5 ways to alleviate nighttime heartburn

Nighttime heartburn is a very common medical condition that causes a burning sensation in the chest region due to excessive acidity in the digestive system. This condition is witnessed very often in people and mostly it tends to awaken people from their sleep thereby disrupting their sleep patterns. Here are some effective ways to cure and prevent heartburn sensations during the night time.

1. Avoid acidity triggering foods: you should avoid the foods and drinks which are harsh on your digestive system and cause acidity and heartburn related problems during the night time. Some of the common foods and drinks responsible for nighttime heartburn and need to be avoided are alcohol, caffeinated drinks like colas, coffee and tea, chocolate and cocoa, peppermint, garlic, onions, milk, fatty, spicy, greasy, or fried foods and acidic foods like citrus or tomato products.

2. Follow a proper exercising pattern: you should never exercise immediately after having your meals. Instead, a considerable amount of a time gap should exist between your meal and your workout session. Do not ever eat a heavy meal before you exercise, because in spite of giving a time gap the richness of the food will adversely affect your digestive system.

3. Quit smoking habits: if you are a chronic/chain smoker, then you might witness the blockage of your gastrointestinal tract (digestive passages), which will further degrade and worsen the heartburn condition. Easier said than done, smoking is an addictive behaviour and you should be taking special care to lessen it and ultimately quit smoking.

4. Develop a chewing habit: if you are facing a chronic and regular heartburn problem, then you should definitely try excessive chewing of materials like gums. Chewing helps to generate excessive amounts of saliva during the act and the saliva, in turn, helps to soothe the acidic activities in your esophagus, thereby decreasing the probability of frequent heartburns.

5. Adopt weight loss measure: sometimes, excessive body weight is also one of the potential factors responsible for causing frequent heartburns. But, if you shed a couple of kilograms from your body, then you will surely witness a relative decline in the symptoms of heartburn during night.




5 Ways to alleviate nighttime heartburn

Acne is a condition that affects many people including teenagers and women during their menstruation period. It is characterized by red eruptions that are usually filled with oil, secreted by overactive oil glands in the hair follicles. So what else should you know about acne? 

Here are six things you probably did not know about this condition:

1. Clogged Pores - Acne signifies clogged or blocked pores that are filled with oil and dead skin cells that have not been cleaned out completely. This mixture of oil and dead skin cells blocks the pores, and ends up creating an eruption of red sores called acne and pimples. There is a chance that bacteria may have joined these two substances as well.

2. Over Treating the Skin - The worst thing that you can do is to touch, pick or even apply too many harsh chemicals to your skin during an acne breakout. These things can actually make the problem worse, and even create scars in the long run. The constant use of cleansers and moisturizers can also have a harsh effect on the skin, due to perfume and chemicals present in such products. 

3. Exfoliation - Using a salicylic acid wash or cleanser first thing in the morning will help in exfoliation, which is a good way to clear those dead skin cells from your skin. This will speed up the process of acne treatment as well, by clearing the pores. Also at night, the use of a medicated cream that contains benzoyl peroxide will help in killing the bacteria, so that there is no infection.

4. Two Weeks Notice - Trying new products to treat acne is a great idea. But give every new product at least two weeks before you write it off. Usually, any good product will take at least that much time to affect the acne, and clear the pores in an effective way. So before you start changing cleansers and creams every other day, remember to use the two week thumb rule.

5. Menstrual Cycle - Acne, more often than not, happens about five days before and a few days after the monthly menstrual cycle. So watch out for hormonal imbalances, which can cause acne and pimples. Avoid stress around this time too.

6. Dermatologist - Visit a dermatologist if regular cleaning and over the counter creams are not working. Persistent acne may turn into infection. Remember to ask your dermatologist for an oil reducing formula too. 

Acne is a skin problem that should be treated the right way.

All About Acne

Hypogonadism in females occurs when your sex glands produce little or no sex hormones.The sex glands, also called gonads that are responsible for ovary formation in females, breast enlargement and in menstrual cycle.

What Are the Types of Female Hypogonadism?
There two types of hypogonadism are primary and central hypogonadism.

Primary Hypogonadism
Primary hypogonadism means that you don't have enough sex hormones in your body due to a problem in your gonads. Your gonads are still receiving the message to produce hormones from your brain, but they aren't able to produce them.

Central Hypogonadism or Secondary Hypogonadism
In central hypogonadism, the problem lies in your brain. The hypothalamus and pituitary gland in your brain, which control your gonads, aren't working properly.

Causes of Primary Hypogonadism
1. Autoimmune disorders, such as Addison's disease and hypoparathyroidism
2. Genetic disorders, such as Turner syndrome and Klinefelter syndrome
3. Severe infections
4. Liver and kidney diseases
5. Hemochromatosis, which happens when your body absorbs too much iron
6. Radiation exposure
7. Surgery of your sex organs

Causes of Central or Secondary Hypogonadism include
1. Genetic disorders, such as Kallmann syndrome (abnormal hypothalamic development)
2 Infections, including HIV and AIDS
3. Pituitary disorders
4. Inflammatory diseases including sarcoidosis, tuberculosis, and histiocytosis
5. Obesity
6. Rapid weight loss
7. Nutritional deficiencies
8. Use of steroids or opiates (especially long-term usage)
9. Brain surgery
10. Radiation exposure
11. Injury to your pituitary gland or hypothalamus
12. A tumor in or near your pituitary gland

Symptoms that May Affect Females Include:
1. Lack of menstruation
2. Slow or absent breast growth
3. Hot flashes
4. Loss of body hair
5. Low or absent sex drive
6. Milky discharge from your breasts

Treatment for Hypogonadism in Women
Your treatment will involve increasing the amount of female sex hormones in your body. Your first line of treatment will probably be estrogen therapy if you've had a hysterectomy. Either a patch or pill can administer the supplemental estrogen hormone. Estrogen must be balanced with progesterone, because taking estrogen alone leads to a dangerous build up of the lining of the uterus (endometrial hyperplasia) that can lead to cancer of the uterus. Low-dose testosterone may be added for women with hypogonadism who have a low sex drive.

Types, Causes and Symptoms of Female Hypogonadism

Your diet plays a major role in the health of your heart, so eating healthy should be somewhere on the top of the list for keeping your heart healthy as well. There are numerous heart disorders that occur due to unhealthy food patterns and consumption. Lifestyle factors are the major causes of heart disease, and diet occupies an almost compelling spot when lifestyle factors are taken into consideration. Here is a list of foods that keeps your heart healthy:

Salmon: Omega-3 fatty acids are very important for your heart to function optimally. Fishes such as salmon and sardines are rich in omega-3 fatty acids which lower the risk of heart diseases such as arrhythmia (irregular heartbeat) and atherosclerosis (accumulation of plaque in the arterial walls).

Oats: Like oats and milk for breakfast!? Congratulations! You are in luck; oatmeal has soluble fibers which help in lowering bad cholesterol levels. Just make sure that there is no added sugar in your oatmeal, as it will defeat the entire purpose.

Blueberries: Blueberries are rich in antioxidants that reduce the risks of heart attack and also decrease your blood pressure. So go ahead! Toss some blueberries in your oatmeal to get your daily dose of antioxidants which are such pre-requisites for supreme health.

Dark Chocolate: This will probably bring a smile to your lips. Dark chocolates contain polyphenols, a type of flavonoid, which is very good for your heart. Dark chocolate is known to reduce the risks of strokes and heart attacks. Watch the portion size as no matter what its benefits are, dark chocolates are still rich in calories.

Citrus Fruits: Citrus fruits such as lemons and Indian gooseberry are rich in compounds that lower cholesterol levels in the body. Tip   Start your day with a lemon juice and warm water. This betters your metabolism and also keeps your heart in fine shape.

Soy: Lo Behold Vegetarians! (and non-vegetarians as well). Soy is a protein rich food that is so good for your heart. It also contains heart-healthy fats and fibers that help bring down and normalize cholesterol levels.

Tomatoes: Tomatoes are rich in an antioxidant called  lycopene , which is very effective in getting rid of bad cholesterol. It thus helps in keeping your arteries healthy and reduces the risks of heart attacks.

Nuts: Nuts such as almonds and walnuts are rich in Vitamin E which helps in lowering bad cholesterol in the body. Avoid nuts that come with added salt.

Foods That Help You Maintain A Healthy Heart

Tuberculosis (TB) is one of most deadly diseases know globally. It is an infectious disease occurring in many developing and developed countries as well. However, more patients can be seen coming from developing nations. According to WHO (World Health Organisation), 9 million people suffer from TB in a year. Tuberculosis is one of the diseases leading to deaths among women aged between 15 to 40 years.

The main cause of TB is a bacterium called Mycobacterium tuberculosis. It is an infectious disease that is also contagious. However, tuberculosis can be of two varying types:

Latent TB- In this case, the bacteria causing TB remains inactive in a person s body and does not show any signs and symptoms of TB. However, it may become active. An estimated 2 million people have latent TB and need to be treated.
Active TB- The bacteria causing TB is active and results in various symptoms which can be transmitted from one person to another.
Some of the signs and symptoms of active TB are:

Severe Cough
Coughing up Blood (Hemoptysis)
Chest Pain
Loss of Weight
Fatigue
Fever
Night Sweats
Decreased Appetite
Feeling Cold
Having Difficulty in Breathing
Swollen Lymph Nodes
There are other types of TB occurring among people that have many more symptoms:

Skeletal TB (Pott s Disease)
TB Meningitis- headaches, mental changes and coma
TB Arthritis- usually pain in knees and joints
Genitourinary TB- dysuria, flank pain, increased frequency, masses or lumps
Gastrointestinal TB- problem in swallowing, ulcers, mal-absorption and diarrhoea
Military TB- It is basically small nodules that occur in organs
Pleural TB- This basically refers to the respiratory problems of empyema and pleural effusions
Multidrug-resistant Tuberculosis (MDR TB)- People suffering from TB and having medications for it may develop a resistant to certain drugs over time.
XDR TB- Patients being drug resistant to tuberculosis drugs. XDR stands for extensively drug-resistant.
Caseous TB- Necrotic (dead and dying) tissue infected with TB has a dry and cheesy appearance.
These were some of the symptoms associated with various types of Tuberculosis. However, its diagnosis may range of doing a skin test to blood tests to x-rays to sputum tests. Along with this doctors use a stethoscope to listen to the sounds of lungs.

What you need to keep in mind is that TB affects other parts of the body as well. If you are having tuberculosis in your kidneys, then it results in loss of blood through urine. So you need to observant and report to your doctor accordingly.

As TB is a contagious disease, its treatments require certain medications which have to be consumed for a period of 6 months. For effective results and better recovery, doctors advise patients to complete the full course of medications.

TB Symptoms - What Are The Signs Of Tuberculosis?

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

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