Post-traumatic stress disorder (PTSD) is an anxiety disorder which develops due to a terrifying traumatic incident. Traumatic events like violent personal assaults, man-made disasters, accidents, military combat etc. can trigger PTSD. 

What are the symptoms of PTSD?
People with PTSD mostly re-experience the whole incident repeatedly in the form of flashback episodes and nightmares. This happens more when they are exposed to the events or objects which are reminiscent of the trauma. The other symptoms are emotional numbness, sleep disturbances, depression, anxiety and irritability leading to outbursts of anger on others. People with PTSD feel intense guilt mostly. Anniversaries of such an event can also trigger symptoms of PTSD. When these symptoms last for more than a month, the person is diagnosed with PTSD.

Who will most likely develop PTSD?
You do not need to be in the military to suffer from PTSD. People who have suffered child abuse during school, who have had traumatic experiences are more likely to develop the condition. Other factors that may cause PTSD are still under research.

When does PTSD occur?
PTSD can occur at any age, given the intensity and frequency of symptoms. The symptoms typically are seen within 3 months post a traumatic event, although it may not begin until next year. Once the PTSD symptoms appear, the severity and duration of the illness may vary.

What are the treatments available for PTSD?
Cognitive-behavioral therapy, group therapy, and exposure therapy have been very effective in treating PTSD where the patient gradually and repeatedly relives the frightening experience under controlled surroundings which helps him/her work through the trauma. Medicines also help ease associated symptoms such as depression and anxiety.

Do other illnesses accompany PTSD?
PTSD can present with many associated conditions like depression, alcohol or substance abuse, anxiety disorder etc. Certain symptoms like headaches, gastrointestinal ailments, immune system issues, dizziness, chest pain or discomfort in other parts of the body are common. To treat PTSD entirely, it is necessary to take these symptoms into consideration as well.

PTSD is a difficult condition to deal with. If you or someone you know happens to suffer from PTSD, the first thing is to seek help. Having PTSD does not make you weak. All you need is a little help and support from your family and friends, to make you feel better. Happy Mind, Healthy You!

5 Interesting Facts About Post Traumatic Stress Disorder!

Children might vomit after meals due to various causes. While they may not be life threatening or potentially harmful to the child, getting to the bottom of the problem to deal with it is better, so as to prevent it from becoming a chronic problem is definitely vital. 

Listed below are some of the most common reasons children might throw up:

Gastroenteritis: This may be virus, bacteria and parasite induced. The best way to deal with it is to eat clean food and wash hands with an antiseptic soap prior to each meal. It is usually seen in combination with diarrhoea.
Allergies: Some children who throw up might do so as it is allergy induced. To diagnose the cause of food induced vomiting, the allergens must be noticed as soon as possible as there might be more than one food ingredient causing the reaction in the child. Each time the child throws up, the parents must note down all the food ingredients consumed by the child. This helps the paediatrician in better diagnosing the underlying cause of vomiting. In children up to the age of 4, foods such as rice, poultry, milk and soy often act as triggers and it is called  food protein induced enterocolitis syndrome  (FPIES).
Backing up of food: Anti peristalsis or the backward movement of food along the digestive tract might happen in children for a host of reasons. The digestive tract has muscles which prevent the backward flow of food and instead, force the food downwards i.e. from mouth to anus. Due to children having weaker musculature in their digestive tract, regurgitation might be a frequent occurrence.
Reflux: Swallowing large amounts of air while eating can make the child bloated leading to reflux. Reflux can also take place if the baby is being overfed.
If the child is frequently throwing up after meals, keeping them hydrated is of utmost importance. Unless a doctor prescribes them anti-vomiting medicines, they shouldn t be administered to children.

Vomiting in Children Post Meals - 4 Common Reasons Why!

Pilonidal Sinus is the small channel in your skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease. Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain.
Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for a prolonged period, such as desk-job workers, truck drivers etc.

What are the causes and symptoms? 
Doctors suggest pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.

The signs and symptoms of pilonidal sinus include-

  Pain when standing or sitting for long
  Swelling of the cyst
  Redness and soreness around the affected skin
  Formation of multiple holes (sinus tracts) in the skin
  Foul odor
  Blood or pus oozing out of the abscess
  Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful if left untreated for long.

What is the treatment for this condition?
Pilonidal sinus usually goes away on its own, without medical intervention. However, if the cyst becomes infected, it may have to be operated or drained. The commonly used treatment procedures are-

  Conservative treatment - if the condition is diagnosed at an early stage, your doctor will prescribe a broad-spectrum antibiotic to treat a broad range of bacterial infection. This will relieve you from the pain and discomfort resulting from infection.

  Lancing - this procedure involves using a scalpel to open the abscess. Your doctor will give you an anaesthetic prior to the operation. The channel is then cleaned properly to drain out blood, pus or hair. The wound is packed with a sterile dressing and left to heal. It usually takes about a month for the wound to heal, after which no further treatment is required.

  Phenol injections - for this procedure, first and foremost, your doctor will give you anaesthetic so that you don t feel any pain. A chemical compound known as Phenol is injected into the cyst. Phenol acts as an antiseptic and is used to harden and eventually close the lesion. This procedure needs to be repeated multiple times to achieve the desired result.

  Surgery - if the pilonidal sinus tends to recur, or if you develop multiple sinus tracts, the most preferred choice of treatment is surgery. The surgeon will open the lesion, remove the debris and pus, and then suture the wound. You will be given an anaesthetic prior to the surgery, and once the treatment is done, you will need to change the dressing more often.
If you suffer from pilonidal sinus, you will also need to maintain good hygiene. Make sure you clean and wash the area with a mild soap, and rinse properly. If your job requires you to sit for a prolonged period, take a break in between your work. Avoid wearing skin tight clothes. Adopting these measures will help prevent the occurrence of pilonidal sinus.

Treatment For Pilonidal Sinus!

Exercise can benefit your digestive system. The benefit, however, depends upon your time and type of exercise. When you exercise, your body slows down the process of digestion. Maximum supply of blood is directed towards the muscles and lungs. Thus it is to be kept in mind that you shouldn't exercise after having heavy meals. You may suffer from heartburn or vomiting if you take heavy meals before exercising. However, if you exercise empty stomach, you can see health benefits. Your digestion time must not be the same as your time for exercise.

There are several relaxation techniques, physical activities and exercises to help absorption of essential nutrients. Exercise can help your digestive system in the following ways:

1. Boosts Blood Circulation: Exercise improves the flow of blood through our entire body. Thus the supply of blood to the digestive systems is also improved. The digestive system starts functioning better. With regular exercising, the digestive system starts functioning faster. An individual gets rid of gastric problems like gas, heartburn, constipation and stomach cramps.

2. Digestive Routine: It is important that you exercise at the right time. Proper exercising before having meals is a very healthy habit. It will encourage you to develop a healthy and effective digestive routine.

3. Yoga for Digestion: It is a low-energy exercise. It helps in strengthening of the stomach muscle and facilitates digestion.

Precautions
One should keep in mind a number of things while exercising for a healthy digestive system. You must fix up a proper schedule for exercising. You can't take larger and heavier meals, rich in proteins and fats, just before exercising. Drink adequate amount of water after exercising as it causes dehydration. Patients who suffer from frequent attacks of diarrhea should avoid caffeine intake while exercising or later.

How Exercise Affects Your Digestion

Ulcerative Colitis is one of the severe and chronic forms of Inflammatory Bowel Disease (IBD) that can throw life in a jeopardy. The condition that mainly affects the rectum and the large intestine can cause severe inflammation, ulceration, and abscess formation. The ulceration or the inflammation of the colon and the rectum left unattended for too long can give rise to deleterious consequences including damage and perforation of the colon, osteoporosis. Various studies also suggest that ulcerative colitis can increase the risk of a person suffering colon cancer.

Like most of the IBD, there is no definite cure for ulcerative colitis. The illness is a chronic condition and can flare up or recur at any point in time. Though medications may help to control the damage and the complications triggered by ulcerative colitis, a surgery may be essential in case of

Severe damage to the colon.
The nonsurgical treatments could do little to improve the conditions.
There is an increased risk of colon cancer.
Ulcerative colitis has resulted in Toxic megacolon (a life-threatening condition where the large intestinal muscles have dilated with some swelling).
There are extreme discomfort and bleeding.
Surgeries to deal with Ulcerative Colitis

In the case of Ulcerative Colitis, the nature of the surgery depends on the extent to which the colon or the rectum or both have been affected and damaged.
In the case of extensive damage with a high risk of colon cancer, the surgeon may perform Proctocolectomy or colectomy
Colectomy may involve
Removal of all of the colon- Total Colectomy
Removal of the diseased part of the colon- Partial Colectomy.
Following the excision, the surgeon may carry out necessary rearrangements to reconnect the remaining portion of the colon to the abdomen through an opening known as stroma (the procedure is known as colostomy).
In case of Total Colectomy, the small intestine will be connected to the abdomen by a process known as Ileostomy.
Proctocolectomy involves the removal of both the rectum and colon to avoid further aggravation.
Following the proctocolectomy, the surgeon may carry out Ileoanal Anastomosis (Ileal Pouch-Anal Anastomosis). In this procedure, a pouch is created using a small part of the small intestine. This pouch is then connected to the anus to help in the elimination of the wastes.
General precautionary measures to control Ulcerative Colitis
Making healthy lifestyle and dietary modifications can go a long way to control ulcerative colitis and the associated symptoms.

Spicy foods can worsen the incidence of ulcerative colitis. Enrich your diet with lots of fruits, vegetables (squash, avocados, fish (especially salmon and tuna), meat, dairy products, olive oil, walnuts, flaxseed oil, almonds.
Make sure the diet is a low-fiber diet.
Avoid alcoholic and caffeinated drinks and beverages, foods high in sulfur content, refined sugar.
Research suggests stress and lack of physical activities can aggravate the ulcerative colitis. Mediation and daily exercise can produce fruitful results.
Make sure your sleep is not compromised (6-8 hours daily).

Ulcerative Colitis - How Surgery Can Help Manage It?

5 signs your body is lacking in water

Water is indispensable for the human body as 90% of the brain and almost 60 per cent of an adult body is chiefly made up of water. Water is just as important as any of your meals. Each cell and organ depends on water for its proper functioning and for flushing out toxins and fats from the body. An average man must consume roughly 3 litres (10-12 glasses) of water per day; and a woman requires about 2.5 litres (8-10 glasses). If you're not meeting this requirement, you might be fall prey to dehydration.

The state of water deficiency or dehydration can be determined through various symptoms. Read on to know the 5 most common signs:

1. The colour of your urine is dark

The colour of your urine indicates your health. The lesser the water you drink, the darker is the colour of your pee. If your urine is pale yellow, you drink a sufficient amount of water. If it's dark yellow and concentrated, it's a sign for you to refill on water. Also, if you haven't urinated for more than two hours, you should immediately gulp 2 glasses of water.

2. You experience frequent headaches

Headaches are often caused by dehydration when the pressure from your blood vessels falls. Dehydration makes it tough for your heart to pump enough oxygen to the brain. Drinking sufficient amounts of water ensures the flow of oxygen in your body.

3. You feel dizzy and fatigued

Lack of water can often lead to laziness and restlessness. It may also cause a rapid change in your blood pressure. Low or high blood pressures are stimulants of fatigue. Water gives you instant energy that wakes up your whole system, thus making you feel revitalised.

4. You have constipated bowel movements

Water is one of the top natural remedies for constipation or troubled bowel movements. If your fluid intake is low, you're likely to have stomach, gastric and bowel problems. The digestive system depends on water to help food move through both the intestines. It checks the functions of the digestive tract, while also keeping it flexible and clean.

5. You experience brain fogs and blackouts

Your brain cells and nerves react severely to water loss. You may start feeling a lack of concentration along with temporary memory loss. Blackouts and fogs are common when you have a deficit of water. You might even experience difficulty in carrying out cognitive tasks.

If you're experiencing similar issues, you must enhance your daily water intake. You can try carrying a sipper around, which allows you to keep a tab on your water consumption. To relish water as a refreshing beverage, you can infuse freshly chopped fruits and herbs in a pitcher of chilled water. This flavoured water also cleanses your body of all toxins and chemicals, thus keeping you fresh.

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

5 Signs Your Body is Lacking in Water

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