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Angiography and angioplasty are two procedures that save lives.

Angiography

When a person suffers from angina or chest pain or coronary artery disease which is narrowing of the coronary arteries then that person is at an increased risk of having myocardial infarction, which is known as heart attack.

In order to determine the extent of risk of having a heart attack the physician may recommend a procedure that will identify any serious issues related to cardiac condition before they progress. This procedure is known as angiography.

An angiography is an examination of arterial blood vessels to look out for blockages in blood circulation. This procedure allows doctors to look at blood vessels in great detail using X-rays.

If the doctors locate a narrowed portion or stenosis of a blood vessel during the angiography procedure they may stretch it or widen it straightaway using a procedure called an angioplasty.

The angiography uses X-rays to reveal the ‘route maps’ of the blood vessels and arteries in the heart. Angiography also gives detailed information about the function of the heart as well as blood pressure and the supply of oxygen to the heart as well as the levels of oxygen in the blood as it passes through the heart.

Angioplasty is a procedure to expand narrow arteries that may follow on from angiography.

Both angiography and angioplasty procedures are done in hospital under local anesthetic.

Angiography is a procedure in which you will likely be sedated and doctor will insert a needle into an artery in your groin and inject the patient with a special dye called ‘contrast medium’ through a thin tube called as catheter which make more prominent any potential difficulties or abnormalities in the blood vessels.

This procedure is generally safe, painless, and is generally successfully completed within two hours.

Side effects of angiography consists of bruising or feeling of soreness for a few subsequent weeks.

Moreover, the procedure can incur some several severe complications such as an adverse reaction to the dye, or shortness of breath, stroke, or kidney damage due to internal bleeding. In most cases, even the serious side effects associated with an angiograph are both temporary and treatable.

In most conditions, even the serious side effects due to angiography is treatable and is temporary.

Angioplasty

Depending on the results of the angiography and the severity of any blockages detected the surgeon might carry out an angioplasty procedure to prevent major surgery.

During angioplasty a catheter is placed through the arterial blockage and the cardiovascular surgeon moves through the blockage guided by X-rays before positioning an inflatable balloon in the obstructed area. The ballon contains water pressure that exceeds the level of accumulated blood pressure this removing the blockage and making blood to flow once again through. This procedure is also known as balloon angioplasty. If it becomes impossible to clear the blockage, the vascular surgeon may place a stent to hold the arterial walls apart to increase blood flow.

Dr. Ashwin Mehta

There are many specialists in this field of angioplasty. In India, one of the pioneers in the field of cardiology is Dr Ashwin Mehta who is an cardiogist from Jaslok Hospital in Mumbai.

Jaslok Hospital

Jaslok Hospital was set up in 1973 with a mission to provide best medical care to every single patient.

Dr. Ashwin Mehta is one of the best and well-known Cardiologist in Mumbai. He has more than 38-year’s experience behind him and is Director of Cardiology at Jaslok Hospital & Research Centre, Mumbai. Jaslok Hospital is situated at Peddar Road, South Mumbai facing the Arabian Sea.

During his medical practice and academic career, he has received innumerable awards and honors. Dr. Mehta was awarded the prestigious Padmashree National Award in 2004. He has also been very active on the academic front during his entire career.

Dr. Mehta has taught hundreds of medical students.

Presently at the DNB Board, and earlier for over 25 years he is the Honorable Professor of Cardiology at the University of Mumbai and then at Lokmanya Tilak Municipal Medical College, Sion, Mumbai.

Dr. A.B. Mehta has been an invited as a faculty at events in France, China, Japan, Italy, USA, Sri Lanka, and Singapore, for demonstrating techniques of Angioplasty.

Dr. A.B. Mehta has been an Examiner for the DM Cardiology examination at Pune, New Delhi, Ahmedabad, Kolkata, and other cities in India.

Ashwin Mehta is recognized for his pioneering work in India in Angiography and Cardiac Catheterisation in newborn babies and was also the first to introduce His Bundle Electrography in India and Primary Angioplasty in Acute Myocardial Infarction with the first systemic trial.

Dr. Mehta has performed as well as supervised more than 10,000 Angioplasties and over 50,000 Angiographies. Dr. Ashwin Mehta has conducted numerous teaching seminars, conferences, and meetings, where he has also actively participated in the presentations and deliberations.

His areas of interest are Coronary Interventions, rotablation balloon, valvotomy, trans catheteraortic valve replacement, angiography and angioplasty.

Awards and Recognitions

Dr. Ashwin Mehta is a cardiologist and has been honoured with numerous awards.  He was awarded the CTO – Man of The Year Award (2008), this award is first of its type, for the Indian Chapter of 2nd Indo European Course on Revascularization (IECR/IEIC) which was presented at New Delhi on 20th December 2008. He was also awarded Life Time Achievement Award at the 1st IJCTO meet, at Mumbai on 8th June 2013.

He was awarded Golden Contribution Award received at AICT 2012 at New Delhi, on 6th Oct. 2012. He was also honoured with Padmashree Award from the Goverment of India in 2004

He was honoured with Maharashtra Gaurav Award for the Most Outstanding Contribution in Cardiology, by the Government of Maharashtra in 2004. He was given the Distinguished Doctor Award Presented by the Indian Medical Association, Mumbai Branch on “Doctor’s Day”, 1st July 2008.

He was given the Mahavir Mahatma Award for Oneness and Towards Social Upliftment (Times Foundation, 2006). 2006.

Logintohealth is a digital healthcare service that makes it the for the patients to interact with the best doctors in the country and get consultations from them. This portal enables online consultation with the best doctors and patients can get medical advice and opinions online.

If a person wants to get an appointment from one of the best doctors at the top hospitals, appointments can be booked online. Thus this portal makes it easy for patients to get access to quality healthcare.

Also known as Piles, hemorrhoids are collections of inflamed tissue in the rectum. Piles comprise of blood vessels, support tissue, muscle, and elastic fibers. They can have a range of sizes. Piles may be internal or external. Internal piles are located between two and four centimeters above the opening of the anus. They are the more common type. External hemorrhoids occur outside on the edge of the anus.

Many people have piles, but the symptoms are not that common. Piles usually don’t require treatment, but sometimes, it can grow big and doesn’t heal on its own. In such cases, treatment is necessary.

Normally, the symptoms of piles are not serious and resolve on their own after a few days.

Symptoms

If you are suffering from piles, you may experience the following symptoms:

A hard, possibly painful lump around the anus. If it contains coagulated blood, then it will be called thrombosed external hemorrhoids.

A person may experience the feeling that the bowels are still full, after passing a stool.

Bright red blood after a bowel movement.

The area around the anus is itchy and sore

Pain occurs during the passing of a stool.

Excessive anal bleeding

Fecal incontinence

Treatments

As already mentioned, piles resolve on their own and don’t need any treatment. But some treatments can help significantly lessen the discomfort that many people experience with piles.

Lifestyle changes

Research has proved that diet and body weight has a strong link with the risk of developing piles. To prevent piles or even treat the condition, eat a high fiber diet and manage weight. Physicians usually recommend lifestyle changes to manage piles.

Straining during bowel movements is one of the biggest causes of piles. Excessive straining is usually the result of constipation. Making changes in your diet plan can help you keep the stools regular and soft. Your diet should involve more fiber, such as fruit and vegetables or breakfast cereals. A doctor may also advise to increase their water consumption and to avoid caffeine. Losing weight may help decrease the incidence and severity of piles. To prevent piles, physicians also advise exercising. Exercising is one of the main therapies for hemorrhoids.

Medications

There are several medicinal options that one can avail to make the symptoms of piles more manageable. OTC medications are available over-the-counter or online. Medicines include painkillers, creams, ointments, and pads, and can help alleviate redness and swelling around the anus.

OTC does not cure piles but can help the symptoms. You must not use them for more than seven days in a row. This is because they are known to cause further irritation of the area. Do not use different medications at the same time unless medical professional advised you to do so.

The doctor may prescribe corticosteroids to reduce inflammation and pain or laxatives if you suffer from constipation. These medicines can help the person pass stools more easily. They also reduce pressure on the lower colon.

Surgery

Around one in ten people with hemorrhoids will end up needing surgery.

One of the techniques used is banding. In this method, the surgeon places an elastic band around the base of the pile. This cuts off its blood supply. Due to which, after a few days, the pile falls off.

Sclerotherapy is the method that is employed to treat piles. Here, medicine is injected which shrinks hemorrhoid, which eventually shrivels up.

Piles can also be treated with infrared coagulation.  The surgeons also refer to it as infrared light coagulation. In this method, they use a device to burn the hemorrhoid tissue.

Another method that doctor use, is hemorrhoidectomy. Here, the excess tissue is surgically removed. This can be done in various ways. It can involve a combination of a local anesthetic and sedation, along with a spinal anesthetic, or a general anesthetic. It is the most effective for completely removing piles. However, there is a risk of complications, such as urinary tract infections and difficulties with passing stools.

Hemorrhoid stapling is a technique in which the surgeon blocks the blood flow to the piles’ tissue. The procedure is normally less painful than hemorrhoidectomy. But this procedure can lead to an increased risk of hemorrhoid recurrence. It can also cause rectal prolapse where the part of the rectum forces out of the anus.

The correct specialist for this is a general surgeon or a gastro intestinal surgeon. DR Adarsh Chaudhary at Medanta Hospital Gurgaon is a general surgeon who specializes in piles surgery among other procedures. Dr. Adarsh Chaudhary having worked and trained in UK and United States is a doctor with a rich experience in gastrointestinal surgeries and procedures. Dr Adarsh Chaudhary was one of the key people involved in starting the first departments of Surgical Gastroenterology in India. Dr Adarsh Chaudhary has has to his credit a number of highly prestigious awards and he has been inducted in to medical bodies like his fellowships at the Royal College of Surgeons, Edinburgh and also the World Health Organization (WHO), USA.

The Medanta Medicity Hospital Gurgaon is a multi-speciality hospital par excellence. It is one of the largest hospitals in Gurgaon with over 650 beds and caters to patients from India and abroad. The Medanta Hospital is also JCI and NABH accredited which are the most sought after and respected accreditations.

A liver transplant is a procedure that is performed to replace a diseased liver of a person with a healthy liver from another person. The liver may come from a dead organ donor or from a living donor. Individuals who are unrelated but make a good match or family members may be able to donate a portion of their liver. This type of liver transplant is called a living transplant. People who give a portion of their liver can live normal lives with the remaining liver as it is the only organ in our body that can regenerate. A transplanted portion of a liver can regrow to normal capacity within weeks.

There Are Two Major Types Of Liver Transparent

Cadaveric Transplant: The majority of livers which are transplanted come from organ donors who have died. Organ donors are adults or kids who have become critically sick and will not survive as a result of their illness. This type of liver transplant is called a cadaveric transplant. A person receiving a transplant may either get a whole liver or a portion of one. And this transplant type is quite a common procedure in popular premises like manipal hospital.

Living donor transplant: Living family members can also choose to donate a section of their liver. This type of liver transplant is called a living-related transplant. It has been recorded that children receiving a partial liver seem to do as well as the kids who receive a whole liver. Relatives who donate a part of their liver can live normal lives with the segment that remains.

Usually, a liver transplant is the last resort to fix a liver disease.  Diseases that can lead to a liver transplant are as follows:

Biliary Atresia

Biliary atresia is a rare disease that affects the liver and bile ducts. It occurs in infants. In this disease, the bile ducts outside and inside the liver are injured and blocked. Bile can’t flow into the intestine, so bile builds. The symptoms of the disease usually appear between 2 and 6 weeks after birth. The baby will appear jaundiced, yellowing of the skin and whites of the eyes. The other symptoms may include hardening of the liver and swelling of the abdomen. Stools may also appear pale grey and the urine dark.

Alpha-1 Antitrypsin Deficiency

Also called AAT deficiency, it is a genetic disease, passed down from parents to their children. Alpha-1 Antitrypsin can cause serious lung disease that makes it hard to breathe. It can also cause liver disease that leads to jaundice, which makes the skin look yellowish. There is no cure, and if not managed, it can lead to cirrhosis and liver failure.

Acute And Chronic Hepatitis

Hepatitis occurs when the liver gets inflamed. It’s commonly caused by a viral infection, but it can be caused by autoimmune diseases, medications, drugs, toxins, and alcohol. There are five types of viral hepatitis and are classified as hepatitis A, B, C, D, and E. A different virus causes a different type of virally transmitted hepatitis. Hepatitis A is usually an acute, short-term disease. Hepatitis B, C, and D are most likely to become chronic. Hepatitis E is usually acute. However, it can be unusually dangerous in pregnant women.

Fatty Liver Disease

Fatty liver disease, also called steatosis, is the build-up of excess fat in the cells of the liver. It is a common liver disease in Western countries. About one in every ten people have this condition. A normal liver also contains some fat. But sometimes, fat accounts for more than ten percent of the liver’s total weight. When that happens, the person has a fatty liver and may develop more serious complications.

Fatty liver may cause no damage. But sometimes the excess fat leads to inflammation of the liver. This condition is called steatohepatitis. It causes liver damage. If alcohol abuse is the reason for fatty liver and inflammation, then is called as alcoholic steatohepatitis. If not, then the condition is called non-alcoholic steatohepatitis (NASH).  Both types of steatohepatitis are the leading cause of cirrhosis, which is the scarring and hardening of the liver over time. It is serious and often leads to liver failure.

Liver Cancer

Liver cancer is another major cause for liver transplantation. It is a type of cancer that starts in the liver. Although some cancers develop outside the liver and spread to the area, only cancers that start in the liver are described as liver cancer. In liver cancer, the liver cells mutate and grow uncontrollably. Liver cancer can only be treated by surgery, chemotherapy, radiation therapy, or liver transplant under the supervision of highly experiences general surgeon. Such a professional supervision is available in institutes like Manipal hospital whitefield.