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?

What are Warts?

Warts are infectious outgrowths that may appear on any part of the body. For example, the most common warts occur on fingers. They are caused by virus, most typically the Human Papilloma Virus (HPV) and several of its subtypes. They appear as dense painless rounded nodules of about 0.3- 1 cm in diameter. The mode of transmission of this virus is usually by contact. You can also contract warts by sharing objects like razors, towels or other personal items. They can be sexually transmitted if the warts are present on genitals.

Usually, they are benign outgrowths but sometimes, they may be cancerous if present on genitals.

How To Prevent Warts?

Earlier, the only way to prevent contracting warts was avoiding contact with infected people. But now-a-days, vaccines against HPV are present that are given in teen years to prevent genital warts and cancer caused by them.

How are they diagnosed?

Your doctor can easily tell if the outgrowth is a wart just by having a look at it. If it is not clear, your doctor may take a sample of your skin and look at it under the microscope to ensure that it is a wart.

Treating Warts-

CAUTERIZATION

Cauterization is a medical procedure wherein a part of the body is burnt in order to damage some tissue in order to prevent an outgrowth. Cauterization can be done by medicine, cryotherapy (using localised or general low temperatures to treat benign or malignant tissues), radio frequency cauterization or laser. The method applied depends on size and location of the outgrowth or the choice of you dermatologist as well.

It is recommended to get warts removed at its earliest to prevent spreading of the disease.

Several myths are present in the market that state cure to warts by various homemade remedies but these can do more harm than good. Treating warts must be done by practised medical personnel. Incomplete removal of warts can cause recurrence of warts due to secondary infection.

Warts - How To Get Rid Of Them?

A hysterectomy is a surgical procedure that is done to remove your uterus. Robotic hysterectomy is a more preferred procedure than open surgeries because:

They cause minimal discomfort.
They have better recovery options.
Loss of blood is minimized
The pain associated with the usual surgical procedures are less compared to other options.
This is one of the best procedures that have been designed after years of research in the field of robotics. It is true that they are safe, but it does not mean that there are immediate recovery options. The bottom line is that it is a procedure to remove the uterus and you have to give due importance to the recovery procedures that come along with such robotic surgeries. Let us have look at them.

Recovery
The recovery period depends on the type of surgery you had and also depends on a case to case basis. However, you might be asked to stay overnight in the hospital for observation. You would be constantly monitored during this period and any complications that might arise are given utmost care.

Pain medications and medicines to prevent infections that might arise due to the surgery are given during this period.
You may experience a light vaginal bleeding for a few days. However, this is normal and will gradually ease out. In case the ovaries are removed, the recovery period is extremely crucial. You will no longer have menstrual periods and your body would immediately start adapting to the menopause cycle.
During this transition, the hormonal changes start to occur and you might be experiencing mood swings and hot flashes. You may also experience periods of night sweats. However, all these factors are common occurrences and your body would gradually adapt to these changes. The exact recovery period can range from a week to about six weeks. During these times, you would be given the following advice:

Take plenty of rest and limit your activities.
Do not lift any weights or do any rigorous tasks during these periods.
Any sorts of sexual intercourse must be avoided till you heal completely. Talk to your doctor about this and get to know more about the recovery options.
Never miss a periodic check-up during these times.
Always take the prescribed medications on time.
There can be some sense of loss of your uterus during this period. For some women, this can mean that they would not be able to bear a child. These are some of the common stress factors that come into play during the recovery period. Watch out for them and get emotional support guidance from the counsellor, if the need arises.

Underwent A Robotic Hysterectomy? Here Are Some Recovery Tips!

Asthma is a respiratory disease that takes place with a variety of symptoms including breathlessness, wheezing and coughing. It usually occurs when the airways get obstructed, which in turn leads to inflammation of the tubes. So how can you recognise the signs and symptoms of asthma? here is a list of ways!

Risk identification: it has been observed by doctors and medical science that there is no specific reason for the onset of this ailment. It can be caused due to genetic as well as environmental factors. So, in order to recognise the symptoms, you will first of all have to take stock of both these factors. Find out if you have any blood relatives who have suffered from this ailment and try to find out how it started and at what age, so that you can watch out for the same warning signs. Also, if you are more prone than others when it comes to allergic conditions like rhinitis and atopic dermatitis, then you are at risk. Other risk factors also include living in a high pollution zone, as well as being overweight, smoking, working within close range of exhaust fumes and other chemicals, and other such factors.

Symptom identification: to be able to identify whether or not you are at risk, you must identify the potential symptoms including persistent shortness of breath, which may strike regularly. Also, another symptom is not being able to sleep comfortably due to excessive coughing and breath shortness as well as shallow breathing and wheezing. You may also experience some amount of chest tightening or constriction. These symptoms will usually get worse if you happen to be suffering from the flu or a cold. 

Respiratory health: if you are suspecting the onset of this disease, it would be a good idea to watch your respiratory health by observing the rise and fall of your breath when you are doing energy consuming and strenuous activities like exercising or other such tasks. Sports induced asthma is an actual condition that can get worse when your lungs are faced with cold and dry air. Also, if you are facing exhaust fumes and chemicals as a part of your job, then you are at risk of occupational asthma, in which case you should watch your respiratory health very closely. These symptoms can also get worse when you are around animals and pets due to the allergens that may trigger wheezing and coughing. A lung function test can be conducted by the pulmonologist in case you are suffering from any of these symptoms and conditions on a persistence and prolonged basis. 

Knowing and reporting your symptoms to the doctor is important for getting timely treatment.

How to Recognise Asthma?

4 Things to Know Before You Lose Your Virginity

Losing your virginity can be a big experience and can be exciting as well as nerve-wrecking at the same time. Its significance is different for everyone and there are no wrong or right ways to lose your virginity. Making your first time a memorable experience is easy if you know and remember these 4 things:

1. Relax

You might be conscious about your body or nervous about pain or pleasing your partner, but you need not be. It is natural to feel insecure and nervous, but communicating your reservations with your partner will clear the air between both of you, helping you level your expectations and relax. Your first time is about exploring each other's body and pleasuring each other as well as an understanding partner will help you relax and forget your insecurities.

2. It might hurt a bit

If you are a woman, intercourse for the first time might hurt a bit if your vagina is not well lubricated before you have sex. Also, you might feel some pain and/or bleed if your hymen tears, but it will not be excruciating pain. Worrying about the pain is a lot scarier than the actual pain. Some women may not experience any pain at all. However, you should make sure you are well lubricated. Foreplay is a great way to get ready for intercourse and if it is still painful you could use additional lubricants to minimize discomfort and pain.

3. Go slow

If you are a man, help your partner be comfortable by going slow in accordance to their wish. Going too fast may hurt your partner if they are not comfortable and make your first time a traumatic experience. Try to gauge your partner's reactions and proceed in a way pleasurable to both of you. Penetrating too soon might cause you to ejaculate too quickly before your partner has climaxed. Indulge in foreplay so that both of you are ready. If your partner ejaculates too fast or is unable to hold his erection, do not feel rejected or angry, support him and help him get aroused again, as it is just an effect of nervousness and excitement.

4. Use protection

There is no truth in the saying that you cannot get an STD on your first time. It is completely possible and the only way to prevent that is to use condoms or not have penetrative sex. Women can get pregnant during unprotected sex and unless you plan to become pregnant, panicking about being pregnant for days after your first time will ruin your first time and peace of mind. Use birth control and/or condoms to prevent unwanted pregnancy after your first time, and both your partner and you will be able to enjoy losing your virginity without any worries.



4 Things to Know Before You Lose Your Virginity

One of the silent diseases in the female population, endometriosis can be symptomless for years and sometimes even decades, but can sometimes manifest itself quickly. The uterus is lined on the inner side by a tissue known as endometrium. When this tissue is found in other parts (fallopian tubes, abdomen, near the ovaries, etc., it is known as endometriosis.

Causes: The exact cause for endometriosis is not clear. There is a possibility that during the regular period, there could be spilling of the tissue back into the fallopian tube, from where it reaches the ovaries or other organs and gets implanted.

There are certain predisposing factors for a woman to develop this condition, including genetic correlation and non-menopausal women. The female hormone estrogen is essential for the development of endometriosis. There are also immunological reasons attributed to the development. It can range from minimal to mild to moderate to severe.

Symptoms: From being completely benign to causing severe pain, endometriosis can present itself in varying ways. The implanted tissue can be minimal like a small lump to large clumps. The symptoms are not dependent on the size of the implanted tissue, however, 

1. Painful menstruation: One of the most common causes of non-menstrual cramps, the pain is different from usual menstrual pain, starts a few days before the period and can last up to after the period.

2. Pelvic pain: One of the most common causes of pelvic pain, this can happen wherever the implanted tissue is. In severe cases, this tissue can also bind different organs, forming what are called adhesions. The bladder or the bowels may adhere to the uterus. These are more painful than individual lumps of tissue outside the uterus.

3. Intermenstrual bleeding: There could be spotting to severe bleeding between the regular cycles.

4. Painful sex: There is a deep pain within the pelvis and it can lead to losing interest in sex.

5. Infertility: The most severe symptom and complication is not being able to become pregnant.

Diagnosis: A detailed patient history, discussion on symptoms followed by ultrasound and laparoscopy can help in diagnosing endometriosis.

Treatment: If there is no symptom and fertility is not an issue, then it is possible that no treatment is required. However, depending on symptoms and complications, the following are done.
- If pain is the only main problem, painkillers are administered
- Surgical treatment may be required if there is severe bleeding and adhesions complicating the situation. 

This will also relieve other symptoms
1. Hormone therapy is also an option for treating endometriosis.
2. If you are having pelvic pain and irregular bleeding, bring it up with your doctor. Even if it is not endometriosis, a thorough check up will put your mind at rest.

Endometriosis and Complications Associated With It

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