Fortis Hospital

Fatty liver is a condition where excess fat is deposited on this organ. Also called as steatosis, this condition happens when more than 5- 10 percent of the weight of the liver is made up of fat. Fatty liver is a common condition among people. A study from coastal regions of India found ~ 25% of healthy persons had patients had fatty liver on ultrasound.

Hi,

I am Dr. Lalit Mittal, Pediatrician. Today I will talk about the nutritional deficiency in autism. First of all, why children have a nutritional deficiency? They eat foods according to taste, flavor, texture, and temperature. 2nd is oral defensiveness i.e. the resistance to take food inside the mouth. Then they have tactile defensiveness i.e. their resistance to feel the taste of the food. 3rd most important thing is xenophobia i.e. the resistance to eat new food. Along with this, they have a very narrow range of food products. They are more selective toward carbohydrates. Along with this, they have destructive behavior during mealtime. During the mealtime, they will lock off the food on the table, they will spill out the food or they will run away from the dining table. All these issues are clubbed together are responsible for nutritional deficiency. Now, what is the reason behind these autistic children? They have oral motor sensory issue means they have difficulty in chewing the food, and they have exaggerated gargoyles means they are vomiting out. Now we will be discussing each one of them one by one. Now coming to vitamin B6 & B12. Now B12 is one of the most important vitamins in the human body. It is responsible for the 3 most important processes.

First, methylation, 2nd, decreasing the oxidative stress level. and 3rd responsible for gene expansion. As a result of these 3 processes because of the deficiency of vitamin B12, these 3 processes are hampered. Along with these, there are oxalate levels. Because of the deficiency of vitamin B12, the oxalate level in the body increases. Then these causes oxidative stress to the body. It is very important to supplement the ADHD cases regularly with vitamin B12, B6 and give them fruits which are less in oxalate levels. Oxalate levels are found in citrus fruits. Hence, consumption should be minimized. Now we are coming to iron and folic acid. Now they are prone to iron and folic acids deficiency. Because of selective food nature, they are prone to only a particular range of food. They are taking an imbalanced diet. They are also prone to iron and folic acids deficiency. Hence, regular intake of iron and folic acid supplementation is advisable. Now coming to the calcium levels. It is known that the calcium and vitamin-D levels in ADHD cases are lesses to the great extend or they are below the normal range. Because these kids are selective predators and 50% of them are on a restricted diet.

As a result of that their bone density is decreased. Such children are prone to muscle cramp, pain in legs, fatigue, they will get tired easily. In spite of being a normal calcium level in the body, the level of vitamin-D always is less. Hence, t is advisable to take regular consumption of calcium and vitamin-D in the right amount. Now coming to the zinc and polyunsaturated fatty acids. Omega-3, 6 and 9 are the most important but the most important role is of omega-3 in ADHD kids. Naturally, by birth, ADHD kids have a low level of zinc and omega-3. Now, both these are important for GI tract and intestine. As a result of this, the mucosa of these kids is thick, becomes licky. Because of zinc deficiency, mucosa lining is affected. And then the GI problems like constipation, diarrhea, bloating extends. And they have the deficiency of digestive enzymes. So, it is advisable to consume omega-3 regularly, digestive enzymes in the right amount. For vegetarians, the good source of omega-3 is walnuts, chia and flax seeds. If you are a non-vegetarian, the best source is fish oil. Now coming to the sulfate level.

This is the 4th most important level in the body. It is responsible for the formation of brain tissue. As a result, the regular consumption of sulfate is important. Now, coming to the last carnitine. It is another important mineral which is found in all the human body which is responsible for providing instant energy and to remove the toxic organic fatty acid from the body. In ADHD case, it is normally found to be deficient as a result that the amount of oxidative stress in ADHD cases increases. There are 2 forms of carnitine. L-carnitine and S-carnitine. L-carnitine which is an active form and found naturally in the body. Hence, it is very important for ADHD cases.

Thank You!

Hi,

I am Dr. Nargesh Agrawal aaj mai aap ko club foot ke baare mein bataunga. Ismein bachon ke paair ghume hue hote hain. Is bimari ke baare mein bache ke paida hone se pehle hume ultrasound ke time pe hi pata chal jaati hai. So, treatment should be started as early as possible. Jaise hi bacha paida hota hai, from day 1 hi hume treatment shuru kar dena chaiye. Parents question karte hain ki aisa mere bache ke sath kyun hua hai? Iske kayi sare karan hai jaise maa mein pani ki kami hona, kuch genetic reasons bhi hote hain, mascular reasons hain. Isko hum idiopathic clubfoot bolte hain. Ismein parents puchte hain ki iska ilaj kya hai? Kya unka bacha chal payega ki nahi? Jitna jaldi aap treatment shuru karte hain, uska utna hi acha result ata hai. Isko hum jaldi hi correct kar sakte hain. Ismein 3-4 plasters lagaye jate hain. Uske baad chote se operation ki jarurat padti hai jismein hum pairon ki ek nerve ko repair karte hain. Ismein bohot chota cut diya jata hai jismein stitches dene ki bhi jarurat nahi padti hai. Ise hum local anasthesia mein kar dete hain.

Bache ko admit karne ki jarurat bhi nahi padti hai. Uske baad 4-5 plasters mein bache ka pair thik ho jata hai. Parents question karte hain ki bache ko operation se koi problem toh nahi ayegi. Toh aisa nahi hai. Bacha bilkul thik rehta hai. Ismein bache mein nayi nus develop hoti hai. Operation ke baad bache ko hum braces se bandh dete hain. Ismein patient question puchte hain ki kya rod lagana jaruri hota hai. Yes, ye important hai kyuki tabhi pair correct position mein aata hai. 3 months me bache ko acha result mil jata hai. Shuru mein bache ko dikkat hoti hai but dheere dheere bacha bilkul thik ho jata hai. Humein plaster 4-5 years tak bache ko pehnana hota hai. Bache ko shoes shuru ke 3 months tak pehnane hote hain. Bache ko ye shoes 4-5 years tak pehnaye jaate hain aur jab vo soo raha ho tab pehnaye jate hain. Humare paas aaj ek parents available hain. Mai unka feedback aap ko dilvata hun. Ye aap ko btayenge ki total treatment kaisa raha or kya kya problems hui. Kya outcome aaya hai.

Parents: Humara beta clubfoot ke sath paida hua tha. Hum kafi preshan the ki kis tarike se uske pair thik honge. Mene kafi search kiya online and tab jake mujhe in Dr. ke baare mein pata chala. Maine online review bhi dekhe. Mere bete ko inhone 6 plasters lagaye the jisse mera beta bilkul thik ho gaya. Dr. ne jo shoes recommend kiya hain vo hum apne bache ko pehna rhein hain. Ye 3 months ka process hain and hume ye shoes 3 months tak pehnane hain.

Dr: Aap ka operation kaisa raha. Aap ko kya kya problem hui.

Parents: Surgery kafi achi rahi. Bacha thoda roya tha baki koi bhi problem nahi hui. Ab after treatment hum kafi satisfied hain results se. Abhi humare bete ke pair bilkul thik hain. Sath folllow-ups bhi chal rhein hain.

Dr: Ye parents mere pass right clubfoot ki problem leke aaye the. Jab ye bache ko leke aaye the tab bache ki age 3 months thi. Ye parents dusre Dr. ke pass bhi gaye the but uske baad acha result naa milne ki vajha se mere pass aaye hain.

Parents: Humne kahi aur bhi apne bache ko dikhaya tha but hume vahan se acha result nahi mila. Fir hum in Dr. ke paas aaye aur shuru mein inhone 3-4 plasters kiya. Uske baad mein choti surgery ki. Surgery ke baad 2 plasters aur lgaye gaye and ab shoes pehanaye gaye hain. Ab mere bete ka pair kafi thik hai. Kafi acha experience bhi raha humara. Dr. ne jo humein exercises btayi hain vo hum apne bache ki daily karte hain. In Dr. ne hume vo sab btaya ki ye problem bache me kab aati hai. Dr. ki baatein sunte hi humne apne bete ko plaster lagvaya. Uske baad se humara regular Dr. ke sath contact hai.

Parents: Mene apne bache ka operation bhi kraya but us se bache ko koi benefit nahi hua. Mene ek baar aur operation kraya but vahan se bhi acha result nahi mila. Tab mai in Dr. se mila. Inhone mere bache ka ilaj kiya aur ab mera beta legs ki movement kar sakta hai. Pair ab sidha ho gaya hai and upar niche bhi ho raha hai. Ab mera beta sidha bhi chal paa raha hai. Pehle mera beta ulta pair rakh ke chalta tha. Hum in Dr. se bohot satisfied hain.

Hi,

I am Dr. Lalit Mittal, Pediatrician. Today I will talk about nutrition in children and its importance. What are the rising concerns of nutrition in children? We see the rising cases of constipation, children are more inclined towards junk food, increased obesity, stomachache, lethargy. Now, what is nutrition? It is a balanced combination of proteins, fats, carbs, minerals, and vitamins. How can we prepare and how can we tell the children to take the proper amount of nutrition. The best method is "my plate" which gives a rough idea that how can you prepare balanced nutrition. Your plate should always be with 50% of fruits, eggs, if you are a vegetarian you can take daal, then chappati and rice and the remaining portion are for vegetables plus hydration then you should take milk.

Now, there are a lot of studies and research have shown that a balanced diet and nutrition have a very important role in enhancing your learning, cognition, and development. If your nutrition is not balanced, it can result in hyperactivity, anxiety, depression and temper tantrums. What other things you should take besides nutrition? You should always have a good sleep. Otherwise, it can result in lethargy, pos diet. So, a child should take 8-10 hours of sleep. Before going to bed there should be no eating of meals. It should be 1-2 hours before going to bed. The child should take an adequate amount of fluids. Other than this, children are more inclined towards junk food.

They should avoid taking carbonated drinks like cold drinks, jaggery, pastries. They can take milk, lemon juices, coconut water. To summaries nutrition on a count of zero to 10, I would say there should be zero carbonated drinks, at least one hour of physical activities, there should be less than 2 hours of screening time, there should eat at least 3 servings of low-fat dairy products, there should be 6 home days meals in a week and breakfast should be daily without even a single skip. Never consume outside products.

Thank You!

Hi,

I am Dr. Rajeev Vij, Dermatologist. Today I will discuss about Melasma. It is a disease where the patient develops blackish hyperpigmentation over the cheeks, face, nose and forehead. This is not a disease but it most commonly happens after the pregnancy. It is most commonly developed problem in woman. Previously we used to treat it with creams, laser but they are not much effective without the usage of the cream. The disadvantage you can have after the treatment like the loosening of the skin, the skin may become sensitive, red, a lot of irritation. Cream can remove the topmost layer of the pigmentation, not the inner one.

We have a very revolutionary treatment and that is known as PRP. PRP is quite effective in melasma. In PRP, we take blood from the patient. We extract platelets from the blood. This treatment makes your skin thicker and rejuvenated. With PRP, you don't have to use any other cream. The only required thing is sunscreen. This treatment is done within the span of 3 sittings. It makes your skin more radiant. Skin becomes more glowing. After 6 months you have to take another sitting again. Take proper precautions from the sun. This treatment takes 30-40 minutes only. When you come after 3 weeks, there is lot of improvements on your face. You can see the improvements in under eye dark circles. With this treatment, your fine wrinkles go and make skin glowing. Treatment has no side-effects. Below eye, there can be swelling for 1 day. It is an absolutely safe treatment.

