Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disorders. This is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

There is no underlying cause that has been identified, though there is a genetic predisposition.
People with history of head trauma are more affected
People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
People with sleep apnea often are hypersomnolence
Restless legs syndrome, narcolepsy
Neurodegenerative disorders like Parkinson s and Alzheimer s tend to sleep more.
Symptoms:

Sleeping for longer hours at night time
Excessively sleepy during daytime
Able to doze off anytime during the day
Inappropriate and involuntary sleeping pattern
Having difficulty getting out of bed after waking up, even after prolonged sleep
Feeling of disorientation
Feeling agitated, anxious, lethargic, and irritated
Impaired cognition and memory
All these lead to extreme state of drowsiness
Increased tendency for hallucinations
Reduced appetite and even weight loss in some people
There is restlessness, reduced pace of thinking and speaking
Overall reduced energy levels
Social interactions are affected including work life, social functions, etc.
Diagnostic criteria:

If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
The added feature of no tiring physical activity can also lead to suspicion
In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
It cannot be explained by lack of sleep on a regular basis
One or more of the above conditions could be present, which can help in making the diagnosis
Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day.


Hypersomnolence - How It Can Be Managed?

A liver transplant surgery involves surgically substituting a problematic liver with a healthy liver from a different person. Usually, the healthy liver is taken from a person who has recently passed away. In some cases, a living person may also give away part of the liver. Usually, living donors are members of the family or someone who has a good blood type match. The liver regenerates lost tissues after a surgery; hence, the donor s liver becomes normal within a few weeks of surgery.

You may require a liver transplant if your liver does not function optimally, owing to the below mentioned conditions:

    Cirrhosis: This is a chronic disease of the liver wherein, scar tissues replace healthy tissues in the liver, thus, not allowing the liver to function optimally.
    Metabolic disease: Disorders that modify the activity of the chemicals in the body
    Acute hepatic necrosis: This is a disorder that causes the healthy tissues in the liver to die
    Autoimmune disorders or liver cancer: Autoimmune disorders can cause healthy tissues in the liver to die as the immune system in the body starts attacking healthy tissues. Formation of malignant tumors in the liver can impair liver functioning.

Procedure
You have to undergo certain procedures before the surgery is conducted; a general health exam, imaging tests, blood tests and a psychological exam are conducted before the surgery. Based on the functioning of the liver and some other factors, your suitability for the transplant will be determined.
The procedure begins with general anesthesia, following which an incision is made in the abdomen. The liver is then removed and replaced with a healthy one. Once the procedure is completed, the surgeon closes the incision with stitches.

Aftercare
Once the procedure is done with, you are kept in the intensive care unit for a few days. The doctor will monitor your progress and put you on medications. After the recovery, you will have to undergo check-ups at regular intervals. You may also have to take medications such as immunosuppressant to prevent your immune system from attacking the liver.

Liver Transplant Surgery - How Best To Care for it Post Surgery?

If you have been diagnosed with asthma, it is important for you to know about the most common triggers of asthma. Asthma is a medical condition, which is characterised by paroxysmal wheezing respiration dyspnoea. It causes breathing difficulties, tightened chest and coughing. By identifying and reducing your exposure to several asthma triggers, you will be able to manage or control your asthma symptoms and the frequency of your asthma attacks. Here are the most common triggers of asthma you should know about:

Allergies that trigger asthma
Allergies, are common problems and over 80% of people are suffering from asthma and are allergic towards substances like weed pollens, animal dander, dust mites, mould and cockroach particles. Children having large amounts of cockroach droppings in their homes are more likely to develop childhood asthma. Dust exposure may lead to dust mite allergy in asthmatic patients.

Food which triggers asthma
Certain food allergies may lead to isolated asthma, where other symptoms are absent. Patients with food allergies can exhibit asthma as a part of anaphylaxis, which are food induced. The common food items which are associated with allergies include eggs, peanuts, cow milk, soy, fish, wheat, shrimps, salads and fresh fruits. Several food preservatives also trigger asthma. They may include sulfite additives such as potassium bisulfite, potassium metabisulfite, sodium sulfite, sodium bisulfate and many others. These are commonly used in food processing and trigger asthma in sensitive people.

Asthma induced by exercise
Strenuous exercise may lead to the narrowing of the airways in maximum people having asthma. Exercise acts as a primary trigger for asthma symptoms in many people. Patients having exercise induced asthma are likely to feel chest tightness accompanied by coughing and breathing difficulties after completing an aerobic workout session. Although the symptoms subside, they may reoccur within some hours. You should warm up properly and slowly before a rigorous workout session to prevent an asthma attack.

Smoking
People who smoke are more likely to have asthma. If you have asthma and still smoke, the symptoms of wheezing and coughing worsen. Pregnant women who smoke increase the chance of wheezing in their to-be-born babies. You should absolutely quit smoking if you have asthma.

Infections which trigger asthma
Several infections such as cold, bronchitis, flu and sinus may cause asthma attacks. The respiratory infections, which are viral or bacterial, are a common cause and trigger asthma, especially in children. Asthma is also associated with severe heartburn. According to studies, more than 85% people with asthma also suffer from heartburn. This is a condition known as gastroesophageal reflux disease or GERD.

Asthma - Common Triggers Behind it?

It is said that if all the veins of the human body were laid out in a single line, it would stretch over 60000 miles. We don t usually think of our veins or notice them unless an intravenous injection is to be administered or the person suffers from varicose veins. These veins are usually benign and can be described as enlarged veins that rise to the surface, and become prominently visible. The varicose veins can usually be seen on the feet and calves. For most people, it is simply a cosmetic problem but for others it can be the cause of pain and discomfort. The good news is that in either case, varicose veins can be treated.

EVLT refers to Endovenous Laser Therapy, which is also known as EVLA or Endovenous Laser Ablation. This is a type of laser therapy that can be used to destroy veins from within. The procedure is performed while the patient is under local anesthesia and hospitalization is not required. Know the steps in which it is carried out:

The first stage involves mapping the veins and identifying the problem veins. A Duplex Ultrasound is usually used to create this map. It is important to note that this procedure cannot treat bulging veins on the surface of the skin. The veins that can be treated include the Great Saphenous Vein (GSV), Small Saphenous Vein (SSV) and their major tributaries.
Once the veins have been identified a needle is inserted into the vein near the ankle or knee with the help of ultrasound controls. A wire is then passed into the vein and a long sheath is then passed to the top, and positioned with the help of the ultrasound.
Ultrasound is again used to then inject local anesthetic into the area around the vein. This numbs the vein and surrounding tissue. The adrenaline in it also makes the vein contract, so as to fit the sheath perfectly. This technique is called  Tumescent anesthesia .
This is followed by passing a laser fiber inside the sheath and switching the laser on. The laser and sheath are then pulled back simultaneously so as to destroy the vein without damaging any of the surrounding tissues.
Once done, you should be able to get back to work and your normal lifestyle, the day after the surgery. But it is advisable to take good rest for few days, before you get back to your regular routine. Your doctor may advise you to wear compression stockings for up to 2 weeks. You should also avoid letting your legs come in contact with water. To avoid getting varicose veins in future, exercise regularly and have a balanced diet to control your weight.

EVLT Endovenous Laser Treatment For Varicose Veins!

As we go about life and routine activities, we may be exposed to a lot of different types of environments. We may have to travel in heavy traffic and may be exposed to vehicular pollution, there may be times when we are at places that allow smoking and that may expose us to smoke from cigarettes. Our nature of work today requires us to be constantly in a situation where we take in industrial fumes and exhausts. Being in any of these conditions temporarily may not be a big matter of worry, but when the incidents get more frequent they may lead to troubles in breathing and diseases such as bronchitis or acute bronchitis.

