Growth hormone or somatropin is responsible for cell growth as well as reproduction. But insufficient somatropin production by the pituitary gland may result in lack in height. It is mostly caused by a serious brain injury, any prevalent medical condition or might occur as a birth defect.

Types
1. Congenital ghd - this form of ghd appears from at the time of birth itself.
2. Acquired ghd- ghd can be acquired during later life as a result of trauma, infection, tumor growth within the brain or radiation therapy.
3. Idiopathic ghd- idiopathic ghd is the third, and comparatively worst kind of ghd since it has no treatment.

Ghd is mostly permanent, but can also be transient. Read on to know how to detect whether you or your child is suffering from growth hormone deficiency (ghd).

Symptoms
Childhood onset
1. Restricted height- compared to other children of your child's age, he/she may be of shorter height, which is a rather conclusive sign to detect somatropin deficiency.
2. Chubby and comparatively younger appearance- your child may have a proportionate body, but if he/she is unnaturally chubby and has a baby-face compared to other children, he/she may be suffering from ghd.
3. Late puberty- your child's puberty maybe later than usual or even not appear at all, depending upon the gravity of the ghd.
4. Hypoglycemia and exaggerated jaundice- low blood sugar is amongst the most primary manifestations of ghd, along with extended duration of jaundice.
5. Micro-penis- micro penis condition is one of the incident signs of ghd, which later escalates to growth deficit as the infant gets older.

Adult onset
1. Fatigue- adults with ghd may experience extreme tiredness throughout the day, with reduced muscle strength.
2. Osteoporosis- osteoporosis, along with bodily deformities, is a common sign in adults with ghd.
3. Lipid abnormalities- a test of your lipid profile may reveal abnormalities in ldl cholesterol, insulin resistance, and impaired cardiac functions.

Tests to determine ghd
1. Physical test- a chart is drawn to determine the proportion of height and weight with respect to your age to detect anomalies.
2. Hand x-ray- a hand x-ray can determine whether the age of bones are at par with your age.
3. Mri-mri scan can determine the health of your brain and pituitary gland.
4. Test for other hormones- growth hormone may not be solely responsible for your health condition, so it is important to determine if other hormone levels are all normal.

Treatment
1. Hormone supplements- hormone supplements like corticosteroids (hydrocortisone or prednisone), levothyroxine (levoxyl, synthroid, etc), and others work to replenish the deficiency of pituitary hormones.
2. Growth hormone injection- gh is injected beneath your skin, to cure gdh. This is a long-term treatment and requires constant monitoring.

All About Growth Hormone Deficiency

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

Obesity
Orthopedic problems
Flat feet
Collagen disorders such as EDS
Jobs which entail standing for long hours
Excessive weight bearing
This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
Heel taping
Compression stockings
Avoid excessive or prolonged weight bearing
Avoid standing for extended periods and try not to run too much
Rest the feet and keep them elevated to help alleviate the symptoms
Lose weight if you are on the heavier side
Electro acupuncture
Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist. 

What are Piezogenic Pedal Papules?

The Power Of Passion

Passion is the energy that can fuel a project, or a task. It gives you the energy to jump out of bed every morning or go to bed late after you have worked out the last block that was stopping your passion from flowing. It has a similar role to inspiration. When we engage in something we are passionate about, we feel free from external and internal blocks and in control. Time recedes into the background, and we feel empowered to engage in flow. 
Research has shown that passion has brought people back to life and start thriving again, making them more emotionally stable and a strong mental equilibrium. Abraham Maslow, a US psychologist said that without passion, nobody would reach their  self actualised  state.

Passion can make or break you. Passion can make you feel invigorated, committed, focussed, connected, courageous, creative, satisfied and productive. A man can be passionate about sports and take out time every week to indulge in his passion, while keeping his boss and family happy. 

On the other hand, it can also ruin your life by being obsessed and possessed by the fire of passion. A workaholic, who doesn t go back home till 2 am and reports to office again at 10 am, he who doesn t see his children nor relaxes or does any physical activity is ensuring a quick burnout in the guise of following a passion. A harmful passion can be diagnosed easily by gauging whether it controls you or you feel in control of your life, which is about harmonious passion.

WHY  YOU MUST NEVER GIVE UP YOUR PASSION

1. Helps you unwind and relax - Zafar liked to do puzzles, crosswords and Sudoku when he started his day. It freshened him up and his mind became sharper as he looked at various permutations and combinations for the words and numbers. Daily new neural pathways were getting stronger in his brain. This exercised his left brain adequately every day. He slept well. Do remember not to do such exercises before sleeping.   

2. Expands your life - Some hobbies like travelling, cooking, collecting trivia has its own benefits. This involves physical activity and meeting up with other people. This helps a person to remain connected with society and keep active. Ram liked travelling so much that he gave up his job to become a globe trotter and tied up with a TV channel to commentate on tourist locations. He earns handsomely from his hobby. His self esteem has doubled since then.

3. Keeps your mind productively channelized - Nandini s problem was that she didn t have anything to do while the kids were away at school. She had started feeling depressed and got headaches often. She knew that she connected well with the children in the neighbourhood and had a flair for painting. She started teaching them painting in the evenings. Soon she became very busy and had no time to get bored.  She not only made new friends, she also earned the respect and awe of her community. She feels energised, happy and motivated to work while looking forward to life.

4. Success at work - Often passion has been linked to success at work. It is seen that people who are passionate, committed and hardworking often excel in their work as they have a goal to achieve. They look forward to their day and any hurdles or failures don t deter them from trying again. Neela was always passionate about becoming an IT professional. She had grown up playing with computers. Despite her family not agreeing with her choice of profession, she went ahead and burnt the midnight oil to score high in school and college. She got picked up in campus placements and today she holds a coveted position in the company. She has motivated many girls from her conservative community to study and get work.

5. Keep away illness - Having a hobby or working passionately has its own share of health benefits. People have reported higher physical and emotional immunity. They had deep and strong bonding with their community. They didn t suffer from insomnia, depression, dementia and anxiety and hope was alive in them till the end. They knew that success and failure are two sides of the same coin. 




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5 Logical Reasons You Must Never Give Up On Your Passion

Heartburn is the name given to that burning sensation in your chest or throat that happens when acid rises up from your stomach into your mouth. Heartburn is a common symptom of gastroesophageal reflux disease or GERD, also called acid reflux.

The commonest heartburn trigger is your diet. Spicy, heavy food causes acid reflux. Coffee, soda, tomatoes, alcohol and chocolate are culprits too. Obesity, smoking and medications for hypertension and cancer are the causes of heartburn too.

Certain people are more susceptible to heartburn. Sportspeople experience heartburn more, usually because exercise is a big trigger. It does so by putting increased pressure on the abdomen, which can increase the risk of acid reflux.

What can you do when heartburn strikes?

Wear Loose Clothes- Heartburn happens when stomach contents go back into the food pipe where the stomach acid burns tissue. If tight clothes constrict your abdomen, you can experience more heartburn. To get immediate relief, you can just loosen the belt of your trousers.

Proper Posture- Sitting up or standing straight can control heartburn. A slumped body posture can compress the internal organs including the stomach. An immediate quick fix is to lengthen your spine by gently moving your head towards the ceiling.

Eat Less- Overeating can cause the door between the stomach and food pipe to open, allowing contents to flow back and cause heartburn.

Quick Home Remedies-

Drink teaspoonful of baking soda mixed into a glass of water whenever you suffer from heartburn. This is a home remedy that works.

Raise your body, if you re lying down and experience heartburn. Use a pillow to elevate your body waist-up. This will get rid of heartburn fast.

Chewing gum can neutralise stomach acid. This is because gum increases saliva which clears off acid in the gut.

Avoid Cigarette Smoke- Smoking, both active and passive are harmful, if you suffer from heartburn.

Over-the-counter Medications- Antacids, H2 blockers, and proton pump inhibitors (PPIs) are all effective in treating heartburn. PPIs work by blocking acid production, H2 blockers reduce the amount of acid in your stomach and antacids neutralise stomach acid.

Melatonin- A common sleep inducing supplement is being investigated as a heartburn remedy.

Always remember to check with your doctor before taking any herbal remedy or supplement for heartburn. This is because supplements can have side effects or can interact with medications you may already be taking.

Common tips to prevent heartburn are to eat at least three hours before bedtime, avoid lying down immediately after eating and staying away from fatty and spicy foods. Maintaining a healthy weight is also key to preventing heartburn. It also helps if you do mild exercise regularly.  

How To Get Relief From Heartburn?

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

Stress Incontinence  when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
Urge Incontinence  when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
Overflow Incontinence (chronic urinary retention)  when you're unable to fully empty your bladder, which causes frequent leaking.
Total Incontinence  when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.
It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

birth defects problems with development of the urinary tract
a history of prostate cancer surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men
UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man s life. Conditions or events that may increase a man s chance of developing UI include

benign prostatic hyperplasia (BPH) a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
chronic coughing long-lasting coughing increases pressure on the bladder and pelvic floor muscles.
neurological problems men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
physical inactivity decreased activity can increase a man s weight and contribute to muscle weakness.
obesity extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
older age bladder muscles can weaken over time, leading to a decrease in the bladder s capacity to store urine.
Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

lifestyle changes   such as losing weight and cutting down on caffeine and alcohol
pelvic floor exercises   exercising your pelvic floor muscles by squeezing them, taught by a specialist 
bladder training   where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
Medication may be recommended if you're still unable to manage your symptoms.
Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.

Men Urinary Incontinence Treatment

Virus, the bad ones, in particular, can have serious effects on the body, which a person would not like to have, in any case. This is surely true when the case of herpes zoster is being talked about. This form of herpes is commonly known as shingles. But what if there was a proper solution to this issue? When a person has blisters forming and causing a rash in a limited area, shingles is likely to be the cause of the same.

What is interesting to know too many people is the fact that the virus, which is responsible for shingles or herpes zoster is the same one which is the cause for chickenpox! This virus is never cleared out even when the symptoms of chickenpox have long left the body of the person who had it. As a matter of fact, in some cases, it does reappear and affects the body again except this time in the form of shingles. However, doctors do not know why this occurs. Is that not weird?

Most people who have the bad luck of dealing with shingles are over sixty years of age. While knowing all this is quite beneficial, what about the treatment of shingles?

When it comes to the homoeopathic treatment of shingles, there is a range of options, which can be made use of. That being said, it is of the highest importance to keep in mind the fact that medicine should only be taken as per the prescription of a trained professional in homoeopathic medicine. This is especially true as homoeopathic treatment is very subjective and under the wrong course of medication, the result is not likely to be desirable!

Arsenicum album is one of the most popular medicines from the homoeopathic field. In most of the cases, where it is ideally used, the patient is undergoing pain with a burning sensation on the affected area of the skin. When a rash begins to form, there is normally some tingling in the skin in the run up to it.

Homoeopathic treatment is so good that there is medicine to nip the problem in the bud before it has the chance to cause the affected person a whole deal of anguish. Aconite is the medicine, in this case.

Hepar sulphur and Rhus Toxicodendron are also used often over the course of treatment. The former is useful especially for people with unhealthy skin while the latter is commonly used for herpes of the face and around the joints.

Shingles and Herpes - How Homeopathic Remedies are Helpful?

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