Women and Children are Getting Kidney Stones More Often

For the past several decades common thinking was that a kidney stone usually develops in males who are middle-aged, obese. It was attributed to men who follow an unhealthy diet and take less water. The books taught us the same but with the recent studies we may need to rewrite and rethink regarding stones. A recent study done in US suggest that the overall incidence of  kidney stones is going up and also mentioned that children and women who were not considered high risk before are now forming more stones.

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Why do we form kidney stones?

Kidney stones develop due to crystallization (akin to Mishri/Rock Sugar) of certain chemicals in the urine (most commonly calcium oxalate, phosphate or uric acid. Small crystals can pass from your body through the urine without you ever knowing about them. When the crystals grow larger and become stones, they can get stuck in the ureter and block the flow of urine. This causes infection and pain.

What Are the Risk factors for stone formation?

Risk factors are

• Diet: typical western diet including high intake of animal protein, sodium, and sugar.
• Chronic dehydration, low intake of fluids
• Health Issues like gout, diabetes, obesity, Inflammatory bowel disease (Crohn’s disease and ulcerative colitis) or intestinal bypass(Bariatric Surgery or ostomy surgery)
• Family history: kidney stones can run in families (incidence increases with number of effected close relatives. Some rare disorders can cause kidney stones. Some of those disorders are:
• Renal tubular acidosis, sometimes a hereditary disease
• Cystinuria (crystals of cystine form)
• Hyperoxaluria (crystals of oxalate form)
• Absorptive hypercalciuria (the body takes in too much calcium from food)

• Medications: calcium supplements, Protein supplements, diuretics or calcium-based antacids

While a specific cause may be impossible to identify, kidney stones are common, affecting about 19% of men and 9% of women by age 70.

Doc why should I bother regarding stones?

I will suggest just ask someone who had a recent episode of ureteric colic. Believe me it’s akin to labor pain!!!

Seldom will you find that kidney stones are discovered incidentally and pass on their own, never causing symptoms or needing treatment. By and large they become stuck (usually at vesicoureteric junction) leading to pain, blood in urine or infection.

They can become stuck anywhere in the urinary system, including the kidney, the ureters (the narrow tubes connecting each kidney to the bladder), the bladder, or the urethra.

In addition to pain and urinary problems, kidney stones can also cause bleeding and resultant kidney damage. They can increase the risk of a urinary tract infection and have even been linked to cardiovascular disease. So yes it’s high time you start bothering.

Recent Research and Evidence

A latest study published in the Clinical Journal of the American Society of Nephrology describes an analysis of over 150,000 people in US with kidney stones.

The study findings were:

• The frequency of kidney stones increased by 16% over a period of 15 years.
• The principal increases were among children, women, and African Americans.
• While more men than women had kidney stones (as has been noted in the past)
• In the age group (< 25 years) women outnumbered men.

Why are we forming more stones?

This study like the ones in the past is not been able to elucidate the reason kidney stones seem to be on the rise. The postulated theories may be increase rate of obesity especially among children and global warming (leading to dehydration). We need more research to understand why stones are becoming more common. Bottom line: it’s an enigma. If we can figure it out why there’s a good chance we can find superior ways to stop them.

What’s one should do?

If you have symptoms of kidney stones, see a Urologist. The most common symptoms are waves of pain in the back or lower abdomen, pain with urination, or blood in the urine.

If you’ve already been diagnosed with a kidney stone, it’s important to figure out why it happened (if possible) and take steps to avoid recurrence. See your urologist to discuss dietary measures and medications to take (or avoid). The details vary depending on the type of stone you had and the results of your blood and urine tests.  

PREVENTION IS THE KEY

As mentioned above its better to prevent stones by following healthy life style and taking plenty of water. Ask anyone who has had pain due to stones it is definitely not your cup of tea.

Original Source: https://goo.gl/jfSwBo

Spinal Cord Stimulation

Spinal cord and brain are part of the nervous system. In order to understand the working of the spinal cord stimulators and their effect on back pain, the working of the nervous system can help us to a large extent.

Electrical currents sent into the spinal cord interrupt the pain signals much before they can reach the brain; this reduces the symptoms and the effect of the back pain. The spinal cord stimulation method has a large effect on the back pain and its reduction of the same.

Comparing the Types of Stimulation

Spinal cord stimulation is a technique which is very specific patient based. There are many methods which offer this technique, every one of it having its advantages and disadvantages. Which will work for one, can only be decided, once the patient is properly examined and diagnosed by the treating doctor.

Tonic Spinal Cord Stimulation

This is the longest used method of spinal cord stimulation. Also referred to as the low frequency spinal cord stimulation.

Here, lower frequency impulses of the strength of less than 1000 Hz are given to the patient. This makes the patient feel a slight tingling or a special vibration sensation, which changes the sensation of strong back pain to very slight tingling sensation. The stimulation electrodes placed into the spinal canal will stimulate spinal cord pathways, reducing the activity within separate pain pathways which carry pain signals up to the brain.

High Frequency Spinal Cord Stimulation

This is a more new form of spinal cord stimulation which involves high frequency electrical impulses of the frequency of 10,000 Hz. The electrodes placed into the spinal canal directly stop or inhibit the pain pathways, making them unable to carry pain signals to the brain.

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This is the most effective methods of the spinal cord stimulation, nevertheless the patients get more comfortable in responding to tonic or burst techniques of spinal cord stimulation. An important part of how spinal cord stimulators can help your back pain is that they allow for trial periods. If one type of stimulation doesn’t provide effective results, you can try another.

Burst Stimulation

This technique is the most recent form of spinal cord stimulation which is performed by giving intermittent bursts of high frequency impulses to the patient who is experiencing the back pain. The stimulation electrodes work with a two way solution, not only do they inhibit the pain from reaching the brain but it also reduces the emotional effects of the pain on the individual.

The result is that patients typically feel less or no pain. If pain still exists, patients often report it as much less severe than their typical experience.

What to Expect?

The first step in spinal cord stimulation treatment is to place the stimulator. Both the trial and the permanent implantation involve outpatient procedures that may be performed either awake or asleep, depending on the type of stimulation that is being used.

Your surgeon will use an X-ray to visualize your spine and guide wires with small electrodes to the area where the pain is located. After that, they will activate the generator and you will work together to decide where exactly the electrodes should be placed. Your feedback during this stage may be important (depending on the waveform being used) — make sure that you tell your surgeon where you feel the stimulation so that they can place them accurately.

Once you and your surgeon have settled on the right place for the electrodes, the trial stimulator will be left in place. Immediately after the operation, the electrodes in your spine will be connected to an external generator, where they will stay for about a week. To determine whether the treatment is working properly, your surgeon will ask that you record your pain levels at different times of the day and in different situations.

If, after your trial period, you aren’t satisfied with the results, you can easily redo the procedure using a different waveform. Once you identify a waveform that is working well, you will return to your surgeon to have a permanent spinal cord system implanted. This procedure, like the electrode placement procedure, is relatively simple and done on an outpatient basis.

Final Thoughts

Spinal cord stimulation is an effective way to address back pain that hasn’t responded well to other forms of treatment, and it comes with a high level of flexibility.

Take the next step toward a more active and comfortable lifestyle and schedule a consultation today.

Original Source:  https://goo.gl/tEb6Eb

Primus Celebrate- World Health Day 2018

Good Health Adds Lift to Years

There are many factors to good health, starting with a good healthy diet and a healthy lifestyle.

A healthy diet includes having a balanced diet with carbohydrates, proteins, fats and vitamins in the right proportion. Substituting the carbohydrates with seasonal intakes of jowar, ragi and bajra for the usual wheat and maida (flour) is very helpful in adding to the good healthy years.  Starting your day with a healthy vegetable juice option such as carrot and beetroot is much healthier than tea or coffee. Having a large intake of seasonal fruits also adds many years to a good healthy life.

Sadistic lifestyle such as high influences of smoking and alcohol can play a very important role in defining the unhealthy lifestyle diseases. This not only leads to high blood pressure and high cholesterol problems but also leads to stress and lack of good sleep. These further have a negative effect on your heart, leading to a heart attack at a young age which has become very common in age groups from 30 to 40 years.

Saying a ‘BIG NO ‘to ALCOHOL & SMOKING and exercising regularly promises you years of a healthy life.

Primus International Super Specialty Hospital wants you to live healthy, thus we bring to you our Lifestyle Health Packages to get yourself checked today for curb the effects of the sadistic lifestyle for a healthy heart. For appointment, call 08086661531 today!

Original Source: https://goo.gl/mWncbG

Best Joint Replacement Hospital in Nigeria

Primus specializes in the treatment of orthopedic (bone and joint) disorders. Our expert orthopedic specialists have ample national and international exposure and have imbibed the finest practices from all across the globe and bring this distilled expertise to patients at Primus Nigeria.

Best Joint Replacement Surgery in Nigeria | Top Ten Hospitals in Nigeria

• Joint pains not only affect the quality of life but can also bring a patient to financial ruin and subsequent long term depression by inhibiting his ability to move and earn a living by himself.
• Primus orthopedic surgeons can take care of total joint replacements of knees, hips along with other kinds of surgeries that are performed on hands, wrists, shoulders etc.
• But our range of services also includes treatment of spinal injuries and minimally invasive orthopedic surgeries and procedures.
• We have specialized departments within the orthopedic department that cater to sports injuries.
•  For emergency cases, we have trauma management that offers critical care in cases of sudden and severe injuries.

Arthroscopic surgery is a minimally invasive alternative to traditional surgery for knee and shoulder problems. Using an arthroscopy, a small tube with video camera and lights, which is inserted through a small incision in or near the joint, doctors can view the joint and the anomalies in it and even complete minor procedures. Since, it uses only small incisions, arthroscopy cuts down on infection risk and recovery time as compared to traditional surgery.

• Our team of orthopedic surgeons are dedicated to providing high quality medical and surgical care to those athletes who are suffering from joint pains, knee pains, back-pains and similar such musculoskeletal complications that have lowered their mobility and their ability to earn.
• We follow a five pronged approach including protection, rest, ice, compression and elevation in order to cure patients suffering from sports injuries.
• Primus Sports Injuries Management centre employs cutting edge diagnostics and advanced technologies to ensure that you stay mobile.
• Our holistic approach to treatment has made us the preferred choice for treating all types of musculo-skeletal related problems, from Trauma Care to Arthroplasty Arthroscopy, Complex Pelvic Acetabular Reconstructions and Limb Reconstructions.

Original Source: https://goo.gl/ArZbwq

World Oral Health Week 2018

Primus Nigeria Hospital Celebrate

“World Oral Health Week- 2018”

Dental And oral hygiene is a very important aspect for all age groups. Thus, in today’s time, with the growth of increasing mouth cancers. In India, 20 per 100000 populations are affected by oral

Cancer which accounts for about 30% of all types of cancers. Over 5 people in India die every hour everyday because of oral cancer and the same number of people dies from cancer in oropharynx and hypo pharynx. CANCER registration is not compuls ory in India, so the true incidence and mortality may be higher, as many cases are unrecorded and loses follow up.

Poor oral hygiene also causes oral cancer. In one study, more than 85% of oral cancer patients had poor oral hygiene. Poor oral hygiene related attributable risk is around 32% for men and 64% for women in India. Patients wearing dentures for more than 15 years and not visiting a dentist regularly was highly associated with Oral cancer.

Well, as much as the facts scare us, it is important to understand that the India is at the highest risk of Oral cancer so this Oral Health Week, let us understand the importance of getting yourself screened to avoid the risk of oral Cancer.

Walk in to a mouth check up today at our Dental department at Primus International Super Speciality Hospital, Abuja. For appointments, call 08086661531.

Original Source: https://goo.gl/2v6bg6

Best Dental Surgery Hospital in Nigeria

Keeping your teeth clean every day is one of the most important things you can do to keep your smile healthy. Regular Dental checkups and Dental cleanings at the dentist are important, too. At Primus Dental, our dentists will examine your teeth, and then customize your cleaning as part of your personalized care.

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Oral Surgery:

Oral surgery is a specialized branch of dentistry that treats a wide range of diseases and conditions. Some of the conditions oral surgeons treat include:

• Tooth loss
• Wisdom teeth extraction
• Dental Implants
• Temporomandibular joint disorders (TMJ)
• Unequal jaw growth (malocclusion)
• Jaw/mouth/teeth Injury
• Cleft lip and cleft palate repair
• Extraction of teeth
• Treatment of endodx`ontal diseases
• Esthetic aspects of the oral and maxillofacial regions
• Adjunctive treatments

Cosmetic Dentistry:
If the reason you are unhappy with your smile is mainly cosmetic, Primus Dental practices offer several possible solutions, including whitening and veneers to brighten or enhance the look of your teeth, quickly and easily. Ask your dentist or other members of the Primus Dental team to tell you more.

Full Mouth Rehabilitation:
Complete rehabilitation of the mouth, restorations of all teeth , providing alternate artificial tooth at missing tooth spaces , setting a balance between the upper and lower teeth , correction of all chewing problems etc

Crowns & Bridges:
When you have missing or damaged teeth, it’s hard to keep your mouth healthy. Crowns and bridges are often a solution that can fill the gaps and restore your mouth back to a healthy state.

Smile makeover:
if you are not happy to smile or are ashamed of your smile or like to cover your laugh….it’s time to get a smile make over! Primus Dental experts can create a smile just for you.

Gaps in teeth:
Gaps in teeth can make your smile look hollow. Gap in front teeth are very common, This condition is called Diastema. The kind of dental intervention required depends upon the individual tooth gap, and can be assessed only by the dentist.

Treatment for irregular teeth / non aligned teeth:
Treatment for non aligned or irregularly placed teeth is available at Primus. These may require dental braces or dental procedures

Tooth colored Fillings:
At Primus we use latest Cosmetic Dental Fillings that accurately match your original tooth color , so that no one tell you that you ever had a dental cavity!

Root Canals Treatment for Highly decayed tooth:
if the pulp tissue or nerve inside your tooth becomes inflamed or infected, it can become tender and you may need a root canal procedure. .

Gum Disease:
most people suffer from some form of gum disease. The symptoms include bleeding, bad breath and sore, swollen gums. Gum disease creates gaps between the teeth and gums, and the infected gum starts to separate from the tooth. These gaps, known as pockets, can become deeper over time, trapping food and creating an environment for bacteria to grow. The deeper they are, the more your risk of permanent tooth damage. If left untreated, it can severely harm the gums and bones supporting your teeth, and eventually lead to tooth loss.

Other Common Dental Issues:

• Dry Mouth
• TMJ Disorders
• Sensitivity of teeth
• Tooth Erosion
• Blackening of teeth due to Smoking

Oral Hygiene:
Your oral health is not just important for a beautiful smile but also for a healthy body. Here are a few important ways you can help keep your healthy smile. We can give you more tips and advice customized to your dental habits and lifestyle, when you visit us.

• Brush your teeth at least twice a day.
• Floss every day.
• Visit your dentist for a dental exam and cleaning at least every 6 months, or as recommended.
• Check your gums to make sure they’re pink and that the gum line hugs teeth tightly (your gums should not bleed when you brush).
• Stop smoking. Smoking puts you at risk for oral cancer and infection.

Taking care of your oral health through regular dental care means you’ll be able to talk, smile and eat comfortably. If you’re experiencing tooth loss or other health issues, or if you simply want to prevent problems, we want to help.

Original Source:  https://goo.gl/Ur3M2H

Best Ophthalmology Hospital in Nigeria

“Primus Celebrate World Glaucoma Week 2018”

Primus Eye Centre’s provides Eye Screening and eye care services. Providing comprehensive ophthalmology services, Primus Eye Centre physicians are premier providers of world-class diagnostic, medical and surgical care of the eyes for adults and children.

Best Eye Care Hospital in Nigeria | Best Super Specialty Hospital in Nigeria

Eye services:

• Complete Examination & Screening of the Eyes
• Diagnosis and treatment of Minor Eye Problems
• Cataract surgery
• Complicated Eye surgeries – for complicated intervention/surgery / treatment is required for the patient, he can be referred to Primus India.

Diabetic Retinopathy:

Diabetic retinopathy is the most common single cause of blindness among people with diabetes aged between 16 and 64. It is a complication of the eye that can affect anyone who has diabetes, regardless of type or treatment. Regular eye screening is essential to protect your eyesight as early detection is the key to successful treatment. Good glucose, blood pressure and cholesterol control can also reduce your risk of developing sight threatening complications.

At Primus India – the Department of Ophthalmology, patients will find:

Board-certified physicians, with leaders in comprehensive ophthalmology and ophthalmic sub-specialties, including surgical care, advanced treatment options, led by continuous research. Eye Centre physicians are specially trained to manage all disorders of the ocular system. We provide state-of-the-art diagnostics and treatments. Our research groups are international leaders in understanding the causes and potential cures for many types of eye diseases.

Primus is a recognized leader in the diagnosis and treatment of eye diseases and disorders, and strives to improve patients’ quality of life through vision preservation and restoration. We personalize and individualize care for each patient, and our care is always patient-focused. Our ophthalmologists and optometrists are partners in your eye health, providing comprehensive, coordinated care for your whole family, at every stage of life. From well-vision exams to the diagnosis and treatment of complex eye diseases, such as cataracts, glaucoma, macular degeneration, and diabetes related eye care

Original Source: https://goo.gl/fWwQZV

FIND OUT IF YOU HAVE GLAUCOMA

“Primus Celebrate World Glaucoma Week 2018”

Glaucoma is the leading cause of irreversible blindness. It is called “the silent killer of sight” since there are no symptoms and once vision is lost, it’s permanent. As much as half of vision can be lost without a person noticing.

Although the most common forms primarily affect the middle-aged and the elderly, glaucoma can affect people of all ages. The high-risk groups include people over 60, family members of those already diagnosed, diabetics, and people who are severely near-sighted (wearing minus glasses). Person wearing high plus glasses are also at risk of another type of glaucoma.

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Glaucoma causes fluid to build up in your eye, causing pressure that can cause vision loss by damaging the optic nerve. This nerve acts like an electric cable and is responsible for carrying images from the eye to the brain. High eye pressure is associated with most chances of glaucoma but some people with normal eye pressure can also have glaucoma.

There is yet no cure for glaucoma. However, medication, laser or surgery can slow or prevent further vision loss. The appropriate treatment depends upon the type of glaucoma among other factors. If glaucoma is detected in its early stages, eye pressure can be controlled and the progression of the disease can be delayed. Early detection, treatment, and follow-up care are key to preventing vision loss and blindness.

The best and the ONLY way to protect your sight from glaucoma are to get a comprehensive eye examination, which is different from the basic eye exam for glasses. Then, if you have glaucoma, treatment can begin immediately. Regular eye examinations are especially important for those at higher risk for glaucoma, who need a comprehensive dilated eye examination every 6 monthly to 1 year.

Original Source: https://goo.gl/QawCPe

Thank You
Dr. Sourabh Sharma
MD (AIIMS), DNB, FICO, FRCS
Ex fellow- Singapore National Eye Centre
Consultant – Glaucoma and Cataract Services,
Primus Super Speciality Hospital

Best Kidney Transplant Hospital in Nigeria

“Primus Celebrate World Kidney Day”

• Primus Kidney transplant and Dialysis Center is a leading center for innovative treatments.

• Our center is dedicated to highest standards of patient care with human touch, offering pioneering procedures that minimize risk and fasten recovery.
• Primus hospital offers cutting edge care in all areas of Nephrology Dialysis, Renal Transplant and Chronic Kidney Conditions.
• Nephrology
• Chronic Kidney Disease Clinic
•  Hypertension – Renal Care Clinic
• Renal Transplant clinic – Pre transplant & post transplant
• Diabetic- Renal Care clinic
• Patient Education programs & Preventive Nephrology

Best Kidney Transplant Hospital in Nigeria | Top Ten Hospitals in Nigeria

Primus use Minimally Invasive Surgical Techniques to correct most urological and nephrological conditions.

Primus Kidney Transplant Cente:

Kidney transplantation or renal transplantation is the transplant of the organ- kidney into a patient with end-stage renal disease. Kidney transplantation is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantation depending on the source of the donor organ. Living-donor renal transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and the recipient. Exchanges and chains are a novel approach to expand the living donor pool.

Primus Dialysis Cente:

The department of Nephrology has state of the art Advanced Kidney Dialysis (AKD) unit established by Primus Super Speciality Hospital. The department is focused to provide high quality medical care with a human touch. The department is one of the first only centers in Nigeria to provide state of the art Renal Replacement Therapy for both infected (HIVAg+ & HCV + patients) and none infected patients.

• We have Separate Dialysis Units for infected and non-infected and patient which is a very rare thing to find in Nigeria.

• Facility for continuous monitoring of sick patients on dialysis through highly sophisticated monitors throughout the dialysis procedure is available.

• Each haemodialysis session is for four hours duration. We make sure that adequate dialysis is given to the patients without compromising on duration of dialysis sessions. As, some of the hospitals are giving, only three hours of dialysis in each session, in which patients have to take more than twice or thrice weekly dialysis in order to get adequate dialysis treatment.

What patients need to know?

Nephrology is a specialty of medicine that concerns itself with the study of Normal Kidney Function, Kidney Problems, the Treatment of Kidney Problems and Renal Replacement Therapy (Dialysis And Kidney Transplantation).

Systemic conditions that affect the kidneys (such as Diabetes, Hypertension and Auto-immune Disease etc) and systemic problems that occur as a result of kidney problems (such as Renal Osteodystrophy And Hypertension) are also studied in nephrology.

Urology clinic:

Our Urology clinic is a unique resource for those with the diseases of the urinary system, including the kidneys, bladder and prostate gland. As the major tertiary care centre, our goal is to deliver the highest level patient care, consistent with our philosophy of keeping the patient at the highest priority. We are proud to offer some of the region’s finest experts covering every major urology and nephrology specialty.

We provide patient oriented management of cancer and benign urological diseases by integrating and leveraging our combined expertise. The Center works as a cohesive team with interdisciplinary interactions between urologists, nephrologists, and medical, radiation oncologists.

At Primus, a team of experienced and accomplished nephrologists treat various kinds of kidney disorders including acute and chronic kidney diseases, kidney transplantation, hypertension, acid –base electrolyte disorders, nephrolithiasis (kidney stones) and complex procedures such as renal denervation for uncontrolled hypertension.

Original Source: https://goo.gl/jnh9EK

Best Spine Surgery Hospital in Abuja Nigeria

Primus Spine and brain Center provides comprehensive clinical management for all Spine and Brain disorders. Spinal injuries and disorders can be major life-changing events. Whether caused by trauma, infection, degenerative disorder, or tumors, a spine or spinal cord condition can result in a drastic change in the lives of patients and their families.

Best Spine Surgery Hospital in Abuja Nigeria | Best Hospital in Nigeria

Treatment of Spinal Injuries and Disorders

Our spine Specialists commonly treat conditions that include:

• Pediatric and adult spinal deformities
• Complex (intradural) spinal disorders
• Spinal trauma/fractures
• Spinal tumors
• Cervical and lumbar disc herniation
• Cervical and lumbar stenosis
• Degenerative disease or arthritic conditions of the spine
• Scoliosis
• Kyphosis
• Spondylolisthesis

In addition, support services are offered in the following cases:

• Spine Surgery
• Spine Deformities
• Spine Degenerative Disc Disease
• Spinal Disc Herniation
• Spinal Stenosis
• Spinal Trauma
• Spinal Tumors
• Spine Disorders
• Spine Rehabilitation

Advanced Treatment Approaches at Primus Spine Centre

When more conservative treatment, such as physical therapy or medication, does not provide optimal relief, our neurosurgeons work closely together, each bringing a unique perspective to patient cases. When spine surgery is needed, our neurosurgeons and orthopedic surgeons offer the most up-to-date, minimally-invasive techniques to provide the best possible spine care.

Original Source: https://goo.gl/dkhJbD