The presence of blood in urine is known as Haematuria. It is categorized under 2 types:

    Macroscopic haematuria, which means the patient has seen blood.
    Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.

Urological and other Causes of Hematuria

    Cancer: Bladder, Kidney and Prostate Cancer
    Stones: Kidney, Ureteric
    Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
    Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
    Renal cystic disease: (e.g. medullary sponge kidney)
    Other urological causes: Benign prostatic hyperplasia, vascular malformations
    Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, anti platelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
    Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.

Management of haematuria depends on the cause as determined by the urologist.

Causes and Treatment for Hematuria

Asthma is a chronic lung condition wherein the air passage gets blocked or constricted due to the production of extra mucus. It is an age old condition which has been creating problems for people since a long time. Despite the seriousness of the condition, there are various myths people tend to believe about asthma.

Here are a few myths about asthma and the usage of inhalers:

Regular Usage of Inhalers is Addictive: This is a total myth. Using inhalers is not at all addictive, it is a necessity. Just because you use your inhaler regularly does not mean you are addicted to it.  Just like brushing your teeth every day isn't an addiction, taking your daily medicine from an inhaler isn't an addiction as well. Using an inhaler will just help you with your asthma condition.
Oral Medicine Gets Better Results than Inhalers: Absolutely not. In fact, it is proven that inhalers give better results than oral medications. Oral medication takes longer to act during a sudden asthma attack while inhalers deliver the drug directly to the lungs.
Inhalers Are Meant For Severe Asthma Cases: Well, this again is not true. Inhalers are used for treating asthma. Period. Asthma is a condition where your lungs inflame which is best cured with steroids, and the easiest way to have steroids administered to you is through the inhalation method. When you use the inhalers, the steroids are delivered directly to your lungs. They also have a minimum number of side effects when administered through inhalers.
Asthma is Curable: You might tend to think that asthma can be cured with the help of proper medications. You might think that asthma is not a constant condition. But it is not what you think. The symptoms of asthma might not be present all the time but that doesn't mean you do not have asthma. Asthma is a long-term condition where the airways swell up causing you to suffer from breathlessness. If you suddenly stop taking your daily medicines because the symptoms have not surfaced, then it will take you a long time before you will be able to totally recover from the next attack you suffer from.
If you have asthma, remember to take your medicines daily and timely. 

Debunking Asthma Myths

Some foods punch well above their weight in helping to reduce cholesterol levels, we call them'cholesterol busters. Choosing a healthy diet, low in saturated fat is important in helping to keep your cholesterol low but you can reduce your cholesterol levels further by including these super six foods in your everyday diet.

Super food 1 - soya foods
Being naturally low in saturated fat, soya foods help lower cholesterol. The special proteins in soya also appear to influence how the body regulates cholesterol too. Studies show you can lower your cholesterol by around 6% by including as little as 15g soya protein per day.

Choose from: soya alternatives to milk and yogurt, soya desserts, soya meat alternatives, soya nuts, edamame beans and tofu.

Super food 2 - nuts
All nuts are rich in vegetable protein, fibre, heart healthy unsaturated fats, vitamin e, magnesium, potassium, natural plant sterols and a host of beneficial plant nutrients. 30-35g a day of nuts (a handful) has the potential to lower cholesterol by an average of 5%.

Super food 3 - oats and barley
Both oats and barley are rich in a form of soluble fibre called beta glucan. Once eaten beta glucan forms a gel which helps bind cholesterol in the intestines and prevent it from being absorbed. It is recommended that we eat about 3g of beta glucan per day. Foods which contain 1g or more of beta glucan can carry a cholesterol lowering claim.

Super food 4 -foods fortified with plant sterols and stanols
Plant sterols are structurally similar to cholesterol and can be divided into sterols and stanols. Their cholesterol lowering effects have been known for some time.

Plant sterols/stanols are naturally found in a wide range of foods such as vegetable oils, nuts, seeds, whole grains, fruits and vegetables. However, for most people, it is not possible to achieve the optimum intake from ordinary foods.

Super food 5 - fruits and vegetables
All fruits and vegetables are low in saturated fat so eating more helps to keep saturated fat intake low. Fruit and vegetables are also a valuable source of cholesterol lowering soluble fibres. Try to include at least one pulse (beans, peas, lentils) everyday. Other rich sources of soluble fibre include sweet potato, aubergene, okra (ladies finger), broccoli, apples, strawberry and prunes.

Super food 6 - foods rich in unsaturated fats
Keeping our daily saturated fat intake below 20g (women) and 30g (men) is vital for cholesterol lowering, but it is equally important to replace this saturated fat with modest amounts of unsaturated fats such as those found in olive, sunflower, corn, rapeseed and other vegetable, nut and seed oils. Other foods rich in unsaturated fats include vegetable spreads, avocado, oily fish and nuts. Avoid coconut and palm oil as, unlike other these vegetable oils, they are rich in saturated fats.

6 Super Foods That Actively Help Lower Cholesterol

Dermatology is a very vast subject and many times it crosses the medical field to the cosmetology sector, where beautiful skin maintenance is concerned. The case of mole removal, for example, is handled by dermatologists. However, while examining the moles they first confirm that they do not, in any way, pose the risk of melanoma, a type of skin cancer. In fact, it has been reported that a dermatologist in Christchurch, New Zealand is offering free checkups during weekends for melanoma. Her plight is that she lost her brother to melanoma and many people make the mistake of ignoring moles on their skin and pay the heavy price.

A Professional Way Better than Trying at Home
For exactly the reason mentioned above, if you find moles on your skin, you should have the area examined by a dermatologist. The doctor would have the right instruments to identify and check whether they are only moles and then advise the appropriate removal. If the advice from the doctor itself indicates a simple procedure at home, then you can do this. There are over the counter products, such as peels available which can be used and then the moles can be removed. For other cases, you will need to subject yourself to a proper mole removal procedure.

Simple Methods For Surgeries
Chemical peels and burning away the extra growth using Cantharidin are some of the options available to dermatologists to remove moles from your skin. They may either have their own proprietary peels made or use the ones available in the market. Either way, the dermatologist will know how to prepare the skin before applying the remedy and also after treatment care. Skin is a very sensitive part of the body and no risk can be taken. If the mole removal has to be carried out only through a surgical procedure, the dermatologist will make that decision and do it as soon as you are ready.

Again, within the surgical method of removing moles, the doctor may use very simple procedures such as a scalpel to cut and remove the mole as well as a small amount of skin and dress it up. In the next level, the doctor may have to make a proper incision and then stitch up the area around the cut portion. Care will be taken regarding the scar on the skin.

Take Care of Your Skin
Depending on which part of the world you live in, there are steps you must take to protect your skin from getting damaged. In particular, the areas, like the face, neck, shoulders and hands which are exposed to the sun or cold winds or other vagaries that pose risks to the surface of the skin. The moment you observe signs of any abnormality in the skin, consult a good dermatologist to get healthy skin.

Mole Removal - What To Know?

Seborrhea or dandruff can be a very distressing as well as an embarrassing problem. Dandruff, primarily caused due to dryness, refers to the white flakes that fall off your scalp. The problem of dandruff is common for both men and women, irrespective of age. Dandruff is such a problem that cannot be cured easily but can only be controlled. There are many remedies for controlling dandruff.

Eight such remedies are mentioned below:

1. Use anti- dandruff hair care products: using anti-dandruff shampoos and conditioners can help you to control your problem of dandruff.
2. Avoid oiling your hair on a regular basis: dandruff, at times, tends to increase if your scalp is excessively oily. So, to avoid it, try not to oil your hair regularly. Also, if you have an oily scalp, make sure to use the correct hair care products to control the problem.
3. Apply lemon juice: lemon juice is known to be a very effective remedy for treating dandruff naturally. Apply lemon juice all over your scalp to combat the problem of dandruff.
4. Baking soda: baking soda is an effective remedy. Baking soda helps to reduce the excess oil on your scalp
5. Use virgin olive oil: massage warm virgin olive oil on your scalp, this can help you to reduce your problem of dandruff to some extent.
6. Include more vitamins in your diet: a healthy diet can help you to deal with your problem of dandruff more efficiently.
7. Mental stress: reducing your mental stress can help you to control dandruff, since most hair problems occur due to stress or stress related problems.
8. Use the right comb: try using an appropriate comb for your hair. If the comb hurts your scalp, then the skin of your scalp may turn flakier resulting in more dandruff.
Following the above mentioned tips can help you to deal with your problem of dandruff efficiently. If you are unable to control dandruff, you should not ignore it and consider visiting a dermatologist for further advice.

8 Remedies to Treat Dandruff

What is it?

Headache is a pain in any part of the head, including the scalp, upper neck, face (including the eye area).

A primary headache is caused by problems with or overactivity of pain-sensitive structures in your head. A primary headache isn't a symptom of an underlying disease.

What are the causes and triggers?

The three most common causes of a primary headache are:

1. Cluster headache
2. Tension-type headache
3. Migraine

Some primary headaches can be triggered by lifestyle factors, including:

1. Alcohol, particularly red wine
2. Certain foods, such as processed meats that contain nitrates
3. Changes in sleep or lack of sleep
4. Poor posture
5. Skipped meals
6. Stress
Doctors focus on determining whether a headache has another cause. They also check for symptoms suggesting that a headache is caused by a serious disorder. If no cause is identified, they focus on identifying which type of a headache is present.

Tips that could help before seeking consultation:

1. Try to keep stress in check. Stay organized and prepared to minimize stressful situations. Have some fun, and don't overdo it at work.
2. Try incorporating meditation or yoga in your daily regime
3. Apply a heating pad, hot water bottle or warm compress to aching muscles. Or take a hot shower.
4. Apply an ice pack wrapped in a towel to the neck.
5. Practice good posture to ease muscle strain. While standing, keep shoulders back and head level, buttocks, and abdomen pulled in. While sitting, keep your head straight and thighs parallel to the floor.
When to seek consultation?

In people with headaches, certain characteristics are cause for concern; these people should immediately seek medical consultation:

   1. It occurs more frequently than usual
   2. Are more severe than usual
   3. Worsen or don't improve with appropriate use of over-the-counter drugs
    4. Prevent you from working, sleeping or participating in normal activities
    5. Headaches that cause you distress, and you would like to find treatment options that enable you to control them better
    6. Tenderness at the temple (as when combing hair) or jaw pain when chewing
    7. The presence of cancer or a disorder that weakens the immune system
    8. Use of a drug that suppresses the immune system
    9. Red eyes and halos seen around lights
   10. If you are experiencing certain other symptoms like- headaches that increase in frequency or severity, headaches that begin after age 50, worsening vision, weight loss

A headache can be a symptom of a serious condition, such as a stroke, meningitis or encephalitis. Go to a hospital emergency room or your local emergency number if you have the worst headache of your life, a sudden, severe headache or a headache accompanied by:    
   1. Confusion or trouble understanding speech
   2. Fainting, drowsiness, confusion
   3. High fever, greater than 102 f to 104 f (39 c to 40 c)
   4. Numbness, weakness or paralysis on one side of your body
   5. Stiff neck
   6. Trouble seeing, speaking or walking
   7. Nausea or vomiting (if not clearly related to the flu or a hangover)

If people with none of the above symptoms or characteristics start having headaches that are different from any they have had before or if their usual headaches become unusually severe, they should call their doctor.

Doctors can usually determine the type or cause of headaches based on the medical history, symptoms, and results of a physical examination. Depending on their other symptoms, the doctor may advise taking an analgesic or ask them to come for an evaluation.

If you would like to consult with me privately, please click on 'consult'.

Headache - Certain facts one should know

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