Pancreas is a small organ that is located in the lower part of the stomach. It lies just behind the abdomen. It functions by producing the insulin hormone which is responsible for regulating blood sugar level in the body and breaking down food into glucagon which is stored in the body. This glucagon is converted into glucose which is used by the body for energy and other purposes. Therefore, pancreatic transplant is done in patients with a malfunctioning pancreas.

Why is pancreatic transplant required?
Patients suffering from type I diabetes usually undergo a pancreatic transplant. Type I diabetes is characterized by the inability of the pancreas to produce insulin, thereby leading to low blood sugar level. This type of diabetes occurs due to the malfunction of pancreatic beta cells whose primary role is to produce insulin. These beta cells make up around 65 to 80 percent of the cells found in the pancreatic islets. They typically malfunction when the body's immune system begins to attack and destroy the pancreatic beta cells. Therefore, type I diabetes is an autoimmune disorder. Patients with type I diabetes require insulin injections that might cause severe reactions. People dependent on insulin are prone to the development of diabetic retinopathy and diabetic nephropathy.

People with type II diabetes generally do not need pancreatic transplant because this type of diabetes occurs due to low production of insulin or lack of insulin resistance. Here is a list of the probable reasons why pancreatic transplant is required:

People who have type I diabetes but are not cured by standard treatment
Severe reactions to insulin injections
Low blood sugar
Kidney damage
Hypoglycemia unawareness
A pancreatic transplant can be of three types. They are:

Pancreas transplant only- People with type I diabetes and normally functioning kidneys require only a pancreatic transplant.
Pancreas and kidney transplant- Type I diabetes, in rare cases, leads to end-stage renal disease (ESRD) or end-stage kidney disease where one or both the kidneys are damaged. In such cases, pancreas and kidney are transplanted simultaneously to disable the dependence on insulin injection. This type of surgery may also be required when the pancreas and the kidneys come from the same donor.
Pancreas-after-kidney transplant- In some cases of type I diabetes, your doctor will recommend kidney transplant first followed by pancreatic transplant. It must be remembered that pancreatic transplant should be done by taking into consideration the side-effects caused by the anti-rejection injections administered after the procedure is performed. It may cause bone thinning, high cholesterol and high blood pressure in a patient s body. As the anti-rejection injections work by suppressing the immune system, the body s defense mechanism against infections and other diseases becomes ineffective to a considerable extent.
A pancreatic transplant is a serious procedure that requires a lot of deliberations and consultations with your doctor and should only be opted for when the benefits outweigh the side effects from the anti-rejection medications.

Pancreatic Transplant - When Is It Required?

Just like the name suggests, Non-Alcoholic Fatty Liver Disease (NAFLD) is a set of diseases that can affect the liver due to excess accumulation of fat. One common disease that arises from this condition is known as nonalcoholic steatohepatitis. This can lead to cirrhosis as well. NAFLD is very common in the Western Countries affecting close to 100 million people annually. Although it can occur in any age group, the most affected age group being the one between 40-50 million. With this condition, the risk of getting other diseases such as cardiovascular problems and type 2 diabetes increases considerably.

Symptoms: Non-alcoholic fatty liver shows symptoms such as fatigue, enlarged liver, and pain, discomfort in the upper abdomen. Some other symptoms that have been witnessed in patients suffering from NAFLD include the development of breasts in men, swelling of the abdomen, red palms, jaundice, swelling of the blood vessels etc.

Causes: Experts have not been able to identify the exact causes of NAFLD. However, it is pretty evident that this condition only arises when the liver fails to produce bile which is responsible for digesting the fat cells. The fat in turn deposits in the liver cells resulting in NAFLD. Some of the possible causes include the following:

The resistance of insulin
Type 2 diabetes
High level of triglyceride in the blood
Obesity
Risk Factors: There is a wide array of risk factors that can pose a threat of NAFLD. Some of them include metabolic syndrome, high cholesterol, hypothyroidism, type 2 diabetes, hypopituitarism, obesity, polycystic ovary syndrome etc.

Complications: The major complications of NAFLD is liver cirrhosis. This is a condition that results in scarring of the liver cells resulting in fibrosis. Some other complications include fluid accumulation in the liver, liver cancer, swelling of the vein etc.

Diet: A mediterranean diet is a perfect diet suited for patients suffering from NAFLD. It includes nuts, fish, vegetables, grains, fruits and olive oil. Fat should be eliminated from the diet by a significant bit. It is important to add the right kind of fat in the diet. Omega-3 fatty acid available in flaxseed oil, leafy vegetables, and nuts fits the bill. Studies have shown that vitamin D and E helps a great deal in fighting liver diseases. Some other food items that should be included in the diet are green-tea, red grapes, Brazil nuts, raw garlic, wolfberry etc.

Treatment: Once the disease is diagnosed, a doctor s first endeavour is to ensure that the patient loses weight through a combination of diet and exercise. Vaccination against hepatitis A and B is the next step that a doctor would ideally suggest. For patients who are suffering from cirrhosis, a liver transplant is the only viable option to increase mortality.

What Are The Reasons Behind Non-Alcoholic Fatty Liver Disease?

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
 
Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
 
What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
 
Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
 
Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
 
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

Parenting Tips for Fever in Children

Cellulitis is an intense and chronic aggravation of the connective tissue of the skin, brought on by infection with a kind of bacteria (staphylococcus, streptococcus or other microbes). Cellulitis often occurs on uncovered areas of the body, for example, the arms, legs, and the face. It is basically characterised by excessive redness, swelling, warmth and pain or pain at even the most delicate touch.

Homeopathic medications are extremely productive in treating cellulitis, although these will have to be prescribed by a doctor only. The medicines work very efficiently by increasing the immunity of the patient along with a decrease in the swelling, pain and burning in cellulitis. Indeed, even in instances of cellulitis with blister formation, homeopathic medications are very effective and are usually administered in small doses of natural elements. Following are some of the homeopathic medications so as to cure cellulitis:

Belladonna for redness of skin during cellulitis: The Homeopathic cure Belladonna is a normal medicine for cellulitis where the skin is extremely red and swollen giving it a sparkling appearance. Patients that feel excruciating pain even at the slightest touch will also require Belladonna.
Apis Mellifica for cellulitis during swelling: Apis mellifica is suited for those instances of cellulitis where there is much swelling of the affected zone along with a burning and stinging pain. Apis mellifica helps those cases of cellulitis in which the smouldering pain is relieved by applying something cool over the skin and the pain that quickly spreads over various parts of the body.
Ledum Palsture for cellulitis due to insect bites: The Homeopathic solution Ledum palustre holds a very effective reputation in treating those instances of cellulitis that occur because of bug bites. This common homeopathic solution is used as a part of cellulitis when there is a cold sensation in the affected area with tearing pain.
Pyrogenium for septicaemia in cellulitis: Pyrogenium is a well-known solution for treating this condition. It is used for a number of symptoms. This could include a fever with the body temperature being 103 to 106 degrees. It rises rapidly with an unusually fast heartbeat and restlessness.
Calendula Officinalis in Post-surgical cellulitis: Without a doubt, the best homeopathic solution for cellulitis that has come after surgical cuts is Calendula officinalis. This prescription acts productively as a corrective as well as a preventive measure for pus formation on the skin after the surgery.
Silicea for treating cellulitis when blisters show up on the skin: The homeopathic cure Silicea gives great results when blisters or sores are shaped on the skin in extreme cellulitis cases. These blisters are usually filled with pus, which is quite harmful if the blister bursts. Silicea is also used when there is fever with chills and perspiration.

Treating Cellulitis with Homeopathy Remedies - 6 Best Cure

What is Diabetic Nephropathy?

Diabetic nephropathy (Diabetic Kidney Disease) is defined as the progressive damage to the kidneys caused by diabetes. It is characterised by the scarring of the glomeruli in the kidneys due to prolonged diabetes mellitus.

What Causes Diabetic Nephropathy?

Diabetes is a condition characterized by high concentration of blood sugar. Although the cause of Diabetes Nephropathy is not yet well defined, it is likely that the high sugar levels in the blood damage the blood vessels present in the kidneys that help to filter waste products, thus resulting in decreased kidney function and ultimately, kidney failure.

Not everyone with diabetes suffers from diabetic nephropathy. Although, factors that can increase your chances of getting diabetic neuropathy are-

Smoking

Poor control of blood glucose

High blood pressure

History of kidney diseases

What are the symptoms of diabetic nephropathy?

In the early stages, there may be no symptoms at all, but as the disease progresses, you may notice swelling in the extremities like your feet. Thus it is recommended to get your blood albumin levels tested on a regular basis. If it is diagnosed in early stages, the damage can be reversed. Other symptoms that can indicate damage to the kidneys are-

Severe malaise

Headaches

Nausea

Lack of appetite

Frequent voiding

Itchiness of skin

General feeling of illness

Diagnostic tests that can confirm diabetic nephropathy are-

Routine urine test (urinalysis) - Kidney diseases are detected by the presence of a protein in the urine called albumin and this condition is called albuminuria. Other parameters that must be regularly monitored are-

Blood pressure

Cholesterol levels in your blood

How can you treat/ manage diabetic nephropathy?

If this type of nephropathy is diagnosed in the early stages, the damage to the kidneys can be reversible. The key to managing diabetic nephropathy are-

Diet: Reduce the dietary intake of salt, phosphorous and potassium in the advanced stages.

Glycemic Control: Monitor your blood glucose levels regularly

Management of Hypertension: It is important to manage your blood pressure as it can have a direct effect on the coronary blood vessels which in turn pump blood to the various blood vessels of the body

Renal Replacement Therapy: In chronically ill patients, renal replacement therapy is the best option. This can include haemodialysis (a procedure to flush out toxins from the blood, such as urea), peritoneal dialysis or ultimately renal transplantation.

Diabetic Nephropathy - Causes, Symptoms and Treatments

Everyone knows that drinking a cup of coffee before bed can leave you tossing and turning for hours. Eating the right food not only gives the body the right kind of nutrition, it also affects the quality of your sleep. While some foods are sleep deprivers, others are sleep enhancers. Here are a few such types of food that you can include in your diet to improve your sleep.

Cherries: Cherries are rich sources of melatonin. This is the chemical responsible for controlling the body s internal clock. A serving of tart cherries in their raw, whole form or a glass of cherry juice(without added sugars) can improve sleep quality and help treat chronic insomnia. It can also be used to fight jet lag.
Walnuts: These nuts are rich sources of an amino acid known as trytophan. Trytophan boosts serotonin and melatonin production thus regulating the body s sleep-wake cycle. This can help you fall asleep faster and avoid tossing and turning.
Milk: A glass of warm milk is a well known home remedy for insomnia. Milk or any form of dairy is rich in tryptophan. As mentioned above, this helps people fall asleep faster by regularizing their circadian rhythm. Additionally, calcium also helps regulate muscle movements and calms the body by fighting stress and stabilizing nerve fibers. If you don t like the thought of plain milk, you could try other forms of dairy like cheese and yogurt.
Rice: Jasmine rice and other forms of white rice have a high glycemic index. This means that the body digests rice slowly and hence releases glucose produced during digestion very gradually into the body. This helps cut down the time it takes to fall asleep. A gradual absorption of glucose in the body also prevents a  sugar high  and its accompanying crash. This helps prevent waking up in the middle of the night and ensures that you sleep through the night comfortably.
Bananas: Bananas are great not only for your overall health but also for your sleep cycle. Bananas are rich sources of magnesium and potassium. These are natural muscle relaxants that promote sleep. They also help fight sleep disorders such as restless leg syndrome and muscle cramps to give you a more restful sleep. Bananas are also rich in carbohydrates that are slow to digest and hence make people fall asleep faster. Combining bananas and milk is a sure shot way of falling asleep faster.

5 Foods For a Good Night Sleep

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