Kidney is the most vital organ in the body as it eliminates the waste material from our blood. When kidneys fails to carry out its work effectively the waste materials gets accumulated in the blood and end up with many serious disease condition that affects the other vital structures in our body. The function of the kidney is carried out artificially by an external device called dialyser to purify the blood and remove the waste products from it. This procedure is called as dialysis. There are two types of dialysis they are haemodialysis and peritoneal dialysis. In Haemodialysis, the waste products are removed from the blood and there by the fluid and electrolyte balance is maintained.

Things a person should follow if they are undergoing haemodialysis

Love your heart: Patients undergoing dialysis are at more risk of getting cardiac problems. So it is best advised to follow few of the following measures to take care of their heart
Keep your blood pressure and cholesterol levels under control
Quit smoking
Reduce stress
Have healthy low fat and heart friendly diet
Get regular physical activity but avoid excessive strainers activity that may require extra effort from your heart
Maintain a healthy weight
Diet: Dialysis not only removes the waste matters from your blood but sometimes also the essential electrolytes and nutrients. Protein, potassium sodium and phosphorus are the major things that are to be noted.
Encourage the patient to take high quality protein rich foods like meat, fish, milk, egg and chicken which is essential to improve your muscle strength and immunity.
Have a check of your sodium level and take sodium rich foods accordingly, as excess sodium may increase the fluid intake.
Limit your fluid intake: Use ice cubes instead of water or use small cups of water. Make sure you measure every sip of water you take.
Don't Overeat: Slow down while eating and stop eating when you feel full. don t over load your stomach

Haemodialysis - 4 Things a Person Must Follow if Your Undergoing it

Thumb or finger sucking is common in infants through the first year of their lives. A child usually turns to his thumb when he is tired, upset or bored.

A child younger than five years should not be pressured to stop thumb sucking. While majority of children give up such habits on their own before they enter school, about 15 percent of children continue thumb sucking past their fifth birthday. This is an age when teasing often starts, causing difficulties for children.

Apart from this, thumb sucking can also lead to dental problems. A child who is still sucking his thumb by age five, when permanent teeth start coming in, may develop an abnormal bite. In addition, prolonged thumb sucking can cause minor physical problems, such as chapped lips or cracked skin, calluses, or fingernail infections.

The effects of thumb sucking are usually reversible until the age of seven because children still have their deciduous (baby) teeth. If thumb sucking continues beyond that age, when the second teeth are erupting, permanent dental problems can occur.

There are various things you can do to help your child stop thumb sucking:

1. Reward your child and offer encouragement - for example, with a hug or praise to reinforce their decision to stop the habit.

2. Limit nagging - if children feel they are being nagged they will become defensive.

3. Mark their progress on a calendar - for example, place a star or a tick for each period (such as a day or week) that the child does not suck thumb or finger. Provide a special outing or a toy if the child gets through the period successfully.

4. Encourage bonding - for example, with a special toy.

5. Reminders - give the child a mitten to wear as a reminder not to suck, or place unpleasant tasting nail paint (available from chemists) on the fingers or thumb. Placing a band aid over the thumb at bedtime is another reminder.

6. Offer distractions - while a child is watching tv, have toys available for children to play with. Sit with the child during this time and give a cuddle to help them not to suck. In the car, have toys available to keep children occupied.

7. Talk to your pediatrician and your child's dentist, who may recommend appropriate treatment that prevents thumb sucking.

Preventing Thumb Sucking in Children

Women are not really sure about frozen embryos  ability to result in pregnancy. Ironically, the success of Frozen Embryo Transfer has dramatically improved over the last few years. In the days gone by, the chance of women getting pregnant through the use of frozen embryos seemed to be on the lower side compared to that from the transfer of fresh embryos. Recent data related to this suggests that this is no longer the case.

Reasons behind the low success rate of frozen embryo transfer in the past
Previously during the frozen embryo transfer process, the embryos which had to get frozen were the ones that did not get chosen for the fresh embryo transfer initially. The reason being that the embryologist had gone ahead to choose the best possible embryos for getting them transferred initially. As far as the fresh embryo transfer is concerned, quality of embryo has got a major effect on the chance of a woman getting pregnant. On the other hand, if quality of embryos frozen is not good, the rate of survival after it gets thawed along with the rate of pregnancy would be on the lower side.

The second important reason is the amount of embryos that got transferred. Let us consider a couple who produce four very good quality embryos. Two of them are transferred during fresh In Vitro Fertilization Process and the remaining two are frozen. This leads to pregnancy and the woman gives birth to a baby. Later on, the couple once again decides to go for pregnancy by using the frozen embryos. Though only one embryo survives after getting thawed. The frozen embryo transfer is that of a single embryo. The success rate of a frozen embryo transfer through a single embryo is always going to be on the lower side than what it will be when multiple embryo transfer is involved.

Finally the method of freezing embryos has seen a sea change quite a number of years ago. Nowadays the freezing of embryos takes place by a fast method, known as vitrification. This process has got a much better survival rate when embryos get thawed along with good rates of pregnancy when those particular embryos are transferred in a much better manner.

Studies about high success rate of frozen embryo transfer
There have been studies performed in women, who have had quite a vigorous stimulation of their ovaries and were considered to be at high risk for Ovarian Hyperstimulation Syndrome. The physicians took the decision of skipping the process of embryo transfer and instead go ahead to freeze all the embryos for use at a later stage.

This tends to significantly decrease the risk of having serious Ovarian Hyperstimulation Syndrome along with decrease in complications. Other cases involved, physicians deciding to move on with a fresh embryo transfer depite the risk of Ovarian Hyperstimulation Syndrome. In both the scenarios the couples have quite a large number of embryos and the embryos selected for transfer were the best embryos.

The studies have shown no difference in the rates of pregnancy between fresh or frozen embryos or for that matter higher rate of pregnancy with frozen embryos.

How Successful Is Frozen Embryo Transfer?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term. 

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
Tests for women: 
Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
Tests for men
Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.
Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing.

Complete Infertility Investigation - Why is It Important?

Abdominal pain also referred to as stomach ache mainly appears in the pelvic and chest regions. The pain can be dull, crampy, sharp or recurrent. It occurs mainly due to a disease or inflammation that affects the abdominal organs. It is very important to seek the assistance of a doctor, especially if the pain is severe and is associated with pain in the chest and trauma or injury. It is not necessary that the pain in the lower abdomen be a cause of alarm, but it is essential to know the cause of the pain.

Symptoms of Abdominal Pain

Belly ache is not something one should get worried about, but if the pain radiates downwards from the chest it could be a sign of heart attack. If chest pain radiate to left arm or back then think of cardiac and rarely pancreatitis ( especially for radiation to back).
In case the symptom is accompanied by lightheadness or shortness of breath, it is very important that the doctor is contacted immediately.
To avoid serious medical conditions, it is best to avoid pain killers as the symptoms would get hidden and the cause of pain would be difficult to identify.
What are the Main Causes of Abdominal Pain?

The major organs of the abdomen include the stomach, gall bladder, small and large intestines, kidneys, liver, pancreas, appendix and spleen.
Significant abdominal pain is caused mainly due to bacterial, parasitic and viral infections that affect the abdomen.
The abdominal pain could be caused due to inflammation, intestinal disorders and blockages.
The other common reasons that can produce pain in the lower right abdomen include diarrhea, constipation, stress, vomiting, stomach flu, and acid reflux.
In the case of acid reflux the contents of the stomach go back into the esophagus and cause symptoms such as heartburn.
Common Causes of Pain in the Abdominal Region
The most common cause of abdominal pain is constipation, which is caused by difficulty in the digestive tract to push the waste out of the body. Severe pain in the lower abdominal area can rupture the organs and result in appendix. Infection in the kidney or occurrence of stones in the gallbladder can also cause pain in the abdominal region. Pain in the abdomen can also be caused by different types of cancer.

Some of the causes of abdominal pain are life threatening and therefore it is important to consult a doctor if the pain persists or lasts for a few days. It has been observed that even a heart attack can cause pain in the upper abdominal region or even cause back pain. Immediate medical attention should be sought in cases where the patient has fever, severe pain, weight loss, persistent vomiting and nausea, swelling of the abdomen and severe tenderness on touching the abdomen..

Abdominal Pain - When Should You Not Ignore It & Visit A Doctor?

World Hepatitis Day or WHD takes place every year on 28 July and it is designed to raise awareness about viral hepatitis and to influence real change. WHD, endorsed by the World Health Organization, unites patient organisations, governments, medical professionals, and civil society, as well as the public, to boost prevention measures for fighting viral hepatitis like vaccination.

In the simple terms, hepatitis means injury to your liver due to inflammation. There are five main types of hepatitis and the type that you are suffering from is determined by a laboratory test. All the five main types of hepatitis are caused by viruses. Out of the five, Hepatitis C and B are quite big. Globally, around 250 million people are affected by hepatitis C and 300 million people are estimated to be hepatitis B carriers.

Fact sheet on hepatitis

Hepatitis A & E is caused by consuming contaminated water.
Hepatitis B, C and D is transmitted through infected blood to blood contact.
Hepatitis C is usually spread via direct contact with the blood of an infected person.
The initial symptoms of hepatitis are the same as those of flu.
Hepatitis can heal on its own causing no significant liver damage; however, if it progresses, it can cause extensive liver scarring and extensive damage of your liver.
Most liver damage is caused by 3 hepatitis viruses, and these are hepatitis A, B and C. 

How do you safeguard yourself against infection from these three dangerous hepatitis viruses?

The most common cause of concer is that a lot of us who are infected with hepatitis, especially hepatitis B don t know that we are. The biggest bulwark against hepatitis is periodic testing and vaccination. Vaccination is available for most hepatitis viruses including A and B, which tend to be extra virulent.

So, do take care and go for periodic testing. We are reiterating this because if you are infected with hepatitis B and are not treated you can develop serious problems of the liver, including liver cancer. In fact, nearly 1 in 4 people living with hepatitis B develop serious liver problems including liver cancer. Hepatitis B related liver cancer is a leading cause of fatality and getting tested for hepatitis can help you access life-saving treatments that can prevent serious liver damage.

Other ways to prevent hepatitis are
Hepatitis A

Wash your hands with soap after using the toilet
Only consume freshly-cooked food
Only drink bottled or boiled water
Only eat fruits that can be peeled. Don t eat fruit that has been cut and kept
Avoid eating raw vegetables
Vaccinate yourself against hepatitis A if you travel a lot.
Hepatitis B

Practice safe sex by using condoms
Only use new syringes for injections
Do not share toothbrushes, razors, or manicure instruments with others
Vaccinate yourself against hepatitis B
Take care while getting tattooed. Only use brand new tattoo needles. Also, ask for new needles during acupuncture treatments.
Hepatitis C

Avoid sharing toothbrushes, razors, and manicure equipment
Cover open wounds if you are infected
Don t share needles. Always ask for fresh needles.
Use only well-sterilized equipment for acupuncture, piercing, and tattooing etc.
Cut down on alcohol
Do not share drug needles

World Hepatitis Day - Tips To Help You Prevent Yourself!

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