced and well-qualified ENT specialists Dr. SR Agarwal and Dr. Rahul Agarwal, the team stands the best in the city. Then ENT vertical at AHRI Gwalior has an extremely qualified squad of professionals with years of knowledge to satisfy all ear, nose, neck and head-related healthcare requirements. The vertical in its best capacity utilizes all the technological advancements and aims to facilitate its patients with utmost care.

 

 

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May 16, 2021 0

It is necessary to have a regular exercise routine during pregnancy. It not only increases stamina but also minimizes pain and fatigue. Exercising improves posture and reduces stress that is extremely important for a healthy pregnancy.

Work-out during pregnancy is crucial and must be practiced after proper advice. Pregnant women remain confused with the kind of workout they should have, the span of each session, precautions to be taken, etc. If you too want to get these queries cleared, you are in the right place. This blog contains advice of Dr. Veena Agarwal, practicing surgeon at gynecology and obstetrics center AHRI Gwalior.

Dr. Veena Agarwal is one of the senior-most and acclaimed gynecologists in the country. With experience of conducting 4800+ successful surgeries, she stands as the best gynecologist in Gwalior.

According to Dr. Agarwal, pregnant ladies who exercise have less back pain, more energy, a better body posture and decreased stress level. She suggests a few simple and easy-to-practice exercises that must be performed by expecting mothers.

Plie

You require a chair to practice this exercise. Stand parallel to back of chair having feet hip-distance apart. Bend your knees, keeping back straight and lower down your torso. Get back to the original position and repeat the same steps 5-10 times. This exercise strengthens quadriceps and improves body posture.

Side-lying

Lie on your right side and keep your left leg straight (opening outwards). Right leg must be tilted inwards at an angle of 45 degrees. Bring your leg down and repeat this process. This exercise is beneficial for inner thighs.

Planks

Lie down on your hands with palms facing downwards. Now lift your belly, chest and knees upwards. Make sure that the total balance of your body remains on toes and hands. This exercise helps strengthen the back and arms.

Curl and lift

For this you need a chair and weights ranging from 5 to 10 pounds. Sit on chair with back straight and feet on floor. Now hold weights in both hands and align your arms in a way that they remain at 90-degree angles. Lift the weights to shoulder height and hold them there for 10 seconds. Get back to original position and repeat this at least 5-10 times. This exercise is beneficial for your shoulders and arms.

One-arm row

Take a chair and keep your right knee on its seat. Bend a bit forward keeping your back parallel to floor and place your right hand on chair so that the body remains balanced. Now hold a weight (5-10 pounds) in your left hand and lift it as much as you can bear comfortably. Return to original position after holding the weight for almost 10 seconds and repeat this with the other hand. This exercise strengthens the back and biceps.

All the above exercises suggested by Dr. Veena Agarwal are easy to perform and result-oriented. These exercises will not only ensure a healthy pregnancy but also keep you fit and relaxed throughout this beautiful journey.

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May 16, 2021 0

Sleep apnea is a disorder in which a patient’s breathing is interrupted during sleep. In this, the breathing of a person stops and resumes repeatedly while he sleeps. Patients suffering from severe sleep apnea cannot get complete breath cycles resulting in deficient intake of oxygen. Such patients also feel tired and un-energetic even after a long course of sleep.

Sleep apnea is observed as a common disorder among patients of almost all age groups. If you too are suffering from this ailment and are worried about this, please follow this blog till the end. Here Dr. Rahul Agarwal suggests the best treatments of sleep apnea that are time tested and result oriented.

Dr. Rahul Agarwal is a highly qualified, acclaimed and best ENT specialist in Gwalior with experience of more than a decade; he has a record of performing several highly critical surgeries successfully. He is the first doctor to bring CO2 laser surgeries for ENT in Gwalior.

Treatment

According to Dr. Rahul Agarwal, milder cases of sleep apnea can be handled easily just by adopting few changes in daily life like quitting cigarettes, losing weight, exercising, etc. In cases where nasal allergy is the cause, specific treatment of that particular allergy is required.

Apart from this Dr. Agarwal aslo suggests following therapies that provide the perfect treatment for sleep apnea.

CPAP or continuous positive air pressure is a device that prevents apnea and snoring by keeping the air pressure greater than that of surrounding. CPAP is helpful in most severe cases but is generally suggested for the moderate ones.

Certain oral appliances that are customized to keep throat open can also be used. These appliances bring the jaw forward keeping throat open.

Supplemental oxygen while sleeping also helps especially in the cases of central sleep apnea.

Adaptive servo-ventilation or ASV is an airflow device that records the normal breathing pattern of the patient and stores it in a built-in computer. Further, this recorded pattern is utilized to stabilize the breathing of the patient when he falls asleep.

Besides these therapies there exist surgical methods that cure sleep apnea permanently but according to Dr. Rahul Agarwal, surgery should be used as a last resort when all the above therapies fail to treat.

Tissue removal is a process in which doctor removes the tissue present between backward portion of mouth and the upper region of throat.

Tissue shrinkage involves removal of tissue present between the rear mouth and backward region of throat by using radiofrequency ablation.

Jaw repositioning is a method in which the jaw is moved forward enhancing space between tongue and soft palate.

The ENT department of AHRI Gwalior offers the best treatment for sleep apnea of all kinds. The department has the best squad of highly qualified and well-experienced doctors accompanied by a well-trained team of medical professionals, who are focused to treat their patients with utmost care. The center is well-equipped with all the latest technological advancements which ensure the most accurate treatment.

 

 

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May 16, 2021 0

What is Mucormycosis / Black fungus?

Mucormycosis is a fungal infection is caused by a group of molds called mucormycetes. These molds live throughout the environment. Mucormycosis is a fungal infection that is being commonly observed after the second wave of COVID-19. Fungi are present everywhere in nature and are particularly found on decaying vegetation and soil. All of us are exposed to this infection as it is caused by inhalation of spores. A healthy immune system can protect us from this Infection. Mucormycosis mainly affects people who have health problems or take medicines that lower the body’s ability to fight germs and sickness.

Technically speaking this fungus is white in colour, but the dead tissue because of its infection looks black, hence the common name “Black Fungus”

Who is at risk of mucormycosis?

Conditions like HIV/AIDS, uncontrolled diabetes, mellitus cancers, organ transplant, long-term corticosteroid and immunosuppressive therapy increase the risk of this disease. Recently Covid patients, especially those who have received steroids ( with or without oxygen supplementation or Immuno-modulatry drugs like Toclizumab) are at high risk

 

Is mucormycosis contagious?

Mucormycosis is not contagious, and therefore, it cannot transmit between people and animals. Individuals contract this infection by coming in contact with the fungal spores in their environment. If inhaled, the spores can infect the sinus.

 

What are the symptoms of Mucormycosis Infection?

 

Symptoms of mucormycosis depend upon the location where fungal growth takes place in the body. Based on these locations mycormycosis can be broadly categorized as following types-

  1. Rhinocereberal,
  2. Pulmonary,
  3. Cutaneous,
  4. Disseminated and

 

Symptoms of sinus and brain mucormycosis which is commonly affected in Covid patients include:

  • One-sided facial swelling, Facial pain
  • Fever
  • Headache
  • Nasal or sinus congestion, Sinusitis
  • Purulent nasal discharge
  • Black lesions on nasal bridge or upper inside of mouth that quickly become more severe

 

Is black fungus dangerous?

Mucormycosis, also known as black fungus, can turn dangerous if left untreated. You need not panic about it and if you experience any of the above-mentioned symptoms, visit your doctor as soon as possible.

Precaution + A strong immune system = No mucormycosis.

What is Treatment of this disease?

A high degree of suspicion is required in early stages due to its non-specefic symptoms and if treated early then results are very rewarding. Hence an early consultation with an ENT surgeon is required. Your ENT surgeon may advise an MRI / CT scan of PNS and brain. He will do a Diagnostic nasal endoscopy and may take a swab (for KOH) or Biopsy if needed. Initial treatment is medical, but with advance stage and dead tissue, surgical debridement (Removal of fungus) is needed.

 

For any further query you can contact
Dr Rahul Agrawal
DLO, DNB (ENT)
ENT and Cochlear Implant Surgeon
Agrawal Hospital & Research Institute
H-204, Madhav Nagar
Gwalior (MP) 474002
India

1. For appointment Call 0751-2423700, 01
2. For online consultation WhatsApp on 7974009692

 

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January 18, 2020 0

Cochlear Implant in children:-

How we hear?

The eardrum vibrations caused by sound waves move the chain of tiny bones (the ossicles – malleus, incus and stapes) in the middle ear transferring the sound vibrations into the cochlea of the inner ear. This is where the streams of nerve impulses are converted into meaningful sound.

 

Parts of ear:

  1. Outer Ear :
  2. Middle Ear: Converts sound waves in to vibrations.
  3. Inner Ear (Cochlea): converts vibrations into electrical impulse. Theses electrical impulse travel to brain via nerve of hearing (Cochlear nerve)

 

What is cause of Hearing Loss in children?

In children hearing loss can be congenital (from birth) or acquired (after birth). Acquired can be due to various infections or trauma, etc. 

 

Hearing loss can also be classified as per language development as follows 

  1. Pre-lingual –hearing loss developed before child could start speaking, it can be either congenital (from birth) or acquired (after birth).
  2. Post-lingual – hearing loss developed after child started speaking. It means it is acquired.

 

Cause of hearing loss is any defect in the transmission of sound through the ear. It can be 

  1. Conductive – Caused by defect in middle or external part of ear. It can usually be treated by some medications. Less frequently a surgery is required to correct this type of hearing loss
  2. Sensori-neural – Caused by defect in nerve of hearing or cochlea. Mild to moderate hearing loss can be treated by hearing aid whereas severe to profound hearing loss requires Cochlear Implant surgery

 

Burden of Hearing loss?

In US Significant bilateral hearing loss is present in ~1 to 3 per 1000 newborn infants in the well-baby nursery population, and in ~2 to 4 per 100 infants in the intensive care unit population. 

In India, 63 million people (6.3%) suffer from significant auditory loss. Four in every 1000 children suffer from severe to profound hearing loss. The estimated prevalence of childhood onset deafness to be 2%

 

How to assess Hearing loss in new born and small children?

Detection of infant hearing loss requires universal screening of all infants. Screening by high-risk registry alone (eg, family history of deafness) can only identify ~50% of newborns with significant congenital hearing loss. Reliance on physician observation and/or parental recognition has not been successful in the past in detecting significant hearing loss especially in the first year of life.

Tests for screening include otoacoustic emissions (OAE) and auditory brainstem response (ABR / BERA). Both test are noninvasive, quick, and easy to perform, although each assesses hearing differently. Aim is to initiate necessary intervention by 6 months of age.

 

What is a cochlear Implant?

A cochlear implant is an electronic medical device that replaces the function of the defective inner ear. Unlike hearing aids, which make sounds louder, cochlear implants do the work of damaged parts of the inner ear (cochlea) to send sound signals to the brain.

Most important thing is early diagnosis. Management of deaf and mute child should be started as early as possible. Success of cochlear implant is more if it is done by the age of 3years. Success rate decreases with advancement of age of child.

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January 18, 2020 0

ROOT CANAL TREATMENT (RCT)

RCT is a common treatment in Dentistry. The objective of the treatment lies in repairing the tooth which is badly decayed or infected by foreign anomalies. RCT is a job of precision & requires a very skilled & a specialized dentist who is called Endodontist . Usually, it is carried out on a tooth which gets infected by dental decay due to lack of oral hygiene leading to severe pain, sensitivity or swelling.

