In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.

This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.

The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.

Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of  gate  that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.

Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the  gates  of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels.

Ways to Treat Chronic Functional Abdominal Pain!

Many people bite nails when they are anxious or stressed. However, knowing its harmful effects will only increase their anxiety and stress. About 30% of children, 45% of teenagers and 25% of young adults have the habit of biting their nails. Nail biting is one habit which sets in due to various reasons and just continues due to nervousness, boredom, frustration or stress. People tend to unconsciously bite their nails and over a period of time, it becomes very difficult to get rid of the habit.

A good understanding of the harmful effects of biting nails, to the overall health and oral health, can be a good starting point to quitting the habit. The harmful effects of nail biting on oral health effects are listed below:

Source of infection: The fingernails are more difficult to clean than the fingers and the rest of the hand. Therefore, there is a good amount of bacteria residing there, which get into your mouth and your stomach when you bite nails. The next time you wonder why your stomach is upset, take a good look at your nails.
Tooth chipping: The enamel is thinnest at the tip of the front teeth. When biting nails, there is a constant pressure on this thin enamel which can chip after a certain point of time. Another way that a tooth chips is because of the pressure when biting a nail. The tooth can hit hard on the opposing tooth, leading to a fracture or chipping.
Altered shape of the teeth: In many cases, the front teeth appear worn off or are squared. This is because there is always pressure on the teeth from the nails.
Induce gap between the front teeth: When nail biting continues for years at a stretch, the two front teeth can develop a gap between them.
Tooth sensitivity: With the enamel wearing off, the dentin is exposed and this can cause tooth sensitivity in many people.
Joint problems: The temporomandibular joint (TMJ) near the ears helps in opening and closing the mouth. Constant pressure on the joint due to nail biting leads to inflammation of the joint which can cause ear ache, headaches, improper closing of the jaw and clicking sounds.
Delay treatment with braces: A person with braces with a nail biting habit will have very bad consequences. There is pressure from both the braces and the biting. This could also lead to the failure to correct the misaligned teeth.
How to manage this habit?

Identify the root cause of the habit
Identify alternate ways to manage stress (exercise, yoga, hobby, etc.)
A nail polish that has a bitter or offensive taste or smell
Well manicured and painted nails, which you won t feel like biting
Get family and friends to remind or chide you, whichever works.

Nailbiting - 7 Harmful Effects of it!

Chlamydia is one of the more common STDs among both the genders. It spreads through physical intimate contact; it can develop irrespective of one s age, however, is most commonly observed among young women. In women, the symptoms include yellow or green colored odorous vaginal discharge, painful urination and a burning sensation or itching around the vagina, lower abdominal ache, painful menstruation or bleeding during sexual intercourse. Now if the infection reaches up to the fallopian tubes, it causes a disease known as Pelvic Inflammatory Disease (PID). In case of unprotected oral sex, the bacteria causing this disorder,  Chlamydia Trachomatis  might infect the throat as well.

Reasons Behind Chlamydia in Women:

Being a sexually transmitted disease, Chlamydia gets passed on from one person to another through unprotected sex or through the contact with the genitals of an infected person.

In some cases, infants are likely to inherit the disease from their mothers during birth, if she is already affected with it. Hence pre-natal checkups are essential for detection.

Although very rare, this infection can affect the eyes as well via oral or genital contact.

How To Treat Chlamydia?

The infection can be resolved within a couple of weeks with the use of antibiotics. Once it is diagnosed, the treatment course should start immediately. The widely used antibiotics for curing chlamydia are azithromycin and doxycycline. If you are breastfeeding or pregnant or suffering from any allergy, your doctor might prescribe erythromycin or amoxicillin. For severe complications, a longer course is administered. The treatment may induce mild side-effects in the form of vaginal thrush, sickness, diarrhea and tummy pain.

Try and avoid any sort of sexual activity (intercourse or other activities) till the treatment is completely done and none of you show any other sign of the infection.

Chlamydia - Reasons Why it Affects Women

Autoimmune Hepatitis is a condition in which the liver gets inflamed. This occurs when the immune system of the body attacks the liver cells. Still, the actual cause of Autoimmune Hepatitis is still unknown. 

In general, environmental and genetic factors trigger this condition. It is one of the chronic diseases which when left untreated can lead to Cirrhosis (scarring of the liver) or the worst Liver Failure. Still, if it is diagnosed at an early stage, it can be treated by using certain medications. 

Although there are many ways by which it can be controlled or treated, the Ayurvedic approach is one of the best ways to treat this condition without any side effects. Ayurveda works on the principle of balancing the doshas and energies of the body.

Before understanding how Ayurveda helps in treating Autoimmune Hepatitis, let's explore the functioning of the liver.

Liver and Its Function:

The liver is an important organ and gland of the body that participates in the process of digestion. It secretes bile juice that helps in the digestion of fat. Apart from this, the liver also plays an important role in the filtration mechanism. It filters unprocessed components and toxins. It prevents the toxins from going into circulation and damaging the important organs of the body. It also filters the toxins from circulating the food essence coming through the portal circulation (circulation of blood from the small intestine, spleen, and right half of the colon to the liver). The liver is one of the hematopoietic organs that help in the process of cell maturation.

In Ayurveda, the liver is known as Yakrit, which forms  channels that carry mature blood throughout the body (Rakta Vaha Srotas). The liver is the chief site of Ranjaka Pitta i.e., one of the subtypes of Pitta. The Ranjaka Pitta is responsible for the force by which the heart pushes the blood to other parts of the body. It also helps in blood circulation.

If the Pitta is vitiated in the liver, it may cause inflammation of the liver and generate an autoimmune process leading to a condition called Autoimmune Hepatitis.

Autoimmune Hepatitis And Ayurveda:

Among the three doshas (Pitta, Vata, and Kapha) in Ayurveda, Pitta participates in the activities related to the digestion process. If it gets imbalanced, it starts destroying the components and cells of the body, mainly the organs or areas in which it is produced and stored. This also affects the channels and areas where it is functional and all the parts which come in contact with impaired Pitta.

When Pitta is imbalanced in the liver, it will interrupt the normal functioning of the liver making it unable to differentiate between self and non-self immunity and damage the cells of the liver. This process is known as autoimmune process and one of the main causes of Autoimmune Hepatitis.

Take Away:

Ayurveda works on the principle of balancing the Pitta dosha to limit the symptoms of Autoimmune Hepatitis. However, it is advisable to consult an Ayurvedic Liver specialist before going for any medicines.

Autoimmune Hepatitis - Knowing The Ayurvedic Approach!

Sexual problems might mean you have a broken heart, literally. The most common sexual problem in men is erectile dysfunction (ED). Erectile dysfunction affects >30% of men between 40 and 70 years of age. There are several different causes of ED, including depression, low testosterone, neurological problems, and some medications, such as beta blocker but the most common cause is a problem with the blood vessels called atherosclerosis.
Erectile dysfunction is frequently a sign of atherosclerosis, that can be the first clue to heart disease in men. It usually comes 3 to 5 years before a heart attack, so after ED is diagnosed, there is time to treat atherosclerosis and prevent a heart attack.
Sexual Activity and Cardiovascular Disease
Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. In fact research has proved that there is a strong link between erectile dysfunction and heart disease. Studies have shown that if a man has ED, he has a greater risk of having heart disease. For instance, in one study, 57% of men who had bypass surgery and 64% of men hospitalized for a heart attack had had ED.
Several having ED can predict that a man will probably have heart disease symptoms within five years. In fact, having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.
The Stockholm Heart Epidemiology Programme (SHEEP) study of post-MI patients (50% women) found that those who were sedentary had a higher risk of MI with sexual activity (relative risk 4.4) than did those who were physically active (relative risk 0.7).
How is the Heart and ED Related?
Deposition of cholesterol in the arteries causing atherosclerosis is taken as the most important reason for ED as the plaque formation reduces the blood flow in the penis, thereby affecting the erection process. However the latest studies show that ED is also due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. This causes inadequate blood supply to the heart and the penis which also aids in arthrosclerosis. Hence ED and heart disease are found to be inter related.
What to do?
If you are suffering from ED or heart disease , it is best to discuss your concerns with a specialist - for the heart a cardiologist and for the ED a urologist.

How Erectile Dysfunction and Cardiac Problems are Related

The body s reacts to anything suspicious by developing an allergic reaction. Some of the common substances inducing this reaction include certain food substances, pollen, insect bites and certain metals. This body recognises these suspicious substances as antigens and produces what is known as antibodies. These produce various allergic reactions in the body ranging from something as minor as a skin rash to something drastically fatal as respiratory distress and even death.

Features:

Angioedema is one of the most severe forms of allergic reactions.
Translated literally as swelling of the blood vessels, angioedema causes swelling of the blood vessels in the underlying layers and this can lead to the formation of giant hives.
The hives or rashes are extremely itchy, reddish, and can vary in shape (oval or circular). The hives also are warm and painful when touched.
Angioedema usually affects the skin but can have more severe effects like blocking the airway and leading to respiratory distress
Causes: Angioedema is usually caused by one of the following:

Insect bites or stings
People with allergies to foods like peanuts, eggs, milk, shellfish, chocolates, tree nuts, etc.
Pollen, animal dander, latex, poison ivy, and other common allergens
Medicines like penicillin, aspirin, ibuprofen, and some anti-hypertensives
Autoimmune skin disorders like lupus
Reaction to incompatible blood transfusions
Weather conditions like extremes of cold, heat, or pressure
Infections like hepatitis, cytomegalovirus infections, Epstein-Barr infections, etc.
Conditions like leukaemia and thyroid disorders
Extreme emotional stress
Genetic angioedema, inherited from parents by children, which can last forever
Risk factors: Though hives usually develop without any warning signs, the following are some risk factors for developing angioedema.

Previous history of allergies
Predisposition to develop allergic reactions (overactive immune system)
Genetic history of allergies, especially of angioedema
Diagnosis:

In first-time patients, a detailed history with deep dive into similar instances in the past will be done
A physical exam to check for missed hives (like the back) is then done
Allergy testing may also be required to test if a person has a high predisposition to allergies
Blood testing to check for eosinophils, which is usually high in patients with allergies, is done.
Allergy testing to identify the trigger agent may be done if trigger is not known. This will help in preventing further attacks.
If genetic angioedema is suspected, C1 esterase inhibitor test and complement particles are also checked.
Treatment:
Non-medical treatment including loose clothing, cool compresses, and copiously moisturizing to reduce dryness and itching. This is usually sufficient in majority of the cases.
Medical: Antihistamines like cetirizine and loratadine are the next line of treatment. Very severe cases may require steroids like prednisone.


Angioedema - 11 Reasons Why It Can Happen!

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