As we are all aware that there is an explosive outbreak of H1N1 swine flu infection in India. The high risk groups are pregnant women, people above 60 years of age, infants and children. I would recommend you the following to keep yourself protected and also help in stopping the spread of infection:

1) If you have fever and cough, seek immediate treatment. Insist on testing for H1N1 and take Tamiflu as per results.

2) Use handkerchief when you cough. Cover your mouth and nose to prevent spread to others.

3) Isolate those patients who are positive for H1N1.

4) Eat healthy food and exercise daily to keep your immunity intact.

5) Vitamin C is a good immunity booster for viral infections.

6) Avoid travel to areas where there is an outbreak.

7) Use N95 mask for protection - especially nurses and other health care workers who deal with positive patients.

8) Get yourself vaccinated with influenza vaccine - especially those who are in the high risk group.

If you have any more questions, please contact me.

From Lybrate: If these tips are helping you, click on the heart icon to thank the doctor. You can also share this tip with others.

Act before swine flu strikes you down!

Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e. G. Drug addiction) or behavioral addiction (e. G. Gambling addiction).

Causes

There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and symptoms

A person starts to show symptoms when a person takes the substance, such as nicotine, alcohol etc. And has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation, and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of addiction

Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). Dsm criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the dsm (diagnostic and statistical manual of mental disorders), a manual published by the american psychiatric association.

What you can do?

Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of homeopathy in management of addiction

The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, homoeopathy definitely has a major role to play in the de-addiction journey of a'patient. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. And majority of them have been wonderfully helped by homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the central nervous system (cns). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the cns, a medical system that boosts and strengthens the cns would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! the homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the cns. There are some very powerful homoeopathic medicines, which have the ability to shake up the cns and work in a normal manner as it is used to be. These homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. When the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like nux vomica, kali phos, arsenic album, coffea cruda, aconite, gelsemium, argentum nitricum, ipecac, acid sulphurosum, caladium, daphna indica, quercus, etc. Have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the mind

Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

1. Psychotherapy: also called as'talk therapy, is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of cognitive behaviour therapy (cbt), motivation enhancement therapy (met) and behaviour therapy are efficient in the treatment of addiction behaviour.

2. Craving control: use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.

3. Relapse prevention: arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.

4. Alcoholics anonymous (aa): it is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to aa, there is na (narcotics anonymous for drug addicts) and al-anon (for the family members and friends of problem drinkers).

5. Yoga and exercise: a healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.

6. Social skill training: an important aspect for being away from drugs/alcohol is the ability to say no to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is'one day at a time! instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and decide to be clean without the substance.

Addiction: Signs and Symptoms

When is Your Throat Pain, a Serious One?

Throat pain mainly occurs due to two conditions-'sore throat' or 'strep throat'. Often the terms 'sore throat' and 'strep throat' are used interchangeably, but they don't indicate the same thing. While a sore throat is a condition mostly followed by common cold, runny nose or congestion; strep throat is a bacteria-induced infection. The bacterium called Streptococcus is responsible for strep throat.

The most common reason behind a sore throat is a viral infection like flu or cold. So, if you've a sore throat that is caused by virus, there is no reason to worry as it can be treated easily. But if you are suffering from strep throat or streptococcal infection, then antibiotic drugs for additional treatment will be required to avoid complications.

Signs and symptoms of a strep throat (which indicates that your throat pain is serious and needs attention) include:

Pain while swallowing food
Sore throat which usually persists for more than 48 hours
Small red spots at the roof top of your mouth
Swollen and red tonsils at times with streaks of pus or white patches
Fever
Swollen, benign lymph nodes in your neck
Headache
Rash
Body aches
Vomiting or feeling of nausea, especially amongst younger children

When these signs and symptoms become noticeable, you need to promptly visit your doctor for test and treatment. And, if the reports indicate strep throat, then your doctor will prescribe you some oral antibiotics to reduce the complications and severity of symptoms so that it doesn't spread to others. You are advised to follow your prescription properly and stay indoors for at least a day after starting your medication.



When is Your Throat Pain, a Serious One?

Peyronie's disease is a problem predominantly found in 3-9% of adult men, especially after 40 years of age. In the disease, a scar tissue is formed in the outer layer of the penis called tunica albuginea. Scar tissue is a just plaque inside the penis.

Peyronie's disease causes the penis to bend sideways or upwards and can make sex become difficult due to deformity and erection may be a painful process. It is usually associated with erectile dysfunctions, severe anxiety and reduced testosterone levels. It is worth noting that there are treatments for peyronie's disease, however, the pain often goes away on its own, generally, in 6-18 months of onset, but the deformity stays.

Here is everything you need to know about this disease:

Causes
It is not known exactly what causes peyronie's disease, however, there are some factors, which make it more likely than others. Here are those factors:

1. Trauma: this is the most common factor which causes peyronie's disease. It is believed that when someone suffers from tiny bleeding of the penis, which is very common in patients of diabetes, the plaque starts to build up. The injury or trauma, which causes the bleeding may go unnoticed as well.
2. Genes: genes are also a possible cause of peyronie's disease.

Symptoms
The symptoms of peyronie's disease vary, such as:
1. Pain on erection: there is usually pain in erection during the initial phase.
2. Bent penis: when the penis becomes hard before sex, it may bend downwards or sideways by more than 15 degree, so the vaginal entry becomes impossible or is painful for the partner.
3. Scars: tissue may form on other parts of the body, as well including the hand and feet. In fact, it has been said that men who have scarring in the hand, which affect the fingers are more likely to contract the disease as well.
One may see extensive scarring in hands in a disease called dupuytren's contracture. 

Treatment
1. Wait &amp; watch: it is worth noting the acute phase with pain is treated by wait and watch, controlling contributory factors like diabetes, low testosterone and psychogenic factors. Antioxidants are useful. Large number of cases are relieved of the pain in 1 to 1.5 years.
2. Intralesional injection: if the bend is significant enough to interfere in sexual functioning, it can be treated by injecting medicines in the plaque. The medicine, xiaflex is currently not available in india and other medicines given are not very effective.
3. Surgery: this is a last option when peyronie's disease has not gone on it's own and medicines are not helping either. The two most common procedures performed are removing the plaque and putting a tissue graft in its place and also removing the tissue opposite the plaque to counter the bending effect. The results are fairly good.

Going for a penile implant is the last option, which is a permanent solution and is commonly done in india. And, the success rate for penile implant is also very high.

Peyronie's Disease: About Bent Penis

5 simple and effective ways to cure that hangover

Most people experience prominent side effects on their body and mind the morning following a night of heavy drinking. These after-effects of consuming excessive alcohol, popularly called a hangover, include rapid heartbeat, headache, anxiety, exhaustion, vomiting, dizziness, lack of energy, and body pain.

Drinking too much alcohol (5 to 7 drinks for men and 3 to 5 for women) not only causes a hangover but also can negatively impact your health by damaging your liver, central nervous system, brain and gastrointestinal system. It takes about 8 to 24 hours to cure a hangover completely, but you can try these natural remedies to get quick relief from the symptoms and reduce the recovery time.

1. Have a banana

A hangover is often associated with decreased potassium levels in your body and having a banana will help replenish it as it contains an adequate amount of the mineral.

Directions: you can either have one or two whole bananas or a banana smoothie with few drops of honey to get relieve from most hangover symptoms.

2. Try honey

Honey contains fructose, which helps to neutralize the negative impact of alcohol on your body. Moreover, honey provides relief from the hangover as it also helps digest the alcohol better.

Directions: take 3-4 teaspoons of honey after each hour (post-hangover) till you feel yourself getting better. You can increase the dosage according to the severity of your hangover.

3. Go for a glass of tomato juice

Tomato juice proves to be very effective in curbing the symptoms of a hangover as it compensates for the dehydration caused in your body due to excessive alcohol consumption. Also, due to its fructose content, tomato helps in metabolizing the alcohol present in your body.

Directions: drink a glass of fresh tomato juice or soup laden with 1 tablespoon each of honey and fresh lemon juice. You can have this juice in the morning once and repeat in the afternoon if needed.

4. Drink a lot of water

When it comes to beating a hangover, there is no substitute for water. Drinking water is not only a tried and tested remedy, but is also the most effective way to cure a hangover. This happens because water fights the dehydration of fluids in your body caused by drinking alcohol.

Directions: to keep the hangover at bay, drink one glass of water after each glass or shot of alcohol you consume. If you forget to do this, starting your day with a bottle of water the next morning will help reduce hangover symptoms drastically.

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

Related Tip: 5 Quick-fix Detox Drinks That Will Do Damage Control This Wedding Season

5 Most Effective Home HANGOVER Hacks

When you have soft drinks or sodas, the pancreas quickly start to make insulin because of excessive sugar. Insulin is a hormone the body uses to move sugar from food items or drink into the circulation system, where cells are then ready to use that sugar for energy purposes. Within 15 minutes, glucose levels increase and the liver reacts to the insulin by transforming sugar into fat for capacity. Here is how soft drinks affect our health:

Asthma: It is prevalently found in a large number of soft drink consumers. Soft drinks contain sodium benzoate, which is utilized as an additive to control microbial growth. Sodium additives get blended with the rest of the diet and decrease the amount of potassium in our body. This expands the odds of rashes, asthma and skin aggravation.
Tooth enamel: Soft drinks contain high responsive solvents, which when blended with saliva or acids in the stomach, become acidic in nature. This starts affecting the body immediately. Because of such a quick effect, our mouth and teeth get influenced. It is proven that with every sip of a soft drink, the layer of the teeth decreases by two percent. The skin in the mouth and throat is very delicate and is easily harmed. This also causes rashes on the face and leads to pimples some times.
Heart diseases: Soft drinks contain fructose corn syrup, which has been connected with an increased danger of metabolic disorder. This condition increases the danger of both diabetes and heart diseases. One of 40 deaths each day are caused by heart strokes, which is an aftereffect of consuming soft drinks.
Kidney issues: A number of soft drinks contain phosphoric acids. These phosphoric acids irritate the digestive system and healthy organs. The stomach-related framework is connected to kidneys. Phosphoric acid expands the odds of stones in kidney and other kidney issues and diseases.
Reproductive issues: Soft drinks contain tar in them which contains BPA (Biphenyl   A) and is a similar tumor-causing compound found in pet bottles, water bottles and tinned food cans. This affects the endocrine framework, bringing about untimely adolescence.
Osteoporosis: It is seen that calcium is urinated alongside phosphoric acids, by the use of these drinks. This leads to osteoporosis, which results in corrosion or thinning of bones.  This in turn leads to calcium deficiency, which is one of the vital minerals of the body.
Obesity: It is dangerous to gain weight because of soft drinks. So it is not encouraged to consume soft drinks regularly since they can lead to obesity-related issues.
Sugar over-burdening: After around 15 minutes of soft drink consumption, our glucose shoots up, bringing on an insulin burst. The liver acts by changing the sugar particles into fat. This excites the consumer and increases the pulse, which causes the liver to deposit more sugar into the circulatory system.


Soft Drinks - How They Affect Your Health?

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