Pulmonary tuberculosis was a fatal disease in the past in India. On an average, 95% of the deaths occur in third world countries, especially the developing ones, due to tuberculosis. In India, the deaths account to 50% out of the 95%. Such is the scenario that everyone is apprehensive if they have a prolonged cough and cold. As sputum with blood is a clear sign that the person is suffering from tuberculosis, steps must be taken promptly and at a swift pace to streamline things for quick care. 

Tuberculosis is an air-borne disease and it can easily travel through the air when the affected person is in contact. In tuberculosis, specific bacteria called mycobacterium tuberculosis affects the lungs. On an average, 10% of such infections progress into acute disease and kill the affected individuals.

The symptoms of tuberculosis are seen more in patients suffering from AIDS as their immunity is often compromised. Early detection can be made possible through a chest X-Ray, microscopic examination, and the nature of the fluids. In case you are suffering from a prolonged cough and cold, you must go for tuberculin skin test or blood test to find out more about the problem.

Why is it important to eat a proper diet during pulmonary tuberculosis?
Malnutrition and pulmonary tuberculosis are interrelated. If you are eating right and inducting all healthy means in your daily lifestyle, it will build your immunity and help fight against grave diseases. When you have pulmonary tuberculosis, the desire or craving for the food will disappear and eventually, your body will wither off. You will lose mass by losing muscles.

So, eating healthily can only help you stay strong to defeat pulmonary tuberculosis. Those who are suffering from tuberculosis face challenges with nutrients in their body. They are deprived of essential micro-nutrients and they have severe deficiencies of zinc, Vitamin A, D, C & E, selenium, iron and copper.

A protein- and vitamin-rich diet can boost the immunity of the body and prevent deadly diseases from wreaking havoc in the body. So, if you are wondering about food, here are a few items that you can eat and few that you can avoid when you have pulmonary tuberculosis.

Food to eat

Kale and spinach are instant sources of high iron and Vitamin B, which will help you power-up your immune system.
Whole grains like wheat, bread and cereals are a must-have during this time-tested period.
Carrots, peppers, tomatoes, blueberries, and cherries are rich anti-oxidants and they can boost your immune system by flushing out the oxidants from the body, which are tantamount to poison.
Vegetable oil (not butter) could be a  green go  during pulmonary tuberculosis.
Food to avoid

Greasy food like beef, chicken, and mutton must be avoided. They can increase the cholesterol level in the body and compromise on the power of immunity.
Avoid margarine and butter. One should not eat cake, pastries, and other food with hydrogenated oil.
Keep an eye on your regular diet, work to build a strong immunity, and always stay healthy. 

How A Right Diet Helps Recover From Pulmonary Tuberculosis?

Bones and muscles, together known as the musculoskeletal system, are responsible for all bodily movements. The bones and muscles move in unison, as they are connected by what are known as tendons, which are thin fibrous tissue. These tendons are prone to damage and inflammation known as tendinitis (this can cause inflammation in any organ). It can occur in any bone/joint but most common in areas which are prone for repetitive use including the wrists, arms, elbows, shoulder, knees, and ankles. 

Read on to understand how it happens and how it can be managed.

Causes: Depending on the onset, tendinitis can be acute or chronic. Though it can occur in any individual, the risk increases with age, as bones lose their elasticity and can tear.

Acute is caused by a sudden injury like a fall or accident or infections
Chronic is caused by repetitive movements, poor posture, poor stretching, overuse, etc. Some common movements include carpentry, painting, golfing, tennis, gardening, lawn mowing, badminton, etc.
Symptoms: As with any inflammation, the symptoms of tendinitis would include swelling, pain, redness, and warmth. There is also a reduced range of motion of the affected joint, producing what is known as adhesive capsulitis.

Prevention: Tendinitis is preventable to some extent by avoiding repetitive work and overuse of the joint. Those who are used to a lazy week and an active weekend should definitely watch out. Sudden, excessive stress can cause tendinitis. The tendons should be subjected to limited stress and activity. With any kind of activity, if there is even a slight hint of pain or any issue, get it checked with the doctor. Continuing to do the same activity will only make it worse. Symptoms to watch for include fever, swollen and painful joints, and limited movement of the affected joint.

Management: If identified and arrested in the early stages, tendinitis can be managed conservatively. Progressive measures of treatment would include the following.

As soon as there is discomfort identified, rest the joint and stop any activity, which you think could have caused the problem. Usually, this should help the condition to subside on its own. Ice and heat therapy can also help.
If it is the ankle or the knee, keep it elevated.
Pain killers may be taken if the pain cannot be tolerated or is affecting daily routine.
After the initial week, mild exercises to strengthen the tendon can be started.
Steroid injections may be required in cases where the joint pain and swelling is significant.
As a last resort, if the above measures do not work, surgery may be recommended. This will again be followed by rest, medications, and physical therapy.

Tendinitis - Ways It Can Be Managed!

Hives is a very common condition and about 20% of the world has got it at some point in their lives. There are many causes to it ranging from blood transfusions to certain allergic reactions to food. It starts off as an itchy patch of skin but slowly swells and turns into red welts. There are certain factors which makes the itching worse including stress, alcohol and scratching the area of skin which was itchy in the first place. 

Causes
Here are all the causes and symptoms of hives:
1. Food
Allergic reactions to foods such as nuts, eggs and shellfish are a common cause of hives.

2. Medications
Certain medications also have a side effect of causing hives. Penicillin and sulfa are two of the antibiotics, which can cause hives. Ibuprofen and Aspirin are also two other medications, which are commonly known to cause hives.

3. Infections
Both bacterial and viral infections can lead to hives. Strep throat, urinary tract infections, common cold and hepatitis are some of many bacterial and viral infections, which may cause hives.

4. Stimuli
Certain factors such as temperature, pressure, sun exposure and other physical stimuli may cause hives as well.

5. Plants and animals
Dander in animals are the flakes of skin in their fur. Moreover, coming into contact with certain poisonous plants may cause hives.

6. Insects
When insects sting or bite you, you may get hives.

7. Latex
Latex is a type of rubber used in many types of clothing. It has been said that wearing clothing made out of latex can cause hives.

8. Pollen
Pollen is a light powdery substance produced by plants such as oak trees. It travels through the air and may cause hives if it comes into contact with your skin.

Symptoms
1. Bumps
Itchy red bumps appear on the skin when you have hives. Sometimes, the bumps can be skin-colored as well.
2. Blanching
When the bumps turn white after you press them, it is known as blanching. Blanching is the only clear symptom of hives.

Hives: Causes and Symptoms

Syphilis is one of the most common STD and can affect both men and women. This bacterial infection can be easily treated, but if left unattended it can cause serious problems. Syphilis can be caught by mere skin to skin contact with an infected person s genitals or mouth. Hence even if you do not have intercourse with an infected person, you can still get infected from them. If a woman who is pregnant gets infected with this disease, she could pass it on to her unborn child as well.

A person suffering from syphilis may not always exhibit symptoms of the disease. This disease goes through active as well as dormant phases with symptoms being present only in the former. Even its dormant phase, this disease can be transmitted from one person to another.

There are four stages of syphilis and each of them have their own symptoms.

Primary stage: In its first stage, syphilis is marked by the presence of open sores called chancres. This can occur in the mouth, genitals are or around the anus. It can also be seen in other parts of the body where bacteria may have entered the body. These chancres are painless and may be accompanied by a swelling of the lymph nodes around it. This is the most contagious stage of the disease. Without treatment, these sores will resolve themselves in 3-6 weeks but the syphilis bacteria itself will remain in the body.
Secondary stage: Anywhere between 2 weeks to 12 weeks after coming in contact with the bacteria, this infection may move into its second phase or secondary stage. At this point, you will notice a rash on your skin. This rash can be seen as a collection of small, flat or raised skin sores along with small, open sores on mucous membranes. These sores may contain pus. Dark-skinned people may notice that these sores are lighter than the surrounding skin. Along with this, the patient may also have fever, a sore throat, headaches, weakness, irritability and suffer from weight loss.
Latent stage: Once the rash clears, this disease moves into its dormant or latent phase. This is also known as the hidden stage and can last anywhere from 1 to 20 years. It is very difficult to diagnose syphilis in this stage as there are no visible symptoms.
Late (tertiary) stage: If the disease is not diagnosed and treated by the time it reaches this stage, it can cause a number of serious health problems. This includes blindness, cardiovascular problems, mental disorders and even death.

Syphilis - Decoding the Stages and Their Symptoms

You might have a wonderful morning routine to keep you healthy. However, do you know what really determines health is also your bed time routine? Each night you end one day and stand at the brink of starting a new one. It is therefore crucial how you organize your bed time.

Here are 7 things to adopt for your bed time- 

1) Plan for next day: Preparing in advance always gives you more time and leaves you stress free. Things like looking for keys, deciding what to wear etc make you late and add to your morning stress. Prepare also for breakfast or what to cook the next day. Planning at night doesnt take much time and makes your next day start on a good note.

2) Shut out the buzz: Most of us say goodnight to family and head to bed only to spend the next hour checking Facebook and social media. Or you end up watching a funny video or movie late into the night. If you keep yourself distracted, you can't go off to sleep early or get quality sleep. The light from your gadget's screen can be harmful and stress inducing. It is best to give yourself an hour away from your mobile phone or other gadgets before you sleep.

3) Write a 'Thank-You' Diary: There are many ways to become a more positive person and the best is to have appreciation. Try finding out that 1 thing (more is better) that you are thankful for. Do it everyday. This practice right ahead of your sleep time calms you down, makes you feel happy, satisfied and goes on a long way in contributing to a heathy lifestyle.

4) Stretch it out: Like most people do you also have a job where you keep sitting for long hours? Stretching really works, it helps lengthen tendons and muscles and can reduce the frequency and severity of cramps ensuring you get a better night's sleep.

5) Try meditating: Our work life has become ever so demanding, we are constantly bombarded with information via the television, social media, the internet, friends and work which results in stress and anxiety! Few minutes of meditation before bed, slows down your brain activity which results in a deeper and more peaceful sleep. You will wake up feeling well-rested, energized and ready to take on the day!

6) Book by your side: Reading before bed is has amazing benefits. Firstly, it calms the nerves by eliminating excess sound and vision stimulus (exactly the opposite of what you get from watching television!). It helps you to wind down and sleep better, it also improves brain function, your memory and the thinking process overall.

7) Sleep is crucial: Foremost is to simply make sleep a priority. It is not as simple as it sounds. Sleep deficiency directly relates to increased stress, weight gain and productivity loss. Going to bed late and managing with 5 or 6 hours sleep sets a bad tone for your day.

Your happiness and general wellbeing is controlled by how relaxing you make your bed time.

Click on Consult Privately to ask me a private question on this topic or a related one.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones.

Dr. Sapna Zarwal Tells You How To Improve Your Bed-time Routine

Why osteoporosis and osteopenia are fast turning into diseases of the young

Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? what is frightening is many of these fractures are now taking place among the youth due to deficit diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.

What is the difference between osteoporosis and osteopenia?

A BMD (bone mineral density) t-score between -1 sd and -2.5 sd indicates osteopenia with a high chance of osteoporosis. On the other hand, a t-score of -2.5 sd and below stands for osteoporosis. A higher bone density (above -1sd) is usually indicative of stronger bones. Fragility index is more accurate way to assess the risk of fractures.

In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.

Prevention is better than cure, always!

To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body?s ability to absorb calcium slows down and there?s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.

When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of the weakening of the bone.

At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young. Recent studies have identified vitamin d deficiency as a major factor for poor bone health and bone mass density in the young.

How to keep your bones strong and healthy? and manage osteo - penia/porosis complications:

Bone loss can be prevented by adopting these very simple but effective ways:

- exercising can help in building strong bones and muscles, while preventing bone loss.

- maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.

- staying out in the sun for 20 minutes to produce requisite amount of vitamin d for calcium absorption and using supplements of vitamin d.

- there are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, parathyroid, teriparatide preparation etc.

- in osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility. We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.


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


Are Osteoporosis and Osteopenia fast turning into diseases of the young?

Don't wait any longer, manage your Palliative Care online with a Lybrate doctor today

Consult for Palliative Care - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES