A small piece of bone is known as a fragment and it is very common that an avulsion fracture also tends to damage the protrusions of bone to which the tendons attach. This basically means that the tendon or ligament will come away from the bone and it will take a small piece of bone with it. It is sometimes very hard to find out what type of injury you have and this is why knowing the causes and symptoms of an avulsion fracture are very helpful in determining exactly how severe the injury is. 
Here are the causes of an avulsion fracture.
Causes:
Explosive Landing: Athletes who tend to jump or land with great impact tend to get these most commonly. Therefore, it is crucial for your health that if you participate in such sports, you do follow the correct method of jumping.
Explosive Extension: Similar to how an athlete landing ferociously can get an avulsion fracture, someone who is extending the legs very violently and explosively during an exercise can also get an avulsion fracture. This is because the bone getting extended could very well damage the protrusions to which the tendons are attached. 
Symptoms:
These are the two main causes of an avulsion fracture. There are not many symptoms of an avulsion fracture. This is because an avulsion fracture can only be determined by an MRI or by an X-ray scan. Therefore it is nearly impossible to diagnose that you have an avulsion fracture without looking at the results of the tests performed on the part of your body. However, the way you got the fracture and especially the details of it are very good indications of whether you have an avulsion fracture or not.


Causes and Symptoms of Avulsion Fracture

What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm. 
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat 
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 
- Drug therapy 
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 

Ablations using many sophisticated computer softwares 
Device Therapy like ICD (Internal cardiac defibrillator) 
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.

Palpitations - Everything You Need to Know

Swimmer s ear is a condition, which is characterized by an infection in the outer ear. This infection usually stems from the water that remains in the ear after swimming, forming a moist environment that allows bacteria to grow and procreate. This condition can also develop if you happen to insert your finger or other foreign objects into the ears.

Symptoms

The symptoms of this disorder are usually mild in the beginning, but may worsen if left untreated. In its germinating stage, this condition exhibits symptoms such as itching in the ears and a watery discharge. If the disorder has progressed to an advanced stage, then the symptoms become slightly different. An intense pain on the particular side of the face, swelling in the ear and blockage of the ear canal are some of the common symptoms. In extreme cases, swelling of the lymph nodes and moderate to high fever can be indicative of this condition.

Causes

The causes of swimmer s ear are bacteria that are found in soil and water. Your ears have a natural defense system against infections; glands in the ear secrete an acidic substance called  cerumen  that kills the bacteria. The ear canal has a downward slope from the middle ear to the outer ear, thus allowing the water to drain out. Swimmer s ear occurs when these defenses fail to work. This happens when there is excessive moisture in the ear canal, creating an environment for the bacteria to grow. In addition, certain factors such as swimming in dirty water, a narrow ear canal and excessive cleaning of the ear canal can lead to this condition.

Treatment

The aim of the treatment is to prevent the infection from progressing and allow the ear to heal. The first step is to clean the ear canal so that the eardrops can reach the affected area. Once the ear is cleaned, eardrops are administered to get rid of the bacteria. The various medications that are used in the treatment of swimmer s ear are:

1. Antibiotics: They are used to combat the bacteria that cause the infection.

2. Acidic solutions: It is used to restore the normal environment in the ear.

3. Steroids: These help in reducing the inflammation.

You may also be prescribed pain medications to treat the pain resulting from this condition. Try to avoid swimming till the condition heals completely. Make sure you aren t inserting any foreign object in the ears as that may aggravate the situation further.

Swimmer's Ear - Symptoms That You Might Be Suffering from it

About a 45 percent of adults snore occasionally, and although most people tend to ignore it, snoring is a problem that must be dealt with consideration. There are many families where one spouse snores and keeps the other person from a good night s sleep. It has been reported that snoring can create severe disputes in marriage and one who snores must take steps to control snoring.

Snoring is not simply a nuisance, but a major proportion of individuals who snore are affected with obstructive sleep apnea by which breathing is disrupted while a person is fast asleep. This condition increases the risk of heart diseases. Fortunately, there are ways to control a person's snoring.

Weight loss: Having a large neck circumference and being overweight increases the risk of pushing the fat down at the throat resulting in snoring. With a suitable weight loss training, one can control the snoring to a considerable extent.
Altering sleep positions: Sleeping on the sides help in forbidding the tongue from resting backwards and blocking the throat while sleeping. Some specially created pillows can help the individuals from rolling back during sleep.
Limit alcohol intake: Drinking alcohol contributes to further relaxation of muscles in the airways and collapse the path which makes snoring even worse. Limiting consumption of alcohol and avoiding to drink it at least 4 to 5 hours before going to bed can reduce snoring to a significant extent.
Stop smoking: Smoking invariably leads to nasal congestion as well as inflammation which in turn worsen snoring. If one is running out of reasons to avoid smoking, then this is one of the most convincing reasons to quit smoking and enjoy overall good health.
Certain medications: There are some medicines, particularly sedatives and antihistamines are designed to have a relaxing effect and can, therefore, aggravate snoring. But it is advised to consult with the general physician before making any alterations in the medicine routine.
Avoid opening the mouth: Those who are aware of snoring with the mouth open must avoid opening the mouth during sleep by using a specifically designed tape or adhesive for closing shut the mouth while sleeping.
Using specialised device: The mandibular advancement device is specifically crafted for those who suffer from tongue-based snoring. This equipment helps in moving the jaw forward as well as prevent the tongue from blocking the backside of the throat while sleeping.
Avoid nasal collapse: Those who suffer from nasal collapse must use some form of adhesive nasal dilator strip which has to be placed over the nose. This would aid in keeping the airways open as well as reduce snoring.
Treat allergies: Inflammation, as well as nasal congestion triggered by allergies, is a common cause of snoring while sleeping. One must opt to do an allergy test to identify and reduce potential allergens in the area where the individual sleeps such as bedding type, pet hair, dust mites, wheat or dairy intolerance and lessen snoring.
Thus, snoring can be controlled before it becomes a problem.

Snoring - 9 Ways You Can Prevent It!

Swimmer's ear is a medical condition, which involves inflammation, irritation or infection of the ear. It may affect the outer ear and also the ear canal. Swimmer's ear is called Otitis externa in medical terms. The condition may be acute to chronic in nature.

Causes
Swimmer's ear is an infection that's usually caused by bacteria commonly found in water and soil. Infections caused by a fungus or a virus are less common. This condition is more common in teenagers and young adults. It may occur due to a middle ear infection or because of a respiratory infection such as cold.
Swimmer's ear can occur as a result of swimming in unclean or contaminated water. These waters contain pseudomonas and other harmful bacteria, which can lead to such ear infections. The infections are rarely caused by fungus.

Swimmer's ear may also result due to other reasons. They can be:
1. Scratching the inside or outside of the ear.
2. Having something stuck in the ear. When you clean ear wax with cotton swabs or small objects, damage may occur. Using headphone or ear plugs for a long period of time may also cause swimmer's ear.
3. Allergic reaction to some object or anything placed in the ear may also cause Swimmer's ear. These may be hair products or jewelry.
4. Some chronic skin conditions like eczema and psoriasis may also lead to this infection.

Risk factors
There are several factors, which may enhance the risk of getting swimmer's ear. They are as follows:
1. Swimming in water, which has got elevated levels of bacteria. This includes lakes and ponds.
2. People having narrow ear canals are at a more risk of swimmer's ear.
3. Aggressive cleaning and scratching of the ear canal.

Symptoms
The symptoms which indicate swimmer's ear are:
1. tching of the ear canal. This becomes intense as the condition progresses.
2. Redness on the inside parts of the ear, which get more extensive in later stages.
3. Discomfort which worsens by pulling on the outer ear or pushing on the tragus of the front part of the ear.
4. Drainage of a fluid which is clear and odorless. As the condition worsens, there is excessive drainage of fluid along with the discharge of pus.
4. A fullness feeling in the ear and a partial blockage of the ear canal because of swelling and fluids.
5. In advanced stages, fever and swelling of lymph nodes in the neck is indicated. Hearing impairment may occur.

Swimmer's ear is a health condition, which involves the ear. The ear gets inflamed because of a certain bacterial infection. Although it is not a very severe condition, in some cases it can do significant harm.

Causes of Swimmer's Ear

Osteoporosis is a bone disease that happens when bone density decreases and the body stops producing as much bone as it did before. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps. It can affect both males and females but it is most likely to occur in women after menopause, because of a sudden decrease in estrogen, the hormone that usually protects against osteoporosis.

Symptoms of Osteoporosis-

The early stages of osteoporosis do not cause any symptoms or warning signs. In most cases, people with osteoporosis do not know that they have the condition until they have a fracture. If symptoms do appear, some of the earliest ones may include receding gums, weakened grip strength, weak and brittle nails, back pain, loss of height over time, a stooped posture, and a bone fracture that occurs much more easily than expected.

Causes of Osteoporosis-
Some of the leading reasons behind osteoporosis include the following:

Age: The biggest cause of osteoporosis is age. It mostly affects people aged above 50.
Menopause: Another primary cause of osteoporosis in women, which occurs around the age of 45 to 55 years. Due to the changes in hormone levels associated with it, menopause can cause a woman s body to lose bone even more quickly.
Reduced sex hormones: Lower estrogen levels appear to make it harder for the bone to reproduce.
Ethnicity: White people and Asians are more susceptible than other ethnic groups.
Bone structure: Being tall or slim increases the risk of osteoporosis.
Vitamin D deficiency: In case of vitamin D deficiency, the body cannot absorb adequate amounts of calcium from the diet to prevent osteoporosis.
Risk Factors for Osteoporosis-
A number of factors can increase the likelihood of osteoporosis, these may include your age, race, lifestyle choices, and medical condition and its associated treatment. Some of the risk factors for osteoporosis are out of your control, including sex, age, race, family history, and body frame size. Osteoporosis is more common in people who have too much or little of certain hormones in their bodies. Examples include sex hormones, thyroid hormones, and hormones released by the adrenal glands. Osteoporosis is more likely to occur in people who have low calcium intake, eating disorder, and gastrointestinal surgery. Osteoporosis has also been associated with medications used to combat or prevent seizures, gastric reflux, cancer, and transplant rejection. Even lifestyle choices such as sedentary lifestyle, excessive alcohol consumption, and tobacco use can increase your risk of osteoporosis.

Prevention of Osteoporosis-
There are many risk factors for osteoporosis that you cannot control. These include being female, getting older, and having a family history of osteoporosis. There are some of the factors, however, that does fall within your control. Some of these ways to control osteoporosis include getting plenty of vitamin D and calcium, doing weight-bearing exercises, abstinence from smoking and for women, weighing the pros and cons of hormone therapy. If you are at an increased risk of osteoporosis, talk to your doctor about the best way to prevent it and do that as early as possible.

Osteoporosis - Symptoms You Must Not Ignore!

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