The outcome and the procedure of an abdominal laparoscopic surgery vary among patients. The extent of the surgery, the length of the procedure, the surgeon, the hospital nursing staff, and a number of other factors vary with each patient.

Moreover, the recovery or the healing time also varies among patients. What applies to one patient may not apply to another. Generally speaking, surgeons will tell you that it takes only a few days to recover from a laparoscopic surgery, but this is not true to specific cases as in many cases, the recovery time has been longer than expected. So, a laparoscopic surgery is subjective to the health of the patient and the extent of the procedure; however, there are some tips that may prove to be helpful for you to deal with a laparoscopic surgery and to improve your healing process.

Here are some useful tips that you can follow before the surgical procedure.

After you have consulted your doctor and made up your mind on the procedure, then it will be useful to watch some surgery videos and read about the procedure to prepare yourself mentally. The videos can be gory and hence discretion must be maintained.
You can read blogs by patients who have undergone laparoscopic surgery to get a better understanding of the procedure and its implications.
Eight hours prior to the procedure, do not drink or eat anything.
Ask someone to accompany you on the day of the procedure.
Make sure that you fix a pre-op appointment with the surgeon to clear any doubts about the surgery, anesthesia or any such concern.
You can shave the part of your body where the surgery will be performed by yourself or be prepared for someone else to do the same at the hospital.
Prepare your hospital bag with the necessary items and inform the person accompanying you about the items in your bag.
Here are some useful tips that you can follow after the surgery.

Keep yourself active after the procedure to enhance the healing process and to relieve any flatulence.
Stick to comfortable clothing and preferably loose clothes.
Avoid taking a bath for a week or as advised by your surgeon.
To avoid constipation and to stay hydrated drink at least 2-3 liters of water a day.
Hold a pillow against your stomach to lessen the pain while sneezing or coughing.
Don t get up straight from your bed. Roll sideways and use the support of your arm to stand up.
Avoid driving for at least 2 weeks.
Go for regular check-ups with your surgeon or doctor to ensure that the incisions are healing properly.

Tips To Deal With Abdominal Laparoscopy!

The quality and sharpness of vision are generally measured with a Snellen chart. The Snellen chart shows letters of logically smaller size. Perfect vision is 20/20. This implies the patient or subject sees the same line of letters at twenty feet that a typical individual sees at twenty feet.

Here are a few doctor recommended tips that can be followed in order to achieve a perfect vision. These are as follows:

1. Eat right for good vision
Taking good care of your eyes begins with the food that you eat. Foods, for example, fatty acids, lutein, zinc and vitamins C and E may avert age related vision and eyesight problems, for example, macular degeneration and cataract as shown by certain studies. Eating these foods daily can lead to healthy eyesight. Following are some of the nutrients that can help us do so:

    Green vegetables, for example, spinach, kale, and collards
    Salmon and fish
    Eggs, nuts, beans, and other non-meat protein sources
    Oranges and different citrus natural products or juices
    Shellfish and pork

2. Quit smoking
Smoking makes you more inclined to get cataract, optic nerve damage and macular degeneration. The more times you attempt to stop smoking, the more probable you are to succeed.

3. Wear shades
The right sort of shades will shield your eyes from the sun's bright (UV) beams. An excess of UV exposure makes you more inclined to get cataracts and macular degeneration. Pick shades that piece ninety nine to hundred percent of both UVA and UVB beams. Wraparound lenses shield your eyes from the side. Spellbound lenses diminish the glare when driving. Some of the contact lenses come with UV protection as well. It is still a smart thought to wear shades for more protection, however.

4. Turn away From the Computer Screen
Gazing at a computer screen for a really long time can bring about eye strain, foggy vision, trouble focusing at a distance, dry eyes. The muscles around the eyes can start getting weak and painful if given too much strain. Turn down the screen brightness. You need to at present have the capacity to see, however, you should not feel like you are gazing at a very bright light. In case you are reading from the computer, use the zoom capacity to make the content bigger.

5. Pencil exercise
Take a pencil, and place it some place in the centre. Draw a letter, number or dot in on any side of the pencil. For this activity, you will concentrate on the pencil and the spot as you move it toward and far from your eyes. Pencil push-ups are rumoured to correct twofold vision and crossed eyes, yet it cannot hurt to attempt them for different issues since it is free, easy, and just includes focusing and refocusing your eyes. 

How to Have the Perfect Vision? Doctor Recommended Tips

5 Ways to Stop Muscle Cramps

Muscle cramps are feared and loathed by all of us alike – they hurt, they slow us down and they just give us a helpless feeling! The most common cause of these cramps is premature fatigue which affects the reflex control of muscles. Here are 5 ways guaranteed to beat these troublesome muscle cramps:

1. Take rest
The most easy and sure-shot way to kill a muscle cramp is to take rest. Just rest your body, be at one place and the cramp will not last more than 3-4 minutes. Moving around will only cause the pain to be aggravated and eventually affect other areas as well.

2. Consume solutions rich in salt
Whenever you encounter a troublesome cramp, the first instinct is to reach for water. However, studies have shown that salt solutions are far more effective in countering cramps as compared to plain water. You can have pickle juice and similar drinks which have a high salt concentration.

3. Be physically active
The most common reason for muscle cramps is over-straining of the body. If you are planning to indulge in an extremely intensive physical activity, make sure to train well in advance. Also, keep the duration and intensity of the training at a similar level to that of the actual activity.

4. Keep your body hydrated
Dehydration is the root of a number of troublesome conditions, muscle cramps being one of them. Make sure to always carry a water bottle with you and drink a minimum of 7-8 glasses of water on a daily basis.

5. Indulge in light passive muscle stretching
When faced with a muscle cramp, in addition to resting, try and gently stretch the affected muscle. This continuous and light passive stretching lets the brain know that it can relax the muscle and help it return to normal.




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5 Winning Ways to Stop those Nasty Muscle Cramps

Spread of HIV infection from a woman who has transmits HIV to her child during pregnancy, childbirth (labor and delivery), or breastfeeding (breast milk) is called as  Mother to child  transmission (MTCT) of HIV. It is also termed as the perinatal transmission of the HIV infection or  vertical  transmission. In the absence of medical intervention, perinatal transmission rates are very high, between 20-45% in different parts of the world. In various regions of the African subcontinent a large number of HIV infected children are present. It is a major cause of deaths in teens and adolescents in that region. 

Almost 90% of all HIV infected children live in the sub-Saharan Africa. In some districts of AP, Karnataka, Maharashtra and TN that were highly HIV-prone, we have several HIV infected children and adolescents. The virus replicates in the body and affects the immune system. Due to decreased immunity, various opportunistic infections enter the body and cause AIDS related symptoms. Prevention of HIV infection in infants and young children is now a high priority and has been the rallying point for enhanced prevention efforts. MTCT HIV infection can be prevented with adequate measures by way of Anti-retroviral treatment (ART). All expecting mothers who are HIV infected should have access to the preventive medical services throughout the gestation period, during labor and also during breastfeeding. 



Proper provision of resources with skilled staff and awareness programs can help in avoiding new infection cases. Breastfeeding is the primary source of transmission of infection from mother to child. Basically, once ART is started in an HIV infected pregnant woman that should continue forever. With proper ART course, chances of MTCT are near Zero. At the Unison Medicare & Research Centre; which is India s first fully comprehensive clinic for HIV Care and infectious Diseases, during last decade, not a single MTCT has occurred after treating more than 160 such HIV infected mothers. Even prior to that MTCT rate was lower than 1%. Our motto has been making the mothers virally suppressed commensurate with the global principle of  Undetectable = Untransmittable ! In fact now more and more HIV infected couples have been coming forward for an elective pregnancy. Even HIV un-infected children orphaned by AIDS or living with sick caregivers are at the great risk of emotional and physical abuse, which in turn increases the child s vulnerability to HIV infection. 

Reduction of risks to these vulnerable children is of great importance and various programs are being implemented for the welfare of orphans and vulnerable children. Various risk factors that are implicated in the transmission of HIV infection from mother to child are as follows: 

Increased viral load 
Genital tract viral load 
Reduced CD4 cell count 
Unprotected sexual intercourse with infected partner 
Smoking, Substance and drug abuse 
Deficiency of Vitamin A and other essential nutrients 
Presence of other Sexually transmitted diseases (STDs) 
Pre-term delivery 
Placental disruption 
Invasive monitoring of the fetus 
Breast feeding In most cases, HIV will not cross through the placenta from mother to baby. 
In an otherwise healthy mother, risk of child getting infected is low. Prenatal visits shouldn t be increased until a complication arises. The physician should observe symptoms of AIDS and pregnancy-related complications on a regular basis. HIV may be the direct cause or a marker of a complex interaction of related medical and social conditions that affect pregnancy. Most HIV positive women are usually asymptomatic and have no major obstetrical problems during their gestation period. They should receive similar obstetric antenatal care as the HIV-negative women, unless indicated by the need to provide specific treatment for HIV related conditions. There is no evidence of a need to increase the number of antenatal visits, provided there are no complications of the HIV infection, although additional counseling sessions may be required to reassure the mother and family. 

Care of the HIV positive woman during pregnancy should include ongoing counseling and support as an integral part of the management. Invasive diagnostic procedures, such as chorionic villus sampling, amniocentesis or cordo-centesis should be avoided wherever possible, due to a possible risk of infection of the fetus. In case you have a concern or query you can always consult an expert & get answers to your questions!

