Thalassemia is a genetic (which is passed from parents to children through genes) blood disorder. People with Thalassemia disease are not able to make enough hemoglobin, which causes severe anemia. Hemoglobin is found in red blood cells and carries oxygen to all parts of the body. When there is not enough hemoglobin in the red blood cells, oxygen cannot get to all parts of the body. Organs then become starved for oxygen and are unable to function properly.

Symptoms

The symptoms depend on the type of thalassemia:

Thalassemia Minor: Thalassemia minor usually doesn t cause any symptoms. If it does, it causes minor anemia.
Beta-thalassemia: Beta-thalassemia comes in two serious types, which are thalassemia major, or Cooley s anemia, and thalassemia intermedia. The symptoms of thalassemia major generally appear before a child s second birthday. The severe anemia related to this condition can be life-threatening. Other signs and symptoms include:
fussiness
paleness
frequent infections
a poor appetite
failure to thrive
jaundice, which is a yellowing of the skin or the whites of the eyes
enlarged organs
This form of thalassemia is usually so severe that it requires regular blood transfusions.

Alpha-thalassemia: Alpha-thalassemia also has two serious types, which are hemoglobin H disease and hydrops fetalis. Hemoglobin H disease can cause bone issues. The cheeks, forehead, and jaw may all overgrow. Hemoglobin H disease can cause:
jaundice, which is a yellowing of the skin or the whites of the eyes
an extremely enlarged spleen
malnourishment
Hydrops fetalis is an extremely severe form of thalassemia. It occurs before birth. Most individuals with this condition are either stillborn or die shortly after being born.

Thalassemia - Symptoms Based on Types of Thalassemia 

In healthy individuals, the liver contains little or no fat. In overweight or obese people, gradual fat accumulation leads to significant liver disease. Interestingly, these individuals may be consuming minimal to no alcohol. So, alcohol, which is the main cause for liver damage, does not have a significant role to play.

The non-alcoholic fatty liver disease (NAFLD) has 4 significant stages as outlined below. It is a chronically progressive disease and may take years to reach the final stages of cirrhosis and fibrosis.

1. Simple fatty liver (steatosis): This is usually identified when diagnostic tests are done for some other suspected conditions. There are usually no symptoms obvious in this stage, other than the buildup of fat in the liver.

2. Non-alcoholic steatohepatitis (NASH): The second stage where the liver is inflamed to a greater extent due to fat accumulation.

3. Fibrosis: The next degree of inflammation where blood vessels may be narrowed leading to scarring in the liver with impaired liver functions.

4. Cirrhosis: This is the most severe stage that occurs due to years of cumulative inflammation. The liver shrinks in size, is scarred, and liver functions are markedly impaired and can also result in liver cancer.

Risk factors for NAFLD: The exact reason why a person develops NAFLD is not established, but some of the risk factors include

1. Obesity, with more weight concentrated around the abdomen

2. Type 2 diabetes

3. High blood pressure

4. High cholesterol levels

5. Age greater than 50

6. Smoking

Symptoms: This will depend on the stage in which it is identified. While there are no symptoms in the early stages, in some people there could be a dull, aching below the ribs, unexplained weight loss, weakness, and extreme tiredness. As it progresses to cirrhosis, there could be jaundice, fluid accumulation in the abdomen and feet, and itching of the skin.

Management: While there is no treatment aimed at curing the disease per se, there are ways to manage the symptoms, as noted below.

1. Weight loss: Reducing excess accumulated fat will help reverse symptoms and prevent further progression of the disease. A BMI of 18 to 26 is considered optimal.

2. Dietary changes: Modify your diet to a carbohydrates and protein rich and reduced fats and sugars. Increasing fiber through fruits and vegetables is highly recommended.

3. Exercise: Whatever your choice of workout, it will do wonders for NAFLD. Keep a target of an hour or two of moderate to intense exercise per day to reduce weight.

4. Smoking: This is another risk factor and can also help prevent other effects of NAFLD such as diabetes and heart disease.

NAFLD is highly controllable with these changes and other damages can be reversed too.

What is Nonalcoholic Fatty Liver Disease (NAFLD)?

After eating a meal to your heart s content, it is very normal to burp or belch. However, it is normal only when it happens occasionally, or after a meal, for someone used to a contented meal every single time. On the other hand, excessive burping or belching can happen due to two reasons.

Excessive air intake: There are multiple ways that excessive air can reach the food pipe. Sucking on straws, chewing gum constantly and ill-fitting dentures are some common reasons for burping.
Digestive problems: Ulcers in the stomach, prolonged gastric, gallstones and rarely, esophageal or stomach cancers can also cause burping.
When to see a doctor
Check with a doctor if you have persistent burping, followed by a meal or otherwise, and accompanied by the following symptoms.

Nausea
Bloody stools
Abdominal pain
Vomiting
Weight loss
Fever
Preventing belching



Go slow when eating and/or drinking: Most of us are pressed for time and eating and/or drinking has now become a task that needs to be finished quickly. Eating fast causes air to be swallowed, and therefore one of the best ways to stop burping is to eat slowly. Sitting in a calm, relaxing environment when eating also allows one to enjoy the food and avoid or stop burping.
Avoid talking while eating: There is always so much to catch up, whether at home or outside. So, talking while eating is a common practice. This is not just bad manners, but there is also a lot of air that is swallowed, which leads to burping. A solution is to chew the food properly, which not just helps stop burping, but also aids in better food digestion by mixing it adequately with saliva.
Substitute coke with water: Carbonated drinks are another reason for belching. Replacing them with water, tea, or anything noncarbonated is advisable, not just from burping perspective, but also from the excessive sugar consumption. Carbonated drinks are just sugar solutions, and are absolutely of no nutritive value.
Avoid straw: When possible, drink from a glass and avoid straws. This reduces the amount of gas taken in and helps stop burping
Quit smoking: Quitting it has multiple health benefits, and getting rid of smoking is just one of them.
Dentures: Ill-fitting dentures can be a reason for belching, and so they should be checked and corrected, if required, in a person who has persistent burping.
Chewing gum: Constantly chewing gum contributes to burping, and so avoiding chewing gum or sucking on hard candy is another way to control burping.
Avoid certain foods: Foodstuffs like broccoli, cauliflower, lettuce, sprouts, and lentils can produce excessive gas and should be avoided in people who have persistent burping.
Follow the above steps in your daily routine; still if your burping problem persists, it is time to consult your physician.

Burp A Lot? 8 Ways You Can Prevent It!

Plantar fasciitis is the inflammation of fascial ligament (the plantar fascia) at the base of the heel bone. It is a commonly experienced heel pain condition which is caused due to injury or even wear and tear as well as excess weight gain, in some cases. The plantar fascia is the name given to a flat band of connective tissue that holds the foot and the rest of the leg in place with the heel in between. This also supports the foot s arch and helps in connecting the heel bones to the toes. When there is inflammation as well as weakness in this tissue band, then pain may occur and is known as plantar fasciitis.

It may occur in one foot or both feet and may also be caused due to old age, for many individuals. Also, those who are heavily into athletics can also face this kind of wear and tear of the plantar fascia. As with many pain-related conditions, this one can also be treated with regular and moderate exercises that can be practiced to build flexibility and strength. 

Let us find out more about the three exercises that are most suited for treating this condition.

Stretching: Stretching is an exercise that can help in repairing most joint and tissue pain as it helps in pulling the damaged parts back into the right place, especially if any kind of misalignment has occurred. This kind of action can also have a soothing effect when the pain increases. You can stretch your calves in order to help the pain that is caused by plantar fasciitis. You can start by facing the wall and placing your right foot over the left one. Then, place your palms on the wall and remain at a distance of one arm. You will then need to bend you left leg in a forward motion as your right leg and heel press against the ground. Hold for 30 seconds and release. Then, repeat with the other leg.
Chair stretch: Another way of doing stretch exercises is with the help of a chair. You will need to sit on a chair and remain in an upright position for this exercise. Keep a frozen water bottle or cylinder under your foot and roll it back and forth as you maintain a firm grip using your foot and heel.
Big toe stretch: While you are still seated on the chair, you can do a big toe stretch by crossing your leg over the knee and pushing and pulling your big toe. This will help in stretching the tissue that is causing the pain. You will need to pull and hold for at least 15 to 30 seconds for each toe. Practice on both feet.

Plantar Fasciitis - 3 Exercises That Can Help Relieve Pain!

How Do You Recognise a Stroke?

Strokes occur when blood to the brain gets interrupted or reduced. When this occurs, brain cells begin to die as they don't get enough nutrients and oxygen. Such life-threatening episodes can strike you anytime.

There are certain signs that can help you to clearly recognise an occurrence of stroke:

Face drooping on one side
Weakness or numbness on one side of the body, usually a leg or an arm
You're unable to think or say anything clearly
You experience slurred speech
Difficulty in moving your tongue
You get a sudden and severe headache

What Tests can be Done to Identify the Stroke?

There are certain tests that you can do to identify these warning signs.

To identify facial weakness, the smile test is used wherein you're simply asked to show your teeth to check for any changes in this facial expression - a lopsided smile.

To check for weakness in the body, the arm test is performed in which you raise both your arms to the same height. In case you're unable to do so, you may be experiencing arm weakness, a sign of stroke.

For slurring of speech, you may be asked to repeat sentences such as 'Don't cry over spilt milk' or 'The pen is mightier than the sword'.

Stroke can also be identified through the walk test wherein with the help of another person, you walk across the room to check for changes in your step.

If not treated in time, strokes can cause permanent brain damage. More importantly, unlike heart attacks, anxiety may not always be the cause of your stroke symptoms. That's why, being aware of these symptoms and recognising them on time can help you to quickly seek medical assistance.

How To Recognise a STROKE, Before it's Too Late!

Body pain and Physiotherapy

Physiotherapy is an effective way to reduce various kinds of body pains. Physiotherapy includes massages, exercises, and heat treatments to relieve pain. This treatment is often recommended as the first option to treat back and neck pain. Physiotherapy is also used to rehabilitate patients after surgery. Different kinds of exercises included in this treatment are also useful to treat sports injuries.  Here are some steps that you can take to relieve your body pain incorporating physiotherapy.

Get appropriate help

It is important to properly diagnose your condition before going for physical therapy. Seek help from a professional and if he/she recommends physiotherapy then only opt for the treatment.

Reduce your severe pain before exercising

If you are in immense pain, work to alleviate the pain before engaging in exercises. Cold/ hot therapy, massage, manual manipulation are some of the methods that can slowly reduce the pain. These are all part of physical therapy.

Exercise

Exercising has numerous health benefits including relieving back pain. As you age, your back tends to get weaker; it is important to workout to prevent future backaches. Stretching, strengthening and low- impact aerobics are ideal for this issue.

You can also try water therapy as water has a therapeutic effect on pain and makes your movements much easier than on land.

Observe your body's reaction to physical therapy

When you have just had a back or neck pain episode and try physical therapy you will feel some initial discomfort, it is expected. After you acclimatize yourself with the routine all kinds of pain will gradually diminish. The initial pain due to physiotherapy is caused because your muscles are stiff and they are being stretched the way they are not used to. However if the pain gradually increases you are probably not right for that particular kind of physical therapy.



Body pain and Physiotherapy

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