Total Hip Joint Replacement Surgery at World-class Orthopaedic Centres in India

India has become one of the leading destinations in the world for high quality and very affordable joint replacement surgeries. Among them, hip joint replacement surgeries are very common. Every year, a large number of patients from all around the world come to India for having hip replacement surgery at some of the best orthopaedic hospitals of India and in the process they avail a world-class medical care and also save a lot of money. Moreover there is no waiting time at all. Consider this; a hip replacement surgery in US may cost anywhere between 35,000 to 60000 US Dollars while the same surgery in India would cost you just 6000 US Dollars to 7500 US Dollars that would include a stay of 5 to 6 days in a private room, surgeons fees, cost of implant etc. . Apart from big savings on high quality your hip joint replacement surgery, you also get a personalised service and care. What else, you stay in an air-conditioned private room which has TV, Internet facility, laundry service and even has place for your attendant (one) to stay in the same room.

About Hip Joint Replacement Surgery

Our hip joint is called a ball and socket joint because of its structure. It is formed by the head of the Femur (thigh bone) and the acetabulum of the pelvis (the hip bone). The dome-shaped head of the femur forms the ball which fits into the socket of the acetabulum. The hip joint is a very strong joint, due to the tight fitting of the bones and the strong surrounding ligaments and muscles. Some conditions may cause severe pain in hip joint and may affect the mobility.

Hip Surgery India

Hip Joint Pain

Some of the most common causes for a hip pain are arthritis, Trochanteric Bursitis, Tendonitis, Osteonecrosis, Lumbar Pain, Snapping Hip Syndrome, Muscle Strains, Hip Fracture and Stress Fracture. The most common cause for a Hip Replacement surgery is the arthritis.

Diagnosis
The diagnosis of a hip pain starts with medical history taking by your doctor. Here the doctor tries understanding the cause for pain as well as reviewing any other underlying complaints. Observation of the hip at rest and while standing or walking, palpation (or feeling) of the hip and surrounding structures, testing for range of motion and strength, and checking for sensation and pulses all may be done. Few blood tests may also be ordered.
The most common imaging technique used in the diagnosis of a hip pain is X-ray. Other imaging like CT scan or a MRI scan may also be used.

 

Hip Replacement Procedure

The most common type of hip arthritis is osteoarthritis. This is often referred to as “wear-and-tear” arthritis, and it results in the wearing away of the normal smooth cartilage until bare bone is exposed. This is the most common cause for severe hip pain which needs a total hip replacement surgery when conservative methods fail. A Total Hip Replacement (THR) is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials called the prosthesis or implant. In a hip replacement the diseased ball (the head of the thigh bone) and socket (acetabulum of the pelvis) are replaced with a metal ball and stem inserted into the femur (thigh) bone and an artificial plastic cup socket. Upon inserting the prosthesis into the central core of the femur, it is fixed with bony cement. Alternatively a ‘cementless’ prosthesis is used which has microscopic pores that allow bony ingrowth from the normal femur into the prosthesis stem. This cementless hip is considered to have a longer life and is suited especially for younger patients.

 

Rehabilitation and Physiotherapy

World-class Physiotherapy and Rehabilitation Services

World-class Physiotherapy and Rehabilitation Services

The physiotherapy sessions post hip replacement surgery play a very important role in the recovery of the patient. Our network hospitals have a completely equipped physiotherapy and rehabilitation centres with well-trained and experienced staff. All the sessions are properly planned in consultation with your treating doctor and proper guidance is given at every step. Rehabilitation after hip replacement begins immediately. Patients will work with a physical therapist as soon as the surgical procedure has been performed. The emphasis in the early stages of rehab is to maintain motion of the hip replacement and to ensure that the patient can walk safely.

 

Benefits

The hip replacement operation is one of the most reliable operations in orthopaedic surgery and consistently reduces or eliminates the pain of the arthritis in most patients. Some of the important benefits of a Total Hip replacement surgery are, marked reduction in pain and improvement in sleep, most people regain range of motion, physical ability, and quality of life.

 

Risks

Like any other major surgery, a hip replacement surgery has some risks. But with the advancement of technology, implant and expertise these problems rarely occur. Some of the risks associated with a Hip Replacement Surgery are:

  • Blood Loss
  • Infection of a Joint Replacement
  • Hip Dislocation
  • Leg Length Difference
  • Hip Implant Loosening
  • Blood Clots

 

Other procedures
At our Network hospitals other procedures associated with joint pain are routinely performed. Some of the most common procedures are as follows.

  • Arthrodesis
  • Arthroscopy
  • Arthroplasty
  • Osteotomy
  • Resection
  • Revision Joint Surgery
  • Synovectomy
  • Hip Resurfacing Surgery

Now you can Get a Free Expert Medical Opinion from some of the Best Hip Joint Replacement specialists in India and also Lowest cost for your hip surgery. For more information you can write to us at medical@treatmentassistance.in or call us anytime at +91 9900 244 323.

Affordable Angioplasty Procedure at Best Heart Hospitals in India

Angioplasty or Coronary Angioplasty or Coronary stenting procedure is one of the most common heart procedures performed at our network heart hospitals in India. Every year a large number of heart patients come here to avail high quality angioplasty procedure at most affordable cost.

Angioplasty Cost India

Affordable Angioplasty Procedure at Best Heart Hospitals in India

Angioplasty is a non-surgical heart procedure used to treat coronary artery disease by opening up the blocked coronary arteries so that the blood flows smoothly.

There are certain factors like hardening of blood vessels, cholesterol and minerals that may form a plaque in the inner walls of the arteries (blood vessels that carry blood rich in oxygen throughout your body) over a period time. A raised plaque may clog the arteries and hence restrict the blood flow through the coronary artery. A raised plaque may also change the surface of the artery from smooth to rough, and these rough surfaces may stimulate the formation of a blood clot, which may lead to narrowed artery. A blood clot can also build up quickly and abruptly close the artery. Clogged or closed arteries greatly increase the likelihood of heart attack, stroke, and even death.

 

How is coronary artery disease diagnosed?

After the initial physical examination and history taking, if the doctor feels that you have an increased risk of coronary artery disease or certain symptoms of the disease then he/she may recommend an electrocardiogram (ECG). If at all there are variations in the ECG then the doctor may recommend a stress test or stress TMT. A stress test measures changes in the electrical activity of your heart as you perform controlled exercise. If the results of the stress test indicate a need for further testing, your doctor may arrange for you to have a coronary angiogram.

Advanced CATH LAB  India

Advanced CATH LAB at our Network Heart Hospitals in India for performing Angiogram and Angioplasty Procedures

The coronary angiogram is the most useful test for diagnosing Coronary Artery Disease because it allows the doctor to see exactly where the coronary arteries are narrowed or blocked. At first you will receive a local anesthetic or pain medicine. The doctor then inserts an introducer sheath into an artery in your groin or forearm. Then the doctor inserts a long thin tube called catheter, into the artery and advances it into the blocked artery. By injecting a contrast dye that can be seen on an X – ray screen, the doctor can observe the arteries in your heart. You may be asked to take a deep breath and hold it while the doctor is taking the angiogram. Any narrowing or blockage that exists can then be identified.

An angiogram test will tell the doctor the extent of blockage in the arteries, the number of blockages and the nature of blockages that are obstructing the blood flow. Based on the result of the angiogram test, your doctor may advise medical therapy, angioplasty (PTCA) or coronary by pass graft surgery (CABG).

 

How is angioplasty performed?

Likewise an angiography test, an angioplasty is also performed in a cardiac catheterization laboratory (Cath lab). An angioplasty is Patients usually receive medication before and during angioplasty procedure to help relax. You are awake and alert throughout the procedure.

Best Hospital for Angioplasty in India

Coronary Angioplasty in India

Angioplasty begins by inserting a sheath for the catheter into a blood vessel, usually the upper leg or groin area, but sometimes in the arm. A hollow tube termed catheter is placed through the sheath in to the mouth of the coronary artery.A very small balloon catheter is passed through the guiding catheter in to the coronary arteries. Once the balloon is at the narrowing of the artery, the balloon is inflated to widen the narrowed position of the artery.Every situation is unique, but in most cases the inflation will last from 30 seconds, up to several minutes, depending on the nature of the blockage. While the balloon is inflated, some people feel a chest pain that is similar to the angina they have experienced. This happens because the balloon is temporarily blocking off the flow of blood and the oxygen that it carries to the heart. Patients should describe to the doctor any pain they feel during the procedure.After the block has been opened the balloon is deflated and retracted back through the blood vessel.

 

What is a stent?

A stent is an expandable metallic tube which is crimped on to a thin balloon. A stent is implanted to support the artery and keep the vessel open like a structural framework. It is introduced into your artery just after balloon angioplasty and is positioned at
the site of the obstruction. Inflation of the balloon deploys the stent at the site thus widening the narrowed part of the artery.The stent is implanted permanently in the artery. Stent implantation helps in two ways,

  1. After balloon dilatation of the narrowed artery, artery may suddenly occlude termed acute vessel closure. This is prevented by stents.
  2. After balloon angioplasty many patients can develop recurrence of the block by a process known as restenosis. Stents reduce the risk of restenosis.

Drug-eluting stent is a metal stent that has been coated with a pharmacologic agent (drug] that is known to reduce the chance of restenosis (reblocking). With the metal stents, the risk of restenosis is reduced to 15— 25%, where as drug eluting stents reduce this risk to 6— 8%.

 

What happens after the angioplasty procedure?

After the angioplasty procedure, patients are monitored overnight in intensive care unit. Blood pressure, pulse monitoring and ECGs are performed routinely after angioplasty procedures and does not signify any special problems. If a patient experiences any chest discomfort or pressure, the nurse should be notified immediately.Angioplasty is not a cure, but a treatment to reduce the effects of coronary artery disease. Following angioplasty, diet and medications have to be strictly followed to reduce the risk of recurrences.There are some situations or cases where the doctor may perform an angioplasty procedure, immediately following the angiogram test.

 

What can you do to help yourself?

This booklet has talked about procedures and doctors to treat your heart. There is also a lot you can do, both before and after your procedure, to help yourself

  • Stop smoking
  • Maintain ideal bodyweight
  • Control cholesterol level
  • Exercise regularly
  • Take medication regularly
  • Have regular follow ups and monitor the progress with appropriate tests as recommended by doctor

Most patients are required to hold their leg or arm straight and still for the first six to eight hours. After the angioplasty, you are required to stay in the hospital for 2-3 days. You can resume full activitywithin a few days of returning home.

 

Affordable Angioplasty Procedure in India

The cost of Angioplasty differs depending upon the type and number of stents being used. At our network heart hospitals in India high quality stents from some of the leading manufacturers in world, are being used. The quality of stents, consumables or the procedure is at par with some of the best heart centers in the world. Our network heart hospitals in India offer heart procedures like angioplasty at lowest cost when compared to any leading heart hospital in the world. Typically you can save upto 40 to 60 % of the cost when compared to leading heart hospitals in US, UK or Germany. The cardiologists at our network heart centers in India are highly skilled and experienced and are trained or worked at some of the leading heart institutes in the world. Because of all these reasons a large number of heart patients come to our network heart hospitals in India and we help them to make their medical travel to India a great experience.

 

How to get started?

By travelling to India for angioplasty procedure, you will not only save money on the treatment but also get world-class medical care. If you are looking for high quality and affordable angioplasty procedure and are willing to travel to India then it is very easy to get started. All you need to do is scan the following details and send it to us by email at medical@treatmentassistance.in

1) Angiogram reports
2) Age of the patient
3) Brief medical history and current condition of the patient
4) Other medical reports if available

Kidney Transplant Surgery in India

The kidneys, organs with several functions, serve essential regulatory roles in most animals, including vertebrates and some invertebrates. They are essential in the urinary system and also serve homeostatic functions such as the regulation of electrolytes, maintenance of acid-base balance, and regulation of blood pressure (via maintaining salt and water balance). They serve the body as a natural filter of the blood, and remove wastes, which are diverted to the urinary bladder. In producing urine, the kidneys excrete wastes such as urea and ammonium; the kidneys also are responsible for the reabsorption of water, glucose, and amino acids. The kidneys also produce hormones including calcitriol, renin, and erythropoietin. Located at the rear of the abdominal cavity in retroperitoneum the kidneys receive blood from the paired renal arteries, and drain into the paired renal veins. Each kidney excretes urine into a ureter, itself a paired structure that empties into the urinary bladder.

