Monthly Archives: April 2017

New haemorrhoids treatment will keep down lengthy hospital stays

piles

Hemorrhoids are swollen and extra large blood vessels that are present in the lower part of the rectum and the anus. The blood vessels start swelling due to increased pressure within them.
The swollen blood vessels can occur inside and around the anus and the anal canal and bleeding can be seen in patients at the time of going to the toilet.

Diagnosis:

The main and foremost step is to diagnose whether the patient is actually suffering from the problem or there is some other problem.
Diagnosis of piles is usually made by patient’s history and by doing physical examination by the health-care doctor or a professional.
Inspection of the anus is made at first. After that, a digital rectal examination is often performed for clarity. Depending upon the scenario, his past medical records, medications and stability of the patient, treatment may follow with no further testing.
Internal hemorrhoids may not be diagnosed by physical examination only. It is possible that they may not be able to be felt, even by digital rectal exam.
Prolapsed internal and external hemorrhoids may be detected by visualization when the health care doctor examines the anus.
hemorrhoidsExternal hemorrhoids can be diagnosed just by looking at it.
Treatment of piles without surgery:

Treatment of piles without surgery is definitely possible. Not all cases of haemorrhoids do require surgery but one must first understand the stage the disease is in, before exploring alternative treatments.

• Severe pain
• embarrassing feeling, during litter
• rigorous pain
• bleeding after going to the toilet to pass stools
• constipation,etc

are some of the major symptoms that are seen in various patients. The basic reason for all these symptoms is piles or fistula.

Piles Treatment in accordance with their stages:

• Piles Stages 1 – 2 is a basic stage and can be treated without surgery.
Piles falling in the category of the first and second category is in a mild condition and can be treated easily with the intake of high fiber diet or other supplements rich in fiber.Patient must take plenty of water to soften the stool to avoid damaging the anal canal.
Flavonoids which basically plant extract work quite well to shrink these piles. It’s essential to stop smoking nicotine as it is well known to cause more bleeding and relapses. Spending too much time on in toilet means you are suffering from constipation and this must be avoided.

• Piles Stages 3 – 4 is an advanced stage and do require surgery.
Third and fourth stages of piles require surgery as a treatment for proper cure. Conventional methods of surgery are avoided by many with the belief that they will recur in future.

Non-surgical Treatment for Piles:-

There are certain treatments in which a patient is required to go into hospital for curing the problem but the surgery is not required. Since there is no surgery involved you need not stay overnight. These methods include the following:-

1. Banding

In this method, a small elastic band is placed around the pile. This band cuts off the blood supply due to which it die and fall off after a few days. The area that is left behind starts healing up naturally.

2. Sclerotherapy

In this method, oily phenols are injected into the pile masses mostly on the base region.This, in turn, shrinks the piles & clot the blood inside piles.

3. Laser treatment

This method makes use of infra-red light to seal the veins above the piles which cause it to shrink and thus curing the problem.

4. Direct current electrotherapy treatment and bipolar diathermy

This method makes use of an electrical current which destroys the pile.

PREVENTION OF PILES

Small changes in lifestyle can make your bowels regular & feces soft, thus preventing constipation and piles.

1. Eat plenty of fibre-rich foods for example fruits of all kinds, vegetables, wholegrain cereal, wholegrain rice, nuts, beans, and pulses.
2. Make a habit to drink plenty of fluids and water.Practice light but the regular exercise in your daily routine.
3. Try avoiding caffeinated drinks and for sure the consumption of alcohol.
4. Avoid sitting for a long time in the same place and do walk small distances.
5. Don’t fight the urge, when you have to urinate just go.

7 Common Myths & Facts About Asthma

Myths or Facts

#1 Myth: Asthma is only when there is troubled breathing.

#1 Fact: Asthma is a disease that can be life threatening and is difficult to predict. Even without visible symptoms, there is underlying inflammation in the airways in people with asthma. Asthma is not cured when the symptoms are gone. It is important to keep your asthma in control by taking your prescribed daily medicines and avoiding asthma triggers.

#2 Myth: Asthma is all in your mind.

#2 Fact: Asthma is involvement of the airways and lungs, not in the mind. Emotions, such as stress, crying, yelling or laughing hard, can act as asthma triggers causing already existing asthma toworsen.

#3 Myth: Asthma symptoms are the same for everyone.

#3 Fact: Asthma can affect each person varying from wheezing, chest tightness, and fatigue in some to mild cough in others.

#4 Myth: Children often outgrow their asthma.

girl-asthma-inhaler#4 Fact: A child’s asthma may seem to go away or become less serious over time because upto a certain age lungs grow and the airways expand due to which asthma symptoms may decrease, but may return without warning.

#5 Myth: Steroids used in asthma are dangerous.

#5 Fact: Inhaled corticosteroids (ICS) are the preferred treatment for persistent asthma. When used at recommended doses for most patients, the benefits of ICS outweigh the risks. These steroids are NOT the same as the anabolic steroids some athletes use to build muscle.

#6 Myth: Steroids used in asthma will stunt growth.

#6 Fact: Inhaled corticosteroids do not stop children from achieving their full height. Studies have shown that children using inhaled corticosteroids will reach normal adult height, although it may cause some delays in their growth early on. On the contrary, children with uncontrolled asthma are at higher risk of stunted growth.

#7 Myth: Asthmatics should not engage in sports or other physical activity.

#7 Facts: Aim of treatment of asthma is to make the person as fit and active as the person of same physical stature and age without asthma. Infact, sports and physical activity are as important for someone with asthma as they are for someone without asthma.

What is Chronic Obstructive Pulmonary Disease (COPD) ?

Chronic obstructive pulmonary disease (COPD) is a respiratory problem characterised by persistent respiratory symptoms like breathlessness, chronic cough and sputum production. Its mainly seen in smokers after the age of 40 years but these symptoms may be underreported by the patients. COPD is currently the fourth leading cause of death worldwide and is expected to be the third leading cause of death by 2020. During the course of the disease patient may experience worsening of the respiratory problems and this is termed as exacerbation.

Causes:

1. Smoking
2. Indoor air pollution like exposure to biomass fuel
3. Outdoor air pollution
4. Occupational exposure to noxious fumes
pathology-of-copd5. Post infections like tuberculosis
6. Chronic uncontrolled asthma
7. Genetic factors

Diagnosis

Besides clinical symptoms of breathlessness, chronic cough and sputum production, there may be finding of barrel shaped chest and wheezing on auscultation.

The other major test which is required to ascertain the diagnosis as well stage COPD is spirometry or lung function tests in which the patient is asked to blow out air into the machine which measures the lung functions. Other ancillary investigations which your clinician may advise are chest x ray, ECG, CBC, lipid profile and in some cases CT chest.

Complications

COPD is a disease which is not confined to respiratory system but it affects almost all major organs. Concomitant diseases associated with COPD may be
1. Cardiovascular dysfunction
2. Skeletal muscle dysfunction
3. Osteoporosis
4. Depression
5. Anxiety
6. Metabolic syndrome
7. Lung cancer

Treatment

Smoking cessation: Complete cessation of smoking remains the cornerstone of treatment of copd.
Pulmonary rehabilitation: Regular physiotherapy and exercise to strengthen the respiratory muscles has proven to beneficial not only for the primary disease of COPD but also for the management of associated complications

Drugs

1. LAMA(long acting anti muscarinic agents): These are the drugs like tiotropium which your clinician may advise in form inhalers.

2. LABA(Long acting beta agonists): Drugs like formeterol, salmeterol are advised in form inhalers

3. Inhaled corticosteroids: Advised in combination with LABA in higher stages of COPD.

4. Methylxanthines : have modest bronchodilator effect

5. Phosphodiesterase inhibitors like roflumilast

Vaccination

Influenza and pneumococcal vaccine are recommended for COPD patients to reduce the incidence of pneumonia.

5 Myths and Facts of Pregnancy

pregnancy-myths-facts_vfs

There are so many beliefs passed down from mother to daughter that it’s difficult to know what to follow and what’s pure hogwash.

Show me a first-time-pregnant lady or new mum and there will be 10 well-meaning aunts, neighbours and ancillary old ladies waiting to confuse her with plenty of unsolicited advice on what to eat and feed her baby most of the advance originated at least four generations before ours when our ancestors followed a more agrarian style of living (replete with a couple of cows); verification is always based on the example of a relative of a cousin who listened to the advice and was saved current proponents generally distrust modern medical science and doctors “Who are too young to know what we know!”

Let’s look into a couple of the more common ‘food myths’ to identify whether there is indeed any head to them? In certain cases, the suggestions are actually scientifically backed, in others, the reasoning may be flawed but the food advice in bang on and the remaining cases really are strange old wives tales!

#1 THE MYTH

Drink plain milk hot coffee (or eat white rasgullas) when you are pregnant to ensure your child will be born with a fair complexion; don’t drink tea or coffee lest your baby’s dark!

coffee#1 THE TRUTH

Skin colouring is genetically driven, not milk driven! Of course, the unnecessary emphasis on fair skin in our country is something that all of us should try a change. The baby’s health is what’s important. And hence, the milk consumption (two-three cups of milk and milk products a day) despite having no effect on the baby’s completion, is actually good advice as it is recommended by doctors to help meet the both the mother and child’s essential calcium and protein requirements.

