Chronic pancreatitis refers to an inflammation of the pancreas   the organ that creates enzymes and hormones to manage blood sugar levels and aids in digestion. The condition either does not heal completely and keeps coming back, or persists for months or years at a stretch.

Chronic pancreatitis is a serious, debilitating condition, which can potentially lead to permanent damage and scarring of the organ. The following are the consequences-

  Formation of cysts and calcium stones in the pancreas
  Blockage of the gastrointestinal tract
  Malnutrition
  Diabetes

The condition is most likely to develop between the ages of 30 and 40 and is commonly observed in men than in women.

Causes of Chronic Pancreatitis:

A number of factors are responsible for long-term pancreatitis. The most common ones include-

  Alcohol abuse   Reportedly, 70% of all cases regarding the condition is related to alcohol consumption
  Autoimmune diseases   When your body attacks the healthy tissues and cells mistakenly
  Genetics
  A constrict pancreatic duct   The tube that carries enzymes to the small intestine from the pancreas
  A blockage of the pancreatic duct by stones
  Cystic fibrosis   A hereditary disorder that causes mucus to build up in the lungs
  Hypercalcemia   When the level of calcium in the bloodstream increases abnormally
  Hypertriglyceridemia   When the level of triglycerides in the blood rises up

Warning Signs of Chronic Pancreatitis:

Symptoms of chronic pancreatitis do not show up at the early stages. They become more evident when inflammation aggravates. However, you should look out for the following signs-

  Severe abdominal pain   Usually in the upper portion
  Loose stool that appears pale and does not flush away easily
  Vomiting and nausea
  Unintentional weight loss
  Fatigue
  Excessive thirst
  Shortness of breath
  Diarrhoea
  Jaundice
  Pancreatic fluids inside the stomach
  Intestinal blockage
  Internal bleeding

The above symptoms vary based on the severity of the condition. Painful episodes may last for days. For some people, drinking and eating seem difficult because that makes the pain worse. With the progression of persistent pancreatitis, the pain becomes constant. Seeking treatment at the earliest is necessary for the condition to heal.

Diagnosis and Treatment:

A blood test alone is not sufficient to detect the changes in your pancreas in the initial stages. An imaging test is the most reliable method to confirm the diagnosis. Your doctor may recommend the following tools-

  CT Scan
  X-ray
  Ultrasound
  MRI Scan

The objective of the treatment is to reduce pain and improve the functioning of your digestive system. The damage to the pancreas cannot be cured, but your doctor will prescribe necessary measures to manage the symptoms of the condition.

The primary treatment methods include endoscopic therapy, medications, and surgery.

  Medication - Pain killers, insulin steroids, and artificial digestive enzymes may be taken as per the doctor s recommendation
  Endoscopy - The procedure involves inserting a flexible, long tube (known as an endoscope) through the mouth. It allows the doctor to look at the pancreatic stones formed inside. He/she then removes the stones, places stents to improve the flow, and seals the leakage.
  Surgery - The last resort is surgery. The doctor will recommend it only if medications and endoscopy therapy have failed to rectify the painful symptoms. Removing a portion of the diseased pancreas can offer relief. Surgery may also be performed to drain cysts and to unblock or widen the pancreatic duct.

The outlook depends on the underlying causes and the seriousness of the disease. However, immediate treatment and diagnosis can improve the outlook. Consult a doctor as soon as you encounter the above symptoms of pancreatitis.

Chronic Pancreatitis - Everything You Should Be Knowing!

Sore throat can have many kinds of manifestations and the extent of soreness varies as well. Homeopathy offers multiple remedies for the varying degrees of an inflamed throat. These are some of the best homeopathic drugs in accordance with their symptoms:

Aconitum: This medicine should be taken at the early onset of a sore throat. When there is redness of the throat and in addition to it swelling and burning, this can be the ideal remedy.
Apis: This medicine is advisable when children have inflamed, red throat along with tonsils which become swollen with the consumption of hot food and beverages. In such instances, the child can t swallow without experiencing recurring pain. The inflamed outer and inner throats are accompanied by a feeling of something being stuck in the throat due to an enlarged uvula.
Belladonna: Acute tonsillitis is best treated with belladonna. Preferably it should be used at the onset of a sore throat. The tonsils appear scarlet red. Even though swallowing is painful, there is a desire to do so nevertheless. The throat feels constricted. In such cases the extremities are very cold despite the head feeling hot.
Arsenicum: This is again a wonder drug for children experiencing pain in the larynx that is relieved when hot drinks and food are consumed, and worsened by any cold edibles. The right side of the throat generally experiences greater pain. This pain is accompanied by a dry mouth and an increased thirst.
Ferrum Phos: This is an effective remedy for nonviolent and acute tonsillitis. The pain is often bearable and the onset of the inflammation is gradual. Swallowing often becomes difficult and leads to pain whereas cold brings relief to the throat.
Lachesis: This drug is usually prescribed when the child has throat pain on the left side. The right gland of the throat is less swollen than the left. There is also a constant tickling sensation. The throat becomes extra sensitive to any kind of touch or pressure and these children hence dislike wearing tight clothing and collars.
Hepar Sulph: This medicine is advisable for children when they start experiencing a sore throat right after they have been out in the cold, for way too long. The tonsils swell up and there is a constant throbbing pain. This pain tends to fluctuate and it also radiates to the ears when the child swallows. Some relief is experienced when consuming hot drinks. These children tend to be highly irritable.

Sore Throat - 7 Effective Home Remedies for it!

Cervical cancer is a form of cancer which occurs in the cervix or the lower part of the uterus in women, which opens up into the vagina. Its different from the other cancers that occur in other parts of the uterus and has a high rate of being cured if detected early.

Causes of Cervical Cancer
Cervical cancer is usually caused when abnormal cells present in the cervix, get out of control. Usually, major cases of cervical cancer are caused by a virus known as the human papillomavirus or HPV. This virus gets transmitted from one person to another by sexual means or sexual contact. Abnormal changes in the cervix cells lead to cervical cancer. Usually, cell changes occur in the transformation zone in the cervix as the cells tend to change constantly, thereby leading to cancer.

Symptoms
1. Abnormal vaginal bleeding between menstrual phases, after menopause or after having sex.
2. Pain is experienced during sex.
3. Abnormal vaginal discharge is produced.
4. Abnormal changes in the menstrual cycle.
5. Anemia due to abnormal bleeding from the vagina.
6. Recurring pain in the pelvis, back or leg.
7. Several urinary problems due to the blockage of the uterus.
8. Urine or stool leakage into the vagina.
9. Loss of weight.

How it can be diagnosed?
A routine screening test should be undertaken to observe any abnormal cell changes in the cervix and also for the screening for cervical cancer. Taking regular Pap smear test is recommended to detect abnormal cell changes so that cervical cancer can be prevented before hand. Other diagnostic tests include, Colposcopy and cervical biopsy to determine the presence of abnormal cells in the cervix, Endocervical biopsy and Cone biopsy.

Treatment options available
Cervical cancer can be treated when detected at an early stage. The type of treatment depends on the stage and type of cervical cancer. The most common treatment methods are as follows:

1. Surgery can be undertaken for removal of the cancer. Several types of surgeries exist and the ideal one depends on the location and severity of the cervical cancer.

2. Radiation therapy involves the use of high dosage X-rays and implants within the vaginal cavity. This kills the cancer cells and is used in some specific stages of cervical cancer. This therapy is often used alongside surgery.

3. Chemo-radiation is a combination of radiation therapy and chemotherapy. This procedure can be used at various stages of cervical cancer.

4. Chemotherapy involves using medicines for killing cancer cells. It is used in advanced stages of cervical cancer.

Pelvic cancer is caused by abnormal cell changes in the pelvis. It is a common kind of cancer and can cause negative effects on the health. Proper diagnosis and treatment are essential for treating pelvic cancer.

Cervical Cancer: Symptoms, Causes and Treatment Available

A broken bone or a crack in the commonly known as a fracture. Any bone in the arm can be broken, but common areas for fractures in the arm is wrist, specifically the distal radius, forearm bones (radius and ulna), elbow, humerus and shoulder. 

What causes fracture in bones?

Fall: Falling an outstretched hand or elbow is the most common cause of a broken arm.
Sports injuries: Direct blows and injuries on the field or court are a common cause of all types of arm fractures.
Significant trauma: Any of your arm bones can break during a car accident, bike accident or other direct trauma.
Abuse: In children, a broken arm may be the result of child abuse.
How to identify?

An audible snap or cracking sound may be your first indication you've broken an arm.

Signs and symptoms include:

Severe pain, which may increase with movement
Swelling
Bruising
Deformity, such as a bent arm or wrist
Inability to turn your arm from palm up to palm down or vice versa
When to see a doctor?

If you have enough pain in your arm that you can't use it normally, see a doctor right away and do the same for your child. Delay in diagnosis and treatment of a broken arm, especially for children who heal faster than adults do, can lead to poor healing and deformity.

Fracture In Upper Limb Bones - 4 Things That Can Cause It

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!

It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

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