Ulcerative Colitis is a chronic inflammatory disease that affects the lining of the intestine and the rectum. It is located just above the anus. Patients suffering from ulcerative colitis tend to have small ulcers in their rectum and the colon. These eventually flare up leading to diarrhea, bloody stools, anemia and abdominal pain. The inflammation starts from the rectum and eventually, spreads to the colon. Ulcerative Colitis tends to flare up and remit in an alternate phase. The remission can last from few weeks to few years.

Methods adopted to diagnose Ulcerative Colitis-
Ulcerative Colitis is very similar to an inflammatory bowel disease known as Crohn s disease. The only differentiating factor is the fact that, ulcerative colitis affects the colon whereas, Crohn s disease affects the digestive system and the small intestine. A doctor might prescribe certain tests such as the colonoscopy, blood tests, CT scan, pill camera, stool sample tests etc.

Why is surgery necessary to treat Ulcerative Colitis?
An estimated 40 percent of all Ulcerative Colitis patients need to undergo surgery to recover completely. The reason surgery becomes necessary to treat ulcerative colitis are the following:

Drug therapy and medication become ineffective.
Without undergoing surgery, the condition might increase the risk of developing cancer.
The colon has the risk of getting ruptured if surgery is not performed on time.
There could be excessive bleeding.
Toxic megacolon might set in.
Types of surgery available to treat Ulcerative Colitis
A procedure where the entire colon is removed is known as the colectomy. In case both the colons are removed, the procedure is termed as proctocolectomy. In this procedure, an external pouch needed to be attached to the stoma that collects the stools. There is another method known as pouch surgery. 

Pelvic pouch or ileal pouch is also termed as IPAA. This procedure doesn t involve permanent stoma. In this procedure, both the colon and the rectum are eradicated from the body. The small intestine is then used to form a J-shaped pouch, that serves as the new rectum. The pouch is then connected to the anus. The whole procedure is done via two surgeries.

What are the surgical complications of this procedure?

There could be an excessive bowel movement.
There are instances where an inflammation of the pouch is observed. This condition is known as pouchitis.
There could be a situation of intestinal blockage from adhesion due to surgery.
There could be pouch failure that can happen inside within 5 few years. This is observed in 4 out of 100 patients who are treated. In this case, the patient should go for a permanent ileectomy.

Ulcerative Colitis - What You Need To Know?

Treatment for Kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. 

Following are treatment options for kidney stones:

Small stones with minimal symptoms 
1. Drinking water
Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones. 

2. Pain relievers
There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen. 

3. Medical therapy
In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy. 

Large stones with severe symptoms
 
1. Using sound waves to break up stones 
In this technique, a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen. 

2. Surgical removal of kidney stones 
Surgical removal of stones is done with the help of a procedure called nephrolithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails. 

3. Ureteric Calculi (Using a scope to remove stones) 
A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia.

Treatments For Kidney Stones

Asthma is a condition characterized by inflammation of the airways which impairs the circulation of air from the lungs. The inflamed airways are very susceptible to various allergens thus increasing your risk of allergies. It also causes a hissing sound while breathing, breathing complications and coughing.
Homeopathic remedies are effective in treating asthma as they do not have any side effects. These treatments assist in maintaining the balance of the immune system. The various homeopathic remedies for asthma are:

1. Natrumsulphuricum
One of the most common treatments for asthma, it is very effective in treating asthma in children. It is also effective in treating asthma that is inherited and aggravated in humid conditions.

2. Arsenic album
This treatment is used to treat asthma in both chronic and acute phase. It is prescribed when the asthma attacks occur frequently during the night, resulting in suffocation. It is very useful in treating patients who are affected by asthma and fall sick during cold weather.

3. Sambucus
It is very effective in treating asthma in children who are chronically afflicted with it. It can cause dryness of the skin and may also result in burning sensations.

4. Kali bichrome
This is another remedy for treating symptoms of asthma that are very frequent at night. It helps in relieving symptoms of chest congestion as it thins the mucus.

5. Nux vomica
If you are suffering from asthma along with symptoms of indigestion, then this treatment can be beneficial. It brings relief if you are suffering from breathing problems due to indigestion.

6. Carbo veg
Carbo veg is recommended in cases where there is excess irritation in the abdomen due to gas. It is also very useful in treating symptoms of asthma in the elderly. It is prescribed in cases of acute asthma attacks.

Homeopathic Remedies for Asthma

With the evolution of medical technology, we have made inroads when it comes to evolved methods of treating a variety of ailments and conditions. The use of lasers is now commonplace for a number of surgeries and non-invasive procedures that can help in treating many conditions. From hair removal to surgeries, there are a number of places where lasers enjoy medical and cosmetic use. There is a common misnomer that lasers have detrimental effects and may even be carcinogenic or cancer causing in nature.

Let us find out why lasers cannot cause cancer.

Penetration of light: For many people, it may be a cause of concern that laser treatment of the hair, skin or other parts of the body is done with the penetration of high energy beams in that part of the body. Yet, the beams do not penetrate that deeply. Usually, this penetration only happens to the extent of hair follicles and skin, which leaves the internal organs safe.
Redness: At the very maximum, the lasers can cause a reaction like redness on the skin. This does not mean that the lasers are capable of causing cancer. This can simply be treated with the help of ice application on the affected area.
Mutations: There have been many reports that say the ionising radiation of the laser beams can cause DNA mutations. Yet, this is not true. These DNA mutations can lead to the manifestation and production of abnormal and cancerous cells, which can further progress and spread to become malignant tumours. Yet, laser treatments and applications do not have the power to cause such DNA mutations, and there is no medical evidence that suggests the same.
Treating areas near reproductive organs: There are many women who opt for laser hair removal which is a more permanent solution for waxing and other forms of hair removal that we go through on a regular basis. But many women are also concerned that it may actually cause problems and cancer when it comes to the reproductive organs, in case the hair removal treatment and lasers are applied to the area near these organs. This is not true because the laser beams are merely applied to the hair follicles of the area. Since, laser beams are not applied to the reproductive organ, which ensures that there is no effect on the internal reproductive organ in any way.
Before trying out laser treatment, it is important to try it on a small portion of your skin so that you can be sure that it does not affect you and cause a reaction. Further, for laser related surgeries, it is important to turn to a well known clinic, hospital or doctor so that the right level of energy is used during the surgery.

Laser Hair Removal Can Cause Cancer - The Most Common Myth!

You must not let the cold and dry air worsen your asthma symptoms. The air that blows during winter time greatly affects people with sinus and respiratory troubles, and all these factors contribute to worsening asthma attacks. But thankfully, there are a few tips that can be followed to curb down asthma and enjoy a lovely winter.

Washing your hands: Doing this frequently with soap and water is one of the easiest and most effective ways of avoiding the spread of cold and other diseases. You must also inculcate this habit among your children, and when you are outside, you should practice using a hand sanitiser and sanitising wipes.
Getting a flu shot: The Centre for Disease Control and Prevention (CDC) advises that all people over the age of 6 months should get their dose of the annual flu shot for protecting themselves against the flu virus. This will help keep your asthma in check.
Avoid sitting by the fireplace: Though it sounds cosy, you should refrain from sitting by the fireside if you have asthma. Burning wood is quite similar to burning tobacco and it can irritate your lungs to a great extent.
Keeping your mouth closed: Though most people are taught this since they were children, they tend to forget it or ignore it. Keeping the mouth opened is more than a social disgrace, and it even affects your lungs adversely. You can wear a scarf for covering up the nose and mouth as it would help in making the air you breathe warm.
Replacing filters: The heating system of your home may be blowing out dust and debris throughout the house, particularly when you operate it after a long time in winter. Therefore, it is imperative to clean and check the condition of the filters and replace them if necessary.
Exercising indoors: The days when it is bitterly cold outside, it is recommended to exercise indoors in a fitness club or a gym instead of doing it in the open air.
Warming up before exercising: People who are affected with asthma are able to recover faster and have a greater lung function after working out when they are warmed up. Therefore, you should try to warm up for at least 15 minutes before exercising.
Preventing asthma flares: Before you head outside, take a dose of your asthma medication and your inhaler as these will help in opening the airways and give you the necessary protection.
Having an asthma action plan: Regardless of whether it is summer or winter, you should be aware of what you should be doing in times when the symptoms flare-up.
Taking your medications: Finally, you should work with your doctor towards understanding the cause and symptoms of your asthma conditions and follow his recommendations closely to avoid recurrence of such problems.
With all these tips, you can expect to spend a happy winter. But if anything goes wrong, seek medical assistance immediately.

Asthma - 10 Ways You Can Control It!

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

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