An Anal fistula (also known as fistula-in-ano) is a small tunnel that can develop between anal canal and the skin near the anus often resulting from an untreated or inadequately treated perianal abscess. No medicinal treatment shows complete cure of anal fistula except few conditions like tubercular fistula. Early surgery, short & straight fistula tract and anal fistula treatment with ksharasutra give promising results with high rate of success.

Fast facts on Anal fistula:

Essentially surgical intervention required.
Recurrence is common.
Should be planned for surgery as early as possible, late cases are mostly complicated.
Anal fistula treatment with ksharasutra shows high rate of success.
What Causes Anal fistula?

Abscess in buttock and/or around the anus.
Long standing anal fissure.
Traumatic injury to the perianal region.
Tuberculosis.
Crohn s disease.
AIDS.
Not maintaining local hygiene.
What are the symptoms of Anal fistula?

Discharging wound at perianal region or buttock which is repeatedly swelling, discharging some amount of pus and/or blood and resolving. The swelling is often associated with pain and fever.
There may be single or multiple wounds.
Passing of flatus through the tunnel like wound.
Anal fistula is notoriously famous for its recurrence even after repeated surgery. An anal sphincter sparing or minimal invasive surgery should always be the choice of patient as well as surgeon. Two stage seton fistulotomy and multistage anal fistula treatment with ksharasutra have shown promising result with lowest rate of reported recurrence and complications like incontinence of stool.

Benefits of treatment with ksharasutra:

Very less incidence of recurrence.
Least chance of post operative stool incontinence.
Minimal invasive procedure.
Minimal blood lost.
Cutting of tract and its healing goes on simultaneously.
Can be performed in elderly patients.
Can be performed in diabetic patients.
Less hospital stay
Patient can continue normal life after a sitting of ksharasutra replacement.

Anal Fistula - Know The Symptoms & Ayurvedic Treatments For It!

The relationship between intelligence and brain size, both among people and between various species, has never been precisely well defined. People often believe that their outstanding psychological capacities must mean that they are superior to all animals as far as brain size is concerned. However, it is not true since whales and elephants have much bigger brains than humans and humans have the same brain-to-body mass proportion as mice do.

Here are a number of ways by which the brain size can be determined:

Encephalization remainder: Since it would be against human instinct to admit loss and defeat, researchers have created a measure to determine the brain size called the encephalization remainder. It is the proportion of actual brain mass with respect to the anticipated cerebrum mass for the animal s size (based on the suspicion that bigger animals require somewhat less brain matter with respect to their size, compared to little animals). By this metric, human beings prove to be the best, with an EQ of 7.5 outperforming the dolphin's 5.3 and the mouse's 0.5.
IQ testing: Without a solitary and evident method for measuring intelligence, some improved tests like IQ (Intelligence Quotient) are by and large acknowledged as a moderately decent working device. IQ estimations are not without issues, and there is a great deal of criticism about their significance. IQ testing uses government sanctioned tests, for example, the WAIS III (Wechsler Adult Intelligence Scale). The normal IQ is somewhere around 90 and 110. The scores beneath the normal may demonstrate changing degrees of pathology, for example, marginal intellectual function, or mental hindrance of different severity. Over the normal range is regularly connected with knowledge, splendour, talent, or genius. However, as with computers of a few eras, size and intellect do not precisely relate. Present day portable computers weighing around one or two kilogrammes can store more data and perform a greater number of assignments than supercomputers from the 1980s that used to possess expansive structures. This is a contrast amongst quantity and quality. Numerous scientists now hold the view that it is not the whole brain, which is bigger in a human with a higher IQ, yet rather certain zones that are denser and might be bigger. A fascinating late revelation is that these ranges can be expanded in size and enhanced in usefulness during the course of our life.
NeuroplasticityIt refers to the dynamic procedure of repair and maintenance that our brains are continually experiencing. We are conceived with around hundred billion neurones, yet lose around two hundred thousand a day to a procedure called pruning. As we develop and grow, pathways in the brain that are not required are detached, and the neurones pass on. However, in a compensatory procedure, new neurones are delivered and more detailed associations are built up between neurones that are more dynamic. This is the procedure of de-cluttering, in which our brains develop to work at most extreme effectiveness. If you wish to discuss about any specific problem, you can consult a Neurologist.

Brain Size - How It Is Related With Intelligence?

If you are living with bipolar disorder then you will need a combination of skills to successfully combat each day of your life. Educating yourself about the disorder is the first step, however, there are certain tips that can come in handy on numerous occasions. 

Here are 5 tips that will really help you out:

Educate yourself about the disorder: The first thing you need to do is educate yourself about the details of bipolar disorder. Find out about the symptoms, read about the causes and the diagnosis procedure and ultimately find out everything about the treatment. Your doctor will provide you all the information and suggest you all the required treatment procedures. However, don t try to self-diagnose and self-treat your disorder without an expert opinion.
Stay connected with your friends and loved ones: Isolation is not the best way to handle bipolar disorder. The more you isolate yourself the higher the risk of mood swings. This lack of connection will lead to depression and that should be avoided at all cost. So try to be as connected to the world as possible. Talk to your family members, hangout with your friends, spend time with people around you; and you will feel a lot better.
Track the symptoms: Keep a daily log of your moods, thoughts and behaviors. This is a fantastic way to track the symptoms of the disorder. This will be revealing in the end, as when you present them before the doctor, he/she will be able to easily diagnose your condition. Try to keep track of particular incidents that may trigger any stress and change in behavior and log the mood episodes that you may have experienced pertaining to those triggers.
Employ coping mechanisms: It is not always possible to call on your doctor or counselor, so try to develop your own coping mechanism with the help of your doctor or counselor. Your mood episodes are going to be spontaneous so the coping mechanisms should be kept in mind. It can be anything that induces calmness in you such as staying connected, happy thoughts, music and any other healthy habits that captures your interest and engages you in something else.
Create a crisis plan: Create a contact list that will include the people, serially, who should be contacted in case of an emergency or a crisis attack. If you feel like you are experiencing any symptoms then contact them for help. When you are out of control, you will not have much time, so it is also advised to keep emergency numbers on speed dial to get yourself hospitalized without any time loss. Add your loved ones to the emergency contact list.


Suffering from Bipolar Disorder - 5 Things That Can Really Help!

Fatigue is a common complaint amongst middle aged people. It is mostly seen in people who have refrained from physical activity or working out for long. This being said, there are a host of other diseases where fatigue acts as the most prominent symptom. Some major diseases where fatigue is involved are anemia, heart diseases, thyroid and diabetes. If you are feeling exhausted or worn out even after a good night s sleep, it is time to consult your doctor. Here are a few tips that can help you in managing fatigue in the early stage:
Review your existing medication: Get your doctor to check your medication to ensure that the fatigue is not a result of your existing medicine. Doctors often change the medication for any side effects such as this. It is also advised not to take additional medicine to counter fatigue.
Start moving: Studies show that physical activity greatly boosts the level of energy in an individual. Daily exercise not only reduces fatigue but makes the heart and lung function more efficiently. It increases vigor and the overall quality of life. According to a study conducted by the Johns Hopkins University School of Medicine, it was seen that people who are more active have more self-confidence.
Drink water: Dehydration often causes day time fatigue. It not only impairs the physical performance of an individual but also contribute to lack of alertness and motivation. A good indicator of the body s hydration is the color of the urine. Ideally it should be yellow, pale or straw colored. Any coloration other than this signifies that the body needs more water.
Hit the bed early: Lack of sleep is one of the biggest factors of fatigue. A study conducted by the Stanford University in 2004 showed that people with good sleeping habits suffers from less fatigue. An afternoon nap followed by a coffee further reduces fatigue and energizes a person. 8 hours of sleep is considered to be healthy and keeps fatigue at bay.
Frequent eating: It is observed that people who eat small meals several times a day are less prone to this condition than others who eat twice or thrice a day but eat bigger meals. Frequent eating maintains a steady blood sugar level and helps a person concentrate harder. This being said, it has to be ensured that food is consumed in smaller quantities to refrain from putting on weight.
Try Yoga: While any kind of exercise is helpful in countering fatigue, yoga is particularly helpful in boosting energy. A British study conducted among young adults showed that those who attended 6 weeks of yoga classes are found to be more energetic and mindful. Yoga should be practiced under strict supervision of an instructor to avoid any possible complications of the body.  


How to Manage and Treat Fatigue?

If you suffer from rheumatoid arthritis, you may be at a high risk of developing Carpal tunnel syndrome. This is a very painful condition in which the hands and wrists are affected. The Carpal tunnel refers to a structure which is formed by the bones present in the wrist and the surrounding connective tissues, through which the nerves and tendons controlling the thumb movement pass. Carpal tunnel syndrome occurs when the connective tissues get swollen because of inflammation and the nerves passing through the tunnel are crowded and squeezed.

Ways to get relief from Carpal tunnel syndrome:

Here are some common ways by which a patient with Rheumatoid arthritis can get relief from any discomfort caused due to Carpal tunnel syndrome:

Get your Rheumatoid arthritis treated. Carpal tunnel syndrome is commonly caused because of an underlying sickness such as rheumatoid arthritis. Medicines such as disease modifying anti-rheumatic drugs are used to manage the condition and for reducing inflammation which causes carpal tunnel syndrome.
Getting enough rest is also very important. You must avoid using that hand or wrist, which has been affected for some weeks. This will allow the inflamed tissue to heal. 
You may wear a wrist splinter. A splint is suggested for resting your wrist therefore, it is kept in a neutral position. It can be worn during the day or when you are sleeping.
You can take prescribed non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief. These also help in reducing the swelling of tissues within the carpal tunnel.
A Cortisone shot may also be effective for easing the carpal tunnel syndrome. These steroid injections are given directly into the carpal tunnel. You will be able to get temporary relief from pain.
A set of Carpal tunnel exercises have been developed by doctors. These are designed for stretching the wrists and for keeping them limber. You must perform these exercises on a regular basis for best results. Yoga is also effective for easing carpal tunnel syndrome. Performing regular yoga will help you to improve your wrist pain. The upper joints of the body are strengthened. 
Take breaks at work on a regular basis. By changing your position and taking short breaks, your Carpal tunnel symptoms are bound to improve. This is more essential for people who do a job where great stress is placed on the wrists. If you are into typing, you need to take breaks and stretch your wrists.
There are several alternative therapies for easing carpal tunnel syndrome, which  are being studied and researched on. They include the likes of acupuncture, chiropractic care, magnets, botox treatments and vitamin B6 supplements. 

Carpal Tunnel Syndrome - 7 Ways to Ease the Pain

Diabetes which was earlier called a lazy person's disease does not live up to the name anymore. Owing to the sedentary lifestyle and bad eating habits, diabetes has become an epidemic in the recent years.
As as we all know, diabetes is a condition characterized by an increased concentration of blood glucose level. If not managed and treated on time, the condition can prove to be life threatening. Diabetes is known to trigger a host of health complications and disorders including cancer. In fact, research has established that there is a link between diabetes and pancreatic cancer. The report suggests that people with chronic diabetes for more than 5 years stand at an increased risk of suffering from pancreatic cancer. In some patients, diabetes may be one of the symptoms associated with pancreatic cancer. Whether diabetes triggered pancreatic cancer or was it the precancerous cells that caused the diabetes is difficult to explain.

The pancreas is an important organ involved in the production and secretion of many important hormones including the insulin (by the Beta cells of the pancreas). A diseased condition, such as pancreatic cancer may bring about changes, affecting the proper functioning of the pancreas. This, in turn, may interfere with the production of insulin. Decreased production of insulin or insulin resistance may result in elevated concentrations of glucose in the blood, a condition that will eventually give rise to Diabetes.

According to another published article (NCBI), in many patients with pancreatic cancer, diabetes was detected almost simultaneously along with cancer or 2 years prior to the diagnosis of cancer. These findings indicate the fact that both diabetes and pancreatic cancer not only occurred concomitantly but were also correlated.

Another experiment suggested that in people with Type-2 diabetes, the pancreas was for long subjected to a condition termed as hyperinsulinemia (increased level of insulin in the blood as compared to the blood glucose level). The experiment shows that insulin does have a role to play in establishing a relationship between diabetes and pancreatic cancer.

Managing Diabetes and Pancreatic Cancer
The conditions of diabetes and pancreatic cancer should be managed well to avoid further complications.

The diet plays a significant role in the proper management. The diet should be well balanced with all the essential nutrients. Include more fruits and vegetables in the diet. Berries such as raspberries, blackberries can go a long way to regularize the blood glucose level. Opt for whole grain cereals and food items. Avoid foods rich in fats and carbohydrates.
A healthy body weight can work wonders, both in the case of diabetes and pancreatic cancer. If you are a couch potato, give up the habit at the earliest. Indulge in more physical activities (not necessarily rigorous or strenuous) such as exercise, jogging, morning walk. In addition to keeping your weight in check, these physical activities are excellent stress busters.
The unhealthy lifestyle habits such as drinking, smoking, substance abuse can harm your body beyond imagination. Give up these unhealthy habits as early as you can.
There may be a strong connection between pancreatic cancer and diabetes. However, to avoid one affecting the other, one should take care of themselves and manage the conditions well.

Pancreatic Cancer - Are Diabetic Patients At A Higher Risk?

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