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The posts are on common health issues and how to manage them. Lot of health matters are do it yourself! Author and webmaster: Subrata Mallik.


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Neuroendocrine tumours - a brief overview

Posted on 26th March, 2018

Neuroendocrine tumours are rare. They develop from cells of the nervous system and endocrine system. These are found in organs like the stomach, bowels and lungs. They produce different hormones which contribute to the signs and symptoms. Most of the tumours are benign.

In some, symptoms may not develop till it has spread to other organs like liver.

Symptoms depend on where in the body it is.


Likely symptoms:

pain in the abdomen
change in bowel habits like diarrhoea
shortness of breath with or without wheezing
loss of appetite
loss of weight

For diagnosis, you may need urine or blood tests, a biopsy, and different scans etc.

Treatment depends on where it started, its size, whether it has spread, how the cells look under a microscope and your symptoms. The main treatment is surgery to remove the tumour. If it can’t be removed, you will have treatment to relieve symptoms and improve your quality of life.

Some names of Neuroendocrine tumours:
Insulinoma. Gastrinoma(Zollinger-Ellison syndrome). Somatostatinoma. Glucagonoma. Merkel cell skin cancer. Carcinoid. VIPoma.

Ashakiran Hospital at Kautala, South 24 Parganas

Posted on 16th February, 2017

Ashakiran Hospital in West Bengal is located at Kautala, South 24 Parganas. It is run by an NGO and provides medical care on the cheap to the local people who are mostly poor.

I visited the hospital on two occasitions as an endocrinologist alongwith two of my friends, a gynaecologist and a surgeon. We offered our services for free. The hospital provided transport, accommodation and food for us.

I saw a few patients with Type2 diabetes and a few with Hypothyroidism.

As the patients are poor, I devised my way of treating their diabetes at minimum cost.
Two of my diabetes patients were taking ayurvedic medicine which were not working as demonstrated by very high fasting blood sugar levels in them. I started conventional treatment for them which they agreed to take after explanation.

The hospital is very nice in a beautiful rather remote rural area. The staff are all very cooperative.


 However, the facilities are inadequate at present.


Ashakiran Hospital, Kautala, W.B.

There is a potential for eastablishing a clinic treating poor Type2 diabetes and Hypothyroid patients in and around that area. Next time I may visit the hospital again.




Ashakiran Hospital Trust
Vill + P.O. - Kautala, P.S. - Raidighi
South 24 Parganas, PIN - 743349
West Bengal, INDIA

Obesity and comorbidities may ruin NHS UK!

Posted on 21st September, 2016

UK Fat Facts:

* 25% of UK adults are currently obese.

* 1 in 5 10-year-olds are obese.

* 90% of Type 2 Diabetes cases are linked to unhealthy lifestyle.

* Two-thirds of Hypertension are linked to being overweight.

* 1 in 10 cases of cancer are linked to being overweight.


If nothing is done about Obesity and its comorbidities, then the NHS UK will be bankrupt!!!


What you can do to help:

Adopt a Healthy lifestyle.

Lose weight if you are overweight or obese.

Health informations are available at Health ideas website:

Basic foundation of building your health is to adopt a Healthy lifestyle.



Because of the tempation of various tasty foods available, it may be rather difficult for some.

Healthy lifestyle mainly consists of the following:

Healthy diet, regular exercise and no smoking.

A Healthy diet is low fat, low sugar, low salt, high fibre diet with plenty of fruit and vegetable.

Regular exercise consists of moderate intensity exerscise eg jogging, swimming, cycling etc for 30 mins/day, 5 times a weak.

One must not smoke.

Everything in moderation is ok except smoking, unless you have other associated disease or condition, eg diabetes, obesity, high bllod pressure etc.

Whatever the age, everyone should try to adopt a Healthy lifestyle.

Type2 Diabetes may be prevented or delayed

Posted on 26th August, 2015

The number of Type2 diabetes is increasing at an alarming rate almost worldwide.

BBC health news today:
Five million adults in England 'at risk of diabetes'
Up to five million people in England are at risk of developing type-2 diabetes, according to new data from Public Health England.

Type-2 diabetes is closely linked to diet and obesity and affects about 3.2 million people across the UK.

The NHS says diabetes causes 22,000 early deaths and costs the health service more than £8bn each year...

Those who are at risk may be able to prevent type2 diabetes or delay its onset. Mainly this is done by eating healthily and taking regular exercises.


Your health is your responsibility. Adopt a Healthy lifestyle please.


Read about Diabetes at Health ideas website.

Type2 diabetes is a 'silent killer disease'. They may suffer a 'silent myocardial infarction'(heart attack) because of nerve damage it causes.


Type2 diabetes starts silently. Initial few years there may be very little or no symptoms. They don't feel unwell at all. That is why early diagnosis and treatment is important to prevent or delay the onset of complications.


At the onset, persistently high blood sugar damges minute blood vessels as is found at the back of the eyes(retinopathy), nerves(neuropathy), kidneys(nephropathy). Later, larger blood vessels are damaged causing angina, heart attack, stroke, gangrene etc.


What you can do:

Obese are at ahigher risk of developing type2 diabetes - lose weight.
Adopt a healthy lifestyle including smoking cessation.
If there is a family history of type2 diabetes, get regular yearly checks after the age of 40.
Consult your doctor if necessary.


Remember, for all practicl purposes, diabetes cannot be cured. It has to be kept under control to avoid or delay the onset of complications. Type2 diabetes may be prevented though.

To beat Swine flu - see what you can do

Posted on 19th February, 2015

H1N1 flu is also known as Swine flu. Conact with pigs is not essential to catch it.

It spreads by droplet infection ie during coughing and sneezing by the sufferer. You inhale it or catch it by touching the places where droplets fell.

They are similar to other flus like aches and pains, fever, chills, cough, sorethroat, runny or stuffy nose etc

It can worsen asthma, diabetes and lead to pneumonia as well.


Antiviral drug like Tamiflu taken within 48 hrs of onset of symptoms.
Usual medicines to treat symptoms.
Antibiotics won't help unless you get a secondary bacterial infection like pneumonia.


Stay away from flu sufferers.
Wash hands or use hand sanitiser.

Use a face mask
Take flu vaccine every year if indicated

Improve your immunity - adopt a Healthy lifestyle, take a tablet of MV with iron 1 daily if you are over 50 or your diet is deficient in any way.


Most recover. In people with underlying illnesses like COPD asthma diabetes chronic kidney disease, heart disease etc, prognosis can be poor and can even result in death.

Simple weight loss diet with 3 food groups

Posted on 13th February, 2015

To lose weight, diet and exercise are the key requirements.

In this post, a simple weigt loss diet will be suggested. You will choose the foods.


You should know about 3 food groups:
Group 1 Foods allowed freely
Group 2 Foods allowed in moderation
Group 3 Foods to avoid


You can read about the Food groups first.


Weight loss diet suggestion:

Eat more from Group 1
Eat less from Group 2
Avoid foods from Group 3


Reduce carbohydrate intake as excess is stored as fat.
Avoid banana - too much calorie.
Avoid fatty foods and alcohol - they are calorie dense.
You can drink a lot of Soya milk without putting on weight.
Eat whole foods from allowance - provides more fibre.


Regular fairly strenuous exercise should continue along with the diet.

Take a tablet of MV with iron daily as your diet will not be able to provide the required amount. Go to Ideal health store and see under vitamins.

Today, the 29th October 2014 is the World Stroke Day.


Stroke or Brain attack is very common in men but women are affected as well.


Post-menopausal women, those who smoke, drink too much alcohol, suffering from high blood pressure, diabetes, cholesterol, obesity, taking too much stress (domestic, at work place), on HRT etc are at higher risk of developing a stroke.

Young women can also develop stroke when they are on contraceptive pills or when they are pregnant.

Many women suffer from migraine, a severe attack of which can lead to weakness of one side mimicking a stroke. They usually recover completely.


How to prevent stroke: One has to adopt a Healthy lifestyle (healthy diet, regular exercise, no smoking etc) and control the underlying risk factors if any, with the help from your doctor.



With early intervention, some strokes may be halted and even reversed.


Detect stroke early

Untreated or poorly controlled type2 diabetes leads to many complications like retinopathy, nephropathy, neuropathy, infections, heart disease, stroke etc.


Type2 diabetes may be associated with obesity, high blood pressure, high cholesterol etc should be treated in the usual way but...


All tpye2 diabetics, particularly untreated or poorly controlled diabetics should be considered for the following 3 non-diabetic drugs:

1. Aspirin - to keep the blood a bit on the thin side to prevent heart attack, stroke etc.
2. Statin - a cholesterol lowering drug which may prolong lifespan as well, even if cholesterol level is in the 'normal' range.
3. Ace inhibitor - like Ramipril which lowers blood pressure, protects kidneys, reduces inflammation of the inner lining of the arteries, even if blood pressure is normal.

Over last 2 to 3 decades, the life expectancy has increased considerably. This may be related to widespread use of these 3 drugs.


Note - consult your doctor first before taking these medications as any medicine has unwanted side effects. Benefits should outweigh the risks.