Tuberculosis or TB is a highly contagious airborne disease, which is caused by Mycobacterium tuberculosis. It typically affects your lungs and is characterized by the formation of greyish, hard nodules or tubercles.

Pathology of Tuberculosis

Diagnosis of the disease depends essentially on identifying the bacteria from the tissue. Methods of diagnosis usually include the following  

Skin Test   The most common test for detection of tuberculosis is the skin test. During the procedure, a small dose of PPD tuberculin is injected onto the skin of the forearm. The injection site needs to be monitored after a couple of days. Swelling in the forearm, usually, a hard, red bump could mean that you have contracted tuberculosis.
An X-ray of the Chest   Chest X-ray can reveal calcification, cavitations, and nodes in the upper lobes
Sputum Cultures and Smears   These are mostly used to detect pulmonary tuberculosis. Three specimens of sputum early in the morning are collected on three separate days. The specimen is prepared on a slide and stained with an acid-fast dye before being observed under the microscope. The slide may show the characteristic AFB or acid-fast bacilli.
Gastric Aspirates Test   This involves placing a tiny nasogastric tube in the abdomen early in the morning and gastric contents are suctioned and processed for culture and smears.
Lymph Node Biopsy   The procedure involves removing an enlarged lymph node and culturing a portion of it. The remaining section is sent for staining and examined under a microscope.
Biopsy   Biopsy is conducted when an abnormality develops in the airways during bronchoscopy. This involves threading a thin wire through the bronchoscope and attaching tiny biopsy forceps to its end in order to remove multiple tissue samples from the bronchi. The samples are sent to the laboratory for complete analysis.
Treatment of Tuberculosis

Studies show that in the majority of cases, patients were cured with the help of the right medication. The type and dosage of antibiotic treatment precisely depend on factors like   the patient s age, health condition, and potential resistance to certain drugs, whether the disease is active or latent, and the infection site.
Patients with latent TB may require one type of antibiotic, while those having active TB   particularly MDR TB   are often prescribed multiple drugs for about 6-9 months.
Patients who received proper treatment on time have shown vast improvement on the health aspect. After a few weeks of undergoing treatment, you might be tempted to quit taking your TB medications, but it is important that you complete the full treatment course. Skipping doses may allow the bacteria to become drug-resistant, leading to tuberculosis that is more severe and difficult to cure.



Tuberculosis - All You Must Know!

Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don t exhibit all the symptoms. Others who aren t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

Grandiose delusions (delusion of grandeur) 
Racing thoughts which are often disconnected
Sense of euphoria or false elation
Irritability without cause
Hampered social functioning
Increased sexual inclination and risky sexual behavior
Hyperactivity
Increase in talking volume or speed
Impaired judgment
Reduced sleep requirements owing to extra energy levels
Increased productivity and creativity
Depressive symptoms include:

Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
Difficulty in concentration, making decisions and remembering
Lack of energy or fatigue 
Contemplating about death for prolonged periods of time and suicidal behavior
Oversleeping, insomnia or early awakening
Persistent pessimism 
Irritability and restlessness
Feeling of hopeless and negative attitude
Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anti convulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

Manic Depressive Disorder - 11 Signs to Help You Spot it 

High blood sugar occurs when the insulin in the body fails to metabolize the sugar from the food, which raises the amount of glucose in your blood. It is a metabolic disorder which can be managed effectively with the help of lifestyle modifications such as exercise and food. This article is going to focus on the foods that you can eat to lower your blood sugar levels.

Here are 9 foods that you can use to reduce blood sugar levels:

Cinnamon: Cinnamon is a herb which is very effective in getting your blood sugar down to manageable levels. You can simply sprinkle cinnamon on your food before eating it.

Fenugreek (methi): Fenugreek is a common spice which is used in almost all Indian cuisines. It has a number of health benefits, one of which is reducing blood sugar levels. Soaking fenugreek in water and then drinking it the next day is a very effective remedy in combating sugar problems.

Garlic: Not just for sending away the vampires!, it is also very effective in blood sugar control. Extracts of garlic have been shown to increase insulin in the body which is required to metabolize the sugar in the body.

Heart Healthy Fats: Heart healthy fat based foods such as nuts and seeds are good for increasing the good cholesterol levels (HDL) in the body. Avocadoes contain nutrients which lower the risks of various diseases such as diabetes. In a nutshell, these fats make the cells of the body less resistant to insulin.

Blueberries: Blueberries contain anthocyanin (water soluble pigments) which is very good for your health. They also contain fiber in large amounts which make you feel fuller faster. This fruit has also been shown to improve insulin sensitivity in the body.

Vinegar: Vinegar is an age old remedy to control blood sugar levels; it contains acetic acid which causes a reduction in certain harmful enzymes in the stomach. Vinegar is also known to prevent blood sugar spikes when consumed with food.

Complex Carbohydrates: Complex carbohydrates raise your blood sugar but not like its cousin, simple carbohydrates. Simple carbohydrates cause an immediate spike in your blood sugar levels where as complex carbs provide a steady stream of energy. So drop that packet of refined flour and get that whole wheat variant.

Cherries: Cherries, especially tart cherries and dark sweet cherries, are full of anthrocyanins. Insulin resistance prevents insulin from working properly to control blood sugar in normal ranges. Eating a diet high in anthrocyanins can mean improved use of insulin and lower blood sugars.

Nuts: People who eat nuts regularly have lower rates of heart disease than people who don't eat them. Even among the healthiest eaters, the ones who also eat nuts boast the best health record.

9 Foods That Can Reduce Your Blood Sugar Level

Vomiting is a natural process for the body to rid itself of something it does not want, in the quickest way possible. Nausea is usually the prior warning of this process, although it can mean other things too. Vomiting is commonly caused by an infection in the stomach or intestines that may be due to food poisoning or an infection of an unknown origin. 
Vomiting is not a disease in itself. It is a symptom that something is not alright with the body   it could be indigestion or kidney stones, medication side effect or pregnancy, alcohol or spoiled foods. Homeopathy believes in treating the underlying symptoms and the person as a whole. Listed below are some of the common homeopathic remedies which have been proven useful during the bouts of vomiting.
Arsenicum Album: If food poisoning is the cause, then this is the best remedy. There is a burning sensation in the stomach along with thirst, and small frequent sips of water are beneficial. The stools are dark, small in amount, and have a foul smell. The person is chilly, exhausted, and anxious.
Ipecacuanha (Ipecac): For prolonged vomiting, this is a good cure. Especially in pregnancy associated with belching and excessive saliva. This is also useful when watching moving objects for prolonged periods induces vomiting. There may be associated abdominal pain after a meal.
Carbo Vegetalis: If the vomiting is associated with indigestion, heartburn, flatulence, and a bloated feeling, carbo vegetalis can be the ideal remedy. Food regurgitation or GERD with a sour taste in the mouth is a good indicator for using this remedy. There is gas in the stomach which causes distention and burping, especially in children, and this remedy is very useful in such cases.
Ignatia: Vomiting is brought on by emotional stressors, associated with depression and trying to curb this feeling. The person may be crying and have mood swings and sleeplessness. This is also used in children who may complain of a lump in the throat. In children especially, everything that is said will be taken very personally.
Nux Vomica: This helps relieve nausea associated with gas and bloating sensation. It is especially useful in pregnancy where the person can be irritable and impatient and have vomiting after eating and in the morning. There is constant sense of retching. Children who have eaten too much food can be treated with this remedy. The child could also have stomach pain, headache, and irritability.
Antimonium crudum or Ant-c: The tongue is coated with a white layer and vomiting occurs soon after eating or drinking. There could be history of eating indigestible foods or overloaded stomach.
Kreosote: When undigested food stays in the stomach for prolonged periods or used in vomiting associated with cancerous growths and kidney diseases.
Aethusa: If a child is vomiting curd-like material followed by exhaustion, this is a good solution. The hungry child eats and goes through the bout of nausea, and the cycle repeats.
These are some simple homeopathic medicines; however, bear in mind that these should be taken only under supervision. 

Homeopathic Remedies for Vomiting & Nausea Problem

Neck pain is fairly common among adults. It results from the soft tissues such as ligaments, muscles and tendons. It can result from spasms and muscle strain from neck problems such as disc degeneration and spinal stenosis. Be it a chronic pain or a sudden one, addressing it is important to get on with the daily office life. 

Here is a list of some quick solutions, which when followed can give considerable relief from the pain:

Computer should be at eye level: While sitting at it you must ensure that the middle of the computer screen is parallel to the eye. If it is required that you bend your neck to view the screen, then you should adjust the screen, without bending your neck. This happens most often while working with a laptop. The chair length can be adjusted to fix this problem.
Refrain from neck straining while typing: If typing requires straining the neck, it should be ensured that the same doesn t happen. This is the case while texting in a mobile. A better solution is to fix this is to take the mobile at a level which does not require the neck bend down. It will ensure that the joints and discs of the neck are not stressed.
Use headset: If the work demands longer time on the phone, instead of bending the neck it makes sense to use a headset. Practicing the chin tuck exercise can help in this case. This exercise can strengthen the soft muscles of the neck. It also maintains the alignment of the head and the shoulder.
Stay hydrated: Enough hydration is necessary to ensure spinal alignment and disc height. Hydration also takes a eases the spine and relaxes the soft muscles. A practice of adequate hydration throughout the day can help stop the degeneration of the cervical disc. While drinking water is a matter of practice, keeping a water bottle serves as a constant reminder to drink it throughout the day. Keeping an alarm after 2 hours also serves as a constant reminder to drink water.
Carrying weight: One common mistake committed by most people is to carry weight with one hand. Since the load doesn t distribute evenly, it strains the neck muscles causing pain. It should be ensured that the office briefcase or the heavy purse is carried with equal stress on both the shoulders. This will ensure a painless day at the office.
Maintaining a good posture: Poor sitting or walking posture is often the cause of neck pain. While sitting it should be ensured that the back is straight and rests in the chair once in awhile. The neck and head should fall in a line while working.

Neck Pain at Work - 6 Tips to Help You Prevent it

Food is one of the most common ways of getting an infection, and so the stomach is more prone to infections than other body parts. Whether it is eating raw or uncooked foods or unhygienic foods, the stomach bears the brunt of one s bad food practices. The only consoling factor is that it is equally easy to treat a stomach infection if some simple measures are adhered to. 

Read on to know some of the easiest and most effective ways to treat a stomach infection.

Drink it right: What you drink and how you drink makes a lot of difference to the way your stomach infection will respond. The vomiting, diarrhoea and sweating is robbing the body of a lot of fluids, and so replenishing this fluid along with minerals is very essential. Ensure you drink a lot of clear liquids like water, coconut water, clear soups, sports drinks, and other energy drinks. Electrolyte replacement can be added to improve their efficacy. Herbal teas like ginger tea and peppermint tea are highly recommended to soothe the stomach too. At the same time, avoid caffeine, strong black tea, alcohol, and chocolate as they are detrimental to the already affected stomach.
Eat right: Even on a regular basis, you are what you eat. So, when your stomach is already infected, eating right assumes a lot more importance. Go easy on the stomach and give it something easy to digest, yet of high nutritional value. Banana, rice, apple, and toast (abbreviated as BRAT) is very easy and packs in good nutrition for the recovering stomach. Avoid a lot of fibres, fatty foods, greasy foods, sugars, and dairy products which are hard for the stomach to digest. Eat small meals, but eat a lot more frequently than you otherwise would.
Rest well: With the body losing a lot of fluids and nutrition along with it, the body would naturally feel very tired and fatigued. Let the body run its course, and give it the rest it demands. In the next couple of days, once the virus has run its course, this will resolve.
Medications: Stomach infection is usually caused by a virus, and so antibiotics do not play a curative role here. However, if you have high fever or body aches, Tylenol or acetaminophen can be used sparingly. If diarrhoea or vomiting is severe, loperamide or promethazine can also be used. However, this should be substituted with sufficient rest and nutrition (solid and liquids).
If these are not helping and you are not able to keep the food down, visit the doctor. Sometimes, a day or two in the hospital may be required for complete cure and recovery.

Stomach Infection - Easy Tips To Help You Treat It!

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