A quite serious bacterial infection, diphtheria is caused by the Corynebacterium diphtheria. It usually tends to affect the throat and the mouth of an affected person, although there are other varieties which can infect your skin as well. However, the most common cases of diphtheria affect the throat and the mouth. 

Symptoms of diphtheria in general
It may take up to five days for symptoms to show up when you are infected with the disease. Some of the symptoms would be:

You neck would swell up due to swelling in the lymph nodes, especially in the neck
Your throat and tonsils will develop a thick grayish membrane 
Your throat may become sore and hoarse
You may face difficulty in breathing, depending on the size of the membrane and the resultant inflammation
You may have difficulty swallowing as well
These are the primary symptoms which will affect your throat in general. Some of the other symptoms that may show up are:

Fever
Nasal discharge
Malaise or a general feeling of discomfort 
Chills
The parts of your body, which are affected the most tend to be your throat, tongue and the neck. The pain tends to persist for quite some time as you recover.

Causes of diphtheria 
Diphtheria is usually spread by the following methods

Airborne droplets: This is possibly the most common method of contracting the disease. This usually happens when a person is infected with diphtheria coughs or sneezes around you. The airborne droplets then travel from one person to another, transmitting the infection. This is particularly the case in crowded area such as public transport and public spaces.
Touching personal items which may be infected: Touching used towels, paper tissues or drinking from an unwashed glass may cause an infection as well. These tend to happen mostly in an indoor setting such as offices and houses. Even toys, door and equipment handles can cause transmission of this virus. 
If you are showing any of these symptoms, it is prudent to go visit your doctor immediately as diphtheria, if left untreated, may also result in serious complications.

Diphtheria - How it Affects Your Throat and Tongue?

Myofascial pain syndrome refers to a chronic condition that affects a person s musculoskeletal system. With this disorder, pressure on the sensitive points (known as trigger points) in the muscle induces pain in various parts of the body.

Myofascial pain syndrome mostly affects people in the age group 40-60 years.

What causes myofascial pain?

Typically, myofascial pain syndrome occurs because of repetitive muscle contraction or overuse, or due to an injury. Sensitive areas of the tight muscle fibres can develop following an injury/trauma, and ultimately lead to pain and strain throughout the muscle.

Symptoms to watch out for-

Common signs and symptoms of myofascial pain syndrome include-

  Severe pain in localized muscle areas
  Pain that worsens when you stretch or strain the affected muscle
  Muscle pain that persists for longer than usual, or worsens with time
  Painful, tender knots in the muscles that lead to severe pain when pressed
  Weakness and stiffness in the muscles
  Inflexibility or a reduced range of motion

Although muscle pain is temporary in most cases, and usually subside on its own, you should visit a doctor immediately if the pain becomes intense and severe. Otherwise, the symptoms of myofascial pain syndrome can aggravate and impede your daily routine.

What is the treatment for myofascial pain syndrome?

Treatment for myofascial pain syndrome include a range of pain management options such as the following-

  Medications
Your doctor will likely prescribe medications that include anticonvulsants, analgesics, and over-the-counter Non-steroidal Anti-inflammatory Drugs (NSAIDs). These work as painkillers and help relieve pain and reduce muscle spasms.

  Dry-needling
Dry-needling is a quicker way of getting rid of myofascial pain symptoms. The doctor inactivates the trigger points by directly inserting a needle into it. He/she will then slowly move the needle around and poke it inside and out. The initial process can be a little painful, but it certainly helps manage the pain in your muscles. Alternatively, acupuncture needles can be used for the same procedure since they are small and are less painful.

  Local injections
Local injections, also known as trigger point injections, are similar to dry-needling. The only difference is that local injections involve injecting a solution (saline/steroid/or a local anaesthetic) into the trigger points. The method yield similar results as does dry-needling.

  Therapy
Different types of therapies can be used to ease the pain associated with this chronic pain disorder.

Ultrasound therapy where sound waves are transmitted into the muscle tissues through a sound-conducting gel applied on the skin. The sound waves heat up and relax the muscles, thereby improving blood circulation and removing the scar tissues. Ultrasound therapy is also effective in reducing muscle stiffness and increasing one s mobility.
Massage therapy also is very effective in treating myofascial pain syndrome. The therapist usually uses his/her fingers or some sort of equipment to induce pressure on the various trigger points. When performed, this procedure may first aggravate the muscle pain and then release muscle tension.
Apart from these, the doctor may prescribe regular exercising or physiotherapy treatment for patients suffering from chronic muscle pain.

Myofascial pain syndrome can be managed well using the techniques mentioned above. In addition, it is very important that you stick to some sort of physical activity. Talk to your doctor and incorporate these pain management techniques to live a pain-free healthy life.

Myofascial Pain - Causes, Symptoms & Treatment Of It!

2 Biggest dental mistakes that Indians make!

Your dental health chiefly depends on the way you care for your teeth and gums. Most Indians consider maintaining oral health a very simple thing, and end up committing quite a few dental blunders as a result. As a result, a whopping 95% of the population in India suffers from gum disease! (Source: National Oral Health Programme)

Read on to find which of these dental mistakes you are making and how to avoid them.

1. Not flossing your teeth
Flossing plays a significant role in getting rid of sticky bacteria or plaque from your teeth. The acid generated by dental plaque is the chief cause behind oral cavities, gum irritation and various other gum diseases. Flossing is essential for cleaning the space between your teeth and in turn eliminating most of the bacteria present in your mouth. This is the very reason it should not be ignored.However in India, well over 70% of the population does not floss.

2. Not regularly visiting the dentist
Most Indians have the habit of not visiting the dentist at regular intervals due to laziness, a forgetful nature or fear. Quite a few hold the common belief that if they aren’t experiencing a toothache, they don’t need to visit the dentist at all. Only 2% of Indians visit the dentist.  This often puts you in greater risks of developing a gum disease, which may require painful and costly treatment in the future. So, make it a priority to visit the dentist at least once every year to ensure better dental health.

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

2 Biggest Dental Mistakes that Indians Make!

Your mouth is the breeding place for various bacteria. These bacteria use the sugar in food and turn them into acids. These acids then react with a tooth, gradually drilling a hole in it, which is infamously known as a tooth cavity. 

You might wonder why exactly this happens. When your teeth are subjected to acid frequently, the repeated acid attacks on the enamel, the enamel starts losing its minerals. The first sign of tooth decay is when a white spot appears on the tooth. This white spot is the area from where the enamel has lost its minerals. If not taken care of from the time this early sign of decay makes an appearance, then the decay just gets more serious and the white spot will turn into a cavity. Here are some tips to avoid tooth decay altogether:

1. Use fluoride based toothpaste and mouthwash: fluoride prevents tooth decay from maturing. It can even reverse or stop tooth decay, which is in its early stage. It also protects the tooth from further decay and replenishes the lost minerals from the enamel and prevents any further loss. It also reduces the acid making ability of the bacteria present in the mouth.

2. Keep a check on food: keep a study check on what you are eating. If you eat too much of junk food or food which contains a lot of sugar regularly, then suffering from a tooth decay is inevitable. Try to limit those foods to maybe once or twice a week.

3. Brush your teeth: brush your teeth regularly, preferably with fluoride toothpaste. Not only will the fluoride toothpaste protect your teeth, the toothbrush will also take out any food particle stuck between two teeth. Brush at least twice a day or preferably after every meal and before bed.

4. Use dental floss: clean in between your teeth with a dental floss.

5. Eat cheese: cheese contains casein which prevents tooth decay or cavity formation.

6. Visit your dentist regularly: make sure you visit your dentist regularly to keep your teeth healthy.

How to Avoid Tooth Decay

Prevent mouth ulcers naturally

Ulcers are painful sores on the lips, tongue, gums or the insides of the cheeks. These are common and usually happen due to bowel diseases, hormonal imbalances and stress. While there are medicines and ointments available to cure sores, you can cure the ulcers naturally also. 

Rinse with baking soda - baking soda or salt can be used to rinse the mouth. Mix a few pinches of either in a glass of warm water. Now swish the water around the inside of your mouth and spit it out. Do this about three times in a day.
Orange juice - orange juice has vitamin c and as ulcers sometimes occur due to lack of this vitamin, drinking the juice can prove to be helpful. 
Oral hygiene - prefer using toothbrushes with soft bristles. Also ensure that you brush your teeth after every meal to keep any food out of your mouth.
Avoid spices - avoid eating spicy, acidic and hot foods.
Extremely hot beverages - tea and coffee should be avoided. Yogurt and buttermilk, on the other hand, are highly beneficial.
Have onions - raw onion contains sulphur which is good for health of inside your mouth.
Consume amla - make a paste of indian gooseberry (amla) and apply it over the ulcer. This provides quick relief and healing.
Avoid meat - animal protein increases the acidity in the body. So, avoid fish and meat.
Gargle - use fresh coconut water to gargle with about three to four times a day. This cleanses the mouth and eases the pain.

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How To Prevent Mouth Ulcers Naturally

Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

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