Best gynecologist in Dubai

Pregnancy can be a daunting experience for a lot of women, and especially for those women who are getting pregnant for the first time. Under such novel and fragile circumstances, sometimes a woman’s gynecologist can serve as a point of support, both medically and otherwise. Hence, it becomes imperative that women find a gynecologist that they can put their trust and faith in during the term of their pregnancy.

In Dubai itself there are a large number of practicing gynecologists. But in order for you to choose the best gynecologist in Dubai for yourself, it is important that you keep certain factors in mind such as:

  • Get referrals: Asking your primary physician, family and friends for their recommendations in choosing a gynecologist, will only help you focus on the most meritorious candidates when choosing the best gynecologist in Dubai.
  • Research their credentials: In order to get treated by the best gynecologist in Dubai for your needs, you have to research their credentials. Including their academic background, past experience in the Middle East, and the number of live births that they have handled previously. Again, it always helps if the doctor in question has been referred by someone that you trust.
  • Consider the gynecologist’s experience: When choosing the best gynecologist in Dubai to treat you during your pregnancy term it becomes very important to have an experienced doctor who has dealt with high risk pregnancies successfully in the past. The more experience a doctor has with a condition or procedure, the better your results are likely to be.
  • Research the hospital quality: Ensuring that the gynecologist treating you works at a hospital that offers high quality services is extremely vital. The most important part of your pregnancy will take place in the hospital, and a top rated hospital would have a better rate of successful pregnancies. Your doctor can be the best gynecologist in Dubai only if they practice in a hospital that provides a high standard of healthcare services.

The aforementioned steps are just guidelines in your search for the best gynecologist in Dubai for your pre-pregnancy, pregnancy, and post pregnancy needs. The more thorough your research on your doctor and their practicing hospital, the better your chances will be to find a gynecologist that understand your needs and works with you every step of the way during your pregnancy.

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Act Early To Prevent It!

The goal of world kidney day is to raise awareness of kidney diseases worldwide. The theme for this year’s kidney day is ‘Kidney diseases and children – Act early to prevent it’. There are millions of people worldwide affected by kidney problems and children are not immune against them. In fact, the early onset of kidney diseases in children make them more prone to growth and developmental abnormalities. The widespread use of ultrasound scan in pregnancy has helped in identifying structural kidney problems which help in early intervention to correct the defect. Kidney diseases affecting the child are more likely due to congenital malformations of the urinary system. They may be born with smaller than normal kidneys or abnormally shaped. They may have a problem with the urinary valves which lead to obstruction of the urine flow and permanent damage to the kidneys. These may be a reason for recurrent childhood infections which may persist despite multiple antibiotic courses.

Nephrotic syndrome: This is one of the common childhood kidney problems. Here, the child presents with swelling all over the body due to low blood proteins which have leaked through the urine. If not detected and treated on time could lead to complications like severe infections, early hypertension and clotting of blood vessels.

  Acute kidney failure:  In this condition there is a drop in the urine volume along with retention of toxic waste products in the blood. In children a common cause of acute kidney failure is acute glomerulonephritis. The child may complain of discoloration of urine along with body swelling and high blood pressure. Hemolytic uremic syndrome (HUS) is another cause of acute kidney failure in children which can progress to dialysis.

Kidney stones: They are an important problem in children. Most of the stone diseases in children are inherited. They may be associated with problems of genetic inborn metabolism of certain amino acids or due to a disorder of kidney tubule functions. These children develop multiple stones in both kidneys and urinary bladder which may need to be removed surgically. Identifying the problems early help to make changes in the diet and fortify essential nutrients and salts to neutralize the long term ill effects.

The worrying trend is a recent shift in the incidence of acquired stone disease in children. Traditionally, women and children were at lower risk for kidney stones. Due to changes in the dietary habits – increased salt intake, more processed food, decreased fibre diet and sugary beverages have increased the incidence of stones in this low risk group. Several studies done in the Middle East countries have shown an increase in the incidence of stones especially among women and children. Higher intake of processed food has depleted our natural stone preventing mechanism. The typical diet rich in phosphate include foods like meat and poultry. Reduced intake of fluids also increases the risk for kidney stones.

  Chronic kidney disease: This is a condition were there is a structural or an abnormal kidney test which persists for more than three months despite treatment. The severity of the condition is assessed using the glomerular filtration rate (GFR) which tells us the risk of anticipated complications in the future. Children with chronic kidney disease during the growth period are likely to have deformities like short stature, renal rickets and poor dentition. This happens due to decreased Vitamin D production as well as loss of essential bone minerals through the urine. They can develop anemia and hypertension which may need medications to correct.

Some of these children may progress to end stage kidney failure which may require dialysis or kidney transplantation. This may not only affect their growth, but may disrupt their education, social life and lead to low self-esteem.

Early detection helps in planning corrective surgery, make dietary changes, add important nutritional supplements and medicines which help in alleviating the long term complications of kidney disease. Eating healthy not only helps in preventing complications but also reduce the risk of developing stone disease in children.

Article by:-

Dr.John Cherian Verghese

Specialist Nephrology

Aster Hospital and Clinics

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Glaucoma insights on World Glaucoma Week.

“Early detection, through regular and complete eye exams, is the key to protecting your vision from damage caused by glaucoma”.

What is Glaucoma?

Glaucoma is a group of eye diseases causing optic nerve damage. The optic nerve carries images from the retina, which is the specialized light sensing tissue, to the brain so we can see. In glaucoma, eye pressure plays a role in damaging the delicate nerve fibers of the optic nerve. When a significant number of nerve fibers are damaged, blind spots develop in the field of vision. Once nerve damage and visual loss occur, it is permanent. It is a leading cause of blindness after cataract.

It’s said that Blindness from glaucoma is irreversible. An Early detection is the key to preserving vision. Often, patients are not aware that they are having vision loss because the central vision is preserved upto the advanced stages. In early stage, only the ‘Field-of-view’ may be affected. This can be detected by meticulous ophthalmic evaluation with advanced technology. Our aim is to diagnose glaucoma early and prevent vision loss.

Who should be tested for glaucoma?

  • Everyone from babies to senior citizens can develop glaucoma.
  • People with age over 40 years.
  • Glaucoma in the family history.
  • Diabetes/ thyroid disease / hypertension
  • Have received steroid containing preparations :tablets/ drops/ ointments/ puffs/ injection
  • See rainbow colored rings around bright light
  • Have a rapid change of glasses
  • Have had an injury on the face /eye
  • Myopic eye
  • Have headaches

Tests required in glaucoma 

  • Visual field test (perimetry)
  • Tonometry (measurement of eye pressure)
  • Diurnal variation of IOP
  • Dilated examination
  • Glaucoma OCT

Glaucoma cannot be prevented. There is no cure for glaucoma. But it can be controlled by appropriate medications and regular eye checkups. Therefore this can help prevent further loss of vision.

Dr. Anurag Mathur

MBBS, MS

Ophthalmology

Aster Jubilee Medical Complex (AJMC)

 

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TRUS Guided Biopsy at Aster Hospital

At Aster Hospital, we offer TRUS guided prostate biopsy. This method obviates the pain & discomfort associated with traditional biopsies yielding much better results.

A patient recently referred by Dr. Nazeer Ahamed (Specialist in Urology) at Aster Jubilee Medical Complex, Bur Dubai was taken in at Aster Hospital to investigate enlarged prostate and high serum PSA.

Case details:

A 50 year old gentleman with enlarged prostate and high serum PSA (prostate specific antigen) was referred for TRUS guided biopsy. The patient was admitted in daycare and was administered an enema. After checking the clotting profile and administering IV antibiotic, the patient was transferred to the Radiology department.

After informed consent, TRUS guided peri-prostatic nerve block was given using 22G Chiba needle. Following this, 12 core biopsies were taken from the prostate under trans-rectal ultrasound guidance.

The peri-prostatic nerve block made the procedure so comfortable that the patient did not need any oral or IV analgesia or any sedation during or after the procedure. On Visual analog pain scale, the pain during & after the procedure was scored to be only 2/10. No IV fluid or transfusion was required.

The patient was discharged in the evening and oral antibiotics were continued for next two days. Post procedural blood in stool disappeared in next 24 hours. Post procedural blood in urine was also seen which disappeared in 36 hours.

 

Dr. Anoop KR Pandey

MD (PGI), DNB, FRCR

Specialist Radiology

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Rescue Cerclage

Since the opening of Aster Hospital, 4 cases of successful rescue cerclage have been performed and were able to continue the pregnancy beyond 29 weeks. The procedure had its challenges and its own rewards as we were able to add colors and new meanings to people’s lives.

The case was referred by Dr. Fousiya at Badr al Samaa Medical Centre as inevitable miscarriage, cervical incompetence in view of open cervical os with membranes bulging into the vagina.

Case details:

A 32 year old lady, at 19 weeks was referred to Aster Hospital as inevitable miscarriage, cervical incompetence in view of open cervical os with membranes bulging into the vagina. She is married since 8 years, and had 2 failed attempts at IVF. This pregnancy was a natural conception and was uneventful till 19 weeks when she experienced pressure in the lower abdomen and blood stained discharge. She consulted her doctor and was diagnosed to have open cervix with membranes bulging into the vagina. She was examined and found to have cervical dilatation of 2.5cm with membranes bulging into the vagina, she was admitted and underwent USG for major anomalies, observed for contractions, bleeding, leaking and any other signs of infection. The couple was counselled about the pros and cons of cerclage at such a situation as she would definitely miscarry if cerclage was not done.

She underwent emergency rescue cerclage (Mc Donald’s suture double with Prolene 1 and mersilene) in the month of September. She was on complete bed rest, progesterone support and thromboprophylaxis since then.  At 36 weeks of gestation she developed preterm premature rupture of membranes and delivered a baby boy weighing 2.6 kg through LSCS on maternal request.

The case was successfully carried out at Aster Hospital, Mankhool.

 

 

 

Dr. Caroline Alphine Jenitha MS, MRCOG

Specialist Obstetrics and Gynecology

 

 

 

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