A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

While some people see tears as a sign of weakness, for others crying is a crucial way of dealing with grief. Though as children we re told not to cry and to  keep a hold  of our emotions, letting go of a few tears can help alleviate grief and emotional distress. 

Here are a few reasons crying could be a good idea when dealing with loss.

Crying can stimulate the release of endorphins: Crying cleanses the mind of negative emotions and allows you to express your emotions. Crying can be described as a reaction to pain and in order to control pain, the body releases endorphins. Endorphins are also known as happy hormones as they block the transmission of pain signals and create a sense of contentment. These chemicals can take a little time to have an effect and hence in most cases, you will notice an improvement in your mood after a good cry.
Crying elevates the mood: Crying can help reduce your body s manganese levels. A higher than normal manganese level can heighten anxiety, irritability, tiredness and emotional disturbances. By lowering manganese levels, the brain is left with enough space for happier emotions and hence crying can help elevate a person s mood.
Crying stimulates the body s parasympathetic nervous system: The parasympathetic nervous system controls a number of functions including heart rate. Crying can stimulate this system and trigger a state of relaxation. For this reason, you may feel sleepy after crying. This gives your body time to relax and deal with the problem at hand with a calmer mind.
Crying helps deal with stress: A stressful experience or emotional situation can cause a build-up of stress hormones known as cortisol. As the levels of cortisol increase in the body, it goes into flight or fight mode as an automatic response to stress. Crying reduces the cortisol levels and helps relieve tension and stress almost immediately.
Crying is cathartic: Every day we are exposed to conflicts and stressful situations that can build up into resentments and leave a person feeling anxious and depressed. Sometimes, giving vent to emotions and crying can help release these pent-up feeling and heap cleanse the mind of these negative emotions. Crying also allows us to open ourselves up to the people around and can improve the levels of intimacy between them. In this way, it can help a person become part of a community.

Crying - Can it Help You Overcome Sadness?

Celiac disease is a condition in which the small intestine becomes sensitive and reactive to gluten, leading to difficulty in digesting food. Gluten is a kind of a protein found in wheat or barley. In reality, if either of the partners is suffering from celiac disease then you are prone to fertility related issues.

Impact of Celiac disease

As compared to men, this disease is more common among women in general. Women suffering from the disease are generally more prone to infertility and other genealogical problems like preterm births and miscarriages. In the case of men, the disease causes the infertility problems including sperm abnormalities such as low count, abnormal shape, reduced function and such others. Additionally, men with the untreated celiac disease might also have reduced levels to testosterone.

Infertility and Celiac disease

Infertility is one of the lesser known effects of the celiac disease, which is relatively uncommon amongst people. The disease causes infertility by affecting the menstrual cycle among women either in a direct or indirect manner. Some of the infertility related problems caused due the disease are listed below.

Delayed occurrence of menstruation
Early menopause
Secondary amenorrhea (a medical condition associated with sudden cessation of menstruation for 6 months or more)
Hormonal disruptions and abnormal changes

Diagnosis

Celiac disease is usually diagnosed by its own set of underlying symptoms such as chronic fatigue syndrome, irritable bowel syndrome (IBS), iron-deficiency anemia, and such others. Additionally, the condition can be diagnosed if a person is having repeated miscarriages or inability to conceive for unidentified causes.

What can you do about it?

If you experience symptoms of Celiac disease, consult your doctor at the earliest and follow the treatments and preventative measures suggested. Additionally, you can also consult a dietician who will help you to move on to a low grain or no grain diet that would help you further to avoid the disease.

Does Celiac Disease Reduce Fertility?

Spinal trauma, also referred to as spinal cord injury, occurs when a section of your spinal cord or the nerves at the edge of your spinal canal is damaged. The spinal cord acts as a messenger between the brain and other parts of your body. If the spine sustains an injury, all or some of these impulses may not get through. This may result in complete loss of mobility and sensation below the site of injury. An injury closer to the neck can cause paralysis throughout a larger part of the body than in the lower back region.

How do such injuries occur?

Often, spinal trauma or injury results from a violent event or an unpredictable accident. The following may severely damage your spinal cord-

  A violent attack (a gunshot or a stabbing)
  A motor vehicle accident that may cause trauma to the neck, back or head
  Falling from a great height
  Spinal or head injuries during some sports activity
  Electrical accidents

What are the signs of a spinal cord injury?

The followings signs and symptoms can be observed after an injury to the spinal cord-

  Difficulty walking
  Restricted movement of the legs and arms
  Stiffness, pressure and intense pain in the neck/back
  Loss of sensation
  Muscle spasms
  Loss of bowel or bladder control
  A twisted neck or back
  Lack of coordination, weakness or paralysis in any of the body part

When should you see a doctor?

If you experience significant trauma to the neck or head, accompanied by the above symptoms, then visit a doctor immediately. Spinal trauma or injuries is a debilitating condition and can deteriorate further if you do not seek medical intervention. In fact, if such an injury is not detected on time, you may have to face more severe complications. For instance, paralysis or numbness may develop immediately or gradually as blood clots and swelling occur in the surrounding region of the spine.

The doctor can detect spinal injuries using any of the following methods-

  CT Scan
  MRI
  X-ray

What is the treatment for spinal trauma?

An orthopaedic will recommend the correct treatment for spinal trauma or spinal cord injuries, depending on the severity of the condition.

  Medications - Intravenous medications can help reduce the pain and symptoms of acute spinal cord injury
  Immobilization - Braces, corsets, or neck collar can help realign and stabilize the spine
  Surgery - Surgery may be performed to remove bone fragments, herniated disks, foreign objects, or fractured vertebrae that are compressing the spine. Surgery also prevents deformity and pain in the long run.

Recovery starts typically within a week after the treatment. If you undergo surgery, you will have to wait a little longer to get back to your day-to-day activities. It is advisable that you follow up with your doctor and carry on physiotherapy for the first six months at least.

Spinal Trauma - When Should You Consult A Doctor?

Testosterone is a male hormone and can perhaps be referred to as the key to male libido. Low testosterone can therefore, create problems in your otherwise smoothly functioning sex life. It can even impair your overall health and it has been known to have severe psychological effects as well. It can lead to social isolation or can make a person suffer from acute inferiority. 

Some of the symptoms that can be used to identify low testosterone levels are:

Erratic moods and irritability: Physical processes of the human body are hugely dependent on testosterone secretions. A decrease in testosterone levels can make a man moody or irritable. He can lose his temper any minute or might feel unnecessarily discouraged.
Decreased muscle mass: Testosterone is known to be effective in strengthening one's muscles and in building up muscle mass. A man suffering from low testosterone will find it difficult to build muscle strength. Significant changes in lifestyle and regimented exercising might not help when testosterone levels are low.
Long spells of exhaustion: If you have been facing fatigue for quite some time now, your worries should be concentrated around your hormones for a change. The male hormone testosterone when secreted in less quantity can make you feel tired at the drop of a hat. 
Loss of bone mass: Hormonal imbalances in men, strictly characterized by decreased testosterone levels, can lead to thinning of bone mass. The bones grow weak and brittle and they are become prone to fractures.
Erectile dysfunction: A problem in your testosterone levels can impair your sex life. Men have been reported instances of erectile dysfunction with lower levels of this hormone. Some have even reported a marked decrease in their libido as well as semen or ejaculate volume.
Increased hair fall: The health of your hair is greatly influenced by your hormone secretions. Low testosterone can make you suffer from increased hair loss. Bald patches might develop on your scalp. Such bodily changes tend to have psychological effects on a person as well.  
Medical approaches to such a condition and risk factors involved.
To treat such a condition one may resort to testosterone injections or to implantable testosterone pellets. When such kinds of treatment are followed up on a regular basis, considerable improvement is noticed. However, the treatment procedures involve certain risks and thus it is best to consult your doctor, who can then prescribe the best combination of medicines and doses for the best effect.

Low Testosterone - 6 Signs to Help You Spot the Problem

Come summer and the vegetable stands in the markets start looking different. The green vegetables are replaced by fruits and vegetables that grow in the heat and have higher water content themselves. Here is a list of foods that will keep you hydrated and energetic during the draining summer heat.

1) Watermelon - Watermelons have more water than pulp and are easily available. Not only will this relax you but also hydrates you at the end of a very tiring day.

2) Cucumber - With less than 20 calories in a cup of cucumbers, this hydrating food is ideal to carry with lunch boxes to work, or eat at home. They cool and hydrate you at the same time. The seeds are also known to be high in nutrients and health benefits.

3) Tomatoes - Tomatoes and their health benefits are widely known. They cool your stomach and hydrate you. Tomatoes are also good for diabetes and cardio-vascular problems, and are a rich source of many nutrients like dietary fiber, vitamins ? C, A, E, K and B6, potassium and many more.

4) Lemon - Lemon is a super food. Mixed with water, in different temperatures, it helps in weight loss to combating dehydration. Mixed in water with a pinch of salt and a spoonful of sugar, the lemon water mixture is known to cool, energise and hydrate the body.

5) Curd - This is a staple in most Indian homes. Store bought or homemade, it is good to eat a small bowl full of curd every day. A delicious coolant, you can spice it up any way you wish to - by adding fruits to it, or by adding masalas or by eating it straight with just a tiny pinch of salt.

6) Coconut water - Easily available on road sides, coconut water is your ideal drink on the go. While you can surely have it at home, it is highly recommended for students and professionals who are out in the sun, during the day. An immediate energizer, coconut water can be your savior from heat spells.

7) Melons - Just like watermelons, melons and muskmelons too have high water content. The fruit is said to have 90 percent water apart from the nutrients.

8) Buttermilk - Easy to make and easily available in the market, buttermilk can be customized as per individual taste. It is light in the tummy, cools and dehydrates the system.

9) Mint - An inexpensive herb, mint has amazing cooling qualities. Churn it into chutney or just drop a few leaves into your bottle of drinking water, these leaves will keep your insides cool and mind fresh with their mild fragrance.

10) Onions - Red onions in particular are known to have very high water content. Include them in your meals or have them raw, how you eat is up to you.

If you have any further questions, click on consult privately to ask me.

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10 Foods That'll Keep You Healthy This Summer

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