Tuesday, November 21, 2023

Eye Specialist Singapore: How to Prepare for your First Visit

Just as it sounds, an eye specialist is a medical doctor who specializes in eye health. They're also known as ophthalmologists.

Eye specialists diagnose and treat various eye conditions and diseases to help maintain good vision. But these experts are also trained to perform eye exams.

They can also prescribe glasses or contact lenses, and provide medical and surgical treatments for issues like cataracts, glaucoma, and macular degeneration. Ophthalmologists can also perform eye surgeries to correct vision problems or address more serious conditions.

What Happens when you see an Eye Specialist?

When you visit an eye specialist, you're taking a proactive step towards ensuring optimal eye health. The first visit can be a little nervous but that's natural. Here's a summary of what to expect when you visit your eye specialist in Singapore;

During Your Appointment;

  1. Checking In: You will need to check in at the reception desk when you arrive at the eye clinic. Here, the staff will ask for your basic information. They may also ask you to fill out some forms.
  2. Preliminary Tests: An optometric technician might perform some preliminary tests before you see the eye specialist. These tests could include measuring your visual acuity, checking your intraocular pressure (important for detecting glaucoma), and assessing your peripheral vision.
  3. Discussion of Symptoms: When you meet the eye specialist, they will have a conversation with you. This conversation will heavily revolve around any symptoms you're experiencing. Don't leave anything out. Be sure to mention any changes you've noticed in your vision. Also, mention any discomfort you've experienced, or any family history of eye conditions.
  4. Comprehensive Eye Examination: The eye specialist will conduct a thorough eye examination, which may involve various tests including;

    • Visual Acuity Test: This familiar test involves reading letters from an eye chart to determine how well you can see at different distances.
    • Refraction Test: Using a phoropter, the specialist will ask you to compare different lenses to determine the best prescription for your glasses or contact lenses.
    • Slit-Lamp Examination: This instrument allows the specialist to examine the front of your eye, including the cornea, iris, and lens.
    • Dilated Eye Exam: Your eyes may be dilated using eye drops to allow the specialist to examine the back of your eye, including the retina and optic nerve.
    • Tonometry: This measures the pressure within your eyes and helps detect glaucoma.
    • Color Vision Test: This assesses your ability to distinguish between different colors.
    • Visual Field Test: This evaluates your peripheral vision to detect any abnormalities.

5. Diagnosis and Discussion: Based on the examination results, the eye specialist will discuss their findings with you. They will explain any diagnoses, conditions, or concerns they've identified. This is also the time to ask questions about your eye health. Also, inquire about your treatment options and any necessary lifestyle adjustments.

6. Treatment Plan: If you require vision correction, the specialist will prescribe glasses. They may also prescribe contact lenses with the appropriate prescription depending on your needs. If an eye condition is diagnosed, they will outline a treatment plan. This could involve medications, eye drops, or further procedures, depending on the condition's severity.

After Your Appointment;

1. Getting Eyewear: If you need glasses or contact lenses, you can choose frames or lenses from the selection available at the clinic. The staff will help you find the right fit and style.

2. Prescription Filling: Depending on the results of the assessments, you may need prescription filling. If your specialist prescribes medications or eye drops, you may need to visit a pharmacy to fill the prescription.

3. Follow-Up Appointments: Depending on your diagnosis, the eye specialist may schedule follow-up appointments. The aim here will be to monitor your condition's progress or adjust your treatment plan as needed.

4. Lifestyle Adjustments: Your eye specialist in Singapore may recommend certain lifestyle adjustments if you're diagnosed with an eye condition. These may be as simple as using protective eyewear. They may also suggest managing screen time, wearing sunglasses to protect against UV rays, and maintaining a healthy diet.

5. Preventive Measures: Even after your appointment, it's essential to practice preventive measures. This will be key for maintaining good eye health. Preventive measures may include only regular eye hygiene. They may also extend to protecting your eyes from injury, and adhering to your treatment plan.

6. Regular Check-ups: Your eye specialist might recommend regular check-ups to monitor your eye health. This is especially true if you have a chronic condition like diabetes. Routine visits can help catch any changes early. They will also be key in preventing potential complications.

So, How to Prepare for Your First Visit to the Eye Specialist

As you now understand, your first visit to an eye specialist is an opportunity to establish a baseline for your eye health. Being well-prepared ensures that the specialist can offer accurate insights and personalized recommendations. Here are a few tips on how to best prepare for your first visit to an eye specialist in Singapore;

1. Gather Information: Before your visit, gather information about your medical history. Note down any existing eye conditions, symptoms, allergies, medications, and past surgeries. This information provides a comprehensive view of your eye health.

2. Prescriptions and Glasses: If you wear glasses or contact lenses, bring them along with you. The eye specialist may want to assess your current prescription and check the fit of your glasses or contacts. This information helps in understanding your visual needs.

3. Family History: Know your family's eye health history. Some eye conditions have a genetic component. Good examples are as glaucoma and macular degeneration. If these conditions run in your family, it's important for the specialist to know.

4. Medical Records: If you have visited other healthcare providers for eye-related issues, bring those medical records. This can provide insights into any ongoing treatments or diagnoses.

5. Questions to Ask: Prepare a list of questions to ask the eye specialist. These could include inquiries about your current eye health, potential risks, preventive measures, and any concerns you may have. Having your questions ready ensures you get the information you need.

6. Insurance Information: If you have vision insurance, bring your insurance card and any necessary information. This helps in streamlining the payment and coverage process.

7. Medication List: Make a list of all the medications you're currently taking. This includes OTC drugs, supplements you're using, and the best cough medicine for covid. Certain medications can affect eye health. So, the specialist should be aware of them.

8. Dilation and Driving: Be prepared for the possibility of pupil dilation during the appointment. Dilation allows the specialist to examine the back of your eye more thoroughly. However, this can temporarily affect your vision, especially up-close focus. You might want to arrange for someone to drive you back home.

In Closing

Maintaining good eye health is also key for your overall well-being. And, visiting your eye specialist in Singapore is a step in the right direction. With proper preparation, you should also have a fruitful visit. If you're seeking the best eye specialist to schedule your appointment, call or visit us at;

Chelvin Sng Eye Centre - Glaucoma | Cataract Surgery | Retina Specialist | Ophthalmologist Singapore

38 Irrawaddy Road Mt Elizabeth Novena Specialist Centre,

#06-25,

Singapore 329563

+65 6334 2282

https://www.drchelvinsng.com/


The Ultimate Guide to Gastroscopy in Singapore: Everything You Need to Know

People who have had gastrointestinal issues are highly likely to be acquainted with gastroscopy. Also known as upper endoscopy, this medical procedure that allows doctors to examine the upper digestive tract and detect and treat various gastrointestinal conditions. This comprehensive guide will provide you with a detailed understanding of how gastroscopy in Singapore (https://alpinesurgical.sg/procedure/gastroscopy/)  works, when it is necessary, what to expect before, during, and after the procedure, as well as the potential risks and complications involved.

How does gastroscopy work?

Gastroscopy or upper endoscopy involves the use of a flexible, thin tube called an endoscope. The endoscope is equipped with a light and a camera that transmits real-time images to a monitor, enabling the doctor to visualize the esophagus, stomach, and the first part of the small intestine. The procedure is typically performed while the patient is under sedation to ensure comfort and relaxation.

During the examination, the doctor inserts the endoscope carefully through the mouth, passing the throat, and into the digestive tract. The doctor can then observe the lining of the gastrointestinal tract, identify any abnormalities or signs of disease, and even perform certain medical interventions if necessary. 

When is gastroscopy necessary?

Gastroscopy is recommended for various reasons. It is commonly used to investigate symptoms such as persistent heartburn, difficulty swallowing, unexplained weight loss, or abdominal pain. It is also employed to screen for conditions like gastroesophageal reflux disease (GERD), peptic ulcers, Barrett's esophagus, or to evaluate the effectiveness of previous treatments. Upper endoscopy is particularly useful in detecting early signs of esophageal, gastric, or duodenal cancers.

In addition, upper endoscopy is often performed for therapeutic purposes. It allows the doctor to remove polyps, take tissue samples for biopsy, dilate strictures or narrowings, cauterize bleeding vessels, or insert stents to open blocked passages. The decision to undergo an upper endoscopy is made based on the patient's symptoms, medical history, and the doctor's clinical judgment. It is always essential to consult with a gastroenterologist to determine if the procedure is necessary in your specific case.

How should I prepare for a gastroscopy?

Proper preparation is crucial to ensure a successful gastroscopy procedure. Typically, you will be asked to avoid eating or drinking anything for a specified period of time before the procedure. This is necessary to ensure that the stomach is empty, which allows for better visualization during the examination.

You may also be required to temporarily stop taking certain medications, especially blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs), as they can increase the risk of bleeding during the procedure. It is important to inform your doctor about any medical conditions, allergies, or medications you are currently taking to ensure a safe and effective procedure. On the day of the upper endoscopy, you will need someone to accompany you as the sedation used during the procedure can temporarily impair your ability to drive or make decisions. 

What should I expect during a gastroscopy procedure in Singapore?

An upper endoscopy procedure typically takes around 15 to 30 minutes. Before the examination begins, you will be given a sedative through an intravenous line to help you relax and minimize discomfort. Your vital signs, such as blood pressure, heart rate, and oxygen levels, will be carefully monitored to ensure that the procedure is 100% safe.

Once the sedation takes effect, the doctor will gently insert the endoscope through your mouth and guide it down into your digestive tract. You may experience a sensation of pressure or fullness, but the procedure is generally well-tolerated due to the sedation. The doctor will carefully examine the lining of your esophagus, stomach, and duodenum. They will capture images and may take tissue samples for further analysis.

If any abnormalities, such as polyps or ulcers, are detected during the examination, the doctor may choose to perform therapeutic interventions immediately. These may include removing polyps, obtaining biopsies, or treating bleeding vessels. The doctor will explain the findings and any necessary follow-up procedures or treatments once the examination is complete.

What are the possible risks and complications that I should be aware of?

While gastroscopy is considered a safe procedure, it does carry some risks and potential complications. These are relatively rare but include adverse reactions to sedation, bleeding, infection, perforation or puncture of the gastrointestinal tract, or aspiration of stomach contents into the lungs. However, the benefits of upper endoscopy in diagnosing and treating gastrointestinal conditions generally outweigh the risks, so there should be no reason to delay or avoid getting the procedure!

To minimize the chances of complications, you should follow your doctor's instructions regarding preparation and inform them about any medical conditions or medications you are taking. In addition, make sure to discuss any concerns or questions you may have with your doctor before undergoing the procedure.

What are the recovery and aftercare guidelines that I should follow?

After the gastroscopy procedure, you will be monitored in a recovery area until the sedation wears off. It is normal to experience some mild throat discomfort, bloating, or gas for a short period afterward. These symptoms typically resolve within a few hours.

You may be advised to refrain from eating or drinking for a short period following the procedure to allow your throat to recover. Your doctor will provide specific instructions regarding diet, medication use, and any necessary restrictions. It is essential to follow these instructions carefully to optimize healing and minimize any potential complications. If biopsies were taken during the procedure, it may take a few days to receive the results. Subsequently, full recovery may take a day or two.

Are there any alternatives to gastroscopy?

While upper endoscopy is a valuable diagnostic tool, there are alternative procedures available as well:

  • Barium swallow: This procedure involves drinking a liquid containing barium, which coats the esophagus, stomach, and intestines. X-rays are then taken to visualize the digestive tract.
  • Capsule endoscopy: In this procedure, you swallow a small capsule containing a camera that takes images as it passes through your digestive tract. The images are transmitted wirelessly to a recorder worn on your body and later reviewed by a doctor.

It should be noted that while alternative diagnostic procedures may be helpful in certain cases, they may not provide the same level of detail and therapeutic options as gastroscopy. Consult with a gastroenterologist to determine the most appropriate diagnostic procedure for your specific needs.

--

Alpine Surgical Practice

3 Mount Elizabeth #17-16

Singapore 228510

https://alpinesurgical.sg

+65 6589 8927


Wednesday, October 18, 2023

Lifestyle Hacks for Spinal Stenosis: Easing Pain Through Everyday Choices

Spinal stenosis is a condition that affects the spinal canal, causing it to narrow and put pressure on the nerves and spinal cord. This can lead to a variety of symptoms, including pain, numbness, and weakness in the back, legs, and arms. The impact of spinal stenosis on daily life can be significant, making it difficult to perform everyday tasks and enjoy activities that were once pleasurable.

However, with the right lifestyle changes, individuals with spinal stenosis can manage their symptoms and improve their quality of life.

Understanding Spinal Stenosis: Causes, Symptoms, and Diagnosis

Spinal stenosis can be caused by a variety of factors, including age-related degeneration of the spine, herniated discs, spinal injuries, and genetic factors. As the spinal canal narrows, it puts pressure on the nerves and spinal cord, leading to symptoms such as pain, numbness, tingling, and weakness. These symptoms can vary depending on the location of the stenosis in the spine.

Diagnosing spinal stenosis typically involves a combination of physical examination, medical history review, and diagnostic tests. A healthcare professional will assess the patient's symptoms, perform a physical examination to check for signs of nerve compression, and may order imaging tests such as X-rays, MRI scans, or CT scans to confirm the diagnosis and determine the severity of the stenosis.

Lifestyle Changes to Manage Spinal Stenosis Pain and Discomfort

Making certain lifestyle changes can help individuals with spinal stenosis manage their pain and discomfort. One of the most important changes is maintaining a healthy weight. Excess weight puts additional stress on the spine, exacerbating symptoms of spinal stenosis. By losing weight through a combination of healthy eating and regular exercise, individuals can reduce the strain on their spine and alleviate symptoms.

Another lifestyle change that can benefit individuals with spinal stenosis is quitting smoking and reducing alcohol intake. Smoking and excessive alcohol consumption can contribute to inflammation and damage to the spine, making symptoms worse. By quitting smoking and moderating alcohol intake, individuals can reduce inflammation and improve overall spinal health.

Avoiding activities that exacerbate spinal stenosis symptoms is also crucial. This may include activities that involve repetitive bending, twisting, or lifting heavy objects. By modifying daily activities and using proper body mechanics, individuals can reduce strain on the spine and prevent symptom flare-ups.

Incorporating stress-reducing activities into the daily routine can also help manage spinal stenosis symptoms. Stress can exacerbate pain and discomfort, so finding ways to relax and unwind can be beneficial. This may include activities such as meditation, deep breathing exercises, yoga, or engaging in hobbies that bring joy and relaxation.

Exercise and Physical Therapy for Spinal Stenosis Relief

Exercise and physical therapy are essential components of managing spinal stenosis. Regular exercise helps strengthen the muscles that support the spine, improve flexibility, and reduce pain. It is important to consult with a healthcare professional or physical therapist before starting an exercise program to ensure that it is safe and appropriate for individual needs.

Recommended exercises for spinal stenosis relief include low-impact activities such as walking, swimming, cycling, and water aerobics. These exercises help improve cardiovascular health, strengthen muscles, and promote overall well-being. Additionally, specific stretches and exercises that target the back, hips, and legs can help alleviate pain and improve mobility.

Ensuring the correct technique and posture during exercise are crucial to prevent further injury and maximize the benefits. Always remember to start slowly and gradually increase intensity and duration as tolerated. If any exercise causes increased pain or discomfort, it should be stopped immediately and medical advice should be sought.

Ergonomic Tips for Work and Home to Reduce Spinal Stenosis Symptoms

Proper ergonomics at work and home can make a significant difference in managing spinal stenosis symptoms.

  • Maintaining good posture and body mechanics is essential to reduce strain on the spine. When sitting, it is important to sit up straight with the feet flat on the floor and the back supported. Using a chair with proper lumbar support can also help maintain good posture.•    Setting up an ergonomic workspace is crucial for individuals who spend long hours sitting at a desk. This may include using an adjustable chair and desk, positioning the computer monitor at eye level, and using a keyboard and mouse that are comfortable and easy to use. 
  • Regular breaks to stretch and move around can also help reduce stiffness and pain.
  • Strategies for reducing spinal stenosis symptoms during daily activities include using proper lifting techniques, avoiding heavy lifting whenever possible, and using assistive devices such as braces or back supports when needed.
  • It is always essential to listen to the body and take breaks when necessary to prevent overexertion.
  • Diet and Nutrition Strategies for Spinal Stenosis Management

Maintaining a healthy diet is important for managing spinal stenosis. A diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation, promote healing, and support overall spinal health. It is important to avoid processed foods, sugary snacks, and foods high in saturated fats, as these can contribute to inflammation and worsen symptoms.


Certain foods have been found to have anti-inflammatory properties and may help alleviate spinal stenosis symptoms. These include foods rich in omega-3 fatty acids, such as fatty fish like salmon and mackerel, as well as walnuts and flaxseeds. Turmeric, ginger, and green tea are also known for their anti-inflammatory properties and may provide relief.

In addition to a healthy diet, certain nutritional supplements may help with spinal stenosis symptoms. These include glucosamine and chondroitin, which can help support joint health, and vitamin D and calcium, which are important for bone health.

Alternative Therapies and Complementary Treatments for Spinal Stenosis Relief

In addition to lifestyle changes, exercise, and proper nutrition, alternative therapies, and complementary treatments may provide relief for individuals with spinal stenosis. These therapies can help reduce pain, improve mobility, and promote overall well-being. However, it is important to consult with a healthcare professional before trying any alternative therapies to ensure they are safe and appropriate.

Acupuncture is a traditional Chinese medicine practice that involves inserting thin needles into specific points on the body. It has been found to be effective in reducing pain and improving function in individuals with spinal stenosis. Massage therapy can also help alleviate pain and reduce muscle tension. Chiropractic care may benefit some individuals, as it focuses on aligning the spine and improving overall spinal health.

Author: Michael Scott