Ulcerative Colitis is a chronic inflammatory disease that affects the lining of the intestine and the rectum. It is located just above the anus. Patients suffering from ulcerative colitis tend to have small ulcers in their rectum and the colon. These eventually flare up leading to diarrhea, bloody stools, anemia and abdominal pain. The inflammation starts from the rectum and eventually, spreads to the colon. Ulcerative Colitis tends to flare up and remit in an alternate phase. The remission can last from few weeks to few years.

Methods adopted to diagnose Ulcerative Colitis-
Ulcerative Colitis is very similar to an inflammatory bowel disease known as Crohn s disease. The only differentiating factor is the fact that, ulcerative colitis affects the colon whereas, Crohn s disease affects the digestive system and the small intestine. A doctor might prescribe certain tests such as the colonoscopy, blood tests, CT scan, pill camera, stool sample tests etc.

Why is surgery necessary to treat Ulcerative Colitis?
An estimated 40 percent of all Ulcerative Colitis patients need to undergo surgery to recover completely. The reason surgery becomes necessary to treat ulcerative colitis are the following:

Drug therapy and medication become ineffective.
Without undergoing surgery, the condition might increase the risk of developing cancer.
The colon has the risk of getting ruptured if surgery is not performed on time.
There could be excessive bleeding.
Toxic megacolon might set in.
Types of surgery available to treat Ulcerative Colitis
A procedure where the entire colon is removed is known as the colectomy. In case both the colons are removed, the procedure is termed as proctocolectomy. In this procedure, an external pouch needed to be attached to the stoma that collects the stools. There is another method known as pouch surgery. 

Pelvic pouch or ileal pouch is also termed as IPAA. This procedure doesn t involve permanent stoma. In this procedure, both the colon and the rectum are eradicated from the body. The small intestine is then used to form a J-shaped pouch, that serves as the new rectum. The pouch is then connected to the anus. The whole procedure is done via two surgeries.

What are the surgical complications of this procedure?

There could be an excessive bowel movement.
There are instances where an inflammation of the pouch is observed. This condition is known as pouchitis.
There could be a situation of intestinal blockage from adhesion due to surgery.
There could be pouch failure that can happen inside within 5 few years. This is observed in 4 out of 100 patients who are treated. In this case, the patient should go for a permanent ileectomy.

Ulcerative Colitis - What You Need To Know?

Knee pain or injuries are very common and have numerous causes. Knee pain can emerge from delicate tissue wounds like ligament sprains and muscle strains. Bone conditions like knee joint pain, Osgood Schlatters, and biomechanical dysfunction can also cause knee pain. Treatment can include basic knee mobilization techniques, taping, massages or knee strengthening exercises completely through a careful recovery method after knee replacement or reconstruction.

Physiotherapy can help you overcome the pain and increase your strength and flexibility. A physiotherapist can suggest you a number of treatments and also help you understand your issue and get you back to your everyday routine. Physiotherapists are said to be successful in getting rid of the source of the knee pain by diagnosing a cause. This includes tightness around the knee and treating it with stretching and exercises.

Following are some of the exercises a physiotherapist might generally recommend for knee pain:

Hamstring stretch: Stretching keeps you flexible and increases your scope of movement, or how far you can move your joints in different directions. It additionally helps you reduce your chances of injuries and pain. Continuously warm up with a five minute walk first. Lie down when you are prepared to stretch your hamstring. Circle a bed sheet around your right foot, use the sheet to pull the leg up and hold for twenty seconds and then lower the leg. Repeat twice and switch legs.
Calf stretch: Use a chair for balance. Bend your left leg. Step back with your right leg and gradually straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.
Straight leg raise: It helps build muscle strength to give support to the weak joints. Lie on the floor. Twist your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.
Quad set: With these, you don't raise your leg. Just tighten the thigh muscles, also called the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs on the ground, loose. Flex and hold the left leg tense for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
Cushion squeeze: This move strengthens your legs from the inside so that they can support the knees. Lie on your back, both knees facing inwards. Place a cushion or a pillow between the knees. Press your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
Heel raise: Stand tall and hold the back of a seat for support. Lift your heels off the ground and rise on the toes of both feet. Hold for three seconds. Gradually lower both heels to the ground. Do three sets of ten repetitions. 

Knee Pain - How Physiotherapy Can Heal Knee Pain?

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:

Meckel's diverticulitis or Acute appendicitis
Acute cholecystitis
Ectopic pregnancy
Acute pancreatitis.
Peptic ulcer disease
Diverticulitis.
Intestinal obstruction, including paralytic ileus (adynamic obstruction)
Pelvic inflammatory disease.
Gastrointestinal (GI) haemorrhage
Gastroenteritis.
Acute intestinal ischaemia/infarction or vasculitis.
Acute urinary retention
Renal colic or renal tract pain
Testicular torsion
Abdominal aortic aneurysm
Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:

Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
Following tests can be done to rule out the condition causing the abdominal pain:
Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
Crossmatch or group and save
Pregnancy test in women of childbearing age
Blood cultures
Peritoneal lavage in case of an abdominal trauma
Urine analysis
X ray of the abdomen, ultrasound, CT scan
ECG and cardiac enzymes
Laparoscopy should be a routine procedure

Don't Ignore the Acute Abdominal Pain

Diabetes is a lifestyle disease that can easily be managed by controlling our diet. Along with being aware of your sugar intake, your diet should help you lower blood pressure and cholesterol levels. However, this does not mean you have to resign yourself to a lifetime of tasteless food.

Here are a few diet tips that can help manage diabetes: 

Choose high fiber carbohydrates: Carbohydrates are an essential element of the daily diet but have a huge impact on blood sugar levels. Hence, it is important to pick the right carbohydrates. Your diet should have a limited amount of refined carbohydrates such as white bread, pasta, soda etc. and should be focused more on high fiber carbohydrates such as brown rice, sweet potatoes, rolled oats and bran flakes that are digested slowly. This prevents your body from producing excessive insulin.
Be sweet smart: The key to indulge your sweet tooth and controlling diabetes is moderation. Abruptly, removing sugar from your diet can make you crave for it. Instead, gradually lower your sugar intake. If you can't miss out on the dessert at the end of a meal, reduce the amount of carbohydrates in your meal. Adding healthy fats like peanut butter, yogurt or nuts to your dessert can also slow down the digestive process and thus control blood sugar level.
Keep a food diary: When you are diabetic, it is very important to eat at regular intervals. Eating frequent, small meals are often better than fewer large meals. Try and maintain a food diary to keep track of your calorie intake. This helps identify problem areas of where your body is getting excessive calories from. When you are aware of the calories associated with things you eat, it is easier to cut down on snacks and replace unhealthy snacks with healthier options.
Choose fats wisely: It is impossible to completely cut out fats from your diet. While some fats such as liquid vegetable oils and commercial baked goods are unhealthy, others have important health benefits. Unsaturated fats are the healthiest and safest. Replacing your vegetable cooking oil for olive oil and biscuits with nuts are easy ways to make smart choices with your fat intake.
Go green: Green leafy vegetables are low on carbohydrates and high on nutrients. Thus, make them an integral part of your meal. Vegetables like kale, spinach, lettuce, etc. can be eaten raw or cooked. Along with being nutritious, they also add texture and color to your meals, thus making them more visually appealing.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5 Tips To Control Diabetes Through A Diet!

Atopic dermatitis is also known as Eczema. This is a kind of skin ailment that produces boils on the skin due to an inflammation of the dermis or the upper layer of the skin. There are many forms of atopic dermatitis.

Causes

Atopic dermatitis may be caused due to several reasons including a family history of the same, in which it is a genetic problem. It may also be caused when the patient has a weak immune system, which causes a reaction to any kind of disturbance in and around himself or herself, in which it is caused due to environmental factors.

Treatment

Let us find out the various homeopathic means of treating this condition, and understand whether or this form of treatment is efficient or not. One must remember that any kind of homeopathic medicine or other forms of medication must only be prescribed by a certified medical practitioner.

Curing from the roots- The homeopathic way of treatment usually includes curing a problem from the roots rather than merely suppressing the painful symptoms. When medication is used to just suppress the symptoms, the problem continues to persist and becomes even more pronounced when the medication is not in use. For conditions such as atopic dermatitis, the doctor will usually prescribe medicines that will go forth and cure the very root of the problem that may be causing the condition in the first place. While this may be a time taking process, it will be a long term cure and treatment measure for the same.

Working on the immune system- In many cases, conditions like eczema may be borne due to stress-related issues, which usually lead to a weakened immune system. This is an issue that is addressed and treated appropriately by homeopathic medication so that the allergy causing elements may be treated and removed accordingly, even as the immunity is strengthened. This makes homeopathy an effective form of treatment for this condition.

Graphites- This homeopathic medication is used when the symptoms include constipation along with changes in the physical appearance of the skin, which becomes rough and hard.

Mezereum- This medicine is most effective when a crust like formation can be seen around the boils. The medicine is also useful when there is accumulation of pus under the crust.

Sulphur- Many patients suffering from atopic dermatitis complain of intense pain along with a burning and itching sensation, which they cannot seem to contain. This medicine usually helps such kinds of symptoms by soothing the affected area.

Dulcamara- This medicine is most useful if and when the condition becomes worse due to a cold and damp weather, in which case the boils may flare up and lead to the oozing of pus and lots of itching.

Homeopathic Treatment For Atopic Dermatitis

Come winter or even a slight change of season, and it is easy to catch a cold. With cold, it is quite normal and natural to develop a deep chest cough. However, it is to be noted that chest cough develops due to different reasons. Some are due to chest infections, while others are dry cough. Thus, for these different variations of cough, different homeopathic treatments are administered. Here is a list of some of the common types of treatments for curing deep chest cough-

Pulsatilla: Pulsatilla is administered to those who have a sore throat, constant irritation in the eyes and fever. When fever is accompanied with cough and cold, it is important to treat all three symptoms, lest it might usher in a more serious disease. Homeopathy is often described as a holistic form of treatment. Through the medicines, the personality of the patient can be determined. For instance, Pulsatilla is administered on those who are soft, gentle, mild and timid and who have a fear of being abandoned and thus cling on to people.

Nux Vomica: Those experiencing high levels of stress and falling prey to cough and cold with a sore throat and sharp pain while swallowing should try a dose of Nux Vomica. This is used to cure cough and cold, which block the nose, especially at night, making it troublesome for the individual to breathe. This might also cause blockage in the ear and sharp pains while trying to swallow food.

Phosphorus: At times, one experiences an extreme bout of cough that is triggered through dry throat and coarse fever. This violent cough can be nerve wrecking at times and a relaxing remedy is preferred by the patient as soon as possible to soothe the irritation.

Bryonia: This is the best medicine to treat dry cough that can be a symptom of a slowly approaching influenza. Such coughs occurs when an individual takes a high intake of cold drinks or due to sudden weather changes. The cough is followed by fever and dryness of the throat. It might also itch to a certain extent.

Natrum Mur: It is the best treatment for a dry cough, which often causes a tingling sensation in the throat. This sensation creates irritation and often leads to sleepless nights for the patient. There is also presence of whitish mucus in such types of cough.

These are some of the most common types of homeopathic treatments for treating deep chest cough. Each cough is different in nature and origin, and hence should be treated differently as per the individual symptoms.  

How To Treat Deep Chest Cough With Homeopathy?

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