Interstitial lung disease is an umbrella term that includes a number of conditions that causes scarring of the tissues of the lungs. This scarring can hamper your breathing and therefore cause less oxygen to be present in your blood.

When you are exposed to hazardous materials like asbestos for long periods, you can get interstitial lung disease. Even autoimmune conditions like rheumatoid arthritis can result in this condition. 

Once the tissues of your lungs are scarred, chances are that it can t be reversed. While medications can slow the progress of the but you won t be able to regain the full functionality of your lungs. In such cases, you can consider a lung transplant.

What are the signs?

You will difficulty in breathing   it may be aggravated when you exert yourself or you may experience shortness of breath during rest periods. A dry cough is another sign of this condition.

What causes it?

Interstitial lung disorders occur when you ve had an injury in your lungs that set off an abnormal healing process. With the healing not happening in a normal way, the tissues around your air sacs tend to thicken and get scarred. The does not allow oxygen to get into your blood.

There are certain triggers for this condition  

If you are exposed to certain pollutants or toxins like silica dust, bird dropping and grain dust for long periods.

Medications like chemotherapy drugs, anti-inflammatory drugs and heart medications.

If you have the following medical disorders   scleroderma, rheumatoid arthritis, mixed connective tissue disease, dermatomyositis, Sjogren's syndrome and sarcoidosis.

What is the treatment? 

First, a doctor will carry out diagnostic tests to identify the cause of the problem. The following tests are usually performed  

Blood tests to detect autoimmune responses to pollutants

Imaging tests like CT scan and echocardiogram

Tests like oximetry and spirometry to determine your lung s capacity

Surgical biopsy and bronchoscopy to analyse your lung tissue

Once the diagnosis is done, the doctor can suggest any one of them or a combination of the following methods  

1. Medications 

Corticosteroids are used to suppress the immune system. GERD can also damage your lungs, so you may be given medicines to reduce stomach acid if you have an excess of it.

2. Oxygen therapy

Oxygen therapy can help you with breathing and help you sleep better. But it won't stop damage to the lung tissues.

3. Pulmonary rehabilitation

Pulmonary rehabilitation can help you perform your daily tasks without any hitch. It includes exercise, breathing techniques, eating healthy and emotional support.

Surgery

If nothing else works, then the doctor may recommend a lung transplant. 

Moreover, there are certain lifestyle remedies that you can adopt  

Avoid smoking as it can aggravate your condition.

Eat a healthy and nutritious diet.

Take vaccines for respiratory infections like the flu and pneumonia.

The best way to deal with this disorder is to not have it at all. But with proper treatment, your symptoms can be reduced.

Interstitial Lung Disease - Know More!

In many cases; divorce and separation leads not only to bad blood between the parents, but also in a child alienating himself from one parent. Insulting or belittling one parent without justification or under pressure from the other parent is known as parental alienation syndrome. Parental alienation involves one parent undermining the other and interfering with the child s relationship with the other parent by limiting contact with them, bad mouthing them, forbidding discussion about them etc. This can have a very negative effect on the child s emotional state.

1. Self hatred: For children, hatred is not inborn, but developed by the situations they are in. By bad mouthing a parent and teaching the child to hate the parent, the child himself is harmed. With time, he begins to internalize this hatred and believe that there is something wrong with him that made the alienated parent not want him.

2. Low self esteem: When a child is not allowed to speak his mind and has to bottle up his thoughts, he becomes socially withdrawn. Often the child begins to feel that he is the cause for the rift in the family and makes himself responsible for the separation. This intensifies with time and makes the child lose confidence in himself leading to low self esteem.

3. Lack of trust: When a child is suddenly pulled away from one parent and told how that parent is not a  good person  the child is likely to feel betrayed. This creates a sense of doubt in the child s mind and makes it difficult for him to trust other people. As he grows up, this can affect his own adult relationships as well.

4. Depression: Depression is a commonly seen in children from broken homes and this is intensified in cases of parental alienation. It is rooted in the child s feeling unloved by either one of the parents and built up by the separation. Not being given a chance to speak about their feelings or talk about the situation makes them more depressed and they begin to withdraw into themselves. In many cases, it is noted that alienated children have strained relationships with their own children as well.

5. Substance abuse: Depression is one of the most common triggers for substance abuse. Alienated children often feels trapped and that they have no outlet to vent their feelings and frustrations. This often makes them turn towards drugs for relief and can make them victims of substance abuse.

Effects of Parental Alienation Syndrome on Children

Living with ulcerative colitis can be very challenging. Patients of this disease will have to deal with pain in the abdomen and several digestion related issues in their daily lives. It is known to adversely impact the digestive tract. There can be extreme discomfort at the time of flare-ups. A patient can find life extremely difficult while dealing with symptoms like abdominal pain, fever, weight loss, and chronic diarrhea.

What is Ulcerative colitis (UC)?
It is a serious inflammatory disease. It is caused due to inflammatory bowel movements in the digestive tract. It can affect your daily life adversely. The worst part about this disease is that it relapses in the individual. It is characterized by flare-ups. You need to know fist what is an UC flare-up. Well, it is a term to refer to an exaggerated condition in the disease. It refers to a state when things turn worse. These flare-ups can be caused due to a number of factors. Some of these include:

Side-effect of certain medicines
Hormonal imbalance, especially during pregnancy
Sudden withdrawal from medication
Any infection or other medical condition
How to deal with the UC flare-ups?

Doctors often prescribe corticosteroids to deal with the flare-ups. Some of the most common drugs are Prednisone and budesonide.
Doctors prescribe the intake of steroids, 5-Aminosalicylates, antibiotics, and biologics.
Lifestyle changes are helpful in treating this disease. You can work towards detoxification and de-stressing yourself to get rid of the flare-ups. Take up some exercises, meditation and Yoga for best results.
You can also control chronic diarrhea by keeping a check on what you eat. You should avoid eating fibrous diet. Fibres are tough to digest for patients with UC. You must maintain proper hygiene as well to stay away from diarrhea.
Surgical Management of Ulcerative Colitis

Ulcerative colitis (UC) is an inflammatory disease of the colon and rectum limited to the mucosa, and may vary in severity from a mild intermittent disease to an acute fulminant and potentially fatal disease requiring urgent surgery. Management of ulcerative colitis depends on severity, extent, and duration of the disease, response and tolerance to medication, patient age and comorbidity as well as patient preference.

Surgery plays an important role in the management of UC both because of the premalignant nature of the disease, and because of the periodic failure of medical management. The underlying rationale for surgical treatment of the disease is that the disease is confined to the colon and rectum, and therefore proctocolectomy is curative. The goal of surgical therapy for ulcerative colitis is to remove the disease with as little alteration of normal physiological functions and lifestyle as possible.

Four surgical options exist for patients with ulcerative colitis and each has its own advantages and disadvantages.

The surgical choices are:

Proctocolectomy and Brooke ileostomy.
Abdominal colectomy and ilcorectal anastomosis.
Proctocolectomy and Kock pouch.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA).
The choice of operation requires consideration of the advantages and disadvantages of each option and must be tailored to an individual patient's needs and circumstances. Important factors to be considered in the choice of operation include the indication for surgery, age, associated medical conditions, body habitues, and quality of the anal sphincter. Extensive preoperative education is required which should include discussion with a specialized Gastroenterologist.

Ways To Deal With Ulcerative Colitis!

Fatigue is a common complaint amongst middle aged people. It is mostly seen in people who have refrained from physical activity or working out for long. This being said, there are a host of other diseases where fatigue acts as the most prominent symptom. Some major diseases where fatigue is involved are anemia, heart diseases, thyroid and diabetes. If you are feeling exhausted or worn out even after a good night s sleep, it is time to consult your doctor. Here are a few tips that can help you in managing fatigue in the early stage:
Review your existing medication: Get your doctor to check your medication to ensure that the fatigue is not a result of your existing medicine. Doctors often change the medication for any side effects such as this. It is also advised not to take additional medicine to counter fatigue.
Start moving: Studies show that physical activity greatly boosts the level of energy in an individual. Daily exercise not only reduces fatigue but makes the heart and lung function more efficiently. It increases vigor and the overall quality of life. According to a study conducted by the Johns Hopkins University School of Medicine, it was seen that people who are more active have more self-confidence.
Drink water: Dehydration often causes day time fatigue. It not only impairs the physical performance of an individual but also contribute to lack of alertness and motivation. A good indicator of the body s hydration is the color of the urine. Ideally it should be yellow, pale or straw colored. Any coloration other than this signifies that the body needs more water.
Hit the bed early: Lack of sleep is one of the biggest factors of fatigue. A study conducted by the Stanford University in 2004 showed that people with good sleeping habits suffers from less fatigue. An afternoon nap followed by a coffee further reduces fatigue and energizes a person. 8 hours of sleep is considered to be healthy and keeps fatigue at bay.
Frequent eating: It is observed that people who eat small meals several times a day are less prone to this condition than others who eat twice or thrice a day but eat bigger meals. Frequent eating maintains a steady blood sugar level and helps a person concentrate harder. This being said, it has to be ensured that food is consumed in smaller quantities to refrain from putting on weight.
Try Yoga: While any kind of exercise is helpful in countering fatigue, yoga is particularly helpful in boosting energy. A British study conducted among young adults showed that those who attended 6 weeks of yoga classes are found to be more energetic and mindful. Yoga should be practiced under strict supervision of an instructor to avoid any possible complications of the body.  


How to Manage and Treat Fatigue?

There are two tissue masses (oval shaped) at the backside of the throat and those are known as tonsils. Tonsils trap airborne germs that enter the windpipe through the nostril and such germs can cause infections. So, tonsils don t just trap the germs, they fight the germs by producing antibodies targeted to the germs.

However, tonsils themselves can also get infected if there is an overwhelming presence of viruses or bacteria. In such a situation, the tonsils swell up and become inflamed. This condition is known as tonsillitis.

If the tonsillitis is caused due to the flu virus, it can also cause stomach infection which can lead to  Diarrhea .

Diarrhea is a watery, loose, and more frequent bowel movement problem which causes dehydration and weakness.

Sometimes, both tonsillitis and Diarrhea, are not considered an illness, but these can be symptoms of some other diseases. For example, if a person is suffering from fever, there are chances that he/she may experience tonsillitis and Diarrhea.

Causes -

What Cause Tonsillitis?

Infections from bacteria and viruses are responsible for tonsillitis. The most common bacteria that can precipitate tonsillitis is Streptococcus. And among the viruses that can cause tonsillitis, there are many, such as Influenza virus, adenovirus, Epstein-Barr virus, Enteroviruses, Parainfluenza viruses, Herpes simplex virus, etc.

What Cause Diarrhea

Usually, Diarrhea is caused due to an infection in the gastrointestinal tract. The microorganisms that can cause this infection include:

Viruses

Bacteria

Parasites

Symptoms -

Symptoms of Tonsillitis -

Symptoms of tonsillitis include swelling and inflammation of the tonsils. If the swelling is severe, it may even block airways causing severe distress. Other symptoms include:

Throat tenderness or pain

Redness of tonsils

A yellowish or whitish coating on tonsils

Painful blisters in throat

Headache

Loss of appetite

Ear-ache

Fever and chills

Symptoms of Diarrhea

Stomach ache

Bloating

Abdominal cramps

Weight loss

Vomiting

Fever

Thirst

How Diarrhea is Associated with Tonsillitis? 

Since both, Tonsillitis and Diarrhea can be caused due to the attack of virus or bacteria, so both of these can be associated with each other. This case or condition is most common in young children. Young children who suffer from tonsillitis due to the flu virus may also experience the problem of Diarrhea. They can also experience stomach infection which causes vomiting, stomach ache, dehydration, nausea, etc.

Treatment -

To treat any problem, doctors first identify the cause. In most cases, limiting the causes can help to get rid of the problem. This is also true in the case of Diarrhea associated with Tonsillitis. Doctors first diagnose the problem performing different tests and if both the conditions are caused by the flu virus, doctors will prescribe a few medicines. If the condition is not too severe, then within a week you can see the changes and results.

Take Away -

Though the problem of having both tonsillitis and Diarrhea at the same time might not seem to be associated, it is possible. If this happens due to the attack of the flu virus or any other disease, it is advisable to consult a doctor as soon as possible and get rid of it.

Diarrhoea - Is It Associated With Tonsillitis!

The kidneys are the purifiers of the body; they help in removing the waste from the body through the urine. In those suffering from kidney diseases, the function of the kidney is affected, and so their ability to clear out waste from the body is reduced and completely lost gradually. However, waste continues to form, and therefore, such patients have to undergo dialysis, where the blood is purified through an external device.

The frequency and duration of the dialysis would depend on how effectively the kidneys are still functioning and how much waste has been formed from the time of the previous dialysis session. The person s overall body mass index (BMI) and the water weight gained are also considered.

Once it is decided that a person s kidneys are damaged and dialysis is required, the person has to prepare for a long-term process. The following outlines what to expect before, during, and after the dialysis sessions. 

Before the session: 

Since most people prefer to get it done at a dialysis centre, it is preferable to plan for it, three treatments a week on an average, with each session lasting about 4 to 4 hours.

During the session: 

The blood flows through the dialysis device, which acts as an artificial kidney. The sequence of events are as follows:
The Weight is checked
Vital signs, including heart rate, blood pressure, breathing and pulse are checked.
The access areas are washed, and needles are used to connect these areas to the dialysis machine. Anesthesia may be used in the beginning to reduce the pain in this area.
The same access areas are used for each session, and over a period of time, buttonholes are formed which is like a small tunnel.
Though the session would last about 3 to 4 days, normal activities can be done, including reading, working on a laptop, watching television, or even sleeping.
Once the dialysis session is complete, the tube will be removed and a dressing is placed over the site.
After the session

The same site is used each time for the dialysis, so for the first couple of sessions, there could be discomfort. There could also be nausea, diarrhoea, cramping, and headaches.
The treatment needs to be adjusted based on symptoms, so please let the doctor know if you experience any symptoms.

Call the doctor if you are facing the following:

Bleeding from the access site
Inflammatory signs around the site
Persistent fever of over 104 degrees
Numbness or weakness in the arms
Confusion, drowsiness, or cognition problems
Though initially uncomfortable, once you get into the dialysis schedule, you will notice the difference of how cleansed you will feel after each session.

Undergoing Dialysis - What To Expect From It?

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