Dr Nicole Roos

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Services includes :

• Hypertension
  Hypertension is a severe condition that occurs when the patient’s blood flow increases and pushes against his or her artery walls. If the patient’s blood pressure is too high, this can lead to stroke, heart disease or death. Some people may even be unaware that they have hypertension as initially, there are no symptoms. When symptoms do occur, the patient experiences headaches, difficulty breathing or bleeding from his or her nose. Although hypertension develops over time, when caught early enough, it can be easily treated by Dr Roos. There exist two types of hypertension: primary hypertension and secondary hypertension. Primary hypertension develops slowly over time, whereas, secondary hypertension occurs suddenly and may arise from conditions such as obstructive sleep apnoea, renal and thyroid problems or adrenal gland tumours. Lifestyle and diet changes help manage high blood pressure and reduce the patient’s risk of heart disease and other related conditions.
• Diabetes
  Diabetes arises when the body fails to produce enough insulin or the hormone insulin fails to regulate sugar from the blood to the body’s cells for energy. High blood pressure as a result of diabetes damages eyes, nerves and kidneys. Different types of diabetes include type 1, type 2, prediabetes and gestational diabetes. Type 1 diabetes occurs when the patient's immune system damages cells in the pancreas and impairs the production of insulin. Type 2 diabetes occurs when the body doesn't process insulin, and because of this, sugar accumulates in the blood. A person who has diabetes experiences thirst, hunger, vision issues, fatigue and has an urge to urinate frequently. Dr Roos recommends lifestyle changes and offers insulin therapy to control her patient’s blood glucose levels and prevent further complications.
• Thyroid disorders
  The thyroid is a gland that’s shaped like a butterfly that rests at the bottom of the neck below one’s Adam’s apple. The thyroid secretes hormones that control metabolism. There exist different types of thyroid disorders that include: hyperthyroidism, hypothyroidism, Hashimoto’s disease, goitre and thyroid nodules. Hyperthyroidism occurs when the thyroid gland becomes overstimulated and secretes a large number of hormones. Because of this, the patient may experience weight loss, anxiety, sweating, a rapid heartbeat, lack of sleep or weak muscles. Hypothyroidism occurs as a result of an underactive thyroid gland. Because the gland is underactive, it produces insufficient hormones. A patient who has hypothyroidism may experience fatigue, memory issues, weight gain, constipation and a weak heartbeat. Dr Nicole Roos conducts blood tests to measure the level of thyroid hormones in the patient’s blood. The doctor screens her patient for thyroid cancer and tailors her treatment plans that consist of anti-thyroid medications, thyroid hormone replacement or surgery to suit her patient’s needs.
• Renal diseases
  The kidneys are essential organs responsible for the filtration of the body's waste. Renal diseases impact the body's filtration system and can be life-threatening. Untreated urinary tract infections and kidney stones lead to chronic kidney diseases and renal failure. Medication, a history of kidney diseases or injury to the kidneys, contributes to the development of renal diseases. Dr Roos prescribes antibiotics to resolve bladder infections and promotes acceptable self-care practices to prevent further infection. The doctor also prescribes medication to treat kidney stones. Still, in some cases, to treat larger kidney stones, the doctor refers her patients to a urologist for surgery. Extracorporeal shock wave lithotripsy also eliminates kidney stones.
• Asthma
  Asthma is a chronic inflammatory airway disease that occurs when the bronchial tubes start to swell and become constricted. Asthma also stimulates the production of mucous that impacts airflow. Because of the patient’s narrow bronchial tubes and the overstimulation of mucous in the airway passages, he or she will experience an asthma attack. Symptoms of asthma include coughing or wheezing, difficulty breathing, panic and fatigue. Environmental factors such as the presence of dust or pollen contribute to the development of asthma. Allergy and lung function tests are diagnostic tests that assess the condition of the patient's lungs and airways. Allergy medications and the use of bronchodilators prevent asthma attacks.
• Arthritis
  Arthritis is a degenerative joint condition that occurs when the patient's joints become inflamed and start to swell. Although there are various types of arthritis, there are two primary forms of arthritis: rheumatoid arthritis and osteoarthritis. Arthritis occurs as a result of wear and tear, infection or joint injury. To treat arthritis, Dr Nicole Roos first carries out conservative treatment in the form of medication that includes: anti-inflammatories, antirheumatic drugs, pain killers and corticosteroids to relieve pain from arthritis. Cold therapy, splinting, physical therapy and other home remedies help manage symptoms of arthritis but should conservative treatment fail, Dr Roos will refer her patient to an established surgeon for surgical treatment.
• Gout
  Gout arises from an accumulation of uric acid. Gout typically affects the feet, particularly one’s big toe. During a gout attack, severe foot pain occurs. If left untreated, gout can become a lifelong condition and tough lumps termed “tophi” will start to form in the skin, joints and soft tissue. The formation of tophi can damage a patient’s joints. The excessive build-up of uric acid as a result of a high purine diet, medications and chronic conditions such as renal disease, high blood pressure, diabetes and thyroid disease contribute to the development of gout. Lifestyle and dietary changes can inhibit the accumulation of uric acid in the body. Dr Nicole Roos also prescribes nonsteroidal anti-inflammatory drugs to relieve pain as a result of gout.
• Autoimmune conditions
  Normally, a person's immune system attacks foreign cells that cause disease, but a patient's immune system can also attack its healthy tissue as a result of an immune system disorder. Often caused by infection or from injury, immune disorders are also linked to genetics. Rheumatoid arthritis, systematic lupus erythematosus (lupus), inflammatory bowel disease (IBD), diabetes and multiple sclerosis (MS) are severe autoimmune conditions. Although there is no cure for these autoimmune disorders, Dr Nicole Roos helps her patients manage their symptoms. Nonsteroidal anti-inflammatory drugs, as well as immune-suppressing medication, help relieve pain and discomfort.
• COPD
  Chronic obstructive pulmonary disease (COPD) refers to a collection of lung diseases. COPD occurs once the airways start to constrict because of obstructed airflow to the lungs. Chronic bronchitis and emphysema are widespread chronic obstructive pulmonary diseases. A person who suffers from COPD generally finds it difficult to breathe, has a recurrent cough, often wheezes and experiences a tight chest. Lifelong exposure to air pollution, fumes or cigarette smoke triggers chronic obstructive airway disease. People living with COPD are susceptible to lung cancer or heart disease, but if it's treated early enough, these people can lead a quality life without any severe symptoms.
• Pneumonia
  Pneumonia arises from infection in either one or both lungs. Pneumonia can occur as a result of a virus, bacteria or fungi. Bacterial and viral pneumonia are contagious and can spread from one person to the next as droplets travel the air when a person coughs or sneezes. Fungal pneumonia, however, isn’t transmitted from person to person but can spread as a result of the environment. Bacterial and viral pneumonia can also be spread when a person comes into contact with contaminated surfaces. For bacterial pneumonia, Dr Roos advises on a vaccine to prevent a bacterial infection. Other medication may involve antibiotics as well as antifungal or antiviral drugs. Hospitalisation is at times necessary, especially if the patient finds it difficult to breathe, and in this case, intravenous medication and oxygen therapy are used.