One thing that can put away talking to someone very interesting is bad breath. And it is not an uncommon problem. While most just try to use mouth wash and chewing gums to keep it away, it is important to note that bad breath can be a sign of underlying causes, both in the mouth and the body as a whole. 

Identifying the reason can help in early diagnosis and prompt treatment of the actual disease condition.


There could be oral and general causes for bad breath or halitosis as it is medically called. Food habits and other lifestyle habits including smoking can also lead to bad breath.


Oral causes


- presence of food debris in a moist environment (saliva) is ideal for the oral bacteria to act on the food particles and break them down. This causes a bad breath, when it leads to plaque formation and it then calcifies into a hardened substance called calculus. Plaque and calculus are the main ingredients for tooth decay and periodontal disease.
- severe tooth decay leads to bad breath as does periodontal infections. In severe cases, there could even be abscess formation in the root area of the tooth with pus formation 
- unclean dentures are another source of halitosis. There could be food lodged in between teeth or the undersurface of the denture, leading to bad breath.
- dry mouth or xerostomia - certain diseases and drugs can lead to dry mouth with reduced amounts of saliva. Saliva has a natural flushing effect on the bacteria, and in its absence, the bacteria thrive, leading to a bad odour.


General health: chronic diseases like gastroesophageal reflux disease, digestive disorders, liver disorders, cancer, and diabetes can lead to bad breath. 


Others:
- long-term smoking and/or chewing tobacco and alcohol are also reasons for bad breath.
- crash diets: people on low-carb diets can have a bad breath, owing to burning of the fat and producing ketones, which have a strong smell.
- medications: nitrates to reduce angina, chemotherapy agents for cancer, phenothiazines for anxiety can all lead to bad breath. They reduce saliva and/or release chemicals causing bad breath.


Management: the first step in managing halitosis is to nail the cause down, which makes it easier to treat.
- start with oral hygiene check, and if there is decay or gum disease, consider restorations and cleaning.
- mouth rinses can be used in the maintenance phase.
- cessation of tobacco use should be considered.
- general health conditions like gerd should be managed
- artificial saliva in cases of xerostomia
- alternative medications if they are causing the bad breath


Oral breath is definitely embarrassing but can be managed very easily.

Chronic Bad Breath - Causes and Management

The bronchial tubes (also termed as bronchi) present in the lungs play an important role in carrying the air inside and out of the lungs. In Bronchitis, the lining of this bronchial tubes gets inflamed. Chronic Bronchitis, as the name suggests is a more severe condition whereby the bronchi lining suffers a constant inflammation and irritation. In most cases, the condition is found to affect people who are into heavy smoking.

Chronic Bronchitis triggers a myriad of complications including shortness of breath, cough (often associated with the production of a large amount of mucus), tiredness and mild fever. Affect people who are smokers. Heavily and regularly exposed to pollutants like dust, asbestos, fodder, vehicle pollutants(traffic police). Early diagnosis and treatment can help in preventing many serious complications including Pneumonia. In this article, we will highlight the effective treatments and medications along with the precautions in the case of chronic bronchitis.

Treatment and Medications in the case of Chronic Bronchitis
The severity of the condition often decides the course of the treatment.

Since most people with chronic bronchitis complain of breathing problems (shortness of breath) indicative of inadequate oxygen supply, the doctor may suggest an oxygen therapy. In this therapy, oxygen gas is made available to the body to deal with the breathing problem and also to enrich the lungs with sufficient amounts of oxygen to ensure proper functioning of the body. For this oxygen therapy, tubes are fitted either in the nose or placed right in the trachea. In some cases, a face mask may also be used to deliver the oxygen inside the body.
In the case of chronic bronchitis resulting in Chronic Obstructive Pulmonary Disease or COPD (obstructive lung problem that makes breathing difficult), the mucus tends to block and obstruct the airways. Thus, the use of bronchodilators may be helpful. The bronchodilators play an instrumental role in clearing the airway of this obstruction thereby improving the breathing.
Medications such as cough suppressant may also be prescribed to provide relief from a cough.
Precautions and Self-management:
For a speedy recovery, a person should take the necessary precautions. There are certain Do's and Dont's that one should take care of in the case of chronic bronchitis.

For people with chronic bronchitis, smoking is more like a poison. Refrain from smoking during the entire course of the treatment.
Keep away from things (such as paints, pollutants, or any cleaning products with a strong odor and fumes) that can irritate your lungs. The use of a mask (whether at home or outside) is advisable.
Many people with chronic bronchitis have had significant improvement by practicing yoga.
It is also important that you keep the body well hydrated. Make sure to drink water at regular intervals.
Ensure you have a proper rest and sound sleep.
Take care of your diet. Avoid refined sugar, salty and spicy foods, foods that contain high dairy fats (ice-creams, cheese cakes, whole milk, and any foods that contain high-fat cheese).

Chronic Bronchitis - Precautions To Be Taken And Treatment!

Cerebral Palsy (CG) is a neurological disorder caused by an injury to the brain or a brain malformation that occurs while the child s brain is still developing   in the mother s womb before birth, during birth, or immediately after birth.

This disorder affects the child s movement and muscle coordination and control. It also affects his:

Reflexes
Balance
Posture
Motor skills and
Oral motor functions
In easy to understand language, CG can impact the child s ability to walk, talk, sit, do simple tasks like eating, combing hair, talking, and other activities we take for granted. The physical impairment caused by cerebral palsy can affect all limbs, the face and head, or it may just affect one limb. Since CG affects muscles and a child s ability to control them, common symptoms include muscles that contract too much, too little, or all at the same time, leading to limbs that are stiff and forced into awkward positions. Other complications also arise such as intellectual impairment, seizures, or vision/ hearing and speech impairment.

How does Speech Therapy help?
Speech problems affect more than half of all children with cerebral palsy as they have difficulty controlling the muscles in their face, throat, neck and head. Apart from speaking, this also affects chewing and swallowing. It can also cause drooling and the ability to learn, difficulty hearing and understanding spoken language.

This is where speech and language therapy comes in. Speech therapy improves a child s speech and communication by strengthening the muscles used for speech. It also improves understanding of speech and language as well as help with swallowing disorders, like dysphagia.

Speech therapy helps exponentially as when children improve their speech and communication, they are able to express their needs, share their thoughts and interact with others, leading to an overall improvement in their overall quality of life.

Speech therapy can help with the following:

Listening
Articulation of words
Pronunciation
Fluency
Sound and word formation
Language and vocabulary development
Breath control
Chewing
Swallowing
Speech muscle coordination
Apart from this, the other primary benefits are boosting self esteem, socialization, independence and reducing shyness. 

Exercises used in Speech Therapy
Speech therapy treatment usually consists of exercises tailored to a child s specific needs. Different exercises are used in speech therapy like:

Articulation therapy: The therapist uses language cards to help focus attention on specific sounds to encourage the child to make sounds while looking in the mirror to help him understand how his mouth moves.
Blowing exercises: The therapist encourages the child to blow bubbles or a whistle to train the mouth muscles to produce sounds.
Breathing exercises: Work is exclusively on inhalation and exhalation to strengthen the diaphragm.
Jaw exercises: The child is encouraged to eat foods that require extra chewing to strengthen jaw muscles.
Language and word association: The therapist uses flashcards with different words and sounds written on them.

Cerebral Palsy (CP) - How Speech Therapy Can Help You?

5 simple home remedies to cure common cold during change of season
Frequent during change of season, the common cold can be a nuisance, leading to disruptions in your daily activities. Although it’s true that the common cold cannot be prevented, there are certain sure shot ways of getting rid of it through simple home remedies. Read on to find out 5 home remedies for common cold, free from side effects.

1.  Put an extra pillow under your head: Do this at night when you’re ready to sleep. Adding an extra pillow under your head can help in relieving congested nasal passages. If you bit too uncomfortable, or if the angle is too high, then you can place the pillow between the mattress and the box spring. This would create a gradual slope and prevent any sort of discomfort during sleep.

2. Make your own saline nasal spray: For this you’ll need to mix 3 teaspoons of iodide free salt with 1 teaspoon of baking soda. Add this mixture to 230ml of distilled or lukewarm boiled water and fill a bulb syringe with the mixture. Stand at your basin and lean your head over. Hold one nostril close by applying pressure with your finger and gently squirt the mixture into your open nostril and let it drain. Repeat for the other nostril.Just be sure to use distilled or previously boiled water at all times. Also remember to rinse the bulb syringe thoroughly and let it dry to prevent any infections.

3. Chew on raw garlic: Garlic has antiviral and antibacterial properties, which can greatly help in getting rid of common cold. Besides it is also good for your immune system and aids in opening up your respiratory passage and in cleaning out the toxins from your body. Just chew on raw garlic cloves or add a few drops of garlic oil in your food or drinks to cure yourself of common cold.

4.  Treat yourself to some chocolate: Hot, dark chocolate sweetened with a little bit of honey can help in reducing cough. Research found out that chocolate contains theobromine, which can suppress the nerve that is responsible for coughing, and is also more effective in curing persistent coughs than codeine. Here’s the catch though: milk chocolate doesn’t work. Honey, on the other hand, can help in soothing a sore throat.

5. Have red onion syrup: Red onions can help providing relief to sore throats and other common cold symptoms. To make this syrup at home, you need to chop 2-3 red onions horizontally and one slice of onion with honey at a time in a bowl until its full. Then cover the bowl and let it stand for 12-15 hours; when you open it you’ll find thick syrup ready. Consume of a spoonful of it several times a day to cure yourself of common cold the natural way.

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

5 Simple Home Remedies to Cure Common Cold @ Season Change

Even though you might feel it is impossible to sleep without pillows, you will be surprised to know that sleeping without a pillow is a good way of preventing neck, back, and shoulder pain. Remember when you were a child, you would fall asleep at any place without waiting for a pillow? The human body can thus adapt to any situation owing to its resilience. And as we age, we are still able to rest our body comfortably without needing a pillow or any other form of support.

The Many Benefits Of Sleeping Without A Pillow-
If you have already encountered some signs and symptoms of sleep deprivation, you will need to find the root of the problem. In doing this, you may find that all these health issues may stem from the pillow you sleep on. If you, like many others, believe that pillows are an indispensable part of your sleep, you may be wrong. Your soft and cozy pillow may do you harm without leaving any scope of suspicion. Here are some of the most compelling advantages of not using a pillow while sleeping:

Neck and Shoulder Benefits: When you don t have a pillow while sleeping, your back, neck and shoulder muscles will extend naturally without causing any aches or sprains. When you sleep on a pillow that is very soft, it will strain the muscles on the neck while also decreasing the flow of blood to the head. When your head is tilted downwards on any pillow that is not able to provide optimum support for the head, the airflow to the respiratory system is much reduced. If you are already suffering from neck and shoulder pain, you may try sleeping a night without any support to see if the pain subsides.
Spinal benefits: Sleeping on your back without a pillow allows the spine to rest completely with the natural curves of the body. Sleeping with a thick pillow can displace your spine.
Sleep Benefits: When you are not having any neck and head support while sleeping, your body would be able to rest optimally. When you sleep on pillows that do not offer good support, your body starts compensating by engaging the back and neck muscles. This causes more strain when the body is supposed to be resting to overcome everyday stress.
Facial Benefits: Many people tend to bury their face in the pillow while sleeping. This will prevent your face from being able to breathe and perspire. The pores on the skin surface will not have any access to air. This leads to the formation of oil and grease on the face, and it will give way to blackheads as the added dust and impurities on the surface of the pillow will come in contact with your face.
For all these compelling reasons, you can try to forgo your pillows and observe improvement in your general health.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Sleeping With A Pillow- Is It Good Or Bad For You?

Back pain is something that affects many people all over the world. Persistent and chronic pain seems to be one of the most common complaints. Middle back pain is back pain that is felt in the thoracic vertebrae region, which is located between the base of the neck and top of the lumbar spine. The ribs attach to a long, flat bone in the middle of the chest called the sternum and wrap around the back. In case, there is a nerve around there is squeezed, disturbed, or injured, you are likely to feel pain in different spots where the nerve goes through, for example, your arms, legs, chest and the stomach.

Some of the most common causes of middle back pain are as follows:

Middle back pain can happen as a consequence of injury or sudden damage or it can happen through strain or poor stance after some time.
The most widely recognized reason for middle back pain seems to begin from soft tissue problems or muscular irritation. These can emerge from poor stance, lack of strength, prolonged sitting in front of a computer, utilizing a heavy backpack, overuse injuries, (for example, repetitive movement), or injury, (like a whiplash damage brought about by an auto crash or as a consequence of a sports injuries).
The middle back is a moderately normal site for inflammatory, degenerative, metabolic, infective and neoplastic conditions.
Middle back pain and its dysfunctions are connected with various conditions, for example, essential and optional osteoporosis (particularly vertebral cracks and hyperkyphosis emerging from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's infection.
Muscle strain, overuse or damage to the muscles, tendons, and discs that are backing your spine can also cause middle back pain.
Weight on the spinal nerves from specific issues, for example, a herniated disc.
A fracture in one of the vertebrae can also cause pain in this region.
Osteoarthritis created by the breakdown of ligament or cartilage that cushions the little joints in the spine.
Myofascial pain that influences the connective tissue of a muscle or gathering of muscles.
In uncommon cases, pain might be brought about by different issues, for example, gall bladder disease, cancer or an infection.
Getting hit hard in the back can also cause chronic pain.
Lift something too heavy may cause pain and a sudden pressure in this area.
A compression fracture of the vertebra can also bring about intense or chronic pain in the middle back. The injury may bring about a fracture, however in ladies over age 50 without critical injury or somebody known to have osteoporosis, an unconstrained vertebral fracture is possible.
Other contributing factors to injury include lack of strength which can be treated by a Pain Management Specialist using non-surgical methods.

Common Causes of Middle Back Pain

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