"INDIA holds World's Largest Young and Productive Population "

World Society of Antiaging Medicine, Antiaging Medicine and Research, and World Anti-aging Network bring INDOMEDICON 2010, The Antiaging Aesthetic and Regenerative Conference cum Certification Course to India. This event will be held on 19th and 20th June 2010 @ Hotel Imperial palace Royal Palm, Mumbai.

The main goal of this event is to connect like minded Physicians who believe in the concept of health promotion and life span wellness medicine, not just medicine based on relief of symptoms. Integrative medicine is the new approach of Antiaging medicine and Age management medicine where we are fighting with premature aging and age related diseases and disorders to prevent diseases and disorders out of the scope of geriatrics and improve the quality of life even before its starts to decline.

It is very important for the Indian subcontinent as right now India holds the World�s largest and strongest youth population which has to be maintained for next 50 years minimum before baby boomer population hits the nation.

I personally invite you to join hands with us to promote the fastest growing specialty of Anti-aging, Aesthetic, Regenerative and Life Span Medicine movement for the future of our nation.
Let�s work together to keep our nation young, productive and healthy forever
Dr. Anoop Chaturvedi
International Scientific Advisor: World Society of Anti-aging Medicine
President: Antiaging Medicine and Research, India www.indomedicon.com
Founder: World Antiaging Network www.worldantiagingnetwork.com

With widespread availability and use of internet by both doctors and parents,it is really not possible to know how authentic the information available is?
source of information available on net is really amazing which is really helpful for. Its life information at finger tips and click of a mouse.
But this information may not always be authentic or upto date especially if it concerns a clinical case. Hardly there are websites in which u can post your clinical scenario with all investigations and get a second opinion. Even if they are available, these sites charge a heavy amount of fees.
Here is an attempt by us, any patient who requires any second opinion can write to us,I assure u a speedy response from my side( pediatric surgery cases will be given priority) , if you have any other medical/surgical problems even then do write,you will be provided second opinion or suggestion from list of specialist in their respective fields.

Hemorrhoids, or piles, is one of the most common and nagging disorders. By themselves, though hemorrhoids are rarely serious, they can be extremely troublesome. But in some instances, they may mask a more serious disorder, such as colon or rectal cancer.
Hemorrhoids are a dilated or enlarged vascular clusters which occur in and around the anus and the rectum. They may be external i.e outside the anus or internal and slip to the outside.
But, the latest in Biomedical engineering has replaced the conventional and cumbersome operative treatments by offering easy and effective methods for treatment of Piles without much discomfort, prolonged hospitalisation and anaesthesia.
Infrared Coagulation :
Among the best available non-invasive modalities for treatment of hemorrhods is the Infrared coagulator. It�s basic principle lies in coagulation of the hemorrhoidal vessels with the help of Infrared Rays. It is a State-of-the-art, user-friendly technology and takes only seconds to perform. There is less pain, fewer complications than a rubber band ligation.
DGU HAL :
1.A simple and easy procedure, it is optimized for adjunctive use in Hemorrhoidal Artery Ligation (H.A.L.).
2.It is a precise, rapid localization of hemorrhoidal arteries for ligation.
3.It is suitable for use during outpatient surgery for Goligher Degree I to IV, and prevents prolapse by anchoring the mucosa to the muscularis.
4.It is especially good for bleeding hemorrhoids.
5.There is minimal to no medication or anesthesia required and one can be back to work on same-day or next day.

Radiofrequncy Ablation :
The principle of Radiosurgery involves using radio waves at 5.0 to 6.0 mhz , delivered at low temperature through radiofrequency electrodes. This procedure can be done under local, regional or short general anesthesia. There is no postoperative stay required and the patient can resume work the next morning. It has an easy learning curve and can be performed as an outpatient procedure
PREVENTION :

Although there is no guaranteed way to prevent piles, it�s a good idea to avoid the causes.

1.A major cause of piles may be constipation, which is often simply treated with a high-fibre diet and water.
2.This diet may help to soften the stool, allowing it to pass through the back passage more easily.
3.Softer stool means reduced strain on the delicate tissue and blood vessels of the bowel.
4.Water is essential, and is especially important in helping to prevent constipation. It is recommended that adults drink 6-8 glasses, totalling 2 litres, of water per day. It may also be helpful to limit caffeinated drinks and alcohol.
5.Regular fibre in diet , A healthy diet may consist of 30 grams of fibre per day, which may include 5 servings of fresh fruits and vegetables.
6.Increase your amount of daily physical activity.
7.Lose weight.
8.Change bowel habits. Respond to the urge to defecate and stay relaxed to avoid straining.
9. Exercise the buttocks muscles.
10. Practice good personal hygiene. Keep the anal area clean and avoid using rough toilet paper.
11.Add stool softeners or laxatives to diet.[Consult your Doctor for prolonged use]

Consumption of bathroom cleaning acid is one of the most common methods of attempting suicide especially in young girls and most often this does not kill but leaves the patient in a very miserable state of affairs impairing their ability to swallow and subjecting them to multiple hospital visits, endoscopic treatment and quite often surgery. And not all of them will be cured by any of the medical and surgical measures.

Being easily available and cheap , bathroom cleaning acids are one of the commonest sources ingested for suicidal purposes. Accidental ingestion by toddlers and children is not uncommon.

These victims present with severe chest and abdominal pain, vomiting and burning sensation in the mouth which usually settles down in 2 - 3 days. They will then be able to swallow liquids and later solids. The real effect of acid injury to the food pipe will show after about 40-50 days after the incident when swallowing of liquids will also not be possible needing hospitalisation and treatment

The sordid saga will start from then on. Barium x-rays, endoscopic dilatation and often major abdominal surgery will be required to enable the patient to swallow. The involvement of mouth, voice box and upper food pipe makes surgery very difficult with poor outcomes. At times we resort ot silencing the voice box with a permanent tracheostomy to enable eating.

There will be huge drain on the family both emotionally and financially and the worst bit is that no one will have any sympathy to the patient.

Corrosive acid ingestion will not kill a person but will cause considerable damage. One has to be very careful with bathroom acids. these shouldnt be left in the bathroom within the reach of children.

Dr.Patta Radhakrishna MS MCh (GI Surgery)
Senior consultant Surgical Gastroenterologist
Apollo Hospitals, Chennai.

To be effective in treating stress, it�s important to be specific. With the Ayurvedic approach, we always try to target the etiological (causal) factors and then bring that area into balance. But we are careful not to create imbalance in other areas that may produce negative side effects.

Vata, Pitta and Kapha are the three psycho-physiological Ayurvedic principles (called doshas) that govern all the activities of the mind and body. A person enjoys perfect health if these principles are in perfect balance.
Each person�s constitution tends to be dominated by either one or two of these three doshas and very rarely by all three doshas. But whatever one�s constitution is, when a person goes out of balance, Vata destabilizes most easily. Vata is the dosha mainly affected by stress. We can explain this because Vata governs all movements in the body and the nervous system. This includes the in-and-out flow of the breath, the action of our limbs, the circulation of subtle energy in our organism, every current running through a nerve and the mind�s ceaseless flow of thoughts, words, and images. If there is too much movement in body or mind, which happens if stressed, the balance of Vata will be affected and imbalance created.

The nervous system becomes overstimulated with stress, creating an imbalance. Therefore Vata goes easily out of balance. Since dry, rough, airy, fast-moving, and irregularity are the core qualities of Vata, the Ayurvedic approach is to prescribe treatments, activities and foods that provide the opposite qualities: oiliness, grounding, slowness, heaviness, consistency and regularity.

