Nosebleed (Epistaxis) Treatment
Rotator Cuff Injury Treatment
Corn Removal Procedure
Nadi Pariksha Treatment
Scar Revision Surgery
Scar Revision Surgery
Treatment Of Deep Vein Thrombosis - Dvt
Deep Pigmentation Treatment
Cysts Removal Procedure
Treatment Of Learning Disorders
Treatment of Disc Prolapse
Kerala Massage Treatment
Treatment Of Childhood Diabetes
Kshar Sutra Therapy Treatment
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I am diabetic since 16 years taking tresiba 40 units along with Novorapid thrice a day of dosages 18 units, 10 units and 10 units respectively. But my blood sugar level is fluctuating. One time blood glucose level come down very low and other time it shoots up to 328 mg/ dl. Kindly suggest. I have thyroid also and is normal. No blood pressure and any other. Kindly suggest I am very worried about my sugar level.
I have get blaker skin for this monsoon and its get oily .so what I do for my skin .to look fairer and freshly type.
Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.
Type: Gastric cancers can present as one of the following types -
- Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
- Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
- Carcinoid Tumor: Begins in hormone producing cells of the stomach. Occurrence of carcinoid cancer, in the stomach, is rare.
- Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.
Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –
- ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
- Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
- Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
- History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
- Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
- Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
- Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
- Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
- Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:
Early Stage – can present with one or more of the following non-specific symptoms/ signs -
- Dyspepsia (Indigestion),
- Stomach/ Epigastric discomfort,
- Bloated feeling after eating,
- Mild Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- Weight loss (Cachexia)
- Occult blood in stool/ Melaena,
- Advanced Stage – presents with one or more of the following symptoms/ signs -
- GI Bleeding with black tarry stools (Melaena),
- Persistent Nausea/ Vomiting,
- Blood in Vomit (Haematemesis),
- Early Satiety,
- Loss of Appetite (Anorexia),
- Weight loss (Cachexia),
- Persistent pain in the abdomen,
- Fluid build-up in the peritoneal cavity (Ascites),
- Edema of the lower extremities,
- Liver Enlargement (Hepatomegaly)/ Jaundice,
- Difficulty swallowing food (Dysphagia)
- Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer -
- Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
- Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
- Stool: Occult blood may be +ve
- Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
- Gastroscopy/ Biopsy: Clinches the diagnosis.
- Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
- CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
- Bone Scan: Helps detect osseous metastasis (bone mets), if any.
- Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.
Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.
I am a diabetic patient since 15 years. FBS is 98, PPBS140.My serum creatinine 1.20 ca, ph,sodium are under control in normal range. But I am in diet control (S.Creatinine reduced from 2. 0).My age 52, Height 5'3" weight 40 Kgs (Before kidney problem it was 58. What calorie food I should take to increase weight not affecting Blood Sugar and Kidney?
Low or reduced libido has been a point of concern for many years and if left neglected it can negatively impact your love life. Read on to know how you can boost your libido with these ornamental tips.
- Have a positive mental attitude and keep your stress level low: If you feel good and self confident you may feel more sexual and attractive to your partner.
- Consider, but do not overly rely on supplements that claim to increase your libido. Take a bite out of a forbidden fruit: Figs, bananas and avocados, for example, are considered libido-boosting foods, known as aphrodisiacs. And they are provide certain vitamins smooths the blood flow..
- Be a poser: Yoga does more than just get you limber, it may boost your libido, too. Yoga may also improve your orgasms by increasing blood flow down there.
- Indulge in all things chocolate: Throughout history, chocolate has been a symbol of desire. Not just because of its delicious taste, but because of its power to improve sexual pleasure.
- Find out which scenarios spark magic for you and your partner: You do not need to recreate every detail from those scenes. With a little imagination, improvisational role-playing, you can incorporate one or two key elements from the scene, such as a costume or a prop - and create a scenario that is likely to liven the mood.
- Take your daily herbs: Ginkgo biloba, an extract derived from the leaf of the Chinese ginkgo tree, is another herb found to treat antidepressant-induced sexual dysfunction.
- Seek the help of a sex therapist, if necessary: If you are experiencing sexual problems that prevent you from desiring, initiating, or enjoying sex, consider whether these issues may be psychological in origin.
