Vomiting in infants and kids are very common. Most of the vomiting cases do not require patients to see a doctor. But there are some conditions that cause forceful vomiting in babies and infants leading to dehydration.

One such condition is called Infantile Hypertrophic Pyloric Stenosis. Infantile Hypertrophic Pyloric Stenosis is a problem that affects infants and requires the immediate attention of a Pediatric Surgeon. In this disease, the lower portion of the stomach known as Pylorus is blocked. Due to the blocked Pylorus, the food in the stomach cannot enter the small intestine. Due to this obstruction, the child experiences vomiting persistently.

Risks Prone to Pyloric Stenosis -

The disease is more common in boys than girls.

Children from white race are more prone to Pyloric Stenosis.

There is evidence of genetic predisposition.

Symptoms - 

The most common symptom of Pyloric Stenosis is frequent and projectile non-bilious vomiting in kids. Whatever feed they take from mothers is vomited after few hours. However, the vomiting is different than that of wet burps which are very common among infants.

Kids remain hungry after vomiting

Weight loss

Ongoing crying

Lack of energy i.e. lethargic

Sleeping

Fewer bowel movements

Bloating and constipation

Diagnosis -

In addition to the physical examination the following investigations are done:

Blood tests to evaluate dehydration and electrolyte imbalance.

Abdominal ultrasound is diagnostic to know the presence of pyloric mass and the length of pyloric canal

Treatment -

The only practical course for treating Pyloric Stenosis is to operate the infant. However, first doctors administer the infant with the medicines and IV fluid to treat dehydration and electrolyte imbalances. Once the baby is hydrated and ready to get operate, surgery is performed.

TAKE AWAY -

Consult a Pediatric Surgeon if your child is vomiting after feeds. He needs evaluation to know the cause of vomiting and treat accordingly.

Surgical Causes Of Vomiting In Children!

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

Urinary Incontinence is the sudden urine loss that occurs involuntarily in women. Some of the factors which cause urinary incontinence are pregnancy, menopause and childbirth. It should be noted that urinary incontinence by itself is not a disease, but is a symptom of other underlying disorders such as diabetes, infections and other conditions.

Causes of temporary cases of urinary incontinence include:
1. Constipation
2. Urinary tract infections
3. Excess consumption of alcohol and caffeine
4. Consuming carbonated drinks
5. Use of artificial sweeteners
6. High doses of vitamin B and vitamin C
7. Being on sedatives, muscle relaxants, blood pressure and heart medications
8. Eatables which are too spicy, acidic or sugary

However, persistence of incontinence might be due to a more serious condition. Some of the causes are stated below:

Age: The bladder muscles tend to weaken with age. This affects the bladder s urine holding capacity.
Pregnancy: Hormonal changes and increase in weight during pregnancy can cause incontinence.
Menopause: Oestrogen is responsible for the healthy maintenance of the lining of the urethra and bladder. The onset of menopause causes the oestrogen hormone levels to drop. The gradual damage of the bladder tissues causes incontinence.
Childbirth: The bladder control muscles are weakened during normal vaginal delivery, thus leading to incontinence.
Obstruction: Occurrence of tumours in the urinary tract can block the normal flow of urine which can cause incontinence.
Hysterectomy: The same ligaments and muscles support both the bladder as well as the urethra. With removal of the uterus by hysterectomy, the pelvic floor muscles are deteriorated. This leads to urinary incontinence.
Neurological disorders: Conditions such as multiple sclerosis (autoimmune disorder in which the immune system destroys the protective sheath of the nerves), Parkinson s disease (disorder affecting motor functioning of the body), brain tumours, spinal injury or strokes are capable of causing incontinence.

Different forms of urinary incontinence are classified on the basis of their symptoms:

Urge incontinence: Urge or urgency incontinence occurs when there is a leak before the person reaches the toilet.
Stress incontinence: Small amounts of urine leak out during normal physical movements such as sneezing, coughing and exercising. This happens because of the minimum stress exerted on the body, and hence, the name.
Functional incontinence: Sudden leakage of urine occurs due to external deterrents or physical disabilities such as not being able to find a toilet.
Overactive Bladder: This is characterized by frequent and urgent urination.
Overflow incontinence: A full bladder, at times, leads to unexpected leakage.
Transient incontinence: If urine leakage occurs due to temporary situations such as infections, or new medications.

Did You Know - Constipation Can Also be a Sign of Urinary Incontinence

The common reason why most of us get throat infections is because they are viral in nature. This means that if one person gets a throat infection then he transmits it to others by touching, coughing and sneezing etc.
Viral throat infections can be managed easily. There are several home remedies that can alleviate your viral infection. However, it is suggested to consult an ENT specialist if the home remedy is not providing any relief to you.

Gargling: It is one of the most popular methods of treating viral throat infection. All you need to do is mix one tablespoon of salt in 200 ml of water and warm the solution. When the water becomes lukewarm, take a small portion of it and rinse your throat with the solution. Take care that the solution remains within your throat and does not reach your stomach. Rinse your throat for 5 minutes and repeat the procedure after a rest of 2 minutes. Ensure that the water remains lukewarm for effectiveness.
Inhalation: Another common method of ridding yourself of viral throat infections is to inhale steam. Boil some water mixed with eucalyptus oil. When the water starts developing bubbles, take your face near it, cover it and the pot containing water with a dry towel and inhale the steam. This procedure is inconvenient for many people because inhalation results in sweating, but the result is perceptible. You must inhale steam for at least five minutes. Once you are done with inhalation, avoid taking cool fluids like cold water etc., else the effect would be reversed and your infection might get more severe.
Take lots of fluids: Strange as it may sound, viral throat infection can also be treated by taking lots of hot fluids. The warm temperature helps in neutralising the viruses, while the fluids prevent the dehydration of the body. Take hot tea, coffee etc. when you have an infected throat.
Drink hot milk and turmeric: Many mothers administer this solution to their kids to treat throat infections caused by viruses. This concoction is best taken before sleeping in the night. Turmeric has been found to carry several anti-microbial properties.
Avoid smoking: If you are a smoker, you must avoid smoking to alleviate your viral throat infection.
Use decongestants and nasal sprays: These substances make breathing easier by contracting the swollen mucous membranes. Nasal sprays also help relieve runny noses and post-nasal drips, which are so irritating and inconvenient to many. However, avoid administering this remedy to small children. Since these sprays contain synthetic drugs, it is advisable to stick to prescribed dosages for different age groups. Please also consult your ENT doctor before administering the nasal sprays to yourself or anybody else.

Viral Throat Infection - 6 Ways They Can Be Managed!

5 simple ways to prevent dandruff in winter

Dandruff is becoming increasingly common. This scalp condition can exacerbate in winter since the humidity of the air around you decreases, which results in dry skin and an itchy scalp. But there are certain ways in which you can prevent the onset of dandruff during winters. Read on to find out.

1. Wash your hair with lukewarm water
You may find a shower with hot water a great way to start your day, but unfortunately, it has a negative effect on your scalp. Hot water baths are responsible for scalp irritation and effectively increase inflammation, which ultimately leads to the occurrence of dandruff. So, always opt for lukewarm water to wash your hair in order to maintain the natural moisture level of your scalp.

2. Give your scalp a coconut oil massage
Make it a habit to massage your scalp with 3-5 tablespoons of coconut oil before sleeping at night. Rinse away the oil the following morning using a gentle shampoo. Regularly following this remedy proves to be beneficial in keeping dandruff away from your scalp.

3. Watch your diet
You can ensure that your scalp remains healthy during winters by including moderate amounts of vitamin b, omega 3 fatty acids and zinc in your diet. To get these nutrients eat foods like walnuts, leafy vegetable, and eggs etc. These foods can help in keeping your scalp hydrated, thus preventing the occurrence of dandruff.

4. Stay away from hair styling products
Winter robs away the moisture from your scalp, which makes it highly vulnerable to damage on exposure to harsh chemicals. Most hair styling products (such as hair colours) contain strong chemicals, and if you use them frequently during the winters, you may end up having an itchy scalp resulting in dandruff later.

5. Use conditioners and shampoos containing tea tree oil
Hair care products like shampoos and conditioners made of tea tree oil help in restoring moisture to your scalp, which in turn stops dandruff from occurring. Alternatively, giving your scalp a tea tree oil massage two times every week works wonders for your hair and keeps dandruff at bay.

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

Seeing a Sudden Rise in DANDRUFF? Here?s What You Need To Do!

Pain management is an issue that stares back at mankind, irrespective of the underlying health condition. Whether it is a headache or a back pain, burn or fracture, heart attack or cancer, pain is always a symptom. In some cases like migraines, cancer, etc., the pain is chronic and the patient needs to be constantly on the vigil to know when an attack will ensue. This has also put high pressure on the medical fraternity to identify ways that can provide relief to these people. Various methods have been identified, and one of them is the electrotherapy.

What is done?
A few electrical impulses are directed at the area of the pain using a hand-held device. This is similar to providing electric shocks of mild intensity to the affected area (forehead, low back, neck, etc.). What this does is stimulate the nerve endings, improves circulation and muscle strength and promotes bone growth and tissue repair. The end result of all this is overall improved functioning and pain relief. Depending on the actual condition, the sessions will have to be repeated. In some patients, the electrotherapy is used in conjunction with other therapy so that they can go about their routine exercise and pain relief.
The sessions may also have to be repeated as most often these are used in individuals with chronic pain. They are also helpful in providing relief during the acute attacks.

How does it work?
The most common form of electrotherapy is known as TENS, which stands for transcutaneous electrical nerve stimulation. The area to be treated is cleansed with spirit and then small sticky pads are applied through which the electricity is passed. A hand-held device is used, through which electrical impulses are passed to the skin, which stimulates the nerve cells to provide relief from pain. It causes a vibrating and tingling sensation in the treated area. It is believed that it blocks the nerve impulses and therefore provides pain relief. Another theory states that they promote the release of endorphins which are natural painkillers; it is also very effective in case of migraine and sciatica and neck pain where the chronic pain is coupled with acute spurts.

With narcotic painkillers having various side effects, techniques like electrotherapy are gaining popularity. A small catch also is that it does not work for everybody and in most people with back pain, fibromyalgia, and migraines, requires repeat sessions for relief. The cost of each session also needs to be considered against the extent of relief achieved. However, for those whom it works, it is a very good technique for chronic pain control.

Electrotherapy - How It Can Help In Managing Pain?

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