It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

6 Bodily Pains You Must Never Ignore

Any pain in the body is an indication and demands attention. Some pains go away by themselves or by home treatment, while few need medical attention. 

Here are 6 types of pains which should never be ignored.

Chest Pain - Chest pain that doesn't go away and is accompanied by shortness of breath can prove to be fatal if not treated at the earliest. Do not wait for it to subside, nor should you try self medication. Consult the doctor immediately.
Abdominal Pain - While abdominal pain could be because of various smaller reasons, if it is unbearable, consult a doctor at the earliest. This pain could be because of ruptured appendix, stomach ulcer, problems in your pancreas or gallbladder or even intestinal blockages.
Severe Headache - Normally we tend to take headaches lightly, believing that all we need to do is pop a medicine or rest it out. However, if the pain is excruciating, consult the doctor as soon as possible.
Prolonged Backache - If you are experiencing pain in the back with tingling in your toes, this could be associated with your discs. Give it medical attention at the earliest, as it could turn fatal.
Lower Abdomen  - Appendicitis' indicator is sharp pain on the side. If you feel a sharp pain in your lower abdomen on the right side along with symptoms like nausea, vomiting, fever, shaking, constipation and diarrhea, reach out for medical assistance as soon as possible.
Leg Pain - Yet another pain one should not ignore is deep vein thrombosis which is blood clots in the legs? deep veins.

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6 Bodily Pains You Must Never Ever Ignore

Cough is also known as a sudden reflex in which you have to clear your throat and breathing passage from microbes, irritants, fluids and mucus. You can also call coughing as the rapid expulsion of air from your lungs. Coughing can be both deliberate and involuntary. There are two types of cough which can make you suffer dry or wet. Wet cough is caused due to cold, cold extremities or viral attack. Dry cough is caused due to exposure to pollutants, smoke, environment and also if you have allergy from dust. Cough problems have an effect at your lungs, respiratory tract and immunity system. Ayurvedic treatment is oldest holistic medicine treatment and was developed thousands of years ago in India. Ayurveda promotes good health and can be used effectively for both wet and dry cough.

Ayurvedic remedy for wet cough:
Symptoms for wet cough includes pain in your throat and chest, fatigue and irritability.
1. Using liquorice powder (3 tsp), black peppercorn (1 tsp) and sugary candy (2 tsp) can make an effective natural home remedy. Crush all three ingredients all to form a powder and you should eat half tea spoon of this mixture 4 times a day.
2. Crush a little ginger to make a paste and paste it on a sieve. Extract the ginger juice and add honey (1 tsp). Mix well and heat it till it becomes lukewarm. You should eat 1 tea spoon thrice a day.

Ayurvedic remedy for dry cough:
The causes for dry cough include pneumonia, sinus infections and viral infections in your respiratory tract. Symptoms are fatigue and weak immune system along with an itchy throat.
1. Using almonds, butter and sugar makes for an effective natural Ayurvedic home remedy. Make a paste with 7 almonds (soaked overnight) and add 2 tea spoons of butter and sugar each to the paste. You should mix well and eat it twice every day, at morning and evening.
2. You can also make a paste by mixing small quantity of basil leaves, ginger and honey. Mix well and have 1 tea spoon thrice a day.
3. Take a glass of warm water and add 1 tea spoon each of turmeric powder and carom powder. Mix it well and drink the mixture about two times a day. This is an effective remedy for dry cough.

Ayurvedic Remedies for Cough

For a long time cholesterol in totality was seen as a bad thing for your body although the truth was a little more complicated than that. Cholesterol primarily is divided into two types, one of which can be categorized as bad cholesterol and the other as good cholesterol. Let's have an in-depth look at both the categories.

LDL or Low Density Lipoprotein aka bad cholesterol: Cholesterol is a wax like chemical, which is found all over the body and it has important functions to perform. Cholesterol is carried all over the body by Lipoproteins. The low density lipoproteins are denoted as bad cholesterol as they can accumulate on the walls of the blood vessels and cause blockages resulting in many ailments. LDL levels of 190 and above are considered dangerous. 

Some of the risks associated with it are:
1. Heart disease
2. Stroke
3. Atherosclerosis
4. peripheral artery disease among many others

HDL or High Density Lipoprotein aka good cholesterol: This is a form of cholesterol which is usually desired in higher quantities as it removes LDL from the system by dislodging it from the arteries and then carrying it through the blood stream into the liver. The liver then breaks it down and removes it from the body. Thus, higher number of HDL cholesterol is always desirable. 

Some of the ideal numbers for HDL cholesterol within the body are:

Women - Ideal: 60 mg/dl, dangerous: 50 mg/dl or lower
Men - Ideal: 60 mg/dl, dangerous: 50 mg/dl lower

The role of triglycerides
Good and bad cholesterol levels also depend on the levels of triglycerides within the body and not just LDL or HDL cholesterol. Triglycerides are another type of fat which are used to store energy within the body but can also affect your health. It is most associated with atherosclerosis when the levels of triglycerides are high within the body. 

Some habits that contribute to high levels of it are:
a. Lack of physical activity
b. Obesity or being overweight
c. Excesses in alcohol consumption
d. Smoking
e. Bad diet and others

Thus the good cholesterol versus bad cholesterol war also includes other factors, most of which can be easily changed by making subtle changes in lifestyle and incorporating healthier habits. This will increase the good cholesterol and the other relevant elements and reduce the bad.

Good Cholesterol Vs Bad Cholesterol and Factor involved in It

Cold and cough is caused by a viral infection, which can last for about two to four weeks. The symptoms include stuffy or a runny nose, coughing and sore throat. Many times, the infection may raise body temperature and the child may suffer from fever. Our body s immune system naturally fights with such infections. Depending on the type of cough and the symptoms, the virus can stay active in the body for about 4 to 6 weeks. It is quite painful to see the child suffering from cold and cough. The symptoms of this infection are worse during the first two days.

The child will experience pain and irritation in the throat with difficulty in swallowing, frequent coughing with mucous, breathing difficulty and high fever. Most parents rush to over the counter drugs for cold and cough to ease of their child s agony. However, most drugs/ cough syrups available over the counter only provide temporary relief. Medical evidence suggests that antibiotics do not kill viruses, thus, it is not advisable to treat cold and cough with antibiotics unless accompanied by another infection. So, what do parents do? Well, there is a lot that can be done.

Let s first understand the type of a cough your child might be suffering from:



Dry cough: Generally occurs due to infection in upper respiratory tract, cold or influenza. Children with asthma and allergies are also prone to this type of cough as dry cough is triggered by smoke or dust.
Croup Cough: A harsh barking and dry cough with swelling beneath vocal cords.
Wet Cough: Most commonly caused by cold. This is an infection of the lower respiratory tract characterised by mucous secretions.
Whooping cough: Characterised by fast coughing, breathing difficulties and a whooping sound while breathing.
Apart from this, If coughing starts suddenly along with choking, the child may have inhaled a foreign body. Immediate help may be required. For babies less than 12 months of age, cold cough followed by breathing difficulties may indicate bronchiolitis and require a paediatric attention. A normal cold and cough generally subside with two to four weeks. However, it is important to understand when to consult a doctor.

Chest pain or breathing problems
Cough lasting for more than 6 weeks.
A yellow, green or brown mucous indicating another infection.
Swollen glands, persistent high fever, rashes.
Body getting pale and symptoms getting worse.
Temperature higher than 38 degrees in the case of infants.
Precautions and diet that should be taken care of

Increase Intake of fluids especially hot liquids
Never stop breastfeeding the baby
Vapour rub applied on chest and back is an effective remedy
Inhaling steam provides relief to a sore throat and nose
Intake of crushed tulsi leaves with honey or hot turmeric milk is soothing and very helpful
There is little we can do to prevent viral infections. However, proper care and caution can ensure a smooth recovery.

Cold and Cough in Children - Precautions that Parents Must Take

The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.

How is bowel resection surgery performed?

In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.

Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:

Cancerous or benign polyps or growth
Precancerous growths and polyps
Damage to the small intestine due to injuries
Congenital defects in the small intestine
Blockages in the intestine
Growth of ulcers, bleeding, and infection within the small intestine
Infections within the intestines
Other disorders of the small intestine
Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:

Colon cancer
Diverticulitis, disorder that specifically affects the large intestine
Bowel inflammation or ulcerative colitis
Abnormal twisting of the bowel also known as volvulus
Intestines which slide into another section of the intestine; also known as intussusception
Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are  

Adverse reaction to anesthesia
Infections
Heart attacks or strokes during the operation
Infections
Excessive bleeding among others
Specific risks for large and small bowel resections are mentioned as follows:

Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.
However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons.

Bowel Resection Surgery - Facts You Should be Aware of 

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