Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
Bacterial Infection: There could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
Diabetes: If you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.
There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

Strong Smelling Urine - 5 Common Reasons Behind it!

The habit of thumb sucking is very common in many toddlers and babies, but often disturbs the parents to a great extent. Before dealing with this habit, it is very imperative for parents to understand the cause of this behavior. The tendency of thumb sucking is quite normal for the babies as it makes them feel comforting.

Problems that occur with thumb sucking
There are certain problems that occur if the baby develops the habit of prolonged thumb sucking. The problem that occurs mainly on sucking the thumb for longer time is with the teeth of the toddlers which may result in speech problems. Some babies get over this habit of thumb sucking on their own without any adverse after affects. However, sometimes prolonged thumb sucking may result in irritation on the skin or lead to peeling off of the skin, causing discomfort and pain to the child. There are chances that even the nails on the fingers grow in a crooked manner because of infection caused by thumb sucking.

How to get your child to leave thumb sucking habit?

Parents must in any case not force their toddlers to stop this habit or get upset with them, as it can cause the toddler to develop this habit all the more.
A child mainly sucks his thumb for comfort, and the habit can be stopped by diverting their mind and offering the child a soft toy or giving them a special blanket.
It is better to give the toddler something to hold which makes him feel secure and comfortable.
It is very important to assess whether it is a problem before stopping the habit of thumb sucking. But if the habit continues, it may affect the alignment of the teeth.
It is always better to make use of ways like positive reinforcement and encouraging behavior change in your child. Parents must set up a reward system and take a note of the days the child does not suck his thumb. It is important that parents praise their child verbally and give them some reward at the end of the month.
The best and simple way to quit the habit of thumb sucking is to cover the thumb with a thumb guard or mittens.
The best way to help your child quit the habit would be to distract him or her and involve them in activities that would require the use of both the hands. Parents can keep their child busy by giving them puzzles or blocks to play.

Thumb-sucking Habit - 7 Things to Keep in Mind!

An essential prerequisite for good health is having regular bowel movements. People all over the world have a misconception about the regularity of bowel movements. Having bowel movements three times a day or three times a week (if that is the routine) is considered regular. Irregularity in bowel movements can often lead to constipation and it is something that should never be ignored. It not only affects our health but also affect our overall being in ways that are unexpected. Let us take a look at some of these unexpected side effects of not pooping regularly:

Constipation can trigger headaches: The cause for a headache can be many things, but the first likely reason is stress. When you do not poop properly, the pain, inconvenience and worry will build up, leading to mental stress. This anxiety can trigger headaches. Also, headache can occur because of dehydration, which is often a result of constipation. By drinking more water, you can get a relief from both constipation and headaches. Moreover, the buildup of toxins in the body also causes a headache. regular is a key channel that releases all the toxins from the body and when that does not work, it is bound to cause problems.
It can cause breakouts: What happens in and out the gut shows up on the skin. Skin conditions like acne, pimple, dark circles and even rashes can occur due to internal gut and digestive issues. When the toxins are not eliminated regularly from the body, they tend to accumulate over time leading to major skin breakouts.
It carries a risk of anal fissures: Due to hardened stool, there is not enough lubrication and this can lead to a tear of the skin. This is called an anal fissure and the prime symptom of this condition is the presence of blood in your stool. So, if you feel pain or see blood while pooping, you need to contact your healthcare provider and relieve your condition.
It may cause Diverticula or Heamerhoids: Long term constipation can lead to certain ailments which tend to form because of the pressure of straining to pass your poop. You can be affected with diverticula which result in bulges or pouches on the lining of the colon area. Or it can also cause a strain in the veins along the rectum and lead to
Hemorrhoids.
It affects your Bladder control: The colon and the bladder share a close relationship with each other. If there is too much pressure on the bladder because of a full colon, it can lead to decreased control of the bladder. Your bladder will not fill all the way, empty badly or cause unexpected leakages. So, chronic constipation can cause apparent leakage problems too.
It can make you lose appetite: Eating food can be a major turn off for people with constipation. Appetite loss is not just an enjoyable form of hunger suppression, but a big inconvenience.

Not Pooping Regularly - Ways It Will Affect Your Body!

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types   T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

Heartbeat
Body temperature
Breathing
Body weight
Metabolism of fat
Menstrual cycles in females
Functioning of Nervous system
Digestion
Burning calories etc.
What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc.   for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery   this is called Postpartum thyroiditis.
Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby s heel.
What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.
Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.
Who are at risk of developing Hypothyroidism?

Women have a higher risk of suffering from hypothyroidism than men.
Older people are at increased risk.
People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison s disease etc.
People with psychiatric conditions such as bipolar disorder
People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.
What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

Depression
Constipation
Hair loss
Dry hair
Dryness of the skin
Tiredness
Body pains
Fluid retention in the body
Irregular menstrual cycle
Increased sensitivity to cold
Reduced heart rate
Increase in size of the thyroid gland   called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
Weight gain
Carpal tunnel syndrome
Hoarse voice
Infertility
Loss of libido/sex drive
Confusion or memory problems especially in the elderly
What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
T4: A low level of thyroxine indicates hypothyroidism.
T3: these levels are generally not needed to diagnose hypothyroidism
Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
Ultrasound of the neck is done if the patient presents with a thyroid swelling.
What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30   45 minutes before breakfast. The treatment is continued for the rest of the patient s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
obesity
infertility
joint pains
depression
A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma.
References:

2013 ETA Guideline: Management of Subclinical Hypothyroidism; European Thyroid Association (Nov 2013)
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee; British Thyroid Association (2015)
The diagnosis and management of primary hypothyroidism; Royal College of Physicians and others (June 2011)
Suh S, Kim DK; Subclinical Hypothyroidism and Cardiovascular Disease. Endocrinology Metabolism (Seoul). 2015 Aug 4.
UK Guidelines for the Use of Thyroid Function Tests; British Thyroid Association (2006)
Gaitonde DY, Rowley KD, Sweeney LB; Hypothyroidism: an update. American Family Physician. 2012 Aug 1 86(3):244-51.
Bindra A, Braunstein GD; Thyroiditis. American Family Physician. 2006 May 15 73(10):1769-76.
Wilson GR, Curry RW Jr; Subclinical thyroid disease. American Family Physician. 2005 Oct 15 72(8):1517-24.
British National Formulary; NICE Evidence Services (UK access only)
Baumgartner C, Blum MR, Rodondi N; Subclinical hypothyroidism: summary of evidence in 2014. Swiss Medical Weekly. 2014 Dec 23 144:w14058. doi: 10.4414/smw.2014.14058. eCollection 2014.

Know Everything About Hypothyroidism

Jaundice is a medical condition, which is characterized by the yellow coloring of the skin and eyes. It generally occurs when there is an excess of bilirubin in your system. Bilirubin is a yellow pigment formed in the liver by the breakdown of red blood cells. It normally gets discharged by the liver along with other dead red blood cells. So if you are suffering from jaundice, it usually indicates that you have some serious problems regarding the functioning of your liver, pancreas, or gallbladder.

Signs and symptoms
Signs and symptoms commonly associated with jaundice include:
1.  Yellow-tinted eyes and skin
2.  The whites of your eyes may turn orange or brown in color
3.  Dark urine
4.  Pale stools
5.  High fatigue and vomiting (in severe cases)

Causes
Jaundice, as mentioned above, occurs when there is an excess of bilirubin and the liver is incapable of metabolizing it along with the old red blood cells. It is more common in infants than in adults, because their livers are not fully developed. However, it is also a frequent occurrence in adults and could be a potential sign of any of the following problems:
1.  Liver infection
2.  Scarring of the liver, or cirrhosis
3.  Hepatitis
4.  Alcohol abuse
5.  Liver cancer
6.  Gallstones
7.  Pancreatic cancer
8.  Blood disorders, like hemolytic anemia
9.  Parasites in the liver
10. Abnormal reactions to or overdose of medication

Diagnosis
Diagnostic tests may include:
1. Jaundice is diagnosed primarily by taking blood tests, to help measure the amount of bilirubin as well as to trace the presence of other diseases like Hepatitis.
2. Liver function tests in order to make comparisons between levels of certain proteins and enzymes when the liver is in good shape and when it is damaged.
3. Liver biopsies, where samples of liver tissue are first extracted and later examined under a microscope.
4. Imaging studies, consisting of abdominal ultrasounds, computed tomography scans and magnetic resonance images (MRI) tests.

Signs, Symptoms and Diagnosis of Jaundice

In simple terms, hyperglycemia is the medical term for abnormally high levels of sugar in the blood stream. The blood sugar level range is 65-110 mg/dl and can extend up to 120-140 mg/dl a few hours after eating. However, when a person has eaten no food, but has a blood sugar level of more than 126 mg/dl, that may be a symptom of diabetes mellitus.


Reasons Behind it
A person who is hyperglycemic is most likely to be diagnosed with diabetes, which may be type 1 or type 2.


Type 1 diabetes is caused when the immune system destroys the insulin secreting cells in the pancreas. The insulin production in the body stops, thereby, causing an enormous increase in the sugar levels. In such a situation, nothing, but external dose of insulin will be required to survive.
Type 2 diabetes is caused when the body stops responding to the insulin produced by the body and in a desperate attempt to maintain blood sugar level, the pancreas produce excess insulin. In this case, changing lifestyle, food-habits and taking proper medication can be the only way out for a healthy life.


Therefore, the major causes leading to increase in blood sugar level might be:
Inadequate supply of insulin
Slow or no reaction of the body to the insulin produced by the body


Tips to manage hyperglycemia
Here are some important tips that could help individuals regulate their blood sugar levels:
As we know, the carbohydrates break down into glucose, which is absorbed by the body cells with the help of insulin. So, in case of hyperglycemia, individuals should manage or better, cut off, carbohydrate intake in their meals.
Another important element to be highly monitored is the blood cholesterol level. For this, you must curb eating oily and spicy food.
It is very important that individuals limit their alcohol intake because alcohol contains huge amount of calories and carbs, which might lead to sky-rocketing blood-sugar levels.
The diet should contain adequate portions of nuts and olive oil.
Eating fatty milk products and fatty food should be strictly avoided.
Each and every food should be inspected for sugar because even a slight bit of sugar can mess up the entire process of managing the sugar level.
Individuals should try stress-free mild work out, as heavy work out could cause the blood-sugar level to rise in case of type 2 diabetes.
Anxiety, tension and stress would not help the process in anyway.


Proper medication and check-ups are necessary. It is important to be fit and healthy.

Hyperglycemia - 10 Tips to Manage it

Don't wait any longer, manage your Home Remedies For Worms online with a Lybrate doctor today

Consult for Home Remedies For Worms - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES