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Internal Medicine

Overview

Our Internal Medicine division specializes in understanding, treatment and maintainence of general health aspects of adults. The department is well curated to provide not just therapeutic treatment, but also preventive care as well as lifestyle modification counselling. Our team of specialists are dedicated towards providing empathetic care in clinical environment supported by updated research & education with thorough understanding of current medical advances and treatments.

Bakson Multispeciality Hospital’s, internal medicine specialists focus on:-

Assessing people with multiple medical/health concerns. This includes those with complex/unexplained symptoms who need help in diagnosis of illness.

Collaboration with other experts/ departments in order to create an individualized treatment plan when needed.

Healthy lifestyle, early disease detection & disease prevention strategies.

Our sub-specialities include:-

  • Allergy & Immunology
  • Endocrinology & Metabolic disorders (Diabetes, Thyroid disorders etc.)
  • Gastroenterology ( Gatrointestinal system, liver & Gall Bladder diseases)
  • Infectious diseases ( Bacterial, viral, fungal & parasitic infections)
  • Nephrology (Kidney diseases)
  • Pulmonology ( Lungs & Respiratory system diseases)
  • Rheumatology ( Joints & Musculoskeletal system diseases)
  • Critical Care medicine
  • Geriatric Medicine

The Expert’s Talk

OPD Timings:

OPD --
What We Treat / Procedures
HYPERTENSION
Often referred to as high blood pressure, this condition is clinically diagnosed when recorded blood pressure >140/90 mmHg. The normal range is blood pressure in adults is 120/80 mmHg where, 120 mmHg is known as systolic BP & 80 mmHg is diastolic BP. Hypertension can be classified into 2 types- ESSENTIAL/PRIMARY & SECONDARY where, primary HTN is the one with no known cause & develops over the years and secondary is usually due to some disease pathology. It is clinically diagnosed with the help of instrument named SPHYGMOMANOMETER (instrument for measuring BP) followed by further tests to isolate the cause. Risk factors include smoking, obesity, sedentary lifestyle, High salt or alcohol intake, stress, family history of hypertension, aging, vitamin deficiencies,pregnancy, kidney disease, thyroid disorders etc. Known as the “SILENT KILLER” signs/symptoms experienced with it include headache, dizziness,fatigue, chest pain, vision disturbances which later can lead to complications like aneurysms, kidney damage, damage to eye blood vessels, metabolic diseases, memory loss etc. Treatment comprises of anti hypertensive medications as prescribed by the physician & lifestyle modification.
THYROID DISEASE
It’s a general term for medical condition which keeps the thyroid gland from making right amount of hormones (T3 & T4). These hormones are essential for normal body functioning. Thyroid disease can be classified into 2 main sub-types i.e. HYPERTHROIDISM & HYPOTHYROIDISM. HYPERTHYROIDISM is excessive production of thyroid hormones caused by conditions like thyroiditis, Hashimoto’s thyroiditis, postpartum thyroiditis, Iodine deficiency & non-functioning thyroid gland. Symptoms experienced include anxiety, irritability, sleep troubles, weight loss, goiter, muscle weakness/tremors, irregular menstruation, heat sensitivity & vision problems. HYPOTHYROIDISM includes diminished thyroid hormone production caused by conditions like Grave’s disease, thyroid nodules, thyroiditis & excessive iodine, where symptoms experienced are fatigue, weight gain, forgetfulness, heavy menstrual periods, dry/coarse hair, hoarse voice, cold temperature sensitivity. Thyroid disease is not age & gender specific however women are more likely to be affected than men. Risk factors for developing this condition include family history of the disease, pre-existing medical conditions like type 1 diabetes/rheumatoid arthritis etc., certain medications, women >60yrs, previous history of treatment of thyroid condition/thyroid cancer. Diagnosis is confirmed via blood tests(thyroid panel) ; ultrasound & physical examination by physician followed by treatment with medications & surgery if needed.
DIABETES
It’s a metabolic disease resulting in too much sugar in blood (high blood glucose). Most common types of diabetes include:- - PREDIABETES: condition in which blood sugar is high, but not high enough for the diagnosis of type 2 diabetes. -TYPE 1: A chronic condition in which pancreas produces little/no insulin. Seen mostly in children/young adults. -TYPE 2: Occurs when body becomes insulin resistant & sugar builds up in the blood. It’s the most common type of diabetes with ~90-95% people having diabetes affected by it. -GESTATIONAL DIABETES: It’s high blood sugar during pregnancy & mostly resolves post delivery. However, it’s associated with increased risk of type 2 diabetes development later. Risk factors for diabetes include age 45yrs or older; overweight; having parents/sibling with the same condition; sedentary lifestyle; history of gestational diabetes/prediabetes; having high BP, high cholesterol or high triglyceride levels; history of PCOS with presenting symptoms of increased hunger, increased thirst, increased urination, blurry vision, extreme fatigue, sore’s that don’t heal. Complications associated with diabetes include heart disease, stroke,neuropathy,nephropathy,retinopathy/vision loss; skin conditions, dementia etc. Diagnosis is confirmed via blood test (blood glucose levels) & treatment modalities include Insulin, medications & lifestyle modification.
ASTHMA
It’s a lung disease causing narrowing of airways, their swelling and blockage by mucus which affects all age groups. Risk factors which leads to increasing incidence of asthma include allergies, presence of environmental toxins like allergens; toxins; fumes; second/third hand smoke in the environment; family history of asthma/allergic diseases & certain respiratory infections. Factors responsible for triggering asthmatic attack include air pollution, dust mites, exercise, mold, pests, pets, tobacco smoke, strong chemicals/smells, certain occupational exposures. Asthma presents with signs/symptoms of chest tightness, pain or pressure in chest; coughing(especially at night), shortness of breath, wheezing. Diagnosis is confirmed by clinical history & physical examination, spirometery, chest X-ray, blood test/skin test with treatment modalities including bronchodilators ( inhalers ), medicines & biologic therapies if indicated.
PNEUMONIA
It’s an infection in one/both lungs caused by bacteria,virus or fungi which leads to inflammation (swelling) in airways & air sacs in lungs get filled with mucus & other fluids. People who are extremely susceptible (at risk) for pneumonia include adults >65yrs & infants <2yrs of age; individuals with weak immune system due to chemotherapy treatments, HIV/AIDS, lung/heart diseases; hospitalized individuals especially the one’s in ICU/ventilator support; alcoholics/smokers; exposure to toxic fumes, chemicals & secondhand smoke; pregnant women. Presenting symptoms that can be experienced include sharp chest pain, fever with chills, dehydration, fatigue, loss of appetite, malaise, sweating & clammy skin, fast breathing, shallow breathing, shortness of breath/wheezing, coughing. Diagnosis is confirmed via physical examination by physician, chest X-Ray & blood tests, followed by treatment with medications (antibiotics), oxygen therapy, oral rehydration therapy & fluids.
CHRONIC KIDNEY DISEASE
Longstanding disease of kidneys leading to renal failure. The kidneys are responsible for filtering waste & excess fluids from body and in case of failure, waste starts building up leading to complications. Individuals who are at risk of CKD include those with diabetes, high BP, heart disease, family history of kidney disease, age >60 yrs, long history of painkiller use. Hypertension & diabetes are the two most common cause of CKD alongwith several other kidney conditions. The symptoms experienced include the urge to urinate more often; tiredness; weakness; low energy levels; loss of appetite; swelling of hands/feet/ankles; shortness of breath; blood in urine/foamy urine; puffy eyes etc. CKD can lead to complications like high BP, heart disease, stroke, immunodeficiency. Diagnosis is confirmed by blood tests, ultrasound, CT/MRI followed by treatment with supportive medications, dialysis & lifestyle modification.
ANEMIA
Anemia results from lack of red blood cells or dysfunctional red blood cell in the body which leads to reduced oxygen flow to body’s organs. Anemia is commonly seen is women, children, infants, adults >65yrs & people undergoing treatment with blood thinners. Signs/Symptoms experienced include dizziness/weakness, headache, sore tongue, pale skin/dry skin/easily bruised skin, restless legs & fast heart rate among the few. Causative factors for anemia include poor dietary habits (B12, Iron & Folic acid deficient diets); inherited blood disorders; hypothyroidism/hyperthyroidism; kidney diseases. Anemia diagnosis is confirmed via blood tests followed by treatment with iron supplements; iron & vitamin C rich diets; blood transfusions followed by long term dietary & lifestyle modification.
KIDNEY FAILURE
Also known as renal failure signifies loss of function in one or both kidneys. Sudden loss of kidney function within hours/days is called acute kidney failure caused by autoimmune kidney diseases, certain medications, severe dehydration, urinary tract obstruction, uncontrolled disease like heart/disease disease whereas, in chronic kidney failure is caused by systemic diseases like diabetes, hypertension, lupus, polycystic kidney disease left untreated for over a while. Symptoms experienced include fatigue, upset stomach/vomiting, concentration issues, swelling especially around ankle/feet, frequent bathroom trips, muscle spasms, dry/itchy skin, poor appetite/metallic taste of food. Diagnosis is confirmed by blood tests, advanced imaging tests, urine tests. Our physicians and their teams carefully articulate the treatment plan with necessary medications, routine blood tests, blood pressure checks along with dialysis services when needed.
ARTHRITIS
Joints are areas where your bones meet and move. Arthritis is a disease causing breakdown/inflammation of joints causing pain on movement of joint. The different types of arthritis treated by our internal medicine specialists include osteoarthritis, ankylosing spondylitis, juvenile arthritis, gout, psoriatic arthritis, rheumatoid arthritis. Risk factors which increase the incidence of arthritis include increasing age, poor lifestyle habits, weight gain (obesity) & female sex, family history of arthritis, job/sport that continuously puts stress on joints, certain autoimmune diseases/viral infections. Symptoms/signs experienced by patients include pain, stiffness, redness, swelling, tenderness & warmth. Diagnosis is confirmed by physicians via assessment of mobility & range of motion of joints; tenderness/swelling around the joints; muscle, ligament & tendon injuries near joints; soft tissue inflammation alongwith confirmatory tests which include imaging like X-ray, MRI, ultrasound & blood tests when needed. The treatment protocol followed under the guidance of our internal medicine department includes medications, physical therapy, therapeutic injections and inter-departmental collaborations for surgeries when needed.

Our Medical Experts

Get to know our dedicated group of board certified doctors with exemplary qualifications, here to assist you on your healthcare journey.

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Our Success Stories

These are stories that involves resilience, persistence & personal strength. Overcoming odds, difficulty and of course challenges of health, these stories ought to inspire us to look beyond the difficulties because there is always more to our lives than just challenges

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Treated by Dr. RK Talwar, Bakson’s Hospital
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Freedom From Pain – Managing Pain Caused Due To Nerve Suppress

Treated by Dr. RK Talwar, Bakson’s Hospital
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