A headache can be a hindrance to any person at any time. It can either occur on left or right side in case of a migraine, be isolated to a point or radiate across the entire head. The pain can be sharp, throbbing or dull. It can either develop gradually or suddenly and can last for few hours to several days. Headaches need not arise due to a factor or condition of or in the head alone, they can be triggered because of other disorders or diseases in the body.

What are the different causes of a headache?
There are different kinds of headaches. Based on the symptoms, a doctor can diagnose the causes and the best treatment option for it. Not all headaches indicate serious illness. On the other hand, some headaches can be life-threatening as well. Primarily headaches can be divided into two broad categories- a primary headache and secondary headaches.

Primary headaches: A primary headache is caused due to conditions or factors associated with the pain-sensitive structures of the head. These types of headaches do not result from underlying illness. Muscles of the neck and head, blood vessels and chemical activity in and around the skull are the reason for primary headaches. Even certain genes could be responsible for triggering the pain. Some of the types of primary headaches include a cluster headache, tension headache, migraine, paroxysmal hemicrania etc. There could be primary headaches that last for a very long time such as sex headaches, cough headaches, chronic migraine, hemicranias continua etc. Typically, primary headaches are often triggered by poor posture, alcohol, lack of sleep, irregular food timings, processed meats etc.
Secondary headaches: Secondary headaches are the symptoms of a disease that can activate the pain-sensitive nerves of the head. The severity of the pain varies greatly. Some of the possible causes of secondary headaches include arterial tears, acute sinusitis, brain aneurysm, brain tumour, dehydration, ear infection, carbon monoxide poisoning, dental problems, glaucoma, hangovers, flu, hypertension, stroke, panic attacks, toxoplasmosis, post-concussion syndrome, trigeminal neuralgia, monosodium glutamate, meningitis, giant cell arteritis etc. Some of the common triggers of secondary headaches include ice cream headaches, compression headaches, thunderclap headaches, sinus headaches, rebound headaches, spinal headaches etc.
When to seek emergency care for headaches?
Headaches could indicate serious disorders such as encephalitis, stroke or meningitis. It is advisable to seek immediate medical care for an unbearable headache which also includes the inability to understand speech, stiff neck, trouble in vision, vomiting accompanied with nausea, trouble in speaking, high body temperature, greater than 104 F. A doctor should be consulted if the pain occurs multiple times in a short duration, keeps one from working or performing daily activities, the pain doesn t improve even after the consumption of over the counter medicine and disturbs sleeping.


Headache - Why You Must Consult For It?

The outcome and the procedure of an abdominal laparoscopic surgery vary among patients. The extent of the surgery, the length of the procedure, the surgeon, the hospital nursing staff, and a number of other factors vary with each patient.

Moreover, the recovery or the healing time also varies among patients. What applies to one patient may not apply to another. Generally speaking, surgeons will tell you that it takes only a few days to recover from a laparoscopic surgery, but this is not true to specific cases as in many cases, the recovery time has been longer than expected. So, a laparoscopic surgery is subjective to the health of the patient and the extent of the procedure; however, there are some tips that may prove to be helpful for you to deal with a laparoscopic surgery and to improve your healing process.

Here are some useful tips that you can follow before the surgical procedure.

After you have consulted your doctor and made up your mind on the procedure, then it will be useful to watch some surgery videos and read about the procedure to prepare yourself mentally. The videos can be gory and hence discretion must be maintained.
You can read blogs by patients who have undergone laparoscopic surgery to get a better understanding of the procedure and its implications.
Eight hours prior to the procedure, do not drink or eat anything.
Ask someone to accompany you on the day of the procedure.
Make sure that you fix a pre-op appointment with the surgeon to clear any doubts about the surgery, anesthesia or any such concern.
You can shave the part of your body where the surgery will be performed by yourself or be prepared for someone else to do the same at the hospital.
Prepare your hospital bag with the necessary items and inform the person accompanying you about the items in your bag.
Here are some useful tips that you can follow after the surgery.

Keep yourself active after the procedure to enhance the healing process and to relieve any flatulence.
Stick to comfortable clothing and preferably loose clothes.
Avoid taking a bath for a week or as advised by your surgeon.
To avoid constipation and to stay hydrated drink at least 2-3 liters of water a day.
Hold a pillow against your stomach to lessen the pain while sneezing or coughing.
Don t get up straight from your bed. Roll sideways and use the support of your arm to stand up.
Avoid driving for at least 2 weeks.
Go for regular check-ups with your surgeon or doctor to ensure that the incisions are healing properly.

Tips To Deal With Abdominal Laparoscopy!

