Injuries are very common, especially head injuries are one of the leading causes of death and disability in adults. As per surveys conducted, 1.7 million people suffer from head injuries every year and this estimation is increasing day by day.

Head Injury is any trauma to head other than superficial injuries to face. It results in high morbidity & mortality. Head injuries are an important cause of loss of young people at their productive age.

Causes of Head Injury-

A head injury can occur due to many reasons. Some common causes of these head injuries are:

Vehicle accidents

Street fights

Fall from height

Child abuse

Symptoms of Head Injury-

A head injury is followed by various symptoms depending upon the intensity of the injury. Here is a list of the possible symptoms of brain injuries:  

Nausea and vomiting, fatigue or sleepiness, severe headache, confusion, amnesia,  loss of consciousness, seizures, loss of muscle control or paralysis in the part of the body controlled by the part of the brain that is affected, coma, dilation of the pupils and disturbance of vision, Cerebrospinal fluids might come out of the ears and nose, sometimes accompanied by blood, difficulty in breathing, low pulse rate, increase in blood pressure, difficulty in swallowing, loss of hearing, problems in cognitive functions.

Brain damage is a process, not an event. 80% are minor head injuries, 10% are moderate head injuries and 10% are major head injuries.

Management of Head Injury-

Diagnosis of a brain injury has to be detailed and very quick at the same time. It always comes under emergency cases. Some of the steps involved are:

Glasgow Coma Scale

Pupillary reaction to light

Brain stem reflex tests

Head to toe examination

CT scan of head is the initial study of choice. MRI Brain is helpful in cases of non-haemorrhagic contusions, diffuse axonal injury and deep lesions.

Surgical Indications

Head injuries with intracranial hematomas causing significant mass effect

Massive cerebral edema

Hydrocephalus

Infection

Precautions for Head Injury

Use Helmets- both riders

Use Seat Belts

Keep vehicle speed under control

Follow traffic rules

Take adequate precautions during trekking, diving

Take Away-

No head injury is minor enough to be neglected nor severe enough to be given up.

Head injuries take time to heal, but medical treatment along with neurosurgery can aid the process of recovery and also help a person to lead a healthy life in the future. Most young patients recover fully, while some older patients or patients with preexisting neurological conditions live with a degree of disability.



Head Injuries - All You Must Know!

It's International Women s Day yet again. A time to celebrate women s accomplishments- both those of legendary creators including Mother Teresa, Kiran Bedi, Anuradha Koirala   the anti-sex-trafficking activist & Mary Kom to name a few and the women in our lives who mentor and inspire us every day. It s a day to celebrate our journey towards gender equality and women empowerment.

This year s International Women s Day theme is  Time is Now: Rural and urban activists transforming women's lives.  It comes on the heels of unprecedented global movement for women s rights, equality, and justice. The theme has taken the global campaigns and marches on issues ranging from sexual harassment and femicide to equal pay and women s political representation.

Women still have a long way to go to attain equality and non-discrimination from her male counterparts. 2018 International Women s day is an 'iron in the fire opportunity' to bring a call to action to entrust women with what they actually deserve, not only in a particular sector but to every woman who resides in urban as well as rural areas. It is a step to respect and appreciate the women who step out every day for the livelihood of their families and kids - a step to stop casual sexism faced by urban women in the workplace.

Women, experiencing sexual harassment in the workplace, not only bear strained relationships with their counterparts but also are at risk of numerous health problems. Let us know about the health effects of sexual harassment:

Depression: Self-doubt and criticism can lead to depression and loss of interest in work or other activities. Women also experience loss of self-confidence and feelings of failure & powerlessness.
Anxiety: Many women feel anxious about going to work, communicating with co-workers or being involved in social situations.
Insomnia: Sexual harassment trauma can cause nightmares and may lessen the woman's ability to sleep properly.
Post-traumatic stress disorder (PTSD): Studies say that sexual harassment meets the Criteria A1 and A2 of PTSD. The stress of sexual harassment may cause a woman to relive the trauma even when it is not happening, or avoid things or people that remind her of the sexual harassment.
The International Women s Day echoes a word for transforming the lives of women with a bold determination not just on papers but in reality to support the women all around the globe. Many working women have sad tales to tell as they are exploited at a very high level, and they actually lead a stressful life in comparison to their male counterparts.

