A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

Hoarseness in the simplest sense means, 'hoarse voice'. It may be defined as an abnormal voice change. It is experienced in the form of strained, rough, thick, harsh and grating voice. Variations can be felt even in the loudness and pitch of the voice.

Hoarseness is a temporary infection associated with the larynx, which is also known as the voice box in animals as well as humans. Vocal cords are present inside the voice box. Depending on the vibration of the vocal cord, different sounds are produced.

What are the general causes of hoarseness?

Hoarseness may be caused by common cold, viral infection, cough, irritation due to screaming, smoking, allergy, thyroid problem, acute laryngitis and benign tumor. In adults, the stomach asset comes up to the throat causing hoarseness. Heartburn can also be one of the causes.

When hoarseness arises due to common cold and cough, it will last for 2 to 3 days and will subside using cough suppressant and home remedies like salt water gargling, drinking hot milk with turmeric and pepper powder. As cough or cold suppress, hoarseness will also reduce.

When to see an Otolaryngologist (ENT specialist)?

ENT stands for ear, nose, throat. Serious infections in these areas are treated by an otolaryngologist. It is very essential to consult this specialist if hoarseness lasts for more than 2 to 3 weeks; pain in ENT is not due to cold or flu, coughing up blood, lump in the neck.

Evaluation

The medical specialist starts his diagnosis by physically examining the vocal cord. Flexible light weight fiber optic tube scope is also used to visually examine the larynx area. Videotaping, acoustic analysis is also done to study voice irregularities, airflow to guide treatment.

How can hoarseness be treated?

The mode of treatments depends on underlying the cause of the problem. The patient may be advised:

In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
To avoid smoking or passive smoking
Referred to a speech therapist to improve sound of voice.
In case of benign tumor the nodule or polyp is removed by surgery.
How can you prevent hoarseness?

We've all heard the phrase, 'prevention is better than cure'. Alas, it is. Preventing hoarse voice and throat is a much better option than treating it. Here are some tips on how to prevent hoarseness:

Avoid smoking
Avoid overconsumption of caffeine and alcohol.
Consume plenty of water
Avoid eating spicy food.
Avoid speaking loudly for long intervals of time.

How Hoarseness Can be Treated

We all think of sunscreen as something that goes into our vacation kit when heading out on a hike in the hills or to the beach. What we fear is being out in the sun can reduce fairness, can cause a tan, and a sunscreen will help maintain complexion.

Well, these are completely wrong notions. What we need to be aware of is that even the regular, daily sun exposure during driving or going to the office can do as much damage, if not more. The sunscreen, therefore, assumes a very important role in your daily personal care. Read on and find out more.

Relationship with skin cancer: Studies in the US have shown that skin cancer is the most common type of cancer and sun exposure is the leading cause of this. It is the regular exposure on a daily basis that cumulatively leads to this, rather than a one day exposure minus the sunscreen. Using sunscreen on a daily basis provides a good shield against skin cancer.

Slows down aging: Dry skin, wrinkles, sun spots, and dark circles on the skin are more related to unprotected exposure to the sun rather than just aging. The sun is the most powerful agent that can lead to these effects and it is very essential to guard yourself against it.

While a general belief is that the sun is less harmful during cloudy days, it is not so the case. The ultraviolet rays of the sun filter through clouds and can cause equal damage as they would during sunny summer days. Studies have shown that the rays, which filter through the clouds are capable of accelerated aging effects and continue to do so, even after you have reached home.

It is not just the amount of time, you are actually out in the sun that counts. The collagen in the skin that gives it the firmness, if is damaged, leads to sagging and bagging of skin. Using a sunscreen provides a shield against these harmful ultraviolet rays.

Research has shown a 73% reduction in the invasive forms of skin cancer by using sunscreen on a regular basis. It is a popular belief that fair complexion is more affected by exposure to the sun. It is true that darker complexion has more melanocytes that increase the natural protection, but this does not ensure complete protection against the harmful ultraviolet rays.

After reading this, a sunscreen lotion with a sun protection factor (SPF) of 15 or more should surely find its way into your grooming kit.

Why Do You Need To Use Sunscreen Daily?

An abnormal junction or connection between two organs or tissues is referred to as a  fistula . It targets two hollow organs, vessels, or tissue structures. It occurs mostly in the rectum, vagina, however can affect the intestines and the eyes too. It results in extreme pain, discomfort and should be treated as immediately as possible to prevent infection.

It can induce sensations of:

Extreme irritation or itching
Discharge with unusual odor (if the fistula is located near the anus/vagina)
Irritable bowel syndrome
Excess pus
High body temperature
Blood discharge
Diagnosis
In case or prolonged tension and pain in these areas, a proctoscopy should be conducted for diagnosis. It most commonly occurs in women who have sustained prolonged labor (over 2-3 days). However, other causes include:

Digestive malfunction
Abscesses(formation of pus in hollow organs)
An unhealthy lifestyle which includes excessive indulgence in alcohol and tobacco

Ayurvedic treatment for fistulas are available which aim to sooth the inflammation by slowly remedying the wound through natural and safe measures. Since Ayurvedic practices are non-toxic, non invasive and completely safe, one can avoid the drastic measures that surgery consists of, and also avoid the side effects of medicines.

Ayurvedic remedies of fistulas include
Ayurvedic doctors have developed several oils, ointments and medications that are readily available in the market. The medications usually consist of a mixture of herbs, roots and plants that aim to restore the physical systems and also soothe the affected area.

The importance of buttermilk added with rock salt and black pepper also allows the enzymes of our body to multiply and thereby cure the fistulas internally.
Radish juice with a pinch of cumin is also recommended to be consumed after meals to improve digestion and empower the immune system.
A healthy lifestyle and fitness routine consisting of yoga and exercises also contribute to improve conditions in the patient by facilitating blood circulation and metabolism.

Fistula - Treating It With Ayurveda!

Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions. 

Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on how far it is from the anal canal. If it is located farther inside the anal canal, it is called internal piles.

Causes:

Chronic constipation, where the person has to strain to pass stools
Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in drops after bowel movement; the swelling happens much later. They can continue to grow and develop blood clots.

Treatment:

In the early stages, once identified, simple topical medications for symptom relief are sufficient.
Diet should be rich in fiber, with fruits and vegetables
Increased water consumption
Surgery if the disease has reached the stage of blood clots
Prevention is advised if there is a family history by consuming a fiber-rich diet and maintaining hydration
Fistula: When an infected anal gland bursts into the anal canal, it constantly discharges pus into the anal canal and becomes a fistula. Hygienic toilet habits can help in preventing fistulas.

Symptoms:

A constant wet feeling in the anal area, due to pus discharge.
This would be intermittent, and there would be periods with no discharge.
There could be a foul smell due to pus discharge.
Diagnosis and Treatment:

Identifying the exact location is important as surgery may be required.
An ultrasound scan or an MRI is usually done.
Newer techniques like Video Assisted Anal Fistula Treatment (VAAFT) are used. This locates the piles accurately and uses electric current to seal it with staples and surgical glue.
Conventional surgery is also used for economic or accessibility reasons.
Fissures: These cracks anywhere in the length of the anal canal are extremely common.
Symptoms

Very painful and the person may not want to go to the toilet
Rarely bleeding is also seen, maybe in very small amounts
Treatment:

Over 90% of the fissures do not require surgery
Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
Topical relief can be provided by medications.
When they are recurrent, a procedure known as lateral sphincterotomy is done. This is an outpatient procedure and provides immediate relief.
Though one condition can lead to another, in most people, there is a strong genetic component, and working towards prevention is highly recommended.

Piles, Fistula and Fissures - Can Ayurveda Help You?

Dental care is of utmost importance. Poor dental health can cause you several problems, from a mild toothache to severe pain. Here are 10 foods which will help you maintain your healthy teeth. Read on to find out more about it:

1.  Cheese: Cheese, particularly aged cheese like Cheddar, Swiss and such are beneficial for your teeth. They increase the pH scale in your mouth and effectively prevent tooth decay. It also consists of protein and calcium, nutrients required for strengthening your tooth enamel.

2.  Yogurt: Like cheese, yogurt also contains calcium and protein for tooth enamel. Probiotics or the beneficial bacteria present in yogurt are good for the gums as well.

3.  Leafy Vegetables:  Spinach and kale promote oral health. They contain calcium, which is good for your tooth enamel. They contain folic acid, a B vitamin which has a lot of health benefits and also helps to prevent gum disease.

4.  Apples: Apples contain high fiber and water, which are beneficial for your teeth. While eating an apple, a lot of saliva is produced which washes away the bacteria present in the mouth.

5.  Carrots: Carrots are also crunchy like apples and also contain high fiber which is beneficial for teeth. They also contain vitamin A which is also highly beneficial.

6.  Celery: Celery contains vitamins A and C which are very beneficial for the gums. They are also crunchy and hence help scraping away bacteria and food particles from your teeth.

7.  Almonds: Almonds are a great choice as they are low on sugar and have high content of calcium and protein.

8.  Strawberries: Strawberries are very beneficial for your teeth. Strawberries consist of vitamin C, different antioxidants and malic acid, which help in naturally whitening your teeth.

9.  Garlic: Garlic contains a substance called 'Allicin' which has strong anti-mycobacterial properties, and is thus beneficial for your teeth. It helps to prevent periodontal disease and fight tooth decay.

10.  Meat: Meat in general is beneficial for maintaining healthy teeth. Meats consist of a lot of protein, vitamins, minerals and other nutrients which are important for healthier teeth.

10 Foods for Healthy Teeth

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