WHO ALL NEED IT?

If there is a deep cavity, a cracked tooth, or broken filling in patients mouth

Symptoms – The tooth becomes sensitive to high & low temperatures leading to severe pain while drinking something cold or hot like cold water or ice cream or cold drink or tea or coffee. There may be pain while chewing, some people may have  continuous, throbbing pain.  

There may be pus discharge from the infected tooth.

Without treatment, the infection will spread to adjacent teeth and bone leading to severe pain & swelling. Eventually, the tooth will become loose & requires removal.

Some patients opt for tooth removal instead of undergoing RCT. However, removing a tooth may mean that the surrounding teeth start to move & become crooked. This can look unsightly, and it can make it hard to have a good bite which will lead to difficulty in eating food in future.

If the tooth cannot be saved, the next best option to replace it is a Dental Implant.

However, if possible, saving the natural tooth is best, because nothing functions as good as a natural tooth.

Adding a Crown or Filling

After RCT patient’s tooth requires a permanent crown or filling to confirm long term survival of the treated tooth. Without crown after RCT the tooth is likely to fracture.

Until the crown or filling is complete, the patient should not chew or bite on the treated tooth. Once there is a crown, the person can use the tooth as before.

RCT often takes only one appointment, but if there are curved canals, multi-canals, or large infections, this could take one or two additional appointments.

How painful is it?

One of the great fears about this kind of treatment is that it will be painful, but the treatment that is carried out by a trained & specialized dental surgeon is relatively painless.

The infected tooth is anaesthetized before starting Root Canal Treatment

The pain that is felt sometimes comes from the infection & not from the treatment. The treatment does not cause pain.

Root canal therapy saves the tooth & eliminates the pain.


How Successful is Root Canal  Treatment?

Root canal treatment is highly successful; the procedure has more than a 98% success rate. Many teeth fixed with a root canal treatment can last a lifetime.

Also, because the final step of the root canal treatment procedure is application of a restoration such as tooth colored crown or a filling, it will not be obvious for anybody to make out whether any treatment was ever done in that tooth.

 

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January 18, 2020 0

In vitro fertilization (IVF):-

In vitro fertilization (IVF) is a complex series of advanced procedures, which is used to overcome the fertility issues and assist couples to conceive and have a child. During this procedure, mature eggs are retrieved from ovaries and fertilized by sperm in an advanced IVF lab. Then the fertilized egg (embryo) are transferred to a uterus. One full cycle of IVF takes about three weeks. Medications increase the number of mature eggs a woman can produce at a single time. Doctors can evaluate each developed embryo to determine which ones are most likely to result in pregnancy.

IVF is the most effective form of assisted reproductive technology (ART). The procedure can be done using your own eggs and your partner’s sperm. Or if there is a problem in eggs or sperm then IVF can be done with eggs, sperm or embryos from an anonymous donor. In some cases, a gestational carrier (GC), also called a surrogate is an arrangement where a woman carries and delivers a child for another couple (intended parents). Chances of having a baby using this procedure depend on many factors, such as your age and the cause of infertility.

Overall, IVF can help some patients experience pregnancy and parenthood who otherwise would not be able to. This includes couples struggling to conceive due to ovulatory problems, body structure issues or any other cause of infertility. 

 

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January 18, 2020 0

Total Laparoscopic Hysterectomy (TLH):-

Hysterectomy can be carried out vaginally, abdominally, laparoscopically or in a combination of these. Total Laparoscopic Hysterectomy (TLH) is an advanced surgical technique which involves removing the uterus and cervix using keyhole (laparoscopic) surgery. Ovaries and fallopian tubes may or may not be removed depending on the reason for surgery. This procedure may be combined with other procedures, such as repair of a prolapse, etc.

TLH surgery could be the best option for women dealing with heavy or painful periods, pelvic pain, endometriosis, fibroids, prolapse, endometrial or cervical problems. 

