Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

Type: Gastric cancers can present as one of the following types - 

Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
Gender: It affects both male and female populace.

Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly  

 Helicobacter Pylori  bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

Early Stage   can present with one or more of the following non-specific symptoms/ signs -

Dyspepsia (Indigestion),
Stomach/ Epigastric discomfort,
Bloated feeling after eating,
Mild Nausea/ Vomiting,
Blood in Vomit (Haematemesis),
Heartburn,
Weight loss (Cachexia)
Anaemia,
Occult blood in stool/ Melaena,
Advanced Stage   presents with one or more of the following symptoms/ signs -
GI Bleeding with black tarry stools (Melaena),
Persistent Nausea/ Vomiting,
Blood in Vomit (Haematemesis),
Early Satiety,
Anaemia,
Loss of Appetite (Anorexia),
Weight loss (Cachexia),
Persistent pain in the abdomen,
Fluid build-up in the peritoneal cavity (Ascites),
Edema of the lower extremities,
Liver Enlargement (Hepatomegaly)/ Jaundice,
Difficulty swallowing food (Dysphagia)
Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
Diagnosis: Following are the diagnostics employed in gastic cancer - 

Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
Blood: Hb- may be low, ESR   raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
Stool: Occult blood may be +ve
Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
Gastroscopy/ Biopsy: Clinches the diagnosis.
Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
Bone Scan: Helps detect osseous metastasis (bone mets), if any.
Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

Gastric Cancer - In a Nutshell!

Rheumatoid Arthritis is a chronic progressive auto immune disease causing inflammation in the joints and resulting in painful deformity and immobility, especially in the fingers, wrists, feet, and ankles. This makes it one of the most dreaded types of Arthritis. Such symptoms are not observed in Osteoarthritis, the most common arthritic condition.

The difference between Osteoarthritis and Rheumatoid Arthritis can be put simply. In Osteoarthritis, degeneration of tissue leads to bone erosion and that precipitates the condition. In Rheumatoid Arthritis, the disease condition precipitates cartilage degradation, which abates Bone Erosion. The problem is aggravated by the obvious absence of effective medicines and treatment options.

However, one can take the help of Homeopathy to alleviate the conditions to a large extent. Homeopathy can help in all round management of the disease condition.

Causes of Rheumatoid Arthritis

The cause of Rheumatoid Arthritis is radically different from degenerative Arthritic conditions.

In Rheumatoid Arthritis, the immune system attacks the lining of the joints, the Synovium. This results in inflammation of the tissue leading to its thickening. Over time, the thickened Synovium has the effect of degrading the joints and cartilages in a joint.

Gradually, even the Ligaments and Tendons weaken resulting in the joint losing its alignment and shape. This results in deformities which are not curable so far.

Symptoms of Rheumatoid Arthritis

Symptoms include:

Tender, swollen and worn joints

Joint stiffness. This is one of the most common symptoms of Rheumatoid Arthritis. It is usually worse after a period of inactivity, as well as in the mornings.

Fever, Fatigue and Weight loss

Smaller joints like fingers, wrists etc. are usually affected first unlike Osteoarthritis. In Osteoarthritis, the big joints like knee, shoulder, ankle etc. are mostly affected.

You may also suffer from problems not related to joints at all. You may suffer from problems with lungs, heart, eyes, skin, nerve tissue, kidneys, blood vessels, bone marrow etc. However, these are the fallouts of long-standing suffering from Rheumatoid Arthritis, and not any initial symptom.

Homeopathic Cure of Rheumatoid Arthritis

A study published in the British Journal of Clinical Pharmacology has shown that there is a significant improvement in Joint articular index, Pain, Grip strength and Stiffness in patients administered with homoeopathic medicines over a fixed period. Moreover, no side effect was observed in the patients who were given Homeopathic medicines.

The Unique Aspects Of Homeopathy in Treatment of Rheumatoid Arthritis

What is important in Homeopathy is to get complete history of the patient. The patient needs to talk to the doctor in detail starting with the onset of symptoms. The doctor may also ask questions about the social and family backgrounds. They ask such questions to make sure that they can establish some kind of a link between the onset of Rheumatoid Arthritis and patient s habits, social interactions, family interactions etc.

Based on these details, the doctors choose a medical course for the patient. Homeopathic may not provide instant relief, but will work in the long run, as it cures the root of the disease along with curing the disease.

Consulting an experienced Homeopathic Doctor with specialization in Arthritis is suggested for treatment of Rheumatoid Arthritis.

Rheumatoid Arthritis - Causes, Symptoms And Homeopathic Cure!

One of the worst neurological disorders to have is dementia. It is a general term used to describe cognitive decline of the brain. It s not specific disease but denotes several brain disorders and mental illnesses. A person suffering from dementia can have severe impairment in judgment, loss of memory and thinking. Dementia is a very difficult disease not only for the patient but also for their families and caregivers. 

Some facts about dementia are as follows:

It s not a mental disorder occurring in old age but it does degenerates with age.
An estimation of 47.5 million people worldwide suffers from dementia and 60% of these people live in low and middle-income countries and according to WHO this figure is likely to increase.
Every 4 seconds a new case of dementia is reported
Dementia is a collective term to describe the many types of in people, such as 

Alzheimer s Disease: It is one of the most common type of dementia accounting for 60-80% of dementia case. People suffering from Alzheimer s have fewer nerve cells and the size of the brain shrinks.
Vascular Dementia: Another most common form of dementia occurring after a stroke.
Lewy Body Dementia: It is neurodegenerative condition that involves a protein called alpha-synuclein which changes the brain. Symptoms may be similar to Parkinson s disease.
Symptoms of dementia can range from mild to moderate to severe that includes:

Memory Loss
Disorientation meaning inability to focus or pay attention
Changes in visual perception
Impairment in reasoning and judgment
Dementia can be caused by damage to brain cells or progressive brain cell death. As a result communication between brain cells become difficult. Other symptoms include:

Stroke
Brain Tumor
Head Injury
Prion Disease
HIV Infection
Reversible Factors

There are no definite tests for dementia. Doctors and neurologists have to medical history, blood tests and CT scans to find out whether a person has dementia or not. However, the most potent evaluation comes from a set of questions that are asked to a patient suspected of having dementia. The ability to answer those questions correctly is one of the best diagnoses for dementia.
There is no specific treatment for dementia as it is not a curable disease and degenerates with time. However, medicines or drugs given for Alzheimer s can be given to people suffering from dementia.
Although results vary depending upon a person s lifestyle s and habits, doctors suggest eating healthy, exercising regularly, and stopping smoking and drinking may prevent some types of dementia.
The best treatment for dementia is to treat the person with care and love so that they don t feel neglected.
Dementia is often associated with old age but that is not always true. It is important to gain knowledge and educate others also.

Dementia - Quick Facts You Must Know About It!

Gridhrasi is what Sciatica is known as in Ayurveda. It is the disorder that causes mild to agonizing pain in the sciatic nerve or neuralgia. These nerves, emerging from the pelvis, run along the hamstring and may cause intense pain in one or both the legs when a person suffers from Sciatica. Sciatic pains fill your life with misery as the simplest of daily activities cause sudden and excruciating pain. There are two types of sciatica i.e. true sciatica and pseudo sciatica. Sciatica may be caused due to bulging disc or herniated disc, degenerative disc disease, piriformis syndrome, pregnancy or trauma etc. 

According to Ayurveda, Sciatica is caused due to impairment in Vata i.e. the dosha responsible for the functional ability and movement of the body and also in some cases due to impairment in the Kapha i.e. the dosha that is responsible for body fluids and lubrication. Ayurvedic herbs that improve the symptoms of Sciatica are:

1. Babunah is also known as Bitter Chamomile. Not only is it used to relieve and reduce the pain faced by a sciatica patient, but it is also used for treating problems such as rheumatism due to the advancement of age. Compressed bitter chamomile flowers are prescribed for sciatica.
2. Guggul is also known as Indian Bdellium. Since guggulu is well known for its anti-inflammatory properties, it relaxes the sciatic nerves.
3. Rasna is also known as Vanda Orchid. Intense or agonizing pain due to the sciatic nerve issues can be reduced by this ayurvedic herb due to its anti-inflammatory properties. 
4. Juniper oil is extremely helpful when massaged onto the thigh muscles with firm strokes or pressure. It is used extensively in massage therapy for treating sciatica since the extent of reduction in sciatic nerve pain is tremendous. 
5. Jaiphal is also known as Nutmeg. After being mixed with sesame seeds oil, nutmeg is coarsely powdered and then fried till it turns brown. This is then applied to those areas where the sciatic pain is intense for instant relief.
6. Kumari is also known as Indian Aloe. Properties of Indian Aloe are extremely helpful in treating lower back ailments such as sciatica and lumbago.
7. Shallaki is also known as Boswellia or Frankincense. Containing anti-inflammatory properties, shallaki is applied externally to get relief from sciatic nerve pain. 

Ayurvedic preparations such as yogaraja guggulu, Vataganjakusha, Saindhavadi taila are also very useful in treating Sciatica.

Ayurvedic Treatment of Sciatica

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

Patients suffering from Irritable Bowel Syndrome experience severe abdominal pain, abdominal bloating along with cramping, gas, constipation and a constant urge to go to the toilet again and again. IBS is a health disorder where the large intestine or the colon is affected. This condition is a chronic one and requires long-term management. The symptoms are usually worse after eating and tend to occur in episodes. Although the disorder cannot be reversed, several symptoms can be managed or controlled by making lifestyle and dietary modifications. Most patients with IBS will experience flare-ups that last for a few days. For others, medical treatment is required.

Treatment and Care

Different procedures are used to treat IBS, which vary from person to person. However, one single treatment does not work with everyone.

Lifestyle and Dietary changes:

By making several basic modifications to your regular diet and activities, IBS improves with time. Here are some tips:

You should avoid caffeine in any form such as coffee, tea or soda.
You should increase the amount of fiber in your diet and include vegetables, fruits, whole grains and nuts.
You must drink three to four glasses of water regularly.
Smoking should be abstained from.
You must undertake relaxation techniques and work out in order to reduce stress.
Your amount of dairy product consumption must be reduced. 
You should eat frequent, small meals instead of fewer large meals.
The most common food triggers, which lead to IBS are green onions, red wine, milk and red peppers. You should not consume these products.
You should keep a record of the types of food you consume so that you can identify the IBS triggering food items.
You should eliminate high gas producing food items from your diet. Food items which may result in passing excess amount of gas such as carbonated vegetables and vegetables such as cabbage, broccoli and cauliflower should not be consumed. 
Medications:

Several medicines are used to treat IBS. These include the following:

Antispasmodics are used to control muscle spasms in the large intestine.
Antidiarrhoeal medicines are used to control the symptoms of diarrhoea.
Laxatives are prescribed for relief from constipation.
Bulking agents like wheat bran and corn fibers are used to slow down the food movement through the digestive system. They also relieve symptoms.
Antidepressants are also used in case of some patients with IBS for relief.
In patients, whose symptoms occur due to bacterial overgrowth in the intestines, certain antibiotics may be used for treatment.
There are several triggers of IBS, which must be identified and treatment should be undertaken after that. For the proper identification and best treatment of IBS which suits your symptoms, it is essential you consult a gastroenterologist. Alternative treatment methods such as acupuncture, using certain herbs and probiotics can also be followed.

Irritable Bowel Syndrome - Treatment and Care

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