Shingles is a type of skin infection that results in rashes on certain parts of the body. It is characterized by a single stripe of blisters that may occur on either side of the body. The varicella-zoster virus that causes chickenpox is also responsible for causing shingles. Once you have had chickenpox, the virus remains in a dormant state in the body. If the virus gets reactivated, it might cause shingles.

The symptoms of shingles are:

1. You may experience sensations of numbness and burning on the affected area
2. The affected area may be sensitive to touch
3. Symptoms of red rashes on the body
4. Blisters that are filled with fluid
5. Bursting of blisters and crusting
6. You may experience fever and headaches
7. You may have difficulties in vision

The first symptom of shingles is the pain that results from the rash. In some cases, rashes may occur around the eyes.

Causes

Shingles is caused by the virus that is responsible for chickenpox. After lying dormant for certain period of time, the virus may get reactivated and travel through the nerve pathways on the skin. This is more likely to happen if your immunity level is somehow affected, which makes it easier for the body to get infected.
The disease is contagious in nature, so it is advised to stay away from people who have shingles. Remember that if you are not immune to chickenpox, then coming in contact with a person who has shingles, might result in you developing chickenpox.

Shingles may result in certain complications in the body such as:

1. Vision loss: shingles, if present around the eyes, may lead to infections in the eye causing vision problems.
2. Post herpetic neuralgia: in some cases, the pain that occurs from shingles may continue well after the infection has subsided.
3. Neurological complications: shingles may cause inflammation in various nerves, resulting in neurological disorders such as facial paralysis and balance problems.
4. Infections in the skin: shingles may also cause infections on the skin.

All About Shingles

A non-healing wound can be any wound that does not show improvement after roughly a month and is not on the way to healing in about 2 months. There are several types of non-healing wounds, and ulcers are a major type. The other types include:

  Surgery wounds that don t seem to heal.
  Pressure related ulcers.
  Wounds that start healing but go back to square one several times.
  Wounds and ulcers caused due to disorders of body metabolism.

Symptoms: how do you understand a wound is of the non-healing variety?

Following are The Symptoms to Look Out For:

  Pain in the wound, either one that starts out after some time or one that was present from the very beginning but keeps increasing in magnitude.
  A foul smell surrounding the wound.
  An oozing sensation from the wound, or a feeling of liquid oozing from it.
  The wound becomes tender, and can turns red and hot.

Non-healing wounds are dangerous because the surface is exposed to the environment for a very long time, making it open passage for numerous bacterial germs in the atmosphere. This can lead to serious infection. The infection can get so bad that a limb might even have to be amputated.

How to manage and cure these wounds?

There are Several Ways to Keep the Damage Under Control, and These are The Most Effective Methods:

The most important part of treatment is to investigate to know the cause for ulcer. Here are the investivative measures taken:

Arterial: Evaulation of circulation to leg if reduce corrective measures like angioplasty/stenting/bypass and wound care.
Venous: Correction of venous insufficiency with laser or vein surgery amd wound care.
Neuropathic and treatemnt accordingly: Offloading shows and corrective measures.
Skin Grafting
  Trans-cutaneous oximetry: this is a method that uses electrodes to achieve its objective. The electrode is attached to the skin and heats it up. The blood vessels just beneath the skin are also heated up, and they dilate. It also improves oxygen circulation in the area and provides a reading of the oxygen pressure. This apparatus also maintains a specific temperature at the site so as to not cause thermal trauma.

  Skin grafting: in this procedure, skin is removed from one part of the body and transplanted onto another. The skin is surgically removed from a part that is generally not exposed through clothes, like the thighs or buttocks. The procedure can involve removal of either the top layers or all the layers of a portion of the skin.

Non-healing wounds and ulcers are dangerous and infectious, and proper care must be taken to diagnose and heal them. If you spot one on your body, the best bet is to go for methods like skin grafting or transcutaneous oximetry, for complete cure.

Non-Healing Ulcer And Wound Management!

13 Wonder Foods to Fight Diabetes

Nutritious and healthy food is capable of arresting or even reversing diabetes. Here is a list of 13 such wondrous foods that, if eaten consistently, will ward off diabetes -

1. Sweet potatoes: Unlike regular potatoes, sweet potatoes are rich in fiber and Vitamin A along with a low Glycemic index.

2. Tomatoes: Tomatoes offset diabetes with its nutrients like Vitamin C, E, and iron. They can be eaten raw as well as cooked.

3. Fish: Consume fish like salmon, mackerel, tuna, and halibut etc that are rich in omega 3 fatty acids. Cook them in a simple way rather than deep-frying.

4. Apples: Apples are full of fiber and low in calories. Thus, they are able to effectively fight bad cholesterol and diabetes. It is best to eat them with their skin.

5. Avocado: This fruit comes packed with monounsaturated fats and balances blood sugar level. It also contains good fat that is capable of reversing insulin resistance.

6. Berries: Almost all kinds of berries are rich in antioxidants and fiber. They boost the production of insulin and lower down blood sugar.

7. Broccoli: Broccoli contains chromium that stabilizes levels of blood sugar.

8. Carrots: Carrots are extremely rich in beta-carotene that is known to lower the chances of diabetes.

9. Flaxseed: These are rich in fiber, protein, magnesium and good fats. They are known to helps cells in absorbing insulin.

10. Yogurt and Skim Milk: These dairy products are rich in calcium and protein for fighting against insulin resistance that leads to diabetes.

11. Oatmeal: Oatmeal comes loaded with soluble fiber that helps in delayed conversion of consumed carbohydrate into blood sugar.

12. Almonds: Regular intake of 4-5 almonds daily reduces the risk of diabetes as well as cardiovascular disease.

13. Garlic: Garlic is known to elevate the insulin level in the blood. It is rich in Allicin and vitamin B thiamine that activates pancreas for the production of insulin.

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

13 Wonder Foods to Fight Diabetes

Located right under the rib cage, kidneys are a very important organ of the body. They are not only responsible for purifying your blood from wastes and excess fluid but are also involved in maintaining electrolyte balance, regulating blood pressure and producing red blood cell in the body.

In many cases, due to some medical condition, one or both kidneys may stop functioning properly. If not treated in time, it may lead to complete kidney failure and if the kidneys fail completely, dialysis or transplant may be the only treatment options available.

Dialysis is a treatment in which the blood is filtered and purified artificially using machines. This process is beneficial for those whose kidneys are not able to do their job properly.

Need for dialysis

A functioning kidney prevents the accumulation of excess water, impurities, and wastes inside the body. They also work to maintain the blood pressure level and control the presence of certain chemicals like sodium and potassium.

When the kidneys fail to perform these critical functions, maybe because of some disease or injury, dialysis helps to keep up the healthy functioning of the body as much as possible. As without dialysis all the wastes and fluids will accumulate and poison the body, resulting even in death. However, it must be kept in mind that dialysis is not a cure for kidney diseases; it is just an alternative to their functions.

Types of dialysis
Dialysis is an artificial process of purifying your blood using machines. There are two types of dialysis:

Hemodialysis
This is one of the most common types of dialysis, where an artificial kidney, known as a hemodialyzer, is used to remove waste and chemicals from the blood. The doctor surgically creates a vascular access into the blood vessels allowing the artificial kidney to perform.

Peritoneal Dialysis
This is a surgical procedure, where a catheter is implanted in the belly area. The treatment involves a special fluid called dialysate which is flowed into the abdomen to clean the blood. Once the blood is cleaned, the fluid is drained from the abdomen. The benefit of this treatment is that you can perform it in your home, without going to a hospital.

Risks in Dialysis
Even though either of these two treatment procedures is life-saving and there is hardly any alternative, these two can also come with risks. The risks include peritonitis, abdominal muscle weakening, high blood sugar level, weight gain, low blood pressure anemia, muscle cramping, insomnia, itching, depression, increased potassium level and pericarditis. If you experience any of these symptoms of the risks involved, then immediately consult your doctor and explain in details.

A patient who is going through dialysis for a long time also has a chance of succumbing to the medical condition called amyloidosis. When the amyloid proteins, which are produced in bone marrow, collects in kidneys, hearts, liver and other organs, amyloidosis occurs. This results in joint pain, stiffness and even swelling. 

Dialysis May Save Your Life!

Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD.

Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

Complications associated with GERD
Over time, chronic inflammation in your esophagus can lead to complications, including:
1. Narrowing of the esophagus (esophageal stricture): Damage to cells in the lower esophagus from acid exposure leads to formation of scar tissue. The scar tissue narrows the food pathway, causing difficulty swallowing.
2. An open sore in the esophagus (esophageal ulcer): Stomach acid can severely erode tissues in the esophagus, causing an open sore to form. The esophageal ulcer may bleed, cause pain and make swallowing difficult.
3. Precancerous changes to the esophagus (Barrett's esophagus): In Barrett's esophagus, the tissue lining the lower esophagus changes. These changes are associated with an increased risk of esophageal cancer. The risk of cancer is low, but your doctor will likely recommend regular endoscopy exams to look for early warning signs of esophageal cancer.

Tips to Manage GERD 
1. Maintain a healthy weight: Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. If your weight is healthy, work to maintain it. If you are overweight or obese, work to slowly lose weight   no more than 1 or 2 pounds (0.5 to 1 kilogram) a week. Ask your doctor for help in devising a weight-loss strategy that will work for you.
2. Avoid tight-fitting clothing: Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter.
3. Avoid foods and drinks that trigger heartburn: Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn.
4. Eat smaller meals: Avoid overeating by eating smaller meals.
5. Elevate the head of your bed: If you regularly experience heartburn at night or while trying to sleep, put gravity to work for you. Elevate your bed
6. Don't smoke: Smoking decreases the lower esophageal sphincter's ability to function properly.

Did You Know GERD Is More Than Heartburn?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

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