If you are the on the wrong side of your fifties, then you will know the importance of regular checkups to the orthopedist. Aging related physical changes such as greying hair and wrinkles are a few things that you can cope with easily, however, when it comes to the health of your bones and muscles, you need to be very careful. You need to be particular about being active, as it can help reverse or reduce the risks of most of the bone disorders that you may suffer from. Ageing affects both the muscles and bones, but not always in the same manner. So, it is important that you understand how each is affected by ageing.

Changes in your muscles due to aging
As you age, your muscles tend to lose strength and size. This can make you prone to fatigue, weakness and a decrease in your tolerance levels to exercise. The various factors that play a role in this are:

Modifications in your nervous system can impair the ability of the muscle to contract.
The muscle fibers in the body reduce both in size and number.
The replacement rate of the muscle tissue in the body falls.
Changes in your bones due to aging
Ageing impacts the structure of the bone and leads to a loss of the bone tissue. Aging causes low bone mass, thus rendering them weak. This means a simple fall can have a serious effect on your bones.
The various causes that can bring about these changes are:

Loss of vital minerals such as calcium
Being physically inactive
Undergoing hormonal changes in the body such as menopause, wherein the body loses minerals from the bone tissues. In case of men, progressive decline of sex hormones can lead to changes in the bone structure.
Common conditions that affect your musculoskeletal system in your old age:

Osteoporosis: This disorder results from a loss of bone density resulting in fragile bones. This makes the bones highly susceptible to fractures and breakage.
Rheumatoid arthritis: An autoimmune disorder that usually develops after the age of 40; here, the immune system of the body attacks the body tissues, thus leading to inflammation in your joints.
Osteoarthritis: It is a disorder of the joints which is caused by deterioration of the cartilage that cushions the joints.

Old Age - How It Impacts Your Muscles & Bones?

Anemia is a condition where the red blood cell count is reduced due to deficiencies within the system. This is usually caused by a lack of iron, folate and other related nutrients in the diet. Anemia is a major public health concern in India as over 50 percent of women are known to be anemic. This pushes up the mortality rate of young mothers and even children.

Some symptoms of Iron deficiency anemia
Anemia has a wide range of symptoms which varies from person to person. However there are some generic symptoms which can be noticed in most people. Some of these are
1. Pale appearance of skin - Many people exhibit this symptom where their skin appears to be pale as there is a reduced amount of oxy - hemoglobin in the skin.
2. Physical weakness, light headedness and fatigue - This is a general symptom, which many tend to suffer from and complain about. Fatigue and weakness may come in very quickly even with the slightest effort.
3. Hair loss - Many women may complain about hair loss due to Iron deficiency  anemia.

Some other symptoms are -
a. Breathlessness
b. Constipation
c. Missed or irregular periods
d. Numbness or burning sensations
e. Depression
f. Tinnitus among others

Causes of Iron deficiency anemia
The primary cause of Iron deficiency anemia is the lack of iron in the diet which causes the hemoglobin in the blood to be reduced. Some of the patients may still have Iron deficiencyanemia as they have developed gastrointestinal disorders which prevents the absorption of nutrients like iron within the body.

How to treat Iron deficiency anemia
Diet related anemia can be easily cured or controlled with changing diets. Inclusion of certain foods within the diet can easily reverse the Iron deficiencies. Some of the food items that help with deficiencies are:
1. Fortified cereals
2. Green dark leafy vegetables
3. Poultry items
4. Eggs
5. Meat
You may also require certain iron supplements if you have certain underlying conditions which is causing issues with iron absorption.

How to prevent Iron deficiency anemia
It is important, especially for women to go for regular checkups to your doctor and also a hemoglobin check up. Your doctor or dietician can tell you to include certain foods in your diet that include folate, iron and vitamin B 12 so that the level of hemoglobin in your blood can be maintained at healthy levels.

All About Iron Deficiency - Anemia

Acute viral fever is a type of fever that includes various viral infections, primarily characterized by an increase in the body temperature. This disorder is very common among children and the elderly as they tend to have a weak immune system. Some common characteristics of this condition are skin rashes, body ache and headache.

Causes
The virus that causes this disorder is transmitted from one person to the other. The usual modes of transmission include direct contact, sneezing, coughing and even talking; anything that makes you exposed to physical contact with the body fluids of the infected person. Once the virus enters your body, it can take around 20-48 hours to get activated.

Symptoms
The symptoms of this disorder include a rise in body temperature, vomiting, weakness, loss of taste, swelling of the face. You may feel very lethargic, weak and nauseated. Apart from these symptoms, it may also cause pain in the joints and the stomach. In severe cases, this disease can lead to complications such as arthritis, pneumonia and diarrhea.

Treatment
Antibiotics, analgesics and antipyretics are prescribed when you have viral fever. Apart from the medications, you need to increase fluid intake and take complete bed rest. The body needs to heal; hence being extremely active will be counterproductive to the healing process. Heavy antiviral treatments are prescribed only in severe cases. Apart from medications, there are certain dietary changes that you may have to make to boost the healing process. Avoid spicy and fat laden foods as the digestive system is weak and consumption of such foods may lead to stomach disorders such as diarrhea and acidity. Try keeping your diet restricted to warm soups and fruit juices. Another factor you should be aware of is dehydration, as the body tends to lose fluids during this period. Drink a lot of water and fruit juices to keep your fluid intake at optimal levels.

You can also follow some preventive measure to avoid this disorder:
1. Wash your hands with antibiotic soaps
2. Stay away from crowded places
3. Avoid touching your face with unwashed hands

Acute Viral Fever - Know its Causes and Symptoms

Male menopause also called  andropause  is characterized by changes in the male hormone  testosterone  due to age. Other names that are used to describe similar symptoms are  androgen deficiency ,  testosterone deficiency  and  late-onset of hypogonadism .

What Is Male Menopause?

Because men do not go through a well-defined period referred to as menopause, some doctors refer to this problem as androgen (testosterone) decline in the aging male -- or what some people call low testosterone. Men do experience a decline in the production of the male hormone testosterone with aging, but this also occurs with conditions such as diabetes. Testosterone is a hormone which is produced in the testes and it plays an important role in a man s body; from regulating sex drive, increasing energy levels in the body, maintaining muscle mass to bringing about changes during puberty. Male menopause differs from female menopause in a few aspects and not all men are affected by it. However, this condition doesn t cause impotence.

Symptoms:

Along with the decline in testosterone, some men experience symptoms that include:

Fatigue
Weakness
Depression
Sexual problems
Symptoms: 

The symptoms of male menopause are low energy levels, fatigue, depression and an inability to focus on anything. You will lose muscle tone coupled with an increase in body fat; the muscles in the body also tend to become weak. Some other symptoms are decreased bone density and breast development. 

Causes:

There are no specific causes as such, but aging is known to play a major role in male menopause. Certain lifestyle factors such as depression, stress and anxiety can cause some symptoms of male menopause to show up such as erectile dysfunction. Not eating a balanced diet and not following a proper exercise regimen and drinking or smoking excessively can trigger symptoms of male menopause.

Treatment:

Once the diagnosis is done, the doctor will chart out a treatment course. The common treatment for male menopause is to make certain changes in your lifestyle   eating a well-balanced diet, getting optimal sleep and exercising regularly. Making these types of changes has been proven to dramatically improve the health of men affected by male menopause.

Another option is hormone replacement therapy, wherein synthetic or artificial testosterone is administered to the body. It is similar to performance e   nhancers in terms of its side effects. So it is advised to consult your doctor and take a well-founded decision on whether to go ahead with the hormone replacement therapy.

Ayurvedic Management of Male Menopause:

Manage your emotions through yoga and meditation.
Attend couple s counselling and talk your doctor about your issues. Educate yourself and your family about the condition.
Avoid smoking and alcohol consumption.
Maintain your weight by doing regular exercise and diet.
Do regular body oil massage with Ksheerabala taila, Sesame oil or Mahanarayana taila.
You can undergo Ayurvedic treatments like Shirodhara, Rasayana and Vajikarana chikitsa to rejuvenate your body and enhance your sexual health.
Ayurvedic medicines like Ashwagandha, Kapikachhu, Shilajit, Gokshura, Musli, Amalaki, Punarnava, Chandraprabha vati, etc. are very beneficial.

Know Everything About Male Menopause

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

Pain- Constant pain which gets worse when sitting down
Irritation around the anus, like swelling, redness and tenderness
Discharge of blood or pus
Constipation or pain while evacuation
Fever
Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.
Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

Fistula-in-Ano or Anal Fistula - How It Can Be Treated?

Some traditions are unique in this country. On the top of the bill lies the ritual of sitting together with family during holidays and sharing a grand and unending meal. Although, this is really fun but the after effects of these get together are not very pretty; with the spread of hearty dishes, it becomes very hard to control the appetite and you end up overeating. Having a party with friends or watching football or cricket match that is directed towards relieving the situation, but in reality, it makes the situation worse. If this is the only viable means of following your tradition, then it is time to consider what you are doing to your body.

Gastric distresses is just the beginning
Overeating during the holidays can lead to unhealthy weight gain, and in case you are already overweight, then it may lead to obesity. Now this in turn would play its role in making you prone to heart diseases, blood pressure, diabetes and several other severe diseases. A single instance of eating more than you should may lead to short-term consequences that are not simply confined to bloating or excess gas. Expert gastroenterologists opine that seasonal overeating can have a ripple effect throughout the body which can also affect the nervous system.

Overeating is very harmful
After you have eaten more than your stomach can hold, the post-meal malaise you go through is not actually the outcome of the tryptophan in the chicken; it has resulted from the increase in blood flow through the digestive tract, and it's your body's way of protesting that you must stop now. Every disease has a cause that is often rooted in one's habits. One of the most prominent results of overeating is the deterioration of the digestive system. With a poor digestive system, you may feel nauseous, uneasy and a subtle weakness in the limbs and legs.

Limiting the function of major organs
If you eat more than your body can take up even occasionally, it will bring about an overload in the entire physical system casting a stress on the intestines, stomach, heart and other major organs. Your body has limited energy and blood and when you overeat, all the organs demand more energy for functioning optimally. Thus just half of the required resources reach your limbs and brain.

There are various ways of enjoying with your close ones and overeating though may appear to be a fun thing to do, it has the power to impair your system. But if you have already indulged in the same, it's probably time to visit your gastroenterologist to help the digestive system to soothe down.

Three Dangers of Overeating During the Holidays

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