Sneezing is a necessary evil. It is the way through, which our body removes irritants from the nasal tract or throat. It is an involuntary activity. It can disturb your daily life and dealings with people. You can face major embarrassment in the public due to sneezing. It happens uninformed or without warning. The other name for sneezing is sternutation. There are a number of factors due to which sneezing can occur. Be it cold or an allergy, you can sneeze at any time. In common cold, a viral infection causes sneezing, runny nose and headache. Your body s response to some allergens can also cause sneezing. It can be coupled with itchy eyes and other irritations.

The inflammation of the nasal cavity can also cause sneezing. This condition is termed as Rhinitis. It is caused due to certain external factors like pollution, weather conditions, stress and infections. Common colds are infectious and can be passed on to others. Sneezing can also be accompanied with nosebleeds, which can be an indication of some serious medical problem.

Ways to deal with sneezing

Squeeze your nose: It is advisable that you squeeze your nose. Hold the tip of your nose and stretch it. Stretch the nose outward from your face. It must be remembered that you shouldn t cause pain to the nose. You stretch the cartilage gently.
Blow your nose: It is advisable that you use a tissue and blow your nose at the time of sneezing. You must get clear of your sinuses.
Pinch your upper lip: You can use your thumb and forefinger to press your nostrils upwards and pinch your upper lip. Your thumb should face toward the nostril.
Use your tongue: You will have to press your tongue behind the front teeth. It should be pressed at the area where the roof of your mouth meets the gum palate. Use your most powerful muscles against your teeth. It should be done until you get a tickling sensation.
Stop, drop, and wait: Get a small table and hold your face over the top of it. Stick your tongue out and see how the sneezing stops.

Sneezing - 5 Ways You Can Deal With It!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

Type: Gastric cancers can present as one of the following types - 

Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.

Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly  

 Helicobacter Pylori  bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

Early Stage   can present with one or more of the following non-specific symptoms/ signs -

Dyspepsia (Indigestion),
Stomach/ Epigastric discomfort,
Bloated feeling after eating,
Mild Nausea/ Vomiting,
Blood in Vomit (Haematemesis),
Heartburn,
Weight loss (Cachexia)
Anaemia,
Occult blood in stool/ Melaena,
Advanced Stage   presents with one or more of the following symptoms/ signs -
GI Bleeding with black tarry stools (Melaena),
Persistent Nausea/ Vomiting,
Blood in Vomit (Haematemesis),
Early Satiety,
Anaemia,
Loss of Appetite (Anorexia),
Weight loss (Cachexia),
Persistent pain in the abdomen,
Fluid build-up in the peritoneal cavity (Ascites),
Edema of the lower extremities,
Liver Enlargement (Hepatomegaly)/ Jaundice,
Difficulty swallowing food (Dysphagia)
Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer - 

Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
Blood: Hb- may be low, ESR   raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
Stool: Occult blood may be +ve
Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
Gastroscopy/ Biopsy: Clinches the diagnosis.
Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
Bone Scan: Helps detect osseous metastasis (bone mets), if any.
Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

Gastric Cancer - In a Nutshell!

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of a genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.

The decision of starting medication will vary from case to case and in most cases, medications may be prudent after the first seizure itself. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

You must take medications exactly as your doctor has prescribed.
Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
You should never stop taking the medicines.
In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
In case you have the migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

Epilepsy - When To Seek Medical Help?

Hypertension or High Blood Pressure can trigger as well as worsen complications related to diabetes. Most people suffering from diabetes tend to develop hypertension later in their lives. Diabetes tends to increase one s blood pressure, making him/her even more vulnerable to other heart diseases and cardio-vascular disorders. Diabetes often leads to a condition known as atherosclerosis, which is the hardening of the arteries. A combination of diabetes and hypertension drastically increases the risk of suffering from a heart disease. The risks of kidney diseases and retinopathy (damage to the tiny blood vessels present in the retina) also go up, resulting in blindness. With age, chronic hypertension can also result in numerous cognitive disorders such as dementia or Alzheimer s disease (degenerative mental disorder).

How to prevent Diabetes and Hypertension?
1. Walking for about 40 minutes each day or engaging in any type of aerobic exercise can better one s heart health. Chalk out an exercise plan upon consulting the doctor
2. Limit drinking and abstain from smoking
3. Go for regular kidney check-ups
4. Eat food rich in fiber such as vegetables, fruits, breads or whole grain cereals
5. Examine blood pressure as well as blood sugar levels regularly at home
6. Practice relaxation techniques such as meditation or yoga to cut down on stress level; as stress is one of the major contributors to diabetes and the subsequent hypertension
7. Shed off your extra pounds as blood pressure escalates with weight

Hypertension and Diabetes - How They are Related?

Don't wait any longer, manage your Anorectal Surgeon online with a Lybrate doctor today

Consult for Anorectal Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES