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Hepato Cellular Carcinoma: Not every belly ache is harmless.

“My husband came home one day from his office reporting immense abdominal pain. We thought it was caused by food poisoning. But the pain kept on returning. So, we consulted a doctor. After many tests, it was confirmed that my husband was suffering from a special type of liver cancer known as Hepato Cellular Carcinoma. In the weeks that followed, he underwent a surgery. After this prolonged surgery, he recovered quickly. Now, he is again back to his normal life.”

  • Swati Pandey, Patna

Swati’s husband was lucky; his family sought medical help without wasting much time. When diagnosed in the early stages, Hepato Cellular Carcinoma can be completely cured with surgery or liver transplant.

What is Hepato Cellular Carcinoma?

Hepato Cellular Carcinoma is a type of liver cancer. It is different from the Metastatic (secondary) liver cancer. In the Metastatic liver cancer, the cancerous cell spread to the liver after they have started in another organ (breast or colon in most instances). While the secret of Hepato Cellular Carcinoma lies in some past medical history or lifestyle issues. Most new liver cancer patients reported each year have Hepato Cellular Carcinoma. This health problem has been diagnosed extensively in patients over 50 years old.

Be on look out

As mentioned before, medical intervention on time can help one get over this liver cancer completely.

Hepato Cellular Carcinoma is mostly caused by a medical issue in the past. This puts the people who have suffered from the below mentioned medical conditions at high risk:

  • Hepatitis B or C: If a person has suffered from these liver infections in the past, then there is a high probability of Hepato Cellular Carcinoma. Though one might have been cured many years ago, but the infections can form lumps over time and cause liver cancer. Simple blood tests can tell whether a person had Hepatitis B or C in the past.
  • Cirrhosis: It is a serious liver condition whereby the cells in the liver are damaged and they are replaced by scar tissues. Cirrhosis can be caused by hepatitis B or C infections, side effects from certain drugs, excessive alcohol consumption or excessive iron stored in liver. Patients who get over the Cirrhosis of liver, often suffer from Hepato Cellular Carcinoma at a later date.
  • Iron storage in Liver: Under this medical condition, there is too much iron stored in the liver and many other organs. This weakens the liver functioning, making it a candidate for Hepato Cellular Carcinoma attack.
  • Excessive drinking habit: Having more than a couple of alcoholic drinks a day, for an extended time, is not ideal for the health. Excessive alcohol weakens the liver and it is prone to Hepato Cellular Carcinoma. The more a person drinks; there is higher risk of such liver cancer.
  • Obesity or Diabetes: Obesity often leads to high deposits of iron in the liver and other organs. While diabetes patients have to intake large quantities of insulin to stay healthy, that again affects the liver. Under both these conditions, Hepato Cellular Carcinoma can affect the body.

Warning bells are ringing

Just like every other type of cancer, body of the patient sends out certain signals. It is imperative that these signals are identified and action is taken on time. So, if the below given symptoms exists waste no time in seeking medical help:

  • Abdominal pain (especially in the upper right part of the abdomen)
  • Enlarged abdomen
  • Bruising and bleeding that is caused very easily
  • Sudden and unexplained weight loss
  • Yellow eyes or skin (signs of Jaundice)

Get it diagnosed

When you suffer from any of the above given symptoms and have a medical history or lifestyle issue mentioned before, you should hurry to seek medical consultation. The doctor will listen to your discomforts, perform physical examinations and suggest certain tests to ascertain suspicions of Hepato Cellular Carcinoma. These tests include:

  • Blood tests
  • CT Scan of Abdominal area
  • Ultrasound of Abdomen
  • Liver biopsy
  • Liver functions tests
  • Liver MRI
  • Serum alpha fetoprotein

Path to Cure

There are many treatments available to cure patients suffering from Hepato Cellular Carcinoma. The doctors decide on the right course of treatment depending on the stage of cancer, health of the patient and test results. Following are some of the treatment methods:

Non-surgical Methods

  • Radiation therapy: In this process high energy rays are transmitted into the body with an intention of killing the cancer cells. There are two types of radiations used External (targeting a specific spot) or Internal (injecting radioactive particles into the artery sending blood to the liver).
  • Chemotherapy: The doctors use a thin tube, inserted into the artery supplying blood to the liver, to pass Chemo drugs. The aim is to kill the tumor by not allowing blood pass through.
  • Alcohol injection: Also known as Percutaneous ethanol injection, this process is performed under local anesthesia. First of all, ultrasound scan using sound waves to find structures within the body is conducted. With this report as a guide, the doctor puts a thin needle through the tumor and injects the alcohol, destroying the cancer cells in the area.
  • Cryoablation & Radiofrequency Ablation: In the Cryoablation, the doctor would administer local anesthesia to the patient, then a metal probe would be inserted into the body. A cold gas would be passed through the probe into the affected area, killing the cancer cells. While in the Radiofrequency Ablation, the same process is followed but here electric current is used to heat up and destroy the cancer cells.

Surgical Methods

  • Partial Hepatectomy: The surgeon removed a part of the liver which has the cancer cells through an incision made in the abdomen area. The time for recovery varies from one patient to the next, and pain or discomfort in the abdomen area is common. Many patients have reported a feeling of diarrhea or fullness of stomach after the surgery. But all these symptoms reside soon.
  • Liver Transplant: If the surgeon does not deem it possible to remove the tumor through Partial Hepatectomy, then liver transplant would be recommended. This is a lengthy process, where a suitable donor is needed and this may take a fair deal of waiting. In the meantime all the non-surgical treatments would be administered to keep the cancer under control. After the successful transplant, patients may have to stay at the hospital for up to 3 months and may take 6 months before moving back to normal life. During this time, various drugs would be suggested to make sure that the body does not reject the new liver.

