It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

As soon as one is released from hospital after going through an abdominal surgery, the patient must make a checklist and an early recovery strategy before leaving home. Do follow the following tips and recover soon.

Do make prior arrangements for a safe and comfortable journey back to home. Ensure that you have made transportation arrangements to go home safely. Use your own car or book any cab or take any friend s help. Place a cushion over your abdomen to keep it safe from jerks.

Do go for post-surgery checkup. Book an appointment with your surgeon post-surgery. This would ensure that surgery did not cause any side-effect.

Understand the schedule for taking medicines. Usually the patients are given painkillers. If you think you are not getting relief from it then ask your surgeon to prescribe you an alternative. Patients are likely to suffer from constipation post an abdominal surgery. If that happens, intake more fibrous food, fluids and indulge in light physical activities. Patients can also ask for cheaper alternative medicines.

Check for certain signs and symptoms and take adequate steps:

Take adequate sleep. There are chances that you may feel dizzy and fatigue, therefore one must observe change in sleep patterns. Have patience. Things will become normal in due course of time.

You will also be subjected to little pain from the incision. Take your medicines as directed in order to get an early relief from pain.

Draining of yellow color liquid from the incision in little quantities post the surgery is normal. If the drainage continues even after 7 to 14 days with redness around incision, it is a clear symptom of infection. Consult your surgeon immediately for the cure.

Removal of urinary catheter from the bladder may cause minor difficulties during urination. Situation will become normal in few days. If discomfort persists, consult your surgeon.

Identify the following dangerous symptoms and call your doctor right away.

Persistent vomiting or nausea

Incapability to digest food or fluids

Swelling in leg

Abnormal body temperature

Infection at the surgical site

Maintain a healthy and supervised lifestyle post surgery.

It will take few days to return to your normal routine life. So have patience until then.

Go for morning and evening walks. Avoid heavy exercises as such activities may cause physical strain.

Take care of your surgical incision

Surgical incision should be regularly cleaned or washed gently. Try to keep the surgical site dry until the stitches are removed.

After 5-7 days of surgery, the stitches would be removed by the surgeon. Avoid putting ointment on the stitches until then. It will take few weeks for the scars to fade.

Under proper care and supervision, the patient will soon recover post an abdominal surgery and will be able to get their life back on track.

Abdominal Surgery - Tips To Recover From It!

You must have often heard about sports person, especially those associated with tennis or baseball (that involves continuous arm movement) suffer from rotator cuff injury. But what exactly is this injury? To understand the condition better, you need to know what is a rotator cuff. A rotator cuff is a group of tendons and muscles that keep the shoulder joints stable enabling a person to rotate or lift their shoulders freely.

With time, certain activities may cause a wear and tear of the rotator cuff injuring them. The injury sustained can result from a partial or a complete tear.
A partial tear of the rotator cuff may damage the tendons, but it will remain attached to the bones. However, in the case of a complete tear, the injury is more severe that penetrates deep within detaching the tendons off the bone (humerus).

Who can suffer from a Rotator Cuff Injury?
While the condition can affect anyone, people under the following situations stand a greater chance of injuring their rotator cuff.

People in their old age may suffer from the Rotator Cuff injury as with age the tendons and muscles may undergo a degeneration.
The injury may also be genetically linked.
The problem is found to be common among tennis and baseball players.
Painters, as well as carpenters who need to move their arms and shoulders continuously in a particular direction, stand at a risk of injuring the rotator cuff.
Symptoms associated with a Rotator Cuff Injury
People with a Rotator Cuff Injury may exhibit the following symptoms and associated discomfort.

The rotator cuff ensures the free and comfortable rotation of the arm and the shoulder. An injury will limit this rotation. As a result, a person may experience great difficulty and pain in lifting and moving the arm.
Lying on the affected shoulder can be a painful experience.
There is instability of the shoulder joints followed by weakness.
A person finds it difficult to carry out the basic activities such as bringing a glass of water close to the mouth or combing the hair.
Treatment

Anti-inflammatory drugs and painkillers (Acetaminophen) may be used to reduce the pain and swelling associated with the injury.
Physiotherapy and various strengthening exercise can go a long way to deal with shoulder weakness, stiffness, and restricted movement. However, one needs to have patience as the treatment may take time to produce the desired results.
In extreme cases, the doctor may opt for a surgery.
Arthroscopic surgery: The procedure is simple and involves a small incision on the affected shoulder to place an arthroscope (that comes fitted with a camera and the surgical instruments) to treat the condition.
The doctor may also carry out an open surgery or a mini-open surgery (an amalgamation of open and arthroscopic surgery) to fix the tear.

Rotator Cuff Injury - Symptoms Associated With It!

9 Home Remedies for Sinus 

Nose incorporates an intricate system of narrow passages and hollow, air containing spaces connecting to eyes and ears that enable us to inhale the air before it reaches our lungs. And the problem of sinus is directly linked with the nose. Basically, Sinus is a cavity within bones of face connected with nasal cavities and the main cause of sinus is allergies. But internally our nose has to suffer a lot when this problem occurs. But there are few tips that can be of great help during sinus. Let’s see them one-by-one

1. Drink plenty of water: While you are suffering from sinus, you must keep drinking water at short intervals because this won’t let the sinus get dry which is very essential for the treatment of sinus. Prefer taking lukewarm water.

2. Oregano oil: Adding few drops of oregano oil in water and having it 2-3 times a day for a week will provide relief when suffering from sinus and it will also make recovery faster.

3. Eat vitamin C: Eat citrus fruits which are rich in Vitamin C. Although some people avoid it thinking that it will aggravate the sinus problem but taking Vitamin C is helpful in sinus problem.

4. Fruit juice intake: Taking fruits juices also helps in thinning out mucus and preventing sinuses from blocking.

5. Warm compressor on face: Keeping warm compressor on your face will give relief from discomfort and will open blocked nasal passages.

6. Keep your head propped up while sleeping: Sleeping on a couple of pillows will be a good idea as it will help in proper breathing.

7. Spicy food intake: Taking too many spices is never a good idea but taking it in limits can actually solve many problems and one of them is clearance of sinus. Spices like mustard, hot pepper, curry and horseradish etc. helps in clearing sinus. It opens your nasal passages.

8. Hygiene: Hygiene is the first and foremost thing to be kept in mind when this problem occurs.

9. Humidifier: Keeping humidifiers in your room also helps in providing relief during sinus.



9 Powerful Home Remedies for Winter Sinus That Work Fast!

Are you looking for a treatment measure for infertility in females? You can go for an Ayurvedic treatment, which is completely natural and does not involve the use of any chemical. Infertility refers to the inability of a woman to conceive after having unprotected sex. The principles of Ayurveda states that infertility occurs when a woman s Shukra dhatu, or the reproductive tissue does not get proper nutrition. This may happen because of improper digestion, and also because of some toxins in the body. Anxiety, insomnia, depression, and spicy food are other causes of infertility in females according to Ayurveda.

Ayurvedic treatment
Ayurveda has a holistic approach towards health and treats the body as a whole, instead of treating a specific ailment. An Ayurvedic doctor needs to be certain about your body type before making a treatment suggestion. Ayurvedic treatment for infertility in women aims at ensuring the proper transformation of food into nutrients, which will move to your shukra dhatu.


The most important Ayurvedic remedies for treating female infertility are as follows:

Swedanam: This method is used by Ayurvedic physicians for inducing sweating in patients who suffer from infertility. This is done with the help of exercises or blankets. It is meant for flushing out toxins from your body.
Vamanam: This is a detoxing Ayurvedic therapy in which vomiting is induced for getting rid of undigested food from the body. In spite of being uncomfortable, this is an ideal detox therapy for infertility management.
Banyan tree bark: The use of dried banyan tree bark powder is recommended by several Ayurvedic physicians for treating infertility problems in females. Remember to add sugar to the banyan bark powder before consuming it.
Ashwagandha churna and kapikacchu: These are popular Ayurvedic medicines, which are used for treating infertility issues in women.
Phala gritam: Consume phala gritam in the form of buttermilk mixed with milk. This medicine effectively treats several functional problems related to female infertility.
Guduchi, triphala churna, and gokshura: These Ayurvedic medicines are used for clearing blockages in your body. This prevents the production of shukra dhatu and helps in the management of female infertility.
Shatavari: This Ayurvedic medicine is designed only for women for the treatment of infertility.
Dietary changes: Ayurveda states that a woman suffering from infertility must follow a strict diet plan. Spicy, oily, and extra salt foods should be strictly avoided. It is recommended for you to consume food items such as almonds, whole grains, fresh vegetables, fresh fruits, and dried fruits.
If you are suffering from infertility and seek Ayurvedic treatment, visit an experienced Ayurvedic practitioner for timely advise. He will be able to diagnose your cause and prescribe remedies based on the diagnosis.

Infertility - 8 Ways Ayurveda Can Help You!

Cholesterol is one of those terminologies that need a clear and fresh understanding, right from scratch. It is nothing but obvious and common for you to primarily know about the ill effects of cholesterol and what it does to your body; from increasing the risks of cardio-vascular diseases to adding to your waistline. However, it is time we all got a fresh perspective on what cholesterol is.

So, to start off, what is actually cholesterol?
It is waxy substance produced by the liver which plays an important role in the proper functioning of the cells, digestive process and synthesis of Vitamin D in the body. As cholesterol is a fat based substance that does not dissolve in blood, it is transported, throughout the body, by a protein called the  lipoprotein . The lipoproteins that carry cholesterol are of two types: Low-Density 

Lipoprotein (LDL) and High Density Lipoprotein (HDL)

Why is LDL  bad ?
LDL is known as  bad  cholesterol as it is responsible for plaque formation that reduces flexibility of the arteries and tends to clog them.

Why is HDL  good ?
HDL is known as the  good  cholesterol because it gets rid of excessive LDL from the arteries and transports them to the liver where they can be broken down. Too much of bad cholesterol in the body can lead to clogged arteries that may result in stroke or a heart attack. Now that you know that too much LDL cholesterol is bad for you, you need to keep it under control while raising the good cholesterol (HDL) levels. In order to do that, you need to make certain modifications in your lifestyle.

Some of them can be:

Eat foods that are good for the heart: Avoid eating saturated fats and trans-fats as they raise LDL levels in the body. Instead, choose foods that are rich in the heart healthy monounsaturated fats such as almonds and olive oil. Also, include foods that are rich in Omega-3 fatty acids such as fish oil; these fatty acids increase HDL levels in the blood.
Exercise regularly: Exercise not only helps you to lose calories but also increases the good cholesterol levels in the body. Aim for 20-30 minutes of cardiovascular exercises in the form of brisk walking, running or cycling to keep your heart muscles healthy.
Stop smoking: Smoking can cause the blood vessels to narrow down, thus increasing blood pressure, owing to the constriction of the blood vessels. Quit smoking right away and your ticker will thank you for it. Remember to limit alcohol consumption as well.
Maintain optimal weight levels: It s time to get rid of all the excess fat from the body, especially the visceral fat (abdominal fat). Obesity increases the risk of heart diseases and also has a negative effect on the cholesterol levels.

Cholesterol - Lifestyle Habits That Help Control it!

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