Lupus, romantically named after the wolf, is a very dangerous disease that can often be fatal, and when it isn t, it makes the sufferers  life pretty much unlivable. Lupus is an autoimmune disease wherein the body s immune system becomes hyperactive and attacks normal, healthy tissues, thereby causing symptoms like inflammation, swelling, and damage to the joints, skin, kidneys, blood, the heart and lungs.

Signs you are suffering from lupus!

Out of proportion and persistent fatigue: This is the most common sign of lupus. Almost 90% of patients experience it, according to a research.
Slight to high fever: Low grade fever due to no justifiable cause can be another sign of lupus. The fever usually comes and goes. Talk to your doctor if you experience this symptom as this could be a sign of inflammation, infection, or imminent flare-up of the disease.
Thinning of hair: Thinning of the hair is often one of the first signs of lupus due to inflammation of the skin and scalp. Some people have hair coming out in clumps while others just have a less alarming thinning of the hair symptoms. Lupus can make hair feel dry and brittle. Doctors call this  lupus hair .
Unexplained skin rash called malar rash: Also called the butterfly rash, it appears on the cheek and the bridge of the nose. 50% of patients get this rash. It can appear suddenly or after exposure to the sun. Usually it appears just before a flare-up of lupus.
Chest pain which increases with breathing: The lungs and the blood vessels in them become inflamed. This makes breathing difficult and can also cause chest pains when you breathe. The lung size can also shrink due to lupus, causing shortness of breath.
Painful, stiff or swollen joints: Inflammation due to lupus can cause pain, stiffness, and swelling in your joints, particularly in the morning.
Blood in urine: This happens due to inflammation of the kidneys or nephritis, which causes swelling in legs and feet and high blood pressure (BP). If lupus is not treated, you can also die of end stage renal disease.
Persistent loss of appetite: Lupus causes acidity and indigestion and loss of appetite.
Thyroid problems: Patients develop an autoimmune thyroid disease which can cause both weight loss and gain. The thyroid helps control your body s metabolism and if it doesn t function properly, it can affect vital organs like your brain and heart.
Dry eyes and dry mouth: Some lupus patients develop Sjogren s syndrome, another autoimmune disorder. This causes malfunctioning of glands responsible for tears and saliva in our body, hence your eyes may feel dry and your mouth will also remain dry.
Lupus is unpredictable and patients often suffer flares, or active symptoms of the disease, followed by periods of normalcy. Because the signs of this disease are so general, it s easy to miss them; so, if you have been getting even three symptoms of lupus, it s time to see a doctor.

Lupus (Skin Disease) - 10 Signs You Are Suffering From It!

Why does PAIN occur? Understand the Mechanism of Pain

Pain is an unpleasant and distressing physical sensation caused by disease or injury, which induces hurt and anxiety in those suffering from it.
There are many different manifestations of pain, ranging from short term (acute pain) to long term (chronic pain). Other classifications include pain in the internal organs (visceral pain), injured tissue (inflammatory pain), nerves (neuropathic pain), etc.

The reason for the occurrence of pain depends on the cause and kind of pain being experienced. In most cases, pain acts as a warning sign that the body has been afflicted by a disorder of some sort, which may have arisen due to internal sickness or external wounding. Acute pains are generally cured on their own through rest or simple medication. Chronic pains, on the other hand, are more complicated in nature and the treatment requires more elaborate diagnosis.

The mechanism of pain

Pain is an extremely personal and subjective experience and affects each individual to varying degrees. The pain signals, which can arise in any part of the body, travel through the spinal cord to the brain along thousands of specialized nerves and nerve fibres. In the brain, it is processed in the centres associated with anxiety, emotions, memory, appetite, etc. Signals and pain inputs are then returned from the brain to the spinal cord, which may heighten or diminish pain.

In some cases, pain may also be induced by damage to the brain and spinal cord, which happens after a stroke.
A constant barrage of pain signals may cause the cells at the end of nerve fibres to become over-sensitized. This is known as 'wind-up' and is one of the most common causes of chronic pain that occurs even though the root of the problem has been identified and treated.

The causes and effects of pain differ from case to case depending on the signals received by the brain and its interpretation. It affects the individual's day to day activities and if persistent, can also have a harmful impact on mental health and psychosis. Pain is always handled, diagnosed and treated differently in all patients by drawing out the best possible solution to the problem.





Why does PAIN occur? Understand the Mechanism of Pain

HepatitisThe problem of hepatitis is related to an inflammatory condition of liver. It occurs mainly due to infection caused by virus but there are other possible causes as well. Hepatitis can be temporary or viral. Temporary hepatitis, which is acute in nature, gets resolved on its own. Viral hepatitis can be of five types, A, B, C, D and E.

Now, let us discuss about the causes behind each type of hepatitis, which results in liver problem.

Causes

The fact that we have identified five types of Hepatitis, A, B, C, D and E, let s take a look at the causes behind the occurrence of all these types:

Hepatitis A: The most common way through which this type of virus gets transmitted, is through consuming food or water contaminated by wastes from a person infected with hepatitis A.
Hepatitis B: One can suffer from Hepatitis B, if one comes in contact with infectious body fluids like blood, secretions from vagina, semen, taking drugs through injections, containing the virus of Hepatitis B.
Hepatitis C: This is also transmitted when someone comes in direct contact with fluids of an infected person, through injection drugs and sexual contact. As per the reports of Union Health Ministry, about 1.2 crore people of India are suffering from Hepatitis C, with the worst affected region being North India.
Hepatitis D: It is a rare form of hepatitis, also known as delta hepatitis, occurs as a result of coming into direct contact with infected blood. Hepatitis D is rare because it only takes place in conjunction with hepatitis B infection.
Hepatitis E: This virus is mainly caused in areas of poor sanitation.  It is a waterborne disease, resulting from ingesting faecal matter that contaminates water supply. Cases of Hepatitis E have been mainly reported in Middle East, Asia, Central America and Africa.
Symptoms Of Hepatitis

Hepatitis, in its initial phase is called the acute phase. The following symptoms along with mild flu are visible:

Loss of appetite
Fatigue
Joint pains
Pain in the abdomen
Nausea
Weight loss
Jaundice
Though this phase is not really dangerous but for some patients, it can result in liver failure leading to death. 

Treatment for Hepatitis

Treatment options for different types of hepatitis are:

Hepatitis A: This doesn t require treatment as it is short-term in nature. In case the symptoms cause a lot of discomfort, then bed rest is recommended. Vaccine is available to prevent this infection.
Hepatitis B: Acute Hepatitis B doesn t require treatment either. Its chronic form can be treated with antiviral medications. This can be prevented with vaccination.
Hepatitis C: This type of hepatitis, both in its acute and chronic forms, is treated through antiviral medications.
Hepatitis D: According to a study in 2013, a drug known as alpha interferon is used to treat this type of hepatitis but unfortunately this only comes to the rescue of 25-30% people.
Hepatitis E: This acute form of hepatitis gets resolved on its own. Adequate rest, drinking sufficient amount of water and taking enough nutrients in their food are some of the ways to get healed from this disease.

Hepatitis - Know The Types & Their Signs!

The neck and shoulder have a huge range of movement and thus they are more prone to injury. The ball and socket joint at the upper arm is the shoulder and both the neck and the shoulder are made up of soft tissues, muscles and ligaments. 

Reasons behind pain Injured rotator cuffs: 

Rotator cuffs are the tendons supporting the shoulder. If they are injured it might lead to a chronic loss of the range of movement. This is more commonly known as a frozen shoulder. 

Dislocation: Dislocated disc of the neck or shoulder due to an accident would cause severe pain in the affected area. 
Fractures: Fractured collarbone or the upper arm bone may result in chronic pain. 
Tendonitis: This occurs due to the over usage of the arms or neck or strains due to over exertion like in sports. 
An unstable shoulder joint: If there is instability in the ball and socket joint of the upper arm, chances of having a chronic pain is high. Others: Degenerative arthritis, herniated disc, and even heart attacks can be the other possible causes of chronic neck and shoulder pain. 
When to go to the doctor? 

When the patient experiences a pain due to a severe blow or injury, the neck pain radiates down the legs and arms, a feeling of numbness and tingling sensation, or has a stiff neck with fever or vomiting, it is essential to seek the advice of a Doctor. 

Diagnosis for shoulder and neck pain X-ray: 

The main form of diagnosing a pain is an x-ray. It helps to reveal diseases from arthritis, tumour, slipped disc, narrowing spinal cord, fractures and spinal cord instability. 

MRI: Magnetic Resonance Imaging or simply the MRI reveals the detail of nerve-related issues along with the problems in the ligaments and tendons. 
CT scan: There may be instances when the injuries are difficult to be diagnosed. And, in the case of a fracture, a CT Scan is advised for more details. It is also an alternative to MRI. 
ECG: An Electrocardiogram is a way of diagnosis if shoulder and neck pain continues along with chest pain or shortness of breath. If there is a risk of an individual having a heart attack, then an ECG is recommended. 
Electro Diagnosis: Electromyography referred to as EMG and Nerve Conduction Velocity (NCV) are used to diagnose pain in the arm, neck, shoulder followed by a numb feeling on the affected areas. 
Treatment for chronic shoulder and neck pain 
A simple sprain on the neck and shoulder would demand a rest for a few days along with pain medication. If the pain is due to muscle spasms application of dry or moist heat may provide relief. In the case of a swelling due to injuries, a cold ice pack 4 to 8 times a day will provide immense relief. Patients might be advised a cast or sling for the shoulder pain. The soft tissues in the neck and shoulder can be treated with pain relievers taken for a few days. Muscle relaxants are also prescribed depending on the severity of the pain. Local corticosteroid injections are helpful for shoulder arthritis. Platelet rich plasma injection is another modern treatment for arthritis or tendinopathy. In some situation, radio frequency procedures are very helpful. Exercises are very effective for both neck and shoulder pain movement. Surgery might be an option if nerve roots are affected.

Chronic Shoulder & Neck Pain - Ways It Can Be Diagnosed!

SSHL is not like any other normal hear-loss trouble. Rather it is quite a severe condition. Sudden deafness can occur at any time due to several reasons. This trouble does not affect both the ears rather only one specific ear is usually affected, and thus this is one of the prominent signs that can help the doctors to understand that SSHL has occurred. 


What are the leading causes of this hearing loss?

    Head injury: If you have faced any severe kind of head injury ever, then it might bring SSHL. This is why you are suggested to get necessary treatment on time so that this kind of hearing loss can be avoided.
    Loud-noise exposure: If your ears are exposed to louder noises or sounds in a consistent manner, then there is a greater possibility of the occurrence of this hearing loss. Thus, you should stay away from unwanted noises. 
    Ageing: With the increase in age, hearing power slowly decreases. However, if you take proper precautions from the very beginning, then SSHL can be definitely avoided. 
    Blood-circulation troubles: Interrupted blood-circulation creates different physical troubles out of which hearing loos is one of the most prominent one. And if timely treatment is not provided, then it might get converted into SSHL. 
    Ototoxic medication: This kind of medication should not be continued for long without doctor's prescription otherwise SSHL might occur. 
    Lyme disease: This is a kind of disease, which occurs due to tick bites and this is pretty infectious in nature. Apart from that, this disease is now considered as one of the main sources of SSHL. 

How to evaluate this hearing loss? 

    History analysis: The history of the patient needs to be known first otherwise SSHL cannot be perfectly treated. If the history shows that the patient already has an existing trouble of ear loss for which SSHL has been proven, then in accordance with the same the treatment can be prescribed. 
    Laboratory and imaging: Laboratory analysis is one of the main methods for evaluating SSHL and necessary images of the ears boost the potentiality and importance of this kind of analysis to a great extent. 
    Quick evaluation: This kind of medical evaluation is mainly made on the basis of the symptoms. The doctors often follow the signs thoroughly in order to determine as to whether the patients have SSHL or not. This evaluation is highly supported by different medical tests that are prescribed by the doctor.

Sudden Sensorineural Hearing Loss: Causes and Evaluation

Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:

Barrier Methods:
i. Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.

ii. Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.

iii. Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.

iv. Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.

Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
i. Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
ii. Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.

Intrauterine Devices
The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.

Sterilization
This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.

In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.

Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.

Different Types of Contraceptives and Its Uses

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