In most cases Hepato Cellular Carcinoma would be completely cured with the aid of above given treatment choices. But in some cases it may recur, so frequent visits to the doctor and keeping a close eye on the symptoms is essential.

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Injections For Knee Osteoarthritis & Their Facts

The best knee surgeons in Delhi NCR and India can offer a variety of treatments to relieve your symptoms. And of the most common treatments are inject medication into your knee. Some people find it painless and quickly effective whereas other people find them with full of side effects. The best thing is to know about before opting for it.

There are different types of injections, and they’re an important part of treating knee osteoarthritis for many people who are suffering severe knee issue. Injections can be especially helpful for people who haven’t gotten relief from NSAIDs like ibuprofen, or people who can’t take those drugs due to side effects.

What Is Osteoarthritis?

Osteoarthritis is a degenerative disease and a common form of arthritis that very often affects the joints, especially knees. It develops when the cartilage, the smooth covering that protects the bones in the joint breaks down. The surface of the bones becomes damaged, causing pain, swelling, stiffness, and disability. If it is not treated early and properly, it can cause immobility to the person and even sometimes so severe that the person can’t do their daily chores.

How Knee Injections Work

The first and foremost task is that your doctor will give you a shot of anaesthetic to numb your knee. He or she may use a needle to draw out any extra fluid that’s in or around your knee. After that, you’ll get the pain-relieving injection, usually just below your kneecap. Take care while having the shot though the inject will not hurt you, and the drug will work throughout the joint.

Different treatments have side effects that you should discuss with your doctor beforehand. The two most common types of knee injection for OA are Corticosteroids and Hyaluronic acid.

Reduce Inflammation With Steroids

Corticosteroid injections

Corticosteroid injections are more useful that the hyaluronic acid as it treats flare-ups of osteoarthritis pain and swelling with fluid buildup in the knee. These injections help relieve knee problem’s symptoms by reducing inflammation in the joint.

Surgivisor is presenting you some facts regarding the injection that you need to know:

  • They work fast and in a short span of time – usually within 24 to 48 hours.
  • The pain relief lasts from 6 to12 weeks, according to the intensity of your pain and its source.
  • Avoid using them more frequently. A corticosteroid shot often works best the first time and after that, they tend to give less relief.
  • Patients can use these shots two to three times a year. Using them too often may damage cells in the knee that make cartilage.

Hyaluronic Acid

Most of the fluid in a healthy knee is hyaluronic acid and to retain that, this injection is introduced. When the knee have started showing symptoms of knee osteoarthritis, the hyaluronic acid in your knee thins. This is why best knee replacement surgeon in Delhi NCR and India opt to inject more hyaluronic acid into your knee to boost the supply.

Thought this injection shot is not the first or traditional approach. But in some cases, they are suggested by the surgeons and doctors:

  • Your symptoms aren’t improved by pain-relief medications or non-drug treatments.
  • You can’t take other pain relievers.
  • A steroid shot doesn’t help enough.
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10 Best Exercises Helpful After Hip Replacement Surgery

Surgivisor advices you to begin your treatment or take any type of action after consulting with your hip replacement surgeon in Delhi, NCR and India. It is very important to consult with your physiotherapist and surgeon first because they will tell your immune system, level of hazard you have gone through with and time of recovery you will take. And only after these facts, the type of exercises will be recommended.

Though it is very important to exercise after surgery to increase the strength and flexibility in your new hip, it is also very important to know your body strength level first. Do you know that recommended exercises help to prevent blood clots? Yes, and this is why most of the orthopedic surgeons advice to do exercises as a necessary attempt. After hip replacement surgery, you may feel uncomfortable at first and a bit difficult but it will soon become normal like everyday activities sooner. You can increase the intensity of doing these exercises or can repeat repeat each one every day. Keep up the balance and repeat the exercises on both legs to make them equally strong and flexible. Do them slowly and with control.

Exercise 1: Increase Hip Flexibility And Strength

  1. Lie on your side with hips and knees bent and a pillow between your knees.
  2. Keep your feet together.
  3. Do not twist or use your back muscles.
  4. Lift the top knee off the pillow like a clam shell opening.
  5. Hold for a count of 3 to 5 and slowly lower the knee to the pillow. Repeat.

Exercise 2: Increase Hip Flexibility And Strength

  1. Lie on your side with the bottom leg bent to stop you from rolling onto your back.
  2. Keeping the top leg straight, lift it toward the ceiling making sure you do not roll forward or backward.
  3. Slowly lower the leg. Repeat.

Exercise 3: Increase Hip Flexibility And Strengthen Hips And Stomach Muscles

  1. Lie on your back with one leg bent.
  2. Tighten your stomach muscles and lift your bent leg being careful not to bend it more than 90 degrees.
  3. Keeping your stomach muscles tight, slowly lower the leg back to the starting position. Repeat. And discuss this exercise with your hip replacement doctors in Delhi, NCR and India.

Exercise 4: Strengthen Hips

  1. Lie on your stomach.
  2. Tighten your buttocks and lift one leg.
  3. Hold for a count of 3 to 5 and slowly lower your leg. Repeat.

Exercise 5: Increase Leg Flexibility And Strengthen Back Thigh Muscles

  1. Lie on your stomach with your legs straight.
  2. Bend one leg, lifting the heel toward your buttocks.
  3. Slowly lower your leg to the starting position. Repeat.

Exercise 6: Strengthen Front Thigh Muscles

  1. Sit in a steady chair and place an elastic loop around both ankles.
  2. Lifting your first foot, straight your leg while keeping the other foot on the floor as you stretch the elastic loop.
  3. Slowly lower your foot and return to the starting position. Repeat.

Visit to know more about hip replacement cost in Delhi, NCR and India.

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