Stroke is a medical condition in which the flow of blood towards the brain is poor and causes the death of certain cells. There are two common types of stroke: 

1. Ischemic- due to lack of blood flow
2. Hemorrhagic- due to bleeding

Signs and symptoms of stroke 

Problems with movement
Inability to feel  on one side of the body
Problems understanding or in speech
Vertigo
Loss of vision
Difficulty in carrying out everyday activities
Role of Physiotherapy for Patients with Stroke

The main focus of physiotherapy is to help you use your arms and legs to regain as much strength and movement as possible. 
If you have one-sided paralysis, correct positioning is important to prevent spasm or injury.
It helps you to sit up as this will help you avoid blood clots in your legs, improve your breathing and help you recover quickly.
If you are unable to move, you may be given chest physiotherapy to keep your lungs free of infection.
What does a Physiotherapist do?

A physiotherapist advises you on how you should be positioned when lying or sitting, and how often you need to be moved.
Motivates you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
Decides when you should begin to start walking and what equipment is needed to move or support you
Provides therapy to strengthen your limbs and teach you how to move again as independently as possible
Takes care of the fact that no complications should arise and you have a smooth recovery.
Treatment Techniques:

Strength Training: It is evident that strength training can improve upper-limb strength and function without increasing tone or pain in individuals with stroke.
Gaming: Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke survivors.
Virtual Reality: Virtual reality training has been shown to be effective in restoring upper limb motor impairments and motor-related functional abilities.
Mirror Therapy: Mirror therapy has been shown to have a beneficial effect on motor control and function compared to conventional therapy.
Robot-Assisted Therapy: It has been shown to have a beneficial effect on motor recovery and function.
In the upper extremity with severe impairment and/or poor prognosis for recovery, Chedoke McMaster Stroke Assessment (CMSA) of Arm and Hand < Stage 4) treatment should focus on maintaining a comfortable, pain-free, mobile arm and hand. Engage in repetitive and intense use of novel tasks that challenge the stroke survivor to acquire necessary motor skills to use the involved upper limb during functional tasks and activities. Engage in motor-learning training including the use of imagery.

Stroke - How Physiotherapy Can Help With It?

Stitches or sutures act as a closure for either surface wounds or deep wounds. Procedure to close a deep wound comprises of sewing the two edges and applying stitches under the skin surface.

Catagories of sutures

    Non absorbable stitches are applied in case of skin wounds or internal wounds. Such stitches heal quickly and are easy to remove. Non absorbable stitches are made of natural fibers or synthetic threads like nylon polypropylene. As the name suggests, these stitches are either permanent or persist for a long time.
    Absorbable stitches are applied on layers which have the property of healing quickly. They are very firm during the initial days. Then they start getting dissolved in the body.

Precautions taken by medical team before applying stitches to prevent infection

    Careful checking of nose for occurrence of germs before the start of operation.
    Skin must be cleansed prior to surgery.
    Sanitizing hands prior conducting the surgery.
    Usage of germ free gloves and sterile clothes while applying sutures.
    Prescribing antibiotics to the patients who may fear high risk of infection.

Precautions to be taken by patient to prevent infection

    Take a bath prior to surgery.
    Avoid using razor at the surgical site. The same can be carried out by using clippers by the surgery team itself.
    Keep all your jewellery aside before the operation starts. Do not apply nail polish.
    It is advised to cover up the wound. Try to keep the adjacent areas germ free. This is a crucial step in avoiding infection.
    Visit your doctor at once on finding redness around the wound.

When to see your doctor?
Pain up to a certain threshold is normal. In case pain gets unbearable, the scene can be alarming. It may be an indication of infection. Taking immediate remedial steps is necessary to avoid infection or any other side effects post the surgery. On meeting with any of the following signs, it is better to consult doctor at once.

    If the skin around the wound gets swollen.
    If you detect redness around the wound.
    If the pain becomes unbearable.
    If the wound starts developing pus.
    If your body temperature increases abnormally or if you have fever.
    If you observe red streaks around the wound.
    If in case a stitch gets opened up and the edges of the suture start widening. This is the most alarming sign. In case a suture gets opened, you must immediately seek for a remedy.

Ask your doctor for the precautions you can take to avoid experiencing any of the above signs. If unfortunately you come across such alarming symptoms, rush to the nearest hospital and get the appropriate treatment.

Pain in Stitches - When You Should See Your Doctor?

World Health Day, celebrated on the 7th of April every year, is sponsored by the WHO and several other health organizations. It is observed by all the member states of the World Health Organisation. This World Health Day, we're calling for action to eliminate health inequities, as part of a year-long global campaign to bring people together to build a fairer, healthier world.

