What is premenstrual syndrome (PMS)? In a layman's language, it is that time of the month you don't really want to unnecessarily bother a woman or you might have to face the brunt of an emotional outburst. In medical terms, it is a combination of emotional, physical, psychological changes that occur in a woman after ovulation and culminates with the ending of her menstrual flow. The most common mood-related symptoms are irritability, depression, crying, oversensitivity, and mood swings.
 
The most common physical symptoms are fatigue, bloating, breast tenderness, acne, and appetite changes with food cravings. In severe cases, anger, irritability, anxiety and tension leads to loss of the functioning ability of a woman. If you've been there or are suffering, you are not alone. There are scores of women around the world who experience these symptoms. Here are ways to minimize and get rid of PMS.

1.  Control PMS with diet changes: Certain food types in general are not a healthy choice but can cause more harm than good during PMS. Depending on what factor affects you the most, cut down on these types of food.

a. Salt: Excess salt can lead to bloating
b. Caffeine: Can lead to anxiety, sleeplessness and irritability
c. Alcohol: The concoction for depression
d. Sugar: Can cause mood swings

As always, eating more fruits, veggies and grains at the right time can keep you healthy and prepared for those dreaded days.

2. Exercise: Exercise is a mood lifter. It gets you into shape, adds to your stamina and slowly but steadily boosts your confidence to become slimmer, stronger, and fitter. The trick is to pick up on an exercise you love. Hit the road and run free with your thoughts or turn on the music and dance with aerobics.

3. Stock up on vitamins: Hormonal imbalances are the primary cause behind PMS. Though it is not proven, stocking up on some essential vitamins like calcium, potassium and minerals can give you more strength to fight the symptoms.

4. Herbal remedies: They've been around for hundreds of years and you are likely to have an aunt or grandma swear by one of these cures. From ginger to primrose oil, these cures can balance your hormonal activity in a natural way. You will need to experiment to see what really suits your need.

5. Take a break: No matter what physical or emotional trauma you go through, it can double up because of stress and lack of sleep. Knowing your 'off' days, it's best you find a way to take some time off for yourself at a spa or try meditation and deep breathing. Do what you love to do to. Keep your mind calm and clear. Listen to music, take a walk with your dog or simply read a good book.

To start with, change your diet, take a few supplements and herbs, and start exercising, and you should see the change in the first few cycles itself.


PMS: Don't Suffer in Silence

It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

In modern days, migraine has become a common disease that affects the young and the old equally. Migraine as such cannot be cured, but improving lifestyle and Ayurvedic medication can help you keep this disease under control and improve your quality of life.

What is Migraine?
Migraine, commonly known as Sooryavarta in Ayurveda, is a medical condition in which the excessive stimulation of the blood vessels in the brain causes a throbbing pain on one side of the head and is associated with nausea, sensitivity and vomiting. This happens because the vomiting centre of the brain gets activated during an episode. These symptoms are the most common signs; however, it varies from person to person. 

What Causes Migraines?
These headaches worsen upon sunrise and it is at its peak at noon, when the sun is at its highest intensity and slowly subsides on sunset. This is one of the major factors in setting in an episode; it is not true in every case. 

The other triggers that cause migraine attacks according to Ayurveda are:

Spicy and oily food
Stress, anger, grief, jealousy
Suppressed emotions or natural urges
Indigestion
Consumption of too much of dry, salty and pungent food
Consuming polluted food
General triggers may include:

Smoking and drinking
Stress
Fasting
Physical stress and exercise
Fluctuation in hormone levels during the menstrual cycle or the use of birth control pills
Stopping intake of tea or coffee suddenly
Stress to sensory organs in the form of bright noises, bright lights, strong perfumes or odours etc.
Certain foods or beverages may also trigger an episode of migraine. These include baked foods, chocolates, processed foods, spicy foods, onions, dairy products and peanuts. These kinds of foods are known to suddenly increase Kapha dosha or Pitta Dosha and as a result, trigger an attack.

Symptoms of Migraine-
It is usually characterised by a stinging, throbbing pain on one side of the head and is followed by nausea and vomiting. Some people may get visual aberrations called an aura- such as blind spots, blurred visions, distorted lines etc.

Ayurvedic medications that can help migraine are:

Indian licorice   Glycyrrhiza glabra
Sariva   Hemidesmus indicus
Hareetaki   Chebulic myrobalan-Terminalia chebula
Amalaki   amala   Emblica officinalis
Mallika   Jasminum officinale
Hareetaki   Chebulic myrobalan-Terminalia chebula
Bala   Sida cordifolia
Kumari   Aloe vera
Sariva   Hemidesmus indicus
Simple home remedies useful in migraine:

Tender leaves of jasmine or tender leaves of pomegranate are taken along with a pinch of salt and crushed well to obtain fresh juice. Early in the morning, preferably in empty stomach, 2-3 drops of this fresh juice is instilled to both the nostrils. Procedure is repeated once again evening hours (6-7 pm). This reduces the severity of headache in migraine.
One fist full of Doorva grass (cynodan dactylon) is taken and its fresh juice is obtained. To this, 2 pinch of licorice powder is added and mixed well. This is consumed during the noon hours. Procedure is repeated for 20-30 days. This helps to reduce the severity of illness significantly.
Take coriander seed powder   1 teaspoon. add it to one cup of water, leave it as it is at night, next day morning, drink it on empty stomach.
Soak 5 raisins and 5 almonds in water at night, next day morning, eat them.

Migraine - Causes, Symptoms And its Ayurvedic Treatments 

Nails are an important part of your physiology, although they are mostly used for either utilitarian purposes such as gripping or for beauty purposes such as nail decorations. Nails themselves can go through infections which need not have underlying causes and thus can cause damage to that part of the tissue. One such disorder of the nail is onycholysis.

What is onycholysis?
This is a disorder where the nail on the finger or the toes starts to separate from the skin below. This happens little by little and usually starts at the tip and then progresses backward. The further back it progresses, the more nail tissue it destroys. While the entire nail may not be detached from the nail bed, parts of it may chip off, showing the tissue underneath.

Symptoms of Onycholysis:

Jagged border between the pink flesh of the nail bed and the yellow edge of the nail
Detached nails become opaque, yellow or may turn green in color
Nail may become irregular in shape and size
Bits and chunks of nails can break off easily
Primary Causes for Onycholysis:

Frequent trauma - If you have a profession or work at home where you constantly require tapping away, it might cause minute injuries to build up within the nails and the fingers. Tapping on keyboards is one area where you could get repetitive trauma like this.
Manicure problems - Many salons may aggressively try to clean the underside of the nails and in the process, slowly dislodge the nail form the nail bed and cause onycholysis. This has known to be the case with many people.
Water immersion - If you have work where your nails are immersed in water for long periods of time, this could also affect the development of onycholysis.
Skin diseases - Certain skin conditions can also end up giving onycholysis. Psoriasis and contact dermatitis are other conditions that may lead to onycholysis as a consequence.
Allergy to nail glue - Many makeup artists and customers have complained that certain brands of nail glue can also cause allergies resulting in onycholysis.
Medications - Medications meant for the treatment of other ailments within the body can have the unintended consequences of causing onycholysis.
Treatment:
The underlying problems need to be corrected which may cause onycholysis. Once the underlying problem is corrected, onycholysis usually corrects itself. The nail may take some time to re-grow but will grow back on its own eventually and may take 4 to 6 months to cover the entire affected area again.

Onycholysis - How It Can Affect Your Nails?

The prostate is a vital organ that located between the penis and the bladder. The prostate is involved in the release of the prostate fluid that keeps the sperm properly nourished. Prostate cancer, as the term indicates, is characterized by the abnormal and uncontrolled growth of cancerous cells in the prostate. Though the incidences of prostate cancer are low in India, necessary precautions and diagnostic steps should be carried out to prevent the condition from jeopardizing our lives.

Prostate screening includes two tests known as the Digital Rectal Exam (DRE) and Prostate-Specific Antigen test (PSA). PSA combined with DRE helps to identify prostate cancer at a very early stage. If any of the tests show an abnormality, a doctor might prescribe an ultrasound such as MRI Fusion or Prostate Biopsy to confirm the diagnosis.

Immediate treatment may not be necessary
For low-risk prostate cancer, doctors often recommend active surveillance that includes periodic blood tests, rectal exam, and biopsies.
Active surveillance helps a doctor to continuously track the growth of cancer cells and the possibility of their spread to other areas of the body.
Surveillance is fit for those who are already suffering from a serious condition or for those patients who are above the age of 60.
A surgical procedure to remove prostate cancer
Surgery is considered when the cancer has metastasized to surrounding tissue and the lymph nodes. There are two kinds of surgeries that a patient can go through- a Robot-Assisted surgery and a Retropubic surgery.
Radical Prostatectomy might have risks involved. It is, therefore, wise to discuss the pros and cons of the surgery with the doctor well in advance.
Understanding the treatment options

Radiation therapy: Radiation therapy involves the use of high-powered and high-frequency energy beams to kill cancer cells. Radiation therapy is often used to shrink the size of the cancer cells. There could be two types of radiation therapy-Brachytherapy and External beam radiation. Radiation therapy too can have its side effects. Doctors prescribe several medicines during therapy.
Hormone therapy: Hormone therapy helps to stop the production of a male hormone known as testosterone. This treatment option includes medication that completely stops the production of testosterone, the medications may also block the flow of testosterone on the cancer cells, and surgery to remove the testicles. Hormone therapy is used in advanced cancer stages.
Chemotherapy: Chemotherapy is a drug that goes into the body and kills rapidly growing and metastasizing cancer cells. It is administered through IV (intravenous), or orally as pill or both. This treatment option is employed when cancer spreads to a remote body location and does not respond to hormone therapy.
Biological therapy: Biological therapy involves the usage of the body s immune system to fight cancer. A type of biological therapy known as the sipuleucel-t is used to treat patients with advanced cancer stage and recurring cancer as well.

Prostate Cancer - How Biological Therapy Will Help?

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.


Common Orthopedic Disorders In Children

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