Chronic fatigue syndrome (CFS) is a condition where you feel extreme tiredness and it does not go away even after you rest. The fatigue associated with this condition may worsen with mental or physical activity. 

As no specific cause has been identified for CFS yet, it is difficult to diagnose. You may require multiple tests. It is most common among women in their 40s and 50s but it can affect anyone.

Causes

If you have CFS, you may be fatigued easily by routine physical activity. This might be triggered due to certain factors or a combination of the following factors:

Some people may develop CFS after suffering from a viral infection. Some suspicious viruses include mouse leukaemia virus and Epstein-Barr virus

You may experience abnormal secretion of hormones in the pituitary, adrenal and hypothalamus glands

A weakened immune system is also an important factor for CFS

There are certain risk factors that may increase the chances of CFS:

High levels of stress or difficulty in managing stress

People between the ages of 40 and 50 have higher chances of developing CFS

Women are more likely to get diagnosed with the condition than men

Genetic predisposition

Symptoms 

The most common symptoms of CFS are as follows:

Feeling tired after a night s sleep

Insomnia

Reduced concentration

Sleeping disorders

Loss of memory

Frequent headaches

Orthostatic intolerance, where you might start feeling lightheaded when seated or lying down

Muscle pain

Joint pain without swelling

Swollen lymph nodes in armpits and neck

Feeling extremely exhausted lasting for more than a day after engaging in mental or physical exercise

These symptoms may suddenly disappear completely. But, they may return later. In general, if you experience excessive fatigue then you should consult a doctor.

Treatment

CFS can be treated with a special Ayurvedic treatment procedure called Panchakarma. This is a complete rejuvenation procedure that consists of steam baths, oil massages, diet purification and cleansing enemas. The aim is to detoxify your body and get rid of all impurities that may later cause illnesses such as CFS.

It is a five-step procedure consisting of the following:

Vamana   Therapeutic vomiting

Virechana   Purgation

Vasti   Herbal oil enemas

Nasya   Nasal irrigation or clearing the nasal passage from mucus 

Raktamokshana   Bloodletting or withdrawal of blood to cure an illness

The procedure is very effective in improving your sleep patterns and reduces sleeping disorders. It improves the digestive system, reduces stress levels and relaxes the body. But you have to maintain a strict diet that consists of:

Kitchari made of rice and lentils that are low cooked in herbal oils

Tea but no coffee or other beverages

No salads, smoothies, meat, bread or sugar

No processed foods

Lifestyle changes can help you fight CFS. Reduce your daily caffeine intake to sleep better and reduce insomnia. You must avoid nicotine and alcohol too. Try to avoid taking naps during the day. Consult your doctor if you still face problems. 

Panchkarma For Chronic Fatigue Syndrome - Know More!

Types of abdominal and pelvic surgical incision

At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as 

Midline Incision: It s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and caesarean section.
Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
Gridiron s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
Kocher s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher s incision. This however is different from the same named incision used for the thyroid gland surgery.
Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision.

8 Types Abdominal and Pelvic Surgical Incisions

A heart attack does not always have obvious symptoms, such as pain in your chest, shortness of breath and cold sweats. In fact, a heart attack can actually happen without a person knowing it. This condition is known as a  silent heart attack , medically known as  silent ischemia , occurring due to the shortage of oxygen supply to the heart muscle. The causes of a silent heart attack are similar to that of a heart attack. 

They include- 

Conditions like: 
Obesity or excess weight 
Diabetes 
High Blood pressure 
High cholesterol 
Heart Diseases 
Lack of exercise 
Age, usually above 65 
Consumption of tobacco or smoking 
High consumption of alcohol 
A silent cardiac arrest makes one more vulnerable to another heart attack that could be fatal. Diagnosis: The only method to diagnose if you had a silent heart attack is through imaging tests, such as echocardiogram, electrocardiogram, Holter Monitoring or others. These tests can show certain changes which might be indicative of a heart attack. An analysis of one s overall health and the symptoms can aid in deciding whether few more tests are required. 

How would you prevent a silent heart attack? 
1.   Get your cholesterol and blood pressure count tested regularly. 
2.   Refrain from smoking. 
3.   Get your VO2 max checked regularly. 
4.   Live a healthy lifestyle: Refrain from smoking and excessive alcohol consumption; exercise daily, eat healthy. 
5.   Control high blood pressure, cholesterol, and diabetes 
6.   Be aware of your body and call on a doctor if you feel there s anything which is bothering you. 

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Know Everything About Silent Heart Attacks

How your baldness is completely reversible (non-surgically): part-2

I explained in part-1 about prp treatment. Dermaroller treatment follows the prp treatment.

Let's understand how does it work.

What is derma roller

Dermaroller is an instrument with multiple small needles attached to a handle, which is rolled over the treatment area, to stimulate hair follicles.

How does derma roller work?

It activates stem cells in hair bulge region and releases growth factors to stimulate re-growth. It is again a painless procedure and is usually done without anesthesia.

Any risk or side effect of derma roller?

There is no risk for using derma roller as it is used is a completely aseptic and clean environment.

Total number of treatment sessions required?

For most patients 3prp + 9 derma roller (total 12 sessions done every week over 12 weeks) are sufficient.

Are results achieved with prp + derma roller permanent?

This treatment reverses the 'hair loss stage' to 'hair growth stage' and once the bald scalp is covered with hair, the results can be maintained with just a solution. However, some patients may need prp for maintenance every 6 months to 1 year.

Advantages of i-prp


	
	Simple, effective and non-surgical procedure
	
	
	Completely safe, as your own blood is used.
	
	
	Hair regrowth with i-prp gives best cosmetic appearances.
	
	
	It gives a natural density. Number of hair strands is in lakhs as compared to a maximum of 6000 hair follicles that can be grafted when a hair transplant treatment is done.
	
	
	The hair growth direction remains same (giving a completely natural look), which is not the case with hair transplant treatment where the hair growth direction changes (giving an odd look).
	
	
	Cost of i-prp is much less compared to hair transplant
	


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


How Your HAIR LOSS or BALDNESS is Completely Reversible (Without Surgery):  PART-2

STDs can have adverse effects on the human body, if left untreated. The challenge with these diseases is they can be silent and present with absolutely no symptoms for a long time. The disease, however, does its damage on the body with even infertility and death being extreme results.

Homeopathy as with all other diseases treats not just the symptoms of the disease but treats the root cause of the problem as a whole. After a long chat, the homeopath will identify the whole set of symptoms and then provide treatment. The following are some common STDs and their homeopathic treatment options.

Genital warts: There are more than 40 types of viruses that can cause genital warts which can be vary in size, shape, and appear within weeks to months of exposure to the virus. A tincture or paste made of bloodroot or comfrey can be used to treat most genital warts. They can be quiet for weeks to months sometimes and therefore it is very important to get treated if there is a suspicion.
Genital herpes: Caused by both type 1 and 2 herpes viruses, they also affect other parts of the body including oral cavity and throat. The type 2 is almost always limited to the genital area. This can be transmitted through oral or genital route and in most cases the first lesions appear about a couple of weeks after exposure. It is very important to clean the bathroom and shower area if it has been shared with someone who could be infected. These can be very painful, and though there is no cure, some topical treatment in the form of paste of licorice root and rice can be helpful. Peppermint tea also helps soothe the pain in the genital area. Bicarbonate of soda can be used on a cotton ball to clean the area and prevent itching. Cotton balls soaked in milk are also useful for topical relief. Using ice packs or cold used tea bags also provide topical pain relief. In herpes, it is essential not just to treat the person but also the partner(s) who could be involved.
Chlamydia: Another silent disease which can affect the internal organs leading to serious issues like pelvic inflammatory disease and infertility without showing any symptoms. About 50% of the females and 40% of the males do not show any symptoms and diagnosis is usually delayed, prompted by other symptoms. Coptis and Scute are two homeopathy components which are shown to provide relief in chlamydial infections.
Sexually transmitted disease, if suspected, needs to be discussed so that the disease can be managed at an early stage and serious complications can be prevented. It is also important to get your partner tested for the disease as well.

Homeopathy Remedies - How It Can Treat STDs Problem?

At the point when our bodies process the protein we eat, the procedure creates waste products. In the kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amount of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose levels high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

Shedding pounds
Eating less salt
Maintaining a strategic distance from liquor and tobacco
Exercising regularly
A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to your physician.

Diabetes - How It Impacts Your Kidney?

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