How Can We Achieve HIV-Free Generation?

Heartburn can be a very discomforting condition and affects almost everyone at some point in his or her life. This is a condition wherein the stomach acids back up through the esophagus resulting in a burning sensation, especially near the chest area. Quick-relief medications can help you deal with them for a particular episode. However, recurring deposits might warrant changes in diet and lifestyle. Some of the long and short term remedies are mentioned below:

Short term remedies to deal with heartburn

Eat a banana or an apple: A few slices of banana and apples can introduce acids into your stomach which will counteract the stomach acids and thus help reduce heart burn.
Use baking soda and water as a home remedy: This is another quick fix if you don t have anything at home when suffering from heartburn. If you mix half to a full spoon of baking soda with water and then drink slowly, it will immediately help relieve symptoms. However, don t make this a regular remedy as it may cause side effects such as nausea and swelling.
Ginger root tea: Making tea with ginger is another great home remedy which can easily relieve heart burn.
Chew gum when you have heartburn: This is helpful as the constant stimulation within the mouth due to chewing gum helps with saliva production. The excess production of saliva helps wash away the acids that have built up in the stomach. Once the acid recedes, it helps in relieving or eliminating heartburn.
Aloe Vera Juice: Drinking aloe vera juice helps in relieving heart burn very easily. It helps control inflammation in both the esophagus and the stomach and relieves pain from heartburn. However, regular use isn t recommended as it can act like a laxative.
Long term lifestyle changes

Change your Sleeping habits: Try to sleep on the left side of your body and ensure that your upper body is in a slightly raised position as this will stop the stomach acids form coming up into the esophagus.
Watch what you eat, when you eat and how quickly you eat: It is advisable to not only maintain a fixed time of eating but also try to eat slowly as it give the stomach more time to adjust in digesting the food, thereby ensuring controlled secretion of the acids.
Avoid smoking and alcohol: These are common triggers for heartburn and avoiding them will show results in a relatively short period of time. It is advisable to stop smoking and reduce alcohol consumption to once a week or even lesser.
Wear loose fitting clothes: Wear clothes which are loose as this would free up your stomach. Tight clothing can push stomach acids up the esophagus and it is advisable to loosen up clothing to relieve symptoms.

Heartburn - 5 Remedies That Can Help Treat it

Celiac disease is an autoimmune disease caused due to intolerance to the protein called gluten found in common foods like wheat, barley, and rye. The exact reason for the disease is not known, but gluten attacks the small finger-like projections in the intestine called the villi, which help absorb nutrients during the digestion, leading to malnourishment.

Onset of the disease is usually once the child has started on solid foods and can include diarrhea, abdominal discomfort, underweight, skin rashes, anemia, mouth sores, etc.
Diagnosis usually happens with a detailed discussion and checking the level of antibodies against gluten in the blood. In rare cases, an intestinal biopsy may also be required. Once confirmed, the following are ways to manage celiac disease-

Dietary changes: avoiding gluten-containing foods is the first step to treating celiac disease. These are common food substances like wheat and barley. In some cases, the entire family may choose to or need to take this diet, just to provide moral support to the child.
1. Breads, cakes (made from wheat)
2. Creamed or breaded vegetables
3. Processed meats
4. Dry roasted nuts (as agents used in processing could have wheat)
5. Fried chicken
6. Pastas
7. French fries (that are coated in flour)
8. Spreads, soft cheeses, and dips
9. Salad dressings
10. Gravies and sauces (including some tomato and meat sauces)
11. Soup mixes and canned soups
12. Crab or other seafood
13. Malt or malt-flavored drinks (usually made from barley)
14. Modified food starch (modified corn starch is ok; modified wheat starch is not)
15. Nondairy creamer
16. Soy sauce and soy sauce solids (may be fermented with wheat)
17. Wheat-free products (may contain barley or rye flour)
18. Yogurts containing wheat starch
Read the labels of foods to ensure they are free of gluten. Organic/natural food stores and health food stores contain wide range of gluten-free products that can be used with minimal effect on the child's food habits.

Eating out: just because the child has celiac disease, eating out is not ruled out. Carefully choosing what to eat is suggested. Also, letting the chef know is a good idea, as most chefs will prepare something safer for the child.

Cross-contamination: avoid cross-contamination: in schools or in cases where the child could potentially eat from other children's boxes, make sure the child is well informed and ensure he does not eat from other kids' lunch boxes. It is also a good idea to keep the class teacher and a couple of his close friends informed of the child's condition.

Most children are easy to educate and adapt well to the changes required, knowing very well that it is for their own good.

Tips to Deal With Celiac Disease in Children

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