So, the spotlight this year is to fight against the injustice that most women face every day and to bring about a change that will be remembered for years and will outshine the lives of such women who devote themselves for the livelihood of their families.

Join a campaign, embrace your inner activist and empower the women in your life...

The #TimeisNow To-

Raise your voice
Support each other
Share the workload
Get involved
Educate the next generation
Know your rights

#TimeIsNow - This International Women's Day, Empower The Woman In Your Life! 

Depression is a clinical, mental and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per who and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments.

Symptoms of depression are:

    Sleep irregularity: It relates to either insomnia or oversleeping that is, either you sleep too much or do not sleep at all. This could be because of work or other stress in your personal or professional life.
    Irritation or unnecessarily getting angry: You start losing your temper easily and that too for silly reasons. You think you are losing control.
    Feeling hopeless and sad: The first signal or symptom is the feeling of hopelessness. In this, case the patient loses the hope in everything. They feel like being trapped in some kind of cage, from which they are not able to come out.
    Lack of interest in anything: Everything seems to be of no use or interest, even your daily work. You don't want to do anything; even the things, which you loved to do like your hobbies and passions, which you no longer find interesting.

Here is a comprehensive list of homeopathic medicines which most doctors are likely to recommend for treating depression:

    Sepia: This medicine is beneficial to women suffering from post-partum depression (sadness or emotional conflict after giving birth) and menopause. Feeling of solitude and hopelessness with no energy to continue with life are some common symptoms that can be reduced with Sepia.
    Arsenicum album: This medicine is prescribed to control the symptoms like diarrhea, gastric problems, indigestion which patients often suffer from as a result of intense anxiety. Patients, appropriate for this medicine tend to be fastidious and restless. It is made of white arsenic and should be taken in prescribed potency because an overdose can cause gastroenteritis.

The above mentioned medicines are just some of the medicines, which should only be taken only after consulting your doctor, as causes and symptoms differ for each person.

Can Sleep Irregularity be a Sign of Depression?

Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.

Treatment of sleep apnea includes:

CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
Surgery: Surgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful.

Sleep Apnea - 7 Ways it Can Be Treated!

Getting a good night s sleep is essential for a healthy lifestyle. When a person is asleep, the body rejuvenates itself. Some people can fall asleep as soon as their head touches the pillow but others can find it hard to sleep. Conditions that affect a person s ability to sleep properly over a long period of time are known as sleep disorders. There are many different types of sleep disorders.

Obstructive Sleep Apnea
Sleep apnea is a very common sleep disorder. This is marked by frequent interruptions in the person s breathing. It may cause the person s breath to become shallow or even stop briefly. In many cases, the person may not be aware of this happening while they sleep. Obstructive sleep apnea is caused by a partial or complete obstruction of the upper airway. This makes the chest muscles and diaphragm work harder to pull air into the lungs.

Insomnia
Insomnia can be described as an inability to fall asleep. Waking up frequently in the middle of the night and finding it difficult to go back to sleep or waking up earlier than planned in the morning are also characteristic signs of insomnia. There are two types of insomnia; primary and secondary insomnia. Primary insomnia refers to the inability to sleep that is not connected to any other disease. If the person s inability to sleep stems from another disease, it is known as secondary insomnia. There are a number of factors that could cause insomnia. This includes life changes such as shifting to a new home, death of a loved one or change of jobs, emotional discomfort, environmental factors such as light or noise, jet lag, stress, etc.

Restless Leg Syndrome
This sleep disorder is also classified as a neurological disorder. It is characterized by an overwhelming urge to move one s legs while sleeping. This may be felt as a scratchy itchy, burning, pulling or throbbing sensation. Massaging the legs or moving it only provides temporary relief. The exact cause of this condition is not known but suffering from an iron deficiency, kidney failure, diabetes, Parkinson s disease or peripheral neuropathy can increase the risk of this sleep disorder.

Narcolepsy
This can be described as the brain s inability to control its sleep cycle. This can make a person fall asleep unexpectedly during the day while falling asleep at night becomes more difficult. In most cases, this sleep disorder is caused by reduced levels of a neurotransmitter known as hypocretin.

So, if you are experiencing any of the above symptoms or have difficulty sleeping, it is advised not to self-medicate and delay the treatment. Seek help from a professional right away and enjoy peaceful sleep.

Sleep Disorder - Know Its Types And Causes!

Cure insomnia with natural remedies


Insomnia is the situation where someone is unable to sleep, despite being tired or having had a tough day. It also applies when a person can fall asleep but is unable to stay asleep for long. Sleep apnea, chronic pain, indigestion, stress, medications, hormones, depression, chronic pain and restless leg syndrome are few of the symptoms of insomnia. Insomnia has become quite common and increasing ever so rapidly with our daily stressful lifestyle. There are some simple ways to combat insomnia:

1. Make Sleep a habit : 
There is a general practice to cut the sleep short whenever we go behind the schedule. Be it sitting for an important examination or preparing for a challenging assignment. It is always the sleep whom we sacrifice. This is a very bad practice. We need to remember that adults needs eight to ten hours of sleep for proper mental functioning. So make sleep a habit , try to follow a simple routine. It will help you establishing  regular sleep-wake cycles which will in long run prevent insomnia.

2. Add amino acids to diet: 
Include in your diet, foods that are high in the amino acid called tryptophan because they help calm the nerve. Chicken, tuna and turkey are such types of foods.

3.Drink hot milk: 
It has been an age-old custom to have a glass of warm milk before going to sleep. So, If you are not allergic to dairy products, you can drink a glass of milk before bedtime. It has sedative effect due to presence of tryptophan.

4. Avoid caffeine after noon and Limit alcohol and nicotine intake:
Avoid Coffee, alcohol and food with high fat content and foods which can cause allergies, at least a few hours before your bedtime. Drinking water or coconut water, after drinking alcohol is advisable. This increases the hydration level in the body and helps you sleep. You should also avoid nicotine  which is also a stimulant thus adversely affects normal sleep.

5. Pick magnesium rich foods: 
Foods which are high in magnesium are known to relax our system. Foods like oats, leafy vegetables, sunflower seeds and sesame can be included in your diet for best results against insomnia.

6. Stay away from your phone at bedtime:
It has been postulated that the blue wavelengths produced by your smartphone and other gadgets (and energy-efficient LED light bulbs) significantly suppress the production of melatonin, the hormone that makes you sleepy, according to University of Basel research. So it is better avoiding surfing the phone at bed. You have enough time with it during the whole day. Is not it? Let her sleep too.

7. Practice yoga:
Practice 15 minutes of simple, yoga-like poses (such as neck rolls, shoulder rolls, and arm and back stretches) to help your muscles unwind before hitting the bed. But you should go slowly. “The goal is to loosen your muscles to prepare your body for a good night’s sleep, not increase your heart rate,” 

8. Try aromatherapy:
Studies have shown that aromatherapy aids in sleep. Lavender oil is most commonly used, It's also an inexpensive, nontoxic way to slip into a peaceful slumber. Find a spray with real lavender and spritz it on your pillow before bedtime and it may help you go asleep better.
 
9. Adopt deep breathing exercises:
Practice deep breathing  and relaxation exercises. They are simple and can be performed lying on bed. This will help you let go stress and worries that are troubling you and will therefore calm your nerves.

10. Re-organise your bedroom:
Bedroom should be quiet and dark to have proper sleep. You can use dark window curtains which will cut the lights from outside. You can try using sleep mask. Try not to watch television for at least half an hour before bed. Make your bed comfortable with extra mattress, pillows that are not too soft or too hard. Doing these simple things will make a lot of difference in your sleep habit.
 
 



From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


Fight insomnia naturally. #SleepWell 

Don't wait any longer, manage your Geriatric Neurologist online with a Lybrate doctor today

Consult for Geriatric Neurologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES