What is Type-1 Diabetes?

Type-1 Diabetes, also known as Diabetes Mellitus type-1, is a condition which is characterised by the lack of sufficient amount of insulin in the body. This is a chronic condition and cannot be cured. The insufficient amount of insulin in the blood results in the spike in blood sugar levels, which in turn, can damage various organs in the body. However, with proper therapy and treatment, it can be controlled and the quality of life can be improved for the patient.

The tell-tale signs and symptoms of this type of diabetes are the frequent urges to urinate, increase in appetite, increased thirst, and rapid loss of weight. It is most commonly diagnosed in children or young adults and thus, it was previously known as juvenile diabetes.

Glucose and other types of sugars are essential for the body cells to absorb energy. The glucose that is present in the blood is taken up with the help of insulin and utilised for energy. The lack of this hormone renders the glucose useless as it is not being able to enter the body cells. This is precisely type-1 diabetes.

What Causes It?

The cause of type-1 diabetes is not known entirely. Although, there are certain theories that explain the cause  

Genetics: The chances of getting type-1 diabetes are increased in children if either of their parents suffers through from this disease. More than 50 genes are involved in diabetes type-1.

Environmental factors: Environmental factors are also thought to play a role in type-1 diabetes.

Viral infection: A theory suggests that viral infections are responsible for type-1 diabetes. According to this theory, the virus activates the auto-immune system of the body which in turn attacks the pancreatic beta cells along with the cells that are infected by the virus. Viruses like Epstein-Barr virus, Mumps virus, rubella virus etc. are considered to be responsible for the same.

How Is It Treated?

Many people with type-1 diabetes live long, healthy lives. The key to good health is to keep your blood sugar levels within the range your doctor gives you. You ll need to check them often and adjust insulin, food, and activities to make that happen.

All people with type-1 diabetes must use insulin injections to control their blood sugar. Several types of insulin are available.

Type -1 Diabetes - What Is It And Its Causes?

Vertigo refers to dizziness, or spells of dizziness, or rotational dizziness, which can be short term or long term. It is a general symptom for a variety of conditions of the brain, inner ear, sensory nerve pathway, and other sensitive organs. Vertigo has the capability of hampering the day to day functioning of the person. Furthermore, due to these reasons, it has the potential to cause anxiety and depression.

Types of Vertigo & Diagnosis:

Vertigo can be categorized into two major types based on the underlying cause:

1. Peripheral Vertigo: It is said to occur if it is related to the problems of the inner ear, such as its inflammation or an infection in its tiny parts or displacement of tiny particles present in the inner ears.

2. Central Vertigo: It is said to occur if it is related to the problems of the brain (the Central Nervous System) or the sensory nerve pathways.

Vertigo can be diagnosed by physical examination, assessing the medical history followed by undergoing a CT scan or an MRI, as required.

Treatment:

It is important to essentially understand the root cause of the condition and then treat that accordingly for best results.

1. A bacterial infection can be addressed through antibiotics.

2. Nausea and motion sickness can be reduced by using anti-emetics and antihistamines.

3. Sometimes, for patients with intractable Benign Paroxysmal Positional Vertigo (BPPV), surgery is performed to block the area triggering Vertigo.

4. Exercises can also help in managing the milder symptoms of Vertigo without visiting to the doctor for the same.

5. Most of the time, in case of BPPV, physiotherapy is the recommended treatment.

6. Certain lifestyle changes and precautions can be adopted to avoid conditions that trigger Vertigo.

7. Vestibular Rehabilitation Therapy goes a long way in managing Vertigo.

Vestibular Rehabilitation Therapy (VRT) for Managing Vertigo:

Vestibular Rehabilitation Therapy, abbreviated as VRT, is a program based on exercise that promotes the retraining of the Central Nervous System and repositioning of the free flowing particles in the fluid present in the inner ear. This helps in treating the condition of the inner ear for managing Vertigo. Its application is based on scientific research and evidence. The major goal of this type of treatment is to let the brain establish coordination again with the inner ear, with eye, and with the proprioceptive system for processing information.

The proprioceptive system consists of the sensory receptors which respond to pressure and stretch. Hence, VRT is effective in improving the diminishing quality of life due to Vestibular Disorders like Vertigo, by addressing both, the primary as well as secondary consequences of the condition. Over a period of time, when the patient becomes sufficiently trained under professional guidance, VRT can then be carried out at home at prescribed intervals based on the specific requirement.

Methods for VRT-

Depending on the clinical examination, the three major methods of exercise for Vestibular Rehabilitation Therapy can be prescribed, as described below:

1. Habituation exercises are prescribed for those patients who experience dizziness by movement and by visual stimulation.

2. Gaze Stabilization exercises are prescribed for those patients who experience uncontrolled eye movements leading to unclear vision.

3. Balance Training exercises are prescribed for improving steadfastness, to prevent falling, and to restore balance during performing activities like bending, standing and turning, reaching, walking, and running for helping patients return to their daily lives confidently.

Take Away:

Vertigo is the vestibular condition of dizziness that can be managed through methods like Vestibular Rehabilitation Therapy for re-training the brain to coordinate with the affected organs. It helps in restoring the quality of life. VRT is mainly practiced through habituation exercises, gaze stabilization exercises, and balance training exercises.

Managing Vertigo Through Physiotherapy And VRT!

Ear aches are a very painful condition, which tends to affect mostly children. However, adults can be affected by ear aches as well, which can disrupt their routines and be quite painful. Let's have a look at some of the aspects of ear aches in adults.

Causes of ar aches in adults
There are many causes for ear aches in adults and it may vary from one person to another. However some general causes of ear aches in adults are listed below:

    Infections within the body: If you have a throat infection or cold, it could trigger an ear ache as a side effect. Treating the underlying problems will, thus reduce the ear ache or it will go on its own when the symptoms of the cold subside. 
    Ear canal injury: Adults are most often guilty of putting in sharp objects to clean their ear canal, which may result in an injury and also lead to infections. These injuries can also be infected and cause fluid discharge and ear aches.
    Blockages caused by the regular use of ear buds: Using ear buds or other sharp objects to clean the ear will only result in pushing the ear wax further into the ear. This will result in blockages of the ear canal and cause ear aches.
    Dental problems: Certain dental problems, such as wisdom tooth growth can result in problems. Even gum disorders have been known to create ear aches in adults.
    Jaw pain and facial pain: Jaw pain and even facial nerve pain has been known to affect ears and cause aches as well.

Symptoms that may accompany ear aches
Depending on what the causes of the ear aches are, the symptoms may vary. Still, let's have a look at some of the known common symptoms of ear aches in adults:

    Irritability and lack of focus: Ear aches may initially manifest as a headache and make the person irritable.
    Poor sleep: Fluids may build up within the body and thus cause issues while sleeping as the fluids may shift from one area to another.
    Ear drainage: If in case fluids build up, they may drain from your ear, which could vary anywhere within yellow to dark brown colour. This may even indicate that your eardrum is ruptured.
    Hearing problems: Fluid buildup or other underlying causes may also cause hearing difficulties.
    Fever: Sometimes, fever may run as high as 104 degree C due the very infections, which may be causing the ear ache.

Whatever may be the cause, if you have ear aches for sustained periods without underlying reasons, you should visit your doctor immediately to get it checked out, so that appropriate treatment can start quickly.


Ear Ache in Adults

Throat cancer is as common as breast cancer and more than prostate cancer. In cause of throat cancer, keep smoking as first cause followed by alcohol. 
It occurs when abnormally dividing cancerous cells form growth like tumors in the voice box, vocal cords & other parts of the throat like the tonsils, and the pharynx which is the hollow tube that runs from behind the nose to the top of the windpipe.

The common symptoms of throat cancer include coughing, trouble swallowing, hoarseness, and swollen lymph nodes. There are two primary types of throat cancers according to where they start in the throat- pharyngeal cancer and laryngeal cancer. Pharyngeal cancer forms in the pharynx while laryngeal cancer forms in the larynx or the voice box.

Causes of Throat Cancer
Recognizing potential signs of throat cancer in the early stages of the disease is not easy. Hence, it s critical to know the causes and risk factors for developing this type of cancer in order to be able to diagnose it at a relatively early stage of the disease and prevent a fatality. Common risk factors and causes of throat cancer include:

Gender   Men are up to five times more likely to get throat cancer as compared to women.
Age - Now even young persons in their twenties and thirties are coming with throat cancer.
Exposure to certain chemicals like Asbestos, Nickel, and Sulphuric acid fumes.
The common  lifestyle  causes for throat cancer are smoking or chewing tobacco, as per WHO there is no minimum safe limit of alcohol, vitamin A deficiency due to a diet deficient in green vegetables, and infection with the human papillomavirus (HPV) which causes cervical cancer in women and occurs due to unsafe sex.

Gastroesophageal reflux disease (GERD) and poor dental hygiene are also some of the known causes.

The association of throat cancer with HPV infection, a sexually transmitted virus is very interesting. The Cancer Treatment Centers of America has stated that HPV infection is a risk factor for certain oropharyngeal throat cancers.

Cancer Research UK also warns that oral sex, especially with multiple partners, leads to oral cancers due to HPV infection. It further states that men are also more prone to get infected with HPV through oral sex than women and HPV infection is more common in men who have oral sex with multiple partners.

Apart from this, throat cancer has also been linked to other types of cancers like esophageal, lung or bladder. So, if you ve been diagnosed with any of these, you are at greater risk of contracting throat cancer. These cancers also often have the same risk factors.

You can take a few steps to reduce your risk for throat cancer like stop smoking, reduce alcohol intake, maintain a healthy lifestyle   eat plenty of greens, reduce fat and salt intake, and lose excess weight by exercising regularly. You can also reduce your risk of HPV infection by limiting your sex partners and using condoms. Stop alcohol rather than reduce.

Throat Cancer - What Are The Most Common Causes Of It?

Vertigo is that sensation when a person feels that the world is spinning around him. It is a feeling of off balance.

While having a Vertigo, people often complain about feeling dizzy, basic daily activities like walking or moving becomes really intense for them. These episodes can impact everyday life.

Is Vertigo common?

Experiencing Vertigo at least once during a lifetime is quite common. It is often seen in older people, but it can happen to anyone at any age. Women are a little more prone to experience an episode of Vertigo than men.

Types of Vertigo:

There are two major types of Vertigo:

Central Vertigo: Central Vertigo occurs when there is a sudden and temporary malfunction in the brain, precisely in an area called the cerebellum.

Peripheral Vertigo: Peripheral Vertigo occurs due to a problem in areas of vestibular nerve or the inner ear. This area connects the inner ear and the brain. Peripheral Vertigo is the most common type of Vertigo.

According to the American Institute of Balance, Peripheral Vertigo is generally a more serious and dangerous problem compared to Central Vertigo.

Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus:

Recently, researchers discovered a new type of Vertigo called  Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus  or (RSV-HNS).

To diagnose RSV-HNS, the patients need to sit in a room without lights. The examiner changes the position of their heads, first in forward direction, then in side to side direction for about 15 seconds. The camera records the patient s eye motions. It results in those who have RSV-HSN making an eye movement which lasts longer than the others. This movement is known as  nystagmus .

Compared to other types of Vertigo, RSV-HSN shows a more severe sensation of motion sickness. People with RSV-HSN experience things like nausea, headaches, vomiting, and an unwillingness to head motions. These symptoms can be experienced anywhere from a couple of times a week to once a year.

The reason behind RSV-HSN is still unknown. Doctors recommend that proper medication helps to improve the condition.

Treatment for Vertigo:

A major part of the treatment of Vertigo depends on the cause of the Vertigo. Often, Vertigo goes away without any treatment. The reason behind Vertigo curing itself is that people adapting to the inner ear changes and finding different mechanisms to maintain balance.

Why a neurologist is the right choice to consult for vertigo?

The patient of vertigo should not visit an ENT doctor and must consult a good neurologist as basically it's either a problem of brain or of abnormal signals from the vestibular nerve from the ear. In no way it is a problem of ear per se. A neurologist has the training and expertise to deal with it, not an ENT doc. Also, it's important to consult urgently as sometimes it can be a sign of brain stroke (specially if associated with imbalance). Importantly, to rule out brain lesions like cyst, tumor, clots and nerve infections, consulting a neurologist is the best option available.

Apart from this, these are a few treatments:

Medicines: Medication tends to give relief to symptoms like motion sickness associated with Vertigo.

Vestibular Rehabilitation: Under this treatment, doctors try to aim at the patient s vestibular strengths which send the signals to the body movement and head related to  gravity.

Canalith Repositioning Manoeuvres: In this treatment, a physical therapist suggests different head and body movements, which help to release the deposit out of the canal and into an inner ear which can be absorbed by the body. This treatment is quite effective to treat Vertigo.

Surgery: If the reason behind causing Vertigo is some serious internal problem like tumor or a head injury, then, in such circumstances, surgery is highly recommended.

Conclusion:

There are many treatments and medicines available for Vertigo. They are totally dependent upon the cause, symptoms, and condition of the patient. This is why it is important to consult a doctor or specialist for the best treatment option.

Vertigo - Know The Types & Treatment Of Them!

Ear aches are a common complaint for many children. An ear infection can be explained as an inflammation of the middle ear. Unlike other aches, this one cannot be soothed by scratching or applying pressure and hence makes children cranky. Ear infections are usually triggered by bacteria or viruses. 
This causes inflammation that narrows the tube in the ear and allows fluid to build up. This fluid buildup is responsible for the pain.

However, not all ear infections need to be treated with medication. When it comes to treating ear aches in children, picking a natural remedy is a much better option ,since it has no side effects and can address the root cause of the infection. Here are a few natural remedies for earaches:

1. Compress: Hot and cold compresses are very effective ways of treating pain and can be used for earaches as well. Place an ice pack or a warm, moist compress over the ear to soothe the ache. Heat relaxes the muscles and stimulates blood flow while ice controls inflammation and swelling. Hot and cold compresses should not be applied for over 20 minutes at a time. 

2. Water: Some actions can help open up the eustachian tube to the middle ear. Swallowing is one such action. To encourage your child to swallow, offer him lots of fluids. 

3. Oil: Before using oil to treat an earache ensure that your child is not suffering from a ruptured eardrum and there is no fluid leaking from the ear. Pouring a few drops of warm olive oil or sesame oil can help soothe the pain by opening up the eustachian tube. It can also prevent the buildup of excessive ear wax and form a protective layer on the outer ear against bacteria and other infections. 

4. Elevate the head: Elevating a child's head can help improve sinus drainage. When it comes to children, instead of using a pillow below their head, place the pillow below the mattress to create a gradual slope. 

5. Onion: Onions can be used in many different ways to treat earaches. You could either juice an onion and put a few drops of the same in the ear or slice an onion in half and heat it before placing it over the ear like an ear muff. Onion contains anti inflammatory and antibacterial properties that help soothe earaches effectively and quickly. 

If the earache does not reduce or if there is a discharge from the ear, do not continue to self treat it and consult a doctor immediately.

Natural Remedies for Ear Infections in Children

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