- Be patient: If you have a partner who is being treated for lost interest in and enjoyment in sex, or for issues relating to sexual performance, be patient and realize that treatment can take several months or more to be effective.
- Take a whiff: Whiffing can also work for you. But the scent of your man postworkout might do just that. Sniffing his sweat can increase your level of the stress hormone cortisol, which may boost arousal.
Cinnamon is usually seen as a condiment added to almost any kind of dish to make it flavourful. But no dish in this world has ingredients which do not benefit the eater nutritionally. Cinnamon has been used for a long time in Ayurvedic medicines. It is a natural ingredient which keeps people healthy and nourished.
There are several benefits of consuming cinnamon some of them are explained below.
- Antioxidants: Polyphenol is one such antioxidant that is present in cinnamon. In fact, a study has shown that out of twenty-six natural ingredients which contain this property, cinnamon has emerged as a clear winner, even leaving behind garlic. It is also the antioxidant-rich property of cinnamon which makes it a well-known preservative. Thus apart from adding flavour, and having anti oxidant properties, cinnamon also preserves the food for a longer time.
- Anti-inflammatory: This is one of the most important properties of cinnamon. This helps in fighting diseases and keeps infections and diseases causing germs at bay.
- Helps in controlling heart diseases: Diabetes is one of the main causes of heart disease. However, it can be kept in control by controlling cholesterol levels and triglyceride levels. This can be effectively done by cinnamon. Thus by controlling diabetes and increasing good cholesterol in the body, cinnamon actually reduces the risk of getting heart diseases.
- Reduces insulin resistance: Insulin is an important element in the body. It controls hormonal and even blood sugar levels in the body. However, there are many people who have resistance to insulin. This actually is a serious issue which can give rise to diabetes and various other problems. However, a minimal intake of cinnamon everyday reduces the risk of being insulin resistant and helps the body to accept insulin more readily.
- Lowers blood sugar level: After mentioning how cinnamon makes insulin more acceptable in the body, it is important to highlight the other factors which are controlled by this ingredient which helps in maintaining a balanced sugar level in the body. First, it regulates the glucose entering the body. Second, cinnamon is made of a particular type of compound which can act as a substitute for insulin.
- Cancer: Till date, even after heavy research and tests, cancer has no definite cure. But theory has it that there are many natural preventive measures which can be taken against this deadly disease- consumption of cinnamon being one of them.
Thus, these are some of the main advantages of consuming Cinnamon. If you wish to discuss about any specific problem, you can consult an ayurveda.
I only have one testicle. Is that ok? Can I have kids? Also the testicle I have (right) has a black spot, does this mean anything?
Hello Sir / Mam My mother 53 years old is suffering from gout and high level of uric acid physician has prescribed her fears 80 and zerodol sp After taking zerodol sp she is sleepless. Is insomnia a side effect of this medicine and what are other side effects of this medicine on woman.
I am trying to conceive since 1 yr. My husband stays out. Last month I had almost skipped my periods fr 28 days. But on 29th I got my periods. Is it a good sign or I need to consult a doc. I never skipped so long. I am not taking any pills other than thyronorm 25 mg. Pls help.
Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complete ACL Tear, Grade 3 Tear f posterior Horn of Meniscus and Knee Joint Effusion. What is the treatment for this? Surgery is necessary?
I have a kidney stone of 6 mm and 5.9 mm stone in ureter since 4 months. I am taking medicines since then. Doctor said that it is not a big stone and it will pass out. But I want to know that when it will brake then can it stuck somewhere in ureter. I am taking cap stonvil 2. 2 and recoliser plus syrup. And why my urination reduced since today morning. Pls help.
I was having chicken pox 2 months ago, but its marks are now also how much time it will take if I use coconut oil massage to clean them?
I missed my periods which was on 17th March, on 10th march I had unprotected sex. 24th March I did test which was negative. Every time before periods I get white discharge, which is continuing till now. Last time I had my periods on Feb 16th. Please help me out.
