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Weaning the Baby

Weaning the Baby

My baby is approaching one year now and I want to wean her off the breast and on to formula milk. What is the best way to do this?

For ideal nutrition WHO recommends that a baby must be exclusively fed breast milk for the first 6 months, but you can continue for up to 2 years if you wish, even after the baby is introduced to solid foods. If you wish to wean your baby off breast milk, you can start trying the following steps. First, substitute breast milk with bottle milk once a day and gradually increase the number. Also start offering solid food instead of breast milk at meal times. Make sure your partner also helps during the feeding time as it is best you aren’t always there to feed her. You can also try different bottles/teats and decide on one your baby prefers. Since your child is turning 1 year old you can offer sipping from cups. Don’t expect an immediate result, as the change away from breast feeding will be a slow process.

Dr. Ramanathan, Medical Director and Consultant in Paediatrics & Neonatology

Dr. Venkiteswaran Ramanathan 

Medical Director and Consultant in Paediatrics & Neonatology 

Aster Hospital Mankhool 

Early Screening Must to Detect Speech & Hearing Abnormalities

Doctor with 10 year old

If the child doesn’t attain adequate speech and language capabilities in time or fails during the initial hearing screening, he or she could be suffering from a rare disorder known as Auditory Neuropathy Spectrum Disorder (ANSD).

As a child grows up, his/her parents must track “normal speech and language milestones.” They should also get a hearing test done for every newborn. If the child doesn’t attain adequate speech and language capabilities in time or fails during the initial hearing screening, he or she could be suffering from a rare disorder known as auditory neuropathy spectrum disorder (ANSD).

Auditory dyssynchrony, also known as auditory neuropathy, is a condition where transmission of sound impulses including speech sounds is not in proportion or synchronous from the inner ear to the brain thus leading to interrupted sound signals leading to understanding problems in the individual. It generally occurs in three to four of every 10,000 children.

In the case of 10-year-old Deepali (name changed) the disorder went undetected until her parents went to Aster Hospital’s audiology department to get a clearance. The parents needed the clearance from a hospital in order to get the child admitted into a school as the child also has cerebral palsy and was undergoing treatment for the same.

Explaining the case, Audiologist at Aster Hospital Mankhool, Mr. Vikas, who was handling the case, told Khaleej Times: “The child required multiple repetitions to understand the speech, and she would lip read to understand what is being said to her. She is unable to express her feelings completely and cannot communicate with others properly.

“Deepali could convey her message with one or two words or gestures which only her parents can understand (that too is limited since she is quadriplegic with cerebral palsy too). Moreover, she faces much more difficulty in understanding if the speaker is not in front of her or is standing far away.”

For the past 10 years, the child was being treated for other abnormalities and no hearing test was ever conducted. This led to a speech delay which was considered as the result of cerebral palsy. “The best way to improve her condition is to focus on giving specialized speech and language therapy or opt for cochlear implant surgical option.

“Using assistive listening devices like FM systems can also help since this system works on radio frequency thus eliminating background noise.

Although the process is long and cannot be completely cured, speech and language can be made adequate with rigorous training, he added.

“If your child doesn’t attain adequate speech and language capabilities in time or fails during an initial hearing screening, a complete audiological test battery should be conducted to detect the need for therapies.

As per the Joint Committee of Infant Hearing and the WHO, it is recommended that every newborn child is tested for auditory capacity.

Mr. Vikas, Audiologist

Mr. Vikas


Aster Hospital Mankhool 

News Source: 

Khaleej Times – –

Audiologist, Mr. ViKas News

Symptoms of Acid Reflux Should Not be Taken Lightly

Stretta Procedure for Acid Reflux picture

It is the increasingly sedentary lifestyles and unhealthy eating habits that result in the disruption of our general digestive process.

A 26-year-old Pakistani male, F.J., had been suffering from irritation in the throat, sensation of  lump in the throat, burping and upper abdominal discomfort – all that were responding poorly to treatments.

On seeing his reports and examining him, Dr Amal Premchandra Upadhyay, Consultant Gastroenterologist at Aster Hospital Mankhool, knew it was not a normal case of acid reflux as the severe discomfort the patient suffered pointed towards the chronic digestive condition known as Gastroesophageal Reflux Disease (Gerd). This is a condition when the stomach contents move up into the esophagus due to a defect in the valve between the stomach and the lower esophagus. If untreated or poorly controlled, it can lead to ongoing symptoms, poor quality of life and possibly serious complications.

It is the increasingly sedentary lifestyles and unhealthy eating habits that result in the disruption of our general digestive process and lead to heartburn and acid reflux.

Medication such as antacids provide only temporary relief. The next level of medication – acid blockers and proton-pump inhibitors (PPI) provide longer relief but is not a permanent solution. Also, continuous or too frequent use of these medications may cause other side effects.

A longer-lasting solution is surgery, however, for people who are not keen on surgery or those who cannot take medication for various reasons or wish to avoid medication, Stretta is the alternative.

“Stretta is a non-surgical procedure that uses radio frequency energy to alter the muscle between the stomach and esophagus and thus improve reflux. The procedure is guided endoscopically and it takes approximately 45 minutes. It is done under deep sedation so that maximum patient cooperation can be obtained and the patient can return back to normal everyday activities within a few days. The procedure helps the patient becomes less dependent on medication to treat his symptoms,” said Dr Amal, explaining the procedure.

Although F.J.’s abdominal discomfort responded to treatment, it was the associated throat symptoms that were bothering the patient. The atypical nature of the symptoms also led to the delay in the patient seeking appropriate treatment. Dr Amal resorted to the Stretta procedure – an upcoming option for patients in the UAE who are suffering from reflux but are not comfortable with taking long term medications. “This is the first case where we have introduced the Stretta procedure to treat the patient at Aster Hospital Mankhool, Dr Amal told Khaleej Times.

Talking about the Stretta effect on the patient’s health Dr Amal said: “The patient reported more than 50 per cent improvement in symptoms after the Stretta procedure. He had never experienced this kind of improvement with medications. Now, he is not completely dependent on medication to control his symptoms. This has significantly improved his quality of life and his ability to participate in normal activities without worrying about the repercussions.

He added: “Typically, patients start feeling the improvement in symptoms within a couple of days. Symptoms continue to improve over time and optimal benefit can take several weeks. Most patients will be able to live without medicines and some patients can manage with a smaller dose of medicines after the procedure.”

The hospital claims it sees an average of 28 to 30 patients with Gerd every month. This is close to double the number of cases they used to see one year ago. According to the scientific and research committee of the Emirates Gastroenterology Society, as of 2014, more than 30 per cent of the UAE population suffered from acid reflux.

“There is great potential for establishing the Stretta procedure as an option for patients in the UAE who are suffering from reflux but are not comfortable with taking long term medications. The procedure itself is internationally recognised as a unique and non-surgical procedure to help patients return to normal life within a few days.”

The international success rate of Stretta is encouraging. Although in use for close to 15 years globally, Stretta is relatively new in the UAE and is gradually being introduced to other countries across the world. A study presented at the United European Gastroenterology Week (UEGW) in late 2016 showed significant relief from Gerd symptoms and elimination of PPI use in 71.9 per cent of patients 10 years after they had Stretta.

Dr. Amal, Consultant Gastroenterologist

Dr. Amal Premchandra Upadhyay

Consultant Gastroenterologist 

Aster Hospital Mankhool 

News Source:

Khaleej Times – –

Dr. Amal, Khaleej Times news

81-Year Old Critical Patient’s Recovery Attributed to Aster Hospital’s International Quality of Care

81 year old female picture

An 81-year old female patient, suffering from multiple illnesses, was successfully treated at Aster Hospital, Mankhool.

The patient had blockage of the bile ducts and abnormal retention of bile in the liver caused by gallstones; she also had infection (cholangitis) leading to sepsis and was in need of immediate medical intervention in order to survive.

Dr. Amal Upadhyay, Consultant Gastroenterologist at Aster Hospital performed an ERCP procedure to clear the bile ducts and the patient recovered and resumed normal activities within a day after the procedure.

The elderly patient was transferred to Aster Hospital’s Intensive Care Unit from another healthcare facility in a state of shock, complicated by poor kidney function.

Immediate examination by multiple specialists – an intensivist, a nephrologist, a cardiologist and an anesthesiologist determined that it was necessary to conduct ERCP to treat the cholangitis, else the patient’s condition could prove fatal.

However, due to the multiple complications including 2 faulty heart valves, rare but severe hypertension in the lungs and an irregular heartbeat, the risks associated with sedating the patient and conducting ERCP was high. In addition to the above, the patient was on blood thinning medications. These medications could potentially increase the risk of hemorrhage during ERCP, however, these drugs could not be stopped suddenly because of a very high risk of developing another stroke. All these considerations made this case very challenging.

The patient’s sons are doctors in the UK and were impressed with the level of care their mother received at Aster Hospital, Mankhool.

Dr. Mukhtasar Abdul Aziz, a Consultant Pulmonologist in the UK testified to the case, “She received care that was second to none. I can confidently say that Aster Hospital provides international standard care. Considering the pre-existing conditions my mother suffered from, nobody was willing to perform the procedure, given the associated risks, but Dr. Amal was very competent and confident in himself and his team”, said Dr. Aziz.

The patient recovered almost immediately after the surgery and was discharged within 24 hours and advised physiotherapy.

Dr. Amal Premchandra Upadhyay 

Specialist Gastroenterologist & Hepatologist 

Aster Hospital, Mankhool 

News Source:

Khaleej Times –

Dubai PR Network – –,%20Fitness%20and%20Medicine

Health Magazine –

News coverage of 81 year old female

Filipino Expat, 63, Lifts Water Jar and Breaks Spine

Can lifting a five-gallon water jar cause you a crippling injury?

Yes, it can, as 63-year-old Efren Manalo Roque discovered the hard way after displacing two of his spinal discs.

The injury caused pain and urine retention that required him to undergo emergency surgery at Aster Hospital, Mankhool, on August 12.

Post surgery, his problems have been mitigated and he was discharged in six days.

Roque, who works as a supervisor at a cargo company, has been lifting five-gallon water jars quite often as part of his work.

On July 23, it was business as usual for him, Roque recalled speaking with Gulf News after his surgery.

“That day, I must have been a little careless because as soon as I hauled the jar I felt weakness and pain in my legs.”

Dismissing it as a localised pain, Roque continued with his work.

When the pain and weakness persisted he sought consultation at a government hospital where he was examined, given pain killers and sent home.

But the pain and weakness persisted and Roque was forced to go to yet another hospital that once again prescribed some more pain killers.

“By day three I was experiencing some trouble passing urine so I consulted another hospital where doctors said I had low potassium levels and prescribed electrolytes. But after a few days I stopped passing urine and then for the next two weeks the hospital put me on catheters. The moment they removed the catheters, I could not pass urine.”

Roque also experienced erectile dysfunction.

Two weeks after struggling to get relief, Roque came to Aster Hospital at Mankhool where the neurologist Dr Suhas Patil conducted MRI and concluded that Roque’s problem was neurological and not urological.

“The patient had urine retention but the MRI indicated he had suffered a prolapse of discs L4 and L5 and that had resulted in the compression of nerves around that area that were going to the bladder and had affected the urine output,” the doctor said.

Dr Vivek Kumar Mishra, Specialist Orthopedic Surgeon from Aster Speciality Clinic, International City, administered injections to ease inflammation in the affected area and conducted a surgery to remove the two prolapsed discs that were compressing the nerves.

While Roque was relieved of the pain and discomfort after the surgery, he is resolved never to haul these five gallon water jars ever again.

Dr. Suhas G Patil 

Specialist Neurologist 

Aster Hospital Mankhool 

News Source:

  1. Gulf News –
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  6. Qatar Day Facebook page – @QatarDay 

Brain Stroke: Causes, Symptoms, Risks and Symptoms

Tell us more about brain stroke. What happens to the brain when someone has a stroke?

A stroke is caused by the interruption of the blood supply to the brain, usually because a blood vessel bursts or is blocked by a clot. This cuts off the supply of oxygen and nutrients, causing damage to the brain tissue. More than 6 million people die because of stroke each year. Worldwide, cerebrovascular accidents (stroke) are the second leading cause of death and the third leading cause of disability.

Signals from the brain travel through brain stem cells to various parts of the body. When the blood flow to the brain is interrupted, the brain signals also get interrupted further impacting different parts of the body that the signals control causing numbness or paralysis in certain parts of the body.

What are the reasons behind strokes?

There are two types of stroke, ischemic stroke which is caused by a blood clot in the artery supplying blood to the brain and hemorrhagic stroke, caused by bursting of a blood vessel resulting in blood to pool and create pressure around the brain. In both these types of stroke, hypertension is common risk factor. Apart from hypertension, Diabetes mellitus, smoking, dyslipidemia, obesity, low level of physical activity are known to predispose to ischemic stroke. Sometimes defects in wall of blood vessels in brain which are right since birth can predispose people to certain types of hemorrhagic strokes. Congenital defects in heart, abnormalities of heart valves, and abnormalities of rhythm of heart can also predispose a person to ischemic stroke. People on blood thinning medications for unrelated reason can get brain hemorrhage due to excessive thinning of blood.

Who is at risk for a Stroke? Any potential age group?

Anybody can have a stroke although the risk increases with age. People with a family history of stroke and those over 65 years of age are at a greater risk of having a stroke. Smoking, age, gender and conditions like diabetes, high cholesterol and high blood pressure can also increase the risk of stroke.

Drug abuse and excessive alcohol consumption, unhealthy dietary practices and obesity are also risk factors for stroke.

How do you diagnose a brain stroke?

A stroke is diagnosed based on the symptoms experienced. The doctor will examine the individual in order to understand the type of stroke, its causes and the part of the brain that has been affected.

CT Scan of the brain is the quickest test to differentiate between ischemic and hemorrhagic stroke. In order to understand a stroke, the doctor may recommend blood tests, because low blood sugar levels mimic the symptoms of a stroke. Echocardiogram and Electrocardiogram tests will be recommended in order to check how well the heart is functioning and any heart disorders, respectively. An MRI, Angiography and Cartoid ultrasound are also tests that help investigate the causes of stroke.

What are the symptoms?

The most common symptom of a stroke is sudden weakness or numbness of the face, arm or leg, most often on one side of the body. Other symptoms include: confusion, difficulty speaking or understanding speech; difficulty seeing with one or both eyes; difficulty walking, dizziness, loss of balance or coordination; severe headache.

Dr. Suhas G Patil 

Specialist Neurologist 

Aster Hospital Mankhool 

News Source –





Specialist Bats for More Campaigns on Organ Transplantation

1. Please tell me about yourself and your choice of becoming a Hepatologist and liver diseases expert. How long have you been in the field?

I have done my training in Internal Medicine and Gastroenterology from the Postgraduate Institute of Medical Education and Research in Chandigarh, India. We had a very strong hepatology (liver disease) department in the institute, which is quite renowned. A number of original research takes place in the department, which get published in leading medical journals regularly. After getting trained as a Gastroenterologist, I worked in Abu Dhabi for 5 years from 2003 to 2008. I realized that there is a huge burden of liver disease in UAE. There were lots of doctors taking care of patients with liver disease but there were no facilities that could offer comprehensive state of the art care for all aspects of liver disease. I decided to do further training in advanced liver diseases and with a good recommendation from the Hepatology department in Chandigarh, India, I was able to get into the prestigious Mount Sinai Medical Centre in New York, the United States for a one year fellowship in advanced liver diseases and transplant hepatology. I completed that in 2009 and since the last 8 years I have been practicing Hepatology. I kept working between UAE and India and established an Integrated Liver Care (ILC) Team in Bangalore, India, which is a professional group of Hepatologists, hepatobiliary surgeons, liver transplant surgeons, interventional radiologists and liver intensive care experts. Our professional group, the ILC has been working since the past three years with the Aster DM Healthcare Group in India and we have our advanced liver centers at Aster Medcity in Kochi and Aster CMI Hospital in Bangalore, India, where we offer the complete range of medical and surgical care related to all forms of liver diseases, liver, pancreas and biliary tract cancers and multi-organ transplantation. We aim to bring the Aster Integrated Liver Care Program to the UAE so that we can offer cutting-edge, comprehensive care to patients suffering from liver diseases.

2. What causes liver diseases?

The first thing that comes to people’s minds when they think of liver disease is excess alcohol consumption. But in fact, many other liver diseases are more common than an alcoholic liver disease. By far the most common cause of liver disease is fatty liver, which happens in individuals who are overweight, have sedentary lifestyles, diabetes and high triglyceride levels in the blood. Most people assume that fatty liver is an innocuous problem but now we understand that a subset of patients have a progressive form of fatty liver that can damage the liver seriously. There are hepatitis viruses such as Viral Hepatitis A, B, C, D and E, which cause both acute (short lasting) and chronic (long standing) liver disease. Patients with chronic viral hepatitis usually do not have any symptoms and therefore are unaware of the problem. It is important to screen for viral hepatitis so that it can be detected and effectively treated at an early age. Some individuals have a condition called autoimmune liver disease in which their own body’s immune system starts damaging the liver. Excess accumulation of iron or copper in the body can also affect the liver. Children and young adults can suffer from a wide variety of metabolic and genetic liver diseases that may present in infancy or in adulthood. Various forms of cancers either arising from the liver or spread from other organs can also involve the liver.

3. Are there variations of liver disease? If so, what are these?

In general, liver disease patterns are the same all over the world. But there are variations such as the age of presentation. Patients with chronic viral hepatitis remain undetected for longer periods of time in Asia, Middle East and Africa since people do not get screened regularly. Hence they may present at a more advanced stage of the disease. People from Africa are in particular more prone to develop liver cancer from hepatitis B at a younger age. Hepatitis D virus, which is uncommon in most parts of the world, is common in central Asia and some areas of Middle East. Patients with chronic hepatitis C have a more rapid progression of liver disease in Asia compared to the Western world.

4. If there were variations of liver disease, what are the most common or most prevalent on the global scale, in the Middle East and North Africa, in the UAE?

On a global scale the most prevalent liver disease is non-alcoholic fatty liver disease followed by alcoholic liver disease and chronic viral hepatitis due to hepatitis B and C infections. In the MENA region, including UAE, non-alcoholic fatty liver is still the most common cause of liver disease due to high prevalence of obesity and diabetes with which this disease is linked. Chronic hepatitis B and C is quite common but largely undiagnosed.

5. How different are liver diseases in children compared to those among adults?

Children usually have a different spectrum of liver disease. Newborns and infants may develop liver disease as a result of serious metabolic and genetic defects. They usually present with yellowing of the skin and eyes (jaundice) and poor growth. These conditions can lead to liver failure quite early in the first few years of life. Such kids require liver transplantation. An important cause of liver disease in the first year of life is extrahepatic biliary atresia. In this condition the bile ducts inside the liver do not develop properly during the development of the baby. This leads to progressive jaundice right from the time of birth. This condition needs to be recognized within the first few weeks of life so that a special corrective surgery known as Kasai’s operation can be done. Else the child goes on to develop liver failure and requires a liver transplant. Children in their first decade of life can suffer from autoimmune liver disease as well as a condition called Wilson’s disease, which is a state of excess copper accumulation in liver due to a genetic defect. Once again early recognition of this problem can lead to proper medications to remove excess copper from the body before the liver gets irreversibly damaged. Children also develop liver cancers, which are quite different from liver cancers in adults. These are aggressive tumors but their response to chemotherapy and surgery is quite good. Some kids with a liver cancer need a liver transplantation.

6. How young is your youngest liver disease patient? Has he survived it? How?

We have treated children as young as one month with liver disease. These are usually children with extrahepatic biliary atresia requiring surgery. There are newborn kids who develop liver disease due to a correctable metabolic defect. For example there was a one-month-old girl with

a condition called galactsemia in which the child cannot metabolize the sugar called galactose in the milk. A simple treatment was exclusion of all forms of milk and milk products.

7. How old is your oldest liver disease patient? Has he survived it? How?

There are a large number of old patients above the age of 75-80 years with liver disease. Most of these patients have liver cirrhosis with liver failure. A lot of these patients develop liver cancer as well due to the long standing nature of liver diseases. Most of these patients are challenging because they are often too old and have other coexistent medical problems that preclude liver transplantation or major liver surgery. There was a 79-year-old Emirati gentleman who had liver cirrhosis and liver cancer and underwent a successful liver transplantation in 2006. He is 89 years old now and continues to be on my follow up care. Having said so, in general liver transplant is not offered above the age of 70 years.

8. What is the worst liver condition or disease, which you have encountered in your career? Please tell me about this and about the patient.

The worst liver condition is usually advanced liver cancer presenting with liver failure. In these cases, often no treatment is possible and patient survival is limited to a few months. We recently had an Iraqi gentleman, 65 years old who was detected to have a small 5 cm liver cancer one year ago. He could not get appropriate treatment at that time when it was in a curable stage. The cancer grew over a period of one year and the patient presented to us with liver failure. He had jaundice, accumulation of fluid in his belly, swelling of legs, mental confusion which are all signs of liver failure. The cancer had increased in size to 10 cm, had invaded the blood vessels and spread to the lung. He was brought to our center in Bangalore in a desperate state. He had three sons, all of them willing to donate a portion of their liver for liver transplantation. Unfortunately this was not a correct indication for transplantation. The patient could be offered only supportive care and passed away in three weeks.

9. How can liver diseases lead to cancer?

80% of liver cancers occur in livers, which have already developed cirrhosis. Cirrhosis is an advanced stage of liver disease in which the liver becomes scarred due to long standing ongoing damage due any factor such as chronic hepatitis B or C, alcohol use, non-alcoholic fatty liver disease. Cirrhosis is the most important risk factor for liver cancer. Certain causes of liver disease such as hepatitis B and C carry a higher risk of developing liver cancer. Ongoing liver damage over several years leads to repeated cycles of liver cell death and regeneration. Occasionally some of these regenerating liver cells become cancerous. Hepatitis B and C viruses specifically cause genetic changes in the liver cells causing them to turn cancerous. The best way to prevent liver cancer is early diagnosis and treatment of a chronic liver disease so that cirrhosis does not develop. Hepatitis B and C can be treated with effective antiviral drugs and the risk of liver cancer can be significantly reduced. Once a patient develops liver cirrhosis, it is important to do periodic ultrasound scans once in 6 months. This allows detection of cancers at an early stage when they are small and may not cause any symptoms. Small cancers are curable.

10. Your advice on how to avoid liver diseases.

Over 90% of liver diseases are preventable. Fatty liver disease can be controlled by following a healthy lifestyle keeping weight under control, regular exercise, eating a low fat and carbohydrate diet and making sure that other metabolic diseases such as diabetes, if present are well controlled. Hepatitis A and E are viruses that are transmitted through contaminated food, water and drinks. Food hygiene and sanitation in restaurants and eateries is important to prevent these infections. Hepatitis A and B are effectively prevented by a vaccine and these are recommended for all children as well as adults who are at risk of developing these infections. Screening for hepatitis B and C is important to detect these infections and all individuals especially in areas where there is high prevalence of infection should get screened at least once in their lifetime.

11. Is liver transplantation included in all health and medical insurance policies around the world, in the Mena, in the UAE? If not, do you recommend that health insurers consider this? Why?

Insurance coverage for liver transplantation is variable and depends from policy to policy. Most policies do not affect self-inflicted liver disease such as alcohol related diseases. There is also variability between policies in the diagnosis and treatment of Hepatitis B &C, which can contribute to people’s reluctance to get tested and treated. It is WHOs goal to eradicate hepatitis B and C by 2030, which in my opinion will need a combined effort from health care providers and payers to effectively treat these diseases with medications. Insurances would of course pay if liver disease is related to other causes such as non-alcoholic fatty liver and patient needs a liver transplant. At this moment, organ transplant in the UAE is limited, and some patients patients have to go abroad for this procedure. If the insurance policy covers treatment only within the UAE, then the transplant procedure would not get covered.

12. Your opinion on liver organ donation.

It is essential that organ donation be promoted at all levels right from government policies down to public education. There is an immense need for liver transplantation in the Middle East and Asia. Even in Europe and the West, where deceased donor organ transplantation occurs widely, there continues to be a shortage for organs. In Asia, deceased donor organ donations rates are very low and more than 90% of liver transplants being performed are living donor organ transplants. In the Middle East, except for few centers in Saudi Arabia and Egypt, deceased donor organ donation occurs rarely. It is important to have concerted efforts from all the countries in MENA region to establish liver transplant programs and promote deceased organ donation in order to reach and cure more patients.

13. How can we be sure that the liver organ transplantation will be safe for both the donor and the beneficiary?

Appropriate selection of donors for living donor liver transplants is very important. Liver donation by living donors is a major surgery and should not be taken lightly. A donor should have compatible blood group, be absolutely healthy, should not be overweight and should not suffer

from any major illnesses. Most liver transplant centers have well established protocols for detailed evaluation of living donors to ascertain that the surgery will be safe for them. Donors undergo a battery of blood tests, CT scan, liver biopsy, cardiac testing and various multi-specialty assessments to ensure their fitness. The donors should have an adequate volume of liver in order to safely donate a part of their liver to the patient. Healthy individuals can donate upto 65 to 70 % of their liver. The remnant liver regenerates in a few months.

Dr. Kaiser Raja 

Chief Hepatologist 

Aster Integrated Liver Care Program

Aster Hospital Mankhool 

The Gulf Today:

Birth defect detected at age 58; British woman undergoes surgery in Dubai and walks within 24 hours

  • A 58 year old female British patient* had struggled with mobility for more than five decades and was experiencing severe pain and restricted movement for the past year.
  • Doctors at Aster Hospital, Mankhool diagnosed a dislocated hip, a birth defect that had gone undetected at all the life-cycle stages when such a condition is likely to be diagnosed.
  • A total hip replacement surgery by a team of Aster experts saw the patient walking within 24 hours of the surgery.

A 58 year old British woman successfully underwent surgery at Aster Hospital Mankhool to correct a birth defect and regained her ability to perform normal daily activities. Throughout her life, the patient struggled with mobility and found it difficult to execute certain movements such as going up the stairs, sitting cross legged or even stretching her legs.

Dr. Manjunatha G.S., Specialist Orthopedic Surgeon at Aster Hospital, diagnosed the patient with Developmental Dysplasia (dislocation) of the Hip, or dysplastic hip, on the right side. Further complicating her case, the friction caused by the abnormal and continuous gritting of the joint, caused the patient’s right hip centre to be 1.6cms above her left hip and also lead to the development of severe secondary osteoarthritis. The congenital condition, which is usually diagnosed at birth and early stages in life, had gone undetected throughout the patient’s life until the team at Aster discovered the cause of the patient’s discomfort.

Commenting on the case, Dr. Manjunatha said: “Dysplastic hip is the most common congenital hip disorder in children and generally leads to secondary osteoarthritis of the hip joint at a very young age. However, it is uncommon for the condition to go undetected for so many years. At age 58, we diagnosed the patient with dysplastic hip after her condition had drastically deteriorated and hindered her daily life activities. By performing the total hip replacement surgery and limb correction we successfully managed to alleviate the patient’s pain and enabled her to regain the ability to perform daily tasks and functions.”

The surgery involved minimally invasive incisions and the patient was able to walk in less than 24 hours without experiencing any pain. As part of Aster Hospital’s post-op protocols, the patient also underwent mild sessions of physiotherapy and was able to walk without any support or walking aids by the third week post-surgery.

Commenting on her recovery the patient said: “Throughout my life, I experienced discomfort while performing simple activities like going up the stairs where I would always lean on one side to climb up. At the time, I used to think that this was completely normal, but I was very lucky to find Dr Manjunatha and his team at Aster Hospital, who made an effort to detect the root cause of the problem and diagnosed the real reason behind the discomfort that I was facing. Thanks to the team at Aster, I am now able to perform daily tasks with ease and pain-free.”

Dysplastic hip occurs in two forms, namely partial subluxation and complete dislocation. It is more likely for the condition to be diagnosed when it occurs in a single joint, however in the patient’s case; it remained undiagnosed until the age of 58. A dysplastic hip condition is generally recognised and corrected at one of the following stages1,2:

  • At the time of birth
  • When a child starts walking at age 1 or 1.5 years, he/she may face a delay
  • During teenage years
  • During pregnancy
  • In the late 30’s
  • At the end of osteoarthritis

*Patient’s name has been kept anonymous for patient confidentiality purposes.

Dr. Manjunatha GS 

Specialist Orthopaedic Surgeon 

Aster Hospital Mankhool 

News Sources:

Gulf News 


Aster Hospital Welcomed Mothers from Kerala as a Part of Hit FM’s Initiative ‘For You Mom’ Season 8

  • 13 mothers from Kerala received advise on health and well-being from Aster Hospital.
  • A healthy take home message to the 13 mothers of Hit FM’s Initiative ‘For You Mom’ Season 8 in association with Aster Hospital.

It takes someone really brave to be a mother, someone strong to raise a child and someone special to love someone more than herself. Mothers often overlook taking care of themselves while they’re taking care of their family. Living away from your mother, especially in a far off land, increases our concerns about our mothers all the more.

In order to make these mother’s feel even more special, Aster Hospital, Mankhool welcomed 13 mothers from Kerala, brought to Dubai as part of Hit FM’s Initiative ‘For You Mom’ Season 8. Aster Hospital Mankhool showered these mothers with all the love and appreciation that they truly deserve.

In an event held at Aster Hospital, Mankhool on Wednesday, 24th May, these special mothers were provided with a health checkup that included monitoring of Blood Pressure, Blood Sugar and BMI levels, to ensure their well-being. Each of the mothers also consulted a General Practitioner who prescribed them the necessary medication and medical advise, basis their reports. Further, the medications prescribed to them was given to them as a token of affection, free of charge by Aster Pharmacy.

To ensure that the health and well-being of the mothers are monitored regularly from their home itself, they were given BP, blood sugar & temperature monitoring devices. A demo session on how to use these devices was also conducted by Aster Hospital’s nurses. With old age, pain management & skin care is essential, yet often ignored, hence some Skincare products & hot packs were also given to ensure that they take good care of themselves. In honour of the gift of life, each one of us has received from our mothers, Aster Hospital tried to give back a little to the mothers and thanked them for their sacrifices and promised to treat them well.

The event was attended by members of HIT FM and the Management team at Aster Hospital. From creating a loving bond between mothers and their children to celebrating milestones like Mother’s Day, Aster Hospital is always at the forefront to provide every individual and every family to have the best experience with their loved ones. Blessed with the love and prayers of the mothers, Aster Hospital takes pride in honouring these mothers and salutes their efforts and the efforts of HIT FM & ARN team.

News Source – Siraj Newspaper


Pray in Comfort

Activities such as kneeling and bending can put pressure on the knees and joints which can cause discomfort and potential injuries. Therefore, it is important to be careful while performing such activities to avoid any injuries. For example, when you kneel down to pray, be gentle and do not fall on your knees as the impactful force applied may hurt the knees. Additionally, if you experience knee/joint pain caused by arthritis, you can sit on a chair and pray rather than kneel down. If the pain is only during praying, i.e when bending the knee it is advisable to consult an orthopaedician to check the root cause of the pain.

Using incorrect angles and postures can aggravate knee pain, hence it is advisable to find the right posture for those with an existing knee condition in order to avoid causing stress to a particular part of the body. If the pain in the knee is only while kneeling, try using knee pads while praying. Stretching exercises can help reduce the pain. It is highly recommended to consult a specialist if the pain persists as there could be an underlying issue.


Dr. Ranjith Narayan

Specialist in Orthopaedic Surgery

Aster Hospital Mankhool

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News Source – Gulf News Special Supplement