A collection of symptoms typically occurring between ovulation and menses (discharge of blood and from the uterus) is defined as premenstrual syndrome (PMS). Premenstrual syndrome symptoms can either be physical or emotional.

Physical symptoms and signs include:
i. Muscle or joint pain
ii. Headache
iii. Fatigue
iv. Weight gain due to fluid retention
v. Bloated abdomen
vi. Breast tenderness
vii. Acne breakouts
viii. Diarrhoea or constipation

While other behavioural and emotional symptoms include:
i. Anxiety or tension
ii. Depressed mood
iii. Crying spells
iv. Anger or irritability and mood swings
v. Food cravings and appetite changes
vi. Insomnia
vii. Social withdrawal
viii. Poor concentration

Causes 
The exact cause of PMS is unknown. But there are several contributing factors, such as:
1. Cyclic hormonal changes: The hormones oestrogen and progesterone fluctuate a lot while preparing for a normal menstrual cycle. This fluctuation causes some of the symptoms of PMS.
2. Chemical changes: The fluctuation of serotonin, a kind of neurotransmitter (brain chemical), affects the mood, which causes some of the emotional symptoms of PMS. For instance, insufficient serotonin triggers premenstrual depression, insomnia, food cravings and fatigue.
3. Depression: If the PMS symptoms are severe, depression could be the underlying cause, though it doesn't usually trigger all of the symptoms.

Treatment
There is no permanent cure for PMS, but a few lifestyle changes and home remedies can work very well for you. Some treatment options include:

1. To ease abdominal bloating, drink lots of fluids
2. Eat a balanced diet comprised of plenty of vegetables and fruits. Reduce your alcohol, caffeine, salt and sugar intake.
3. You can take supplements such as magnesium, calcium, vitamin B-6 and folic acid to reduce mood swings and cramps.
4. Take vitamin D supplements to relieve symptoms
5. Sleep for at least eight hours in the night to counter fatigue
6. Exercise to improve your emotional health and reduce bloating
7. Try to reduce your stress as much as you can; read a book or walk to relieve some stress.

Besides, these lifestyle changes, you can take over-the-counter medications such as aspirin and ibuprofen to reduce stomach cramps, muscles aches and headaches. Diuretics (drugs that increase urination) are excellent treatments for bloating and fluid retention. However, consult your doctor before consuming any medication or supplement.

Causes and Treatment of Premenstrual Syndrome

Anger is one of the most common negative emotions, in that when a person is upset or frustrated over somebody or something, it manifests as anger. Though we may not notice on a routine basis, there are various forms of anger and it has a lot of negative effect on the overall physical and emotional health. Some people also are more prone to feel angry and manifest it openly, who is known as  short-tempered.  Read on to know more about anger and how to manage anger effectively.

In today s world though, you cannot throw a fit of rage and say it is because of your short-tempered nature. There are extreme instances of violence triggered by anger, so it is necessary to learn to conquer your anger. 

DIFFERENT PEOPLE RESPOND TO ANGER IN DIFFERENT WAYS, COMMONLY AS:

Verbal anger: The person who is angry, abuses the other person or sometimes throws rage at a totally different person to vent out the anger. 
Passive anger: Though these people are less expressive when angry, they show their anger through sarcasm directed at the person who induced anger. 
Self-inflicted Anger: These people inflict anger on themselves through self-harm acts like minor cuts, bruises, beating oneself, digging nails into their flesh or burns to release their anger.
SYMPTOMS OF ANGER AND AGGRESSION 
We may respond to anger in physical and psychological ways such as those listed below:

Anger   physical responses: increased heart rate and blood pressure, sweating, muscle tension, clenched jaw 
Anger   psychological responses: feelings of frustration, feelings of rejection, feelings of mistreatment, hostility towards some people 
Aggression: shouting at people (e.g. family, colleagues, strangers, physical violence (e.g. hitting, punching people or slamming doors), ignoring or socially excluding others (passive aggression)
WHY ARE SOME PEOPLE SHORT-TEMPERED
Some people really are more impetuous than others. They get aggressive more easily and more intensely as compared to others. There are also those who don't show their anger in loud ways but are chronically irritable and grumpy. People who are easily angered don't always curse and throw things; sometimes they get off socially, sulk, drink/smoke or get physically ill.

Easily angered people generally have what we call as "A low tolerance for frustration, aggravations and hassles of daily living" and sometimes overreact to the many common problems of daily living. They feel that they should not be subjected to frustration, annoyance, or inconvenience. They can't take things in stride, and are particularly infuriated if the situation in some way seems illogical: for example, such people might be miffed on being corrected for even a minor blunder. 

HOW ANGER AFFECTS OUR LIVES

Physical effects of anger: Anger triggers the body s  fight or flight  response. Other emotions that trigger this response include anxiety, fear and excitement. The adrenal glands flood the body with stress hormones, such as adrenaline and cortisol. The brain shunts blood away from the gut and towards the muscles, in preparation for physical exertion. Heart rate, blood pressure and respiration increase, the body temperature rises and the skin perspires. The mind is sharpened and focused.

