Patients suffering from Irritable Bowel Syndrome experience severe abdominal pain, abdominal bloating along with cramping, gas, constipation and a constant urge to go to the toilet again and again. IBS is a health disorder where the large intestine or the colon is affected. This condition is a chronic one and requires long-term management. The symptoms are usually worse after eating and tend to occur in episodes. Although the disorder cannot be reversed, several symptoms can be managed or controlled by making lifestyle and dietary modifications. Most patients with IBS will experience flare-ups that last for a few days. For others, medical treatment is required.

Treatment and Care

Different procedures are used to treat IBS, which vary from person to person. However, one single treatment does not work with everyone.

Lifestyle and Dietary changes:

By making several basic modifications to your regular diet and activities, IBS improves with time. Here are some tips:

You should avoid caffeine in any form such as coffee, tea or soda.
You should increase the amount of fiber in your diet and include vegetables, fruits, whole grains and nuts.
You must drink three to four glasses of water regularly.
Smoking should be abstained from.
You must undertake relaxation techniques and work out in order to reduce stress.
Your amount of dairy product consumption must be reduced. 
You should eat frequent, small meals instead of fewer large meals.
The most common food triggers, which lead to IBS are green onions, red wine, milk and red peppers. You should not consume these products.
You should keep a record of the types of food you consume so that you can identify the IBS triggering food items.
You should eliminate high gas producing food items from your diet. Food items which may result in passing excess amount of gas such as carbonated vegetables and vegetables such as cabbage, broccoli and cauliflower should not be consumed. 
Medications:

Several medicines are used to treat IBS. These include the following:

Antispasmodics are used to control muscle spasms in the large intestine.
Antidiarrhoeal medicines are used to control the symptoms of diarrhoea.
Laxatives are prescribed for relief from constipation.
Bulking agents like wheat bran and corn fibers are used to slow down the food movement through the digestive system. They also relieve symptoms.
Antidepressants are also used in case of some patients with IBS for relief.
In patients, whose symptoms occur due to bacterial overgrowth in the intestines, certain antibiotics may be used for treatment.
There are several triggers of IBS, which must be identified and treatment should be undertaken after that. For the proper identification and best treatment of IBS which suits your symptoms, it is essential you consult a gastroenterologist. Alternative treatment methods such as acupuncture, using certain herbs and probiotics can also be followed.

Irritable Bowel Syndrome - Treatment and Care

Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

Alcohol in Pregnancy: Is it Safe?

HIV: QUICK FACTSIntroductionThe human immunodeficiency virus (HIV) is a subgroup of retrovirus (lentivirus) that causes HIV infection. After a period of time, this infection leads to what is called acquired immunodeficiency syndrome (AIDS).

Epidemiology

According to the Centers for Disease Control and Prevention (CDC), from 2010-2015, the estimated rate of HIV infection in all 50 US states decreased from 14.2 per 100,000 population in 2010 to 12.3 per 100,000 population in 2015. In 2015, 39,513 individuals were diagnosed with HIV infection. From 2010 to 2014, the annual number of new HIV infections decreased by 9%.

Virology HIV-1 and HIV-2 are retroviruses in the Retroviridae family, Lentivirus genus. They are enveloped, diploid, single-stranded RNA viruses with a DNA intermediate.Upon entry into the target cell, the viral RNA genome is converted into double-stranded DNA by an enzyme, reverse transcriptase that is transported along with the viral genome in the virus particle. The resulting viral DNA is then imported into the cell nucleus and integrated into the cellular DNA by a virally encoded enzyme, integrase. HIV contains three retroviral genes, namely gag, pol, and env.

Gag gene: Encodes group-specific antigen; the inner structural proteins
Pol gene: Encodes polymerase; it also contains integrase and protease
Env gene: Encodes the viral envelope, the outer structural proteins responsible for cell-type specificity. Glycoprotein 120, the viral envelope protein, binds to the host CD4+molecule
Pathophysiology

HIV infects vital cells in the human immune system, such as helper T cells (specifically CD4+ T cells), macrophages, and dendritic cells and leads to cellular immune deficiency. This results in the development of opportunistic infections and neoplastic processes.

Mode of Transmission
Sexual intercourse: Unprotected sexual intercourse; especially receptive anal intercourse and different sexual partnersContact with or transfer of blood, pre-ejaculate, semen, and vaginal fluids infected with the virus.Spread from an infected mother to her infant through breast milk. An HIV-positive mother can transmit HIV to her baby both during pregnancy and childbirth due to exposure to her blood or vaginal fluid.

Signs and Symptoms There are 3 categories of infection 

Category A: Asymptomatic HIV infection without a history of symptoms or AIDS-defining conditions
Category B: HIV infection with symptoms that are directly attributable to HIV infection
Category C: HIV infection with AIDS-defining opportunistic infections
Investigation

A high-sensitivity enzyme-linked immunosorbent assay (ELISA) should be used for screening.

Management

Start with antiretroviral therapy (ART) in all HIV-infected adults ready to start therapy. 
CD4 count is no longer a criterion for starting the therapy.
Use of nucleoside reverse transcriptase inhibitors and protease inhibitors.
For refractory cases, during the failing treatment regimen and before switching therapy, use rapid confirmation, perform resistance testing and reevaluate.

HIV - Quick Facts Need To Know!

Jaundice is a disease that is related to the liver. It affects thousands of people across the globe. Due to an increased build-up of bilirubin in the body, the skin, nails, and the eyes becomes yellowish in colour. While the condition is easily treatable, if detected in the early stages, it can be easily avoided if certain precautionary measures are taken.

Food: It should be ensured that food is consumed fresh and hot in order to avoid jaundice. This is more applicable especially, during the monsoons when the chances of food contamination are on the higher side. Vegetables should be thoroughly washed before cooking in order to avoid any liver infection.
Clean water: Consumption of clean water is a pre-requisite in order to avoid jaundice. Drinking filtered water should be an absolute must. If the water is known to be unsafe, it makes sense to boil it before drinking. Bottled or packaged water should be consumed when travelling outside to avoid the risk of jaundice.
Frequent hydration: Drinking at least 3-4 litres of water per day goes a long way in refraining from jaundice. Water has multiple health benefits. Apart from keeping the body hydrated, it ensures good blood circulation and cleanses a lot of unwanted body waste. Even fruit juice can be consumed to stay away from jaundice. Certain beverages such as sweetened water should be eschewed to remain healthy.
Vaccination: A jaundice vaccination goes a long way in ensuring that the disease cannot infiltrate the body. There are separate vaccines available to safeguard against both Hepatitis A and Hepatitis B. In most countries jaundice vaccination are injected free of cost for children under 10 years. Jaundice vaccines are available over the counter as well.
Alcohol consumption: Alcohol consumption can kill slowly. They are known to have adverse effects on the liver which can result in jaundice and a host of other complicated diseases. An alcohol addict also takes a lot of time to recover from jaundice. It, therefore, makes sense to refrain from alcohol or limit it to a bare minimum in order to avoid jaundice.
Maintaining weight: Obesity is closely connected with the occurrence of jaundice. Fat cells not only increase the cholesterol level of the body but raise the risk of gallstones as well. It is important to maintain a healthy BMI to ensure that the liver functions well.
Maintaining hygiene: Maintaining good hygiene is a good way to stay away from jaundice. Small yet important things such as washing hands before a meal, regularly taking bath, washing teeth twice a day, wearing clean and washed clothes will ensure that the liver is not infected in any manner what so ever.

Jaundice Precautions -  You Must Take to Avoid It

A urinary tract infection can be painful and annoying. Most urinary tract infections affect the bladder and urethra, but it can also affect the kidneys and ureter. Women have a higher risk of suffering from this infection as compared to men. This is because women have a shorter urethra than men and hence the bacteria needs to travel a shorter distance to reach the bladder. Urinary tract infections can usually be treated easily with a course of antibiotics as long as they are detected in time. If not detected in time, it can affect the kidneys which make it a more serious problem. Hence, it becomes important to be able to recognise the signs of this infection. 

Some of the symptoms to watch out for are:

A persistent urge to urinate but low volume of urine produced
A burning sensation while urinating
Cloudy urine
Blood in the urine which makes the urine appear red, pink or blackish
Strong smell of the urine
Pelvic pain
A urinary tract infection that affects the urethra is also known as urethritis. A burning sensation when urinating and discharge along with urine are the most prominent symptoms of this type of infection. When this infection affects the bladder it comes to be known as cystitis. Cystitis patients typically suffer from frequent and painful urination along with discomfort in the lower abdomen and pressure in the pelvic area. They may also notice blood in the urine.

Acute pyelonephritis refers to a urinary infection that affects the kidneys. In such cases, along with the typical symptoms, the patient may also experience high fever, nausea, shivering and pain in the upper back and sides of the abdomen.

This infection can affect a person at any age. Most women suffer from at least one bout of urinary tract infections in their lifetime. Some of the factors that increase the risk of suffering from this infection are:
Certain types of birth control such as diaphragms and spermicidal agents

Menopause
New sexual partners
Urinary tract abnormalities
Kidney stones or other blockages in the urinary tract
Weakened immune system
Use of catheters
Recent urinary procedures that involve the use of medical instruments
Urinary tract infection can be easily prevented by living a healthy lifestyle. Drink plenty of fluids to flush bacteria and other toxins from your body. Bacteria multiplies in the bladder if urine stays for too long. Hence, urinate frequently and do not try to control your bladder. Avoid synthetic underwear and wear cotton underwear with loose fitting clothes that keep the area around the urethra dry.

How to prevent recurrent urinary tract infections
A urinary tract infection or UTI can be quite painful and uncomfortable. This infection can be described as an infection that affects the ureter, urethra, bladder or kidneys. Women have a shorter urethra than men which makes this more vulnerable to this kind of infection. It is said that most women suffer from at least one bout of this infection in a lifetime. Urinary tract infections are caused by bacteria and may often recur after treatment. However, in most cases, this can easily be prevented. Here are a few tips to help prevent recurrent urinary tract infections.

Drink plenty of fluids: Ideally, we should drink 8-10 glasses of water a day at regular intervals. This keeps the body hydrated and flushes toxins and bacteria from the body. Water also prevents the formation of kidney stones that could increase your risk of suffering from a urinary tract infection.
Urinate frequently: If you drink the required amount of water, you will typically need to urinate frequently. Do not try to control your bladder. Holding your urine in your bladder allows bacteria to multiply inside the bladder. This is an easy way for a UTI to begin.
Follow healthy bathroom habits: Cleanliness is the first step to preventing any infection. When using public restrooms, flush the toilet before and after urinating. In the case of women, it becomes important to ensure that the seat of the toilet is clean as well. After urinating wipe the residual urine with toilet paper in a motion that goes from front to back. Since the urethra is situated very close to the rectum, this step is very important. For uncircumcised men, it is important to wash the foreskin after urination.
Wear loose clothes: Tight fitting clothes trap moisture and aid in the multiplication of bacteria. Hence, always wear loose fitting clothes that keep the area around the urethra dry. Also, avoid synthetic underwear and only wear cotton underwear.
Urinate after intercourse: The relative closeness of the vagina to the urethra makes it easy for bacteria to enter the urethra during intercourse. Hence, make it a habit of washing your pubic region after urinating. This helps flush out any possible bacteria that may have entered your body.
Choose the correct method of birth control: Certain types of birth control such as diaphragms and spermicidal agents can promote a urinary tract infection. Hence, it is best to avoid these types of birth control and pick alternatives.

Urinary Tract Infection - Signs You are Suffering From it!

The internet is filled with information about abortion but not everything you read is entirely true. A lot of information you come across maybe myths or misconceptions so, it is very important for you to have a thorough idea about abortion and the way it is performed. Before you go ahead with the abortion, you have to make sure you know everything there is to know about this.

In how many ways can you medically terminate a pregnancy?
Before going for an abortion, you should know and keep in mind that there are different ways through which an abortion is performed. So, with the help of your doctor, you need to decide which one you should opt for depending on your health and situation. Those methods are:

  Surgical abortion - This type of abortion is normally done with the help of general or local anaesthesia depending on the patient s preference. Surgical abortions are normally done if any problems crop up in the later stages of the pregnancy. This process is just like the Caesarean process, but here the fetus is terminated by cutting off the umbilical cord and then delivered. Doctors suggest this method when the mother s life is at risk or if there are complications in the later stages of the pregnancy..

  Curettage - Curettage is the process in which the fetus is terminated by cutting it out with an instrument known as a curette. Firstly, the pregnant woman s uterus is dilated and after that, the fetus is removed. This method can only be done during the first trimester and after that, it becomes very risky. If this process is not carried out properly, it can cause grave injuries to the mother leading to haemorrhage and even death.

  Medical abortion - A medical abortion is normally performed in the initial stages of conception i.e., during the 9th week of pregnancy where you have to consume two types of medicines at least two days apart. Once you ingest the medication it initiates a miscarriage.

  Vacuum aspiration - This is one of the most common methods of abortion in which a sharp-edged tube is inserted through the vagina and into the amniotic sac where the fetus is cut into multiple pieces. Then a vacuum pump is stuck to the tube to pull out all the pieces. This type of abortion should be avoided after your 12th week of pregnancy.

Risks of a pregnancy termination 
There are several risks of terminating a pregnancy which you should know about before you decide to go for it:

  Internal organs may get damaged
  Infection
  The uterine lining can get scarred
  Lots of bleeding
  Guilt
  Thoughts about committing suicide
  Substance abuse
  The cervix can get damaged
  The uterus can have a hole in it
  Sexual problems
  Depression
  Death
  Pain in the lower abdominal region
  High body temperature or fever
  Nausea
  Foul-smelling and dark vaginal discharge

Abortion is one of the many methods for avoiding pregnancies but the process itself can take a toll on you physically as well as mentally. So, being well aware of the whole process beforehand can help you in dealing with its after-effects.

Different Methods Of Medical Termination Of Pregnancy!

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