Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disorders. This is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

There is no underlying cause that has been identified, though there is a genetic predisposition.
People with history of head trauma are more affected
People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
People with sleep apnea often are hypersomnolence
Restless legs syndrome, narcolepsy
Neurodegenerative disorders like Parkinson s and Alzheimer s tend to sleep more.
Symptoms:

Sleeping for longer hours at night time
Excessively sleepy during daytime
Able to doze off anytime during the day
Inappropriate and involuntary sleeping pattern
Having difficulty getting out of bed after waking up, even after prolonged sleep
Feeling of disorientation
Feeling agitated, anxious, lethargic, and irritated
Impaired cognition and memory
All these lead to extreme state of drowsiness
Increased tendency for hallucinations
Reduced appetite and even weight loss in some people
There is restlessness, reduced pace of thinking and speaking
Overall reduced energy levels
Social interactions are affected including work life, social functions, etc.
Diagnostic criteria:

If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
The added feature of no tiring physical activity can also lead to suspicion
In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
It cannot be explained by lack of sleep on a regular basis
One or more of the above conditions could be present, which can help in making the diagnosis
Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day.


Hypersomnolence - How It Can Be Managed?

Did you know that yoga poses help you in achieving greater flexibility rather than develop it? If you are suffering from stiff hamstrings, painful lower back and locked-up hips and tried many yoga poses without any help, then you may not have tried the right poses. When the body is stiff, it feels like you are trapped within your own body. Flexibility exercises can help in alleviating joint stiffness that may have developed due to a wide array of reasons. Here are the main asanas that are great for joint flexibility.

1. Big toe pose or Padangusthasana: This yogic pose can calm the nervous system and relieve stress and anxiety and stimulate your kidney and liver to optimize their functions. With regular practice, your calf muscles and hamstrings would stretch and your thighs would become stronger. If you are suffering from indigestion and insomnia, then big toe pose is a must try and it also helps in alleviating the symptoms of menopause.

2. Bound angle pose or Baddha Konasana: This pose offers a host of benefits that include stimulating your abdominal organs, prostate glands, ovaries, kidneys and bladder. It also stimulates blood and oxygen circulation throughout the body and improves the heart condition. It is a therapeutic treatment for high blood pressure, anxiety, mild depression, fatigue flat feet, asthma and infertility. With consistent practice, you will be able to stretch your knees, groin and inner thigh.

3. Child's pose or Balasana: This resting pose calms the mind and improves digestion to a great extent. It helps in elongation of the lower back by opening up and stretching this part of the body where all the weight is dumped while you sit and work all day long. This pose is perfect for opening up the hip and reducing hip pains and improving their flexibility.

4. Cow face pose or Gomukhasana: When performed regularly, this pose helps in deep stretching the hips, thighs, ankles, armpit, shoulders, triceps, chest and deltoid. If you had been suffering from a chronic knee pain, this pose can help relieving it. It also aids in strengthening the spine and abdominals, and its folded variations are a great way of decompressing lower spine and clearing the hip joint.

Increased flexibility is one of the topmost benefits of yoga that would surely equip you with the freedom of movement and relaxation. However, it is always important to consult an expert before you try these poses, as they can evaluate your medical history and select the ideal yogic postures that would work best for you.

Improving Joint Flexibility Through Yoga

Pneumonia is a lung infection that can be potentially fatal if it is not treated on time. This disease may cause fever, cough, cold and congestion and is known to clear within two to three weeks with bed rest and proper remedies at home. Yet, it is best to have it checked by a doctor, especially if it happens to affect a child. The causes of symptoms of this condition are as follows:

Symptoms: The most common symptom of pneumonia is a painful cough with which you will end up throwing out lots of mucus. This mucus or sputum usually comes from the lungs. The patient may also have fever and may experience shortness of breath and shallow breathing on several occasions. Further, chills that cause chattering teeth and shivering, can also afflict the patient, especially during the night. Chest pain is also a common symptom of this condition due to the excessive and persistent coughing, laboured breathing and congestion. Due to this, the patient may also experience accelerated heartbeat and a pounding heart. Nausea, weakness, fatigue and loose motions are some of the other symptoms of this condition.

Causes

Germs: Germs finding their way into the lungs is a sure shot way of contracting pneumonia. These bacteria are most likely to strike when you have just recovered from a flu, cold or fever following which your immunity is pretty low.
Chronic Ailments: Patients who are suffering from chronic ailments like asthma, heart disease, diabetes and even cancer, are at risk of getting pneumonia, in which case immediate treatment will be required so that it does not become a fatality.
Bacteria: While the specific bacteria cannot be diagnosed with the help of tests, the most common bacteria that cause this condition are known as Streptococcus Pneumoniae. Other bacteria that can cause this disease include the Mycoplasma Pneumoniae which can cause a more mild form of pneumonia known as walking pneumonia.
Virus: The viruses that cause influenza like virus A and B can also cause this disease along with the respiratory syncytial virus or RSV. These affect the nose, lungs and throat.
Immunity: When your immune system is impaired or when you have just recovered from a bout of moderate to serious ailments, this virus or bacteria is most rampant and can afflict you. In case the patient is suffering from AIDS or other fungal infections, the risk of contracting pneumonia is heightened.
This is a contagious disease that may be caused when you breathe the same infected air as another patient with the same disease. It can also follow viral diseases like chickenpox and measles.
 If you wish to discuss about any specific problem, you can consult a pulmonologist.

Common Causes and Symptoms of Pneumonia

Snoring is the harsh or hoarse sound that occurs when air passes through the relaxed throat tissues   this causes vibration in the tissues as you breathe. Almost everyone snores now and then, but it can be a chronic problem for some people. Sometimes, snoring could also indicate an underlying health condition. 

Causes

Several factors, such as the anatomy of your mouth and sinuses, a cold, and certain allergies, can cause snoring. When you fall in a deep sleep, the muscles in the roof of your tongue, throat, and mouth relax just enough to block your airways partially, causing them to vibrate. The narrower the airways, the more forceful the airflow. This increases vibration in the tissues and prompts you to snore louder.

Besides, there are certain risk factors that increase your chances of snoring. These include  

Gender   men rather than women are more likely to snore

Being overweight   people with excessive body weight are susceptible to obstructive sleep apnoea, which is characterized by snoring

Drinking alcohol   as it relaxes the throat muscles and increases your chances of snoring

Nasal problems   a structural defect in the airways, like deviated septum puts you at a higher risk of snoring

Symptoms 

Snoring is linked to Obstructive Sleep Apnoea, a common sleep disorder. However, not everyone who snores has OSA. If snoring is accompanied by the following symptoms, you may be at risk of OSA. So watch out for these signs  

Breathing pauses while asleep

Feeling sleepy during the day

Morning headaches

Difficulty concentrating

Restless sleep

Waking up with a sore throat

Choking or gasping at night

Chest pain at night

A rise in the blood pressure

Make an appointment with your doctor if you encounter the above symptoms, as they may suggest that your snoring is associated with OSA. In the case of children, talk to a specialist about throat and nose problems   these can cause your child to develop obstructive sleep apnoea. 

Diagnosis 

The first step of diagnosis involves the doctor going through your medical history and reviewing the signs. He/she may also perform a physical examination. 

Next, your doctor may suggest an imaging test, like CT scan, MRI, or X-ray to check the structure of your airways.

Depending on the seriousness of snoring and the related symptoms, you might be advised for a sleep study. A sleep study involves performing an in-depth analysis of breathing while you are asleep. You will be connected to multiple sensors and kept under observation overnight. 

A sleep study records the following information  

Oxygen level in the blood

Brain waves

Heart rate

Breathing rate

Leg and eye movements

Sleep stages

Treatment 

Your doctor will most likely recommend lifestyle changes to treat snoring.

Lose weight

Avoid drinking alcohol before going to bed

Treat nasal congestion

Avoid sleep deprivation

Avoid sleeping on your back

If snoring is caused due to obstructive sleep apnoea, you may be suggested the following  

Oral Appliances - These help advance the position of your tongue, jaw and the soft palate to open up your air passage.

Continuous Positive Airway Pressure   This involves putting up a mask over the mouth or nose while sleeping. The mask releases pressurized air from a tiny pump to the airways to keep it open when you are asleep.

Upper Airway Surgery   This refers to a number of procedures, like Maxillomandibular Advancement, Uvulopalatopharyngoplasty, and Hypoglossal Nerve Stimulation that work to open the upper airways and prevent its narrowing using a variety of techniques. 

Snoring can be a problem for those who experience it, and a nuisance to others around them. Make sure you get yourself checked by an ENT and seek treatment for the same before it leads to a severe health complication.

All You Must Know About Snoring & Its Complications!

Roti vs. Rice- What should you have your meals with?

The nutritional conflict between rice and roti is age-old, as primary staples of every Indian cuisine.  White rice and wheat chapattis are both infused with considerable amounts of protein, calorie, fat as well as fibre. This overlap makes it tougher to choose just one as an accompaniment with your meals.
The health-conscious can take a sigh of relief with this list of effective benefits of the two. Let’s pit them against each other!

#1: If you opt for a lighter meal…Choose rice!
Boiled white rice is easier to chew and digest as it is low in fibres. For those with issues of diarrhoea, colitis, an upset stomach or morning sickness, rice is a favourable choice. If you are suffering from chronic gastrointestinal distress, rice is recommended for you.
Tip- You can consume a bowl of steamed rice with sautéed vegetables for a wholesome meal!

#2: If you are looking for muscle growth…Choose roti!
Rotis is the best food accompaniment for vegan and vegetarian bodybuilders. At home, you can mix variants of whole grains to harness the benefits of calcium and other minerals. Wheat chapattis made of whole grain consist of complex carbohydrates that boost your energy.
Tip- For reducing your portions, have two servings of roti (without ghee) with a large bowl of home-cooked yellow dal.

#3: If you have a heart condition… Choose rice!
For you to keep your heart healthy, the consumption of rice is vital. Brown as well as white rice is full of fibres and high in magnesium, niacin, phosphorus that can prevent heart problems.  Rice helps you in lowering bad cholesterol levels.
Tip- Substitute your regular white rice in the khichdi or biryani recipe with brown rice. (Contains fibrous bran and germ layer)

#4: If you want to feel fuller… Choose roti!
For weight watchers, who want the feeling of satiety for longer period should include rotis in their meal. Wheat rotis take longer to digest which helps in maintaining blood sugar levels. This quality also makes it a good alternative for diabetic individuals. Wheat rotis are nutritious and contain vitamins B1, B2, B3, B6 and B9 that help in keeping you strong.
Tip- While kneading the wheat dough for the rotis, you can add soya powder to increase its protein content.
To escape the dilemma of choosing between these two healthy and tasty staple sides, try switching to whole-wheat rotis and brown rice. Savour both, guilt-free!

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

 Roti vs. Rice- What should you have your meals with?

Low levels of testosterone can end up affecting various aspects of a your life. It can affect your libido, your performance in bed along with your motivation and energy. Testosterone replacement therapy can bring the levels back to what they were before and restore his lost confidence, energy and vigour.

Testosterone is a hormone which is mainly produced in the testicles. Testosterone controls bone density, distribution of fat, muscle mass and strength, body and facial hair, red blood cell production, sex drive and production of sperms.

Testosterone levels generally lower with age, especially after 30. Usually, in older men, low levels of testosterone result in androgen deficiency. Androgen deficiency affects the muscle mass, bone density, weight and can drastically change sleep patterns as well. On the other hand, testicle injury, testicular cancer or treatment for it, hormonal disorders, infections, HIV/AIDS, chronic kidney or liver disease, type 2 diabetes and obesity can lead to low testosterone levels as well.

While testosterone replacement therapy (TRT) seems very desirable, there are certain risks and benefits which need to be considered.

Factors to be considered before opting for it

1. Sleep apnea is one of the risk factors of TRT. In this condition, breathing stops and starts repeatedly when you sleep.

2. Acne problems and other skin disorders

3. Swollen breasts. Men with breast cancer should not opt for this treatment.

4. TRT can trigger noncancerous prostate growth.

5. Sperm production is limited or the testicles might shrink

6. Chances of deep vein thrombosis (blood clots in veins) leading to pulmonary embolism (clots burst and lodge into your lungs) are increased.

Benefits of getting a testosterone therapy done

1. Sexual drive, performance and function are improved.

2. Mineral density of the bones gets restored

3. Healthy weight loss, thus improving your body composition

4. Muscle strength and mass improves

5. Mood and energy gets a boost

6. Cognitive functions improve

7. Lessens the risks of type 2 diabetes and cardiovascular diseases

8. Improves metabolism

9. Reduces chances of anaemia or improves the condition if you are already suffering from it

Risks and Benefits of Testosterone Therapy

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