Health problems with anger: The constant flood of stress chemicals and associated metabolic changes that go with recurrent unmanaged anger can eventually cause harm to many different systems of the body. Some of the short and long-term health problems that have been linked to unmanaged anger include: 

Headache 
Insomnia 
Digestion problems, such as abdominal pain 
Increased anxiety 
High blood pressure 
Depression 
Heart attack 
Stroke 
Skin problems, such as eczema
IMPACT OF ANGER ON OUR RELATIONS

Anger at home: Anger is a normal emotion but not being able to control your anger at home can damage your personal relationships. When you get angry, it stresses your partner out and breaks the trust in your relationship. When it comes to children, shouting at them can confuse them and make them afraid of you. In the long run, this can affect their social skills.
Anger at the workplace: Getting angry at your workplace can reduce your productivity and harm your relationships with your colleagues. The angrier you get in the office, the more your colleagues and clients will avoid you. Thus, you may risk missing out on crucial teamwork projects that can affect your career growth. A reputation for anger can also make you a target for revenge and lawsuits.
Anger in society: Nobody wants to interact with a person who has a reputation for getting easily offended and angered. Thus the angrier you get, the more your friends will keep away from you. This can be quite frustrating and can make you an even angrier person. Uncontrolled anger can also lead to physical outbursts that can put you in trouble with the law.
Anger is a strong and powerful emotion. If it isn t handled appropriately, it may have destructive results for you and those closest to you. Uncontrolled anger can lead to arguments, physical abuse, physical fights, self-harm and assault. On the other hand, well-managed anger can be a useful emotion that motivates you to make positive changes

ANGER MANAGEMENT - SUGGESTIONS FOR LONG-TERM ANGER MANAGMENT 
The way you typically express anger may take some time to modify. Suggestions include:

Keep a diary of your anger outbursts, to try and understand how and why you get mad. 
Learn relaxation techniques, such as meditation or yoga. 
Consider assertiveness training, or learning about techniques of conflict resolution. 
See a counsellor or psychologist if you still feel angry about events that occurred in your past. 
Exercise regularly.
BENEFITS OF REGULAR EXERCISE IN MOOD MANAGEMENT
People who are stressed are more likely to experience anger. Studies have documented that regular exercise can reduce stress levels and improve one's mood. This may be because physical exertion burns up stress chemicals, and it also boosts production of mood-regulating neurotransmitters in the brain, including endorphins and catecholamines.

TEACHING CHILDREN HOW TO EXPRESS ANGER
Expressing anger appropriately is a learned behaviour. Suggestions on helping your child to deal with strong feelings include:

Lead by example. 
Treat your child s feelings with respect. 
Let them know that anger is natural and should be expressed appropriately. 
Teach practical problem-solving skills. 
Encourage open and honest communication in the home. 
Explain the difference between aggression and anger. 
Teach your child different ways of calming and soothing themselves. 
Punish aggression or violence, but not appropriately expressed anger.

Kill The Anger Before It Kills You!

Pain in the joints continues to bug mankind till this very day. There are different types of joint pains, which might occur all of a sudden, with no signs of receding. The most common of them all are arthritis, tennis elbow, frozen shoulder, back pain and repetitive muscular strain. These joint pains are sometimes impossible to diagnose properly by the regular modes of diagnosis. In those cases, resorting to the homeopathic mode of medication might be a good idea as it is a medication based on treating the actual cause of the disease and sustained use might result in complete remission of the pain.

Some commonly used homeopathic medications for pain in the joints are as follows:
1. Rhus Tox: This is the most commonly used in homeopathic preparation for severe joint pains, the symptoms of which include severe pain after relaxation, pain triggered by slightly wet weather and pain after walking or running for a long time.

2. Arnica Montana: When the symptoms are pain in every joint of the body resulting in body aches and pertaining injuries due to accidents, Arnica Montana serves as the perfect medication.

3. Actea Spicata: This medicine is primarily used as a remedy for pains in the small joints of the hands. The symptoms for which the medication can be implemented are rheumatoid arthritis in the joints of the finger and swollen wrists after usage of the hand.

4. Colchium: This medicine can be used in case of Rheumatoid Arthritis (inflammatory and chronic form of arthritis).

5. Bryonia Alba: This medication can work wonders if the symptoms include severe pain in the knee joints while walking, severe swollen joints and osteoarthritis (affects the flexible tissues present at the bone ends).

However, it is always advisable to take medication as prescribed by your doctor, as the potency and frequency can only be decided by your doctor.

Homeopathic Treatment for Pain in the Joints

How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.

What is ECMO?
ECMO is a life support device that is put in place when a patient's heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.

Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.

How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warm blood is either pumped into the body with the help of the machine or is transferred back into the body through an artery.