Vitamin E is a fat-soluble vitamin that in total has 8 compounds, of which only one compound is useful to humans. This is also known as alpha-tocopherol and plays a vital role in the antioxidation process and is believed to improve the overall ageing process.

Read on to know more about its benefits, functions, and sources.

Vitamin E that is absorbed by the intestine is transferred to the liver, from where only alpha-tocopherol gets re-released into the system in small amounts. So, if your diet contains the other 7 variants, they are excreted by the liver (not required in humans).
This active vitamin E controls the oxidation process in cells and prevents the release of free radicals, which is the culprit in all inflammatory processes. These can cause heart disease, diabetes, cancer, and stroke. This process is also accelerated by the environmental factors like pollution, UV rays, smoking, etc.
Vitamin E is also shown to dilate blood vessels and prevent platelet clogging.
Vitamin E is useful in preventing and treating diabetes and its related complications. Of note, diabetes is also considered as a chronic inflammatory process.
The nervous system diseases including Alzheimer s, Parkinson s, and epilepsy can benefit from Vitamin E. It reduces overall cognitive declines and helps in these disease conditions
Women are particularly benefitted from vitamin E, including premenstrual cramps, painful periods, hot flashes with breast cancer, eclampsia during pregnancy, and pregnancy complications
Given their role in energy formation, they help improve endurance, energy levels, and improv muscle strength and reduce muscle damage.
The antioxidant effect is useful in reversing ageing skin changes including wrinkles and fine lines. Vitamin E is used widely in skin care products including creams and lotions and helps in regeneration of skin and tissue.
It is useful to control hair loss, which could be due to multiple reasons, including chemotherapy or side effect of drugs.
It is useful in treating allergies, asthma, respiratory infections, and skin allergies.
Eye diseases like cataracts and macular degeneration which are generally age-related can be controlled with adequate intake of vitamin E.
Taken with other antioxidants like niacin, it is helpful in controlling the buildup of cholesterol.
Sources:
Natural food sources contain enough amounts of this vitamin to meet normal daily requirements, and so consume the following.

Green leafy vegetables, legumes, and vegetable oils
Whole grains and fortified cereals
Fruits and nuts and seeds
Seafood, poultry, and meat
Eggs
Dairy products including fat-free or low-fat milk
Seafood
Given its wide availability, deficiency is rare, but supplements may be required for premature babies with low-weight and in people with some genetic disorders. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

World Health Day - 12 Reasons Why Vitamin E is Important!

Ringworm is a skin condition that is caused by certain kinds of fungi. It causes severe itching and is mainly found around the scalp and feet. This contagious skin condition can also occur as athlete's foot. The symptoms include red, itchy and scaly patches on the affected areas. These patches may also develop blisters and develop crusted red edges, giving it the appearance of a ring. These patches are usually raised or defined. There are many myths and facts surrounding ringworm. Let us find out more about them.

Causes: it is a common myth that this skin condition is caused by a worm. This is not true. This fungal skin infection is caused by fungi known as dermatophytes, which can cause a crusty and red patch on the skin. Ringworm is actually the name given to a class of skin ailments and infections caused on the scalp, feet and other parts of the body.

Treatment: another common myth is that this skin infection will clear up on its own. This is not true either. One will have to start treatment of the condition with the help of proper diagnosis, which can be done by a skin specialist or dermatologist. Not treating this condition on time with topical ointments can lead to a spread of the condition where it can affect other parts of the body. This condition can also lead to other symptoms like hair loss. It can also become a permanent issue if not treated on time and with proper medical intervention.

Over the counter medication: many people think that using over the counter antifungal creams can help in treating this condition effectively. This is part myth and part fact. One will have to visit the doctor in case the condition does not clear up on time with the use of such topical ointments. The creams should typically be prescribed by a skin specialist after due diagnosis of the problem so that it suits your individual symptoms and condition. Further, these creams should usually be prescribed for a period of at least four to six weeks so that the treatment is effective.

Contagious: it is a myth that ringworm is not a contagious skin disease. The fact is that this skin ailment is a highly contagious one, that can happen even when there is contact with an infected animal. There are 50% chances of contracting this condition with mere touch that can happen with an infected animal or person.

Barber's itch: this is not a form of lice, as many people believe. This is a form of ringworm that can be found in the beard with symptoms like itching as well as swelling.

Myths and Facts About Ringworm

PMS is often treated as a joke but for many women, it is a monthly nightmare. Muscle cramps, headaches, bloating, breast tenderness, anxiety and depression are common symptoms of PMS. Though there is no set cure for PMS here are a few tips that will help you deal with it. 

Set yourself an exercise routine

Exercising not only helps you maintain weight but also helps dealing with PMS. You only need to set aside 30 minutes a day for a brisk walk, jog, swim or even dance. Aerobic exercises improve blood circulation, ease stress and help the brain release happy hormones. 

Change your diet

If you are feeling bloated and depressed, cut back on simple carbohydrates like sugar and fat and increase your consumption of complex carbohydrates like fruits, vegetables and whole grains. Do not attempt a low carb diet to lose weight if you suffer from PMS. Reducing the simple carbohydrates in the body and increasing the complex carbohydrates keeps you body feeling full for longer and increases the serotonin levels in the body.
 
Quit alcohol and caffeine

Drinking a glass of wine or a cup of coffee may give you temporary relief from PMS symptoms but in the long run they aggravate your PMS symptoms such as headaches, breast tenderness and mood swings. Alcohol may also contribute towards lowering the magnesium levels in your body and thereby make you feel bloated. 

Relax

One of the effects of PMS is to make you feel anxious and tense. The easiest way to address this is by learning to relax. Try meditation or yoga for half an hour every morning. This will improve your overall health as well as soothe muscle pains. 

Take a few supplements

Research says that certain fatty acids like Omega 3 and linoleic acid can lower irritability and body aches associated with PMS. Calcium is also known to help ease PMS symptoms. Getting these nutrients in the required levels may not be possible only through your daily meals. Hence, you can also consider supplements to ease your pains. 

Use Birth control pills

Birth control pills with the drospirenone hormone can help ease symptoms of severe PMS. Menstruation
is often accompanied by a drop in estrogen levels that can lead to migraines. Birth control pills also regulates your hormones and hence avoids these fluctuations. It also keeps your ovaries from releasing eggs every month and hence reduces the intensity of the associated cramps. 

Talk to people

You are not alone when it comes to PMS. Instead of keeping quiet about your discomfort, talk to people who may be experiencing something similar. Sharing your problems will introduce you to new ways of dealing with it. You could also get online support through various discussion groups.

7 Ways To Deal With PMS

Acidity is an ailment that troubles most people regardless of the absence of any other medical condition. It causes discomfort in the chest region along with heart burn and indigestion. If you are distressed with acidity, you may consider undergoing Ayurvedic treatment which would help in alleviating the problem to a great extent.

1. Tulsi leaves:
  Tulsi leaves help in stimulating the stomach for production of more mucus and are also rich in anti-ulcer properties which cause a significant reduction in the effects of gastric acid.
  It is recommended to chew 5 to 6 clean Tulsi leaves when you have acidity to soothe the stomach.

2. Bananas:
  The potassium content in ripe bananas helps in eliminating sudden bouts of acidity.
  Bananas also aid in relieving constipation problems and cause healthy bowel movement.

3. Cumin seeds:
  Cumin seeds which are commonly used in cooking dishes have anti-inflammatory properties that aid in soothing the digestive tract.
  These stimulate saliva production, boost metabolism and relieve the problem of bloating along with other discomforts caused by gastric troubles.
  You may chew a few cumin seeds when troubled with acidity or boil them in water and drink the solution.

4. Cold milk:
  The richness of calcium in milk aids in reducing acid problems and absorbing the acid which has already been produced.
  It helps in providing instant relief from the burning sensation owing to its coldness.
  But it is important to drink it plain without any additives like sugar.

5. Cloves:
  Cloves are known for their calmative properties which help to improve the process of peristalsis by which food moves down the stomach.
  When you put a clove in your mouth, just bite it once to help in releasing the extracts which would reach your digestive tract and immediately lower down the acid reflux.

6. Ginger:
  If you do not find raw ginger to be very pungent, you can keep a candied ginger slice in your mouth for instant relief from acidity.
  If you feel that you wouldn t be able to chew raw ginger, you can boil it in water and drink it after it cools down.
  Ginger can be also eaten with a small piece of jaggery to help the juice reach the stomach and alleviate the acidity.

7. Mint leaves:
  Commonly referred to as  pudina , mint leaves are known for lowering the acid content and improve digestion.
  If you feel that an acid attack is imminent, you can chop down a few mint leaves and boil it in water and drink the solution for eliminating bloating problems.

These few Ayurvedic remedies can help in soothing acidity along with its other symptoms.

Acidity - 6 Amazing Home Remedies That Can Help!

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