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?

What causes warts? Can we prevent it?

Warts are small formations that occur on the skin. They appear in the form of dark protruding bumps or brown flat lesion on the skin surface. Sometimes they might also have tiny black specks on them. Warts usually form on the hands, feet, face and genitals, although they may appear on other parts of the body in some cases.

What causes the formation of warts?

Common warts are caused due to infection of the outermost layer of skin that occurs as a result of viral contamination. The virus that is responsible for this condition belongs to the human papillomavirus (HPV) family.

This infection is highly contagious and easily spreads from one person to the next. It is most likely to occur on skin that is cut or damaged as that allows easy access for the virus to enter the skin system.

How to prevent the formation of warts?

Common warts are contagious and spread very easily. Preventing the spread of the HPV virus can be done through simple steps that will help you avoid getting affected by this condition.

Some of the preventive measures that can be adopted are as follows:

- picking and scratching on warts should be avoided

- avoid biting fingernails as gnawing on the skin around the nails makes it more prone to infection

- grooming, brushing and shaving around infected areas should be done with care

- moisture and dampness should be avoided as the virus thrives on it

Do not self-medicate with lime (chuna), garlic, onion or Dettol.

Treatment

Wart removal should be done by a qualified dermatologist. It is simple, safe opd procedure which takes few minutes only and does not leave any scars.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Effective Ways to Get Rid of Warts - Cauliflower-like Skin Inflammation

What Causes WARTs? Can We Prevent it?

Stone diseases are a part of health issues related to the urological system in our body. Depending on their position, they may be classified into kidney stones and ureteral stones. Stone diseases are extremely common in nature and if treated timely it does not cause much damage to the body.

Types of Stones in the Human Body:

There are four types of kidney stones and ureteral stones in the human body namely   calcium, uric acid, struvite and cystine. The main difference between kidney stones and ureteral stones is that of the location. Kidney stones are transformed into ureteral stones when they pass from the kidney into the ureter.

Warning Signs to detect Kidney and Ureteral Stones

Kidney stones may be present in your body but they do not cause any obstructions unless they move into the ureter. Symptoms to detect the presence of stones in your body include  

  Intense and shifting pain in the lower abdomen and groin
  Frequent and painful urination
  Presence of blood in urine
  Nausea and vomiting
  Frequent fever accompanied by chills

Modes of Diagnosis:

The following methods are used to diagnose kidney stones/ureteral stones in the body-

  Imaging Tests   X-rays and CT scans are used to detect the presence of bigger and smaller stones respectively.
  Urine Tests   They help to detect the presence of stone forming particles in urine thus helping to diagnose stones in the kidney.
  Blood Tests   They help display levels of calcium and uric acid in the blood and monitor the general health of kidneys.

Treatment of kidney/ureteral stones:

Treatment of stones depends on their size and severity. For smaller stones, doctors recommend drinking 2-3 litres of water per day that help in flushing out the stone through urine. Doctors also prescribe medicines which helps break down the stone and reduce pain.

If the stones are large in size and exhibit severe complications, then the urologist will resort to the following treatment procedures-

  Shock Wave Lithotripsy (SWL)   In this process, a machine called lithotripter is used which passes ultrasonic waves through the skin to break up the stone into smaller components. The shattered pieces then pass out of the body through the urinary tract.

  Percutaneous Nephrolithotomy (PNL)   This is an endoscopic method used to remove large stones, which are not possible to eliminate through SWL. This is an invasive procedure and general anaesthesia is done prior to surgery.

  Ureteroscopy   In this process, a ureteroscope is inserted into the urethra to locate the stone and a tool is used to break it into smaller pieces or is taken out as a whole.

Prevention of Kidney and Ureteral Stones

Certain lifestyle changes can go a long way in preventing stones in the body. Some of them include drinking lots of healthy fluids, reducing consumption of oxalate-rich foods and animal protein, reducing sodium intake and controlling one s body weight.

Maintaining a healthy lifestyle and taking prompt medical action in case of detection of stone lessens the harmful effect of kidney and ureteral stones in the body.

Stone Disease - All You Should Know About It!

What is menopause?
Menopause is that phase in the life of a woman when she can no longer reproduce. It involves the loss of fertility and the cessation of the menstrual cycle. The woman will stop bleeding every month and the ovaries stop producing eggs that can be fertilized. Menopause normally sets on after the age of 40 and bleeding may permanently stop by the age of 50.

Post menopausal bleeding
You are known to reach menopause when you have not been bleeding for 1 entire year. Even a small amount of spotting should not have taken place. Post-menopausal bleeding is when bleeding occurs after a year of attaining menopause. It can be a serious health disorder and requires medical attention without any further delay.

Reasons behind post menopausal bleeding

Polyps that are mostly non-cancerous, unwanted growths on the cervical canal, uterus or ovaries are known to cause post-menopausal bleeding.
Thinning of the endometrium that lines the uterus can cause unexpected bleeding. It can be due to the rapidly receding levels of estrogen in the blood. It is also known as endometrial atrophy.
Endometrial hyperplasia is a condition that leads to the thickening of the inner lining of uterus (endometrium). It also leads to the growth of abnormal and malignant cells.
Endometrial cancer
Other health conditions such as reaction to hormone therapy, infections of the blood or reproductive organs, certain medications and blood-thinning drugs
Cancer of the ovaries, uterus or cervix
How it can be treated?

For diagnosis, you can undergo blood tests, ultrasounds, sonography and biopsy.
Hysterectomy is done to remove the uterus and cervix can be conducted for a complete cure. It also removes the ovaries, fallopian tubes and other lymph nodes.
Chemotherapy and other radiation therapies may be done for those who are in an advanced stage of endometrial cancer.
Medications such hormone regulators must be taken to prevent complications.

Post Menopausal Bleeding - Is it Normal?

Yummy delicious food definitely has the potential to make you drool and most foods taste best when served hot. Another common habit that most people have is that of reheating the food, before eating. But have you ever given it a thought that it can be a highly unhealthy practice? Yes, you read it right, it is the most unhealthy practice, especially when it comes to certain foods. 

A quick list of foods is mentioned below, which should never be reheated :

Mushrooms: Mushrooms can enhance the taste of any dish and it is common that the leftovers are stored aside to be savored the next day. This unknown mistake can cost you dearly. Mushrooms are a rich source of protein. On reheating, some of the proteins break drown, which not only changes the flavor of the food but also produces certain toxins. These toxins can lead to upset stomach and digestive problems. Eating reheated mushroom repeatedly can even result in cardiac problems.
Chicken: Having chicken on this list can be quite a heartbreak, as many people use the cooked chicken for 2-3 days. Again, chicken is another excellent source of protein and reheating it will produce toxins, which can result in health complications such as digestive problems. If you want to stay healthy, avoid reheating the cooked chicken.
Celery and spinach: Spinach and celery are both commonly used in soups and are rich in nitrates. Therefore, when you reheat the soup to make it more palatable, the nitrates present in the ingredients are converted to nitrites. Nitrite is carcinogenic in nature and is actually toxic to the body. Thus, you must never reheat any dish containing celery, spinach and other nitrate-rich foods like turnips, beet, and carrots.
Eggs: Seldom will you find a person who does not like eggs. Be it breakfast, lunch or dinner, eggs can be consumed as boiled, scrambled or in form of a curry. Like chicken, meat and mushrooms, eggs are an excellent source of proteins, which is a reason enough to include them in your diet. However, reheating egg preparations will destroy all the associated health benefits, as the protein in the egg deteriorates it can lead to digestive problems. The best idea would be to prepare the dish and have it immediately.
Rice: Almost everyone reheats the rice before eating with the belief that having cold rice can cause health problems. This is a misconception that will do you no good. Cooked rice should be eaten immediately. It is believed that uncooked rice contains bacterial spores that often causes food poisoning. When you keep the cooked rice unrefrigerated at room temperature, these spores undergo rapid multiplication. Reheating will do the spores no harm. If you want to store cooked rice, always refrigerate it.
Potatoes:  Storing the cooked potatoes at room temperature can act as a catalyst in enhancing the growth of Clostridium botulinum, a bacterium responsible for botulism (a type of food poisoning that can result in flaccid paralysis of muscles). Thus, if you have to consume them at a later stage, its best to refrigerate them and not leave them at room temperature.
Oil: Certain oils such as avocado, grapeseeds, walnut and hazelnut can become smelly with an unpleasant taste when reheated, as these have a low smoke point. Oils when heated above the point of 375 degrees F, they produce a toxin 4-hydroxy-2-trans-nonenal or HNE, which can increase the bad cholesterol i.e LDL, thus increasing the risk of heart diseases.
It is evident that reheating certain foods can be a slow poison to your health, thus avoid reheating foods as much as possible. In case you a concern consult an expert and get your answers.

7 Foods You Should Never Reheat!

Sex tips every woman needs to know by the time she is 30
 
Thirty is more or less the age by which you can consider yourself a woman of the world. You have toiled hard to get into a comfortable space at work and are into a stable relationship as well. An important aspect to not ignore is your sexual life. Be equipped with the right ideas and ways to enjoy that aspect of your life.

Some facts and tips for the women of today.

1. Safety is foremost: meaningless hookups or otherwise - you cannot be careless; safety must be your priority. 

2. Express yourself: men are bad at guessing. They will not be able to guess what you like and how you like it. Tell the man exactly what you expect.

3. Live in the moment: a quickie is never a bad idea. Having frequent sex has its perks for your mood as well as overall health. An impromptu quickie will only put a spring to your steps.

4. Watch each other pleasuring self: it is not just for visual appeal, it is in fact educative - you get to study exactly what type of touch, speed, grip, etc gives him the most pleasure. He gets to know the same about you.

5. Take the initiative: most men like being shown that they are desired too. Why should he always initiate sex. Take the lead.

If you would like to consult with me privately, please click on consult.


Sex Facts Every Woman Needs To Know By The Time She Is 30

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