It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

Psoriasis can be defined as a skin condition, which is caused due to autoimmune disorders within the body. This is a condition where the skin on the body develops raised and dry areas which are reddish in colour while also being bordered by silvery scales. 

Treatment of psoriasis in ayurveda
Ayurveda has a different slant to conventional medicine with regards to the treatment of psoriasis. According to ayurveda, it is the impurities in the blood, which cause the immune system to react adversely and cause this condition. Ayurveda concentrates on treating the underlying problems through the combination of changes in diet, home remedies and certain medications to treat this disorder. Some of them are mentioned below:

Changes in diet which will help purify the symptoms: 
Some advice that is usually given to patients to clean up their diet and include certain other items are as follows:
1. Avoid spicy food and try to eat food, which can be easily broken down within the digestive system
2. Inclusion of more fruits and fruit juices in your diet
3. Also include vegetables and also have a mix of boiled vegetables daily.
4. It is better to avoid animal products such as animal fats, eggs, canned and processed foods from your diet.
5. Regular consumption of butter milk and curd are known to be very good in blood purification and thus should be consumed in large quantities. 

Some ayurvedic tips and ingredients, which can help treat psoriasis: 
Other tips that can be implemented as skin applications to treat psoriasis are as follows: 
1. Use avocado oil to rub on the affected areas as it is known to be an effective treatment when applied long term.
2. Ensure that the skin is always moisturized by applying a soft, cream or gel.
3. Periodic baths in sea water if possible is also good for lessening the symptoms of psoriasis.
4. Aloe vera cream applied specifically on the patches is known to also lessen them overtime.

Few other tips to follow
1. Get into deep breathing and meditation to ensure that your body and mind are relaxed as this is very important during the healing process
2. Expose the affected areas of your skin to mild sunlight for about half an hour daily as it is known to improve symptoms. 


Ayurveda and Psoriasis

Taking a balanced diet not only helps in maintaining overall health also helps in curing indigestion. The right mix of carbohydrate, protein, water, fat, vitamin, salt and fiber is important for the body to function well. Apart from maintaining a healthy diet, it is also essential to refrain from food that triggers indigestion. 

Here is a list of worst food for digestive health:

Dairy Products: Dairy Products contain a protein called the casein. This protein can be highly allergic and inflammatory. Its strong insulin response can hold up fat and makes someone look fatter than his usual self. Lactose, the carbohydrate found in milk is extremely difficult to digest. If you are lactose intolerant, you should make it a point to stay away from dairy products such as kefir and yogurt to ensure smooth digestion.
Gluten: This protein molecule is found in barley and wheat. Gluten is extremely difficult to break and has the capability to create a lot of damage. The unbroken molecules of gluten cause inflammation and bloating. People, who have GI issues, should definitely eschew gluten to ensure food digestion.
Sugar: Patients suffering from indigestion should stay away from sugar related products such as candy, cake and crackers. Intake of sugar product increases the rate of inflammation, feeds harmful bacteria and suppresses the immune system. No wonder it is one of the worst food to consume if you are suffering from indigestion.
Fake fats: Fake fats are extremely difficult to digest and make the cell membranes more rigid. It can also show symptoms such as cramps, loose stools and bloating.
Gums: Guar and xanthan gum are proved to be responsible for causing colitis. People with bowel disease are strongly suggested to stay away from gums and thickeners in order to avoid indigestion.
Soy: Soy possesses protein inhibitors. It is an enzyme that restricts digestion. The carbohydrate content of the soy does not get recognized by the GI system. This leads to bloating, cramps and gas.
Nightshade vegetables: Vegetables such as potato, bell pepper and tomatoes contain a compound called solanine. The latter is known to be responsible for indigestion. People with a compromised GI should not consume these vegetables at all.
Red Dye: May fast food item contain a red dye which is known to decrease the production of energy, disturb nerve signaling and is an inflammatory agent.
Sweeteners: Fake sweeteners show GI symptoms such as bloating and gas. Replacing this with sugar is not at all a good idea since it causes indigestion over a period of time.
Legumes and beans: Legumes and beans contain compounds called saponins and lectins respectively. They are a major cause of a leaky gut and inflammation.

10 Worst Foods for Digestive Health

Arthritis is an inflammatory condition that affects the joints and bones of the patient and creates general problems when it comes to mobility and other such postures, which require some amount of physical stamina and strain. This kind of condition can be of many types. Furthermore, it can affect many different parts of the body right from the knees to the shoulders and the wrists. There are many forms of treatment for this condition, which may be carried out by orthopedic specialists as well as other practitioners of alternative medicine. 

Read on to find out why Ayurveda is one of the best ways to deal with this condition.

Ancient science: Ayurveda is an ancient science that is steeped in the logic of ages, and it has been allowed to evolve over numerous centuries, which makes it all the more authentic when it comes to various forms of treatment.
Combination of measures: Ayurveda is not just a field of medicine, but it is primarily known as a life science because it combines a variety of measures that have to do with inside out cleansing of the system. From massages to herbal medicines, yoga postures to lifestyle changes, this form of treatment can help the patient get rid of the condition rather than just treat the symptoms.
Massages: When we use a particular oil or herb to massage our bodies, we are actually imbibing the goodness and richness of those elements, which are ideal for the condition that we are suffering from. This oil that may be derived from cloves or various other elements that are naturally found, can actually seep right into the bones and joints to repair the condition. Mustard oil and camphor are also well known oils for arthritis.
Doshas: Ayurveda depends on the various doshas for a proper form of diagnosis, and arthritis comes under the Data dosha. This typically affects the energy, surrounding the proper functioning of the joints and therefore, one can safely say that this is a well-researched body of science, which is being put to use so as to prescribe medicines and other forms of treatment for that particular dosha.
Exercise: The yogic postures are known to have helped many people and the various asanas that are specifically required for an arthritis patient will help in doing away with the root cause of the disease. These asanas include the less rigorous ones that can build strength and stamina so that the patient is able to lead a more normal and healthy life.
Lifestyle changes: The diet changes that will be prescribed for arthritis-affected patients along with the changes in one s routine, will help in reaching the root cause of the condition so that he or she may get a better chance at normalcy in the long run.

Arthritis - Is Ayurveda The Best Treatment?

Post-traumatic stress disorder (PTSD) can occur after one has been in an accident or has faced an event that has left a scar in their memory. The accidental trauma overpowers you with sentiments of misery and weakness, which in turn can trigger PTSD. Here are a few ways in which you can get over the trauma.

Tip 1: Get moving

Exercise can help your nervous system relax and be unstuck on the trauma by discharging endorphins.
Rhythmic exercises that use both your arms and legs, instead of concentrating on your trauma, can help you divert your mind. Eg. walking, running, swimming etc.
Exercises like mountain climbing, boxing, weight lifting, or combative training can make it simpler to concentrate on your body developments and make you stronger.
Plan to exercise for 30 minutes every day or if it is less demanding, three sets of 10-minute workouts are also good.
Tip 2: Self manage your nervous system

Discovering that you can change your arousal framework and quiet yourself down can specifically question the feeling of vulnerability, which is a typical symptom of PTSD.
Careful breathing is a fast approach to calm yourself down. Take 60 breaths, centering your concentration.
Similar to how particular sights, actions or smells can transport you back to the traumatic event, so can sensory information rapidly calm you down. The key is to locate the sensory information that works for you.
Reconnecting to uncomfortable feelings and emotions without getting to be overpowered by them can have a positive effect on your brain to adjust your state of mind.
Tip 3: Connect with others
Once the reflex has been activated, face-to-face association with people who make you feel protected and safe is the fastest and the best method for bringing your nervous system into its right place. The kind backing of others can be important to your recovery. Search for someone you can converse with for a long period of time, somebody who will hear you out without judging you or constantly being occupied. That individual might be your better half, a relative, a companion, or an expert advisor.

Tip 4: Make healthy life changes

The side effects of PTSD can be difficult for your body. So it is important to deal with yourself and build up a healthy lifestyle.
Take out some time to relax. For example, meditation, deep breathing, back rub, or yoga can initiate the body's relaxation reaction and get rid of the side effects of PTSD.
Stay away from liquor and medications. When you are dealing with troublesome feelings and traumatic memories, you might want to opt for elf-cure with liquor or medications. Eat a healthy diet. Begin your day with breakfast, and keep your energy up and your mind clear with adjusted nutritious meals for the entire the day.
Get enough rest. Lack of sleep leads to outrage, irritation and grumpiness. Sleep for at least seven to nine hours each day.

Accident Trauma - How To Get Over It?

Did you know that lack of sleep can make you fatter? Here's how.

Lack of sleep doesn't only affect your mood and concentration levels, it also affects your weight. Studies show that not getting enough sleep can be responsible for your increasing waistline and bulky frame. 

Here's how sleep impacts your weight. 

1. Sleep deprivation leads towards consumption of foods that give quick energy
When you've had less sleep than what you require, you feel a lack of energy while performing your daily chores. This can cause you to increase your intake of instant energy-giving foods like potato chips and chocolates or other foods with high carbohydrate and fat content. As a result, you may end up accumulating more kilos on your body.

2. A sleepy brain experiences difficulty in making decisions
Sleeplessness has a negative effect on your body as it prevents you from having complete control of your brain, which may ultimately make you a bad decision maker; especially when it comes to choice of food. You may lack the mental clarity required to avoid calorie-rich foods and may try to fulfil your food cravings with the first available serving of food.

Sleep deprived people are more likely to munch on late night, unhealthy snacks, which are responsible for making them fatter. Lack of sleep also leads you towards consuming foods in greater quantity.

3. The sleep-diet connection 
Sleep deprivation results in the improper functioning of your metabolism and increases the hormone 'ghrelin' (responsible for regulating the frequency of food intake) and decreases the amount of the hormone 'leptin' (responsible for indicating when to stop food consumption). More ghrelin and lesser leptin imply more amount of food consumption, which consequently leads to weight gain.

How to implement an enhanced sleep pattern in your lifestyle?

You can try out the following remedies to ensure that you get good quality sound sleep.
- To begin with, try to abstain from caffeine consumption in any form during the afternoons as it affects your sleep routine at night. 
- Design a sleep schedule for yourself and try to follow it every day, even at weekends.
- Do not consume heavy meals or alcohol before bedtime as it may result in indigestion and may make it difficult for you to fall asleep.
- Also, you can enhance the quality of your sleep by exercising daily. However, ensure that you don't exercise just before sleeping as exercising can cause your energy levels to rise, making it difficult for you to fall asleep.

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

Did You Know Lack of Sleep Makes You Fat? 

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