There are three different manifestations of day-to-day stress from the perspective of Ayurveda - mental, emotional, and physical. Each requires different approaches and therapies.
Mental Stress
Mental stress, according to Ayurveda, is caused by an overuse or misuse of the mind. For instance, if you perform intense mental work many hours a day, or if you work long hours on the computer, it can cause an imbalance in Prana Vata, the mind-body operator concerned with brain activity, energy and the mind. The first symptom of Prana Vata imbalance is losing the ability to handle day-to-day stress. As the person becomes more stressed, it impacts mental functions such as dhi, dhriti, and smriti-acquisition, retention, and recall. The person�s mind becomes hyperactive, yet the person loses the ability to make clear decisions, to think positively, to feel enthusiastic, and even to fall asleep at night.
Therapies for mental stress
To address day-to-day mental stress, it is important to begin by managing mental activity. Secondly, you can take measures to pacify Prana Vata, for example, by:
� Favouring Vata-balancing foods, such as sweet, sour, and salty tastes, warm, nourishing, liquid and heavier foods
� Favouring warm milk and other light dairy products
� Performing a full-body warm oil self-massage everyday in the morning before the shower. This is called abhyanga in Ayurveda
� Doing breathing exercises (Pranayama) in the morning and evening
� Having a regular daily routine
� Eating meals at regular times and taking your time when you eat, avoiding eating on the run
� It is important to get plenty of rest, and if you are having trouble falling sleep, avoid stimulants like caffeine and sip on herbal tea instead. Relaxing aromatherapy and meditation can help calm the mind.
Emotional stress
Emotional stress can be caused by a problem in a relationship, the loss of a relative, or any situation that might hurt the heart. Emotional stress shows up as irritability, depression, and emotional instability. It affects sleep in a different way than mental stress - it can cause you to wake up in the night and not be able to go back to sleep.

Emotional stress disturbs Sadhaka Pitta, the mind-body operator concerned with the emotions and functioning of the heart.
Therapies for emotional stress
To balance emotional stress, you need to favour Pitta-pacifying foods and routine, such as:
� Favouring Pitta-pacifying foods such as the sweet, bitter and astringent tastes.
� Eating lots of sweet juicy fruits
� Drinking a cup of warm milk with cooling rose petal preserve or a pinch of fennel and cardamom before bed
� Cooking with Pitta-pacifying spices such as cardamom, coriander, cilantro (fresh coriander), fennel, and mint
� Going to bed before 10:00 p.m
� Taking regular breaks and time out avoiding overworking or trying to be an over achiever and Mr or Mrs Perfect. Moderation, don�t overwork.
� Keep cool. Avoid hot temperatures and food. Favour cool foods and drinks. Sweet, bitter and astringent tastes. Cool means at room temperature but not fridge or freezer temperature.
� Reduce spicy, pungent, sour, salty tastes and hot, oily foods.
� Allow for leisure time.
� Regular mealtimes, especially lunch at noon.
� Abhyanga (Ayurvedic oil massage) with cooling oil such as coconut.

All Pitta products: drink Pitta tea and season meals with Pitta churna (powder), practice cooling aromatherapy with Pitta aroma oil e.g. mint, sandalwood.
Physical stress
Physical stress is caused by misuse or overuse of the body, such as exercising too much or working for extended periods at a job that is physically taxing. This can cause a person to experience physical fatigue, along with mental fogginess, difficulty in concentrating, and dullness of the mind.

Excessive physical strain causes three sub-doshas to go out of balance: Shleshaka Kapha, the subdosha concerned with lubrication of the joints and moisture balance in the skin, Vyana Vata, which governs the circulation, nerve impulses and the sense of touch, and Tarpaka Kapha, which governs the neuro humors.
Another reason for physical stress can be too little exercise, which results in a sluggish digestion and the formation of ama, the digestive impurities that clog the channels. In either type of physical fatigue, the process of regenerating cells slows down, and thus the cells themselves become physically tired.
Therapies for physical stress
The solution is to balance Vata and to support Kapha to make the body more stable and nurturing, for example, by:
� Getting adequate rest and moderate exercise
� Taking breaks and time out
� Following a Vata-Kapha pacifying diet (like warm meals, not to light nor to heavy or oily, see your Ayurvedic practitioner for more particular information)
� Eating regularly and avoiding to eat on the run
� Performing the full-body warm oil self massage everyday