Screening for diabetes and prediabetes.

Diabetes is a  chronic disease that will lead to complication in multiple organs in the body on long term especially if poorly controlled. Global increase in diabetes is due to population ageing, sedentary life style, obesity and  altered dietary habits. Type 2 diabetes remain undiagnosed until the complication develops. One third of people living with diabetes is undiagnosed. Sceening program will help in detecting early recognition...

Read More

Gastrointestinal toxicity of NSAIDs

NSAIDs are commonly used analgesic in clinical practise. Most commonly used NSAIDS  are aspirin, diclofenac, ibuprofen, indomethacin etc. Among these aspirin is well known to cause stomach mucosal injury. After 90 minutes taking about 300-600 mg of Aspirin almost everyone will develop minute mucosal bleeding and erosion. They are associated  with various gastro intestinal side effects such as non-ulcer dyspepsia and ulcers. Gastro intestinal...

Read More

Clinical Features of polycythaemia

Polycythemia is a condition in which there is elevation of hemoglobin in the blood more than the normal. When hemoglobin level raise that increases the blood viscocity and lead to variety of manifestation. As it take time to increase the hemoglobin level the symptoms are also insidious. Level of hemoglobin at which each patient develop symptom vary, depending on bodies ability to adapt to the situation. Initially symptoms are mild but as the Hb...

Read More

What is Dyspepsia or indigestion ? What are its causes?

A common complaint in clinical practice. Term dyspepsia indicate, pain or discomfort in the upper abdomen which can be acute ,chronic or recurrent. Patients with dyspepsia also complain of heartburn, that if present indicate underlying gastroesophageal reflux disease. Patients usually use the term indigestion to describe any problems related to food. It seen in 80% of population. Characteristic associated symptoms are population. • Upper abdominal...

Read More

Management of dyspepsia or indigestion

Although dyspepsia or indigestion is common in general population detailed evalution is required in new onset dyspepsia in elderly people, young people not improving with empirical treatment . Also when alarming symptoms such as  weight loss, organomegaly, abdominal mass, or fecal occult blood are present. Initial laboratory test should include • Complete blood count, • Electrolytes,such as serum sodium and potassium • Liver enzymes, •...

Read More

Bariatric surgery for Obesity

Bariatric surgery is the surgical method of weight reduction. Following are the facts that should be known. Justification - Difficulty of the condition should be greater than that of the surgery. Aim - Is not  cosmetic, but reduce the complications of  obesity. Surgery provides effective long lasting weight loss in morbidly obese patients. Obesity surgery is of low priority and of doubtful value. Obesity is the fault of the patient....

Read More