The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue. 

Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.

When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).

The following symptoms are seen as a result of this constant irritation and inflammation.

One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
Women may experience pain in the vaginal tract including vulva and behind the vagina.
Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
This tendency and urge to urinate increases during nighttime.
For women, this urge to urinate and other symptoms including pain are worse during menstruation.
There could be pain during intercourse for both men and women.
There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.
There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms.

Painful Bladder Syndrome - Know The Signs!

A headache can be a hindrance to any person at any time. It can either occur on left or right side in case of a migraine, be isolated to a point or radiate across the entire head. The pain can be sharp, throbbing or dull. It can either develop gradually or suddenly and can last for few hours to several days. Headaches need not arise due to a factor or condition of or in the head alone, they can be triggered because of other disorders or diseases in the body.

What are the different causes of a headache?
There are different kinds of headaches. Based on the symptoms, a doctor can diagnose the causes and the best treatment option for it. Not all headaches indicate serious illness. On the other hand, some headaches can be life-threatening as well. Primarily headaches can be divided into two broad categories- a primary headache and secondary headaches.

Primary headaches: A primary headache is caused due to conditions or factors associated with the pain-sensitive structures of the head. These types of headaches do not result from underlying illness. Muscles of the neck and head, blood vessels and chemical activity in and around the skull are the reason for primary headaches. Even certain genes could be responsible for triggering the pain. Some of the types of primary headaches include a cluster headache, tension headache, migraine, paroxysmal hemicrania etc. There could be primary headaches that last for a very long time such as sex headaches, cough headaches, chronic migraine, hemicranias continua etc. Typically, primary headaches are often triggered by poor posture, alcohol, lack of sleep, irregular food timings, processed meats etc.
Secondary headaches: Secondary headaches are the symptoms of a disease that can activate the pain-sensitive nerves of the head. The severity of the pain varies greatly. Some of the possible causes of secondary headaches include arterial tears, acute sinusitis, brain aneurysm, brain tumour, dehydration, ear infection, carbon monoxide poisoning, dental problems, glaucoma, hangovers, flu, hypertension, stroke, panic attacks, toxoplasmosis, post-concussion syndrome, trigeminal neuralgia, monosodium glutamate, meningitis, giant cell arteritis etc. Some of the common triggers of secondary headaches include ice cream headaches, compression headaches, thunderclap headaches, sinus headaches, rebound headaches, spinal headaches etc.
When to seek emergency care for headaches?
Headaches could indicate serious disorders such as encephalitis, stroke or meningitis. It is advisable to seek immediate medical care for an unbearable headache which also includes the inability to understand speech, stiff neck, trouble in vision, vomiting accompanied with nausea, trouble in speaking, high body temperature, greater than 104 F. A doctor should be consulted if the pain occurs multiple times in a short duration, keeps one from working or performing daily activities, the pain doesn t improve even after the consumption of over the counter medicine and disturbs sleeping.


Headache - Why You Must Consult For It?

What are varicose veins? 
Varicose veins are enlarged veins that typically develop in the legs and the feet. This condition is triggered when there is something wrong with the valves of the veins. When the valves do not function properly, blood flow to all parts of the body is disrupted. Since the legs are the farthest part of the body from the heart, gravity makes it difficult for blood to flow up to the heart. It is a common affliction and affects nearly 25% of the adult population all across the world and 10 million people in India are diagnosed with it every year. The raised veins just under the top layer of the skin appear to be purplish-blue.

Varicose veins are common in people who are -
  Above 50 years of age
  Long stretch sitting
  Pregnant
  Menopausal
  Obese
If someone in your family has a history of varicose veins, you are quite likely to get it too.

What are the symptoms of varicose veins?
Varicose veins are characterized by the following symptoms -
  The most obvious symptom is the large twisty veins
  Pain all down the length of your legs
  Discoloration of the skin of the legs and feet

Diagnosis of varicose veins -
The doctor usually diagnoses varicose veins by a physical examination. An ultrasound may determine if your flow of blood is affected. It is a non-invasive procedure and is done with the help of high-frequency sound waves.
You may even have to undergo a venogram. The doctor injects a colored dye into your veins and X-rays them. The dye gives an indication of how well your blood is flowing through the veins.

Treatment of varicose veins -
There are several treatment options for varicose veins-

Vascular surgery - When the other methods do not work, doctors prescribe vascular surgery.
Ligation and stripping - through this surgery, the surgeon ties up the vein to prevent pooling of blood in the veins and sometimes the vein itself is removed.
Sclerotherapy - the doctor injects a chemical right into the varicose vein which closes it.
Radiofrequency ablation - the doctor uses radiofrequency to heat the varicose vein up, which makes the walls collapse
Varicose veins are a painful condition that can be avoided if you implemented a few changes to how you live your life and even if you do get them, there are ways to cure them.

In Detail About Varicose Vein & Its Treatment!

Concentration problems and trouble in focusing on one task at a time can be termed as Attention Deficit Hyperactivity Disorder or ADHD, in rare and severe cases. While most of the cases are identified in one's childhood, it has been seen that many cases persist into adulthood while still others go completely undiagnosed. This mental health disorder comes with a number of symptoms and management methods. Read on to know more.

Symptoms: While many patients suffering from this disorder may not display any obvious symptoms at a young age as children are supposed to be brimming with energy, the symptoms for adult ADHD, start to show up in a more obvious fashion. Wavering concentration and low levels of focus along with disorganised living with impulsiveness are the first signs of adult ADHD. Such adults also have trouble when it comes to finishing one task at a time, or even focusing on a task for a prolonged period of time. Bouts of impatience and excessive activity can also show up as symptoms, while restlessness is a quality that most of these patients seem to possess.

Diagnosis: The diagnosis of this condition is slightly difficult because most adults may complain of some or the other symptoms related to this condition at some point in their lives. Anxiety and mood swing related symptoms can help in diagnosing the condition in a better manner. If the condition ends up disrupting your normal life, work, socialising and behaviour in general, then you may want to see a doctor regarding the same, so that proper diagnosis may take place.

Causes: While genetic predisposition is said to be the foremost cause of this condition, especially when it continues well into adulthood, there are various environmental factors that may also have a significant bearing on the onset of the condition. Exposure as a child increases the risk of falling prey to this condition. Also, when there are problems with the central nervous system during the developing years, the patient may start to develop symptoms connected with this disorder later on.

Treatment: Stimulants and other medication like anti-depressants, nonstimulant amphetamine are also used for treating this condition along with therapy and psychological counselling for better organisation in life.

ADHD in Adults

How To Control Nerve Pain?
Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.
What are the common causes?
Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.
How can you control nerve pain?
Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:
Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.
Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.
Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.
Acupuncture: This time honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.
Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.
Relaxation Techniques: In combination with the above mentioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.
Lifestyle Modifications: This one s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder.

Nerve Pain - 7 Ways You Can Control it 

HIV infection and AIDS (commonly referred to as HIV/AIDS) are caused by the Human Immunodeficiency Virus (HIV). HIV is transmitted sexually and through exchange of body fluids, such as blood. The HIV attacks our defense system (immune system) giving opportunity to many illnesses to attack the body. These infections (called opportunistic infections) range from common cold and diarrhea to life-threatening illnesses including uncommon pneumonias and cancers. The type, range and intensity of opportunistic infections vary with the severity of the HIV infection and the extent to which our immunity is compromised. 

AIDS is the last stage disorder of the HIV infection. Though there is no complete cure for the HIV-infection till date - despite thousands of scientists across the world working on it, spending countless hours of research involving billions of dollars - there has been tremendous progress in medicare improving the quality of life of the HIV-infected, in extending their life-span to almost normal levels and in preventing mother-child transmission. 

The key factors in extending the life-span, and in keeping good immunity and good health are 

balanced and nutritious diet

regular physical exercise

correct, consistent and lifelong use of the prescribed medicines

periodic medical checkups

staying psychologically positive and strong

good family support and

good lifestyle habits.

The last one involves maintaining good personal hygiene, avoiding smoking (active as well as passive), alcohol, recreational drugs, unhygienic and disease-prone environments and sedentary life style. Those who follow these will guidelines certainly have better prognoses. 

Diet:

A nutritious diet is of utmost importance to the HIV-infected, as adequate nutrition contributes to the development of the immune system, prevents malnutrition and wasting, achieves and maintains optimal body weight and strength, enhances the body s ability to fight opportunistic infections, helps delay the progression of HIV, improves the effectiveness of drug treatments, and improves the quality of life. 

Ensure that the food contains adequate macronutrients, that is, carbohydrates, proteins and fat, otherwise the patient may end up with - protein-energy malnutrition, manifesting itself in the weight loss and wasting that is typical of AIDS patients.

As per WHO, an HIV-infected person has additional nutrient requirements: 10-15 percent additional energy intake and 50 to 100 percent increase in protein intake as compared to a non HIV-infected person.

Consuming micronutrients (especially Vitamins A, B6 and B12, iron and zinc) is important for building a strong immune system and fighting infections.

Try and maintain a daily diet containing rice/roti, vegetables, legumes, and fruits which provide you energy and micronutrients. Choose foods that are low in saturated fat, trans fat, and cholesterol.

Eat at least two servings of fish each week. Oily fish, which contain omega-3 fatty acids, are best. If you cannot eat fish, you can also get omega-3 fats from omega-3 eggs, walnuts, flax seeds.

Better avoid fast foods.

Living with HIV/AIDS: Diet, Nutrition, and Food Safety

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