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THD surgery, particularly Transanal Hemorrhoidal Dearterialization (THD), is a minimally invasive procedure used to treat hemorrhoids. This technique focuses on reducing blood flow to hemorrhoidal tissue, thereby reducing swelling and discomfort.

Procedure:

• Anesthesia: THD surgery is typically perform under local anesthesia with sedation or general anesthesia, depending on the patient’s preference and the surgeon’s recommendation.

Technique:

1. Insertion of Proctoscope: A specialized proctoscope is inserted into the anus to access the hemorrhoids.
2. Doppler Ultrasound: The proctoscope is equipped with a Doppler ultrasound probe to locate the hemorrhoidal arteries.
3. Ligation of Arteries: Using Doppler ultrasound guidance, the surgeon identifies the arteries that supply blood to the hemorrhoidal cushions. These arteries are then ligated (tied off) using sutures or a special thread that also delivers a gentle electrical current to seal the artery.
4. Shrinkage of Hemorrhoids: By reducing the blood flow to the hemorrhoidal cushions, the procedure aims to shrink and reduce the size of the hemorrhoids.

Advantages:

• Minimally Invasive: The surgery is perform through the anal canal, avoiding the need for external incisions.
• Reduced Pain: Patients typically experience less pain compared to traditional hemorrhoidectomy.
• Shorter Recovery: Recovery time is generally quicker, with most patients able to resume normal activities within a few days.
• Low Risk of Complications: There is a lower risk of complications such as anal stenosis (narrowing of the anal canal), which can occur with more invasive procedures.

Effectiveness:

• THD surgery is effective for treating grades 2 and 3 hemorrhoids (those that protrude through the anus during bowel movements).
• Long-term success rates are generally good, with many patients experiencing relief from symptoms.
• Studies and clinical use have shown that THD surgery effectively manages hemorrhoidal symptoms and reduces the recurrence rate, making it a reliable option for long-term relief.

Versatility:

• THD can be use to treat various grades of hemorrhoids, from less severe internal hemorrhoids to more advanced cases that might traditionally require more invasive surgery.

Conclusion:

THD surgery offers a less invasive alternative to traditional hemorrhoidectomy for treating symptomatic hemorrhoids. It is important to consult with a colorectal surgeon to determine if THD surgery is appropriate for your specific condition and to discuss the potential risks and benefits.

Mr. S, a 63-year-old male, presented with a history of progressive abdominal distension spanning 8 years, intensifying notably over the past 6 months. His symptoms included severe discomfort, disrupted sleep patterns, and recent bilateral pedal edema extending up to the knee joints. Additionally, he reported experiencing severe back pain that significantly impeded his daily activities. 

Clinical examination revealed bilateral pedal edema and a massively distended and tense abdomen. A large mass measuring 50x50x40 cm occupied all quadrants of the abdomen, causing vertical stretching of the umbilicus. Lower abdominal wall edema was also observed. Despite the massive tumor burden, bilateral scrotal gonads were normal, and no palpable left supraclavicular nodes were detected. 

Diagnostic imaging, including a Contrast-Enhanced Computed Tomography (CECT) of the abdomen, depicted a large heterogeneous mass with fatty, solid, and calcified components. The tumor displaced bowel loops superiorly and compressed the aorta and inferior vena cava (IVC). The urinary bladder was displaced laterally due to the mass’s size and location within the retroperitoneal space. Subsequent PET CT confirmed the absence of distant metastases. 

Laboratory investigations, including tumor markers such as AFP, Beta HCG, LDH, CEA, and CA 19-9, were within normal limits, indicating no evidence of metastatic spread. 

A multidisciplinary tumor board, comprising oncologists, surgeons, radiologists, and nuclear medicine specialists, recommended surgical intervention due to the tumor’s size and associated symptoms. On June 4th, 2024, Mr. S underwent a complex laparotomy for excision of the retroperitoneal tumor following bilateral ureteric catheterization. The intricate procedure lasted 5 hours and involved a surgical team led by Dr. Mohammed Basheeruddin Inamdar, Consultant Surgical Oncologist, supported by Dr. Omar Hnaidi, Consultant Urology, and Dr. Mohammed Eid Ali, Consultant Anesthesia. The surgery addressed challenges such as severe compression on major vessels (IVC, Aorta) caused by the massive tumor. 

Postoperatively, Mr. S experienced minimal blood loss and a smooth recovery, leading to discharge on the 6th day after surgery. The procedure significantly alleviated his symptoms and improved his quality of life. 

This case highlights the critical role of multidisciplinary collaboration in managing rare and complex tumors like retroperitoneal liposarcomas. It underscores the importance of early diagnosis and timely surgical intervention to optimize patient outcomes and restore functional health. 

Kidney stones are a prevalent health issue, particularly among men. These painful deposits can significantly affect quality of life, but fortunately, there are effective strategies to prevent their formation. This article offers practical tips for men to incorporate into their daily routines to reduce the risk of developing kidney stones.

Understanding Kidney Stones

Kidney stones are hard deposits made of minerals and salts that form inside the kidneys or urinary tract. They can vary greatly in size and may cause severe pain when passing through the urinary system. The most common types of kidney stones are calcium oxalate, uric acid, and struvite stones. Key contributing factors include dehydration, diet, and certain health conditions.

Preventive Measures for Men

1. Stay Hydrated: Drinking at least 8-10 glasses of water daily helps keep the urine diluted and prevents the minerals in your urine from crystallizing into kidney stones.
2. Watch Your Diet: Avoid high-oxalate and high-purine foods which contribute to stone formation. Foods to limit include spinach, nuts, red meat, and shellfish. Emphasize a balanced diet rich in fruits, vegetables, and whole grains.
3. Maintain a Healthy Weight: Being overweight increases your risk of kidney stones. Engage in regular physical activity and follow a nutritious diet to manage your weight effectively.
4. Monitor Sodium Intake: High sodium levels can increase calcium excretion, leading to stone formation. Reduce intake of processed foods and choose fresh, low-sodium alternatives.
5. Limit Alcohol and Caffeine: Both can dehydrate your body. Moderate your consumption of these beverages and ensure you balance them with plenty of water.
6. Increase Citrus Consumption: Citrus fruits like lemons and oranges contain citrate, which can help prevent stone formation by binding with calcium in the urine.

Conclusion

Preventing kidney stones doesn’t just spare you from significant pain; it also contributes to your overall well-being. By staying hydrated, managing your diet, maintaining a healthy weight, and monitoring your intake of sodium, alcohol, and caffeine, you can significantly reduce your risk of kidney stones. Embrace these strategies to safeguard your kidneys and enjoy a healthier, more comfortable life.

At Burjeel Royal Asharej, our pediatric experts emphasize the critical role of the measles vaccine in preventing the disease. Particularly important is the support dosage, which is essential for reinforcing immunity in children. This post delves into the importance of this dosage, explaining how it helps secure long-term protection against measles.

What is Measles?

Measles is a highly contagious viral infection transmitted through respiratory droplets. It starts with symptoms akin to a cold, such as fever, cough, and runny nose, progressing to a red rash that spreads from the face to the rest of the body. Measles can lead to severe complications like pneumonia, encephalitis, and hearing loss.

The Importance of the Measles Vaccine

The measles vaccine, administered in two initial doses at ages 12 to 15 months and then at 4 to 6 years, is the most effective method to prevent measles. The support dosage at 4-6 years strengthens the child’s immune response and ensures enduring protection.

Why is the Support Dosage Important?

• Boosting Immunity: The support dosage bolsters the immune system’s response to the virus.
• Community Protection: It aids in establishing herd immunity, thus safeguarding the community, including those who cannot be vaccinated.
• Preventing Complications: It ensures robust protection against serious measles complications.

Tips from Pediatric Doctors at Burjeel

Our pediatricians at Burjeel Al Ain recommend:

• Check Vaccination Records: Ensure your children have received all their measles vaccine doses on schedule.
• Consult Your Doctor: If you have any concerns about the vaccine or its support dosage, consult your pediatrician.
• Community Awareness: Share the importance of the support dosage with others to enhance community protection.

Conclusion

The support dosage of the measles vaccine plays a vital role in protecting our children and ensuring their healthy future. By adhering to vaccination schedules and spreading awareness, we can prevent measles outbreaks and protect our community. For more information, visit Burjeel Royal Asharej and speak with our pediatric team.

Stay connected for more health tips and information on the vital importance of vaccinations for your children’s health and safety.

As an endocrinologist, I often see patients grappling with a variety of endocrine disorders, including hypoparathyroidism. Despite its rarity, this disorder can significantly affect an individual’s life. This blog post will explore the causes, symptoms, and treatment options for managing hypoparathyroidism effectively.

What is Hypoparathyroidism?

Hypoparathyroidism is a rare endocrine disorder characterized by inadequate production of parathyroid hormone (PTH) by the parathyroid glands. These glands are vital for regulating calcium and phosphorus levels in the body. Insufficient PTH leads to decreased calcium levels in the blood, which can cause various symptoms.

Causes of Hypoparathyroidism

• Acquired Hypoparathyroidism: Often results from damage to the parathyroid glands during thyroid surgery, autoimmune disorders, or other medical treatments.
• Congenital Hypoparathyroidism: Present at birth, this form can be due to genetic factors or developmental abnormalities.

Symptoms of Hypoparathyroidism

Patients with low calcium levels due to hypoparathyroidism may experience:

• Muscle cramps and spasms
• Tingling or numbness in the extremities or face
• Fatigue and weakness
• Mood changes or anxiety
• Dry hair and skin
• Dental issues like brittle teeth

Treatment Options for Hypoparathyroidism

The primary treatment goal is to normalize calcium levels in the blood. Treatment strategies include:

• Calcium Supplements: To raise blood calcium levels.
• Vitamin D Supplements: To enhance calcium absorption from the diet.
• PTH Replacement Therapy: Synthetic PTH can be used to mimic natural hormone functions and regulate calcium levels.

Consultation with an Endocrinologist

If you suspect you have hypoparathyroidism or are experiencing symptoms related to low calcium levels, consult with an endocrinologist. At Burjeel Royal Hospital, Asharej, our team, is committed to providing comprehensive care for endocrine disorders. Schedule a consultation today to discuss your symptoms and treatment options.

Obesity, a major risk factor for heart disease, affects millions globally. This post explores how obesity contributes to heart problems and steps you can take to protect your heart.

How Does Obesity Affect the Heart?

• Increased Blood Pressure: Obesity often results in hypertension, putting extra strain on the heart.
• Elevated Cholesterol Levels: Higher levels of “bad” LDL cholesterol and lower “good” HDL cholesterol are common in obesity, increasing the risk of arterial plaque buildup.
• Increased Risk of Diabetes: As a significant risk factor for type 2 diabetes, obesity heightens the risk of heart disease due to vascular and nerve damage.
• Inflammation: Excess fat, especially abdominal fat, produces inflammatory substances that promote atherosclerosis.

The Connection Between Obesity and Heart Disease

• Metabolic Syndrome: A cluster of conditions that doubles the risk of heart disease, with obesity as a central factor.
• Heart Failure: The strain from obesity can lead to heart failure, exacerbated by related conditions like hypertension and diabetes.
• Coronary Artery Disease: Plaque buildup from high cholesterol in obese individuals can narrow coronary arteries, causing angina or heart attacks.

Steps to Reduce Heart Disease Risk

• Adopt a Healthy Diet: Emphasize fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit sugary foods and trans fats.
• Increase Physical Activity: Aim for 150 minutes of moderate or 75 minutes of vigorous aerobic activity weekly, plus muscle-strengthening exercises.
• Monitor Your Weight: Regular weight checks and maintaining a normal BMI can dramatically improve heart health.
• Manage Stress: Utilize stress reduction techniques like mindfulness, meditation, or yoga.
• Regular Check-Ups: Ensure regular monitoring of heart health metrics like blood pressure, cholesterol, and diabetes screening.

Conclusion

Obesity is a major contributor to heart disease, yet it’s largely preventable. Through proper diet, exercise, and regular health checks, you can significantly reduce your risk and protect your heart. For personalized advice and heart health management, don’t hesitate to contact our clinic.

Considering surgery? Millions of people undergo surgical procedures each year. However, before committing to surgery, have you thought about getting a second opinion? Whether dealing with musculoskeletal pain or other chronic conditions, it’s crucial to ensure that the proposed surgery is the best possible solution to restore your lifestyle.

Why a Second Opinion Makes Sense

• Peace of Mind: Knowing you’ve explored all your options can significantly reduce anxiety and increase confidence in your treatment plan.
• More Information: A second doctor may provide a different perspective or highlight aspects not emphasized during your initial consultation.
• Treatment Options: Discover alternative procedures or approaches that you might not have been initially presented with.
• Better Doctor-Patient Fit: A second consultation helps assess the surgeon’s communication style and bedside manner, ensuring you feel comfortable with your surgical decision.

When is a Second Opinion Particularly Important?

• Complex or Risky Procedures: If the proposed surgery is complex or carries significant risks, a second opinion is crucial.
• Uncertainty About Diagnosis: If you have doubts about your diagnosis or lingering questions, seeking another expert’s perspective is essential.
• Doctor Doesn’t Address Concerns: If your concerns are not being adequately addressed, a second opinion can provide the clarity and reassurance you need.

Finding a Second Opinion Provider

• Ask Your Primary Doctor: They can often refer you to other qualified surgeons within your network.
• Research Online: Look for board-certified surgeons with experience in treating your specific condition. Patient reviews can also provide valuable insights.
• Talk to Friends and Family: Personal recommendations are a reliable source for finding a reputable doctor.

Preparing for Your Second Opinion

• Gather Medical Records: Ensure you have all relevant medical documents like X-rays and MRIs to share with the second doctor.
• Write Down Questions: Prepare a list of detailed questions regarding diagnosis, treatment options, risks, and recovery.
• Be Open and Honest: Fully disclose your medical history, current symptoms, and expectations to get the most out of the consultation.

Common Myths and Facts About Second Opinions

• Myth #1: “My doctor will be offended if I get a second opinion.”
  • Fact: Most reputable doctors encourage second opinions and understand it as a normal part of the decision-making process.
• Myth #2: “A second opinion means I don’t trust my first doctor.”
  • Fact: It’s about gathering more information and exploring all options, not a reflection of your trust in their expertise.
• Myth #3: “Second opinions are too expensive.”
  • Fact: Many insurance plans cover second opinions. Always check with your provider for specifics about your coverage.
• Myth #4: “Second opinions take too much time.”
  • Fact: While it might add some time to your decision-making process, it’s a worthwhile investment in your health.
• Myth #5: “Second opinions always lead to different diagnoses.”
  • Fact: Often, they confirm the initial diagnosis but may also provide additional insights or alternative treatment options.

Conclusion

Getting a second opinion is not a sign of mistrust but an empowerment to make well-informed decisions about your health. By seeking additional insights, you can approach your surgery with greater confidence and a clearer path to recovery. If you’re considering surgery in Abu Dhabi, remember that Burjeel Hospital is here to support you every step of the way with expert advice and care options.

As the UAE experiences a surge in mosquito activity following the recent heavy rain, it’s crucial to be informed about how to manage mosquito bites effectively. These tiny insects can not only cause discomfort but also carry the risk of diseases. In this blog, we’ll delve into the medical aspects of mosquito bites, addressing how to alleviate symptoms and prevent complications.

The Risks of Mosquito Bites in the UAE

Mosquitoes are known vectors for various diseases, including Dengue fever, Malaria, and West Nile virus. While the prevalence of these diseases in the UAE is relatively low, it’s essential to remain vigilant, especially after the heavy rainfall that often leads to increased mosquito breeding.

Identifying Mosquito Bites

Mosquito bites typically present as small, red, itchy bumps on the skin. The itching sensation is a result of the body’s immune response to proteins in the mosquito’s saliva. Additionally, some individuals may experience mild swelling around the bite area.

Treatment and Care for Mosquito Bites

1. Cleaning the Bite Area: After being bitten, gently wash the affected area with soap and water to reduce the risk of infection.
2. Relieving Itchiness: Avoid scratching the bite, as it can lead to further irritation and potential infection. Over-the-counter antihistamines or anti-itch creams can help alleviate itching.
3. Reducing Swelling: To reduce swelling, apply a cold compress to the affected area or consider using anti-inflammatory creams containing hydrocortisone.
4. Preventing Infection: If you notice signs of infection such as increased redness, warmth, or pus, consult a dermatologist promptly.

Preventive Measures against Mosquito Bites

1. Use Mosquito Repellents: Choose insect repellents containing DEET, picaridin, or oil of lemon eucalyptus to ward off mosquitoes effectively.
2. Wear Protective Clothing: Opt for long sleeves, pants, and socks, especially during peak mosquito activity times, such as dawn and dusk.
3. Ensure Proper Home Protection: Keep windows and doors sealed to prevent mosquitoes from entering your living spaces. Consider using mosquito nets or screens.

By following these recommendations, you can safeguard yourself and your loved ones from the nuisance of mosquito bites and reduce the risk of potential complications. Stay informed, stay protected!

Experiencing bad breath can be an embarrassing and often uncomfortable issue to discuss. Despite the effectiveness of large mouthwash industries, public concern continues as many mouthwashes do not significantly impact bad breath. Understanding this phenomenon begins with categorizing bad breath into genuine halitosis, pseudo-halitosis, and halitophobia.

Understanding the Problem

Genuine halitosis is actual bad breath, pseudo-halitosis is when the perception of bad breath is not reflective of true malodor, and halitophobia is the fear of having bad breath despite the absence of it. Oral sources of bad breath often stem from bacteria that produce odor-causing compounds found in gum disease or on the tongue. Non-oral sources can include medical conditions like diabetes, gastrointestinal issues, and certain diets.

Can Dental Crowns Cause Bad Breath?

While dental crowns themselves do not directly cause bad breath, the installation process and the materials used may temporarily affect saliva flow, leading to dry mouth—a condition that can exacerbate bad breath. Properly fitted and well-maintained dental crowns should not contribute to bad breath and can even help improve oral health when replacing damaged teeth.

Management and Prevention

Effective management of bad breath involves a combination of improved oral hygiene and professional dental care:

1. Enhance Oral Hygiene: Effective home care routines such as regular tooth brushing, flossing, and the use of a water flosser can significantly reduce halitosis. Brushing or scraping the tongue to remove bacteria is also recommended.
2. Regular Dental Check-Ups: Ensure your dental crowns are properly fitted and address any oral health issues promptly. Regular cleanings can control gum disease and minimize bacteria.
3. Care for Removable Appliances: For those with removable dentures, ensure they are cleaned after each meal and avoid wearing them during sleep to prevent bacterial growth.
4. Simple Home Remedies: Decreasing the intake of odor-inducing foods like onions and garlic, rinsing with salt water, and staying hydrated can also help manage bad breath.

Conclusion

Maintaining excellent oral hygiene and regular dental visits are crucial for managing bad breath. Overuse of certain mouth rinses can dry out the mouth, exacerbating bad breath, as can lifestyle factors like smoking and alcohol consumption. Proper hydration is essential for keeping the mouth fresh.

Final Thought: Do Dental Crowns Cause Bad Breath?

Dental crowns do not directly cause bad breath; however, poor installation and inadequate oral hygiene can lead to issues. Open communication with your dentist about material concerns and regular hygiene practices are key to preventing bad breath.