We recommend a limited (less than 200mg) intake of caffeine (found in tea, coffee and chocolates), but for the mum’s and baby’s health rather than those of skin colour! The American journal of Obstetrics & Gynaecology published an article in March last year showing that mums-to-be who consumed 200mg or more of caffeine a day ran double the risk of miscarriage compared to those who had no caffeine. Iron absorption in mums is also restricted because coffee and tea contains compounds called phenols which make it harder for the body to absorb this critical mineral. In addition, babies of coffee-drinking mums are also at risk of slower cell development, lower birth weight and faster heart and breathing rates. Once more, the advice is accurate, but the logic is completely flawed.

#2 THE MYTH

Drinking pure ghee mixed in warm milk at night can help you achieve an easier normal delivery.

ghee1#2 THE TRUTH

The Ghee will not lubricate your birth canal and help the baby simply slip out without any pains no matter how much you pray “There is no medical basis to support this idea”. How will the ghee possibly travel from your stomach to your cervix Indeed, the only thing the ghee will help you do to pile on the pounds, making it that much tougher to regain your pr-pregnancy shape!

#3 THE MYTH

Drinking milk helps mother lactate.

#3 THE TRUTH

Drinking cow’s milk does not help humans produce any milk.“Breastmilk occurs primarily with the help of two hormones, prolactin and oxytocin. The Actual volume of milk secreted is adjusted to the requirement of the infant therefore the emptier breast produces milk faster than the fuller one.” Mothers must rest, think positive and consume plenty of fluids to lactate well, but there is no link with consumption of dairy products. “Production is responsive to maternal status of well-being. Thus, stress and fatigue adversely affect a women’s milk supply. Relaxation is key for successful lactation”.

#4 THE MYTH

breastfeedingFeeding your three-month baby one-two ground soaked almonds mixed with mother’s mik is good for his strength and development.

#4 THE TRUTH

Though it is true that almonds are a good source of Vitamin E, protein and minerals such as iron, magnesium and zinc, they should only be given to children who are at least six months, if not a year old. “Babies less than six months should only be on a diet of mother’s milk and nothing else. A three-month-old baby will find it hard to digest the almonds, leading to diarrhoea and related stomach problems. Even at six months, not more than half an almond should be given to the baby. That said, babies who are 10-12 months old will benefit a lot from the ground almond as it will help improve bone density and strength.”

#5 THE MYTH

Feeding your newborn a paste of sweetened ajwain (oregano seeds) and jaiphal (nutmeg) can help cure stomach pains (such as colic and constipation).

baby#5 THE TRUTH

This food advice is not really challenged by doctors as there is limited medical research on the subject. “In the case of stomach pains, we can prescribe certain allopathic anti-colic drops, but these home remedies with ajwain and jaiphal, etce can do no harm, and may, in fact, work. For example, gripe water, which we recommend be given daily to all infants, is simple sweetened ajwain paani!”

#6 THE MYTH

A spoonful of honey, the ‘food of the gods’ or ‘amrit’ is good for the baby, especially before breastfeeding and during teething.

#6 THE TRUTH

Honey, in its pure unadulterated form, is full of calcium and beneficial for babies, but should only be given when the baby is at least a year old. Very occasionally it can contain bacteria which can produce toxins in your baby’s intestine, which is known as infant botulism and can even be fatal to a young baby. When your child is a year old, his intestines are mature enough for the bacteria not to grow.

What is Obstructive Sleep Apnea (OSA)?

oba

Obstructive sleep apnea is a sleep disorder characterised by repeated cessation of respiration (apnea) during sleep. Its symptoms are:

• Loud snoring,
• Excessive daytime sleepiness,
• Gasping or choking during the sleep,
• Witnessed episodes of cessation of respiration,
• Morning headaches,
• Irritability during the day or
• Night time sweating.

Cause:

Obstructive sleep apnea is caused when the muscles of the pharnygeal region relax too much and the air passage narrows that does not allow normal breathing. These episodes of complete stopping of breathing during sleep may be seen as gasping or choking during the sleep and are followed by episodes of awakening which may be too short and patient might not remember them.

obstructive-sleep-apnea-posterRisk factors:

Excessive weight: It is more commonly seen in patients BMI >30kg/m2.
Males: OSA is more common in males.
• Chronic nasal congestion/allergic rhinits
• Family history of sleep apnea
• Alcohol consumption
• Smoking

Complications:

• Uncontrolled Hypertension
• Arrythmias
• Stroke
• Heart failure
• Motor vehicle accidents due to day time sleepiness
• Loss of libido

Diagnosis

The gold standard for the diagnosis of obstructive sleep apnea is polysomnography or sleep study as it commonly called. During the sleep study patient is hooked to wires placed at head, face limbs, chest and abdomen which measure various stages of sleep, heart rhythm, chest and abdominal movements and oxygen status of the patient. A close watch on all the parameters is kept overnight by a trained sleep technician. After the overnight study, the doctor hands over the report and discusses the AHI (apnea hypopnea index) based on which the treatment is planned.

Treatment

CPAP therapy: The mainstay of treatment for OSA remains CPAP (continous positive airway pressure) in which air at high pressure is delivered via masks to the patient who acts as a splint to the airway. This opens up the airway which collapses during sleep. The duration of the therapy may vary from patient to patient but “use it to lose it” remains the norm.

Weight reduction: Weight reduction with exercise and dietary modifications remain the cornerstone along with CPAP.

Sleep hygiene: Your doctor may advise you to avoid naps during day, avoid watching television before sleep, and avoid alcohol and smoking.

Surgery: surgery is indicated in cases in which CPAP therapy has failed or is not an option.

Implants: Few implants are available which the patient keeps on mouth during sleep but are cumbersome to use.

Painless Treatment for Drug-Free Healthy Life

10-Tips-For-A-Healthy-Lifestyle-1

Addiction is a chronic disease which is known by drug seeking and use that is compulsive and is difficult to control. The harmful consequences are also associated with the addiction of drugs.

Changes that occur in the brain can be persistent because of which drug addiction is considered a “relapsing” disease. People involved in recovery from drug use disorders are at increased risk for returning back to drug use even after years have passed without the intake of drugs.

Drug de-addiction is the withdrawal of addiction to drugs. Nowadays many de-addiction centers by specially trained physicians are working for drug addicts.

Many people don’t understand the reason behind addiction to drugs. They mistakenly think that those who use drugs lack moral principles or willpower. People believe that they could stop their drug use simply by choosing to. But in real life, drug addiction is a kind of complex disease, and quitting usually takes more than strong will or good intentions.

Painless Treatment for Withdrawal of Addiction to Drugs

Our dream is to create an addiction free society. To make this reality, we have started awareness programs, de-addiction treatment programs, and comprehensive rehabilitation facilities.
Our basic objective is the design of a treatment module in accordance with our culture and human values which are actually based on actual life experiences.

This collective and collaborative experiment based on painless treatment will awaken the spirit inherent in human beings. It will enhance hopes of a meaningful life, in each and every individual who shares this objective.
The various painless treatments are discussed below:

Painless treatment1. SANR/URD Treatment [Super accelerated neuron regulation]

It is one of the most recent and Hi-Tech technique. All addicts can be treated with the help of this technique.
In this technique, the process of detoxification is done in the time range of 3-4 hours and it is regarded as absolutely painless. The brain cells are washed and normalized with special medicines for this purpose. And you will be astounded by the fact that within 3-4 hours, complete neuron regulation takes place and the drug substances present in the body gets completely washed out.

The treatment requires fasting for 24 hours. Extensive medical investigations are carried out and medical fitness is prescribed by one or two physicians.

At the point of time, the patient becomes medically fit; SANR process starts the coming morning and is completed within 3-4 hours. The patient is kept in the hospital for the whole night.

The next morning patient is discharged in a fit state completely de-addicted.

Drugs that can be treated by SANR method:

Drugs like:
• heroin
• smack
• opium
• dode (post)
• codeine
• syrups like cortex & phensydryl.
The above drugs are called opiates.

salk2. SAT technique [Simplified American Technique]

This is a kind of traditional technique. All that a patient need is a strong desire to leave drugs. It involves no dietary or work restrictions.

In the process a smooth detoxification takes place. Counseling and indoor admission of the patient are done.
The thing that is expected from the patient and his family members is cooperation and optimum environment for the patient so as to develop a strong will power in the patient that he can have a better life without the intake of drugs.

3. M-SAT [Modified SAT - Home Detox]

This is the third method of treatment of drugs. No admission is required in this technique.
Multiple investigations are carried out at first. After that, the treatment is started and the patient is sent home within 2-3 hours.
The treatment of the patient is continued at home. He is able to carry out all routine activities as usual.
This depends on the patient’s pain threshold and is painless treatment. This method is effective in almost all types of addictions.

Counselling:
These treatments are complemented with expert counseling from the physician or doctor. Counseling is essential part with addicts so as to boost their willpower and self-confidence.
Counseling of both the addict and his family member is an essential part. It helps in training them to lead a drug-free healthy life and continue a normal life as before.


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