TLH is normally carried out under a general anaesthesia. After you have been given a general anaesthetic and you are asleep, a catheter (a tube for urine drainage) is inserted into your bladder. A small cut about 1 cm is made near your navel (belly button). The abdomen is filled with gas and an optical instrument, called a laparoscope, is inserted to allow the internal organs to be viewed before three further small cuts, about 0.5 cm each, are made on your abdomen. These cuts are for other instruments to be used during the surgery. In most cases the uterus and cervix are removed through the vagina. If the uterus is too large to remove vaginally, or the vagina is too narrow, then uterus is cut in pieces and removed vaginally.

The procedure takes about 1 to 2 hours, but you can expect to be in theatre and recovery for about 3 hours.

TLH reduces your recovery period (including hospital stay), reduces the pain and discomfort after your surgery. 

Some benefits of TLH are:-

  1. Less pain after surgery than having ‘open’ (traditional) surgery.
  2. Fewer wound complications.
  3. Less disruption to bowel and bladder function.
  4. Lower risk of Deep Vein Thrombosis (DVT).
  5. Shorter recovery period (including hospital stay) compared to other forms of hysterectomy surgery.
  6. Lesser discomfort after your surgery compared to other forms of hysterectomy surgery.

 

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January 18, 2020 0

Cosmetic Gynaecology

The conditions in which we live nowadays contribute to the exposure of our bodies to harmful factors such as UV radiation, pollution, smoking, poor eating habits, low physical activity, stress, which thereafter lead to the acceleration of skin aging process and health diseases. 

Various research have proved how the hormonal loss influences a woman’s body, the functionality of the tissues and her aesthetic look. Over time, age and events such as pregnancy and birth can affect the internal and external structure of the vagina, causing changes in both its appearance and physical response to stimulus. Cosmetic gynecology aims to make improvements to the physical appearance and function of both the vagina and labia simultaneously. The results of cosmetic gynecology can improve the genitals to make the body appear younger, graceful or more aesthetically-pleasing. Cosmetic gynecology is a quickly-growing field of cosmetic surgery throughout the world.


Vaginoplasty

A Vaginoplasty procedure focuses on reducing the width of the vagina and tissue injuries that may have occurred during sex or childbirth. The tissues of the vagina can lose elasticity over time, particularly following multiple childbirths. During a Vaginoplasty, surgeons’ uses techniques such as tightening the perineal muscles or making repairs to the rear vaginal wall, reducing the overall width of the vagina and tightening the tissues.


Labiaplasty

This procedure focuses on the size and shape of the labia and the folds of skin that frame the opening of the vagina. A lot of women pursue this procedure because they have a natural excess of skin that may either cause them discomfort when wearing tight-fitting clothing and to get back in physique after childbirth. Thus, a Labiaplasty procedure can remove excess skin from both the sides of the labia to reduce the overall size.

 

Hymenoplasty  

Also known as “Virginity Surgery”, Hymenorrhaphy or hymen reconstruction surgery. The term comes from the Greek words hymen meaning “membrane”, and raphḗ meaning “suture”. Hymenoplasty is the reconstruction of the hymen, resulting in the dissolution of any evidence of trauma. The purpose of a hymenoplasty is to repair and reconstruct the hymen, a thin membrane that partially covers the opening to the vagina, to a “pre-sexual” state. Any complication from hymen repair is very rare.

 

O Shot

The OShot® is a safe and non-surgical treatment that uses the revolutionary technology of PRP (Platelet Rich Plasma) to help treat women experiencing urinary incontinence, vaginal dryness, or sexual dysfunction. The OShot, a new, non-invasive treatment that aims to alleviate female sexual dysfunction by extracting PRP, from a woman’s own blood and injecting it directly into the vaginal area.  If you are one of the many women who suffer from low sexual desire and loss of vaginal sensitivity, the OShot may be just the thing you need.

 

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