Pcos or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. Pcos tends to affect your heart functions, fertility, menstrual cycle and appearance.

There are certain symptoms, which can be indicative of pcos; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, pcos may also affect a woman in her mid age. Pcos can also cause excessive hair growth in unwanted places like above the upper lip, chin, arms and chest like a male.
The symptoms are:

Increase in the production of male hormone, leads to development of male characteristics
The size of the breasts may reduce
The tone and the texture of the voice may change and become similar to a man's voice
Hair may start to fall
You may suffer from acne and pimple breakouts on your face
It can lead to sudden weight gain
It may affect a woman's fertility
It may lead to pain in the pelvis
Other symptoms: apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.

Causes: the causes of pcos are not well known, however, the likely causes are genetics and hormonal complications. If someone in the family has pcos, then the risk of being affected by pcos rises significantly. The other likely cause is the overproduction of the male hormone androgen in the female body. Although androgen is a male hormone, the female body also produces it in trace amounts. However, in some cases, when it is overproduced, it might impair the ovulation process.

Diagnosis and treatment: once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled. Medications to control the androgen levels in the female body may be administered if you have androgen hormone complication. A balanced diet and an exercise regimen can be chalked out to control body weight and regulate blood sugar levels. If pcos leads to ovulation problems, then medications to facilitate ovulation may be advised.

PCOS: What You Need to Know About It

Your spine or backbone is composed of 26 bone discs, known as vertebrae. The vertebra shields your spinal cord and allows you to bend forwards and backwards, and stand. However, a number of problems, such as the following can change the structure or cause the vertebrae and its surrounding tissues to become damaged  

  Injuries
  Infections
  Tumours
  Changes in bone formation due to ageing   herniated disks, spinal stenosis
  Conditions like scoliosis and ankylosing spondylitis

Spinal disorders often lead to pain and discomfort when bony projections put pressure on the spinal nerves or cord. Over time, spinal disorders limit movement and reduce flexibility.
Treatment varies depending on the disease, ranging from medications and therapy to bracing and surgery.

Endoscopic Spine Surgery: what is it?

Contradictory to traditional open surgery, the new age endoscopic surgery is a minimally invasive procedure used to detect and treat a disorder. Unlike open surgery, minimally invasive endoscopic surgery does not require the patient to undergo general anaesthesia. The procedure is possible under local anaesthesia, considering the fact that it can be performed without cutting open the portion of the surgery site.

How does surgery work?

During the procedure, the surgeon first administers local anaesthesia to numb the site of the operation. You will be awake during the entire procedure but will not feel any pain. Then, he/she will make a small incision and insert a slender, tubular instrument   known as an endoscope   with a camera attached on one end through the soft tissues and skin, down to the spinal column. This allows the surgeon to get a clear view of the spinal tissues and understand where the problem exists. The endoscope holds the muscles open, allowing the surgeon to remove the damaged tissues or disk.

Endoscopic spine surgery preserves normal mobility, as the spine is not fused with rods and crews. When performed under an experienced surgeon, the procedure takes less than an hour.

Benefits of the Procedure

The advantages of going for an endoscopic surgery are the following  
  Local anaesthesia
  Surgery and discharge on the same day
  Microscopic incisions
  No removal of bone or muscles
  Zero or minimal blood loss
  Preserves spinal mobility
  Immediate recovery
  Reduced intake of pain medicines
  The high rate of success
  Improved quality of life

Minimally invasive endoscopic surgery has made it possible to rectify spinal problems and disorders without having to go under the knife. With less pain and quicker recovery, you can improve your spine health and get back to your usual activities in a day or two.

Consult a specialist and discuss the procedure in detail before opting for the same.


Endoscopic Spine Surgery Under Local Anaesthesia!

4 Common Combing Mistakes That Lead To Excessive Hairloss

You will be surprised to know that about 35 million men and 21 million women suffer from excessive hairfall in India. Excessive hair fall can be the result of certain illnesses, hormonal changes, over-use of hair products that contain chemicals or a poor diet. What you may not have considered is that you can also lose a lot of hair by combing it the wrong way. 

Check if you’re making these common combing mistakes.

1. Are you combing your hair from the roots down?
If you’re combing your hair you should always start from the middle while working it downwards. Move the comb upwards (near the roots) only when there are no more tangles remaining in the bottom half.
If you start combing from your roots, you may have to fight more tangles on the way to the bottom. This induces strain on your scalp, and increases hair breakage. The end result is weak hair and roots, and more hair fall.

2. Are you combing post the application of a hair product?
A comb should never be used just after the application of a hair paste, serum or cream for treatment or styling. You must use only your fingers to comb through your hair once you've applied a styling product.
If you use a comb post-application of a styling product, it not only loses its effect, but may also harm your hair and its texture.Consequently, it may lead to increased breakage and hair loss over time.

3. Are you detangling your hair after shampooing or washing?
Hair is known to be at its weakest when wet, which can also make it prone to tangling. Combing and excessive pulling of tangled, wet hair increases your chances of hair breakage and eventual hair loss.
To avert water-induced frowns, you can try giving a comb-through before wetting your hair in the shower. Alternatively, you can also try combing your hair during a shower. Apply the conditioner first; next, untangle the strands by using only your fingers, and then use a wide-toothed comb just before washing.

4. Are you regularly back-combing your hair?
Sometimes people back-comb their hair from the roots working towards the ends. This hair teasing technique adds volume and texture to your hair. Although it’s a great trick, its regular use may damage your hair cuticles, which as a result, may also ruin your hair’s quality, lead to frizzy hair and increase breakage and hair loss.
To get the element of volume without the damage, you can try light hair sprays, which help you in getting a similar look.




4 Common Combing Mistakes That Lead To Excessive Hairloss

Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases. Emphysema and chronic bronchitis are the most common lung diseases. Emphysema gradually ruins the air sacs in your lungs, which are interfered with exhalation. The inflammation and swelling of airways in the lungs is called bronchitis, which further allows production of mucus, which leads to increased difficulty in breathing.

COPD is a case which makes it harder to breathe. The symptoms like coughing and shortness of breath are light at first. With passage of time, these symptoms worsen and make it increasingly difficult for the patient to breathe.

The patient may experience wheezing and feel heavy on the chest. Some patients suffering from COPD experience flare-ups of severe symptoms or exacerbations.
The main cause of COPD is cigarette smoking and therefore, people who are used to smoking for a longer time may suffer from this diesease. It is a disease that takes time to build up inside one s body. COPD can further cause heart problems and worsen respiratory diseases.

Severe symptoms of COPD include:

Occasional shortness of breath
Mild and reoccurring cough with mucus
Constant need to clear your throat
Noisy breathing
Frequent cold and cough
Loss of energy or feeling fatigued
Swelling of ankles, legs or feet
Sudden weight loss
Treatment of COPD
The treatment of COPD can ease its symptoms and avoid further complications. To treat COPD, one needs a skillful and experienced pulmonologist and respiratory therapist.

The medications which are preferred by the doctor are bronchodilators, which soothe the muscles of bronchial tubes, making it easier for the patient to breathe. This medicine is basically taken from inhalers. To reduce the inflammation, Glucocortico steroids are added.
Oxygen therapy is undertaken to provide oxygen to the patient through an oxygen mask or nasal prongs to ease the breathing process of the patient. A portable unit is advised, if the patient is cured at home.
Surgery is an option for severe COPD patients, which is undertaken if and only all other medications have already failed to control COPD, which can be the case in emphysema. Bullectomy is a kind of surgery in which the doctors eliminate the large bullae (air sacs) from the lungs. Volume reduction surgery is the last option for the doctor to cure a COPD patient. In this process, the damaged lung tissue is removed. The doctors go for a lung transplant in some rare cases of COPD.
The treatment for many diseases is a healthy and disciplined lifestyle. One should quit smoking and get the nutrition that their body needs. People should consult a dietician and get a healthy diet plan, and ask a doctor about the extent of exercise they should perform daily.

COPD - Can Oxygen Therapy Help Treat It?

An event or an accident that leaves us overwhelmed can lead to post traumatic stress disorder, also known as ptsd. A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises ptsd. This condition is something that is persistent, and can linger on for a long time, calling for medical supervision and care. Here's a list of things you need to know about ptsd.


	Duration: post traumatic stress disorder usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes. Usually, the patient's behaviour is a result of one or more of the symptoms discussed below.
	Re-experiencing symptoms: these symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
	Avoidance symptoms: a traumatised patient may go out of his or her way to avoid things that are remotely close to the traumatic incident. They may fear a reoccurrence or a reminder of the event and may avoid addressing the trauma altogether. Patients suffering from this symptom may have created a mental block, and may not be able to remember the exact details of the event. They may also feel emotions like fear, guilt, depression and even worry, over the past incident which led to the trauma in the first place.&nbsp;
	Arousal symptoms: arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
	Mood symptoms: mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.


Ptsd can be a debilitating disorder in the emotional sense, and should be treated by a psychiatrist in case it lingers on for more than six months.


All About Post Traumatic Stress Disorder

4 ways to gain weight

A very low body mass index can be due to many causes including genetic, developmental and hormonal disorders and other issues with absorbing nutrients in the body. A low body mass index may also be owing to a high metabolism rate. Here are a few healthy ways to gain weight according to different requirements:

Know your calorie needs

- Calculate your resting metabolic rate with the formula - RMR = 10* weight (kg) + 6.25* height (cm) - 5* age (yr) + x [For men; x=5, for women; x = -161] Your BMR tells you how much minimum calories you will burn if you rested an entire day.

- Account for your activity by using your RMR as BMR (Base metabolic rate) and calculate your daily calorie needs by the following formulae:

-BMR * 1.2 - If you are sedentary
-BMR * 1.375 - For light exercise
-BMR * 1.55 - Moderate activity
-BMR * 1.725 - High activity
-BMR * 1.9 - Intense activity

Diet to follow

- Gradually increase your calorie intake

- Eat healthy and timely

- Have a balanced diet with heavy foods like - starchy vegetables, dense fruits, added oils and creamy soups

- Have foods rich in protein, avoid watery fruits and veggies

- Avoid trans-fats

- Do not binge, pace yourself through your diet regime

- Have dietary supplements and protein shakes

Build muscle to increase body weight

- Include weight training in your daily regime

- Compensate for extra calorie lost in training

- Do not over do it, rest is equally important in building muscle

Things to remember

- Stop eating junk food, eat healthily

- Hydrate yourself well

- Rapid weight gain may cause stretch marks

- Be careful when choosing fatty foods as overindulging in them can lead to heart diseases and type 2 diabetes

- Overeating may cause bloating, stomach aches and cramps

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

4 ways to gain weight

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