Doctors keep learning from research conducted on different types of diseases and their treatments. In the case of lactose tolerance, the conventional wisdom has been that the condition may actually start setting in by the time the baby turns 2 years, but it may not manifest itself till the child reaches adulthood. However, later research has revealed that not only does lactose intolerance occur as one ages, but there are other considerations besides the age of the person, which determine lactose intolerance and its intensity.

Production of Lactase: There is no difference of opinion that the basic cause of this condition is directly related to the production of an enzyme, lactase within the body. This enzyme is produced in the small intestine, and once its production tapers off or stops completely, lactose intolerance surfaces. Lactose intolerance refers to the manner in which the body reacts to the consumption of milk and some foods made with milk. Chemically, milk is described as a combination of one portion galactose and one portion glucose. When milk is consumed, these two are broken down with the help of the lactase enzyme.

Age Does Matter: When researchers started studying cases of lactose intolerance reported at different locations or parts of the world, the patterns that emerged showed a slightly different picture. It is true that the age of the person diagnosed with lactose intolerance does matter. As mentioned, it can start in kids as young as 2 years, but definitely, many symptoms may appear only later in the adolescence period. But some people may develop the condition much later. This means, they might not have faced lactose intolerance to begin with, but as they grow older, their body s ability to produce lactase may dwindle and even disappear and that is when the condition could be noticed and if left untreated, it can become serious too.

Other Factors Relating to Lactose Intolerance: While remaining with the same conviction that age is in important factor in the onset of lactose intolerance, there are other significant indicators which have relation to the genetic composition of the person. For example, in a mixed race population or country such as the US, among whites, the condition may not occur before 5 years of age, while among African-Americans, it occurs by the age of 2 years. Among the Asian population also the occurrence of lactose intolerance is very common, whereas in some European races, the condition is rarely noticed.

How to Manage with the Condition?
It can be easily diagnosed by Lactose Hydrogen breath test (LHBT). If you have already been diagnosed with lactose intolerance, there is not much you can do to improve or induce lactase secretion. The only way is to avoid milk. But there are some products such as butter and some specific types of cheese that can be consumed. Many manufacturers mark the packaging of their products to indicate if they can be consumed by people who are lactose intolerant.

Lactose Intolerance & Age - Understanding The Relation!

Depending on the way you look at it, a mole can be a beauty spot or a blemish. For most people, facial moles are undesired. Moles can be described as clusters of pigmented skin cells. They appear in the form of dark spots on the skin that vary in size, color and texture. Apart from the face, moles appear commonly on the arms and legs but can affect any part of the body. In most cases, moles are harmless but in some cases, they may turn precancerous and need to be removed. However, most moles are removed for only cosmetic reasons. Moles can be removed through home remedies, surgery or laser treatment.

Mole removal depends on the type, size and location of the mole. When treated with lasers, layers of the mole are removed one by one by evaporating the affected cells. This does not cause any sort of bleeding and does not disturb healthy tissues adjacent to the mole. It is also considered to be a largely pain-free procedure but you may feel a slight tingling sensation. After the laser procedure, a scab forms over the affected area which later falls off. You may also notice slight swelling and redness in the area for a few days after the procedure.

Laser treatment for mole removal has a number of advantages.

As it is a non-invasive procedure, there are minimal chances of infection
Multiple moles can be treated in a single session
Laser beams can reach parts of the face, nose and ears that may be difficult to reach through other procedures.
There are minimal disturbance and injury to the adjacent healthy tissues
Healing is much faster than with other procedures
There is a very low chance of scarring
However, one of the biggest disadvantages of laser therapy is that it can only be used to treat surface moles as the laser beam cannot penetrate deep into the skin. Also, laser treatment, if not recommended in cases where the mole may be considered precancerous as the laser beam will destroy the mole leaving nothing that can be used for a biopsy. Lasers are also seldom used to treat large moles or birthmarks. The cost of removing a mole with laser treatment depends on the size, location and number of moles. In some cases, more than one session may be required and this too could influence the cost of the procedure.

Moles - How Laser Treatment Can Help You Get Rid Of Them?

Being a victim or witnessing a horrific accident or personal assault can leave you shocked and scarred. Sometimes, these conditions last for months and years with memories of the traumatic incident triggering intense emotional and physical responses. This is known as post traumatic stress disorder or PTSD. It is a fairly common anxiety syndrome and can be treated in a number of ways including drugs, exercise and psychotherapy. However, this treatment aims only to control the disorder and there is no known cure for PTSD as yet.

Exercise not only keeps the body fit, but also helps the body release endorphins. Endorphins help fight stress, fear and pain. Thus, exercising helps focus on the body and its movements instead of your fears. It can also help elevate the mood of a person. Low to moderate intensity exercising is ideal for a PTSD patient. Aerobics, pilates, yoga or martial arts like tai chi are known to be effective ways of reducing stress and anxiety in PTSD patients. Breathing exercises like pranayama can also help calm and relax the mind.

Exercise for a PTSD patient should be planned in repetitive sets. This enables the person to slowly master the type of exercise being done and regain control and confidence in himself. It also needs to be predictable so as to avoid triggering a PTSD emotional or physical response. Non competitive exercises are better than competitive exercises as it does not create an opportunity for the person to feel stressed. Exercising and practicing breathing techniques can also help a person analyze himself and his response to stressful situations. By understanding their reactions, a person can slowly bring about changes to handle stress in a better way.

For a PTSD patient, exercise should not be seen as a group activity but as an individual effort to increase self control. Patience is key here both for the patient and the therapist. It is also necessary for the person to have realistic goals from his exercise regimen. An exercise program for PTSD patients also needs to be flexible. In order to meet the needs of a patient, it may need to be changed in accordance to the medication he is under. Small incidents like having a flat tire when cycling can trigger anxiety in a person suffering from PTSD. However, if dealt with correctly, it can bolster confidence in the long run.

Lastly, exercising also helps improve self-image and build confidence which helps a PTSD patient break out of his protective shell and socialize with others.

Post Traumatic Stress Disorder - How Exercising Can Help You Overcome?

Cyclic vomiting syndrome (cvs) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: there is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to cvs. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And cvs is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce cvs. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: the syndrome (a group of symptoms) usually has 4 phases:

1. Symptom-free interval phase: the child is completely normal in this phase, which happens in between bouts.

2. Prodromal phase: prodrome is an indication that a disease or a condition is about to happen. In cvs, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

3. Vomiting phase: repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

4. Recovery phase: as the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the cvs also.

2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood csv, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

Cyclic Vomiting Syndrome in Children - Causes, Symptoms, Treatment

Curd is a staple in every household in India; whether it is served with piping hot parathas or by itself after a meal. The simple food item is packed with a number of nutrients and helps in increasing the health benefits in your body.

Here are a few reasons why you should be eating curd, almost every day:

Probiotics help in digestion: Curd, being rich in probiotics (good bacteria), improves digestion as it kills all the harmful bacteria in the digestive tract and aids the proliferation of good bacteria. Probiotics also help in the prevention of various digestive issues such as cramps, bloating and abdominal pain caused due to Irritable Bowel Syndrome.
Promotes weight loss around the belly: A hormone called cortisol, also called the  stress hormone  persuades the fat cells to produce more fat around your belly area. Consuming a cup of curd daily increases the amount of calcium in your body which limits the release of cortisol, thus, helping you lose weight. Curd also retains one-third of lean muscle mass which helps you maintain your physique post those dropped kilos for a longer time.
Curd strengthens your immunity system: A cup of curd is loaded with good bacteria which is essential for fighting off germs, thereby making your immune system stronger and more persistent. Making curd a part of your daily diet is a great idea as it is effective in preventing yeast infections around the vaginal area.
Toughens up your skeletal system: Like all dairy products, curd is rich in calcium which is necessary for strong bones and teeth. Apart from calcium, curd is rich in phosphorous and together, they quicken the bone growth process and helps in preventing arthritis and osteoporosis.
Helps in improving cardiovascular health: Eating curd helps in improving cardiovascular health as it discourages the spread of cholesterol around the arterial area, thus, reducing the risks of a coronary disease. Curd reduces hypertension which is a pre-cursor to most heart ailments.

5 Reasons You Should be Eating Curd Daily 

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

Side-effect of certain medicines
Hormonal imbalance, especially during pregnancy
Sudden withdrawal from medication
Any infection or other medical condition
How to deal with the UC flare-ups?

Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

Proctocolectomy and Brooke ileostomy.
Abdominal colectomy and ilcorectal anastomosis.
Proctocolectomy and Kock pouch.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.

Ways To Deal With Ulcerative Colitis!

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