Winters can often be gloomy, which is why the Spring Equinox comes as good news for those counting the days until warmer weather. It is the time when equator passes through the center of the sun and the days become longer.  The spring equinox does not only mark as the beginning of the spring, but has great influence over our health.

On an average, we need 8-10 glasses of water a day to stay hydrated. This helps ensure proper blood circulation that takes nutrients to all the calls of the body, aids digestion, maintains proper functioning of the heart and brain and helps remove toxins from the body. Drinking water also helps improve metabolism and can, therefore, help you manage your weight. However, sometimes, you need to drink more water. The spring equinox is one such time of the year when the body needs more water. 
The equinox refers to the passing of the earth s equator plane through the centre of the sun. There are two equinoxes in a year; once in march and once in September. On an equinox, the length of the day and night is almost equal. The equinox in March is known as the Spring Equinox or Vernal Equinox and occurs typically around the March 20. This marks the end of winter and the beginning of spring in the Northern Hemisphere. 
For a few days before and after the equinox along with the day of the equinox, the sun is directly overhead and very strong. Thus, it is essential to drink a lot of water and stay indoors as far as possible. If you must go out during the day, carry an umbrella or wear a car. The strength of the sun s rays can dehydrate the body very fast causing nausea, heat strokes and blackouts. In addition, the heat can also make you sweat excessively thereby increasing the amount of water expelled from your body. An easy way to check your body s hydrated levels is to check your urine.  A pale yellow, straw-like colour indicates good hydration while a darker yellow means that your body is dehydrated. 
While drinking water is important, drinking water the right way is equally important. Drinking a bottle of water at once may give you the impression that you have drunk enough water, but in reality, the body cannot absorb so much water at one time. Instead, you should space out your water intake and drink throughout the day. Juices, soft drinks, tea, coffee etc cannot be used as a substitute for water. The caffeine in tea and coffee can actually dehydrate your body further and hence should be avoided at this time. If plain water does not sound appealing to you, you could infuse it with herbs like basil or fruits and vegetables like strawberries, oranges, lemons and cucumbers to add flavour. 
Washing your face often and showering twice a day can also help hydrate your skin and cool you down. Alternatively, you could fill a spray bottle with water and spritz yourself from time to time.

The Spring Equinox - Why You Must Keep Yourself Hydrated?

Come summer and the vegetable stands in the markets start looking different. The green vegetables are replaced by fruits and vegetables that grow in the heat and have higher water content themselves. Here is a list of foods that will keep you hydrated and energetic during the draining summer heat.

1) Watermelon - Watermelons have more water than pulp and are easily available. Not only will this relax you but also hydrates you at the end of a very tiring day.

2) Cucumber - With less than 20 calories in a cup of cucumbers, this hydrating food is ideal to carry with lunch boxes to work, or eat at home. They cool and hydrate you at the same time. The seeds are also known to be high in nutrients and health benefits.

3) Tomatoes - Tomatoes and their health benefits are widely known. They cool your stomach and hydrate you. Tomatoes are also good for diabetes and cardio-vascular problems, and are a rich source of many nutrients like dietary fiber, vitamins ? C, A, E, K and B6, potassium and many more.

4) Lemon - Lemon is a super food. Mixed with water, in different temperatures, it helps in weight loss to combating dehydration. Mixed in water with a pinch of salt and a spoonful of sugar, the lemon water mixture is known to cool, energise and hydrate the body.

5) Curd - This is a staple in most Indian homes. Store bought or homemade, it is good to eat a small bowl full of curd every day. A delicious coolant, you can spice it up any way you wish to - by adding fruits to it, or by adding masalas or by eating it straight with just a tiny pinch of salt.

6) Coconut water - Easily available on road sides, coconut water is your ideal drink on the go. While you can surely have it at home, it is highly recommended for students and professionals who are out in the sun, during the day. An immediate energizer, coconut water can be your savior from heat spells.

7) Melons - Just like watermelons, melons and muskmelons too have high water content. The fruit is said to have 90 percent water apart from the nutrients.

8) Buttermilk - Easy to make and easily available in the market, buttermilk can be customized as per individual taste. It is light in the tummy, cools and dehydrates the system.

9) Mint - An inexpensive herb, mint has amazing cooling qualities. Churn it into chutney or just drop a few leaves into your bottle of drinking water, these leaves will keep your insides cool and mind fresh with their mild fragrance.

10) Onions - Red onions in particular are known to have very high water content. Include them in your meals or have them raw, how you eat is up to you.

If you have any further questions, click on consult privately to ask me.

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10 Foods That'll Keep You Healthy This Summer

Pelvic Inflammatory Disease (PID)

Pelvic Inflammatory Disease, commonly called PID, is an infection of the female reproductive organs(uterus,fallopian tubules ovaries &cervix). PID is one of the most serious complications of a sexually transmitted disease in women: It can lead to irreversible damage to the uterus, ovaries, fallopian tubes, or other parts of the female reproductive system, and is the primary preventable cause of infertility in women.

Causes

Pelvic inflammatory disease (PID) occurs when bacteria move from the vagina or cervix into the uterus, fallopian tubes, ovaries, cervix
Most cases of PID are due to the bacteria that cause chlamydia and gonorrhea. These are sexually transmitted infections (STIs). The most common way a woman develops PID is by having unprotected sex with someone who has a sexually transmitted infection.

However, bacteria may also enter the body during some surgical or office procedures, such as:

 	Childbirth
 	Endometrial biopsy
 	Insertion of an intrauterine device (IUD)
 	Miscarriage
 	Therapeutic or elective abortion

Symptoms

Signs and symptoms of pelvic inflammatory disease may include:

 	Pain in your lower abdomen and pelvis
 	Heavy vaginal discharge with an unpleasant odor
 	Irregular menstrual bleeding
 	Pain during intercourse
 	Low back pain
 	Fever, fatigue, diarrhea or vomiting
 	Painful or difficult urination

PID may cause only minor signs and symptoms or none at all. Asymptomatic PID is especially common when the infection is due to chlamydia.

Other symptoms that may occur with PID:

 	Bleeding after intercourse
 	Chills
 	Fatigue
 	Frequent or painful urination
 	Increased menstrual cramping
 	Irregular menstrual bleeding or spotting
 	Lack of appetite
 	Nausea, with or without vomiting
 	No menstruation
 	Painful sexual intercourse

Diagnosis

 	Pelvic ultrasound. This test uses sound waves to create images of your reproductive organs.
 	Endometrial biopsy. During this procedure, a small piece of your uterine lining (endometrium) is removed and tested.
 	Laparoscopy. During this procedure, your doctor inserts a thin, lighted instrument through a small incision in your abdomen to view your pelvic organs.

Pelvic Inflammatory Disease (PID) - Causes, Symptoms & Diagnosis Of It!

Nephropathy is also known as renal disease. It is any type of damage or disease relating to the kidneys. Though not everyone with diabetes has nephropathy, however, diabetic nephropathy can cause kidney failure.

How does diabetes affect the kidney?
Kidneys are responsible for taking waste out from your blood. They have a lot of tiny blood vessels to do this. High blood sugar may kill such blood vessels. Once these blood vessels are destroyed, the kidneys may not function as well or it may even lead to kidney failure.

What increases your risk of getting diabetic nephropathy?
There are several factors which increase your risk of getting diabetic nephropathy including: \
1. High blood pressure
2. High cholesterol
3. Smoking
4. Being native american, african american or of hispanic origin, for whom risk factors have proved to be magnified
5. If you have family history of diabetic nephropathy

Symptoms and diagnosis:
There are very few noticeable symptoms, which appear when you have diabetic nephropathy, except swelling in your arms and legs. The diagnosis is done by checking for a type of protein in your urine known as albumin, which is not supposed to be there. Getting the diagnosis done early is crucial.

Preventive measures
You can prevent kidney damage by doing the following:
1. Keeping your blood sugar levels under control - keep hba1c &lt; 6-7%
2. Keeping your blood pressure under control in the range of 130/80
3. Eating healthy food
4. Exercising regularly
5. Not eating too much protein
6. Not eating too much salt
7. Reducing smoke or excessive tobacco usage

Medicines for treatment
If you do get diabetic nephropathy, here are some medicines, which can help cure it
1. Ace inhibitors which are also called angiotensin-converting enzyme inhibitors
2. Angiotensin ii receptor blockers (arbs)

Possible complications
1. Blood pressure may rise
2. Triglyceride levels and cholesterol levels may rise.

All About Diabetic Nephropathy

With the super busy lifestyle that everybody is gravitating to, there is less and less time for everything, including cooking and eating. Thus, more and more processed foods are finding their way into our refrigerators, as they can just be picked up and eaten anytime hunger pangs are felt. And, we do not immediately realize that processed foods are devoid of all the essential ingredients. What we end up eating has less fiber, more salt, and more preservatives (generally not very safe for all), all leading to an unhealthy lifestyle.

Refined flour, white sugar, cheese, canned juices, frozen foods, cheese laden pizzas and breadsare all yummy, but not something that is readily accepted and digested by your stomach. Try eating pizza with loads of cheese for two days and experience the bloated feeling for yourself. Not to scare you, but imagine this; you would have to eat an entire medium pizza to get 2 g of fiber. Where as, your body requires about 25 to 40 g of fiber per day for regular health maintenance.

Biologically, our digestive system requires a lot of fiber, which adds to the roughage. This is very important as it helps in digestion and aid in cleansing the bowel later. The function of the large intestine is to remove water and essential ingredients when food passes through it. Junk food passes through quite quickly, thereby, leading to loss of water and ingredients. A lot of digestive issues are also related to lack of fiber in the food, like polyps, colon cancer, irritable bowel syndrome, high cholesterol, and obesity. 

Most of us are aware, but tend to ignore the fact that junk food is as the name suggests, junk. There is hardly anything of nutritious value in it. On the contrary, it contains lots of salt, fat and artificial chemicals, which though, make it very tasty, but has zero nutrition value. 

Try to eat only junk food for about a week regularly, and you will surely feel:

1. Bloated (a lot of gas due to indigestion)
2. Dehydrated (excessive salt needs more water, which we don't realize)
3. Constipated (lack of fiber leading to reduced bowel movement)
4. Weak and lousy (due to lack of nutrition)

This of course does not include the harmful effects on skin, hair, looks, etc. It does not mean you have to stop eating junk completely and eat only healthy food all the time. The human body is adaptive and can adjust to a lot of variations. It is not wise to try the example above (eating pizza for a week), however, binging on junk food once a week would definitely not hurt. Use your discretion as nobody knows your body as well as you do.

Constipation and Junk Food

Tuberculosis is absolutely curable and can be cured with anti-TB medication. As treatment for TB takes much longer than other types of bacterial infections, a patient is often required to take a combination of drugs for six to nine months.

Here is how you can safeguard yourself against Tuberculosis:

1) Maintain strong immunity by adopting healthy eating habits, exercising regularly and getting sufficient sleep.

2) Diet supplemented by turnips, beet root, spinach and other green vegetables and seasonal fruits along with dairy products and eggs can be helpful is fighting against the TB bacteria.

3) Go for a check-up if you suspect that you could be suffering from TB. Typical symptoms include a persistent cough (more than 3 weeks) and  low grade fever.

4) If someone you know has contracted TB, encourage him or her to adhere faithfully to the treatment.

However if you have been diagnosed with active TB, please ensure the following:

1) Complete the entirefull course of your TB medications.
2) Stay at home especially during the first two weeks of treatment.
3) Cover your mouth with a tissue when you cough or sneeze, and wear a mask when around people during the first few weeks of treatment.

Click on consult privately to ask me any follow-up questions on this.

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World TB Day Special - How to Prevent Tuberculosis

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