How long a patient can be on ECMO?
After seven days of being put on ECMO,there are chances of patient getting an infection.
In case the patient contracts an infection, it is recommended to take the patient off ECMO support.

All About ECMO - Extracorporeal Membrane Oxygenation 

Cerebral ischaemia or brain ischemia is a medical condition that restricts the flow of blood to the brain, resulting in an unmet metabolic demand. This leads to limited oxygen supply in the brain, which could result in the death of brain tissues, cerebral infarction or an ischemic stroke. Thus, a cardiorespiratory arrest, a stroke, and irreversible brain damage are few possible consequences of cerebral ischaemia.

People with compressed blood vessels, low blood pressure, congenital heart defects or sickle cell anaemia have a high risk of developing cerebral ischaemia since compressed blood vessels or very low pressure can lead to restricted blood flow. Also, sickle-shaped cells have a greater tendency to clot, causing obstructed blood flow.

Patients with cerebral ischaemia experience a host of symptoms, such as weakness in the body, problems with coordination and movement, vision and speech impairment and unconsciousness.

Cerebral congestion, on the other hand, refers to the excessive quantity of blood in the brain vessels, causing pressure on the cerebral substance. Cerebral congestion is of two types. It is termed as active when there is too much arterial blood flow and passive when there is undue quantity of venous blood in the veins of the brain. Both conditions cause symptoms, such as a severe headache, insomnia, irritability and unconsciousness. The patient gets little sleep and is disturbed often followed by dreams. When awake, the patient s mental activity in the brain is very high.

Homeopathy is now a well-established school of medicine backed with years of research and practice. Gone are the days when homeopathy was considered no more than an extension of herbal home remedies.

Homeopathic laboratories around the world produce a large number of medicines covering almost all ailments. The benefits of homeopathic treatment are now well established due to its holistic approach and minimal side effects. Homeopathy is undoubtedly a ray of hope for patients with cerebral ischaemia and cerebral congestion, as it delivers a comprehensive treatment plan designed to target the signs and symptoms of the disease and address its non-occurrence.

The medications deal with mild to severe symptoms, including inflammation of the brain, headache, vomiting, insomnia, stroke/convulsions and seizures. The stramonium drug, for example, deals with seizures. Belladonna is an effective remedy for sharp shooting headaches, a common symptom of cerebral congestion. Ferrum is believed to be a valuable remedy for brain ischaemia. Few drugs deal with the symptoms of both ischaemia and congestion nux is a suitable drug for the treatment of ischaemia as well as for passive cerebral congestion. Similarly, phosphorus can be used to treat brain ischaemia and congestion. Zincum metallicum is a highly recommended drug for chronic cases of ischaemia.

The treatment is comprehensive and long term and shows substantive results. Regular follow-ups and consultation with a homeopath specialist is the key to an effective treatment.

Homeopathy Treatment Of Cerebral Ischaemia & Cerebral Congestion

Ankylosing spondylitis is typically associated with inflammatory back pain that can impair movements and reduce the quality of the patient s life. Here are 5 exercises that can be used to treat ankylosing Spondylitis.

Walking: Walking is a low impact workout that can be very beneficial for ankylosing spondylitis patients. This is the ideal way to ease the body into exercising. Start with a short 5-10 minute walk and gradually increase the duration of your walks to half an hour at a stretch. Try and keep your spine as straight as possible and hold your head high while you walk. Walking can help relieve pain and increase the range of movements.
Swimming: Swimming is another low-intensity workout that can help. This type of exercising helps strengthen the muscles and heart while minimizing joint pain. Swimming puts no pressure on the joints and hence is ideal for ankylosing spondylitis patients. The breaststroke can help build chest expansion and make your neck and shoulders more flexible. For a little extra pampering, you could go for a swim in a heated pool.
Lightweight Training: Look for lightweight training exercises that help strengthen your muscles without putting pressure on the joints. Plank exercises are great as they work many muscle groups simultaneously. You could also try lifting light weights or household canned goods to strengthen your limbs. Exercise machines can be helpful but must be used with caution. The key to exercising is to start slowly and gradually increase the duration of time you hold a position and the number of repetitions.
Yoga: Yoga is very beneficial for patients with musculoskeletal conditions. It reduces pain, increases flexibility and helps open out the joints to make them more mobile. Yoga also helps boost mental health and reduces stress and anxiety. When practising yoga, start by stretching the muscles and gradually work your way through the asanas. Do not be in a hurry to move from one position to another. You should ideally aim to fit in half an hour yoga into every morning.
Dance: Dancing is the most fun way to exercise. This helps burn calories that in turn helps with weight management. The lower your weight, the lower the pressure on your joints. Pick a tempo that you are comfortable with and limit repetitive motions to avoid straining any part of your body. If you like you could even join a dance class.

5 Exercises For Managing Ankylosing Spondylitis!

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