Life can be tough when living with Crohn s disease as it is a chronic condition. Especially with the disease is marked by phases of relapse and remission, it requires a long-term management to keep the symptoms in check. Though the flare-ups can be typically contained using medications, some of the patients with severe symptoms or complications arising from the illness would require surgery.

Before we proceed with the surgical management of the disease, it is essential to understand what Crohn s disease is in case you are not aware of it. It is a chronic illness in which the intestine or the bowel have become inflamed or marked with ulcers and sores and is a part of disorders collectively known as inflammatory bowel disease(IBD).

When does Crohn s disease require surgery?
Typically, patients who are suffering from complications of Crohn s Disease may require surgery. This may include the formation of a scar that is causing the bowel to narrow down and leading to obstructions, extensive bleeding from the intestine, perforation in the bowel wall or the formation of fistula or abscess. The fistula may be formed in the connecting area between two body parts that do not meet. Also, a condition known as toxic megacolon where the large intestine or the colon becomes severely stretched out causing the toxins to spread all through the blood requires surgical intervention.

What are the different surgical options available for Crohn s disease?

The surgery chosen for Crohn s disease is dependent on various factors such as where the disease has affected, how severe the disease is and most importantly what complication will be treated by the surgery. Here are some of the types of surgeries done for treating Crohn s disease:

Strictureplasty: If the small intestine is affected by the disease, it may show up in the alternating areas of the bowel. Strictureplasty is a surgical way of widening the narrow area of the small intestine into a portion which has been affected by the disease. It doesn t involve removal of the intestine.
Resection: This is yet another surgical process where the affected part of the intestine is removed. It may be required when the stricture has become elongated. The removal of the diseased portion of the intestine may be able to offer some relief from the symptoms.
Colectomy: This surgery refers to the removal of the entire colon, and it is done when the disease is severe and extensive.
Proctocolectomy: When both rectum and colon are affected, both these parts are removed by a process called proctocolectomy. When this process becomes necessary, the waste materials drain into the bag which is emptied every day.
Since, the surgical intervention aims to manage the disease, your doctor would be able to recommend the most suitable option as per your condition.

Crohn's Disease - How Surgical Management Can Help?

Ulcerative colitis is a chronic inflammation of ulcers or open sores, in the innermost layer of the large intestine. It is a form of inflammatory bowel disease. Even though there is no absolute cause of ulcerative colitis, there are some possible factors such as genetics, infections and stress. It mostly seems to be hereditary in the sense that of the 10-30% people that have ulcerative colitis, most of them have one close family member with the same condition.

The main symptoms of ulcerative colitis are the following:
1. Diarrhoea with blood and mucus
2. Abdominal pain can range from mild discomfort to painful cramping
3. Anaemia
4. Fatigue
5. Weight loss

Treatment of ulcerative colitis
Even though conventional treatment such as corticosteroids and aminosalicylates are used to reduce inflammation, homeopathic treatment can help stop the bleeding and diarrhoea. A long-term remission is possible, and future attacks can be prevented by homeopathy.

Some of the common homeopathic ulcerative colitis remedies are:

 Argentum nitricum: this is used to relieve diarrhoea with mucus and blood, excessive gas; it is also used to treat anxiety that may arise from diarrhoea.
 Arsenicum album: this is used if the stool is foul smelling and frequent, especially at night, and there is a burning pain in the abdomen; fear of disease and death along with sudden chills is also treated by arsenicum album.
 Mercurius corrosivus: this is used to treat haemorrhagic and ulcerative lesions, severely painful defecation and painful foul smelling diarrhoea with blood; it might be taken if the pain remains even after defecation.
 Nitricum acidum: this is used if there is diarrhoea with mucus and blood and stinging pains; it is also taken if there are chills coupled with irritable anxiety.
 Phosphorus: it is used to treat bloody and painless diarrhoea; it is also used to treat emotional oversensitivity to the feelings of others.

Homeopathy Remedies to Cure Ulcerative Colitis Diseases

Blood pressure is one of the vital life signs in medicine, which, along with other vitals is widely used to assess the overall health of the patient. High blood pressure is very dangerous as normally it has no symptoms or signs and can fluctuate almost instantly. But, it could be managed. High blood pressure is said to be of higher than 120 (systolic) and 80 (diastolic).

A nap in a day might help in lowering blood pressure. According to certain research findings, people who sleep in the daytime had regular blood pressure as compared to people who do not sleep or do not have a short nap. Napping can effectively help lowering blood pressure. It helps the blood to control stress hormones and also helps the nervous system to keep a person healthy.

Daytime napping surely helps in boosting energy levels and efficiency throughout the day. Blood pressure increases after a nap caused by the body s normal circadian rhythm (for influencing and regulating sleep-wake pattern for a healthy cycle in a day). At the time of the morning, the body releases hormones such as noradrenaline and adrenaline. If the blood pressure increases too high, it could cause harmful effects. Blood pressure is usually lower at night while a person is sleeping. The blood pressure begins to increase a few hours before a person wakes up. The blood pressure continues to increase during the day, normally extreme in the mid of the afternoon. The blood pressure starts dropping again in the evening and late afternoon. Sleep helps the blood to regulate stress hormones.

Napping, since it helps in lowering blood pressure, definitely helps in reducing the risk of Sleeping for about seven to eight hours in the night might play a vital role in the prevention of high blood pressure. New research suggests that an afternoon nap is as productive as consuming a pill for lowering the blood pressure. Scientists have found that the people who take a midday nap are more likely to drop their blood pressure as compared to adults who don t take a midday nap and stay awake. Napping, since it helps in lowering blood pressure, definitely helps in reducing the risk of cardiovascular events like a stroke or a heart attack. It is as effective as other lifestyle changes, according to credible researches in medicine. It is interesting to note that napping, even when it reduces the blood pressure by 2 mm Hg only, reduces the risk of cardiovascular events by 10%.

Napping is a sort of shortcut and an effective method for lowering the blood pressure and could also be easily adopted and does not cost anything. Short midday sleep is important for our well-being. And, we can utilize this simple information very effectively for its potential health-related benefits simply by managing our daily schedule.

Napping & Low Blood Pressure - How Can Former Help Latter?

The amount of emotional upheaval that periods, or no periods (for that matter) can cause, is something that every woman is aware of. It's normal to miss your period for different reasons occasionally, but it is a matter of concern if this absence persists over a period of time. The condition is then termed as a case of secondary amenorrhea. Although most people are quick to consider pregnancy while dealing with the various reasons for missed periods, there are a number of possibilities which are seldom mulled over, but should be considered in order to take effective precautions and seek proper medical care:

1. Weight
Body weight is responsible for affecting hypothalamus and this may, in turn, upset your menstrual cycle. BMI level under 18-19 may result in triggering irregularities since enough estrogen will not be created. This is also why underweight women, who suffer from bulimia or anorexia, tend to miss their periods frequently. 

On the other hand, overweight women may stop ovulating due to increase in the production of estrogen and therefore, have heavy, infrequent periods. Therefore, it is essential that body weight be regulated to avoid any disappointment at 'the time of the month.'

2. Stress
Any type of physical or emotional stress is bound to affect your cycle. This is because, the production of stress hormones in the body increases and an elevated level of adrenaline and cortisol may impair the functioning of the reproductive system. Under stressful situations, the body employs its amino acids to assist the neurotransmitters to produce stress hormones over sex hormones. As a consequence, the chances of missing your periods increase.

3. Exercising Too Much
While regular workout is indispensable for battling a sedentary lifestyle, overdoing it might cause your body to produce lesser estrogen and delay your periods. Women, who are into athletics and gymnastics, are more likely to suffer from amenorrhea. In fact, other aspects of over-exercising, like sleeping less, fasting, and infections also contribute to such irregularities.

4. Breastfeeding
Prolactin is the hormone that aids in milk production and may also repress ovulation for a while. Many breastfeeding moms may not get their periods for a month or more as a result. But this doesn't do away with your chances of getting pregnant. A span of three months is expected to pass before the abnormalities are done away with.

5. Food Allergies
Celiac disease or untreated gluten allergy can directly harm hormone production. They are directly related to your gut health and your adrenal glands which is why they can influence the sex hormone creation.


5 Reasons For Absent Periods

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children s brushes need to be changed more often than adult s toothbrushes.
Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
If possible, store your toothbrush in your medicine cabinet.
Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
Along with your toothbrush also clean out your toothbrush holder regularly.
Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush.

Can Your Toothbrush Make You Ill?

One of the most severe illnesses included in the larger group of diseases, is known as inflammatory bowel disease (IBD). Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults. 

Types
Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis - The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease - People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's Colitis - This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas. 
4. Ileitis - This type of Crohn's disease affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis - In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Although there are many theories about what causes Crohn's disease, none of them have been proven. However, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors, such as:
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: Diarrhea is a common problem for people with Crohn's disease and can occur for about 10 to 20 times a day in severe cases.
2. Blood in your stool: In rare cases, you might notice blood in the toilet bowl or darker blood mixed with your stool.
3. Fever and fatigue: In more intense cases, you may develop a fever. You may also feel tired or have low energy.
4. Abdominal pain and cramping: You may experience anything from slight discomfort to severe cramping and intermittent belly pain, including nausea and vomiting.
5. Anemia: Due to a reduction in iron level caused by bloody stools a person can turn anemic.
6. Reduced appetite and weight loss: Abdominal pain and cramping can affect both your appetite and your ability to digest food, which leads to severe weight loss.
7. Perianal disease: Erratic appearance of small tears in the anus are called anal fissures.

Causes, Types and Symptoms of Crohn's Disease

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