Acute bronchitis is a condition in which the bronchial tube that carries air to and from the lungs gets inflamed due to different reasons. The biggest hazard related to the inflammation of the bronchial tube is that the patient may suffer from constant coughing and irritation of the throat putting pressure on the lungs. In advanced cases, a bronchial infection may also leave the nodes of the lungs inflamed, making it more difficult for the patients to breathe.

Causes of Acute Bronchitis:

The most common causes of bronchitis include the infection of the bronchial tube with bacteria or virus, which lead to the inflammation of the tube and subsequent bouts of coughing.
A habit of smoking cigarettes or being exposed to cigarette smoke as a passive smoker may lead to the infection of the bronchial tube.
Vehicular smoke and fumes also lead to the inflammation and infection of the tube that plays an imminent role in supplying oxygen to the lungs.
Finally, when one works in a position where he/she is exposed to chemicals or harmful exhausts on a constant basis may also have to suffer from acute bronchitis.
What is the treatment for acute bronchitis?

Bed rest and supportive care such as reducing coughing are the main treatments for acute bronchitis. In most individuals, antibiotics are not needed, especially those who have as cause viral or environmental factors. For some patients who have wheezing with their cough, beta2 agonists may be helpful (bronchodilators). Perhaps the most useful treatments are directed at reducing coughing symptoms with over the counter preparations containing guaifenesin and mucolytics. NSAIDs are often added to reduce inflammation and help relieve discomfort. However, the American Academy of Pediatrics does not recommend giving OTC cough and cold medications to children under two years of age; these medicines may cause harmful side-effects that can be life-threatening to young children.

What natural or home remedies treat and cure acute bronchitis?

Stay well hydrated by drinking fluids
Breath humidified air
Avoid dairy products because they thicken mucous secretions
Avoid alcohol and caffeine because of potential drug interactions
Avoid exposure to environmental smoke and other air pollutants

Know The Causes and Treatment Of Acute Bronchitis

What is Type-1 Diabetes?

Type-1 Diabetes, also known as Diabetes Mellitus type-1, is a condition which is characterised by the lack of sufficient amount of insulin in the body. This is a chronic condition and cannot be cured. The insufficient amount of insulin in the blood results in the spike in blood sugar levels, which in turn, can damage various organs in the body. However, with proper therapy and treatment, it can be controlled and the quality of life can be improved for the patient.

The tell-tale signs and symptoms of this type of diabetes are the frequent urges to urinate, increase in appetite, increased thirst, and rapid loss of weight. It is most commonly diagnosed in children or young adults and thus, it was previously known as juvenile diabetes.

Glucose and other types of sugars are essential for the body cells to absorb energy. The glucose that is present in the blood is taken up with the help of insulin and utilised for energy. The lack of this hormone renders the glucose useless as it is not being able to enter the body cells. This is precisely type-1 diabetes.

What Causes It?

The cause of type-1 diabetes is not known entirely. Although, there are certain theories that explain the cause  

Genetics: The chances of getting type-1 diabetes are increased in children if either of their parents suffers through from this disease. More than 50 genes are involved in diabetes type-1.

Environmental factors: Environmental factors are also thought to play a role in type-1 diabetes.

Viral infection: A theory suggests that viral infections are responsible for type-1 diabetes. According to this theory, the virus activates the auto-immune system of the body which in turn attacks the pancreatic beta cells along with the cells that are infected by the virus. Viruses like Epstein-Barr virus, Mumps virus, rubella virus etc. are considered to be responsible for the same.

How Is It Treated?

Many people with type-1 diabetes live long, healthy lives. The key to good health is to keep your blood sugar levels within the range your doctor gives you. You ll need to check them often and adjust insulin, food, and activities to make that happen.

All people with type-1 diabetes must use insulin injections to control their blood sugar. Several types of insulin are available.

Type -1 Diabetes - What Is It And Its Causes?

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