Thank you

Hello,

I am Dr. Rajeev Vij, I am a dermatologist and today I am going to discuss the one revolutionary treatment that we are having at present in dermatology, it is PRP and I am going to discuss PRP and its effect on hair growth. Normally we see in androgenetic alopecia when the patient comes to us, he develops the hair thinning. So, gradually he was having the bulk of hairs but because the hairs are becoming thinner because of the male hormone that is attached to the hair follicle, the hair becomes very thin and this leads to baldness. Now previously when be used to treat that with medicines, it used to take a lot of time means patient used to take 3-4 years even then the desired growth was not there but with PRP it is a revolutionized treatment by which we can give results within few months. Now PRP is a treatment where we extract blood from the patient and that is just 15ml or 20 ml and with this blood we extract platelets.

Normally in blood platelets are 1 lakh to 1.5 lakh but in PRP the growth the number of platelets about 10 lakh to 12 lakh. When these platelets are injected into the scalp, they are having growth factors and because of these growth factors, the hairs grow very rapidly. I would like to share a few of my photographs with patients that we have treated. Now, this is a patient he was almost completely bald. When we treated this patient, within three weeks he was having this much hair and within the next three weeks he was having this much hair and now this is the result after third sitting. So, you can see, just in 9 weeks the patient was from baldness to he has got regained whole confidence within a span of 9 weeks so that means just 2 months. So, I want to share that this is a very good treatment, revolutionary treatment but make sure whenever you go for PRP you have to make sure ask your doctor to show him his results because if PRP is properly prepared and the PRP is having a proper concentration of platelets, so normally we get this kind of results.

So, if the patient if it is not properly prepared then you won't get exact good results and the very good thing about this treatment is that it is free of any side effects. There is no side effect at all and in case you go for transplantation you have to extract hairs from back and get it transplanted in front of your hairs and then it's being surgery and then the concentration that you get is not as much as that you get as you get in PRP. And the main thing is even the patient who has gone for transplantation if they go for PRP it can lead to enhancement of hairs. And one more thing I would like to share that with PRP when we do PRP there is a lot of improvement in patient's dandruff patient and even the patient who is suffering from psoriasis they tend to diminish a lot, they clear almost what you cannot have attained even after giving so many of medicines.

I will also share photographs of one patient of psoriasis whom I had treated for PRP with very good results almost he got his skull cleared within a period of 10 to 15 days and the most PRP is not a major procedure, it's a minor procedure where when you get PRP done there is generally only slight swelling can be there that too for say half an hour or 1 hour. So, even after getting PRP you go to your office work and the results are very rapid and the most the best advantage of PRP is that it is not having any side effects, there are no adverse effects till date there is no reported side effect of PRP. So, I think I will share my further photographs. This is my patient where these results are just of 3 sittings. This is before treatment, this is after treatment. And this is a female patient who was almost completely bald and this we have got this result within just a span of 4 sittings and with this, I think I have cleared most of your doubts. 

Thanks!

Hello,

Is video ke zariye, sports injuries hmare knee joint ke around, uske bare me information dena chahunga. Knee joint sports injury bhut hi common hain. Kayi bar bike or road traffic accidents me bhi milti hain. Is s pehle me apko knee joint ke structure ki information dunga so that aap is problem ko easily samjh payein. Knee joint ke alwa knee me bhut sari chizen or bhi hoti hain jisko diagnose krne ke lia hume MRI krna pdta hai. Inme ligaments, ACL, shock absorber (meniscus), upar ki layer jo hai use cartilage bola jata hai. Agar hum ligament ki bat kren to ACL, sabse common injury hai. Isme patient ka knee twist hone lgta hai. Iske karan patient sports me participate nhi kar pate hain.

Ligament injury ke lia arthroscopy surgery iske lia recommend ki jati hai jisme latest technology ke through inko reconstruct kia jata hai. ACL surgery sabse common surgery hai. Post-operation, rehabitation ki jrurat pdti hai. Baki ligaments ka bhi surgical treatments kia jata hai. Meniscus ka role bhut important hai. Agar meniscus ki problem hai to hum ise replace krne ki advice dete hain. Is se weight bearing thik rehta hai. Or patient ke lia ye joint iske baad normal function krta hai. Kayi bar meniscu repair ke layak nhi hota, aise case me torn portion ko nikal dia jata hai jisko hum mastectomy operation kehte hain. Ye arthroscopy se kia ja skta hai. Ab last hum baat krenge cartilage ke bare me.

Ye ek soft layer hoti hai or iska regeneration bhut kam hota hai. Isme sports me bhut problem hoti hai or agar ye unattended rhe to joint khrab bhi ho jata hai. Is case ke lia surgical technique available hai jisko hum autologous chondrocyte implantation (ACI) or micro-fracture technique bolte hain. Iske through cartilage ki layer ko regenerate kia jata hai. Sports injury ko prevent kia ja skta hai agar aap apne aap ko warm up kren, apne muscles ki care kren, proper training len before going for any sport. Agar prevention ke baad bhi apko injury hoti hai to surgery ke through apko vapas sports me le jane ki koshish kar skte hain. Or ye successful kafi cases me rehta hai.

Thank You.

Hello,

Aaj hum joint pain ke bare me baat krenge. Knee joint jisko ghutna bhi bolte hain. Ye bhut hi common problem hai. Hmare pas bhut sare patients aate hain or iska karran puchte hain. Young patients bhi puchte hain ki isko hum kaise prevent kar skte hain taki hume old age me problem na ho. Hmare body ka load sabse jyada knee joints pe hi pdta hai. Agar aap overweight hain to apko knee pain hone ke chances badh jate hain. Sabse common problem hai degenerative arthritis. Ye age-related hota hai or isme joint ka surface ghis jata hai. Joint ke andar cartilage hoti hai. Ye joint ko painless rkhne ke lia bhut jruri hota hai and agar ye ghis jaye to ye pain krna shuru kar deta hai.

Jab ye advance ho jata hai to iska regeneration nhi hota hai. To hum maximum patients ko surgical treatment ke lia advice krte hain. Is condition ke symptoms kya hain. Patients ko pain hota hai. Day to day activity me dikkat hoti hai. Kayi bar legs tede ho jate hain. Ek dusra arthritis hai jisko hum bolte hain gathiya or rheumatoid arthritis. Ye ek bimari hai. Isme joint puri trha se destroy ho jata hai. Early stage me ye dawaiyon se control ho jata hai.

Or jab ye advance stage me hota hai to hum knee replacement hi advice krte hain. Ye surgery bhut successful hai. Is surgery me jo layer khrab ho jati hai use replace kr dia jata hai. Ise knee surfacing bhi kha jata hai quki isme sirf surface ko hi change kia jata hai. Ek new name hai jisko hum fast track ya enhanced recovery pathway total knee replacement. Isme hum new technology ka use krte hain through gadgets jo pain relief krne ke lia hota hai or ye post-operative dia jata hai.

Iske through patient 2-4 hours me hi kuch steps lene lag jate hain. Bed ke around vo aram se chal skte hain. Is s complications kam ho jate hain or patient ki recovery fast ho jati hai. Aaj kal gyroscopic navigation, blood loss reduction strategies, reducing pain modalities use krte hain or ise fir hum fast track knee replacement ka name dete hain.

Hello!

Mera naam Dr. Nargesh Agarwal hai. Mein pediatric orthopedic and deformity correction surgeon hun. Aaj me apke samne bachon ki ek aisi bimari jo bachon me janam se upasthit hoti hai, suke baare me batane ja rha hun. Jiska naam hai clubfoot. Clubfoot ko hum usually CTE k naam se bhi jante hain. Majority of parents mere se puchte hain ki ye bilkul correctable hai ya nhi hai, iska kya illaj hai. To mera answer hai ki ye almost 100% correctable hai. Lekin isme illaj hume jitna jldi ho sake utna jdli shuru krna dena chaiye.

