What do we mean by a hiatal hernia?

The hiatus is an opening in the diaphragm (the muscular wall) which separates the chest cavity from the abdomen. Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach. In a hiatal hernia, the stomach bulges up into the chest through that opening.

What does statistical data say about a hiatal hernia?

Statistically, approximately 60% of individuals who are above age 50 or older have a hiatal hernia.

In which age group is hiatal hernia very common?

The incidence of hiatal hernias increases with age. It is commonly seen in the older age people specifically in people who are above 50. 

What are the causes of hiatal hernia?

The most common risk factors are as follows: 

Obesity Congenital deformities, such as scoliosis
Certain types of surgery
Major trauma
Conditions which causes an increase in abdominal pressure within the abdomen, such as heavy lifting, or bending over, frequent or violent coughing, violent sneezing, violent vomiting, and straining during bowel movements
What are the types of a hiatal hernia?

There are four types of a hiatal hernia and they are as follows:

Sliding hiatal hernia: This is the most common variant of a hiatal hernia. It occurs when your stomach and esophagus slide into and out of your chest through the hiatus. It is usually asymptomatic.
Fixed hiatal hernia: It is also known as a paraesophageal hernia. In a fixed hernia, part of the stomach pushes through diaphragm and stays there.
Type III hiatal hernia: In this type, as a hernia goes on increasing, the phrenoesophageal ligament stretches and displaces the gastroesophageal junction above the diaphragm
Type IV hiatal hernia: Type IV hiatal hernia includes a large defect in the phrenoesophageal ligament causing other organs, such as colon, spleen, pancreas and small intestine to enter the hernia sac.
What are the sign and symptoms of hiatal hernia?

Common symptoms include:

Heartburn
Chest pain or epigastric pain, coughing
Difficulty in swallowing
Belching, eructation, and hiccups
How to diagnose the condition?

To diagnose this condition following tests or procedures are included:

X-ray of the chest and abdomen Barium follow-through examination of gastrointestinal tract (GI) to visualize GI tract.
Upper endoscopy for examining the esophagus and stomach from inside Esophageal manometry for measuring the rhythmic muscular contractions of esophagus while swallowing, and also, measuring the force exerted by the muscles of esophagus.
What is the treatment available for it?

It includes medications and surgery which are as follows:

Antacids to neutralize stomach acid and to reduce acid production
Medications that heal the esophagus 
Surgery of opening of diaphragm to make it smaller and for reconstruction of an esophageal sphincter

Hiatal Hernia - How Is it Diagnosed?

Diet and other lifestyle factors such as lack of exercise and high waist-hip ratio are seen to be the significant contributing factors of certain medical conditions, gallstones one among them. Gallstones have become a highly prevalent issue in India, with an increasing number of patients reporting abdominal pain and discomfort. And it is also seen to be more common in females than in males. If your doctor suspects this problem, then he would proceed with the diagnosis and treatment as applicable.

How are gallstones treated?
If gallstones are not leading to any signs or symptom, then in such cases the treatment is not required. However, if an individual suffers from any symptoms or a gallbladder attack, then the health care provider normally recommends undergoing surgery. This surgery is used for removing the gallbladder. Sometimes, the individual may not be in a condition to undergo surgery and, in such cases, conventional treatment may be used for curing the disorder.

The surgery for the removal of the gallbladder is known as the cholecystectomy and is one of the most common surgical interventions performed for people with gallstones. The gallbladder is not considered to be a significant organ in the human body. This means that an individual can easily survive without the gallbladder. As the gallbladder is removed, bile starts flowing out of the liver through common and hepatic bile ducts without creating any issues.

What are the surgical options required for removal of gallstones?
There are two types of surgeries used for removal of stones in the gallbladder. These are explained below.

Laparoscopic cholecystectomy: In this surgery, the surgeon makes small incisions in the abdomen for the insertion of a laparoscope, which has a tiny camera attached to it. This camera enables a magnified image to be sent to the video monitor so that the surgeon can see the tissues and organs clearly. At the same time, the surgeon uses certain instruments for carefully separating the gallbladder from the liver, bile ducts and other organs. Then the gallbladder is carefully removed through one of the small incisions. This is the most suitable options for the removal of the gallbladder since it is performed on an outpatient basis, which means that the patient can go home the same day.
Open cholecystectomy: This is done when the gallbladder has severe inflammation or infection or scars from different operations. This may also be performed at the time of the laparoscopic cholecystectomy. In such cases, the surgeon switches to open cholecystectomy as a safety means for the patient.
What to expect after the procedure?
A small percentage of the patients have softer and more frequent stools after the removal of the gallbladder. These changes in bowel habits are normally temporary, and they are required to be consulted with the expert.
Since the incidence of gallstones is found to be related to gallbladder cancer, it is essential to work with your doctor to avail proper treatment and avoid such dire complications.

Surgical Option To Remove Gallstones - Know Which One Will Be Better For You!

Causes and symptoms of knee pain

Knee pain is characterized by a feeling of pain in the knee joint caused by injury or overuse. The knee joint consists of small bone structures, the kneecap, supporting ligaments and cartilage of the knee. This joint bears the full weight of the body, which makes it very vulnerable to injury.

Causes of knee pain

Knee pain is usually caused by injuries to the knee such as exposure to a direct force on the knee, abnormal twisting of the knee or falling on your knees. Some causes of knee pain are -

Knee strains and sprains - Overworking the knee joints can damage the tissues of the knee joint resulting in knee sprains and strains

Osteoarthritis - it is condition where the protective cartilage around the kneecap is damaged, resulting in knee pain

Bursitis - Excessive movement of the knee or kneeling down for extended periods can irritate the bursa (a fluid sac below the skin above the knee joint) that causes swelling and pain, thereby giving rise to this condition

Gout - This condition is characterized by the accumulation of uric acid in crystal form around the knee joint, causing inflammation and pain

Tendon disorders - Tendons connect the muscles to the bones, and overworking the knee can cause the tendons around the knee to become sore and painful

Kneecap dislocation - Injuries may cause the kneecap to shift out of its position, this causes swelling and pain in the knee joint

Symptoms of knee pain

Severe knee pain can restrict movements such as walking or standing. The symptoms vary according to the extent of the damage suffered by the knee. Most common symptoms of knee pain are problems in climbing stairs, inability to extend the knees, limping and swelling of the knee joint. In some cases, knee pain may also cause fever.

Causes and Symptoms of Knee Pain

Epilepsy is a disorder of the nervous system which is characterised by the tendency of a person to have seizures. Seizures occur due to abnormal and excessive nerve cell activity in brain. The result is abnormal behaviour and sensations, including loss of consciousness. There are a variety of seizures with different symptoms depending on the part of brain involved. Progressive myoclonus epilepsy is an epilepsy syndrome, which is caused by genetic disorders. It features a combination of myoclonic and tonic-clonic seizures along with progressive neurological decline. It is often characterised by unsteadiness, muscle rigidity, and mental deterioration. Such a type of epilepsy is quite rare. Seizures are difficult to control and patients often lose thinking abilities as well.

Also in such a condition patient may have more than a dozen different diseases. The symptoms get worsened over time. Such a disorder can be present in any of the sexes. It can appear in infants as well as adults.
Progressive myoclonus epilepsy is not a single disorder but is a combination of syndromes with various names. Some of them are severe myoclonic epilepsy of infancy which is also called Dravet syndrome, then is Unverricht-Lundborg disease also called Baltic myoclonus, Lafora disease and finally Mitochondrial encephalopathies.

Causes and triggering factors of epilepsy seizures
The main causes of Progressive myoclonus epilepsy include Lafora body disease, neuronal ceroid lipofuscinoses, Unverricht - Lundborg disease, sialidoses, storage diseases, and some inborn metabolism issues. These seizures can be triggered by light, noise, sleep loss, alcohol intake and cigarette smoking.

Top natural homeopathic remedies for epilepsy

Cicuta is considered by far the best homeopathic remedy for epilepsy where violent distortions occur in the body. The distortions are most frightful. The person is totally unconscious. The face may be blue and the jaw appears locked.
Artemisia Vulgaris is considered for treating epilepsy with Petit Mal seizure. The main symptom is frequent brief episodes of seizures in a short time period.
Stramonium is used for epileptic convulsions which arise after exposure to bright light or shining objects. The patient in this case is conscious but experiences jerk in the muscles of upper body.
Cuprum Met is used for seizure attack in knees.
Bufo Rana is of great help when the patient experiences attacks during sleep.
Hyoscyamus is used in case of epileptic fit.
Homeopathic medicines for epileptic fits during fever (Febrile seizures)
Belladona and Nux Vomica are the natural Homeopathic medicines that are very beneficial in cases of febrile seizures.
Natural homeopathic medicines as per type of seizure in Epilepsy
The natural Homeopathic medicines for treating Petit Mal Seizures are Artemisia, Belladona, Zincum, and Hyoscyamus. Agaricus and Cuprum are prescribed for Clonic Seizures. Cicuta and Plumbum are helpful in case of Tonic Seizures.

Progressive Myoclonic Epilepsy - How Homeopathy Can Help You?

When a particularly soft part of the foot suffers from too much pressure or friction, it can lead to the eruption of corns. This happens because the superficial tissues rise to the surface in order to prevent an internal injury and in time, they bear a hard coating which is basically a protective layer. When this protective layer develops a pointed structure right in the middle it is known as a corn. Let is find out more about the causes and treatment for the same.

Causes: A corn is basically a natural reaction of the skin to excessive friction as well as pressure. This is known as Hyperkeratosis. While these mainly appear on the hands and feet, they may get localised within the areas that appear to be under a lot of pressure. So why does this friction or pressure happen? The causes could range from tight fitting shoes to high heels as well as cramped footwear like combat boots, which are worn on a prolonged basis. Also, this friction may happen when a person wears shoes without socks too frequently. Further, people suffering from a condition known as hammertoes can also get corns. Finally, when you run, dance or jump bare feet on the sand or other hard surface for too long, you may develop corns. 

Homeopathic medicines that help in fighting corns

    Antim Crudum: This homeopathy medicine can help when the feet are covered with too many corns which makes walking difficult. Also, it is the best medicine to treat corns that are too pointed and hard to touch. Further, it also helps those patients who are overweight which may cause pressure due to which these corns may erupt. 
    Sulphur: When there is a burning pain that the patient experiences in the soles and the corns, then this condition can be treated with the help of sulphur which also ensures that the hard coating of corn quickly yields from the very first dose or application. This also helps those patients who find their feet sweating excessively due to the development of these corns.
    Ferrum Picric: This medicine can help patients when the corn becomes discoloured and affects the hue of the surrounding area as well. 
    Lycopodium: When walking around with the corn causes a dull pain and persistent ache, then the patient can use this medicine. This medicine also helps in treating symptoms like pain in the heels when the patient steps on something hard.
    Silicea: When the corn is still soft, the best homeopathic medicine for this condition is Silicea which also helps in treating symptoms like icy cold feet and pus formation in the corns. 
Using homeopathy can take a while to show results but the treatment is generally long term.

Top 5 Homeopathic Remedies For Foot Corns

The liver is a vital organ in our body because it performs many important functions. This includes filtering harmful substances in our blood, producing bile to facilitate digestion of food, storing energy and nutrients as well as producing hormones and enzymes that the body uses for performing essential functions. However, too much consumption of alcohol can affect the liver, lead to serious consequences related to our health, and also result in an alcohol-related liver disease (ALD). An ALD may, in turn, cause disruption of the digestion process and weaker immune system. It may even increase the risk of developing cancer.

Causes:

As the name suggests, the prime cause behind the development of alcohol-induced liver disease is the consumption of alcohol for a long duration. However, some of the other causes behind the development of alcohol-induced liver disease include the presence of an existing liver disease such as fatty liver or hepatitis, inherited liver disease, or a liver disease induced due to excessive or prolonged consumption of certain drugs.

Alcohol-induced liver diseases (ALD) can be of three types. 

Alcoholic fatty liver disease: Alcoholic fatty liver disease or steatosis occurs due to the deposition of fats in the liver, which is an end result of excessive alcohol consumption.
Alcoholic hepatitis: Too much of alcohol consumption can also lead to liver inflammation, which is called alcoholic hepatitis.
Alcoholic cirrhosis: This alcoholic-liver disease occurs when the liver is scarred due to excessive consumption of alcohol. In this case, the healthy and soft liver tissues are replaced with dead and hard tissues.
Symptoms: Some of the signs and symptoms, mostly related to ALD, are not noticed in the initial stage. It is only after a few years that the symptoms may appear. Some of the common symptoms include abdominal pain, loss of appetite and weight loss, swelling in the abdomen as well as the legs, feet, and ankles, a yellowish appearance of the skin, itchy skin with hair loss, and bleeding and complications such as liver cancer or ascites.

Diagnosing alcohol-related liver disease is based on your history of alcohol consumption. But, there is no single test that can detect this type of disease, so a combination of tests will be suggested by your physician before a specific type of alcoholic liver disease is diagnosed.



Ayurvedic Treatment

Ayurveda is known to be greatly beneficial for the treatment of alcohol-induced liver diseases. The use of natural ingredients like herbs can not only treat the liver disease but also promote the overall well-being of the liver. The treatment will include abstinence from alcohol, as it is very important when it comes to undoing the damage that alcohol has caused to your liver.

There are some home remedies also which are only supportive in case of Alcoholic fatty liver, but if you are suffering from alcoholic hepatitis and ALD related liver cirrhosis you must need proper line of treatment under a well experienced and expert Ayurvedic doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

Alcohol Related Liver Diseases - Ways Ayurveda Can Help With It!

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