Celiac disease is an autoimmune disease caused due to intolerance to the protein called gluten found in common foods like wheat, barley, and rye. The exact reason for the disease is not known, but gluten attacks the small finger-like projections in the intestine called the villi, which help absorb nutrients during the digestion, leading to malnourishment.

Onset of the disease is usually once the child has started on solid foods and can include diarrhea, abdominal discomfort, underweight, skin rashes, anemia, mouth sores, etc.
Diagnosis usually happens with a detailed discussion and checking the level of antibodies against gluten in the blood. In rare cases, an intestinal biopsy may also be required. Once confirmed, the following are ways to manage celiac disease-

Dietary changes: avoiding gluten-containing foods is the first step to treating celiac disease. These are common food substances like wheat and barley. In some cases, the entire family may choose to or need to take this diet, just to provide moral support to the child.
1. Breads, cakes (made from wheat)
2. Creamed or breaded vegetables
3. Processed meats
4. Dry roasted nuts (as agents used in processing could have wheat)
5. Fried chicken
6. Pastas
7. French fries (that are coated in flour)
8. Spreads, soft cheeses, and dips
9. Salad dressings
10. Gravies and sauces (including some tomato and meat sauces)
11. Soup mixes and canned soups
12. Crab or other seafood
13. Malt or malt-flavored drinks (usually made from barley)
14. Modified food starch (modified corn starch is ok; modified wheat starch is not)
15. Nondairy creamer
16. Soy sauce and soy sauce solids (may be fermented with wheat)
17. Wheat-free products (may contain barley or rye flour)
18. Yogurts containing wheat starch
Read the labels of foods to ensure they are free of gluten. Organic/natural food stores and health food stores contain wide range of gluten-free products that can be used with minimal effect on the child's food habits.

Eating out: just because the child has celiac disease, eating out is not ruled out. Carefully choosing what to eat is suggested. Also, letting the chef know is a good idea, as most chefs will prepare something safer for the child.

Cross-contamination: avoid cross-contamination: in schools or in cases where the child could potentially eat from other children's boxes, make sure the child is well informed and ensure he does not eat from other kids' lunch boxes. It is also a good idea to keep the class teacher and a couple of his close friends informed of the child's condition.

Most children are easy to educate and adapt well to the changes required, knowing very well that it is for their own good.

Tips to Deal With Celiac Disease in Children

For many people, their morning is incomplete without a cup of hot beverage. A hot cup of tea (black, white or green) or coffee can lift your mood and spirits in no time. After a long and tiring day, most people crave for hot beverages. It helps them feel relaxed and rejuvenated.

But now comes a big jolt for the ardent fans of hot beverages. As per the findings by the International Agency for Research on Cancer (IARC) (an agency that deals with the evaluation of the cariogenic factors and agents for the World Health Organization), drinking very hot beverages may trigger cancer (especially of the mouth and esophagus) in some people. While alcohol, tobacco, red meat, to name a few, have already found their way into the list of carcinogenic agents, the hot beverages had been the latest addition that has left many people shocked and baffled.

The same agency, IARC had in the 1990's (1991 to be precise) classified yerba mat  tea (a famous and traditional South American tea usually served very hot) as a potential carcinogenic agent. The study suggested that using yerba mat  for long (often in large quantities) can trigger cancer (mouth, lungs, and esophagus) in some people. Some research stressed that the main cause of concern was the presence of the carcinogenic agent, Polycyclic Aromatic Hydrocarbons (PAHs) in yerba mat .

However, the latest study has included all hot beverages, heated over 65C or 149F as potential carcinogens. The study stressed on the fact that when you drink a very hot beverage, more than often, it goes on to injure the esophageal cells and tissues. In some cases, this can trigger cell multiplication. If unfortunately, some of these cells undergo mutations in the process, then it can, in turn, result in abnormal cell growth. This deviation, in turn can eventually give rise to tumors, which are often found to be malignant and carcinoid in nature. In other words, the thermal injury caused to the esophageal lining due to hot beverages can cause cancer.

In many places (restaurants and cafes), the hot beverages are typically served at a temperature, ranging from 71 - 85 degree Celsius, thus making the situation even worse.

However, there is a lot to rejoice for the coffee lovers. The WHO and IARC have surprising dropped coffee from its list of potentially carcinogenic agents. What was believed to be a carcinogenic agent (especially bladder cancer) for long has suddenly been rendered harmless. Some researchers and scientists believe that the antioxidants present in the coffee beans can go a long way to prevent and reduce the instances of cancer. Thus, having coffee in moderation may prove to be helpful. However, the credibility of these findings is yet to be accepted by one and all.

The hot tea lovers will surely wait for similar path-breaking research and miracles. If you wish to discuss any specific problem, you can consult a General Physician.

Hot Beverages - Did You Know They Can Cause Cancer?

The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
Exercise plays a very vital role in controlling the issue and improving range of motion.

What You Should Know About Spondyloarthritis?

The kidneys are small organs that filter about 200 liters of water each day, removing out about 2 liters of toxins and wastes in a water medium as urine. In addition to maintaining the fluid levels in the body, they also produce hormones that regulate blood pressure, produce red blood cells, and play a vital role in maintaining bone health. Any problem with the kidney, infection or otherwise, can lead to its improper functioning, causing damaging results on the rest of the body organs.

While the bad news is that most diseases from infections to diabetes to hypertension and cancer have an adverse effect on the kidneys, there are signs that can be watched out for, which can indicate a problem with the kidneys and so further damage prevented. Read on to know some of the most common symptoms of kidney disease and how further progression can be prevented.

Change in urination process: Any change in the process of urination should be a warning for a test. It could be change in color or the appearance of the urine, painful urination, burning on urination, difficulty to start and stop a stream, or too frequent or infrequent urinations. These are usually the first symptoms of kidney disease and should be an alarm to get a kidney function test done. If you have hypertension or a strong family history of kidney disease, then getting a simple urine test to check optimal kidney function is definitely mandated. These could indicate conditions like infection, diabetes, kidney failure, or other conditions which can all be identified with further testing and then treated accordingly. The progress of the disease can be halted, which can help improve overall quality of life.
Fatigue, loss of energy: As noted above, impaired kidney function leads to other organs being affected and buildup of toxins in the body. There is also anemia which sets in due to decrease in red blood cells and therefore reduced overall energy levels, loss of sleep, and fatigue.
Swollen eyes, feet, and ankles: Reduced kidney function leads to fluid accumulation, sodium retention, loss of protein, which all lead to swollen eyes and ankles and feet. These are easy to identify and should ring a bell to get checked for kidney functions.
Muscle cramps: Improper electrolyte levels can affect muscle functioning, leading to painful cramps. Along with changes in the process of urination, this should be an indication of underlying kidney disease.
Keep a track of any above mentioned problems as they can help in saving not just the kidneys but all the vital organs.

Kidney Problems - 4 Signs to Watch For!

A heart attack does not always have obvious symptoms, such as pain in your chest, shortness of breath and cold sweats. In fact, a heart attack can actually happen without a person knowing it. This condition is known as a  silent heart attack , medically known as  silent ischemia , occurring due to the shortage of oxygen supply to the heart muscle.

The causes of a silent heart attack are similar to that of a heart attack. They include-

Obesity or excess weight

Lack of exercise

Disorders such as diabetes

High blood pressure

High cholesterol

Age, usually above 65

Heart diseases

Consumption of tobacco or smoking

A silent cardiac arrest makes one more vulnerable to another heart attack that could be fatal.

Diagnosis:

The only method to diagnose if you had a silent heart attack is through imaging tests, such as echocardiogram, electrocardiogram or others. These tests can show certain changes which might be indicative of a heart attack.

An analysis of one s overall health and the symptoms can aid in deciding whether few more tests are required.

How would you prevent a silent heart attack?

Get your cholesterol and blood pressure count tested regularly.

Refrain from smoking.

Be aware of your body and call on a doctor if you feel there s anything which is bothering you.

Understanding Silent Heart Attacks

Yearly flu vaccination is the best tool currently available to protect against influenza (flu).

While how well the flu vaccine works can vary, the Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccination as the first and most important step in protecting against flu and its potentially serious complications. Millions of people have safely received flu vaccines for decades. Flu vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations.

A flu vaccination does not guarantee protection against the flu. Some people who get vaccinated might still get sick. However, people who get a flu vaccine are less likely to get sick with flu or hospitalized from flu than someone who does not get vaccinated.

Why do I need to get vaccinated every year?

New flu vaccines are released every year to keep up with rapidly adapting flu viruses. Because flu viruses evolve so quickly, last year's vaccine may not protect you from this year's viruses.

After vaccination, your immune system produces antibodies that will protect you from the vaccine viruses. In general, though, antibody levels start to decline over time   another reason to get a flu shot every year.

Flu vaccines bring down the risks of suffering from flu. However, its effectiveness is based on different factors.

Age: Usually, the flu vaccine happens to work the best for healthy adults. However, these vaccines cannot work as well with children, especially infants (below the age of 2-3 years). Nevertheless, the efficacy improves with age. Since older people are more prone to contracting the flu virus, it is essential that they get themselves vaccinated. Even if the vaccine is not able to ward off the flu entirely, it can still help reduce the risks to some extent.

General Health: Vaccine spurs immunity into action. It helps your body in identifying and fighting the virus. The efficacy of the flu vaccine solely depends on the capability of your body s immunity system and how well it responds to the virus. Chronic illnesses weaken your body s defense mechanism and with a poor immunity system, the vaccine may not work properly.

The time of the vaccination: For optimal protection, it is advised to go for the vaccination every year right before the  flu  season starts. This is because after the flu season gets done with, old vaccines may not work as effectively.

The flu vaccine needs to be updated every season to guard you against the kind of flu dominant in that particular year. Getting yourself vaccinated is also not a guaranteed foolproof protection, however, it does render partial immunity and helps reduce the severity of the symptoms. However, it should be noted that flu vaccine cannot shield one from cold viruses.

Flu Vaccine Effectiveness: How Well Does It Work?

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