If you have been diagnosed with asthma, it is important for you to know about the most common triggers of asthma. Asthma is a medical condition, which is characterised by paroxysmal wheezing respiration dyspnoea. It causes breathing difficulties, tightened chest and coughing. By identifying and reducing your exposure to several asthma triggers, you will be able to manage or control your asthma symptoms and the frequency of your asthma attacks. Here are the most common triggers of asthma you should know about:

Allergies that trigger asthma
Allergies, are common problems and over 80% of people are suffering from asthma and are allergic towards substances like weed pollens, animal dander, dust mites, mould and cockroach particles. Children having large amounts of cockroach droppings in their homes are more likely to develop childhood asthma. Dust exposure may lead to dust mite allergy in asthmatic patients.

Food which triggers asthma
Certain food allergies may lead to isolated asthma, where other symptoms are absent. Patients with food allergies can exhibit asthma as a part of anaphylaxis, which are food induced. The common food items which are associated with allergies include eggs, peanuts, cow milk, soy, fish, wheat, shrimps, salads and fresh fruits. Several food preservatives also trigger asthma. They may include sulfite additives such as potassium bisulfite, potassium metabisulfite, sodium sulfite, sodium bisulfate and many others. These are commonly used in food processing and trigger asthma in sensitive people.

Asthma induced by exercise
Strenuous exercise may lead to the narrowing of the airways in maximum people having asthma. Exercise acts as a primary trigger for asthma symptoms in many people. Patients having exercise induced asthma are likely to feel chest tightness accompanied by coughing and breathing difficulties after completing an aerobic workout session. Although the symptoms subside, they may reoccur within some hours. You should warm up properly and slowly before a rigorous workout session to prevent an asthma attack.

Smoking
People who smoke are more likely to have asthma. If you have asthma and still smoke, the symptoms of wheezing and coughing worsen. Pregnant women who smoke increase the chance of wheezing in their to-be-born babies. You should absolutely quit smoking if you have asthma.

Infections which trigger asthma
Several infections such as cold, bronchitis, flu and sinus may cause asthma attacks. The respiratory infections, which are viral or bacterial, are a common cause and trigger asthma, especially in children. Asthma is also associated with severe heartburn. According to studies, more than 85% people with asthma also suffer from heartburn. This is a condition known as gastroesophageal reflux disease or GERD.

Asthma - Common Triggers Behind it?

Liver transplant in the only curative option available for patient who develop cirrhosis of liver due to any cause ( Chronic Hepatitis B , Chronic Hepatitis C, Alcoholic Cirrhosis, NASH etc). Once patient has been diagnosed with cirrhosis it can not be reversed with any non-surgical treatment . Over a period of time patient may develop worsening in liver function resulting in complications of cirrhosis (bloody vomitus, black stools, jaundice , altered sensorium, renal dysfunction, abdominal swelling etc) labeled as  decompensated cirrhosis . These patients require Liver transplant at the earliest and should be reffered to a liver transplant centre immediately. Ideally all patient diagnosed with cirrhosis should be under the follow-up of a gastroenterologist/Hepatologist. The source of graft liver can be from two sources namely from a deceased brain-dead donor or a Living-related donor and termed respectively as DDLT ( Deceased donor liver transplant) and LDLT ( Living Donor Liver Transplant) . However both DDLT and LDLT have nearly 90% success rate and both the procedures have their own benefits and lacunaes. Also the decision to go for DDLT and LDLT may vary for any particular patient. 

Before the Liver transplant 

All recipient and Living donor go thorough evaluation before the transplant process that includes blood investigations, Imaging studies, Cardiac and pulmonary fitness tests, multidisciplinary consultation before the clearance for liver transplant is achieved. The healthcare provider will explain the entire procedure. The healthcare provider is also supposed to answer all your questions. You would be needed to sign a consent form that allows the doctor to do the surgery. Eating food is not allowed at least 8 hours before the surgery. If you cannot stay relaxed before the surgery, a sedative will be given. 

After the Liver Tranplsant 
The recipient surgery lasts for anywhere between 12-16 hrs and donor surgery for 8-12 hrs. After the surgical procedure is complete, you will be taken to the intensive care unit (ICU)and will be closely watched for several days. 

Immediately After the Surgery 
You will most likely have a tube in your throat. This is so that you can breathe with the help of a machine (a ventilator) until you can breathe on your own. The ventilator tube will be removed on next morning when all parameters are found to be satisfactory. All parameters are monitored by round the clock critical care doctors and staff for a few days. The recipient has to stay in the hospital for three weeks and the donor is discharged in one week. 

Blood samples will be collected on a regular basis to check the functioning of the new liver. Antibiotics will be infused via IV channels to prevent you from infections. The area where the operation was done should always be kept clean after you have reached home. Any stitches or surgical sutures will be removed at a follow-up visit.

Complications that may arise 
Blocked blood vessels to the new liver, bleeding, an infection, leakage of bile or blocked bile ducts, or the new liver not working for a short time right after surgery are a few complications that may arise. Not to aggravate the condition, in the case of a complication, it is imperative to visit your doctor.

Liver Transplant - What To Expect Before & After The Procedure?

A pancreatic transplantation or pancreas transplantation refers to the surgical procedure, which involves replacing a dysfunctional pancreas with a healthy one.  The donor of the pancreas is usually a deceased person. Pancreas is an important organ of the body as it produces several important hormones, which play a significant role of regulating our body cycles. Pancreas transplantation is usually performed for the treatment of type 1 diabetes which is linked to the inability of the pancreas to produce the insulin hormone.

A pancreatic transplant is considered as one of the potential cures for type 1 diabetes. However it is not considered to be a standard treatment due to complications, such as:

Rejection of graft by the recipient body or similar complications
The medications which are given to prevent the rejection can have serious side effects too
Certain complications like blood clots or infections can occur following the procedure
Failure to control the blood sugar levels and rejection of the graft or complete pancreatic failure are Common complications that occur after a pancreas transplant.
These are the primary reasons why pancreas transplant is often considered to be one of the last measures of treating diabetes. Nevertheless, there are certain conditions where a pancreas transplant is worth considering. Some of the conditions include diabetes which cannot be controlled with the usual treatment procedure, chronic poor blood sugar control, insulin reactions which turns chronic or a serious kidney disease.

Certain medications are also prescribed for anti rejection purposes. These medications need to be taken after the operation for the rest of your life to prevent rejection of the donor graft. These medications can have a few adverse side effects. Some of the side effects include hypertension, thinning of your bones, unwanted weight gain and a rise in your cholesterol levels. Swollen gums or acne are also observed in several cases.  

Often a pancreas transplant is carried out along with a kidney transplant, especially if you have a serious kidney condition. It helps to provide a healthy kidney and a pancreas and also reduces a risk of kidney damage caused due to diabetes later in the future.

Know More About Pancreatic Transplantation!

Asthma is a chronic respiratory disorder. In asthma, the airways of the lungs get inflamed. Due to this inflammation, there is swelling inside the airways. This also causes excess production of mucous. The combined effect of swelling and mucus production is that the passage of air gets obstructed. This makes breathing difficult. A whistling sound or wheezing is often heard in such patients. Often the patient gets cough due to this obstruction of the airways. This cough is a reflex of the body to get rid of the excess mucous in the airways. A sense of tightness or heaviness is felt in the chest. One cannot expand the chest fully while inhaling. This is a medical condition characterised by paroxysmal wheezing respiration dyspnoea. 
Homeopathy for Asthma-
When it comes to the treatment of Asthma, Homeopathy is much better at treating asthma. It is in stark contrast to allopathy, where inhalers and steroids are used to suppress inflammation. Homeopathic medicines do not aim at just reducing inflammation. They also intend to cure the basic cause of the recurrent inflammation. This way, not only the symptoms of asthma are treated but the incidence of asthmatic attacks is completely eliminated. With a couple of months of Homeopathic treatment, you will be able to live a disease-free and medicine-free life. It is worthwhile to mention here that all Homeopathic remedies are natural and do not contain any chemicals. That is why these purely natural homeopathic remedies do not have any side effects at all. Here is a list of the top homeopathic medicines for asthma, along with the symptoms when they are used-
Ipecac: Ipecac is used in treating asthma, where the patient experiences symptoms like heaviness and tension around the chest area. Sudden wheezing, suffocation is experienced followed by other symptoms like motions, vomiting and gagging. The cough remains constant, and the chest gets filled up with phlegm. Cold and perspiration is also likely to be experienced. A patient may feel as if a lump is present in the chest. Increased salivation is also indicated.
Arsenicum: Arsenicum is an efficient homeopathic medicine, which treats asthma attacks, which take place after midnight. The patient is anxious, restless, and cannot sleep because of the fear of being suffocated. In such cases, the patient dozes off a bit, and wakes up with great burning sensation and sore feeling in the chest. Arsenicum is prescribed during chronic stages of asthma, usually in elderly people.
Nux Vomica: Nux Vomica is used when asthma attacks occur due to gastric disorders and during simple spasmodic asthmas. People who consume an excess of caffeine or alcohol are more likely to experience such attacks. A constricting feeling in the lower chest region may be experienced. These attacks commonly occur during the morning.
Kali Bichromicum: This homeopathic medicine is used is asthmatic patients where the asthma attacks occur because of potashes. The attacks generally occur between three to four a.m. in the morning. The patient gets compelled to rise from sleep and sit up in order to breathe. A stringy yellow mucus may be produced, and the patient feels a lack of air in his chest.
Natrum Sulphuricum: This is another effective medicine for treating asthma. The symptoms of asthma treated with this medicine get worse in damp weather. Most asthma attacks occur with a rattling sensation being felt in the chest. Bowel movement may become loose after this type of asthma attack. Alcohol and aerated drinks make the symptoms even worse. Such attacks are common in the morning with the production of a green mucus.
Homeopathy has no side effects and treats the underlying cause of asthma. You should consult a homeopathic practitioner before starting homeopathic treatment for asthma. 