Renal Transplantation Surgery India

Affordable Kidney Transplantation Surgery in India

The kidneys have important roles in maintaining health. When healthy, the kidneys maintain the body’s internal equilibrium of water and minerals (sodium, potassium, chloride, calcium, phosphorus, magnesium, sulfate). Those acidic metabolism end products that the body cannot get rid of via respiration are also excreted through the kidneys. The kidneys also function as a part of the endocrine system producing erythropoietin and calcitriol. Erythropoietin is involved in the production of red blood cells and calcitriol plays a role in bone formation.

 

What are the diseases of the kidney?

Kidney disease results from damage to the nephrons, which are the tiny structures inside your kidneys that filter blood. Kidney disease is a silent killer. Signs and symptoms occur late in kidneys disease. Screening tests are vital, especially if you are at high risk. The progression of kidneys disease can be slowed or stopped if detected earlier.

 

What is chronic kidney disease?

Chronic Kidney Disease (CKD) develops when the kidneys lose most of their ability to remove waste and maintain fluid and chemical balances in the body. CKD can progress quickly or take many years to develop. CKD has five stages based on the severity of Kidney Disease found in an individual and is described below. Chronic Kidney diseases can lead to end-stage renal disease (ESRD), a condition in which the kidneys fail to work and need dialysis. People with advanced chronic kidney failure termed currently as CKD stage V usually would need to receive dialysis or a kidney transplant.

 

Are you at risk for kidney disease?

  1. Do you have diabetes?
  2. Do you have high blood pressure?
  3. Do you have cardiovascular (heart) disease?
  4. Did your mother, father, sister, or brother have kidney failure?

If you answered, “yes” to any of these questions, you are at risk for kidney disease and need further testing.

What are some tips to follow before talking to your doctor?
Write down any questions or concerns you have BEFORE you go to the doctor’s office. That way, if you get nervous, you can still remember what you wanted to talk about and make sure you and your doctor get to talk about all of your concerns. Write down the answers you get and ask more questions if you need to. Know as much as you can about your family’s medical history. Bring someone with you for support and to help you remember what you learn.

What are some questions to ask your doctor?

  1. Based on my medical and family history, am I at risk for kidney disease?
  2. Would lowering my blood pressure help reduce my risk of developing kidney disease?
  3. Do my blood and urine tests show signs of kidney disease?
  4. How can I prevent or control kidney disease?

What are the risk factors for chronic kidney disease?
The risk Factors Include:

  • Diabetes
  • High Blood Pressure: High blood pressure, called hypertension, can damage the small blood vessels in the kidneys, preventing the kidneys from filtering wastes from the blood. Taking prescription drugs to control blood pressure helps protect the kidneys from damage.
  • An Immediate Family Member with Kidney Failure: Some kidney diseases result from hereditary factors, and can run in families.
  • A History of Glomerular Disease: The risk of chronic kidney disease increases for patients with Glomerular Disease. Glomerular Diseases damage the glomeruli, which are tiny bundles of blood vessels that filter blood in the kidneys.

What are the different causes of chronic kidney disease?
The most common causes of kidney disease include diabetes, high blood pressure, and hardening of the arteries (which damages the blood vessels in the kidney). Some kidney diseases are caused by an inflammation of the kidneys, called nephritis. This may be due to an infection or to an autoimmune reaction where the body’s immune or defense system attacks and damages the kidneys. Other kidney diseases, such as polycystic kidney disease are caused by problems with the shape or size of the kidneys (anatomic disorders), while other kidney diseases interfere with the inner workings of the kidneys (metabolic disorders). Most metabolic kidney disorders are rare, since they need to be inherited from both parents. Interstitial and Hereditary diseases are also not uncommon. Other common causes of kidney failure include certain medications that can be toxic to kidney tissue, and blockages of the system that drains the kidneys (which can occur with prostate problems).

What are the symptoms and complications of chronic kidney disease?
The symptoms of kidney disease depend on the type of kidney disease. If the disease is caused by a bacterial infection, the person will develop a high fever. Other signs of kidney disease include passing too much or too little urine, or passing blood or abnormal levels of chemicals in the urine. Mild to moderate kidney disease often does not have any symptoms. However, in ERSD or uremia when the kidneys have completely and permanently failed, the toxins accumulate in a person’s blood and the symptoms include:

  1. Puffy eyes, hands, and feet (called edema)
  2. High blood pressure
  3. Fatigue
  4. Shortness of breath
  5. Loss of appetite
  6. Nausea and vomiting
  7. Thirst
  8. A bad taste in the mouth or bad breath
  9. Weight loss
  10. Generalized, persistent itchy skin
  11. Muscle twitching or cramping
  12. A yellowish-brown tint to the skin
  13. Urine that is cloudy or tea-colored

Kidney disease usually does not cause pain, but in some cases pain may occur. A kidney stone in the ureter (a tube leading from the kidney to the bladder) can cause severe cramping pain that spreads from the lower back into the groin. The pain disappears once the stone has moved through the ureter.
Kidney disease can lead to both acute and chronic kidney failure, both of which can be life threatening. Acute kidney failure happens suddenly within hours to days, whereas chronic kidney failure happens gradually over a period of months to years. Acute kidney failure can often be reversed if the underlying disease is treated. In both conditions, the kidneys shut down and can no longer filter wastes or excess water out of the blood. As a result, poisons start to build up in the blood and cause various complications that can affect various body systems. Chronic kidney failure eventually reaches an end stage. This condition occurs when the kidney is working at less than 10% of full capacity. At this stage, the person will need dialysis or a kidney transplant to be able to go on living.

 

How is kidney disease diagnosed?

Unless the kidneys are swollen or there’s a tumour, your doctor can’t usually check for disease by feeling the kidneys. Instead, your doctor might test the urine and blood, take a scan of the kidneys, and test samples of kidney tissue. A routine urine test, called a urinalysis, checks for protein, sugar, blood, and ketones (created when the body breaks down fat). The urine is tested with a dipstick, which is a thin piece of plastic covered with chemicals that react when they touch substances in the urine. Your doctor will also check for red and white blood cells in the urine during a urinalysis (the urine is examined using a microscope). Depending on the suspected cause of the kidney problem, other tests may also be done.

Is there a test for kidney disease?
Since kidney disease sometimes has no symptoms, doctors may first detect the condition through routine blood and urine tests. Three simple tests to screen for kidney disease: a blood pressure measurement, checking for extra protein in your blood or urine, and measuring how well your kidneys are filtering wastes from your blood (Glomerular Filtration Rate or GFR).

  • Blood Pressure Test: High blood pressure (HBP), also known as Hypertension, can lead to kidney disease. It can also be a sign that your kidneys are already impaired. The only way to check blood pressure is to have a health professional measure with a blood pressure cuff. The result is expressed as two numbers. The top number, (called the systolic pressure) represents the pressure as the heart beats. The bottom number, (called the diastolic pressure) shows the pressure when the heart is resting. Your blood pressure is considered normal if it stays below 120/80 (expressed as “120 over 80”).
  • Checking for Extra Protein in the Blood or Urine: Healthy kidneys take wastes out of the blood but leave protein. Impaired kidneys may fail to separate a blood protein called albumin from the wastes. At first, small amounts of albumin leak into the urine, a condition known as microalbuminuria. As kidney function worsens, the amount of albumin and other proteins in the urine increases, and the condition is called proteinuria. Doctor’s test for protein using a dipstick in a small sample of urine, which that can be taken in the doctor’s clinic. The color of the dipstick indicates whether or not there is protein the urine.
  • Creatinine: A more sensitive test for protein or albumin in the urine involves testing a blood sample for the amount of protein and a waste product called creatinine. Creatinine is a waste created every time you use your muscles. When the kidneys aren’t working well, the level of creatinine in your blood goes up. This test is used to detect kidney disease in people at high risk, especially those with diabetes.

How is kidney function measured?
The Glomerular Filtration Rate (GFR) is used to measure how well kidneys filter waste from the blood. This test is also known as “measuring the Glomerular Filtration Rate”. The GFR is a measure or estimate of how well the kidneys filter wastes from the blood. GFR is been estimated from a routine measurement of creatinine in your blood. By comparing GFR tests done at different times, a doctor knows whether kidney function is getting better or worse. The GFR when estimated from the creatinine value in the laboratory is called the estimated GFR or eGFR.

What is kidney failure?
Renal failure or kidney failure (formerly called renal insufficiency) describes a medical condition in which the kidneys fail to adequately filter toxins and waste products from the blood. The two forms are acute (acute kidney injury) and chronic (chronic kidney disease); a number of other diseases or health problems may cause either form of renal failure to occur. Renal failure is described as a decrease in the glomerular filtration rate. Biochemically, renal failure is typically detected by an elevated serum creatinine level. Problems frequently encountered in kidney malfunction include abnormal fluid levels in the body, deranged acid levels, abnormal levels of potassium, calcium, phosphate, and (in the longer term) anemia as well as delayed healing in broken bones. Depending on the cause, hematuria (blood loss in the urine) and proteinuria (protein loss in the urine) may occur. Long-term kidney problems have significant repercussions on other diseases, such as cardiovascular disease.

What is Acute Kidney Injury?
Acute kidney injury (AKI), previously called acute renal failure (ARF), is a rapidly progressive loss of renal function, generally characterized by oliguria (decreased urine production, quantified as less than 400 ml per day in adults,less than 0.5 ml/kg/h in children or less than 1 ml/kg/h in infants); and fluid and electrolyte imbalance. AKI can result from a variety of causes, generally classified as prerenal intrinsic renal and post renal.

How is Acute Kidney Injury treated?
In an individual with acute kidney injury and temporary shutdown of kidney function the nephrologist will be able to usually identify an underlying cause and remove the underlying cause. Dialysis may be necessary to bridge the time gap required for treating these fundamental causes while the kidney recovery process occurs.

What is chronic kidney disease?
CKD as already described above can develop slowly and, initially, show few symptoms. CKD can be the long-term consequence of irreversible acute disease or part of a slow progressive destruction of the nephrons causing disease progression.

What are the stages of chronic kidney disease?
The severity of chronic kidney disease in divided into five stages, with stage 1 being the mildest and usually causing few symptoms and stage 5 being a severe illness with poor life expectancy if untreated.

What is acute on chronic kidney disease?
Acute kidney injuries can be present on top of chronic kidney disease, a condition called acute-on-chronic renal failure (AoCRF). The acute part of AoCRF may be reversible, and the goal of treatment, as with AKI, is to return the patient to baseline renal function, typically measured by serum creatinine. Like AKI, AoCRF can be difficult to distinguish from chronic kidney disease if no prior baseline (i.e., past) blood work is available for comparison.

What is chronic kidney disease V or end stage kidney disease?
Stage 5 CKD is also called established chronic kidney disease and is synonymous with the now outdated terms end-stage renal disease (ESRD), chronic kidney failure (CKF) or chronic renal failure (CRF). There is no specific treatment unequivocally shown to slow the worsening of chronic kidney disease. If there is an underlying cause to CKD, this may be treated directly with treatments aimed to slow the damage. In more advanced stages, treatments may be required for anemia and bone disease. Severe CKD requires one of the forms of renal replacement therapy renal replacement therapy; this may be a form of dialysis, but ideally constitutes a kidney transplant.

How is chronic kidney disease treated?
CKD cannot be cured; however, it can be managed. Taking certain steps during the early stages of the disease will help keep the kidneys healthy longer. Those with diabetes need to monitor blood glucose closely to keep it under control, and should consult a doctor for the best treatment method. Control blood pressures to recommended target of <140/90. Both of this monitoring can be done at home. Patients with reduced kidney function should control blood pressure and take an ACE inhibitor or an ARB. Many people will require two or more types of medication to keep the blood pressure below 130/80 mm Hg with frequent monitoring.

How does diabetes affect the body and kidneys?
Many damage small blood vessel in your body and affect your kidneys, eyes, skin, nerves, muscles, intestines and heart. High blood pressure and hardening of the arteries can develop, which can lead to heart disease. High blood sugar makes the kidneys work harder and results in progressive damage to the small filtering units of the kidneys and leads to leakage of protein in the urine. The WHO (World Health Organization) predicts that developing countries will bear the brunt of this epidemic in the 21st century. Currently, more than 70% of people with diabetes live in low- and middle-income countries. Diabetics are also at increased risk of urinary tract infections due to high sugar content in the urine.

 

How can I prevent diabetes induced kidney problems?

