Somebody in the world suffers a stroke every two seconds. Stroke affects physical as well as mental health gravely. It can be a life- altering situation leading to new limitations overnight. Such limitations can be physical or mental, affecting mobility and cognition. According to psychologists, cognitive functions of the brain encompass speech, language, functional memory, spatial- motor systems, ability to switch between tasks, executive functions like task organization, attention, and being able to employ tools and symbols.

When the stroke strikes, it irreversibly damages a part of the brain. It happens due to hemorrhage or blocked supply of blood. However, the brain can be trained and taught compensatory strategies. These compensatory strategies consist of attention increasing activities that require neurological utilities. These activities and exercises are formed in a way to improve the memory. Both pictorial and hearing skills are engaged in these activities.

Memory, attention span, and executive activities are dependent on each other and any problem regarding these affects an individual s daily life. That is why to improve the complete mental capacity, exercises are required. These exercises help to improve memory and attention span. In cognitive rehabilitation, goals are set as per the requirements of the patient and treatment is then followed. This requires some plans and strategies to carry out daily activities. These plans may consist of planning and analysis of the task.

The recovery varies from individual to individual depending upon the restoration of the damaged neurological functions supporting specific cognitive area. However, there are very limited types of treatments for cognitive rehabilitation, mostly generic treatments which depends on doctor s experience.

Evidence is found by researchers which supports the cognitive rehabilitation after stroke, in which the areas discussed are smaller than the issues faced by the stroke survivors. The studies fail to talk about the long-term results and common treatments for daily tasks. It is now really important for us to have a serious innovation in the field of cognitive rehabilitation with the amount of stroke patients increasing day by day.

Before one going for rehabilitation, he/ she should ensure that why they need it and what are their needs that are to be fulfilled through rehabilitation. Experts recommend rehabilitation so that patients are able to lead as normal lifestyle as possible post stroke strikes them.

Who are more prone to stroke?

Old age people, alcoholics, people with high cholesterol levels, active smokers, Diabetic patients, people who consume drugs, people suffering from Hypertension, patients going through transient ischemic attack (TIA) are all very much prone to a stroke.

It is also very important to consult a doctor after stroke. He will advise you the best possible way to treat the problem. 

Take away

Stroke these days can happen to anyone which although largely depends upon the age factor, but one's lifestyle can also make him/her the target of stroke. There is cognitive rehabilitation which can help a person to recover post stroke through activities and exercises and change in lifestyle. It is important for an individual to consult a doctor if he/she finds any difficulty in carrying out daily activities with one side of the body.

Cognitive Rehabilitation Post Brain Stroke!

Cholesterol is a vital component, which helps the body to make healthy cells. This wax like component is found in the lipid of the blood. An increased cholesterol count elevates the risk of heart diseases in a person. It thickens the vessels of the arteries resulting in less oxygen flow in the heart. This, in turn, increases the chances of a stroke. High cholesterol can happen from lifestyle habits and inheritance. It is completely treatable and preventable.

What causes high cholesterol?
The blood carries the cholesterol which is attached to the proteins. The combination of cholesterol and protein is known as the lipoprotein. Primarily there are two different kinds of cholesterol that the lipoprotein carries:

    Low-density lipoprotein: LDL is the bad guy that carries all kinds of cholesterol present in the body. It eventually rests on the walls of the arteries, making it narrow and hard.
    High-density lipoprotein: This is the good guy which scans the excess cholesterol and take them back to the liver.

Ideally, the body should have low LDL and high HDL. But often the reverse happens, resulting in high cholesterol and cardiac diseases. Factors such as unhealthy diet, inactivity for most of the day and obesity is responsible for the same. Even the genetic set up can play a hand in a high count of LDL in the body. There is nothing that can be done in this case except to seek medical help.

6 factors that put you at risk:

    Poor diet: Cholesterol levels are dramatically increased when baked products and saturated fats are consumed in an excess amount. Other high cholesterol food products include dairy products, processed fats and red meat. Refraining from this food items will drastically reduce the chances of getting high cholesterol in the body.
    Obesity: Obesity results from too much of fat storage in the body. It not only fatigues a person faster, but puts a person at high risk of getting cholesterol. The body mass index should be always lesser than 30 to abstain the risk of cholesterol.
    Waist circumference: A waist circumference of more than 40 inches in men and 35 inches in women can increase the risk of cholesterol.
    Diabetes: This is one of the major causes of high cholesterol. It not only damages the artery lining, but results in higher LDL and lower HDL.
    Less workout: Leading a life which is devoid of exercise and jogging can increase the chances of getting high cholesterol. Exercise boost HDL count in the body and mitigates the risk of low HDL.
    Smoking: The blood vessel walls get damaged with smoking. The blood vessels start accumulating fatty acids thereby increasing the chances of getting high cholesterol.

What Causes High Cholesterol? 6 Factors That Put You at Risk

Pneumonia is an infection of the lungs. It leads to inflammation of the lungs which is filled with fluid or pus. It can range from being mild to severe depending on a person s health and age. Pneumonia can be caused by a variety of germs including bacteria, virus, and fungi. It can become life-threatening and dangerous for people:

Infants and children aged between 2 to 5 years
Older people aged above 65 years
Those who have a weak immune system or have other forms of respiratory problems
Pneumonia can be contracted from different places and can become risky when:

Bacterial pneumonia can easily be contracted from hospital and healthcare which is termed as community-acquired pneumonia. The chances of acquiring pneumonia can increase if are on the ventilator.
Alcohol- Having excessive or regular alcohol can lead to worsening of your pneumonia
If you are exposed to animals like birds, rabbits and rats, then the chances of you contracting pneumonia might be greater.
If you have some medical problems like heart or kidney disease, then your pneumonia can get worse. The situation may be particularly precarious for asthma patients.
Smoking also makes you more susceptible to pneumonia.
Having a weak immunity due to HIV, asplena, poor nutrition and also chemotherapy can lead to worsening of bacterial pneumonia.
Some symptoms of bacterial pneumonia may include:

Coughing that may produce mucus
Fever with shaking and sweating
Chest pain
Nausea and Vomiting
Low body temperature
Shortness of breath
Newborns and infants having pneumonia may not show any symptoms that make it difficult to detect the disease. Also when you have mild symptoms, it is termed as walking pneumonia.

Diagnosis:
If you have pneumonia, then you should consult a doctor who will prescribe a few tests:

Blood test-It is mainly done to identify the germ causing the disease
Chest X-Ray- It helps the doctor locate the exact position of pneumonia.
Pulse Oximetry- It measures the oxygen level in a person s body.
Sputum Test- Fluid from your lungs is taken and tested to know the cause of infection.
Additional tests may be advised by your doctor that includes CT scan and Pleural fluid culture.
Treatments:
For mild or walking pneumonia, doctors may prescribe certain antibiotics and cough medicines to treat pneumonia. Within a week or two, your lung will start to clear up and you will feel better. Moreover, have enough fluid and sleep and do not smoke.

However, if you fall in the risky category and are experiencing pneumonia symptoms even after having medicines, you should get yourself or your child hospitalized. But there are ways to prevent pneumonia like giving vaccinations to your children and washing your hands. Also, lessen your smoking or stop altogether. So don t let pneumonia turn into a life-threatening disease by following these simple measures. Consult your doctor immediately if have any of the pneumonia symptoms and fall in the category of   infants and children, people above 65 years of age and people with low immunity.

What Is Pneumonia And Why Can It Be So Deadly?

Bowel movement is extremely important for the body. An abnormal bowel movement can lead to a painful, hard and dry stool. If the constipation is accompanied by symptoms such as weight loss, abdominal pain and blood in stool, it should be immediately reported to the doctor. For patients who face chronic constipation, there are some great remedies which can be tried at home to fetch great results: 

Olive oil: Olive oil is a healthy fat that can relieve constipation. It not only stimulates the digestive system, but also ensures that the colon functions properly and constipation is prevented. 1 tablespoon of olive oil should be consumed daily in empty stomach.
Lemon: Fresh lemon is a great agent for the stomach. The citric acid found in fresh lemon acts as a great stimulant for the digestive system. Furthermore, it has the ability to flush out undigested materials and harmful toxins that have queued up along the colon walls. It should be consumed every alternate day with 1 cup of warm water.
Molasses: Blackstrap molasses acts as a great agent for relieving chronic constipation. The vitamin, magnesium and mineral content of the molasses make them a perfect solution for the digestive tract. Due to their high fat content, they should be consumed on alternate days. 1 tablespoon of molasses in water should do the trick for addressing constipation.
Coffee: Apart from the fresh aroma of the coffee, they are a great stimulant for clearing constipation. 1-2 cups of it throughout the day should keep you in a good state. Over-consumption of caffeine, on the other hand, can have an opposite effect on the body. It dehydrates the body and constipation are set into motion.
Fibre intake: Natural fruits, grains and veggies such as apricots, beans, nuts, broccoli, potatoes etc. contain a lot of fibre. The body cannot digest fibre but it acts as a sponge and squeeze water from the surrounding making the stool soft and easy to pass. As a matter of fact, even plenty of water consumption helps the body a great deal in relieving constipation.
Aloe Vera: Aloe Vera has multiple health benefits. One of this includes the soothing effect of the tummy. 2 tablespoons of Aloe Vera on a daily basis should be mixed with hot water and consumed before breakfast. Gel extracted from real Aloe Vera leaf serves a better purpose of relieving constipation that the ones that are available in the market.
Baking Soda: Baking soda contains bicarbonate, which squeezes air from the tummy and relieves an individual from the pressure and the pain. Other benefits of baking soda are its acid neutralising and stomach re-alkalizing effect on the stomach. Baking soda can be consumed with warm water on a daily basis.

Chronic Constipation - 7 Ways You Can manage It!

Pilonidal Sinus is the small channel in your skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease. Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain.
Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for a prolonged period, such as desk-job workers, truck drivers etc.

What are the causes and symptoms? 
Doctors suggest pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.

The signs and symptoms of pilonidal sinus include-

  Pain when standing or sitting for long
  Swelling of the cyst
  Redness and soreness around the affected skin
  Formation of multiple holes (sinus tracts) in the skin
  Foul odor
  Blood or pus oozing out of the abscess
  Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful if left untreated for long.

What is the treatment for this condition?
Pilonidal sinus usually goes away on its own, without medical intervention. However, if the cyst becomes infected, it may have to be operated or drained. The commonly used treatment procedures are-

  Conservative treatment - if the condition is diagnosed at an early stage, your doctor will prescribe a broad-spectrum antibiotic to treat a broad range of bacterial infection. This will relieve you from the pain and discomfort resulting from infection.

  Lancing - this procedure involves using a scalpel to open the abscess. Your doctor will give you an anaesthetic prior to the operation. The channel is then cleaned properly to drain out blood, pus or hair. The wound is packed with a sterile dressing and left to heal. It usually takes about a month for the wound to heal, after which no further treatment is required.

  Phenol injections - for this procedure, first and foremost, your doctor will give you anaesthetic so that you don t feel any pain. A chemical compound known as Phenol is injected into the cyst. Phenol acts as an antiseptic and is used to harden and eventually close the lesion. This procedure needs to be repeated multiple times to achieve the desired result.

  Surgery - if the pilonidal sinus tends to recur, or if you develop multiple sinus tracts, the most preferred choice of treatment is surgery. The surgeon will open the lesion, remove the debris and pus, and then suture the wound. You will be given an anaesthetic prior to the surgery, and once the treatment is done, you will need to change the dressing more often.
If you suffer from pilonidal sinus, you will also need to maintain good hygiene. Make sure you clean and wash the area with a mild soap, and rinse properly. If your job requires you to sit for a prolonged period, take a break in between your work. Avoid wearing skin tight clothes. Adopting these measures will help prevent the occurrence of pilonidal sinus.

Treatment For Pilonidal Sinus!

The presence of blood in urine is known as Haematuria. It is categorized under 2 types:

    Macroscopic haematuria, which means the patient has seen blood.
    Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.

Urological and other Causes of Hematuria

    Cancer: Bladder, Kidney and Prostate Cancer
    Stones: Kidney, Ureteric
    Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
    Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
    Renal cystic disease: (e.g. medullary sponge kidney)
    Other urological causes: Benign prostatic hyperplasia, vascular malformations
    Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, anti platelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
    Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.

Management of haematuria depends on the cause as determined by the urologist.

Causes and Treatment for Hematuria

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