A healthy kidney produces a hormone known as the erythropoietin. The latter assists the bone marrow to produce an adequate amount of RBC that carries oxygen to every nook and corner of the body. A damaged kidney results in less RBC production, thereby, creating a condition known as anemia. The hemoglobin count in the blood reduces significantly in this condition.

Anemia is characterized by shortness of breath, weakness and tiredness. It can affect sleep and a loss of appetite. A patient suffering from anemia reports of frequent headaches and a faster heart rate. These symptoms also surface when a person suffers from chronic kidney diseases (CKD). The condition gets worse as the disease progresses.

Treating anemia:
A patient suffering from anemia should be treated on time as there are many pitfalls of a lower hemoglobin level. The treatment will give instant relief from other symptoms that might have arrived with CKD. Doctors frequently prescribe Erythropoiesis Stimulating Agent (ESA) for patients suffering from CKD and suffering from anemia due to the shortage of erythropoietin. ESAs can be injected through an injection or intravenously. These injections stimulate the bone marrow to produce more RBCs. However, studies have revealed that ESAs increase the chance of strokes, heart attacks and blood clots. Furthermore, they aggravate tumor growth and shorten life expectancy for cancer patients. People undergoing ESA treatment should have periodic check-ups to ensure that the hemoglobin count is normal and under control.

Iron
Iron count in the body has an important role in treating patients suffering from anemia and CKD. In case the level of iron is too low in the body, ESAs fail to improve the condition of an anemic patient. The ferritin count of a patient should be in the range of 100-800 mcg/L. One more test known as TSAT reveals the number of iron required to produce RBCs in the body. In case the iron count is less, doctors often suggest iron pills to bring the count to a more accepted level.

Other causes
There could be other reasons for anemia as well. A doctor might further investigate the level of B12 and folic acid present in the body. Even an inflammatory condition can lead to anemia. A decreased count of any of the above-mentioned ingredients can cause anemia to a patient suffering from EKD.

Food items necessary to improve the condition
A healthy diet helps in improving the condition of an anemic patient. Iron deficiency is best addressed by fish and beef. Food rich in vitamin C helps the body to absorb more iron in the body. Certain food items that block the entry of iron in the body include tea, milk, albumen (egg white) etc. Therefore, you should be strictly avoid these items from your diet.

Kidney Disease - How It Is Related With Anaemia?

All year round, we are vulnerable to an array of health disorders, be it due to poor lifestyle choices, a pre-existing disease, or changing climate/weather. While most people focus on the cure of grave diseases, the most common ailments are often overlooked. One such condition is cold and flu   a viral infection of the nose and throat. Although the infection usually occurs in winters, the viruses causing cold and flu can make you fall sick anytime, and when you do, you are forced to sit back at home and keep away from people because the infection is contagious.

What are the symptoms?

If you catch a bad cold and flu, you are likely to experience the following symptoms  

  Runny nose

  Nasal congestion

  Sneezing and coughing

  A sore throat

  Headaches

  Body or muscle aches

  Tiredness/fatigue

  Fever and chills

Usually, the symptoms resolve in a week or two and most people recover on their own. However, if the condition does not improve and if you fall sick repeatedly, you might have to turn to medications.

Who gets a cold and flu?

Ever wondered  Why am I getting sick all the time ? That is probably because you have a weak immune system. Certain autoimmune conditions exhaust the immune system and make you prone to infections, flu and cold. People, who have chronic immune conditions, tend to fall sick and take longer to recover.

How do you stop from getting sick?

If you have been falling sick more than once in every few months, then you can ask your doctor for supplements that will help build your immunity. Probiotics, zinc supplements, and vitamin supplements are good for cold and flu. You can also avoid getting cold and flu following a few preventive measures, such as the following  

  Get vaccinated against flu and cold, influenza, and seasonal allergies

  Keep your surroundings clean and free from pollutants because such viral infections are air-borne. If you need to go out, make sure you are using a mask to cover the mouth and the nose.

  Viruses that make you sick often spread by coming in contact with an infected person or contaminated surfaces. Therefore, you must always practice good hygiene. Wash your hands with soap or a sanitizer immediately after touching an unclean surface. Also, make sure you clean your hands before eating.

  Exercise at least thrice or four times a week. Any sort of physical activity helps build immunity, improves your overall health and reduces the risk of a number of ailments.

  Eat a balanced diet that includes enough proteins, fibre, healthy fats and lots of fluid. It is very important to keep yourself hydrated, especially in summer to avoid falling sick. The above measures not only prevent you from contracting flu and cold but also keep a dozen other ailments at bay.

How To Avoid Getting Sick?

If you are concerned about the health of your heart, one of the primary and most important things to do is quit smoking. Avoiding and abstaining from smoking will heal the nicotine damage caused to your heart. This will enable you to lead a long and healthy life. Here are the reasons why you should quit smoking for the sake of your heart:

Reduced risk of heart attack: The benefits of not smoking start hours after you quit, and the heart rate and blood pressure get normalised slowly. By quitting smoking, your chances of having a heart attack are reduced by 50%.
In case of women, quitting smoking has special benefits: Women generally have a smaller body frame than men, and the harmful effects of smoking on a woman s heart are considered to be more dangerous and concentrated. Female smokers under the age of sixty are more likely to experience a condition known as cholesterol plaque erosion, which is a fatal blood vessel condition. Women smokers are likely (seven times more than men) to develop heart complications due to smoking.
When you quit smoking, your heart is no longer exposed to harmful chemicals: Cigarette smoke contains toxins such as arsenic, formaldehyde and benzene. The chemical substances may be hazardous to the blood vessels in your body, and the heart muscles get damaged. Once you quit smoking, these chemicals will no longer enter your body, making your heart healthier.
Quitting smoking benefits other people as well: When children and people are exposed to tobacco smoke, their chances of having plaque in their heart s arteries are enhanced. This may cause a stroke.
Quitting smoking reduces the chances of getting hospitalised: A smoker may be at the risk for getting hospitalised because of several conditions such as congestive heart failure, chronic obstructive pulmonary diseases, much more than a non-smoker. After quitting smoking, the chances of being hospitalised decrease within five years.
Quitting smoking lowers the risk of having atherosclerosis: Atherosclerosis is a blood vessel disease which is caused due to inflammations all over the body. Because of this, the arteries may stiffen and thicken. Smokers face the risk of acquiring this condition three times more than non-smokers.
You can quit smoking most effectively by combining behavioural support along with prescribed medication. People using this type of multi-treatment are likely to become successful at quitting smoking. You should consult a specialist who is certified in tobacco treatment, who will provide you with a plan. It will include counselling, medicines and a nicotine replacement therapy.

Smoking - How Quitting It Is Good For Your Heart?

Autism spectrum disorders are a group of severe neurological and developmental disorders which begin in early childhood and can last throughout a person s life. It affects the ability to interact with others and also hinders communication and well as learning ability. A proper health center can diagnose the presence of autism spectrum disorder early on. Many tests are available for evaluation and diagnosis as it is a range of disorders which can have a variety of symptoms. The environment and genetics also play a role in the development of autism spectrum disorder but the exact cause of autism spectrum disorder is not yet known.

Symptoms of autism spectrum disorder:

Your child may not be able to respond when called by his or her name by 12 months age.
Will avoid eye contact and also have the desire to stay alone.
Have trouble understanding or relating to other people or talk about their own feelings.
Delayed speech and language skills which would affect the ability to speak.
Show unusual reaction to sound, smell, taste or feelings.
Answering questions with unrelated answers that have no meaning or link.
Prefer to play alone and would avoid physical contact.

Diagnosis of Autism Spectrum Disorder:

Comprehensive Diagnostic Evaluation   The behavior of your child and development is first studied by the doctor in detail. The tests include genetic testing, neurological testing, hearing and vision testing among others. Doctors may also suggest other specialized tests in certain cases.
Developmental Screening   The development of your child s basic learning skills with respect to the age is checked. The doctor checks for some delays in the progress and will also monitor movement, behavior and speaking progress of the child. Some additional checks are also done for low birth weight, premature birth among other things.
Treatment:

Applied behavioral analysis   This is a notable treatment and widely accepted by doctors all over the world. ABA is known to encourage positive behaviors and improves a variety of skills in a child.
Occupational Therapy   Teaches the skills to live independently like eating, dressing and social skills. This can help people afflicted by autism spectrum disorders to lead a normal life within the society and thus relate to as well as interact with other people.
Speech therapy   It improves and focuses primarily on communication skills and also uses picture boards and gestures to improve the abilities and induce learning skills.

Autism Spectrum Disorder - How To Diagnose It?

Chikungunya is a viral disease transmitted to people by the bite of an infectious mosquito known as Aedes Aegypti. The chikungunya infection is most prevalent in Africa, Southeast Asia, the Indian subcontinent and Indian Ocean islands, where various incidents of these disease and certain outbreaks have occurred over the years.

Humans and different animals are the regular hosts for the chikungunya virus, which can turn out to be very painful if it is not treated on time with proper medical care and intervention. The virus is spread to people by the bite of a female mosquito called Aedes aegypti or Aedes Albopictus. These are the same tropical and sub-tropical mosquitoes that spread the dengue virus. They breed in or close to human habitations and want to feed on people during the daytime in shady zones. These are likely to bite you at during the early hours of the evening or at night. The hatching time frame (time from disease to sickness) can be anywhere between two to 12 days.

Symptoms: Chikungunya infection is characterised by the following symptoms:

1. High or blazing fever
2. Extreme joint pain for the most part in the arms and legs
3. Headache
4. Pain in the muscle
5. Pain in the back
6. Body ache
7. Rash (in about 50% of the infected people)

A vast majority begins to feel better following 7 to 10 days but a few people will go through longer term joint pain.

Treatment:

1. There is no particular medicine to prevent chikungunya. There is no antibiotic that can help in doing away with it - it usually abates on its own. Chikungunya treated on the basis of a patient's symptoms. However, there are some precautions and alternate medications that can be used as a cure.

2. Bed rest, liquids, and medication to soothe side effects of fever and hurting. Asprin should be avoided.

3. Personal protection and a hygienic environment is important to prevent the growth of the illness.

Since this virus does not have a vaccine or any particular medicine, one should try to stay away from mosquitos as much as possible. Covering yourself up while travelling, especially in the evening is the best approach to prevent it.

Preventive Tips and Treatment for Chikungunya

Change in voice or voice mutilation happens when the voice breaks that commonly occur when a person reaches puberty. Before puberty, almost all the girls and boys have the same voice pitch. But after puberty, a boy s voice deepens an octave and the girl s voice deepens only several tones. Therefore, it becomes easy to identify the gender through voice. 

Another type of change in voice is known as voice crack. It happens when a person unintentionally enters a higher voice pitch zone for a brief period of time. It may be due to singing, shouting, talking in noise, and several other reasons. Also, there are several medical conditions leading to voice break or hoarseness. 

Medical Causes for Change in Voice

Acute Laryngitis: In this, the hoarseness or voice loss starts suddenly. One of the reasons can be a viral infection that causes swelling of vocal cords. Staying hydrated and less talk can treat it. 

Chronic Laryngitis: It can cause acid reflux disease. Exposure to irritating smoke, infections of vocal cords, or asthma can be some of the reasons. It can be cured only through medication.

Laryngopharyngeal Reflux Disease: This problem causes a change in voice. Due to this disease, people may also suffer from swelling issues, a lump in the throat, hoarseness in voice, and throat pain. 

Voice Misuse: Excessively loud voice, prolonged talking, and inefficient voice use can cause a change in voice and also known as voice misuse. 

Risk Factors That Can Cause Voice Disorder

Aging, alcohol use, and allergies are some of the major reasons for the voice disorder. Apart from these, smoking and throat cancer also results in a change in voice or voice disorders. All these are highly risky causes for the throat and may result in long-time problems. 

Some other risk factors are thyroid, psychological stress, and neurological disorder. 

How to Treat Voice Disorder?

One can use an air humidifier to keep the air of the surrounding moist because breathing moist air is a simple solution to the problem.

Giving rest to voice is also a solution.

One must drink plenty of liquids to keep the throat hydrated.

One must avoid whispering and decongestants to take care of the throat.

One must avoid shouting for a long time.

Avoid staying in a polluted area for a long time.

Gargling the throat every day with lukewarm water is good.

Staying warm during winters is also necessary.

All these remedies are simple and can be tried comfortably. A simple change in voice can turn out to be serious if not taken proactive measures. Therefore, one must not ignore any small unintentional change in the voice.

Conclusion
One must consult ENT doctor immediately for any sudden change in voice and if the problem lasts for a long period of time. 



Change In Voice - What Can Cause It?

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