The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood.

Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes.

A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition.

In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression.

There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint.

Ankylosing Spondylitis - What Are The Causes?

4 ways to gain weight

A very low body mass index can be due to many causes including genetic, developmental and hormonal disorders and other issues with absorbing nutrients in the body. A low body mass index may also be owing to a high metabolism rate. Here are a few healthy ways to gain weight according to different requirements:

Know your calorie needs

- Calculate your resting metabolic rate with the formula - RMR = 10* weight (kg) + 6.25* height (cm) - 5* age (yr) + x [For men; x=5, for women; x = -161] Your BMR tells you how much minimum calories you will burn if you rested an entire day.

- Account for your activity by using your RMR as BMR (Base metabolic rate) and calculate your daily calorie needs by the following formulae:

-BMR * 1.2 - If you are sedentary
-BMR * 1.375 - For light exercise
-BMR * 1.55 - Moderate activity
-BMR * 1.725 - High activity
-BMR * 1.9 - Intense activity

Diet to follow

- Gradually increase your calorie intake

- Eat healthy and timely

- Have a balanced diet with heavy foods like - starchy vegetables, dense fruits, added oils and creamy soups

- Have foods rich in protein, avoid watery fruits and veggies

- Avoid trans-fats

- Do not binge, pace yourself through your diet regime

- Have dietary supplements and protein shakes

Build muscle to increase body weight

- Include weight training in your daily regime

- Compensate for extra calorie lost in training

- Do not over do it, rest is equally important in building muscle

Things to remember

- Stop eating junk food, eat healthily

- Hydrate yourself well

- Rapid weight gain may cause stretch marks

- Be careful when choosing fatty foods as overindulging in them can lead to heart diseases and type 2 diabetes

- Overeating may cause bloating, stomach aches and cramps

If you would like to consult with me privately, please click on 'Consult'.

4 ways to gain weight

Cow Milk vs Buffalo milk - Which is healthier for you?

We can differentiate between the milk from a cow or a buffalo by looking at its color and thickness. While being different from one another in terms of composition and richness, both cow and buffalo milk possess properties that give them their unique nutritional value and health benefits. Including them in your daily diet can help you to stay fit and strong. Here's a look at what they offer, and which one can be the most appropriate for you:

1. Fat content - It's the fat content of these two milks that instantly make them different from one another. Of the two, buffalo milk has a higher percentage of fat content, which keeps your stomach fuller for a long time. On the other hand, cow's milk is easier to digest due to its low-fat content. When it comes to the fat percentage in buffalo milk, on an average it is two times more than that of cow milk. So, if the average fat content in cow milk is 3-4% that of buffalo milk is about 7-8%.

2. Protein content - Buffalo milk contains more protein in comparison to cow milk, which can make it more difficult to digest. It comes with a protein content that is in the range of 4.2%-4.5% and is 11% higher than that of cow milk.

3. Cholesterol content - Cholesterol levels differ in both the milk, with buffalo milk being significantly lower in cholesterol. While buffalo milk has a cholesterol content of 0.65 mg/g, cow milk records 3.14 mg/g of cholesterol.


4. Water content - Cow milk reports higher water content compared to buffalo milk. This is because it contains fewer solids with about 90% of the milk being composed of water. It's this high water percentage that gives cow milk its hydrating quality.

5. Calorie content - Since buffalo milk comes with more proteins and fat, it has more calories. For every 100ml of buffalo milk, you consume about 100Kcals. On the other hand, cow milk contains about 70 Kcals.

If you're on a diet to lose weight and improve your metabolic processes, cow milk would be the most appropriate option as it is low in fat, protein and calorie content. On the other hand, if you want to gain weight and strengthen weak bones, buffalo milk is what you should have daily.

If you would like to consult with me privately, please click on 'Consult'.

Cow Milk vs Buffalo Milk - Which is More Healthy?

One of the most common scenarios that most people are faced with is a constant feeling of tiredness and lethargy even after you have had a full night s sleep. The questions popping in your mind right about now is, why is this happening? Why does the lethargic feeling fail to leave you even after you had a proper 8 hours sleep? Why is your sleep getting into the way of your professional productivity? Though there are a number of different explanations to this constant feeling of cloudiness throughout the day, hence, experts in the field have listed down some of the factors that prove to be the major causes behind this condition. 

Some of these most common and powerful reasons are listed below.

Thyroid: The moment your thyroid levels start soaring, you will automatically find it difficult to keep up with the pace that your day to day life demands. The thyroid gland, which is placed right in front of the throat, is the size of the knot on your tie. This gland produces a hormone. When the activity of the thyroid gland, it starts secreting more and more of the hormones, leading to a condition termed as hyperthyroidism. The same gland when underperforms, it starts holding back the hormone secretion, leading to a condition called hypothyroidism. In both the cases the metabolism of the body slows down, leading to an increased level of tiredness even after proper sleep.
Anaemia: Another leading cause of that nagging feeling of sleepiness and draining energy is Anaemia. Anaemia causes a certain amount of fatigue in an individual. The main cause influencing this situation is the lack of presence of enough red blood cells. The main function of these red blood cells is to transfer oxygen constantly from the long to the cells and tissues. A break in this process leads to you feeling weak and also short of breath.
Diabetes: Diabetes poses a serious threat to the all over functioning of your body. It is termed as the slow killer and constantly works towards undermining the level of energy a normal individual can hold. This adversely affects your day to day life, including your performance at work and also performing your daily chores at home. The glucose in your body serves as a fuel for your daily activities. Since patients with type 2 diabetes cannot use this rising glucose in their blood properly, they end up being more tired than they ought to be.
Other conditions that lead to the same draining feeling and constant tiredness even after lot of sleep are depression, rheumatoid arthritis, chronic fatigue, sleep apnea, sleep inertia, periodic limb movement disorder, constant exposure to computer screens, tv screen, monitors, etc. There are a whole bag of other factors that lead to the constant feeling of tiredness that you are feeling. Before the end of the day, you are drained, your productivity drops and you cannot wait to hit the bed, and the same is the condition when you get out of bed. Consulting a general physician will not only help you put a finger on the cause, but also cure it with proper treatment.

Feeling Tired Even After a Lot of Sleep - Did You Know Why?

If you suffer from chronic pain of any kind, it is important for you to know that it is associated and linked with your emotions. Other than your physical activities and personal relationships getting hampered, unwanted feelings like resentment, stress and frustration are also common. These emotions and feelings are capable of making your chronic pain condition more worse. 

The Relationship between your mind and body: Your mind and body work together and cannot be separated. Your mind controls all your thoughts and also affects the way in which pain is controlled or perceived by the body. Pain and the fear of pain may lead you to avoid activities. This may reduce your physical strength and cause disruption in the functioning of your body.

Stress: Stress affects your body both physically and emotionally. It may lead to an increase in your blood pressure, breathing rate, heart rate and muscle tension may also occur. These may lead to fatigue, appetite changes and sleep disruption. Stress also causes depression, anxiety, make you dependent on drugs and make you dependent on other people.

Depression: Depression is common among chronic pain patients. Chronic pain can make cases of existing depression much more worse and the existing pain is also worsened. There are chances of developing depression from chronic pain if depression runs in your family or genes. 

Symptoms of Depression are as follows:

Feeling sad, angry, worthless and hopeless frequently
Lack of energy
Lack of interest in regular activities
Difficulty in sleeping
An increase or decrease in appetite, which may lead to major weight gain or weight loss
Difficulty with concentration
Having suicidal thoughts and thoughts about dying or harming oneself
How to Handle your Emotions during Chronic Pain: A common therapy, which people with chronic pain undertake is called Cognitive Behavioural therapy. You should seek the help of a therapist. In this therapy, you will learn about thinking in a positive way instead of drowning in negative thoughts. Your fear of pain will be reduced and you will learn how to strengthen important relationships. You will be able to develop a sense of freedom from chronic pain. 

If your chronic pain occurs due to an accident or emotional trauma, you may be assessed for post-traumatic stress disorder (PTSD) by your healthcare provider. Many patients suffering from PTSD cannot deal with their pain until the emotional stress is dealt with. If you feel depressed and cannot control your emotions, you need to consult a doctor.

Chronic Pain - Is it Linked to Our Emotions?

Dates were first discovered in 6000 BC in Iraq. Later it travelled throughout the world. Today, dates are found in over 30 varieties in a dry, soft and semi-dry state. This is one of the sweetest fruits found across the globe. They were first known to have healing power. 


Later scientists discovered an array of benefits associated with this fruit. Following are the reasons you must eat them: 


1. Cholesterol: Dates are known to be a good agent for reducing cholesterol. They have the ability to absorb LDL and increase the level of HDL in the body. Owing to their low fat quantity, they can be consumed in higher quantities without the apprehension of putting on weight.


2. Nervous System: Owing to its high potassium and low sodium content, dates are considered as a wonderful agent for balancing the nervous system. Potassium keeps the risk of heart attack at bay and helps to maintain a smooth blood flow.


3. Digestion: Dates are suggested to be soaked in water and consumed every day for better digestion. People suffering from constipation can get huge relief by consuming 2 dates empty stomach on a regular basis.


4. Weight gain: Dates are extremely flexible in nature. They can help to gain weight owing to their vitamin, sugar and protein content. Dates when consumed with cucumber help to keep weight at the normal level. 
5. Improve skin: Dates have multiple good effects on the skin. This, vitamin C and D rich fruit can increase the elasticity and add a glow to your skin. Dates are also an anti-aging agent and do not let melanin accumulate inside the upper layer of the skin. People with dry skin can get it resolved with daily consumption of dates.


6. Bone health: Dates contain essential ingredients such as magnesium, iron, selenium, potassium and manganese. These are all vital components of the bone. Consuming 3-4 dates per day can ensure a healthy bone. People suffering from arthritis are sure to benefit from this fruit.


7. Hangover fixation: Dates are known to curb inebriation and cure hangover. In order to best use its effect, few dates need to be soaked in water overnight and the outer skin of the dates has to be peeled before consumption. 


8. A rich source of vitamin: Dates are a rich source of a number of vitamins that are essential for the body. Apart from B1, B2, B3 and B5, they contain vitamin C and A1. Consuming 3 to 5 dates on a regular basis can not only increase the energy level of a person, but also maintain the overall vitamin rate of the body at the accepted level. Dates are pretty filling in nature owing to their glucose and fructose content. As such they can be consumed as part of the evening snack.

Dates (Khajoor) - Why You Should Eat Them?

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