If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.


Don't Confuse Fissure With Fistula!

World Alzheimer s Day is celebrated on the 21st of September each year. A number of organizations, from all over the world concentrate on raising the awareness about Alzheimer s disease and dementia. Alzheimer s disease is a very common type of dementia. It falls under the group of disorders in which mental functioning gets impaired. Life for an Alzheimer s patients is quite difficult, but by following the following tips, you can support yourself and will also help you to cope with it. 

You have to accept the changes and accept that life will continue getting difficult. Instead of trying to cover your difficulties for protection from embarrassment, you should face the fact. You also have to accept the changes in your physical abilities and adapt to skills, which are beneficial.
You should develop some ideal coping strategies. Try to be occupied and involved and respond to the challenges you face in everyday life. By practicing the coping skills you will be able to gain a sense of control in your life.
Try to identify stuff. Make a list of all the tasks which seem challenging to you and try to develop coping strategies for these tasks. Prioritize your tasks and determine whether it is really necessary to overcome certain tasks. You should also strategize solutions and come up with solutions which would suit you best.
You should set realistic goals and expectations for yourself and use the coping skills to deal with difficult tasks. In case of very challenging tasks, do not hesitate to take help.
A daily routine or plan is required for keeping a track of several tasks. A schedule reduces the amount of time you spend to figure out something, simplifying your task and also prevents mistakes.
Always approach one task at a time and take enough time to complete tasks. Do not give up on challenging tasks and take breaks to figure things out.
Always remember that you have more than a single chance to solve problems. If one chance fails, you should adopt new strategies and try again and again with better assessment.
You should identify the triggers which cause anxiety and stress. Knowing the causes will allow you to plan in advance so that you can prevent them.
Keep in mind that your family, friends, pets, will power and prayers are sources of great strength and will help you get past any obstacle.
You should accept help from others and do not hesitate or think about being dependent on others.
You should take the advice from your psychiatrist or from Alzheimer Association National Early-Stage Advisors in order to understand the challenges such as medications, management of schedules and dealing with emotional or relationship changes.

Alzheimer's - 10 Tips to Help Dementia Patients Cope with their Problem

A heart attack is usually characterised by the rupture of a plaque which can cause the spread of the cholesterol into the blood stream.
Cardiovascular diseases are a major cause of pain, suffering and death around the world, today. Heart attacks are caused by coronary heart disease. This is caused by the narrowing of the coronary artery when substances like cholesterol block it. If not treated and revived on time, a patient suffering from a heart attack can meet a fatal result.

So how can you prevent a heart attack?

1. Cholesterol: We are all affected to some extent by what we eat. It is important to keep a check on your cholesterol, especially if it is on the higher side, so as to prevent a heart attack. Cholesterol is known to directly cause a heart attack, because if applies layer upon layer to the walls of the artery, and chokes them until they cannot handle the pressure any longer. So watch your food intake and bring down the blood lipid or fat levels with proper diet and exercise to alleviate the risk of a heart attack.

2. Assess your Risk Factors: So are you at risk of heart disease and possible heart attack? This will very much depend on your medical history and allied ailments. If you are suffering from high cholesterol or even diabetes, your chances of having clogged arteries and a subsequent heart attack may increase manifold. Also, you may have a family history of heart diseases which can increase the risk of such ailments in your case. So, it is wise to assess your risk factors and take measures like regular checkups, medication where required and even other measures like diet and exercise.

3. Blood Pressure: To prevent a heart attack, you can also keep your blood pressure in check. Constant spikes and dips can lead to a malfunctioning heart which can weaken the heart muscles and lead to a fatal result like a heart attack. Further, high blood pressure can lead to wear and tear of the inner lining of your blood vessels, which makes it that much more difficult for blood flow and circulation. So keep a blood pressure measuring machine or cuff at home, or visit your doctor regularly to keep tabs on your blood pressure.

While these basic measures can help take care of the immediate and most direct causes of heart attacks, you can also avoid passive and active smoking, and indulge in a good diet with plenty of exercise to keep your heart healthy.

Heart Attack - 3 Ways You Can Prevent it 

Allergic rhinitis is also known as hay fever. This is a seasonal cold allergy condition that comes with many symptoms like reddening and watering of eyes, blocked and runny nose, flu, headaches and many others. The causes of hay fever include exposure to dust, nettle, pollen, pet hair and even pollution. While most doctors prescribe anti allergies to deal with this problem, it can also be cured and treated with the help of alternative treatments. Let us find out about five such treatments.

1. Chinese medicine: traditional chinese medicine is also known as tcm, and it usually works by incorporating eight essential herbs along with massages, acupuncture and dietary tweaks in order to create a basis for treatment. These methods aim at creating a more congenial environment within the body of the patient so that the patient is more equipped to deal with the problem causing allergens that come in from the environment outside.

2. Acupuncture and acupressure: this is also a chinese form of treatment that aims at redistributing the qi or chi, which is the life giving energy within us. With the help of this needle based treatment, the various points in the body are activated so that the chi quotient is more favourable and fights these allergens and symptoms with greater gusto.

3. Ayurveda: this is an ancient life science that originated india. With the use of herbs, condiments and spices in one's everyday life, ayurveda brings in other methods of treatment including yogic postures and poses, dietary changes, massages and more in order to treat conditions such as allergic rhinitis. The problem of hay fever or allergic rhinitis may be cured with the use of seven herbs including piper nigrum, terminalia bellerica, piper longum, and others which can help in soothing the symptoms and creating resistance towards the allergens in the long run. Along with this, jal neti can also be practised so as to clear the nasal tracts and airways. One should also avoid food that is cold and can give rise to an aggravation of the dosha in question.

4. Ointment: the use of herbal allergy absorbing creams and ointments can also help in averting the onset of conditions like allergic rhinitis. These ointments or creams may contain long chain hydrocarbons which can get absorbed into the nasal mucosa. It can be applied three times in a day.

5. Capsaicin: extracted from red peppers, this wonder ingredient can help in desensitising the nerve fibres in thenasal tract which create hyperresponsiveness of the nose. In this way, this ingredient can curb the allergic reaction.

6. Gavyamrut grut: gavyamrut grut is made by mixing pure cow ghee with certain herbs. It should be used as nasal drops and is a very effective and time tested remedy for allergic rhinitis.

As a part of the treatment, one must also take care to avoid allergens that cause the allergic rhinitis.

5 Alternative Treatments for Allergic Rhinitis

As indicated by Ayurveda, good digestion, solid  agni  (the metabolic flame), quality functioning of the liver and an adjusted endocrine framework result in strong immunity. Immunity of the human body is said to be associated to an entity called  ojas  which is believed to be the subtle and positive essence of  kapha  an aspect which provides the body with vigour, strength, immunity and vitality. The general notion is that stronger the Agni, healthier the  ojas , although other factors play a major role too. Therefore, it becomes important to protect your  ojas . Protection of 'ojas' is possible when you are able to live in the present with pure and complete awareness. A number of ways to promote  ojas  and thereby, develop your immunity are listed below:

Diet: Agni is bolstered by a dietary routine that minimizes refined sugars, stimulants and processed foods. The focus must be shifted to consumption of whole and healthy foods while maintaining a proper schedule. Inclusion of garlic, ginger, black pepper, long pepper, cinnamon, asafoetida in the diet is advised as it destroys poisons and bad bacteria, kindles Agni, promotes normal body temperature maintenance and eliminates the extra kapha.
Get adequate sleep: It is proven that sleep deprivation in humans can cause a total loss of the immune functions of the body. Thus it becomes mandatory to adopt a balanced sleeping schedule where the minimum duration to be regularly maintained is 8 hours.
Exercise: Appropriate exercise discharges collected strain, moves stagnant emotional and mental energy, enhances circulation, encourages proper elimination, improves digestion, supports sound sleep and promotes relaxation in the body. All these contribute to a healthy maintenance of the immune system. Adversely, improper exercise can prove to be damaging.
Meditation and yoga: The different types of Ayurvedic practices, each having a different set of benefits, are advised to be adapted so that you can sustain immunity. Some of these practices include yoga, pranayama, meditation, etc.
Herbal support: Different types of herbs in the Ayurvedic tradition, each having an affinity for a certain type of tissue, are capable of supporting the immune system. The advisable herbal supports include chyavanprash, turmeric, ginger, Tulsi, Shatavatri, Ashwagandha, turmeric, tulsi, trifla, giloy, Bronchial Support Herbal Syrup, Immune Support tablets, etc.
Regular detoxification: Regular detoxification (by Panchkarma procedures) of body as advised in Ayurveda , keeps basic body doshas ( Vats, pitta, kapha) in balance.
Rejuvenation therapy- After detoxification certain ayurvedic drugs, herbs are given for a long duration for rejuvenation, longevity of life, immunity boosting. It also prevents and cure diseases.

How Ayurveda Helps in Boosting Your General Immunity?

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Gestational Diabetes - How It Can Be Treated?

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