Somebody in the world suffers a stroke every two seconds. Stroke affects physical as well as mental health gravely. It can be a life- altering situation leading to new limitations overnight. Such limitations can be physical or mental, affecting mobility and cognition. According to psychologists, cognitive functions of the brain encompass speech, language, functional memory, spatial- motor systems, ability to switch between tasks, executive functions like task organization, attention, and being able to employ tools and symbols.

When the stroke strikes, it irreversibly damages a part of the brain. It happens due to hemorrhage or blocked supply of blood. However, the brain can be trained and taught compensatory strategies. These compensatory strategies consist of attention increasing activities that require neurological utilities. These activities and exercises are formed in a way to improve the memory. Both pictorial and hearing skills are engaged in these activities.

Memory, attention span, and executive activities are dependent on each other and any problem regarding these affects an individual s daily life. That is why to improve the complete mental capacity, exercises are required. These exercises help to improve memory and attention span. In cognitive rehabilitation, goals are set as per the requirements of the patient and treatment is then followed. This requires some plans and strategies to carry out daily activities. These plans may consist of planning and analysis of the task.

The recovery varies from individual to individual depending upon the restoration of the damaged neurological functions supporting specific cognitive area. However, there are very limited types of treatments for cognitive rehabilitation, mostly generic treatments which depends on doctor s experience.

Evidence is found by researchers which supports the cognitive rehabilitation after stroke, in which the areas discussed are smaller than the issues faced by the stroke survivors. The studies fail to talk about the long-term results and common treatments for daily tasks. It is now really important for us to have a serious innovation in the field of cognitive rehabilitation with the amount of stroke patients increasing day by day.

Before one going for rehabilitation, he/ she should ensure that why they need it and what are their needs that are to be fulfilled through rehabilitation. Experts recommend rehabilitation so that patients are able to lead as normal lifestyle as possible post stroke strikes them.

Who are more prone to stroke?

Old age people, alcoholics, people with high cholesterol levels, active smokers, Diabetic patients, people who consume drugs, people suffering from Hypertension, patients going through transient ischemic attack (TIA) are all very much prone to a stroke.

It is also very important to consult a doctor after stroke. He will advise you the best possible way to treat the problem. 

Take away

Stroke these days can happen to anyone which although largely depends upon the age factor, but one's lifestyle can also make him/her the target of stroke. There is cognitive rehabilitation which can help a person to recover post stroke through activities and exercises and change in lifestyle. It is important for an individual to consult a doctor if he/she finds any difficulty in carrying out daily activities with one side of the body.

Cognitive Rehabilitation Post Brain Stroke!

The news of Sridevi's sudden and unexpected demise was a shock for the entire nation and left a number of questions in the minds of the people. However, there are multiple reasons which are under speculation and can be attributed to her death - cardiac arrest, heart attack and death due to accidental drowning. Usually, cardiac arrest and heart attack are two things which most people use interchangeably, however, there is a big difference between the two. 

Difference between cardiac arrest and heart attack: 
A cardiac arrest is far deadlier considering that it comes without a warning or any prior indication of a problem. Here, the heart just stops beating and immediate first-aid can make a lot of difference between life and death. Electrical shock is the best way to revive a patient and should be given within a few minutes of such an arrest. 

On the other hand, a person suffers a heart attack when there is a blockage in the artery which prevents the smooth flow of oxygen-rich blood from reaching the heart. It is important to note that unlike a cardiac arrest the signs of heart attack start slow and persists for long. 

A heart attack is one of the common causes of cardiac arrest, but not always it is the case. A cardiac arrest happens most commonly when the heart is receiving more than 300 impulses per minute or due to absent electrical impulses. In the first instance an electrical shock is a lifesaving technique and in the second, the patient can be treated with certain medications and a temporary pacemaker. 

Symptoms of cardiac arrest:
The symptoms of cardiac arrest are immediate and extreme.

A fainting spell or a sudden collapse
Loss of consciousness
No pulse or breathing 
Symptoms of a heart attack 

Discomfort along with chest pain 
Shortness of breath
Nausea with vomiting
Sweating
Headache and jawpain
Prevention of a cardiac arrest:
What makes this a deadly condition is that you cannot tell your risks of having one and therefore the next best thing to do is to lower your risks. 
The best way to do that is to:

Follow a diet that is balanced and nutritious
Alcohol should be consumed in moderation 
Quit smoking
Stay physically active
How can you prevent a heart attack?

Keep yourself fit and exercise regularly
Keep your cholesterol level under check 
Limit your alcohol intake 
If you are obese, control your weight
Intake a heart-friendly diet.
Now that the distinction is clear between the two, it is recommended that everyone should get themselves screened for potential heart problems on a regular basis. In case of a query or concern consult an expert and get your answers. 

Cardiac Arrest And Heart Attack - Understanding The Difference Between The Two!

High blood pressure and sex

High blood pressure is a condition in which the pressure of the blood against the artery wall is high enough to cause health problems, including heart disease. No symptoms may be noticed in a person for years but the damage to the blood vessels and to your heart continues. High blood pressure can have an impact on your sex life. Although sexual activity does not lead to any possible threats to your health but high blood pressure can affect the pleasure you would have otherwise derived from sex.

In Men

High blood pressure leads to the wearing out of the lining of blood vessels and causes arteries to narrow and harden that decreases the blood flow. This results in decreased blood flow to the penis. In case of some men, this decreased blood flow makes it difficult for them to achieve and maintain an erection. This problem is called erectile dysfunction.

High blood pressure may also interfere with ejaculation and be a cause for low libido. The medications that are prescribed for treating high blood pressure may lead to this condition.

In Women

Just as in the case of men, high blood pressure results in the decreased flow of blood to the vagina in case of women. This may cause problems like low libido, vaginal dryness, or complexities in achieving orgasm. Sexual dysfunction in women results in stress, anxiety and even relationship issues.



High Blood Pressure and Sex

During breathing activity, chest wall moves out & in, lungs expand & relax. For the smooth movement of the lungs inside the chest cavity, they are lined by pleura.

Pleura includes two thin linings, the layer lining lungs is called visceral pleura and the one lining chest wall is called parietal pleura. The cavity formed between these two layers is called Pleural cavity. It contains a small amount of lubricant called Pleural fluid which helps smooth sliding of two pleural surfaces. Any condition which results in inflammation of the pleural surfaces or accumulation of excessive fluid in the pleural cavity gives rise to symptoms attributable to pleural involvement or disease.

Pleural effusion is nothing but the collection of excess fluid in the pleural cavity. Excess fluid in the pleural space is not normal and can occur due to a variety of reasons. Depending on the chemical composition it is broadly divided into two categories, transudate and exudate. 


What Causes Pleural Effusion?

1. Transudate pleural effusions 

Transudate pleural effusion is formed when fluid leaks from blood vessels into the pleural space. Chemically, transudates contain less protein and LDH than exudates. It is generally seen in the following conditions.

Congestive heart failure

Liver failure or cirrhosis

Kidney failure or nephrotic syndrome

Peritoneal dialysis

2. Exudate pleural effusions 

Exudate pleural effusion is caused by inflammation of the pleura itself and are often due to diseases involving the lung. Following are some common illnesses giving rise to exudate pleural effusion.

Tuberculosis
Pneumonia
Lung or breast cancer
Lymphoma
Pulmonary embolism
Post chest wall trauma or surgery
Asbestosis and mesothelioma
Secondary to intra-abdominal pathology 
Pancreatic pseudocyst, etc
Symptoms of Pleural Effusion -

Chest Pain: Chest pain is mainly due to irritation of the pleural lining. The pain is sharp, localized and worsens with a deep breath, yawning, coughing which is usually described as pleuritic. If the effusion causes inflammation of the diaphragm the pain may be referred to the shoulder or the upper abdomen. As the pleural effusion increases in size, the pain may increase or disappear altogether due to the separation of inflamed pleural surfaces.

Shortness of breath: As the effusion grows larger with more fluid, the harder it is for the lung to expand and the more difficult it is for the patient to breathe resulting in shortness of breath.

Other Symptoms: Other symptoms are generally attributable to the underlying disease process.

Diagnosis of Pleural Effusion -

Patient s Detailed History and Clinical Examination are the mainstays of diagnosing pleural effusion and it s the underlying cause. Following investigative modalities are generally opted for working out the final diagnosis before instituting appropriate therapy.

Chest X-ray: X-ray will help indicate the presence of fluid. 
Chest Ultrasound(USG): will help in confirming the presence of the fluid and it s localization which in turn can guide the physician about its quantity and its capability.
CT Scan: CT scan of the chest may at times be required to ascertain the underlying cause or to know about any other co-morbid conditions.
Thoracentesis: Thoracentesis is a procedure used to sample the fluid from the pleural effusion. Using a long thin needle, fluid can be removed and sent for testing to confirm the diagnosis.
This can be just for diagnostic purposes or can even be used as a therapeutic procedure.
Chemical analysis of the fluid will help determine the type of pleural effusion.
Treatment of Pleural Effusion -

Treatment of underlying Disease: The treatment of a pleural effusion usually requires that the underlying illness or disease is treated and controlled to prevent the accumulation of the pleural fluid. Like anti-TB therapy for Tubercular etiology or treatment of Cancer in malignant pleural effusion, etc.

Thoracentesis: As discussed earlier Thoracentesis can be used as a therapeutic procedure to remove excess fluid and help lung expand and function properly.

Tube thoracostomy: Thoracostomy or chest tube insertion may be done to drain and treat fluids which cannot be removed by needle aspirations, e.g. empyemas (pus collections).

Pleurodesis: Some pleural effusions reoccur multiple times; sclerosing agents that induce scarring such as talc or tetracycline was used to prevent a recurrence.

Decortication: If sclerosing agents fail, surgery may be required, called Decortication.

Pleural Effusion - What Is It?

Chest pain may be caused by multiple problems within the body and while being a problem in itself, may also be a symptom of a bigger underlying problem. Chest pain may be caused by anything from simple chest congestion due to a cold to something far more serious such as the onset of a heart attack. While it is important that life style changes be made to prevent major issues, homeopathy can provide relief for many symptoms till extensive medical steps are taken to correct the problem.

Some causes of chest pain
1. Angina
2. Onset of a heart attack
3. Atherosclerosis
4. Weakness of the arteries
5. Weakness of the heart muscle
6. Palpitations
7. Bradycardia
8. Chest congestion or cold

Symptoms associated with chest pain

Stable angina   Vice like constriction or choking, pain may be spread to right or left arm or both, dyspnoea before pain.
Unstable angina   Chest pain occurs at rest.
Pericarditis   Pain radiates to the left side of the shoulder which gets worse by lying in a flat position.
Pneumothorax   Severe chest pain along with shortness of breath, cyanosis, restlessness and collapse.
Pneumonia   Sharp pain which, gets worse by taking deep breath and coughing.
Pulmonary embolism   Short rapid breathing, sharp pain in middle of the chest that is worse by deep breathing.
Gastroesophagial reflux disease   Difficult painful swallowing, pain in the middle of chest which, extends to neck, back and shoulders.
Myocardial  Vomiting, dyspnoea features of shock, profuse sweating, fever, low blood pressure, pulse small rapid and irregular
Homeopathic remedies for various kinds of chest pain

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which a patient is suffering.

The aim of homeopathy is not only to treat chest pain, but to address its underlying cause and individual susceptibility of the patient. For this patient s current symptoms, past medical history and family history are taken into account. There are many homeopathic remedies which cover the symptoms of chest pain and can be selected on the basis of cause, location, sensation, modalities and extension of the pain. For individualized remedy selection and treatment of chest pain, the patient should consult a qualified homeopathic doctor in person. In medical emergencies like myocardial infarction and pulmonary embolism, immediate hospitalization is usually required. Some important remedies are given below for the treatment of chest pain:

Arnica mont.   Chest pain with sore and bruised feeling.
Ranunculus b.   Good remedy for intercostal rheumatism, sharp stitching pain in the chest along with dyspnoea.
Kali carb.   Stitching pain in the chest,  which gets worse between 2-3 A.M
Actea racemosa.   Pain worse on the right side.
Bryonia   Chest pain is of stitching, burning and stabbing in nature, is worse by motion and better by rest and pressure. Thirst for large quantities of water and dryness of mucous membranes often accompanies.
Rumex c.   Sharp stitching pain through the left lung, often with cough.
Stannum   Knife like stitches, worse on bending forward and left side.
Phosphorus   Violent tickling cough, chest pain due to tuberculosis of lungs or pneumonia along with oppression of the chest.
Aconite   Chest pain due to pneumonia of first stage along with anxiety and restlessness.
Robinia   Burning pain behind sternum due to hyperacidity.
Strophanthus   Chest pain is of stitching and twitching in nature and often of cardiac origin.

Chest Pain - Can Homeopathic Remedies Treat it?

Cardiomyopathy is a serious heart disease. It is a disease associated with the heart muscle or myocardium. In this disease, the heart muscles get weak and fails to pump blood to the organs of the body. It has several categories. The categorization depends upon the range of factors. In this disease, irregular heartbeat is observed. These irregularities can lead to heart failure or attack or can trigger problems in the valves. It is important to take care of your heart to avoid such a condition. It is also advisable to see a doctor as soon as the symptoms are noticed to avoid greater damage.

Types of Cardiomyopathy
This disease can be divided into four categories. These are as follows:

Dilated Cardiomyopathy: It is the most common type. It occurs at a time when the heart muscle gets too weak to pump blood properly. The muscles of the heart get thinner and weak. In fact, this also leads to the expansion of the heart chambers. In common terms, it is also referred to as enlarged heart. In most cases, this is inherited or caused by some coronary artery disease.
Hypertrophic Cardiomyopathy: This is genetically transferred to the patient. In this condition, the heart walls get thicker and this hinders the smooth flow of blood. It is one of the most common types of Cardiomyopathy.
Arrhythmogenic Right Ventricular Dysplasia (ARVD): This is a very rare form. It can cause sudden death, especially in young athletes. In this disease, fat and fibrous tissues are responsible for replacing the muscles in the right ventricle. This leads to an abnormal rhythm.
Restrictive Cardiomyopathy: It occurs as the ventricles of the heart get stiff and are unable to relax. This prevents them from getting filled up with blood. Under this situation, you might have to go for a heart transplant.
Other Types: Some of the other types include Peripartum Cardiomyopathy (the one which occurs after pregnancy), Alcoholic Cardiomyopathy (happens due to excessive intake of alcohol) and Ischemic Cardiomyopathy.
Treatment of Cardiomyopathy

The treatment of Cardiomyopathy depends upon the extent of damage caused. It might not require treatment if symptoms are not very troublesome or prominent. It may be dealt with certain lifestyle changes, adjustments and medications, in cases those needs to be addressed.

Tips to deal with Cardiomyopathy
1. Maintain a healthy lifestyle by getting an adequate amount of night sleep. Go to bed early and wake up early too.
2. Don t spend long hours in watching television or work till late night
3. Eat a lot of fresh and green-leafy vegetables daily.
4. Avoid the intake of spicy, oily and fast foods.
5. Consume home-cooked food only. Avoid eating out at restaurants or street-side joints.
6. Don t drink excess coffee, tea or aerated drinks.
7. Don t consume alcohol or smoke up cigarettes.
8. Don t live a sedentary life and be a couch potato. Workout and exercise on regular basis.
9. Avoid emotional outburst and try to keep a control over your reactions.

Cardiomyopathy - Tips To Help You Deal With It!

Don't wait any longer, manage your Intervention Cardiologist online with a Lybrate doctor today

Consult for Intervention Cardiologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES