Hypertension is a killer disease whose symptoms develop late when the damage is in advanced stages. Hypertensive Retinopathy is one such disease.

It damages the retina of eyes. Since retina is responsible for vision formation, Hypertensive Retinopathy can result in loss of vision. It is of grave concern that in most cases, Hypertensive Retinopathy is diagnosed later.

This is due to the fact that there are often no symptoms in the early stages of the disease. In some cases, where symptoms do manifest, patients may experience pain in the eyes, reduced vision, or headache.

What Happens in Hypertensive Retinopathy

People suffering from long term hypertension are susceptible to Hypertensive Retinopathy. Long-term hypertension affects the small and narrow blood vessels that join arteries to capillary blood vessels taking blood to different parts of the eye. These blood vessels become narrow with time if hypertension in the eyes continues unabated. This narrowing is more common in young adults compared to older people. Such unabated systemic hypertension also leads to leakage of fluid. This is why in some cases of Hypertensive Retinopathy, patients may experience exudation. Ultimately, Hypertensive Retinopathy may lead to damage to retinal blood vessels.

Risk Factors

Long standing hypertension is the number one risk factor for Hypertensive Retinopathy. People who are suffering from longer hypertension become most susceptible for this ailment.

However, studies have shown that hypertension for more than 5 years can even make people susceptible to this ailment.

Diagnosis

Diagnosis is done by Funduscopic Examination. The doctor would look at the eyes of the patient through an Ophthalmoscope which has different lenses. The Ophthalmoscope illuminates the retina and the doctor looks at the retina with different lenses. He can get a view of the retina, including blood vessels and optic nerve disks.

Findings of Diagnosis

For a person suffering from Hypertensive Retinopathy, this examination is likely to show:

Constriction of the arterioles.

Changes in the walls of retinal blood vessels.

Flame-shaped hemorrhages in the retina.

Yellow and hard exudates.

Spots in the shape of cotton wool.

Swelling of the optic disc.

Treatment

The primary treatment for Hypertensive Retinopathy is controlling blood pressure of the eyes. Some lifestyle changes like reducing the intake of salt, avoiding tobacco, etc., may bring down or control systemic hypertension in the eyes. In many cases, doctors may just recommend lifestyle modifications. Nevertheless, it completely depends on the extent of the damage and whether or not there is any fluid accumulation.

If the doctor feels that lifestyle modification is not enough, he may go for medicines that help the patients to control blood pressure effectively.

If the problem is in advanced stages and there is fluid accumulation behind the retina, the doctor may go for Intravitreal injection or Laser Therapy to control the edema.

Conclusion

Eyes are one of the most significant part of the body, this is why it is important for people to take care of it. In case of disease like Hypertensive Retinopathy, one must consult a doctor before opting any treatment or medicines.

Hypertensive Retinopathy - Everything About It!

Back pain is something that affects many people all over the world. Persistent and chronic pain seems to be one of the most common complaints. Middle back pain is back pain that is felt in the thoracic vertebrae region, which is located between the base of the neck and top of the lumbar spine. The ribs attach to a long, flat bone in the middle of the chest called the sternum and wrap around the back. In case, there is a nerve around there is squeezed, disturbed, or injured, you are likely to feel pain in different spots where the nerve goes through, for example, your arms, legs, chest and the stomach.

Some of the most common causes of middle back pain are as follows:

Middle back pain can happen as a consequence of injury or sudden damage or it can happen through strain or poor stance after some time.
The most widely recognized reason for middle back pain seems to begin from soft tissue problems or muscular irritation. These can emerge from poor stance, lack of strength, prolonged sitting in front of a computer, utilizing a heavy backpack, overuse injuries, (for example, repetitive movement), or injury, (like a whiplash damage brought about by an auto crash or as a consequence of a sports injuries).
The middle back is a moderately normal site for inflammatory, degenerative, metabolic, infective and neoplastic conditions.
Middle back pain and its dysfunctions are connected with various conditions, for example, essential and optional osteoporosis (particularly vertebral cracks and hyperkyphosis emerging from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's infection.
Muscle strain, overuse or damage to the muscles, tendons, and discs that are backing your spine can also cause middle back pain.
Weight on the spinal nerves from specific issues, for example, a herniated disc.
A fracture in one of the vertebrae can also cause pain in this region.
Osteoarthritis created by the breakdown of ligament or cartilage that cushions the little joints in the spine.
Myofascial pain that influences the connective tissue of a muscle or gathering of muscles.
In uncommon cases, pain might be brought about by different issues, for example, gall bladder disease, cancer or an infection.
Getting hit hard in the back can also cause chronic pain.
Lift something too heavy may cause pain and a sudden pressure in this area.
A compression fracture of the vertebra can also bring about intense or chronic pain in the middle back. The injury may bring about a fracture, however in ladies over age 50 without critical injury or somebody known to have osteoporosis, an unconstrained vertebral fracture is possible.
Other contributing factors to injury include lack of strength which can be treated by a Pain Management Specialist using non-surgical methods.

Common Causes of Middle Back Pain

Erectile dysfunction is a disorder where the person affected is unable to maintain or achieve an erection during sexual intercourse. As diabetes is a disorder that affects blood supply to organs, so the ability to achieve or maintain erections are impaired, as erections are dependent on proper blood supply to the penis. Fortunately, there are treatments for these symptoms and they are:

1. Injection therapy and oral medications

Some medications are directly injected to the penis in order to facilitate erection, while certain other oral drugs are administered to treat symptoms of erectile dysfunction which have a higher success rate in treating people who are diabetic than those who are not.

2. Regular exercise and a healthy diet

Exercising on a regular basis combined with a healthy diet can reduce the symptoms of both diabetes as well as erectile dysfunction.

3. Reviewing medications

Some medications used to treat blood pressure and depression can often cause erectile dysfunction. So, the medications should be reviewed by a doctor and, if necessary, should be changed.

4. Usage of vacuum constriction devices

These devices are used to create a pump in the penis which facilitate the ability to maintain an erection and engage in sexual intercourse. It is reported to work in 80% of the cases.

5. Penile implants

It is a surgical procedure where a penis implant is used to treat this disorder.

6. Intraurethral therapy

In this treatment, the medicine is placed in the urethra of the penis in the form of suppository by an applicator. These medicines improve blood flow and thus facilitate a normal erection.

How To Deal With Erectile Dysfunction If You Are A Diabetic?

 The most beautiful thing you can wear is your confidence  -Blake Lively

At a certain point in our lives, we are all swept off our feet by the storm of doubt, so much so that we refuse to rest our trust and faith in our very own selves. But that is where being silently confident comes in. Confident people are optimistic, even in the face of adversities and tend to confront their fears head-on, no matter what. Take a leaf out of their book; here are a few tips to lift your esteem to its pinnacle.

You need to keep off all the negativity: In life, you would be surrounded by people who would want to pull you down, taint your morale by unconstructive and unnecessary criticism. Maintain your dignity and distance from them who do not give you good vibes.
Enhance your Image: Remember. body language maketh a man. The things you do and the thoughts you think speak louder than words. So, never forget to carry that wry smile by the side of your lips, whenever you encounter something seemingly insurmountable. Your posture, your firm handshake, your way of looking straight into the eyes of a person while dealing with him/her, can all go a surprisingly long way in upping your confidence.Composure and calmness are the keys to greatness.
Never give-up: Failures are life lessons in your path of success and the true spirit lies not in never falling, but dragging yourself up each time you fall. Hence never accept defeat. Remember, every champion was once a contender who refused to give up.
Be prepared: Put your best foot forward every time you do something; be it that important office presentation of yours, or on the prom night of your university. This could take your confidence higher.
Remind yourself of every single good thing you ve done: Life is full of ups and downs and there may be days when you would feel unsure and weird about yourself. What you can do is make two lists and stick them on all spots easily visible to you, for instance, your wall, your refrigerator door or your bathroom mirror. On the first list, pen down all the amazing things life has blessed you with and of which you are truly grateful. On the second list, put forth all of your accomplishments that you are proud of; major or minor. Next time, whenever you find your self-esteem waning, these lists would remind you of what a worthy life you have had thus far, thus motivating you all over again.

Feeling Uncertain and Unsure! Boost Your Self-confidence With These Tips

Migraine is a very common form of a headache which strikes nearly 15 % of the population. Females are more prone to migraines. Science has not been able to find the real cause behind migraine attacks and the way it treats these massive headaches is also patchy at best. A migraine occurs for a definite period of time, usually, comes with a warning and paralysing pain.

Ayurvedic view
According to Ayurveda, migraine is a tri-dosha disorder. It occurs when vata or the wind element goes out of sync. Vata controls the nervous system and brain activity. Vata imbalances are linked to many diseases like joint problems, dizziness and it happens because of faulty metabolism, poor elimination, sleeplessness, etc. Pitta the fire element also has a role to play in migraines. It causes dilation of the blood vessels, which brings on a migraine attack.

Ayurvedic physicians can identify which dosha is causing a migraine. If the patient is constipated, has acute pain and has dry skin, his Vata is out of whack. If a patient has nosebleeds, is hypersensitive to light, has burning eyes and is irritable, pitta is out of balance. And if a patient has fatigue, is depressed and has a dull throbbing in the head, he is suffering a Kapha imbalance.

Ayurvedic therapies

Shirolepa: Application of herbal pastes to pacify pitta like sandalwood, camphor, Jatamansi.
Shiro Dhara: Medicated oils are poured on the scalp.
Taila dhara: Oils like ksheerabala taila, chandanadi taila are poured on scalp for calming higher vata imbalances. 
Ksheera dhara: Here cow milk is poured on the scalp to pacify pitta.
Takra dhara:  Also known as buttermilk is poured when there is obstruction to passage of vata.
Kavala graha: Oil pulling done with oils like chandanadi taila and mahanarayana taila.
Shirovasti: Medicated oils are retained on the scalp by wearing a leather cap.
Sneha nasya: Oils like Anu tailam are poured into nostrils.
Apart from there therapies herbs like Kumari or Aloe vera, Amalaki or amala and Bala or Sida cardifolia are very useful as migraine cures. Several Ayurvedic medicines are also very useful in migraine-like-

Pathyadi khada: It is used in the treatment of headaches, earaches, and migraine etc.
Shirashooladi vajra rasa: It is used in the treatment of headache, migraine, tension headache, vascular headache etc.
Bhoonimbadi khada: Used as a cure for fever, cold, sinusitis, headache.
Kamadugha rasa: Used to cure all high pitta conditions.
Godanti Bhasma: 250 mg of this medicine is also given twice a day for immediate relief from migraines.
Patients should also eat warm, nutritive foods like sesame, sweet fruits, cumin, garlic, jaggery and rice for balancing Vata. For balancing pitta, they should stay away from smoking and drinking at the very least.

Migraine - 8 Ayurvedic Remedies For Treating It!

6 Easy ways to not let your anger get the better of you

Although a natural emotion, anger needs to be managed at all times so that it doesn’t get out of control and cause problems in your life. Whether at home, work or in your relationships, uncontrolled anger can affect your general life quality. However, controlling your anger comes with the benefit of improving your overall health, while reducing stress levels. 

Here are some of the ways that you could learn to gain control on your temper:

1. Practice deep breathing
Instead of allowing your anger to get out of control, every time you start feeling angry, get down to practicing some simple breathing techniques to calm your tense body and mind. Here’s what you should do when enraged:
- Take slow, but deep breaths to counteract the stress reaction that usually accompanies anger
- Slowly repeat a calming word or phrase, which could be “relax”, “take it easy” or “I am in control of my anger”
- Work on your muscles by tightening and then relaxing them

2. Count from 1 to 100 or 100 to 1
Counting numbers can prevent you from flying off the handle. It takes your mind away from the cause of your anger and prevents you from mulling over the situation. The act of counting also provides you with the time to delay the impulsive behaviour that often follows the emotion. You can even make this more effective by breathing in slowly and deeply whenever you start on a 
new number. 

3. Focus on the present
Whenever you’re angry, don’t look back at the past. By doing so, you may end up bringing past grievances into your present situation, while holding others responsible for feeling how and what you feel. Instead focus your attention on what you can do in the present to work out the issue. 

4. Relax tight muscles
Another tip that can help you to cool down fast is a gentle massage of the areas of tension, which are usually the shoulders, neck and scalp. For the shoulders, simply rotate them to relax tight muscles. To release the tension that gets built up in your neck and head region, perform a simple scalp massage to improve blood circulation and consequently, relax your mind. 

5. Listen to music
Listening to music can soothe frayed nerves and calm you down. It works by helping you to sieve through the feelings of anger and disappointment in a constructive manner.  

6. Change of situation
Taking yourself away from the source of anger, whether it’s the place or the person concerned, is an anger management skill that you can use to calm yourself. To do this, you can either close your eyes and transport yourself to a quiet and peaceful place or simply walk away to let your anger fizzle out. 



6 Doable Ways to Control Your ANGER and Not Let it Control You!

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