Iilaj me humko plaster lgane hote hian. Jisme 4-5 plaster lgte hain. Uske baad me foot correct ho jata hai. Almost 10 se 7 bachon me choti si minor surgery ki jrurat pdti hai. Jisme hum jo piche se nus hoti hai, use dhilla krte hain. Vo day care procedure hota hai. Jise hum tenotomy k naam se jante hain. Parents mere se puchte hain, is surgery ka bache ke foot pe koi effect to nhi ayega? Nhi, bache k foot pe koi effect nhi aata. Jo tendon hum release krte hain, vo almost dubara se regenerate ho jata hai without any side-effect.

Or bachon ko future me chalne se is se koi dikkat nhi hoti. Bacha bilkul normal life jita hai. Isme humko correction k baad me braces dene hote hain. Un braces ko hum bolte hain DB splint or denic browne splint or CTV braces. Ye braces shuru k 3 mahine take, 23 hours in a day pehnane hote hain. Uske baad me 4 saal ki umar tak unhe pehnane hote hain jab bacha sota hai tab, night hours me ya fir din me jab bhi bacha soyega. Usually jo clubfoot hota hai, isme bache ko correction bada acha mil jata hai, Kayi bache hmare pas kafi der se aate hain. Suppose kro 6 mahine par, 1 saal me, 2 saale me aate hain. Jitna deri se hum iska treatment krate hain, usme correction me utni hi dikkat hoti hai.

Number of plasters bhi badh jate hain. Usme volume of surgery bhi badh jati hai. To mera kewal yhi salaha hai ki iilaj jldi se jldi krayein. In fact, within a week, within a month of life treatment start kr dena chaiye. Treatment bada hi simple hai. Plaster lgte hain. 4-5 plaster lgte hain. Uske baad me jrurat pdne par ek choti si minor surgery hai jisme baad me bachon ko brace dete hain. So, success rate is almost 95-98% and the results are very good. Aap is trha ki problem k lia, aap mere clinic pe aa skte hain,  budhwar or shaniwar shaam ko 5-7 available rehta hun aur budhwar or shaniwar, 2-4 afternoon me available rehta hun.

Thank You.

I am Dr Arpana Jain, senior gynecologist, attached with Fortis hospital Delhi.

Today we are discussing about cosmetic surgery related to vagina i.e., cosmetic vaginal surgeries. Because of increasing awareness and self-realization of the body, this surgery is in great demand. There are various procedures which we can do To improve the cosmetic problem related to vagina portion. One is vaginoplasty when the vagina lacks because of repeated childbirth, the vagina becomes very loose, and there is decreased sexual pleasure. To increase that, the vaginal uterus can be reduced with surgery, and other is labiality. It is basically the term for labia minora because the inner lip of labia which is very large because of that there is difficulty in walking and there can be difficulty in sexual relation also it leads to a lot of problems, and cosmetically it is also not good. The surgery can be done to reduce the size of this lip. And the other is hymenoplasty, this is a thin membrane over the vagina and after relation it is broken, to repair that membrane and to make the woman virgin again the hymen membrane can be stitched again to make woman virgin. Another point is labia major augmentation. Sometimes it is the outer lip of vulva, which is very thin which is cosmetically not very good, so it can be augmented with putting the backup fat below this to make it beautiful. Another is vulvar lipoclastic. When it is very thick, the labia is very thick, it is very full of backup fats sometimes it becomes very bad looking so it can be reduced by liposuction. Another is G point augmentation, and clitoral hood reduction, sometimes there is long skin layer on G point, it can be reduced the clitoral hood which can be reduced and these two surgeries G point augmentation and clitoral hood reduction is basically to improve the sexual desire. These cosmetic surgeries are increasing day by day to improve the sexual desire and pleasure and because of the cosmetic region, we are doing this which is really really fine.

Thank you so much and if you have any query or if you want to contact me you can come down to my office or you can take appointment through lybrate. Thank you so much.