Hello sir, I have sleep disorder problem. My age is 35 years. My EEG report is normal. From last 4 years I am taking mirtazapine 7.5 mg (1/2 tablet per night). With this tab. I sleep very well 8-9 hrs. Many times, I try to sleep without this tab. But sleep only 3-4 hrs with disturbing (awake 4-5 times during night) and feels laziness/tiredness in day which disturb my job/routine. So I am taking the mirtazapine continue. I also exercises daily at evening, take 1 glass of milk at night, Drink 8 glass water daily, walking after dinner 2 km but not sleeps properly. I read on internet that sleep medicine increases B.P. And lack of sleep also increases B.P. L want to know the following:- 1. Which is more predominant for high BP (lack of sleep/medicine for sleep). 2. What is long term side effects of mirtazapine, if I continue it. 3. If any serious side effects, please suggest any other medicine (allopathic/Ayurvedic) which has low side effects than mirtazapine. Thanks.
I am 25 years of old unmarried from about 4 years I am facing the problem of soft stool constipation with back winds (gas) every day I have to pass d stool 4 to 5 times .with gas I am really fed up please help me out.
I'm becoming fat day by day from the age of 18 in such a way that my lower part of my body is more fat I.e. From wast to downward and upper part is quite normal .can I know what is the problem and which doctor should I consult..
I am having loose motion for 3 days had loparrete and having curd rice as my diet need to have consultation.
How does working in shifts affect your health?
As stated earlier, the first and foremost effect of working in shifts is lack of sleep. It is very common to see a night shift worker with dark circles, puffy eyes and a fatigued body.
Another very serious effect of working in a night shift can be emotional aloofness or feeling of being ignored and lonely. Although this may not be a case with all, but definitely affects the life of some night shifters. The feeling of being alone and left out can set in because of not being able to spend time with friends and family. A little time management can help you overcome this problem.
Night shift workers are more likely to suffer from cancer of various types, such as prostate cancer and breast cancer. Research has shown that shift workers are also at a higher risk of heart disease and stroke.
Most night shift workers suffer from various gastrointestinal problems such as constipation, diarrhea and irritable bowel syndrome. This can happen due to two reasons. Firstly erratic meal timings and skipping meals can upset the stomach. The second reason is snacking unnecessarily. When you’re awake at night, you’re bound to feel hungry. The body would not like to eat a proper meal in the middle of the night and you end up eating chips, biscuits and other junk foods.
Eating at incorrect time and eating incorrect foods also increases the chances of acidity and heartburn. Blood sugar levels may fluctuate and this puts night shift workers at a higher risk of diabetes.
Due to a disturbed biological clock, a lot of hormonal imbalances also occur in body. This can lead to thyroid and other disorders of the endocrine system. Women experience problems in their monthly menstrual cycle and may also face fertility issues.
Effect of night shift on your diet
Before we see the weight gain diet plan for indian night shift workers, it is important to know the effects night shift on your diet schedule.
While working in shifts, a person is unable to eat proper meals. Night shift workers sleep during the day. Hence they may not eat as many meals as another person would do during the day. Hence many of them who work in night shifts lose a lot of weight and become undernourished. The body is deprived of nutritious food and is not given food at the appropriate time. Eventually the situation gets worse and you feel very weak. It becomes impossible to concentrate on work and the sick leaves start increasing. Before the problem goes out of control, you need to look for a solution and get back to work. So here is your life saver weight gain diet plan for indian night shift workers.
Tips on healthy eating during night shifts
It might not be possible to get your shift changed and even tougher to get a new job but it isn’t actually difficult to take care of your health and gain some weight. Just calculate your current dietary requirement and consume at least 500 calories more than that per day. The only thing you need to ensure is that you eat healthy foods. If you eat junk, your weight will increase by leaps and bounds and it will bring lots of unwanted health problems along with it. Keep your caffeine intake to the minimum, since it causes acidity.
Although it isn’t easy to get in to this routine but it is better if you eat your meals at the proper time during the day. Do not skip any meal. If you work all night and reach home early in the morning, do not go to sleep on an empty stomach. Have a glass of milk and then sleep soundly. Try to get a good amount of sleep. Talk to your family members and make it very clear that you don’t want to be disturbed till a certain time. If you get about 6 hours of undisturbed sleep, it is good enough. Of course, you won’t mind another 2-3 hours but 6 hours is the minimum you should get on an average day.