In recent years there has been a rise in gastrointestinal disease due to lifestyle changes. Conditions like irritable bowel syndrome, gastroesophageal reflux disease, nonalcoholic fatty liver, cancer of colon, liver and pancreas have been affecting the young and the elderly equally.

The advancement of medical science has given rise to a series of laparoscopic surgeries relating to gastrointestinal diseases. These surgeries are minimally invasive compared to open surgeries. Let s have a look at the various forms of gastrointestinal surgeries.

Conditions Cured through Gastrointestinal Surgeries:

Gastrointestinal surgery can be used to prevent and treat the following health disorders.

  Peptic ulcer disease
  Barrett s Esophagus
  Hiatal hernia
  Radiation bowel injury
  Gastrointestinal tumours
  Inflammatory bowel disease
  GERD
  Achalasia
  Malignant disease of the pancreas
  Malignant disease of the biliary tract
  Infectious disease of the colon and rectum

Types of Gastrointestinal Surgeries:

Some examples of gastrointestinal surgeries include  

  Colon Cancer Surgery   It may involve local excision which is done in the early stage of colon cancer. Here the doctor inserts a cutting tool into the colon to remove the cancerous growth. Colectomy is the next stage that is performed only when the cancer has spread to the nearby tissues.

  Oesophagal Cancer Surgery   It includes esophagectomy or removing the oesophagus partially leaving the patient with the ability to swallow.

  Gall Bladder Cancer Surgery - It involves four stages of treatment namely Cholecystectomy, Surgical Biliary Bypass, Endoscopic Stent Placement and Percutaneous Transhepatic Biliary Drainage. Each procedure is performed at different stages depending on the severity of the condition.

  Liver Disease Surgery   Liver disease surgery involves Partial Hepatectomy, Liver Transplant and Ablation used at different stages of cancer.

  Pancreatic Cancer Surgery   The four stages of pancreatic cancer surgery includes Whipple procedure, Total Pancreatectomy, Distal Pancreatectomy and Gastric Bypass.

Apart from these open surgeries, the laparoscopic procedures include  

  Laparoscopic Adrenalectomy
  Laparoscopic Appendectomy
  Laparoscopic Nephrectomy
  Laparoscopic Splenectomy

Benefits of a Gastrointestinal Surgery:

  Minimally invasive due to which scarring is less
  Shorter recovery period
  Reduced chances of infection
  Reduced chances of reoccurrence of the disease

Most of these benefits apply specifically to the gastrointestinal surgeries performed using the laparoscopic technique.

With the rampant increase in gastrointestinal diseases among the masses the wide ranges of gastrointestinal surgeries have made treatment and prevention easier and more accessible.

Gastrointestinal Surgery - Everything About It!

Is your child getting exhausted after a bout of cough? Does he or she suffer from constant wheezing and tightness of the chest? Does your child feel drained out after climbing a flight of stairs? Do you know a child who always seems to run out of breath and cannot participate in school sports tournaments or play outside for a long time? The child could be suffering from asthma, which is a serious breathing problem. Most children are affected by asthma. Staying in a polluted city just makes the condition worse.

Asthma - Know the disease

Asthma is a condition that causes inflammation of the airways, known as trachea and bronchioles.
The muscles around the airways constrict and prevent the smooth flow of air.
The lining of the bronchioles swell and block the airways.
Asthma is mostly triggered by an allergic reaction.
There is a difficulty in breathing out. Exhalation of air is often accompanied by a wheezing, that is, a whistling sound.
There is a constant shortness of breath, feeling out of breath and gasping for air.
There is an uncomfortable tightness in the chest, the feeling of not breathing in enough air.
Coughing bouts in the middle of the night, that leave the child feeling exhausted and completely out of breath.
Causes of Asthma 

Asthma is mostly triggered by asthma allergens. These allergens are mostly pollens and animal fur.

Exposure to pollution, such as dust and smoke
Heredity
Obesity
History of heartburn, GERD and acid reflux
Inflammation of sinus and airways
History of bronchial disorders and pneumonia
Viral infections
Chronic rhinitis
Low immunity causing constant cold and blockage of nose
Treatments of asthma

A nebulizer that turns asthma medicine into a mist can then be inhaled easily
An inhaler can be used to take in inhaled steroids into the lungs or a bronchodilutor
Try and avoid asthma triggers and allergens as much as possible
Avoid physical stress and heat
Get sufficient rest of about 7-8 hours every day

Troubled Breathing - Can It Be a Sign of Asthma?

Choosing a career is a serious concern for students soon after completing 10th standard when one is required to make a choice of subjects for 11th grade. While still very young, many of us hardly know what is good for us and which field is best. For most of us, choosing a career is not a serious affair until 12th grade. However, once a student is done with 12th, he rethinks -  Did I make the right choice of subjects in class XIth?  I had always wanted to go in this field after school, but nobody guided me about subjects required for it in class XIth and XIIth. So, after completing school one feels very sad and frustrated that interest lay in A field but wasted 2 school years doing B-Field, a totally different course of study.

Therefore, when selecting subjects in XIth, it is very necessary to have a career goal in place keeping the market in mind. In addition to this, selecting the right education institution in XIth is equally important. Eg.  I am interested in Fine Arts but my school offers only Science and Commerce.  So, the child takes one of these only and loses track of what he wants, sowing the seeds for future distress in the field thrust upon him. Unfortunately, not many students are able to discover their potentials and interests at this stage and end up making wrong choices.

In this scenario, seeking the help of an experienced and qualified career counselor becomes absolutely necessary who can assist in discovering your potential and aptitude and accordingly suggest the right course. Career counselor usually employs testing of three factors   aptitude, interest and personality. These aspects help the counselors in deciding the right career path for a student. With an increase in the number of opportunities in the market, the importance of career counseling has also increased manifold. People have begun to realize the fact that not all can become engineers or doctors and started exploring other fields depending on their talent and interest in alternate domains.

Sound guidance will depend on the qualifications, training and experience of the professional. It is always a good idea to first know about the professional expertise of the counsellor/psychologist on whom you depend for making a life-long career choice. Generally speaking, school counsellors are post-graduates with about 9 months diploma in counselling and guidance with a focus on school children. They may or may not have done M.Phil, or Ph.D to qualify as a doctor. Similarly, anybody with just a graduation degree in Psychology can self-proclaim as a Counsellor/Psychologist and offer guidance and counselling, charging much less a fees. For any professional you choose, the higher the educational qualifications, more the number of practical trainings from reputed institutes, and the greater the professional experience, more dependable will be the advice given by them.

Vocational guidance for students and adults is one of the best ways to choose the right career path. With a plethora of career choices out there, sound career counselling plays a pivotal role in ensuring that right career choices are made. This is rewarding, considering that an individual can choose the right career path as per the strengths and talents he possesses. Right counselling not only helps the person to grow in the job quickly but gives ample room to learn in his desired field.

Here is a list of some major benefits of vocational guidance and career counselling:

Right assessment of weakness and strength: Career counselling is typically conducted by expert professionals with years of experience behind their back. They assess a candidate based on various aptitude tests. The test results rightly portray the strength and weaknesses of a candidate. This information plays a key role in determining the right career choice for a candidate. A person can ensure that he refrain from choosing a wrong career that leads to frustration and low work satisfaction.
Right goal setting leads to better choice: A counsellor can help a candidate choose the right goal and help him to outline the process of achieving it. Furthermore, an experienced counsellor can help a candidate lay down a plan to reach the goal. A step by step blueprint of reaching the goal in a realistic manner helps a candidate to achieve his dream career faster. With right goal setting, a person can attend career success over a very short period of time.
Explore various career choices: There are vast career choices that a person can explore that are available within the scope of a person s expertise. A career counsellor can throw light on these choices and help a person focus on the right option. This ensures that a person saves a lot of time and energy while figuring out the best possible career choice that is out there. This is particularly true in cases where a person is trying to make a mid-career switch. 
The right guidance and support: An experienced career counsellor can guide a candidate to get hold of the right set of skills and expertise that may be required to achieve a particular career. This ensures that a candidate is adequately prepared before the big opportunity knocks on the door. Right guidance not only cut down the preparation time, it increases the chances of success as well. 
Search Support: While the job search is on, a good counsellor can help a candidate prepare in terms of resume preparation, cover letter, video introduction etc. They can also help a candidate with the right kind of networking to land that dream job.
To conclude, the crux of career counselling is to get the necessary guidance from a qualified professional that would help the student/adult in making the right choice regarding his career. If you wish to discuss about any specific problem, you can consult a Psychologist.

Vocational Guidance & Career Counseling Benefits For Students & Adults

Allergic rhinitis, also known as hay fever, is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. An allergen is something that triggers an allergy. When a person with allergic rhinitis breathes in an allergen such as pollen, mold, animal dander, or dust, the body releases chemicals that cause allergy symptoms.

Signs and symptoms include a runny or stuffy nose, sneezing, red, itchy watery eyes, and swelling around the eyes. coughing, a sore or scratchy throat, itchy eyes, watery eyes, dark circles under the eyes, frequent headaches, eczema-type symptoms, such as having extremely dry, itchy skin that can blister and weep, hives, excessive fatigue. You ll usually feel one or more of these symptoms immediately after coming into contact with an allergen. Some symptoms, such as recurrent headaches and fatigue, may only happen after long-term exposure to allergens. 

Risk factors for allergic rhinitis - 

Allergies Can affect anyone, but you re more likely to develop allergic rhinitis if there is a history of allergies in your family. Having asthma or atopic eczema can also increase your risk of allergic rhinitis.

Some External factors can trigger or worsen this condition, including:

cigarette smoke, chemicals, cold temperatures, humidity, wind, air pollution, hairspray, perfumes, colognes, wood smoke, fumes

Complications of Allergic Rhinitis

Long-term (chronic) allergic rhinitis may cause a number of health problems including:

Sinus infections (sinusitis) - Allergic rhinitis can block the tubes that drain the sinuses, leading to infection of the sinus cavities (acute sinusitis). Symptoms include pain in the front of the head and upper face, postnasal drip, stuffy nose, and thick, colored mucus. With a severe sinus infection, you may have a fever and feel sick. Allergic rhinitis can also cause long-lasting (chronic) sinusitis or inflammation of the sinus cavities.

Plugged ears, pressure or pain in the ears and ear infections (otitis media) - These can occur when allergic rhinitis affects how much mucus you have in your ears and the eustachian tubes, which run between the inside of the ears and the back of the throat. In children, problems with the eustachian tubes can lead to difficulty hearing.

Asthma - Many people have both allergic rhinitis and asthma. If you have an allergy, you are more likely to develop asthma. And for people who already have asthma, allergic rhinitis can cause their asthma symptoms to get worse.

Nasal polyps - These are soft, noncancerous (benign) growths that develop on the lining of your nose or sinuses due to chronic inflammation. Small polyps may not cause problems, but larger ones can block the airflow through your nose, making it difficult to breathe.

Prevention

1. Do saline gargles.

2. Whenever possible do steam inhalation also.

3. Cover your nose and mouth with hanky for at least 30sec when you go in dusty areas also when you go in and out of AC. As our noses the most sensitive part of our body, When there is a temperature difference between two rooms or inside and outside, then if we do not protect our nose, it gets affected.

4. Drink Hot Liquids --Hot liquids relieve nasal congestion, prevent dehydration, and soothe the uncomfortably inflamed membranes that line your nose and throat.

5. Sleep With an Extra Pillow Under Your Head--  Elevating your head will help relieve congested nasal passages. If the angle is too awkward, try placing the pillows between the mattress and box springs to create a more gradual slope.

6. Treat That Stuffy Nose With Warm Salt Water--Salt-water rinsing helps break nasal congestion, while also removing virus particles and bacteria from your nose.

7. Blow Your Nose Often (and the Right Way)-- It's Important to blow your nose regularly when you have a cold rather than snorting mucus back into your head. But when you blow hard, pressure can carry germ-carrying phlegm back into your ear passages, causing earache. The best way to blow your nose: Press a finger over one nostril while you blow gently to clear the other.

8. Do not smoke or let other people smoke in your house. Smoking and breathing in other people's smoke will irritate the lining of your nose, eyes, throat and airways, and can make your symptoms worse.

Homeopathy

When it comes to the treatment of allergic rhinitis/cold, Homeopathy is much better at treating the problem. Itis in stark contrast to allopathy, where antiallergic and steroids are used to suppress inflammation. Homeopathic medicines do not aim at just reducing inflammation. They also intend to cure the basic cause of recurrent inflammation. This way, not only the symptoms of rhinitis are treated but the incidence of attacks is reduced/eliminated. It is worthwhile to mention here that all Homeopathic remedies are natural and do not contain any chemicals. That is why these purely natural homeopathic remedies do not have any side effects at all. Here is a list of the top homeopathic medicines for asthma, along with the symptoms when they are used -

Ars Alb: Thin watery discharge from the nose with irritation and sneezing.Restlessness. Arsenicum is an efficient homeopathic medicine, which treats attacks, which take place after midnight. The patient is anxious, restless, and cannot sleep because of the fear of being suffocated.

Allium Cepa: Is useful when nasal mucus irritates your nose or upper lip; your eyes are runny but the discharge is bland and non-irritating; you feel worse from warm rooms and better in the open air.

Natrum Mur: Watery transparent discharge causing blister-like an eruption. Loss of taste or smell.

Sabadilla: Fluent coryza and violent sneezing, knowing not when will it end. Worse cold.Asthmatic form of rhinitis.

Euphrasia: Copious burning discharge from the eyes n bland discharge from the nose.

Bryonia: Nose blocked with congestion in the head. Cannot breathe through the nose. Dry cough with pain in the chest.

Gelsemium: It is indicated in bland discharge from the nose which is thick. It has sneezing, headache, chilliness in the back and aching pains. The patient is dull n weak
Homeopathy has no side effects and treats the underlying cause. You Should consult a homeopathic practitioner before starting homeopathic treatment for rhinitis.

Common Cold Allergy - All You Need To Know!

How to diagnose asthma in children

Asthma in children under the age of 5 is a matter of concern. It is not a rare disease and early diagnosis is important. Common signs of asthma in children are:

1. Recurring bronchitis
2. Wheezing
3. Discomfort in the chest
4. Coughing
5. Trouble breathing

While some children have persistent yet mild symptoms, some children have severe attacks at times. Seasonal allergies and smoke make the symptoms worse.

What to notice?
While feeding an infant, if you notice that your child is facing shortness of breath, it might be a symptom of asthma. In a toddler, if your notice a decreased desire to run and play, or easy fatigue, then this could be a symptom of asthma. Asthma attacks for many children under the age of 5 are worsened when they catch cold or have any other respiratory infections. All these, if noticed should not be ignored and your child's pediatrician should be consulted.

The above mentioned symptoms were mild. Some children have it worse and the attacks can be life-threatening, needing immediate treatment. If your child is under the age of 5 and you see them doing one of the following, contact emergency services immediately:

1. Trouble in speaking because they have restricted breathing
2. When they are breathing in, the effort is so much that the abdomen is getting sucked in
3. Gasping for air.

Diagnosing asthma in a child can be tricky as symptoms like coughing, wheezing, etc can be for other conditions also. Once a child is a little older and if the symptoms persist, breathing and lung function tests are taken to gauge the situation. 

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How To Diagnose Asthma In Children, Before It Attacks?

It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.

How to Remove Insect from Ear at Home? 

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