Celiac disease is a serious genetic autoimmune disease with over 300 symptoms, and most people manifest with a combination of them. It is caused by intolerance to gluten, which is a protein found in wheat, rye, barley, and other cereals. Gluten is usually present in the small intestine, and in patients with celiac disease, the lining of the small intestine gets attacked. Consequently, a number of organs and/or body systems are affected, making it extremely difficult to pointedly say that a person has celiac disease.

These symptoms cover almost all systems of the body including reproductive to digestive, cardiovascular to endocrine, respiratory to neuromuscular, and even affect the bones, and the teeth. Another major variation also is the age at which celiac disease becomes symptomatic. While some show symptoms quite early in their childhood, some others show symptoms later in their life, and some may not manifest with any symptoms all through their life.

Talking of the oral/dental symptoms, there are two main causes for concern one involving the soft tissues and the other involving the teeth. Let us look at the two in a little more detail.

Similar to the canker sores or the usual mouth ulcers, celiac disease also cause whitish sores. Unlike the canker sores which appear on the lips, the celiac mouth sores are common on the insides of the cheek, gums, lips, palate, and sometimes even the tongue. The appearance is very similar to that of aphthous ulcers, which have a whitish or grayish margin. They appear at random with no specific reason. The soft tissue lining of the digestive system is present from the stomach or intestine all the way to the mouth, and therefore these ulcers are seen. These can be quite discomforting and interfere with nutrition. Topical creams and/or gels can be applied to treat them. If celiac disease is diagnosed by then, abstaining from a gluten-free diet will help relieve the symptoms. Else, they may continue to recur and symptomatic treatment would be required.

The second oral symptom of celiac disease is the presence of visible defects of discoloration in the enamel. There are usually white, brown or yellow spots, usually discolored on the incisors and molars (front and back teeth). The bad news with the tooth issue is that these do not go away once a gluten-free diet is adopted. Depending on the severity, these may require tooth whitening treatments ranging from bleaching to veneers to full crowns.

The next time you have a group of symptoms, with the above two oral symptoms, contact your doctor and have a detailed discussion. It does not take much effort to diagnose and treat celiac disease.

Celiac Disease: How to Recognize and Manage Them

Ovarian cysts is a common problem that affects women in their childbearing years. These cysts develop inside the ovaries at the time of ovulation. 
These cysts are of four main types: 
Polycystic ovaries
Endometriosis
Cystadenomas
Dermoid cysts


In most cases, ovarian cysts resolve themselves, but in some cases they can cause pain and grow. 


Ayurveda is a holistic form of alternate medication that can be quite effective when it comes to treating ovarian cysts. This form of medication has negligible side effects and hence, can be prescribed to women of all ages. Apart from medication, Ayurveda also involves changes in lifestyle and diet. Ayurvedic herbs help balance the hormones in a woman s body and thereby improve the overall functioning of the ovaries as well. 


Some of the Ayurvedic herbs used in the treatment of ovarian cysts are as follows:


Guggul: This herb has the potential to revitalise cells and can rejuvenate a person. Guggul or commiphora mukul also has purifying properties that helps regulate lipid production and increase iron levels in a person s blood. It also helps in weight loss and increases metabolism. 
Shilajit: The Ayurvedic herb asphaltum or shilajit improves stamina and the ability to deal with physical and mental stress. It is also known to increase sexual desire and enhance libido for both men and women. 
Amalaki: Amalaki or emblica officinalis is best known for its ability to rejuvenate cells and rid the body of free radicals. It also helps boost immunity, aids in the development of healthy skin and slows down the aging process. Amalaki helps with digestion and boosts metabolism along with maintaining the proper functioning of the liver. 
Aloe: Aloe is the most common Ayurvedic product used for skin care and anti-ageing products. Apart from skincare and hair care, aloe also helps relieve hypertension and has well known antioxidant properties. Additionally, it helps deal with high blood pressure and respiratory problems. 
Vitamins and minerals: Some vitamins and minerals boost immunity and have the ability to destroy abnormal cells such as cysts. Zinc helps prevent ovarian cysts, helps the body get rid of free radicals and aids in normal cell growth. Vitamin B complex helps in converting excessive estrogen into less weaker forms and hence balances hormone levels. Antioxidants like vitamin A and E protect the cells against damage and abnormal changes in the cell growth. Vitamin C also helps boost immunity and gives the body the ability to fight illnesses and infections.

Ovarian Cyst Treatment in Ayurveda - Effective Medicines

Knee pain is something that can affect anyone - irrespective of their age. While sometimes it may be of minor importance - and can easily be handled by self-care, often, lingering pain is a manifestation of some other serious underlying problem, such as arthritis. In this case, it is imperative that you consult a doctor and take appropriate measures to combat it.

Causes :

Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types:
 Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
 Rheumatoid Arthritis, an inflammatory chronic disorder
 Septic Arthritis, causing pain, swelling and redness.
 Gout caused due to the development of uric acid crystals in the joints
Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.
ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.
Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

Symptoms:The major symptoms of knee pain include weakness, redness, instability, stiffness or the inability to properly straighten or move the leg. Often, a deformity is also visible, such as a bone sticking out of the leg - in which case it is advisable to consult a doctor immediately.

Possible risks :Factors which include the odds of being inflicted by knee pain and cause serious complications include :
Being overweight: This exponentially increases the stress or pressure that is applied on the knee joints - even in doing mundane tasks like walking up and down stairs.
Excessive physical activity: Some activities, such as sports apply excess stress on the knees as compared to other tasks.
Loss of muscle flexibility: Tightness or weakness in muscles causes increasing number of problems in the knees.

All About Knee Pain

During pregnancy a woman s body undergoes constant changes. The entire body tries to accommodate place for the growing uterus as hormones levels drastically fluctuate and ligaments stretched. Pelvic pain and the ensuing discomfort around this time is a common phenomenon experienced by most women. 

Though the pain may be harmless, at times it may also lead to serious repercussions. Therefore the identification of the causes that lead to pelvic pain during pregnancy is crucial. Some of them are: 

1. Accommodation pain: In the initial stages of pregnancy, women may experience cramps which are akin to the pain that precedes menstruation. However, in the case of pregnant women, the pain leads to no bleeding, but in all probability, is caused due to the expansion of the uterus.
2. Round ligament pain: Amidst the host of changes that the body goes through, the ligament that goes from the uterus to the groin also undergoes a change; it expands. This is responsible for the pain in the sides especially when women are walking or getting up from a chair.
3. Baby s weight: As the weight of the fetus begins to increase it exerts a pressure on the nerves that move from the vagina to the legs. This causes a dull pain in the pelvic region which increases considerably with walking and riding a car. This is most commonly felt by women who are in their third trimester.
4. Urinary Tract Infection: According to reports, most women suffer from urinary tract infection or UTI during pregnancy. This results in uncontrolled, often times, bloody urination and a pain in the abdomen. This is a major cause of concern as, if untreated, it infects the kidneys which in turn increases the risk of an early labour.
5. Miscarriage: In the first trimester, a pain in the abdomen may be an indication of a miscarriage. In such a situation, the pain is followed by bleeding and cramps.
6. Early labour: During pregnancy, an intermittent pain in the pelvic area and a back ache can also be suggestive of an early labour. If the contractions continue for over two hours after taking the necessary precautions like urinating and taking rest, it may be a sign of an early labor.

Pelvic Pain During Pregnancy

As we all are aware that waste products in the blood are passed through urine. This filtering process is done by the kidneys as it separates the waste products including minerals and salts, which have to be passed out through urine. Many times, these minerals and salts get stuck in your urinary tract and over a long period, this forms kidney stones. They can vary in size from a ping pong ball to the size of a sugar crystal. They are not noticed till the time they cause a blockage. Sometimes, they cause immense pain if they start breaking or are pushed into the ureters (narrow ducts which lead to the bladder).

Symptoms of kidney stones:
1. Immense pain in the groin, belly and back.
2. Pain while urinating and urination occurring frequently.
3. Blood found in the urine (haematuria).
4. Vomiting and nausea.
5. Feeling extremely restless and not being able to lie still.

Kidney stones can also cause a kidney infection. Signs of kidney infection include:
Kidney stones can also cause infection in the kidneys as they block the passage of urine to the bladder by blocking the ureters. This leads to build up of the waste product which can result in an infection. Some of the symptoms of kidney infections could be:
1. Feeling chilly and shivering on your skin.
2. High temperature of 100.4 F (38C) or more.
3. A feeling of fatigue or weakness.
4. Immense diarrhea
5. Bad smelling and cloudy urine.

Types of Kidney stones:
1. Struvite stones: It contains ammonia and magnesium. It is usually quite large and horn- shaped.
2. Uric acid stones: Brown, smooth and softer than other kinds of kidney stones.
3. Cystine stones: They are yellow and don t look like stones. They usually resemble crystal.
4. Calcium stones: It is composed of calcium.

What causes kidney stones?
Kidney stones can occur due to several factors. It usually forms when urine generally contains crystal substances like uric acid, calcium and oxalate. Your urine might not be able to dilute these substances resulting in the perfect environment for the formation of kidney stones. In case you are showing any of the symptoms mentioned above, you should visit you doctor immediately before the problem can worsen.

Common Symptoms of Kidney Stones

Life can be tough when living with Crohn s disease as it is a chronic condition. Especially with the disease is marked by phases of relapse and remission, it requires a long-term management to keep the symptoms in check. Though the flare-ups can be typically contained using medications, some of the patients with severe symptoms or complications arising from the illness would require surgery.

Before we proceed with the surgical management of the disease, it is essential to understand what Crohn s disease is in case you are not aware of it. It is a chronic illness in which the intestine or the bowel have become inflamed or marked with ulcers and sores and is a part of disorders collectively known as inflammatory bowel disease(IBD).

When does Crohn s disease require surgery?
Typically, patients who are suffering from complications of Crohn s Disease may require surgery. This may include the formation of a scar that is causing the bowel to narrow down and leading to obstructions, extensive bleeding from the intestine, perforation in the bowel wall or the formation of fistula or abscess. The fistula may be formed in the connecting area between two body parts that do not meet. Also, a condition known as toxic megacolon where the large intestine or the colon becomes severely stretched out causing the toxins to spread all through the blood requires surgical intervention.

What are the different surgical options available for Crohn s disease?

The surgery chosen for Crohn s disease is dependent on various factors such as where the disease has affected, how severe the disease is and most importantly what complication will be treated by the surgery. Here are some of the types of surgeries done for treating Crohn s disease:

Strictureplasty: If the small intestine is affected by the disease, it may show up in the alternating areas of the bowel. Strictureplasty is a surgical way of widening the narrow area of the small intestine into a portion which has been affected by the disease. It doesn t involve removal of the intestine.
Resection: This is yet another surgical process where the affected part of the intestine is removed. It may be required when the stricture has become elongated. The removal of the diseased portion of the intestine may be able to offer some relief from the symptoms.
Colectomy: This surgery refers to the removal of the entire colon, and it is done when the disease is severe and extensive.
Proctocolectomy: When both rectum and colon are affected, both these parts are removed by a process called proctocolectomy. When this process becomes necessary, the waste materials drain into the bag which is emptied every day.
Since, the surgical intervention aims to manage the disease, your doctor would be able to recommend the most suitable option as per your condition.

Crohn's Disease - How Surgical Management Can Help?

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