Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

  Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

  Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

  A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
  Get checked for infections and other problems before each hemodialysis session;
  Use the operated site for access only for the intended use;
  Always keep the access clean;
  Prevent cutting or bumping the access;
  Check for thrill/ vibration in the access and inform the doctor if any;
  Do not put pressure on the access site;
  Do not put blood pressure cuff around the access arm;
  Do not wear jewellery or tight-fitting garments over the site;
  Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

Vascular Surgery - Can It Help For Dialysis?

Headaches are common among working people as accumulated stress results in headaches and tiredness. Among the many different causes, strain on the eyes is one of the leading reasons for that annoying headache.

Taking an eye exam is recommended in case you are having headaches. The issues may not always be related to the eyes, but still a thorough eye check up is recommended. Strain in the eye is caused when small muscles present in the eye have to put in more effort than usual. Symptoms include aching, tired eyes with blurred vision and accompanying headaches. Such headaches are caused because of the following reasons:

Astigmatism
The cornea is in abnormal shape and causes people to squint when they want to focus, and this leads to bad headaches.

Hyperopia
This disorder is also called farsightedness. In case of this disorder, the images are focused by the eye behind the retina, and causes blurred vision and strain upon the eyes. Headaches occur as a result.

Presbyopia
This kind of problem occurs when the lens hardens and becomes inflexible with old age. This makes it hard for a person to focus and causes sore eyes along with headaches.

All disorders or conditions of the eyes can be rectified with the use of prescribed spectacles and contact lenses. For people already having glasses, regular eye check up should be carried out. Your power may increase which you are unlikely to notice, so regular check ups are vital.

Other causes
Headaches related to eye strain and eye problem can also develop from other causes. They are:

1. Glaucoma, an eye disease also causes headaches. This disease is characterized by the development of a fluid in the eyes, which in turn causes the internal eye pressure to shoot up. This pressure fluctuation can lead to headaches in many cases of glaucoma.
2. Cataract affected people suffer from headaches as well. Cataracts develop in individuals due to ageing. The lens becomes cloudy, and the vision gets blurred and slowly diminishes. The eye has to give more effort resulting in eye strain and accompanying headaches.

Prevention
In case you are having headaches, and you are not being able to find out the reason behind it, you should have an eye check up. Eyes are very sensitive and added strain to them causes headaches. People who use computers for long hours are affected by headaches due to eye strain. The best prevention is to have an eye examination and switch to glasses or lenses if required.

Headaches are of various kinds and arise from different factors, but eye strain is known to cause a lot of headaches in people who do eye stress involving activities.

Headaches? Get Your Eyes Checked!

Every organ is important for the human body to perform its functions normally. Kidneys too are vital and are responsible for removing the excess fluid and toxins from the body. If the kidney is not functioning properly, then the patient is advised to undergo dialysis treatment. In some cases, the patient is advised to undergo a transplant. However, in any case, the patient has to follow a healthy diet, for the treatment and the medicines to work positively.

Suitable diet during dialysis
Most of the patients are not aware of the diet prescribed for dialysis. Though it is always advised to consult a dietician before following any diet for the condition, it is also advisable to gain some knowledge about what the dietician might suggest, so that one is not clueless about the treatment. In a majority of the cases, food containing potassium, phosphorus, low-fat cholesterol, and sodium is included in the diet of these patients. However, these are prescribed in a limited amount and vary from patient to patient.

Sodium: The sodium level of the dialysis patients needs to be controlled; and this can be done by eating food items that have a low sodium content, not more than 2,000 mg. Hence, the quantity of snacks, pudding, and chips are to be reduced in the diet chart.
Potassium: The level of potassium also needs to be kept in check to avoid further deterioration of the kidney. Bread, certain vegetables, and grains contain a high amount of potassium. Moreover, various salt substitutes contain potassium chloride instead of sodium chloride. Large intake of these foods may affect the kidney permanently. Hence, these are majorly excluded from the diet. The patients are advised to include tomatoes and bananas in their diet, though not on a daily basis.
Phosphorus: The patient is advised to avoid foods with high phosphorus. This includes milk and dairy products and grains. However, while on dialysis, meat is important as it gives enough protein despite being high on phosphorus. But, an abundance of meat in the diet may affect adversely. Hence, this is advised, but kept in control.
Cholesterol: To keep cholesterol amount in check during dialysis, the patient needs to cut down on fruits and vegetables and specific fat diets, while eating a sufficient amount of fish.
Protein: High protein food is necessary for a patient with a kidney disease. Meat is an excellent source of protein. Along with that, poultry, fish, and eggs are important, as well. Hence, all this is included in the diet.
Fluids: Dialysis helps in removing the excessive waste fluids from the kidney. But, to keep the body hydrated, the patient is allowed liquid intake, but only up to a certain limit.
It is necessary to maintain a proper diet during dialysis, as it quickens the treatment as well as helps the patient recover quickly.

Undergoing Dialysis - What Should Be Your Diet?

While we all know substance abuse is a social issue and learning that a loved one is affected by the problem can be nearly heart-breaking. It is definitely not something that can be easily accepted. At the same time, the affected individual needs all your love and attention and more importantly support to get through the situation. It is important to not show anger or frustration at the person but to empathize and help them get out of the situation. 

Read on to know some of the ways in which you can play an active role in supporting your loved one under such circumstances. This involves both of you coping with the situation at hand, as well as helping the person come out of the abuse. 

Educate yourself: When you are trying to help a person, you should know in detail about the substance that was being used and its ill effects. This gives you greater credibility, unlike the person who got carried with the happy feeling it gave and got into abuse. 
Ensure safety: This is both for the affected individual and yourself. With the required substance not being available, the person could look at harming either self or others, especially ones who are trying to get them out of the abuse. Though the intent is to help, they are looked at as people who are depriving the feel-good feeling produced by the substance, which is no longer easily available. Therefore, ensure safety. 
Talk openly: In the beginning, be a good listener. Once you get their confidence, make them understand that the entire situation is making you upset and perhaps angry or frustrated too. Get them to focus on your proposal of getting out of the habit together. If they are willing then this can ensure greater success in quitting the habit. Get to understand how exactly the habit developed including the people responsible for it, the circumstances leading to it, and the various chemicals that were used. The duration and frequency are also important. Tell them it is okay and that you will both get out of it with each other s support. 
Participate in therapy sessions: Individual counseling will work effectively for the primary client, but it is also important for family members to get involved. The counselor also would need support beyond the few counseling hours for completely getting rid of an individual s habit. Therapy can help you learn how to manage the issues back at home. 
Find your  me-time : With all that is going on, you will need some time for yourself to just be. Eat well, stick to your workouts, sleep well, keep your friends, and make time for your hobbies. These will ensure you are in good shape to support the affected individual. It is not possible for you to help another person when you are not in great shape yourself.

Substance Abuse - How Should You Cope With Someone Going Through It?

Ear discharge may occur due to several reasons. Injury or trauma to the ear canal, a ruptured ear drum or an infection in the middle ear may be the most common causes of ear discharge. Eczema, swimmer s ear and other skin irritations may also lead to this problem. While there are some simple home remedies to treat this disorder, always consult an ENT specialist if the discharge does not stop after the application of those treatments. Let us look at some common ways to treat this disorder.

Use gravity: While this method does not treat ear discharge per se, it does help in draining the fluid build-up in the ear. Just lie down on your side keeping the affected ear parallel to the ground. Use your finger to create a vacuum inside your ear and drain the fluid inside it. The finger must be clean. You can also use a cotton wad for this purpose. Another way could be by simply lying on your side with a towel under your ear.
Use a warm compress: This treatment promotes the flow of ear discharge to its outer part, thereby alleviating the pain. Dip a clean piece of cloth in warm water, wring the cloth as much as you can and then place it around your ear for 2-5 minutes. Lie down on your side.
Inhale steam: Inhaling steam, opens up the Eustachian tube, thereby promoting the flow of the trapped ear discharge. Simply mix a little bit of eucalyptus oil with some water, boil the mixture and inhale the steam. Tilt your head to one side so that the fluid drains out. Do this exercise for 5-10 minutes. Cover your head and the water with a towel to prevent the steam from escaping. Repeat this exercise as needed.
Use vinegar and rubbing alcohol mixture: Vinegar and rubbing alcohol have excellent anti-microbial properties. Mix equal parts of white vinegar and rubbing alcohol. Put some drops of the mixture in a dropper. Lie down on your side with the infected ear upwards. Insert some drops of the solution with the dropper in your ear. Wait for 10 minutes and then drain out the ear discharge by tilting the infected ear to the other side. Repeat this exercise twice a day for better results.
Use garlic oil: Crush 2-3 garlic cloves and extract its oil. Use a dropper to put 2-3 drops of this extract into your affected ear. Tilt the head to one side so that the juice settles down. Now hold a dryer next to the infected ear and let the warm air blow inside it. Repeat this exercise twice a day for better results.

Ear discharge - 5 Ways to Manage it at Home!

Asthma is a severe respiratory disease, which occurs due to the inflammation of the airways of lungs. The airways of the lungs get swollen due to the inflammation, which cause production of mucus. Due to the effect of excessive mucus and swelling, the air path gets hindered. In such a condition, breathing becomes difficult and a wheezing sound appears at the time of breathing. Usually, the patient coughs very often.

These are the common symptoms of asthma:

Breathlessness
Whistling sound while breathing
Wheezing in chest
Mucus-producing cough
Tightness and heaviness in breathing
Heaviness in chest while running, walking or performing any activity
Recommended homeopathic medicines
Homeopathy is the holistic way of treating asthma. It not only cuts down the inflammation, but also cures the cause of the inflammation. So, treating asthma with homeopathy is safe because the remedies are all natural. Homeopathic medicines do not produce any side effects. There are several homeopathic medicines which are used to treat mild or severe asthma. Here are the five best homeopathic remedies for asthma:

Arsenic album: Arsenic Album is one of the effective homeopathic medicines for the patients who have asthma with anxiety. The patient might encounter symptoms such as intense feeling of restlessness, intense wheezing and coughing, feeling of suffocation while lying down, sudden increase of thirst etc. Usually, patients get relief after consuming warm drinks.
Ipecac: This is one of the wonderful homeopathic medicines for treating asthma with intense vomiting and nausea. The patient might encounter symptoms such as vomiting along with asthma attacks, persistent nausea, intense feeling of mucus in the chest, persistent cough, persistent salivation etc. This medicine is generally prescribed to patients who are a little heavy in weight.
Antim tart: This is the best homeopathic remedy for asthma patients who have a rattling cough. The symptoms also include a feeling of mucus in the chest, sleepiness, tiredness etc. Also, there is usually a burning sensation in the chest and throat, intense cough after eating anything, breathlessness, and hoarseness of the voice. This is more common in older people.
Nux vomica: This is one of the best homeopathic remedies for patients who have asthma with the gastronomic disorder. Symptoms include feeling of fullness around the stomach with asthma attacks, dry cough, sensation in the throat, mood swings etc.
Carbo veg: This is one of the best homeopathic remedies for treating asthma patients with blueness on face. Symptoms include numbness in hands and feet, stomach problem, breathlessness while lying down etc.

Asthma - 5 Homeopathic Remedies That Can Really Do Wonders!

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