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

6 Tips for helping you sleep better

Resting at night plays an important role in regulating your daily health and your level of energy throughout a day. Also, not only the quantity but the quality of sleep is also important for a healthy lifestyle. Bedtime habits do play a vital role in shaping up your lifestyle and personality as a whole. Here are 6 lifestyle habits that can help you to get sound sleep on a daily basis.

1. Having a fixed sleep pattern: Going to sleep and waking up approximately during the same time every day helps to maintain an equilibrium in the sleep-wake cycle. If this balance is maintained then your body will be accustomed to this pattern and as a result, you will feel less tired and sleepy during the daytime.

2. Maintaining certain dietary regulations: You should also maintain a proper diet plan and examine the consequences of the foods that you are eating and the fluids that you are drinking. Taking a proper and nutritious diet on a daily basis will help you to stay healthy by not disrupting your natural sleep-wake cycle.

3. Ensuring that your room has appropriate lighting: The level of light also matters at the time of your sleep. You should definitely make sure that there is a very minimal level of light around you during bed time. This should be done because the lesser is the light, the more comfortable you are while sleeping. Additionally, the sleep that you will get into a dark room will also be sound and undistorted as it helps keep all the sensory organs calm.

4. Regular exercise: Exercising regularly helps to improve the overall quality of sleep by making you tired at night and sending you to bed more efficiently. Light to mild exercises also helps cure sleep disorders like insomnia.

5. Opting for some relaxing activities before bed: Depending on your personality, you should follow simple techniques of relaxation in order to calm down the brain before sleep. Some of the most common relaxation techniques include- deep breathing exercise, muscle relaxing activity, visualizing a peaceful setting/ scenario and a light before-bed snack. The above-mentioned activities are just suggestive and you should do anything that helps you to get a sound sleep.

6. Having daytime naps: Having short naps of less than one hour is absolutely okay if you are excessively tired during the day or you did not have a sound sleep the previous night. But, if you are consistently having long naps during the day then you are bound to have sleep issues during the night. So it is advisable to sleep early and wake up early for a healthy schedule.



6 Tips for helping you sleep better

Treatment of frozen shoulder varies depending on the stage it is at, and how severe is the pain and stiffness. There is no outright cure and the aim of treatment is to keep the joint as mobile as possible. The most effective treatment is that which maintains a good range of movement until the shoulder starts to heal. 

Treatment may Include the following:

1. Shoulder exercises: Regular, gentle exercise can help to keep the shoulder joint mobile. If your shoulder is very stiff, exercise may hurt, and it should only be carried out with the guidance of your doctor or physiotherapist. If you are able to, continue using your shoulder as normal saving' the shoulder can cause the muscle to waste and may make stiffness worse.
2. Painkillers: Over-the-counter painkillers such as paracetamol or prescription-only drugs such as codeine may be taken to ease pain and you should discuss this with your general physician or pharmacist.
3. Anti-inflammatory painkillers: Such as ibuprofen and diclofenac, are often prescribed to ease pain and inflammation. Any medication that you take should be discussed with your general physician or pharmacist.
4. Steroid injections into or near the shoulder joint may be effective at relieving pain and inflammation for a few weeks. However, injections are not a cure, and symptoms may return.


Treatment of frozen shoulder

Your hearing is one of the most important function your body carries out and sometimes you realize that you are losing your sense of hearing, when it is too late to get it back. There are two main reasons for this. One of the reason is age  and the other is when the inner ear's hair cells break down and do not pick up sound well. Here are 7 ways to safeguard your hearing.

1. Try to avoid loud places
It is not advisable to go to places where you have to shout to be heard, such as in a street, a concert or a construction site.

2. Buy low noise rating equipment
The equipments in your house will make sound that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.

3. Wear hearing protection at loud places
However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels, which may be crucial to make sure that later in your life, you do not lose your hearing.

4. Avoid smoke
Smoking raises your chance of hearing loss. Second hand smoke does the same thing. Therefore, try to avoid, both smoking and secondhand smoking. 

5. Remove earwax properly
Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.

6. Avoid medications which reduce hearing
Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.

7. Get your hearing tested
Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation.

7 Tips to Safeguard Your Hearing

For most people, the screen of a cell phone is the first thing they see in the morning and the last thing they see before going to bed. Nobody can deny the fact that living without a cell phone today is extremely difficult but must we be so glued to them? Staring into a phone or tablet screen, before going to sleep affects your sleep as well as impacts your health. Here's how:

It is harder to fall asleep

We feel sleepy when the brain releases a hormone called melatonin. This release is determined by the body's circadian rhythm which is controlled by light exposure. The blue light of a cell phone screen interferes with this rhythm and tells the brain not to secrete melatonin. This makes it harder to fall asleep even after you have switched off your phone.

It hampers the quality of your sleep

A direct effect of sleeping late is a reduced amount of sleep. On top, that, using a cell phone before going to bed also hampers the quality of your sleep. When an office email or a text message is the last thing you see before going to sleep, your brain cannot completely shut off. This makes you tense even in your sleep.

It lowers your attention span

When you wake up from a restless night's sleep, your productivity suffers. Not getting enough sleep is known to hamper your decision-making skills, impairs both long term and short term memory and make you distracted. This leads to unnecessary stress and anxiety.

It increases the risk of weight gain

The body is more likely to feel hungry when you don't have enough sleep. This is because sleep-deprived people have a lower metabolism. Thus using a cell phone before sleeping also increases your chances of snacking on something unhealthy to get through the day and in turn you put on weight.

It weakens your immune system

The body's immune system produces antibodies that fight infections while we are asleep. Depriving the body of the sleep it needs weakens the immune system by not giving it enough time to build its forces. Not only does this increase the risk of falling ill it also slows down recovery from illnesses.

It damages your skin

Sleeping late at night and not getting enough sleep can cause dark circles, puffy eyes and fine lines across the face. The blue light of a cell phone screen also tells the body to secrete cortisol which makes the skin less elastic and smooth.

Thus, even if you look at a phone screen for just five minutes every night before going to bed, the side effects last much longer and affect your mental and physical health as well as your looks.

Browsing on the Phone Before Sleep: Effects on Health

Why Sleep Deprivation Can Be Hazardous

Exams, work, parties, stress, worries – there numerous reasons because of which we do not sleep well and begin the next day sleep deprived. At times, this extends to multiple times in a week and before we realize, it poses bigger health health hazards than you can imagine.

10 health hazards sleep deprivation can lead to-

1) Induces Accidents - If you haven’t slept well the night before, you are bound to be drowsy. It is extremely unsafe to drive when sleepy, as this puts you at a high risk of meeting with an accident. Not just while driving, there are known to be more accidents inside the office, when one is sleep deprived.
2) Makes You Dumb - When sleep deprived, our senses are not alert. And when our senses are not alert, our brain slackens. Lack of sleep impairs attention, reasoning, concentration, and reasoning. It takes us time to grasp situations and facts, we tend to be dumb.
3) Poses Serious Health Threats - Sleep disorders are known to cause heart attack, heart disease, heart failure, irregular heartbeat, stroke, diabetes, insomnia and high blood pressure.
4) Dip in Sex Drive - Sleep deprivation depletes one’s energy and increases tension in the mind. This leads to lack of concentration and a massive dip in one’s sex drive. Both men and women are known to express lowered interest in sex when they are sleep deprived.
5) Ages Your Skin - We all know that one sleepless night gives us puffy eyes and sallow skin. However, chronic sleep disorder also results in fine lines, dark circles under the eyes and lackluster skin. Human growth hormones are released while we sleep. So the lesser one sleep, the lesser is the hormone released. And thus affects our skin.
6) Leads To Depression - Depression feeds on insomnia and vice versa. While good sleep at regular intervals is known to calm the senses and helps treat depression, lack of sleep at times aggravates the symptoms of depression.
7) Makes You Forgetful - When sleep deprived, one tends to be forgotten. Not a surprise since due to lack of sleep, one is not alert as it is. Scientifically explained, one needs to be in deep sleep for the sharp wave ripples to occur and sharpen one’s memory.
8) Causes Weight Gain - Studies say that the more one sleeps, the more weight they lose. And in instances of sleep deprivation, exactly the opposite happens. Sleeping less than six hours a day increases your risk to be obese, according to studies.
9) Increases Risk Of Chronic Diseases - Lack of sleep increases the risk of cardiovascular diseases. It is very important to sleep the required amount of hours, every night, to assist all organs to function smoothly.
10) Impairs judgement - Sleep deprivation affects focus and other senses. This in turn impairs judgment as one might find it difficult to focus while taking decisions. You might start sleeping lesser than 7-8 hours and find that your body has adjusted to it, however in the long run, it will start showing adverse effects on your body.

If you would like to consult with me privately, please click on 'Consult'.

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10 Ways Sleep Deprivation Can Be Hazardous

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