Typhoid fever is a bacterial disease caused by a bacteria Salmonella typhi. It spreads through consuming food or water that has been contaminated by stool of an infected person. The bacteria spread rapidly through your blood and causes a range of ailments.

It can cause bleeding in the intestine and perforations. This results in stomach pains, nausea, vomiting, and sepsis. Repair of intestinal damage may require surgery. In less frequent cases, typhoid can result in inflammation of muscles, linings, and valves of the heart. It can also cause pneumonia, meningitis, kidney infection, bladder infection, and inflammation of the pancreas. It may also result in delirium.



Symptoms-

The symptoms of typhoid infection start appearing within 1 to 3 weeks depending upon the virulence of the infection. The common symptoms are-

  High fever
  A headache
  Weakness
  Confusion
  Agitation
  Loss of appetite
  Red spotting on skin

Vaccination-

Vaccination is the most effective measure to prevent typhoid. There are two methods of vaccination- inactivated typhoid vaccine shot and an oral dose of live typhoid vaccine. One dose of inactivated typhoid vaccine is enough to protect you against the infection. A booster dose may be required every 2 years. You must consume four doses of live vaccine every alternate day. The capsule must be consumed orally, at least one hour before a meal. A booster may be required every 5 years.

What to know before immunisation-

  The inactivated vaccine should not be used in children below 2 years. The live vaccine is not recommended for use in children below 6 years.
  You should wait to get live typhoid vaccine if you are suffering from a pre-existing fever or infection. If you are on antibiotics, you must not take the oral vaccine until 3 days of discontinuing the medicine.
  People with immunodeficiency diseases such as AIDS should take inactivated typhoid vaccine shots instead of the live vaccine.
  Anti-malarial medicines should not be used until 10 days of a typhoid shot.
  Extremely serious side effects resulting from typhoid fever vaccine are very rare. It is generally safe for use.
  The inactivated vaccine may cause fever in 1 person in 100. It can also cause a mild headache, stomach pain, rashes in a person. Although serious allergic reactions are extremely rare, notify the doctor as soon as possible.

Typhoid affects 21 million people worldwide and causes 2,20,000 deaths annually. It can be fatal if it goes untreated. Therefore, it is crucial for people living in a typhoid prone zone to be immunised.

Typhoid Fever Vaccine - All You Should Be Aware Of!

Allergies and the common cold afflict everyone. Every person comes down with either of these or both multiple times a year. Children, adults and the elderly all are equally vulnerable to both these minor ailments. And one of the chief complaints of both is a sore throat. But, how can you tell whether your painful throat is a result of an allergy or a cold? Read on to know more.

How are Allergies and Common Cold Similar?

Sore throat is not the only commonality between cold and allergies. There will be other similar symptoms as well.

  A runny and itchy nose

  Coughing

  Sneezing

  Blocked nose

  Painful sinuses

  Postnasal drip

  Conjunctivitis

That is why similar symptoms like sore throat and all the rest make it very hard to tell allergies and a common cold apart.

Can you tell the Difference between Sore throat caused Common Cold or Allergies?

There are a few questions that you will have to ask yourself to find the answer to whether your sore throat is triggered by cold or allergy.

  How did your sore throat manifest itself? Have you been feeling it coming for quite a while now? Maybe, your throat has been feeling itchy for a few days before a full-blown painful throat came along. Or did it start suddenly without a warning? If it is the former, then it is a case of a common cold. But the latter is possibly an effect of allergies.

  If other symptoms are periodic, that is they manifest at certain times of the day like early in the morning or during sunset, your sore throat could be because of allergies. But if the other symptoms last all day, then your sore throat owes its origin to the common cold.

  Are you feverish? Does your thermometer register an above normal body temperature? Then it is a case of a common cold. Allergies do not trigger a fever.

  Have your sore throat and other symptoms started abating in six or seven days? Then it is possibly common cold. The duration of allergies lasts much longer. Or they come and go   depends on the presence of allergens in the air. Treatment for the two kinds of sore throat Common cough and cold have no cure. Your doctor will suggest paracetamol to help manage the symptoms of the common cold and this will bring relief from a sore throat as well. Allergies can be treated with antihistamines. Talk to your doctor who will recommend the necessary medicines.

A sore throat can be a very painful and annoying problem. It could be triggered by both allergies and the common cold. However, there are medicines that can help with both.

How To Tell If A Sore Throat Is From An Allergy Or A Cold?

Dandruff is one of the most common chronic hair conditions. It is characterized by a white, flaky substance on the scalp. Dandruff is not a serious condition and neither is it contagious. However, people still want it gone so that their hair looks better. Here are the symptoms as well as the causes of dandruff.

Causes
1.  Skin drying up: Dry skin is the most common cause of dandruff. The flakes from dry skin are usually less oily and smaller than with other forms of dandruff.

2.  Seborrhoeic dermatitis: Dandruff can also be caused by oily irritated skin. In this type of dandruff, red, greasy skin has flaky white or yellow scales covering it.

3.  Infrequent shampooing: This is also a very common cause of dandruff. This is because oil and skin cells accumulate, thus resulting in dandruff.

4.  Malassezia: Malassezia is a yeast like fungus. It is usually harmless and stays on the scalp of most adults. However, it is worth noting that sometimes the yeast may irritate the scalp and cause extra skin cells to grow. The skin cells then fall off and become flaky. 

5.  Contact dermatitis: Contact dermatitis is a sensitivity to health care products and when you use too much shampoo, hair styling products or other chemicals, such as paraphenylenediamine, the red, itchy, scaly scalp associated with dandruff is caused.

6.  Other skin conditions: There are many other skin conditions, which cause dandruff as well. These include eczema and psoriasis. Eczema is a chronic skin disease, which causes the skin to become inflamed. Psoriasis is another skin condition. It is characterized by thick scales forming resulting from rough, dry, dead skin cells which build up rapidly. 

These are just the causes of dandruff. Now you will see how to identify when you have dandruff by learning about the symptoms of dandruff.

Symptoms
1.  The symptoms of dandruff are pretty easy to spot. All that happens is that you will see white, flaky, dead skin cells in your hair.
2.   It is sometimes accompanied by an itchy, scaly scalp. 
3.  There is also a type of dandruff called cradle cap, which occurs in newborns. Just like dandruff, it is not dangerous and goes away when the baby is 3 years old.

Causes and Symptoms of Dandruff

What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

High blood pressure is a condition which occurs when the pressure of the blood flow through the arteries increases, resulting in intense pressure. Hypertension occurs when the systolic pressure (pressure at which the heart pumps blood) and the diastolic pressure (pressure at which the heart relaxes) is more than 140 and 90 respectively.

Symptoms of high blood pressure are: 

1. Shortness of breath

If you have high blood pressure, then you may experience regular shortness of breath.

2. Headaches

You may experience headaches on a regular basis.

3. Weakness of the heart muscles

Hypertension results in a weak heart which may not be able to pump blood properly.

4. Narrowing of blood vessels

Narrowing of blood vessels may lead to other complications such as failure of the kidneys, heart, and brain.

5. Vision problems

It may lead to vision problems as blood vessels in the eye may be affected.

The various causes of blood pressure are: 

1. Tobacco
If you smoke on a regular basis, you put yourself at an increased risk of getting affected by blood pressure.

2. Lifestyle
Not exercising regularly, eating a sodium-rich diet are all factors which can increase the chances of hypertension.

3. Age
The chances of getting affected by hypertension increase as you age.

4. Weight
Being excessively obese also increases your risk of getting affected by hypertension.

5. Diabetes
Being diabetic makes you more prone to getting affected by diabetes.

6. Hyperthyroidism
If you have an overactive thyroid gland, then it may result in hypertension.

Hypertension may result in various health complications in the body such as:

1. Aneurysm

This is a disorder of the blood vessels which causes the blood vessels to bulge and weaken.

2. Heart attack

High blood pressure causes the arteries to harden and thicken which may lead to a heart attack.

3. Metabolic syndrome

This syndrome refers to a group of complications such as high bad cholesterol levels and insulin levels in the body.

4. Impaired brain functioning
It may also impair your ability to learn and impact your cognitive skills.

Hypertension and High Blood Pressure

Is Constipation the Only Cause of Piles? + It's Symptoms

Piles, which are also called hemorrhoids, refer to the swelling of the veins near the anus and rectum, which get irritated during bowel movements, causing pain and bleeding during stool motions. The veins near the rectum or the anus may rupture during strained bowel movements and thus, cause the blood to come out with the stool. This can be very painful for the patient and has a very disruptive effect on their lives.

Causes of Piles

There may be many causes for piles or hemorrhoids and the cause may vary from patient to patient. Let's have a look at a few of them.

Straining when passing a stool - This is by far the most common reason for piles and this is what causes the irritation on the veins or causes them to rupture

Chronic Constipation: People suffering from chronic constipation due to gastrointestinal problems may also suffer from piles due to putting pressure constantly to relieve themselves.

Lifting a heavy weight or doing strenuous work: This can also put physical stress on the anus or rectum and cause swollen veins, which may then rupture during the passage of stool.

Pregnancy - Pregnancy causes many hormonal changes in the body and the strain may also result in piles.

Symptoms of Piles

Some of the symptoms of piles or hemorrhoids are:

- Painful bowel movements, which hurt the rectum or the anus, accompanied by general tenderness within the region
- Bleeding or seeping of a bright red color blood onto the stool on the toilet or even on toilet paper
- Itching in the anal areas, which may be continuous or intermittent
- A swelling or lump near the anus, which is painful
- A mucus-like discharge from the anus

There may be one or more factors present in particular cases and if there is a pain in the rectal area, it is best to get it checked out by a doctor as soon as possible.

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

Is Constipation the Only Cause of Piles? + It's Symptoms

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