  • Carefully follow prescribed treatment to control blood sugar
  • Control blood pressure to 130/80 mmHg
  • Control cholesterol level with diet and medication if necessary
  • Get urine checked for kidney function
  • Treat urinary tract infections early
  • Adopt a healthy diet that is high in fiber, low in fat, sodium and cholesterol
  • Aim to achieve and maintain a healthy body weight
  • Exercise 30 minutes a day, at least 3 times a week
  • Quit smoking

How does high blood pressure damage the kidneys?
High blood pressure makes the heart work harder and, over time, can damage blood vessels throughout the body. If the blood vessels in the kidneys are damaged, they may stop removing wastes and extra fluid from the body. The extra fluid in the blood vessels may then raise blood pressure even more. It’s a dangerous cycle. High blood pressure is one of the leading causes of kidney failure, also called end-stage renal disease (ESRD). People with kidney failure must either receive a kidney transplant or have regular blood-cleansing treatments called dialysis. Every year, high blood pressure causes more than 25,000 new cases of kidney failure in the United States.

 

What are the signs and symptoms of high blood pressure?

Most people with high blood pressure have no symptoms. The only way to know whether a person’s blood pressure is high is to have a health professional measure it with a blood pressure cuff. The result is expressed as two numbers. The top number, called the systolic pressure, represents the pressure when the heart is beating. The bottom number, called the diastolic pressure, shows the pressure when the heart is resting between beats. A person’s blood pressure is considered normal if it stays at or below 120/80, which is commonly stated as “120 over 80.” People with a systolic blood pressure of 120 to 139 or a diastolic blood pressure of 80 to 89 are considered prehypertensive and should adopt lifestyle changes to lower their blood pressure and prevent heart and blood vessel diseases. A person whose systolic blood pressure is consistently 140 or higher or whose diastolic pressure is 90 or higher is considered to have high blood pressure and should talk with a doctor about the best ways to lower it.

 

What are the signs and symptoms of chronic kidney disease (CKD)?

Early kidney disease is a silent problem, like high blood pressure, and does not have any symptoms. People may have CKD but not know it because they do not feel sick. A person’s glomerular filtration rate (GFR) is a measure of how well the kidneys are filtering wastes from the blood. GFR is estimated from a routine measurement of creatinine in the blood. The result is called the estimated GFR (eGFR). Creatinine is a waste product formed by the normal breakdown of muscle cells. Healthy kidneys take creatinine out of the blood and put it into the urine to leave the body. When the kidneys are not working well, creatinine builds up in the blood. An eGFR with a value below 60 milliliters per minute (mL/min) suggests some kidney damage has occurred. The score means that a person’s kidneys are not working at full strength. Another sign of CKD is proteinuria, or protein in the urine. Healthy kidneys take wastes out of the blood but leave protein. Impaired kidneys may fail to separate a blood protein called albumin from the wastes. At first, only small amounts of albumin may leak into the urine, a condition known as microalbuminuria, a sign of failing kidney function. As kidney function worsens, the amount of albumin and other proteins in the urine increases, and the condition is called proteinuria. CKD is present when more than 30 milligrams of albumin per gram of creatinine is excreted in urine, with or without decreased eGFR.

 

How can kidney damage from high blood pressure be prevented?

It is recommended that people with CKD use whatever therapy is necessary, including lifestyle changes and medicines, to keep their blood pressure below 130/80.

 

How can blood pressure be controlled?

Five lifestyle changes help control blood pressure.

  • People with prehypertension or high blood pressure should maintain their weight at a level close to normal.
  • Eat fresh fruits and vegetables, grains, and low-fat dairy foods.
  • Limit their daily salt, or sodium, intake to 2,000 milligrams. They should limit frozen foods and trips to fast food restaurants. They should read nutrition labels on packaged foods to learn how much sodium is in one serving. Keeping a sodium diary can help monitor sodium intake.
  • Get plenty of exercise-at least 30 minutes of moderate activity, such as walking, cycling, or swimming, most days of the week.
  • Avoid consuming too much alcohol. Men should have no more than two drinks-two 12-ounce servings of beer or two 5-ounce servings of wine or two 1.5-ounce servings of hard liquor-a day. Women should have no more than a single serving a day because differences in the way foods are broken down in the body make women more sensitive to the effects of alcohol.

Can medicines help control blood pressure?
Many people need medicine to control high blood pressure. Several effective blood pressure medicines are available. The most common types of blood pressure medicines doctors prescribe are diuretics, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), beta blockers, and calcium channel blockers. Two of these medicines, the ACE inhibitors and ARBs, have an added protective effect on the kidneys. Studies have shown that ACE inhibitors and ARBs reduce proteinuria and slow the progression of kidney damage. Diuretics, also known as “water pills,” help a person urinate and get rid of excess fluid in the body. A combination of two or more blood pressure medicines may be needed to keep blood pressure below 130/80. When the blood pressure continues to be uncontrolled despite four medications including a water pill it is termed as resistant hypertension.

 

Who is at risk for kidney failure related to high blood pressure?

Everyone has some risk of developing kidney failure from high blood pressure. However, some ethnic groups are more likely to have high blood pressure and its related kidney problems—even when their blood pressure is only mildly elevated. People with diabetes also have a greater risk of developing kidney failure. Early management of high blood pressure is especially important for people with diabetes. An ACE inhibitor is the most effective drug at slowing the progression of kidney disease although their effect in lowering blood pressure maybe variable.

 

Can diabetes and high blood pressure be cured?

Diabetes and high blood pressure are serious diseases and a person having a combination of these diseases should be more careful about his health and lifestyle than most people to prevent complications that can occur due to both of the diseases. Diabetes occurs when the body is either not able to make insulin or use insulin correctly. Insulin is the hormone that promotes the transfer of glucose from blood into cells where it is used for energy. Due to the lack or incorrect use of insulin, too much sugar stays in the blood. The abnormally increased amount of sugar in the blood can damage different parts of the body, including the heart, blood vessels, eyes, nerves and kidneys. As a result, diabetes can cause complications, or damage to other body functions. Where blood sugar is high this is associated with increased oxidation damage to blood vessels causing atherosclerosis. Atherosclerosis, which can lead to high blood pressure, is more common in diabetics. This atherosclerotic damage in itself and the healing of the damage with the formation of scar tissue causes artery hardening. Scar locations in blood vessels are also be a site for the formation of artheromatic plaques, which narrow blood vessels further. Narrowing and hardening of blood vessels is thought to cause the high blood pressure. There are other probable reasons why diabetes and high blood pressure are linked. Most Type 2 diabetes patients have additional risk factors that are commonly associated with later high blood pressure. These factors include truncal obesity, a sedentary lifestyle, elevated triglyceride and LDL cholesterol and a lowered HDL cholesterol level. These factors further increase the risk to diabetic patients of heart disease or stroke. Based on statistics, it is estimated that more than 65% of diabetes patients die from heart disease or stroke. A great number of people who become diabetic are overweight. In fact being overweight is one of the major conditions putting a person at risk of becoming diabetic. However, being overweight is also one of the major indicators of later high blood pressure. High blood pressure can also worsen complications that occur in diabetes such as kidney damage or retinopathy. The good news is that both diabetes and high blood pressure can be treated and managed. Although diabetes cannot be cured, proper medication, and healthy living can bring blood sugar down to manageable levels allowing the patient to live a fairly normal life. In addition, blood pressure can be lowered to normal levels by employing the same methods of healthy living and proper nutrition used to treat diabetes. This is why in most cases the overall non-drug management of both high blood pressure and diabetes is the same. If life style changes cannot control blood pressure do not hesitate to initiate medications to prevent the long term complications that can occur. If you already have diabetes, make sure you check your blood pressure regularly at home. Have regular medical checkups to check your glycosylated hemoglobin and lipid profile. Take your medications regularly. Follow a strict healthy diet, which should be either prescribed, by your doctor or a nutritionist who is aware of your condition. In most cases, your doctor may also prescribe a regular exercise regimen, which you should also follow. In summary, eat right and healthily, exercise regularly, keep your diabetes and high blood pressure in check and have a positive attitude in life. These will go a long way to keeping both conditions under control.

What symptoms are seen once your kidneys fail?

  • Fatigue
  • Nausea,
  • Vomiting
  • Swollen legs, ankles or feet
  • Puffy eyes
  • Weight gain due fluid retention
  • Breathlessness

What is renal replacement therapy?
Renal replacement therapy is a term used to encompass life-supporting treatments for renal failure and includes:

  • Hemodialysis
  • Peritoneal dialysis
  • Hemofilteration
  • Renal transplantation/Kidney Transplantation

These treatments do not cure chronic kidney disease but perform some of functions of the normal kidney and are hence termed as replacement therapies. Early dialysis in acute renal failure may have favorable outcomes and bring resolution of renal failure since it is usually a temporary setback in acute kidney injury.

What is the best form of renal replacement therapy?
Transplant is the best form of renal replacement therapy as it gives better quality and quantity of life as compared to any form of dialysis.

 

What is dialysis?

Dialysis (from Greek “dialusis”, meaning dissolution, “dia”, meaning through, and “lysis”, meaning loosening) is a process for removing waste and excess water from the blood, and is primarily used to provide an artificial replacement of the lost kidney function in presence of renal failure. Dialysis may be used for those with an acute disturbance in kidney function (acute kidney injury, previously acute renal failure) or for those with progressive but chronically worsening chronic kidney disease – stage 5 (previously chronic renal failure or end-stage kidney disease). The latter form may develop over months or years, but in contrast to acute kidney injury is not usually reversible, and dialysis is regarded as a “holding measure” or a bridge until a renal transplant can be performed, or sometimes as the only supportive measure called maintenance dialysis in those who are unfit or do not opt for a kidney transplant. Dialysis is an imperfect treatment to replace kidney function because it does not correct the endocrine functions of the kidney. But dialysis treatments are the only options currently and replace some of the lost functions through diffusion (waste removal) and ultrafiltration (fluid removal).

What is a kidney transplant?
Kidney transplantation or renal transplantation is the organ transplant of a kidney into a patient with end stage renal disease or CKD stage V. Kidney transplantation is typically classified as deceased-donor (formerly known as cadaveric) or living-donor transplantation depending on the source of the donor organ. Living-donor renal transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and recipient.

How will a kidney transplant change my life?
There are many advantages to transplantation, including freedom from dialysis as well as diet and fluid restriction. Most important, however, is the quality of life almost everyone enjoys after transplantation. Patients are able to perform most, if not all, of the activities they were able to perform before the onset of kidney disease: work, exercise, recreational activities, etc. Almost everyone feels that they have a better quality of life after the transplant. For those who receive a close match, up to 90% are still alive after 1 year, and more than 70% are alive after 5 years. In order to avoid rejection, almost all kidney transplant recipients must take medicines that suppress their immune response for the rest of their life. This is called immunosuppressive therapy. Although the treatment helps prevent organ rejection, it also puts patients at a higher risk for infection and cancer. If you take this medicine, you need to be regularly screened for cancer. The medicines may also cause high blood pressure and high cholesterol and increase the risk for diabetes. A successful kidney transplant requires close follow-up with your doctor and you must always take your medicine as directed.

 

What is HLA matching?

When two people share the same Human Leukocyte Antigens ( HLA), they are said to be a “match”, that is, their tissues are immunologically compatible with each other. HLA are proteins that are located on the surface of the white blood cells and other tissues in the body. There are three general groups of HLA; they are HLA-A, HLA-B and HLA-DR. There are many different specific HLA proteins within each of these three groups. (For example, there are 59 different HLA-A proteins, 118 different HLA-B and 124 different HLA-DR!) Each of these HLA has a different numerical designation, for example, you may have HLA-A1, and while someone else might have HLA-A2. The A,B and DR are the important antigens for renal transplantation. However, the major impact comes from the DR and B antigens, with little additional effect from the A antigens. Each antigen also appears to exert its effect at different times post-transplant, with the maximal effect of DR and B mismatching occurring within the first six months and two years post-transplant, respectively.

 

Is kidney transplantation a risky or experimental treatment?

Surgery is always serious. Transplant surgery is no different. Kidney transplantation is today a very well established form of renal replacement therapy. As in any surgical procedure, however minor, a minimum degree of pre-operative risk does exist which is acceptable. However, the success rate for a transplant where the donor is a relative is 98 percent while a transplant from a deceased donor is 85 percent. In both cases, chances for a successful procedure are quite high.

 

Are there different types of kidney transplants?

Although deceased donor kidney transplants are successful in most cases, there are still several reasons why a transplant from a living donor is preferred. In general, a relative’s kidney will match the recipient more closely than that of a deceased donor. This similarity results in fewer cases of rejection, lower doses of necessary medication, and a greater long-term success rate for the recipient. Secondly, the recipient of a living donor kidney is less likely to need temporary dialysis after the transplant. This is because the kidney has not been stored for several hours like a deceased donor kidney. The living donor kidney usually begins to work immediately. Finally, the wait for a deceased donor kidney can be very long. Many patients wait four or more years for a kidney to become available. With a living donor, the transplant surgery can be scheduled at a time that is convenient for both the recipient and the donor.

 

What happens in the immediate postoperative period?

The transplant surgery takes about three hours. The donor kidney will be placed in the lower abdomen and its blood vessels connected to arteries and veins in the recipient’s body. When this is complete, blood will be allowed to flow through the kidney again. The final step is connecting the ureter from the donor kidney to the bladder. In most cases, the kidney will soon start producing urine. Depending on its quality, the new kidney usually begins functioning immediately. Living donor kidneys normally require 3–5 days to reach normal functioning levels, while cadaveric donations stretch that interval to 7–15 days. Hospital stay is typically for 4–7 days. If complications arise, additional medications (diuretics) may be administered to help the kidney produce urine. Immunosuppressant drugs are used to suppress the immune system from rejecting the donor kidney. These medicines must be taken for the rest of the patient’s life. The most common medication regimen today is a cocktail of Tacrolimus (calcineurin), mycophenolate and Prenisolone. Some patients may instead take cyclosporine (calcineurin), sirolimus or azathiaprine. Calcineurins, considered a breakthrough immunosuppressive when first discovered in the 1980s, ironically causes nephrotoxicity and can result in iatrogenic damage to the newly transplanted kidney. Blood levels must be monitored closely and if the patient seems to have declining renal function, a biopsy may be necessary to determine whether this is due to rejection or cyclosporine intoxication.

Does the donor have to observe any restrictions after surgery?
Except during the immediate postoperative period, when the donor should not climb stairs or lift weights as in any other abdominal surgery he or she can perform all the activities performed prior to donation. Kidney donors are advised to avoid or at least minimize use of medications that can be toxic to kidneys. A common example is the NSAID medications like Advil or ibuprofen, which is the main ingredient in pain relievers. It is also important that the donor should follow-up with the nephrologist at least once a year for life.

 

Are there any long-term ill – effects on the donor?

Frankly, there is inadequate medical research on the long-term consequences of living donation, and some of the research available is limited in scope (e.g., one transplant center) or does not follow statistically rigorous procedures (e.g., inadequate sampling). The research currently available has shown there are few, if any, long-term effects on a living kidney donor. Mortality rates look to be the same or better than the general population. Some studies have revealed slightly higher incidence of high blood pressure and elevated levels of protein in the urine. There is also a possibility (0.1% to 1.1%) that a living kidney donor will develop End Stage Renal Disease and need a kidney transplant.

 

Can kidney donation impact my future pregnancies?

Whether it is organ donor or recipient the sex life is not affected. The female donor can bear children. Research has demonstrated that the donor nephrectomy is not detrimental to the prenatal course or outcome of future pregnancies. The presence of a solitary kidney does not appear to pose a significant risk during the course of a normal pregnancy.

 

After kidney donation how much physical exercise should I do?

If your kidney was removed laparoscopically, you shouldn’t lift anything heavier than 15 pounds for three weeks following surgery. If your kidney was removed through an open flank incision, you shouldn’t lift anything heavier than 15 pounds for 5 weeks. You should get exercise, though. Start with a little walking, first around the house and then, weather permitting, outside. Go a little farther each day. You can do some stretching exercises or low impact aerobics. This will help your muscles stay flexible. Start with five or ten minutes of gentle stretching, after a few days you may increase to light exercise and then gradually increase to full exercise after 4 weeks (laparoscopy) or 8 weeks (open). Each person’s body is different, so it isn’t possible to tell you exactly how much exercise you should be doing, but you should get some exercise. It will help you heal and it will make you feel better. Listen to your body and don’t overdo it. You’ll know the next morning if you’ve done too much.

 

After kidney donation should I be on a special diet?

You don’t need a special diet after kidney donation like everyone; you should eat a healthy diet with lots of fruits and vegetables and avoid too much fat and protein. You may drink alcohol, but do so moderately.

 

After kidney donation how long will I have pain?

Because each person responds in a unique way to surgery and pain, it is impossible to tell you how long you will need pain medication. Most kidney donors need pain medication for a few weeks after surgery. No medication can take away all of the pain, but it should take the edge off of the pain so that you can do what you need to do. The pain will gradually decrease, but you may notice pulling, soreness and some spasms in the muscles of your back for a few months after surgery. This is part of the normal healing process.

 

After kidney donation what about sex?

You should wait at least two to three weeks after your surgery. You may want to try non-intercourse sexual activities for a while. Listen to your body and don’t overdo it.

 

After kidney donation does my incision need special care?

Although you will be ready to return to your full activities within a few weeks of your surgery, your incision will still be healing for about three months. During this time, new skin cells are growing and old cells are being removed. This process will leave a visible line on your skin. This line will be more noticeable if you expose it to sun during the first year following your surgery. You can swim and do other activities in the sun, but you should wear a shirt or cover-up and/or use sun block to keep the sun off of the incision. It may be helpful to apply vitamin E cream to the incision line once a day, but you should not do this for three weeks after your surgery.

 

After kidney donation when can I drive a car?

You should not drive a car while you are taking pain medication. Wait at least 3 weeks before you drive, but you may need to wait longer as pain and soreness that you will feel, may make you less able to drive safely.

 

After kidney donation when can I go back to work?

Depending on the type of work you do, you may return to work as early as three weeks (if your kidney was removed laparoscopically) or six weeks after your surgery (open flank). If your work requires you to lift heavy weights (over 25 pounds) you should plan to lift only lighter weights at first and then gradually increase your lifting over four to six weeks. If you need a letter for your employer about this please let us know and we can provide one.

 

After kidney donation surgery is there anything to watch out for?

You will notice several changes after your surgery. You will have pain in the area of your incision. This will gradually go away, but you may feel some pulling, cramping or tightness in the incision area for several weeks after the surgery. Don’t be afraid to use the pain medication you were given. If you notice that you are running out of the medication and need more, call the kidney transplant nurse coordinators. You will probably feel a little weaker and more sore a day or two after you leave the hospital. This is normal. Most kidney donors find themselves wanting to be up and around once they get home. You should gradually increase your activity, but don’t overdo it. Listen to your body. If you are feeling more pain, take more time to rest and cut down a little on your walking or exercise. Even though you are gradually feeling better, don’t be surprised if you feel as if you don’t have enough energy. It may take up to three to four months after kidney surgery to feel completely back to normal. You may have strange sensations around your incision. You might notice burning, numbness or just very faint sensation. This is caused by the incision and it is normal. It will go away as the nerves grow back together. This could take several months. If you have bothersome sensations or pain, which don’t improve, call the transplant coordinator on call. If you have fevers, nausea or vomiting, shortness of breath, a sudden increase in pain or anything else that seems out of the ordinary, please call the transplant coordinator.

 

Are there any diet restrictions after transplant?

Kidney transplant recipients are discouraged from consuming grapefruit, pomegranate and green tea products. These food products are known to interact with the post-transplant immunosuppressive medications, thereby lowering their levels specifically tacrolimus, cyclosporine and sirolimus; the blood levels of these drugs may be lowered, potentially leading to a rejection episode. Acute rejection can occur in about 10–25% of people after transplant during the first 60 days. Rejection does not necessarily mean loss of the organ, but it may necessitate additional treatment and medication adjustments.

 

How much money do I have to pay the donor?

In the developing world some people sell their organs. Such people are often in grave poverty or are exploited by middlemen. People traveling to make use of such kidneys, sometimes known as “transplant tourists,” are not looked upon favorably. These patients may have increased complications owing to poor infection control and lower medical and surgical standards. Although legalization of organ trade and appropriate legislation in these nations could prevent such tourism, it is not an answer to a deficit in donors. The Indian Human Organ Transplant act currently does not support the sale of organs.

 

Do my old kidneys have to be removed?

Diseased kidneys are normally not removed as they shrink to small functionless scar tissue over time. Removal of a diseased kidney is performed only if it is responsible for uncontrolled high blood pressures requiring more than 4 or 5 drugs in full doses, is part of a severe life threatening infection called pyelonephritis, contributing to severe uncontrolled pain or bleeding, a malignancy is suspected in the diseased kidney or the kidney is too large as in a polycystic kidney to provide place for the new transplant kidney.

 

What anesthesia will I be given for transplant?

Kidney transplants are done with the most advanced techniques. A transplant takes about 4-5 hours under general anesthetic or epidural anesthesia. An incision is made on the lower right or left side of the abdomen for the kidney transplant. The new kidney is attached directly to the bladder and blood vessels.

 

When can I go home after the transplant?

You should be out of bed by the next day and eating shortly thereafter. Medication to control organ rejection will be given to you. Within days, you will be walking and stretching. You will leave hospital usually in 3-4 week’s time.

 

When can I resume normal activities after transplant?

Once discharged, as you get stronger, you’ll be able to exercise even more. After several months, you’ll feel good enough to return to all your normal activities with renewed vigor.

 

Are there any diet restrictions after transplant?

Kidney transplant recipients are discouraged from consuming grapefruit, pomegranate and green tea products. These food products are known to interact with the post-transplant medications, specifically tacrolimus, cyclosporine and sirolimus; the blood levels of these drugs may be lowered, potentially leading to a rejection episode. Acute rejection occurs in 10–25% of people after transplant during the first 60 days. Rejection does not necessarily mean loss of the organ, but it may necessitate additional treatment and medication adjustments

 

How many days does the kidney Donor need to stay in the hospital?

The donor would need to stay in the hospital for between 5-7 days following a routine donor nephrectomy surgery.

 

How many days does the kidney transplant patient need to stay in the hospital?

The renal transplant recipient would need to stay in the hospital for approximately 7 to 14 days following a routine transplant surgery.

 

What are the numbers of days of stay in India after surgery for follow-up for both donor and the patient?

The donor could leave the country in 1 or 2 weeks’ time if certified by the surgical team. The patient would ideally be needed to stay for at least for 2-3 weeks. However if adequate follow-up with a trained nephrologist is available back in his or her home country they may go back earlier based on their fitness.

 

Patient Eligibility

International Patients seeking Kidney Transplantation Surgery in India must have been certified fit for surgery and transplantation by their own kidney specialist back home. A medical report regarding the medical condition and treatment of the patient is required for the same.Patients who want to consider kidney transplantation as a treatment for their chronic kidney disease stage-V should not have the following conditions:

  • Coronary artery disease, which has not been treated by angioplasty or coronary bypass in the last 6 months.
  • Other significant cardiovascular and respiratory diseases that place the patient at high risk of death and complications.
  • Recent history of cancer.
  • Untreated infections e.g. hepatitis B or C
  • Significant liver disease e.g. chronic active viral hepatitis and cirrhosis
  • Recent history of stroke with significant disability
  • Significant peripheral vascular disease e.g. gangrene, amputation
  • Active psychiatric illness
  • Recent history of non compliance or substance abuse
  • Inability to give informed consent

 

Donor Eligibility
As deceased (cadaver) donor kidney transplants are restricted to Indian citizens therefore international patients (foreign patients seeking kidney transplantation in India) are only able to undergo Living Donor Kidney Transplantation. International Patients seeking kidney transplantation in India are required to bring their own potential kidney donor or donors who should fulfill the following requirements.

  • The donor can be a spouse, parent, sibling or grandparent and documentation showing statutory declaration of relationship to the patient is mandatory.
  • The donor must have no significant medical condition that will increase the risk of surgery or kidney failure.
  • The donor must be mentally competent to be counseled and give voluntary informed consent for kidney donation.The donor must not be under coercion to donate.
  • The donor should be between 18 years to 60 years of age.

Please take note that under Indian Organ Transplant law, it is illegal to sell or buy a kidney for the purpose of transplantation. This aims to deter organ trading syndicates and unscrupulous middlemen. Please take a note that tissue and blood group incompatibility or sensitized recipients are not barriers to transplantation and will have to be assessed and counseled on an individual basis.

 

Legal Documents Required from Patient and Donor

In India, the kidney transplant surgery comes under the purview of Transplantation of Human Organ Act, 1994. Hence unlike other medical treatments, for a Transplant Surgery like the Kidney Transplant Surgery in India, there are certain legal formalities that are to be fulfilled. The patient and the donor have to bring certain set of documents in original when they come to India for a Kidney Transplant Surgery. All the scanned copies of the documents should be sent to us by email (medical@treatmentassistance.in) for verification. This should be done before the patient and the donor decides to travel. To know the complete list of documents please write to us or call us anytime.

 

The Process of Kidney Transplant Surgery

The entire process of Kidney Transplant Surgery can be divided into two parts. The first part is all about the getting the legal formalities and approvals. This process may itself take anywhere between 20-30 days. In the second part it is all about surgery, hospital stay, recovery and hotel stay post discharge from the hospital. You will reach second part only after you get

PART-I

  1. Patient and Donor arrives at the airport
  2. They are picked up from the airport and put in guest house or hotel
  3. Next day they have consultation with the doctor
  4. All the documents are reviewed and checked and the medical investigations are carried out on the Donor and the Patient
  5. Once the Donor and the Patient are found medically fit for the transplant the legal documents are sent to the respective Embassy of the patient in India for granting the NOC (No Objection Certificate)
  6. On receipt of the NOC the Internal Transplant Committee reviews the case and gives permission for the transplant
  7. An appointment is booked with the Ethics Committee for the Interview with the patient and the donor
  8. The donor and patient are interviewed by the Ethics Committee and if found suitable for Transplant the NOC is issued by the Ethics Committee
  9. After obtaining the NOC from the Ethics committee the patient and the donor is admitted in the hospital for the transplant

PART-II

  1. After the successful completion of the Transplant the Donor may get discharged in 7-days and stay in the nearby hotel
  2. The patient needs to stay 2-3 weeks for the observation and follow-up (as advised by the doctor)
  3. Post discharge the Patient may need to stay in a nearby place for the follow-up for a period of 7-days (as advised by the doctor)

 

Kidney Transplant Surgery in India

The cost of Kidney Transplant Surgery depends upon the hospital and the location you choose. There are many good kidney transplant hospitals across various cities in India. Whenever a quote is given for a kidney transplant surgery, it is only for the initial work-up/investigations, surgery and only for certain days of hospital stay. However the patient has to stay for a long time in a hotel or guest house before and after surgery for paper work and recovery. This stay may be for 25-35 days. The cost of hotel stay and food is not included in the cost of kidney transplant surgery. The cost of hotel stay would be additional and you need to make the payment as per actuals to hotel or guest house directly. The cost of hotel or guest house stay would depend on the type of hotel or guest house you choose. There are many options available and cost may range between 30 US Dollars per night to 150 US Dollars per night depending upon the hotel or guest house you choose. We will help you to find suitable hotel or guest house which meets your preference and the budget.

 

How to Get Started?

It is simple. Just scan the recent following documents to us by email at medical@treatmentassistance.in
1) Latest Medical Reports of the patient,
2) Ultrasound Scan Images and
3) HLA match report of the patient and donor

Once we get the medical reports, one of our patient service associates will contact you and guide you through the entire process step by step.

For more information on high quality and low cost kidney transplant surgery in India, you can write to us at medical@treatmentassistance.in or call us anytime at +91 9900 244 323

Affordable and World-class Cancer Treatment at Best Cancer Hospitals in India

Cancer is one of the leading causes of death world-wide. It is accounted for 7.9 million deaths (around 13% of all deaths) in the year 2007. Some of the most common types of cancers are lung cancer, stomach cancer, liver cancer, colon cancer and breast cancer. About 30% of cancer deaths can be prevented if early detection is done and proper treatment is given.

PET Scan India

Advanced Diagnostic Technology Offered at our Network Hospitals in India

Cancer arises from a change in one single cell. The change may be started by external agents and inherited genetic factors. Cancer is characterized by uncontrolled division of cells in the body. This uncontrolled growth of cells in the body may initially lead to benign tumor but if not controlled may carry a risk of turning malignant or cancer at a later stage.

Advanced Technology for Cancer Treatment

Advanced Technology for Cancer Treatment

It is a common myth that cancer is not curable and ultimately leads to death of a person. Only few people are aware of the fact that cancer is curable in most of the cases and if detected early, patient can lead a normal life. Using modern technology and clinical expertise most of the cancers can be detected at a much earlier stage and can be treated successfully. For this you need advanced technology and expert cancer specialists. Unfortunately, in many countries across the world, there are no well-equipped cancer facilities or hospitals. Advanced technology and skilled specialists are also not available. Hence cancer patients from such countries travel to other countries in search of advanced cancer hospitals and experienced cancer specialists. Not everybody can afford to travel to countries like the US, UK or other European countries. Cancer treatment in such countries is very expensive and more over there may be long waiting list too. Hence many cancer patients from all over the world travel to India for affordable cancer treatment at world-class cancer hospitals. The cancer hospitals in India have the most advanced technology like Cyberknife, IMRT, Novalis, PET Scan etc and highly skilled doctors. More over the cost of cancer treatment in India is much lower when compared to most of the developed countries like UK, US etc.

World-class Patient Friendly Infrastructure - Hospital for Bone Marrow Transplant in India

World-class Patient Friendly Infrastructure – Hospital for Bone Marrow Transplant in India

Cancer can be treated by number of methods and therapies. Surgery, Chemotherapy, Radiation Therapy, Immunotherapy, monoclonal antibody therapy and new treatments like Cyber Knife Radio surgery are some of the methods used in the treatments of cancer. The type of treatment that would be given to a patient is decided once the doctor examines the patient and all the necessary investigations are carried out.
Some of the most common types of cancer treated at our network cancer hospitals in India

  • Breast Cancer
  • Cervical Cancer
  • Brain Tumor Surgery
  • Lung Cancer
  • Colon Cancer
  • Prostate Cancer
  • Ovarian Cancer
  • Pancreatic Cancer
  • Blood Cancer
  • Pancreatic Cancer
  • Liver Cancer
  • Stomach Cancer


Services available at our network hospitals

  • Bone Marrow Transplant (BMT)
  • Stem Cell Therapy
  • Gamma Knife
  • Trans Nasal Endoscopic Brain Tumor Removal
  • Brachytherapy
  • Minimally Invasive cancer surgeries
  • Chemotherapy
  • Radiation Therapy
  • IMRT
  • IGRT
  • Novalis
  • PET Scan

For more information on cancer treatment and cancer hospitals in India, please write to us at medical@treatmentassistance.in or call +91 9900 244 323.

India,The Ultimate Destination for High Quality and Affordable Knee Surgeries

Knee joint problems are very common nowadays. Many people suffer from knee joint pain and stiffness. The pain and stiffness in the knee joint may be as a result of severe arthritis condition in old age, prolonged abnormal posture, or repetitive motion.

Treatment for Knee Joint Pain and Stiffness

Treatment for Knee Joint Pain and Stiffness

Not everybody would require surgery for treating knee pain. Many people find relief with conservative treatments. But in some people the knee joint may be worn-out to a great extent and the pain and stiffness may be so severe that the conservative treatments may not give much relief. In such cases, a bone and joint specialist may recommend a total or partial knee joint replacement surgery.

A Knee joint replacement surgery is one of the most commonly performed orthopedic procedures. It is also known as knee arthroplasty. In a Knee joint replacement surgery the weight-bearing surface of the knee joint is replaced with a metal and plastic implant or prosthesis in order to consequently relieve the patient from pain and disability.

There are many people around the world who are in need of knee replacement surgery but they just keep postponing it due to one or more problems that they face in their home country. Some of such problems are high cost of knee replacement surgery, long waiting time, lack of facilities, technology and expertise in their home country. Due to these problems, many patients travel to foreign countries like India in search of high quality and affordable knee replacement surgery. Our network orthopedic hospitals in India offer a perfect solution for all these problems with their world-class infrastructure, experienced joint replacement specialists, excellent nursing care, zero waiting time and most affordable treatment packages. These hospitals have become most preferred destination for high quality and affordable knee replacement surgeries.

What happens during the surgery?

At first it would be a detailed consultation with a bone and joint specialist who will review your medical history. The specialist may ask for certain imaging tests like the X-Ray if required. If at all the specialist feels that you are a candidate for a knee replacement surgery then he/she may recommend certain medical (blood, urine, etc) investigations in order to assess your fitness for the surgery. If you are found fit for the surgery then you might be admitted in the hospital one day prior to the surgery.

Knee Surgery

Knee Surgery in India – Affordable and High Quality

 

In a knee joint replacement surgery you might be administered general anesthesia or you may be given spinal or epidural anesthesia. In a total knee replacement is a surgery as mentioned earlier, an affected knee joint is replaced with artificial implant or prosthesis that is made up of metal and plastic. During the surgery the end of femur or the thigh bone is removed and replaced with a metal shell. The end of the leg bone is also removed and replaced with a channeled plastic piece with a metal stem.

After the surgery, the hospital stay ranges from 3 to 5 days depending upon your health condition. You may be required to use walker or crutches for few days during the recovery period. You are also put on physiotherapy to resume movement. Complete recovery from the operation may take two to three months.

What are the Risks and Benefits of a Knee Replacement Surgery ?

Like any other major surgery, a knee replacement surgery entails a few risks and complications. Even though the complication rate following total knee replacement has gone down to a great extent over years, some patients may face certain complications, such as a knee joint infection, blood Clots or thrombosis or DVT in the leg veins and joint dislocation. For all these things, your doctor will discuss with you about the prevention medication and aides that would be required.

Patients Traveling Abroad for Affordbale Knee Surgery

Patients Traveling Abroad for Affordable Knee Surgery

A Knee replacement surgery offers some great benefits like relief from joint pain, better mobility, rectification of deformity, improved leg strength, better quality of life and the capability to return to normal activities.

Why you should choose our network orthopedic hospitals in India for your knee replacement surgery?

World-class Patient Friendly Infrastructure - Hospital for Bone Marrow Transplant in India

World-class Patient Friendly Infrastructure 

There are many reasons for so many people around the world to choose our network orthopedic hospitals in India for knee replacement surgery. Out of all such reasons the following are the most common reasons that make our network orthopedic hospitals in India the ultimate destination for knee surgery.

1) The hospitals have world-class and patient-friendly infrastructure with national and international certifications and accreditations.

2) The hospitals have highly sophisticated and advanced technology that help in using minimally invasive and nerve preserving techniques while performing knee surgeries. These techniques help you to have faster recovery, lesser pain, lesser blood loss, lesser chances of infection and better surgery outcomes. Moreover computer assisted technology, gender specific implants and high-flex rotating knee platform are commonly used at these hospitals for better surgery outcomes.

3) The hospitals offer very affordable knee surgery packages. The cost of knee surgery at these hospitals is just a fraction of the cost that you might have to pay in countries like US, Canada or UK. Moreover you need not compromise on the quality of medical care or the implant/prosthesis used.

4) The hospitals have highly skilled knee surgeons who have a vast experience of working with some of the best hospitals across the world. Many of these surgeons are trained at some of the finest institutions in the world.

5) There is no waiting period. We book all the necessary appointments for you before your arrival in India. You need not wait for appointments or stand in queue for completing the hospital formalities.

6) You get a personalized service right from the time you get in touch with us with your first medical query to your departure from India after a successful knee surgery.

7) These hospitals offer various knee surgery options. Some of the most common procedures that would give you true value for money are:

  • Total Knee Replacement : Also referred to as Total Knee Arthroplasty (TKA), a Total Knee Replacement (TKR) is a surgical procedure in which the worn, diseased, or damaged surfaces of a knee joint are removed and replaced with an implant or prosthesis.
  • Partial Knee Replacement : A partial knee replacement surgery is also called as Unicompartmental or Unicondylar Knee replacement surgery. Not every patient who is suffering with knee pain need a total knee replacement surgery. In some patients there are instances where only a small part of knee joint is damaged. In such cases a partial knee replacement becomes more suitable which can be done using minimally invasive technique rather than a total knee replacement surgery.
  • Simultaneous Bilateral Knee Replacement : In a simultaneous Bilateral Knee Replacement procedure, knee joints of both the legs are replaced in the same surgery. This type of surgery has benefits such as single anesthesia, shorter hospital stay and rehabilitation. Your doctor will decide whether you are fit for this surgery or not.
  • Revision Knee Replacement : After the first surgery, a Total Knee Replacement surgery may have to be redone or revised after 15-20 years as the implants may get worn-out in some cases. The surgeons at our network orthopedic hospitals in India use the most advanced prosthesis and Computer Assisted Surgery (CAS) for Revision Knee Replacements.

Other procedures that are routinely performed at our network hospitals.

1. Meniscectomy
2. Meniscus Repair
3. Lateral Release
4. Plica Excision
5. Meniscus Transplantation
6. ACL Reconstruction
7. Patellar/Quadriceps Tendon Repair

For more information on high quality and affordable knee surgery in India, please write to us at medical@treatmentassistance.in or call us at +91 9900 244 323.

Minimally Invasive Spine Surgery at Top Hospitals in India for Spine Surgery

Many patients from all over the world come to India for various types of spine surgeries. India has become the most preferred destination for high quality and affordable spine surgery. Right from diagnosis to surgery, very advanced technology and equipment are needed to perform a successful spine surgery. Further, some of the complex spine problems need a great deal of expertise and vast experience. Keeping all these things in mind, we at Treatment Assistance have chosen some select hospitals and spine surgery specialists and have formed a wide network of hospitals and spine surgeons at various locations in India so that we can offer you best options in terms of quality and cost of spine surgery.

Minimally Invasive Spine Surgery at Best Spine Surgery Hospitals

Get connected to Top Spine Specialists in India and Avail a Free No Obligation Expert Medical Opinion and Lowest Cost for your Spine Surgery

The spine surgeons at our network spine hospitals in India use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the spine surgeons make a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients.

Some of the benefits of Minimally Invasive Spine Surgery

  • Lesser Scarring
  • Shorter Hospital Stay
  • Lesser Blood loss
  • Reduced postoperative pain
  • Shorter recovery time
  • Less chances of infection

Facilities offered at our Network Hospitals for Spine Surgery in India

  • Multi-disciplinary team of experienced spine Surgeons, Rheumatologists ,Neurologist, Physicians and Physiotherapist.
  • Most advanced diagnostic facility including dynamic digital X rays ,Spiral CT scanning ,MRI and Electrophysiology.
  • Latest surgical techniques for all spine problems with focus on minimal access spine surgery and micro endoscopic spine surgeries, functional spine preservation techniques and spinal arthoplasty for all ( disc diseases) as well as instrumentation.
  • Fully equipped rehabilitation and physiotherapy center for non operative treatment of backache and neck pain.
  • Development of newer techniques in spine surgeries and introducing latest technology.
  • Information, support and training on preventive measures to avoid backaches and neck pain and other spinal disorders

Some of the routinely done Spine Surgeries at our Network Hospitals for Spine surgery in India

  • Endoscopic Anterior Micriforaminotomy
  • Endoscopic Posterior Cervical Foraminotomy and Discectomy
  • Cervical Stenosis Decompression
  • Posterior cervical Arthrodesis
  • Excision of Intradural extramedullary tumors
  • Thoracic Micro endoscopic Disectomy
  • Thoracoscopy for Adult Thoracic Scoliosis
  • Uniportal Endoscopic Thoracic Sympathectomy for Hyperhydrosis
  • Thorascopic Fixation of Thoracic and Lumbar Fractures
  • Thorascopic Excision of paraspinal Tumors
  • Thoracoscopic Vertebrectomy
  • Laparoscopic Anterior Lumbar Interbody Fusion(ALIF )
  • Microsurgical Anterior Lumbar Interbody Fusion(ALIF )
  • Total Disc Replacement
  • Endoscopic Discectomy and Foraminotomy
  • Endoscopic Decompression for Stenosis
  • Endoscopic Posterior Lumbar Interbody Fusion (TLIF)
  • Percutaneous Fusion techniques
  • Transforaminal Lumbar Interbody Fusion (TLIF)
  • Excision of Intradural Extramedullary Tumors
  • Vertebroplasty / kyphoplasty

For more information of affordable and high quality spine surgery in India, call us anytime at +91 9900 244 323 or write to us at medical@treatmentassistance.in

ERCP – Advanced Diagnostic Test to Examine and Diagnose Diseases of the Liver, Bile ducts and the Pancreas

The liver is a large solid organ located beneath the right diaphragm. The liver produces bile, which is stored in the gallbladder (a small sac located beneath the liver). After meals, the gallbladder contracts and empties the bile through the cystic duct, into the bile ducts, through the papilla of Vater, and into the intestine to help with digestion. The pancreas is located behind the stomach. It also produces digestive juice which drains through the pancreatic duct into the papilla of Vater, and into the intestine. ERCP is a diagnostic test to examine the duodenum (the first portion of the small intestine), the papilla of Vater (a small nipple-like structure with openings leading to the bile ducts and the pancreatic duct), the bile ducts, the gallbladder and the pancreatic duct.

Advanced Diagnosis - ERCP Procedure in India

Advanced Diagnosis – ERCP Procedure in India

What are the reasons for the ERCP examination?

The liver, bile ducts, gallbladder, pancreas and the papilla of Vater can be involved in numerous diseases, causing myriad of symptoms. ERCP is used in diagnosing and treating the following conditions:

  • Gallstones in the bile duct
  • Blockage of the bile duct by stones, cancer, stricture or compression from adjacent organs
  • Jaundice (yellow coloring of the skin) due to obstruction of the bile duct, also causing darkening of the urine and light colored stool.
  • Persistent or recurrent upper abdominal pain which cannot be diagnosed by other tests
  • Unexplained loss of appetite and weight loss
  • Confirming the diagnosis of cancer of the pancreas or the bile duct, so that surgery or other treatment can be tailored

 

How is ERCP done?

ERCP is performed by using a long, flexible, viewing instrument (a duodenoscope) about the diameter of a pen. The duodenoscope is flexible and can be directed and moved around the many bends of the stomach and intestine. Two types of duodenoscopes are currently available. A fiber-optic duodenoscope uses a thin fiber-optic bundle to transmit images to the lens at the viewing end of the instrument. A videoscope uses a thin wire with a chip at the tip of the instrument to transmit images to a TV screen. The duodenoscope is inserted through the mouth, to the back of the throat, down the food pipe, through the stomach and into the first portion of the small intestine (duodenum). Once the papilla of Vater is identified, a small plastic catheter (cannula) is passed through an open channel of the duodenoscope into the papilla of Vater, and into the bile ducts and/or the pancreatic duct. Contrast material (dye) is then injected and x-rays are taken of the bile ducts and the pancreatic duct. The open channel also allows other instruments to be passed through it in order to perform biopsies, to insert plastic or metal tubing to relieve obstruction of bile ducts caused by cancer or scarring, and to perform incision by using electrocautery (electric heat).


What kind of preparation is required?

For the best possible examination, the stomach must be empty. The patient should not eat anything after midnight on the evening preceding the exam. In case the procedure is performed early in the morning, no liquid should be taken. In case the examination is performed at noon time, a cup of tea, juice, milk, or coffee can be taken 4 hours earlier. Heart and blood pressure medications should always be taken with a small amount of water in the early morning. Since the procedure will require intravenous sedation, the patient needs to have a companion drive him/her home after the procedure.

 

What can be expected during and after the procedure?

The patient will be given medication through a vein to cause relaxation and sleepiness. The patient will be given some local anesthetic to decrease the gag reflex. Some physicians do not use local anesthetic and prefer to give the patients more intravenous medication for sedation. This also applies to those patients who have a history of allergy to Xylocaine, cannot tolerate the bitter taste of the local anesthetic, or the numbness sensation in the throat. While the patient is lying on the left side on the x-ray table, the intravenous medication is given and then the instrument inserted gently through the mouth into the duodenum. The instrument advances through the food pipe and not the air pipe. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication.

When the patient is in semi-conscious state, he/she can still follow instructions to change the position on the x-rays table. Once the instrument has been advanced into the stomach, there is minimal discomfort except for the foreign body sensation in the throat. The procedure can last any where from fifteen minutes to one hour, depending on the skill of the physician and the anatomy or abnormalities in that area. After the procedure, the patients should be observed in the recovery area until most of the effects from the medication have worn off. This usually takes one to two hours. The patient may feel bloated or slightly nauseated from the medication or the procedure. Very rarely a patient experiences vomiting and may belch or pass some gas through the rectum. Upon discharge, the patient should be driven home by his/her companion and is advised to stay home for the rest of the day. The patient can resume usual activity the next day. Even though the physician may explain to the patient or companion regarding the findings after the procedure, it is still necessary to call the physician the next day to ensure that the patient understands the results of the examination.

 

What are the side effects and risks of the ERCP procedure ?

ERCP is a highly specialized procedure which requires a lot of experience and skill. The procedure is quite safe and is associated with a very low risk when it is performed by experienced physicians. The success rate in performing this procedure varies from 70% to 95% depending on the experience of the physician. Complications can occur in approximately one to five percent depending on the skill of the physician and the underlying disorder. The most common complication is pancreatitis which is due to irritation of the pancreas and can occur even in very experienced physicians. This ” injection ” pancreatitis is usually treated in the hospital for one to two days. Another possible complication is infection. Other serious risks including perforation of the bowel, drug reactions, bleeding, depressed breathing, irregular heart beat or heart attack are extremely rare. In case of complication, patient needs to be hospitalized and surgery is rarely required. In summary, ERCP is a rather simple outpatient examination that is performed with the patient sedated. The procedure provides significant information upon which specific treatment can be tailored. In certain cases, therapy can be performed at the same time through the duodenoscope, so that traditional open surgeries can be avoided. ERCP is currently the diagnostic and therapeutic procedure of choice in most patients for identifying and removing gallstones in the bile ducts.

 

Endoscopic Retrograde Cholangio-Pancreatography at a Glance

  • ERCP is a diagnostic procedure to examine diseases of the liver, bile ducts and pancreas.
  • ERCP is performed under intravenous sedation, usually without general anesthesia.
  • ERCP is an uncomfortable but not painful procedure. There is a low incidence of complications.
  • ERCP can provide important information that cannot be obtained by other diagnostic examinations, e.g. abdominal ultrasound, CT scan, endoscopic ultrasonography (EUS), or MRI.
  • Frequently, therapeutic measures can be performed at the time of ERCP to remove stones in the bile ducts or to relieve obstructions of the bile ducts.

 


ERCP Procedure in India

ERCP procedure is available at our network hospitals in India. For more information on cost of ERCP Procedure in IndiaBest ERCP Specialists in India, Best Hospitals for ERCP Procedure in India etc., please write to us at medical@treatmentassistance.in or call +91 9900 244 323.

Most Hysterectomies are not emergency operations, so you have time to think about your options

The surgical procedure done that is done for the removal of Uterus and other reproductive organs like the ovaries or the Fallopian Tubes is known as Hysterectomy. Hysterectomy Surgery is done if one or more of these problems are occurring viz fibroid, heavy bleeding, endometriosis, prolapse, cancer and uncontrolled bleeding after delivery.

Low Cost Uterine Fibroids Treatment in India

Affordable Hysterectomy procedure at leading Women care Hospitals in India

Hysterectomy is done through an incision in the abdomen or the vagina. There are different kinds of hysterectomy, namely:

  • Partial or Supra-cervical Hysterectomy: This is removal of just the upper part of the uterus whereas the cervix is left as it is.

 

  • Total Hysterectomy: Removal of the entire uterus and the cervix.

 

  • Radical Hysterectomy: It involves removal of the uterus, the tissue situated on both sides of the cervix (known as parametrium), and the upper part of the vagina. This kind of hysterectomy is generally done to treat cancers.

 

Types of Hysterectomy

Depending on the medical history and the reason for which the surgery is being performed, following different hysterectomy options can be used.

  • Abdominal Hysterectomy: In this procedure an incision of 5-inch to 7-inch is done in the lower part of the belly.

 

  • Vaginal Hysterectomy: In this procedure a cut in made in the vagina and is done in the lower part of the belly. Then the uterus is removed from this cut. Thereafter the cut is closed with stitches.

 

  • Laparoscopic Hysterectomy: For this procedure 3-4 small cuts are made in the belly and a laparoscope and other surgical instruments are inserted through the cuts. The uterus is than cut into small pieces and removed through the cuts.

 

Why is the Hysterectomy Performed?

Hysterectomy is recommended as a last treatment or surgical option to treat following conditions when conservative methods fail.

  • Uterine fibroids
  • Endometrial cancer
  • Cancer of the cervix or Cervical dysplasia
  • Ovarian cancer
  • Endometriosis
  • Severe and chronic uncontrollable vaginal bleeding
  • Prolapse of the uterus: i.e. when the uterus slips down into the vagina.
  • Adenomyosis. I.e. the tissue that lines the uterus grows inside the walls of
  • Chronic pelvic pain
  • Complications during childbirth, like uncontrollable bleeding

 

What are the risks associated with Hysterectomy Procedure?

As there are numerous risks in any kind of surgery like allergic reactions to medicines, breathing troubles, Blood clotting, Bleeding and Infection, hysterectomy surgery is also accompanied with some risks like :

  • Damage to nearby organs, bladder or blood vessels
  • Injury to intestines
  • Pain during sexual intercourse
  • Early menopause if the ovaries are removed


Affordable Hysterectomy procedure at leading Women care Hospitals in India

At our network women care hospitals in India, there are highly skilled and experienced gynecologists and laparoscopic surgeons to perform hysterectomy procedure. In fact hysterectomy is one of the very common gynecological procedures routinely performed at our the network hospitals in India. The hospitals are world-class that have dedicated section and nurses for women care. Even the technology and the infrastructure used are procured keeping in mind the needs of women patients. In simple a women friendly environment is created in which the patient can freely talk to care givers and feel at home when at hospital. You can avail very affordable hysterectomy packages and also get many options to choose, right from hospital to doctor and location to packages. For more information on high quality and affordable hysterectomy procedure in India please write to us at medical@treatmentassistance.in or call +91 9900 244 323.

Be a Smart Medical Traveler !

Travelling to a foreign country for surgery or any medical treatment is an important decision and if you are a smart medical traveler then you can have a truly great experience. In this blog we have made an attempt to give you some tips that may help you to be a smart medical traveler ! We have come up with these practical tips after getting feedback and interacting with lot of patients whom we have served over the years.

Get the best out of your Medical Travel to India

Save Money, Save Time and Get World-class Medical Care in India

We hope these tips might help you to get best out of your medical travel to India. 

Tips to become a Smart Medical Traveler and Get the best out of your Medical travel to India !

  • Travelling abroad for medical treatment or use of foreign medical services is a voluntary act by the patient.

 

  • Get more and more information before you travel or choose a particular hospital. You will get a lot of information on the internet and other media and if possible do talk to people who have been abroad for medical treatment.

 

  • Before travelling abroad for medical treatment, it is advised to first consult with the family doctor or a general practitioner, and thoroughly examine issues regarding post-treatment care after returning home as well.

 

  • You need a valid Passport and Medical visa to enter India. If you do not have a passport, please apply for one immediately. If you already have a Passport, please check whether it has more than 6 months of validity still left on it. Ask for a formal invitation letter from the hospital for coming to India for medical treatment and attach a copy of that letter with your visa application form while applying for Indian Medical Visa. For finding out the nearest Indian Embassy please check out the following link.http://www.mea.gov.in/indian-missions-abroad.htm

 

  • You must fully understand that long flight hours along with other necessary activities may be stressful and tedious in some cases. It is better to book an Aisle seat with better leg room and instruct your travel agent or airline in advance in case you need a wheel chair or help during the transit.

 

  • Understand your rights as well as obligations prior to travelling to a foreign country for medical treatment.

 

  • You should get options and check all information regarding the hospital, healthcare provider’s certification status, clinical data and clinical experiences.

 

  • Ask for the profile of the surgeon or doctor who would be treating you. If possible talk to him/her over phone or video call and get answers to all your medical queries before you travel.

 

  • Ask as many questions that you may like from the hospitals or the medical travel facilitation agency and get a complete clarity.

 

  • Most hospitals have hotel or guest house accommodations nearby with special rates for their international patients. Find out these details and make provision for the expenses for post hospital stay in the India . It is better to ask the help of the hospital or the medical travel facilitator to get the discounted rates or to get options. Do not forget to compare tariffs and the choose.  Always stay near to the hospital post discharge for recovery and follow-up. 

 

  • If all your questions are answered and the opinion/ estimate sent to you by the hospital or the facilitator matches your preferences then do not forget to ask them when is the best time to arrive for the treatment. By choosing right time you can save money on travel and hotel and also save time by getting all your appointments booked in advance. 

 

  • Check and confirm in advance the approximate cost for medical treatment, medication, as well as extra charges that may rise due to unexpected additional expenses. You should also understand the inclusions and exclusions of any package or cost given. If your surgery involves use of any implant/prosthesis then please ask for the make and type of implant. The cost of implant varies from manufacturer to manufacturer and also on specifications or materials used. Get a clear understanding of the implant that would be used  in the surgery since it forms an important part of cost of surgery and we suggest that you do not compromise on quality of implant. 

 

  • You must check in advance the necessary documentation that may required (visa, diagnosis, transfer forms, prescriptions, insurance policy, etc) for traveling or for the treatment. It is better to do this work before you leave your country for the treatment so that once you are in India you do not face any problem.

 

  • You shall have the right to not be discriminated against based on ethnicity, religion, race or gender.

 

  • Everything has to be clearly explained to the you before undergoing any diagnostic test or treatment or surgery. Patient’s consent is very important in every step. It is a patient’s right to have his or her character and individual decisions respected.

 

  • There are many websites offering cheap medical treatment and promising world-class care. But do you know who the people behind it are ? Go to ‘About Us’ page and know more about people behind such websites and try to find more about them through social media websites like linkedin, facebook, google plus etc. Best thing, call them and talk to them and if possible get a video call using skype or gmail account. It is free. After all you want to deal with genuine human beings rather than good looking websites or lengthy texts with promises and assurances. At least when it comes to medical treatment let us play safe.

 

  • Patients and the attendants who are residing or have passed through the Yellow fever endemic countries during the preceding six days, please do not forget to carry the original copy of ‘Yellow Fever Vaccination Certificates ‘when you come to India. Please note that the validity period of international certificate for yellow fever vaccination or re-vaccination against yellow fever is 10 years, beginning 10 days after vaccination. Yellow fever is a viral infection which is transmitted by the day-time biting Aëdes aegypti mosquito, typically found in urban, suburban, and rural areas. The ‘yellow fever endemic zones’ are areas where there is a potential risk of infection on account of the presence of vectors and animal reservoirs. Some countries consider these zones as ‘infected’ areas, and require an international certificate of vaccination against yellow fever from travelers arriving from these areas.

 

  • Have you got any emails or text messages or mass mailers from unidentified sources promising cheaper medical treatment and a long list of attractive assurances? The emails are sent from email accounts which have a domain similar to or containing abbreviations of the names of some of the reputed hospitals in India. After getting an email, you may also get a phone call saying that they are the representatives of such and such hospital. If you come across such things then please do find out more about them. Do not just completely rely on the email or phone call. Find out whether they are genuine. One of the easy ways is, save the numbers and email addresses of the sender or the caller. Go to google.com or any other search engine and search for the phone number and email addresses or domain names. See what you get in search results. Is it genuinely the email address or phone number of the hospital or organisation which the sender is making you to believe? Is the email address or phone number mentioned in any website or the domain name represent any website? If yes, then who are the people behind that website? Go to ‘About us’ page and find out more about them from social media profiles and other sources from internet. Search engines like google , yahoo , bing etc. can help you a lot in this . Make use of them in a right way and deal with genuine people.

 

  • Same person or organisation may send you emails from different email accounts with different domain names. Again these domain names may be similar to the domain names of some reputed hospitals or may contain abbreviations of the hospital names in the domain names making you believe that you are directly dealing with the hospitals. If you are getting such emails then save those email addresses and phone numbers mentioned in the emails and then do a google search to find more about them. Do the domain names of the email addresses have any website on it ? or Whether these email addresses or phone numbers are mentioned on any website ? Be careful about the fake domain names, people and phone numbers.

 

  • Do not just rely on few hospitals with Big Brand Names. There are many other good hospitals and medical centers in India which offer equally good medical care at a much lower cost. The only challenge is to find the right one. There are some hospitals that are doing some great work in providing world-class and affordable medical care to many patients from different countries across the world but you may not find them promoting themselves in form of advertisements, out-reach programs, online and offline media etc. Hence many people may not be aware of such hospitals and the kind of work they are doing. By choosing the right hospital you will not only get good medical care but also save a lot of money.

 

  • Choose appropriate Room Category. The cost medical treatment may vary with the type of room category you choose. Higher the room category, higher the cost of medical treatment. Before taking an admission in any hospital understand the different room categories. See the facilities in each room category and then ask for quote or estimate cost of treatment in various room categories. See the difference and check what you get for paying more in higher room category. Once you have done this, you can choose the appropriate room category that matches your budget and preferences.

 

  • Traveling abroad for the first time! Lonely Planet brings out some very useful tips for safe travel. Now whether you are a Medical Traveller or Business Traveller or a Tourist, these tips may help you to be safe and enjoy your stay in a foreign country. Check out the following link for more information.http://www.lonelyplanet.com/asia/travel-tips-and-articles/76192

 

  • Carry your mobile phone. You can buy an Indian SIM Card and save money on local calling as well as be accessible to your Indian hospital or hotel staff.

 

  • Inform the hospital or your medical travel facilitator about your confirmed travel plans atleast 10-15 days in advance so that they have enough time to book your surgery, admissions , arrange for airport pick-up and book all the necessary appointments and plan your medical travel very well right from your arrival to departure from India. So when you come to India, everything is arranged for you well in advance and you need not wait or extend your stay for anything unnecessarily. This will help you to save time and money.

 

  • Carry all your medical record, reports, scan images and medicines (if any) while you travel to India for medical treatment.

 

  • Take photocopies of your passport, visa and other documentation and keep them with you and save a scanned copy in your email inbox. Also, leave a copy with someone at home.

 

  • At the time of discharge from the hospital, do not forget to collect a detailed Discharge Summary and copies of all the reports and scan images done during your stay.

 

  • At the time of discharge from the hospital or before leaving India after the treatment, do not forget to collect “fit to fly” certificate from your treating doctor or the hospital. If you have got a metal implant or prosthesis in your body then please do collect a certificate or letter for the same from your treating doctor or the hospital. The airline people or the officials at the airport may ask you for these documents. Keep these documents safely with you as you may need these in future while traveling.

 

  • Do not forget to take the email address and phone number from your treating surgeon or doctor in India. It will help you to be in touch with him later on once you go back to your home country.

 

  • It is advisable to take a travel insurance and if possible a  medical tourism insurance. Nowadays you will find companies offering even medical tourism insurance.

 

  • Focus more on Medical part of Medical Tourism rather that Tourism part. It is advisable not to indulge in travel, tourism or sight seeing activities without the consent of your doctor. Your health and recovery is more important than tourism or shopping. Your first priority should be to recover well by following the instructions of your treating doctor.

 

  • If you want to use debit card or credit card for making payments in India then please inform your bank before you leave your country. This is very important since there are chances that for security purpose they may block your card for using it in new location or different country.

 

  • For the payments that you make at the hospital or hotel or while shopping, please do not forget to check and collect all the bills and invoices in original. Keep these things safely with you.

 

  • The hospital or your medical tourism facilitator arranges for your airport pick-up and drop when you are in India. The airport pick-up and drop is generally included in the treatment package or is complimentary. Confirm your airport pick-up with the hospital or the facilitator before you travel to India. It is advisable to use this service since it is free and you need not search for the hospital or the directions to get there. Moreover you need not look out for reliable cab service or bargain with cab drivers.

 

  • Do not carry too much cash for making payment for your medical treatment. Instead you can wire transfer the money directly into hospital’s account. If you wire transfer then do not forget to collect the acknowledgement receipt from the bank.

 

  • Apart from Yellow Fever vaccination certificate as  per Govt. of India mandate, all passengers arriving India effective 14th February 2014 from Kenya, Ethiopia, Afghanistan, Israel, Pakistan, Nigeria and Somalia will have to carry Oral Polio Vaccination (OPV) Certificate taken six week prior to entry.  This certificate is mandatory for both Adults and Children. All travelers from above seven countries will now be required to have in their possession a written record of vaccination (patient-retained record) for polio, preferably using IHR 2005 International Certificate of Vaccination or Prophylaxis from a hospital or Centre administering OPV.

 

Medical Travel can help you to save you a lot of money and time on your medical treatment. So make best use of it. Have a Safe and Great Medical Travel Experience !

 

Did we miss anything ? We would love to hear your experiences. Please feel free to share your experience by calling us at +91 9900 244 323 or writing to us at medical@treatmentassistance.in so that we can also include your suggestions or tips.

World-class Bone Marrow Transplantation Centre in India

Cavities of our bones are filled by a soft, spongy blood forming tissue that consists of immature blood cells (stem cells) and mature blood cells, including white blood cells, red blood cells, and platelets. This tissue generates new blood in big bones and is called as Bone Marrow. Most people who need to undergo a bone marrow transplant have blood cancers, such as leukemia or lymphoma. There are different types of bone marrow transplants and the type and severity of your disease determine what type of bone marrow transplant you may need. Bone marrow transplant (BMT) is a procedure in which the diseased or damaged bone marrow is replaced with healthy bone marrow. In order to replace the diseased bone marrow with healthy bone marrow, the diseased bone marrow is first destroyed by chemotherapy and/or radiation therapy. The replacement marrow or the healthy bone marrow, if comes from the patient is called an autologous bone marrow transplant and if it is from an identical twin, it is termed a syngeneic transplant. If the marrow is from a donor (not an identical twin), the procedure is an allogeneic bone marrow transplant.

Cost of Stem Cell Transplantation for Thalassemia at Best Hospitals in India

Low Cost Bone Marrow Transplant at Best Hospitals in India

 

Our network Bone Marrow Transplantation centre was established in October 2004 in Bangalore city, India with a vision to make this bone marrow transplant treatment affordable to the common man. At this centre the bone marrow transplant procedure is used to treat various diseases that may be cancerous like acute myeloid leukemia, acute lymphatic leukemia, myelodysplastic syndromes, myelofibrosis etc or non-cancerous diseases like thalassemia, aplastic anemia, sickle cell disease, fanconi’s anemia, immunodeficiency syndromes etc. One of the best examples of a non-cancerous disease, which can be treated by using BMT procedure, is thalassemia. There are many children in different parts of the world that are born with thalassemia major every year. The only option besides BMT for these children with thalassemia is repeated blood transfusions and chelation therapy, which is both expensive and distressing to the patients and their parents. BMT offers the only hope of a cure. Bone marrow transplant for thalassemia has been carried out successfully on many patients at this centre.

Allogeneic Bone Marrow Transplant at Bone Marrow Transplantation Centre in Bangalore, India
In an allogeneic bone marrow transplant, a donor is usually a HLA (Human leucocyte antigen) identical sibling without the disease. When a HLA identical sibling donor is not available a matched unrelated donor can be used from one of the donor registries or a cord blood can be used in some particular diseases. Stem cells are harvested from the bone marrow or collected from peripheral blood in a pheresis machine, and given to the recipient, after destroying the bone marrow of the recipient with chemotherapy. The recipient (patient) is kept in sterile room called the BMT unit, until the donor cells multiply and replace the diseased marrow. The average duration of this procedure is 4- 6 weeks.

Autologous Bone Marrow Transplant at Bone Marrow Transplantation Centre in Bangalore, India
Autologous stem cell transplants are usually done for diseases like Myeloma, Lymphoma, Neuroblastoma, Ewings sarcoma etc. Here a donor is not required. Stem cells are collected from the peripheral blood from the patient after finishing the chemotherapy cycles. The stem cells are cryopreserved. High dose chemotherapy is them administered to the patient after which the cryopreserved stem cells are re-infused.

Why to choose this Bone Marrow Transplantation Centre for Stem Cell or Bone Marrow transplantation Treatment?

The Bone Marrow Transplantation Centre in Bangalore City will have India’s largest bone marrow or stem cell transplant facility, and advanced treatment facilities like immunotherapy, gene therapy and biomodulators. This centre has been catering to both national and international patients. Many International Patients come from Oman, Srilanka, Bangladesh, Nigeria, Kenya, Rawanda, Iraq, Nepal etc. About 35% of the patients are international patients. At this centre, 25% of the transplants are done for thalassemia and another 25% is for acute myeloid leukemia. The cost of bone marrow transplant at this centre is extremely reasonable when compared to costs in the US and Europe. A large number of patients with thalassemia, aplastic anemia, leukemia etc have been able to avail of this facility. In addition to HLA identical sibling transplants, the centre has also taken the initiative in starting cord blood transplants and matched unrelated donor transplants. The centre has also initiated the cord blood transplant program for disease like leukemia in children and also for immunodeficiency syndromes. The centre has also a cord blood facility to collect cord blood units for public banking for usage for cord blood transplants. The centre is also one of the few transplant centres with facility for total body irradiation (TBI) which is used during conditioning for lymphoid malignancies and also in the reduced intensity conditioning transplants.

The centre also has tie-ups with several research institutions in India and abroad, such as GANIT labs, Strand Genomics, Cornell University, University of California, Irvine.


Highly Experienced and Skilled Multi-disciplinary Team

The medical team at this centre consists of  haematologists, medical oncologists and pediatric oncologist . This combined experience makes it a major referral centre for stem cell transplants.

The nurses on the BMT team are specially trained to care for bone marrow transplant and immunology patients. They work closely with doctors in the divisions of hematology/oncology and immunology to Assess your needs , Plan the care required and Provide treatment.

Nursing Care - Bone Marrow Transplant Center in India

Nursing Care – Bone Marrow Transplant Center in India

The nurse coordinator will help in planning all the activities that are needed to prepare for you for the transplant. The nurse coordinator will follow the care during your stay in the hospital, and in the follow-up clinic after transplant has been completed .

You will get to know several doctors during your stay at the hospital for a bone marrow transplant. The staff transplant doctor works with you and the BMT team to make all the major decisions about your medical care and to decide on the right procedures and medicines to use.

The dietician monitors the nutritional needs, and daily food and fluid intake. He or she will meet with BMT team every day and give suggestions about oral and tube feeding as well as intravenous(IV) or parenteral nutrition(TPN). If any special nutritional needs, the dietician will meet with you.

A social worker can also provide support and counselling as you adjust to the hospitalization of your patient.

Patiently friendly and World-class Infrastructure

The centre is an integral part of 100,000 sq.ft state-of-the-art facility for cancer treatment. This centre has the most advanced therapy modalities used in the treatment of cancer and other complex diseases under one roof.

World-class Patient Friendly Infrastructure -  Hospital for Bone Marrow Transplant in India

World-class Patient Friendly Infrastructure – Hospital for Bone Marrow Transplant in India

The BMT centre has different rules about visiting, diet and patient activity than other patient units in the hospital. These are all meant to protect the patient from infection. The rooms are High Efficiency Particulate Air (HEPA) Filtered rooms .Since your immune system will be rendered ineffective in preparation for a bone or marrow transplant, special isolation rooms are needed to protect you from infection. The rooms have special air flow that filters the air in the room 500 times an hour. It is mandatory that anyone entering the room wear a special gown and perform a special hand wash called a scrub. You will be shown how to scrub and gown before entering HEPA room. You will be placed in a HEPA room from the day of conditioning for the transplant and will not leave the room until the doctor decides that it is appropriate. The attached bathroom is for patient use only. Only the water from the geyser is to be used. Each HEPA room has a TV and telephone. We encourage kids to bring favorite toys, pictures and games, although stuffed toys are not allowed. Food may not be kept in the HEPA rooms because of the risk of infection . Only patients may eat in these rooms. The small refrigerator in the anteroom is used for your patient drug that needs to be kept cold. Food items should not be kept in this refrigerator. After the transplant, once your new bone marrow starts to grow and your blood counts begin to rise, the doctor will decide whether you can be discharged.

When you are admitted to the HEPA room, you will be placed on a special low-bacteria diet. No food from home is allowed for the duration of isolation. Food is supplied at the timely manner from the hospital dietary.

Protective isolation is used to protect the transplant patient from infection caused by bacteria, viruses and fungus. This form of isolation include the use of

  • A special isolation room called a positive pressure HEPA filtered room.
  • An air filtration system (HEPA)
  • Gown
  • Very good hand washing
  • Special cleaning procedures
  • A nurse will explain to you all the special things that you need to do before entering this room.

To prevent the spread of infection from person to person, all hospital staff, parents and everyone else entering the room must wash their hands in the scrub sink in the anteroom. A full two minutes scrub should be done first thing in the day, after meals and after bathroom breaks. At other times, a 15- second hand wash.

All supplies and personal items brought into room must be clean. No special cleaning or sterilizing technique are needed except when equipment is shared among patients, such as scales, blood pressure machine or toys. Shared equipment must be wiped off with a towel that has been soaked with disinfectant. Anything that falls on the floor must be removed from the room and cleaned with disinfectant before it may be brought back to the room. Toys brought from home should be washed with soap and water at home and then wiped off with disinfectant just before they are brought into the room.

All staff and parents are required to wear sterile dress in the room. We suggest that you wear light weight clothes (sterile) under this gown. The nursing staff wear masks when they do any sterile procedure, like changing the CVL dressing or the CVL caps. They do not wear masks for routine care. While inside the room it is must to wear cap and the mask.


Treatment Procedures

A few weeks before the blood or marrow transplant , you will be started on chemotherapy drugs. These drugs will help: 1) Destroy all the cells in the old bone marrow, including both healthy and diseased cells. 2) Suppress the immune system. The type of chemotherapy drugs will depend on your diagnosis. Each drug has different side effects. Some of the short term effects of chemotherapy include:

  • Nausea and vomiting
  • Diarrhea
  • Blood in the urine
  • Hair loss
  • Mouth sores
  • Fluid retentions
  • Bleeding from any place in the body.

Medication can be given to help your patient to relax, and to help control the nausea and vomiting.

You will notice that nurses wear gloves when handling body fluids. This is because chemotherapy drugs leave the body in body fluid. It is important for your own protection that you wear gloves when handling body fluids during the time that your child is receiving chemotherapy and for a short while afterwards.

The transplant procedure is actually fairly simple, the stem cells or bone marrow cells to be transplanted are given through the central venous line (CVL). The procedure is just like getting a blood transfusion, except that there are a few extra precautions taken.

1) Just before the infusion of the new bone marrow, you may be given medication to help avoid any allergic reactions.

2) A monitor will be used to check your patient breathing, heart rate and blood pressure during the procedure. The nurse will monitor you closely throughout the infusion of stem cells or bone marrow.

3) A doctor is available on the unit and will check in periodically. Medications may be given to deal with problems that may arise, such as high blood pressure or a fast heart rate. While receiving the transplant infusion, you may read or watch TV. The infusion will last several hours. After the infusion is finished, the monitor may be taken off. Breathing, heart rate and blood pressure will be checked every few hours, although your nurse will not be in the room the whole time.

 
Autologous bone marrow transplant: Autologous means own or belonging to self. An autologous blood or marrow transplant is the transfusion of stem cells or bone marrow taken from your own body. These cells may be stored up to 5 years, after which time they will be destroyed if not used.

Peripheral blood stem cell or bone marrow transplant: For this your patient will have had several apheresis treatments before being admitted to hospital for BMT. An apheresis procedure removes stem cells from the blood circulating in the body. These cells are responsible for making blood and for developing the immune system, which helps the body fight infection. After these cells are collected, they are frozen and stored in a cryopreservation lab. For your patient transplant, the frozen stem cells are transported to the BMTU, thawed and then given to the patient through his or her CVL.

Complications and their treatments
After the infusion of stem cells or bone marrow, it takes 4 to 6 weeks for the new bone marrow to grow and function as it should. During this time, you may run the greatest risk of bleeding, or of having infections and other complications.  It occurs when the new bone marrow, called graft, does not recognize the person who receives it, called the host. The graft then sends out fighter white blood cells, called lymphocytes, to attack the host. It can be mild, moderate or severe and can involve the skin, the liver or the bowel. Rashes and diarrhea are symptoms. Sometimes tissue samples of symptomatic areas are taken to diagnose the disease. This complication is seen with allogenic transplants, in which the transplant comes from either a related or unrelated donor.

Signs to watch for Sign or symptoms of infection

1)A fever above 38. 5 C or 101 F.

2)Any breathing or respiratory problems, or a cough, runny nose, sore throat or cold.

3)Stomach complaints, such as diarrhea, nausea, vomiting or cramps.

Signs or symptoms of Graft-versus-host disease ( GVHD ) ( for patients with a donor transplant only)
• A new rash on the body, palms of the hands, or soles of the feet.
• Watery diarrhea.
• Loss of appetite with weight loss.
• Jaundice, a yellow colour in the whites of the eyes or in the skin.

Visitors
Visitors at home are allowed but they must be carefully screened. Family and friends should not visit if they are ill. Visiting children have greater chance carrying contagious diseases because they are more exposed to them in the school environment. Chickenpox, measles, mumps and cold sores are of particular concern. Please report any known exposure to these diseases to the BMT coordinator as soon as possible.

Skin care
Make sure your patient bathes or showers every day using non-irritating soap and shampoo. Always clean the tub with a cleanser first. If skin is dry apply Vaseline or paraffin oil to the skin. Protect your patient skin from the sun, especially if your patient had radiation or has GVHD. Follow these guidelines. 1)Cover your skin as much as possible with clothing. 2) Make sure you wear a hat, especially until his or her hair has grown back. 3)Use lots of sunscreen on your patient skin.

Mouth care
Make sure you care your mouth at least 3 times a day, preferably after meals.
1) If your platelets are lower than 100,000 use toothette. If your platelets are higher, use a soft toothbrush. Use any mild toothpaste with fluoride.
2)Make sure that the areas where the gums meet the upper and lower cheek are brushed thoroughly.
3)Report any white patches, called thrush, or mouth sores to your patient physician.


Medications

You will still need medications at home. Your nurse and the pharmacist will explain the medication to you. Before you leave the hospital, please be sure that you understand what all the medications are for and how to give them. Some of these medications can be expensive.

Information on Bone Marrow Transplant in India
If you want to know about traveling to India for Bone Marrow Transplant procedure, Cost of Bone Marrow Transplant, Best hospitals in India for Bone Marrow Transplant, Best Bone Marrow Transplant specialist in India or any other information then please do write to us at medical@treatmentassistance.in or call us anytime at +91 9900 244 323.