Treating Asthma With Homeopathy

Pelvic Inflammatory disease (PID) is a bacterial infection that affects a woman s reproductive organs. This disease is not contagious though men can host and transmit the bacteria that triggered the disease through intercourse. Chlamydia and gonorrhea are the two most common causes of this disease. Apart from being transmitted sexually, this disease can also develop through the insertion of an unsterilized contraception device into the vagina or during a gynecological procedure such as an abortion. In rare cases, normal bacteria from the vagina can also spread into the uterus and fallopian tubes triggering this disease.
PID can be fatal and should not be ignored. Lower abdominal pain is the primary symptom of this disease. This pain can vary from being mild to be seriously debilitating. Other symptoms of this condition are:
Abnormal or foul vaginal discharge.
Painful intercourse that may be accompanied by bleeding.
Irregular periods.
Spotting between periods.
Severe menstrual cramps.
Burning sensation while urinating.
Urge to frequently urinate and an inability to empty the bladder.
Swollen abdomen.
High fever alternating with chills.
Swollen lymph nodes.
Diminished appetite with nausea.
Weakness and depression.
Lowered libido.
PID can often produce a pus-like fluid that scars the reproductive organs. This can result in infertility. This risk is influenced by the duration and severity of the infection along with the number of times it recurs. Women suffering from pelvic inflammatory disease are also at a higher risk of having a tubal pregnancy. This type of pregnancy is fatal for the baby and also threatens the life of the mother.
In cases where the disease is triggered by an STD like gonorrhea or Chlamydia, it can also spread to the liver tissues. This is a complication known as the Fitz Hugh Curtis syndrome and causes a collection of pus in the form of an abscess in the fallopian tubes or ovaries. If this abscess ruptures, the pus would spread into the pelvic cavity causing severe pain, nausea and a fall in blood pressure. If it spreads further into the blood stream, it can be fatal.
Diagnosis of this disease is difficult as its symptoms are usually mild and common to a number of other conditions. However, once diagnosed, it can be easily treated through antibiotic medication. Surgery is required only in cases where there is no response to antibiotics or if an abscess bursts or is at a stage where it may.  


Can Pelvic Inflammatory Disease Prove to be Fatal?

Seasonal changes are usually a time when we need to take extra precautions to ensure that we do not end up catching any bacteria that may lead to infections or influenza as well as allergic reactions. Common cold and flu is a common occurrence during such times. Seasonal changes are usually known to cause flu and cold, which can also come with chills, sneezing, cough and fever. 

Here are a few homeopathic medicines and remedies that can be used during this season.

Aconite: This medicine is especially helpful when there is fever after sudden exposure to dipping temperatures. Once the cold starts to affect the patient, this medicine must be taken so that congestion is prevented. It can also be used when initial symptoms like tingling and burning sensations in the nose start.
Arsenicum: This medicine can be used during harsh winters and can be prescribed for stopping the discharge from the nostrils. It can also help in treating congestion and severe cold. If sneezing fits do not reduce, one can have this medicine. It also relieves burning sensation in the throatand nose, as well as fever.
Allium Cepa: When the discharge from the nose is cold and heavy as well as thin, it can be cured with the help of Allium Cepa. Persistent discharge is one of the symptoms for which this medicine is usually prescribed. Also, this medicine helps patients who experience cough and discharge once they step out of a warm room.
Euphrasia: When the top part of the respiratory mucous membrane is affected, this medicine can be used. It is also helpful when there is soreness in the nostrils and lips. Also, yellow and acrid discharge from the nostrils can be cured with this medicine. Dryness and pain is also one of the symptoms for which this medicine may be prescribed.
Gelsemium: When the cold first starts and begins to manifest as headaches, this medicine can be used so that it breaks up the cold effectively. Also, dullness and weakness due to oncoming fever can be checked with this medicine. Further, a sore throat can be treated with this medicine. Excessively warm weather that leads to a cold can be treated with Gelsamium too.
Nux Vomica: If you have caught a cold from damp and cold weather conditions, the doctor can prescribe Nux Vomica. This effectively treats cold symptoms likedry nose, minimal discharge and a tickling sensation in the nose.
Mercurius: This medicine can be prescribed to treat frontal sinuses that may be suffering due to the flu. Violent sneezing and excessive sweating can be cured with this medicine.

Seasonal Flu - 7 Best Homeopathic Remedies for It!

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