Question 1

My uncle's dealing with some heart blockages and is being advised to undergo this new MICS technique heart surgery at Apollo Bangalore by Dr. Sathyaki Nambala. He's a bit uneasy about it since this is a newer technique and he's anxious about the results. I couldn't find many reviews or info online, so I thought I'd check here to see if any doctors could share some insights. What are the risks involved, and is there anything specific he should be concerned about? Should he just stick with this new procedure, or go with the traditional method? Would love any advice or thoughts you might have.

Accepted Answer

In the case of your uncle's heart blockages, the Minimally Invasive Cardiac Surgery (MICS) technique is a modern approach that offers several benefits compared to traditional open-heart surgery. The MICS technique involves smaller incisions, reduced pain, faster recovery time, and lower risk of infection. However, as with any surgical procedure, there are risks involved. Some potential risks of MICS heart surgery include bleeding, infection, damage to surrounding tissues, and the need for additional procedures. It's important for your uncle to discuss these risks with Dr. Sathyaki Nambala and understand the specific risks based on his individual health condition. In terms of concerns, your uncle should be aware of the learning curve associated with newer techniques like MICS. While Dr. Sathyaki Nambala is experienced in this technique, there may be a slight increase in operative time during the initial learning phase. Your uncle should also inquire about the success rates of MICS at Apollo Bangalore and discuss any concerns he may have with Dr. Sathyaki Nambala. Ultimately, the decision to proceed with the new MICS technique or opt for the conventional method should be based on a thorough discussion between your uncle and his healthcare team. Considering the potential benefits and risks, as well as your uncle's individual health status, Dr. Sathyaki Nambala will be able to provide personalized guidance on the most suitable approach for your uncle's heart blockages treatment.

Question 2

I've been feeling dizzychakkar when I wake up these past couple of days. It happened to me a few years ago too, but it eventually went away on its own without any medication. I'm a bit worried now because I felt okay waking up yesterday, but the dizz...

Accepted Answer

Possible Causes_

1. _Typhoid fever relapse_: Although rare, it's possible that the typhoid bacteria (Salmonella Typhi) are still present in your system.
2. _Lymphadenitis_: Inflammation of the lymph nodes, which could be caused by a bacterial or viral infection.
3. _Tonsillitis or pharyngitis_: The sore throat and swollen lymph nodes could indicate a throat infection.

_Recommendations_

1. _Consult your doctor_: Share your symptoms and medical history with your doctor to determine the best course of action.
2. _Blood tests_: Your doctor may order blood tests to check for infection, inflammation, or other underlying conditions.
3. _Antibiotics or antiviral medication_: Depending on the diagnosis, your doctor may prescribe medication to treat the underlying infection.
4. _Rest and hydration_: Ensure you get plenty of rest and stay hydrated to help your body recover.

Question 3

I've noticed my wife has been dealing with breathlessness for the last 4 years. She often feels like she needs to take deep breaths just to feel comfortable, even when she's just sitting around doing nothing. Sometimes, these episodes of breathlessne...

Accepted Answer

Pregnancy and Urine Infection

_23 Weeks Pregnant with Recurring Urine Infection_

_Test Results_:

1. _RBC (2-4)_: Slightly elevated, indicating some bleeding in the urinary tract.
2. _Epithelial cells (25-30)_: Elevated, suggesting irritation or inflammation in the urinary tract.
3. _Pus cells (10-15)_: Elevated, indicating a bacterial infection.

_Recommended Actions_:

1. _Consult your obstetrician_: Inform your doctor about the test results and recurring urine infections.
2. _Antibiotics_: Your doctor may prescribe antibiotics safe for pregnancy to treat the bacterial infection.
3. _Urinary tract infection (UTI) prevention_:
    - Drink plenty of water to stay hydrated.
    - Urinate when you feel the need, don't delay.
    - Wipe from front to back to prevent bacterial transfer.
    - Avoid tight-fitting clothing and wear cotton underwear.

_Follow-up_:

1. _Repeat urine tests_: Schedule follow-up urine tests to monitor the infection and ensure it's clearing up.
2. _Monitor for symptoms_: Keep an eye on symptoms like burning during urination, frequent urination, or abdominal pain.

Question 4

I'm having trouble with semen discharge happening really frequently, sometimes even before or during intercourse. It's making me feel really embarrassed when I'm with my wife because it happens so quickly. Can you help me figure out what's going on a...

Accepted Answer

take small gaps before ejaculation

Question 5

I'm pregnant and experiencing a lot of vomiting. I've tried taking NVtab and NOSIC, but they don't seem to help. What else can I do to control the vomiting? Please advise.

Accepted Answer

A vaginal tear or hymenal tear can cause concern.

Possible causes:

- Physical trauma during sex
- Insufficient lubrication

Symptoms you've described:

- Mild pain when stretching legs
- Trace of blood after a day

Precautions:

- Keep the area clean
- Avoid strenuous activities
- Apply warm compresses for comfort

Consult a healthcare provider or gynecologist for a proper evaluation and guidance to rule out any infections or complications.

Question 6

Im worried because my 12-year-old brother accidentally took a zincovit tablet that expired and was manufactured back in July 2014. Could this cause any health problems for him?

Accepted Answer

Adjusting UniEnzyme Dosage for IBS-Related Bloating

_Consult your doctor before increasing dosage:_

1. _Dose escalation_: Your doctor may consider increasing the dosage to 2-2-2 tablets, but only under medical supervision.
2. _Potential side effects_: Higher doses may lead to gastrointestinal side effects, such as diarrhea, abdominal pain, or nausea.
3. _Alternative options_: If the increased dosage is not effective, your doctor may recommend alternative treatments, such as:
    - Probiotics
    - Antispasmodics
    - Low-FODMAP diet
    - Other enzyme supplements

_Schedule a follow-up appointment:_

1. _Re-evaluate symptoms_: Discuss your persistent bloating and stomach heaviness with your doctor.
2. _Adjust treatment plan_: Work with your doctor to adjust your treatment plan and find a more effective solution.

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I've been feeling dizzychakkar when I wake up these past couple of days. It happened to me a few years ago too, but it eventually went away on its own without any medication. I'm a bit worried now because I felt okay waking up yesterday, but the dizz...

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General Physician/ Internal Medicine

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