Diabetes is a chronic metabolic disorder that results in higher level of blood sugar in the body. It is assuming epidemic proportions and India has become the new diabetic capital with more than 50 million diabetic people. The main problem with diabetes is that it does not completely go away and there is a whole myriad of issues that it brings along with it. Heart attack, stroke, eyesight problems, delayed wound healing, nerve damage and impotence. Therefore, diabetes and by that we mainly mean blood sugar level has to be managed so that there is a delay in onset of the associated conditions and/or reduced in severity.

Ayurveda refers to diabetes as Prameha (excessive urination) and Madhumeha (sugary urine) and has identified close to 20 forms of the disease. According to Ayurvedic belief, each disease is caused due to imbalance in kapha, pitta, and vata doshas and diabetes is caused by all these, predominantly by kapha. With any stream of medicine, management of diabetes involves two tracks   one is lifestyle changes and the second is medications.

Lifestyle changes include the following:

    Diet: Reduce the amount of rice, sugar, potato, sweet fruits, maida, deep fried foods, and red meat. Protein-rich foods like lentils, soya, green leafy vegetables and fish should be increased. Diet plan should change to small, frequent meals instead of binge eating.

    Exercise: Include 30 minutes of regular exercise into your daily routine if you have a diabetic predisposition.

    Others: Avoid smoking and alcohol, ensure sufficient sleep, avoid sleeping during day time, improved foot and eye care, periodically check sugar levels and manage stress levels.

Medication

Ayurveda has a whole lot of home remedies which have proven to be very effective against diabetes:

    Jambhul: Eugenia Jambolana whether eaten raw or juice extract has been shown to have beneficial effects in managing sugar levels and cholesterol.

    Gymnema sylvestre: Used to manage diabetes for over 2000 years, it reduces sugar cravings and is being touted as the future for diabetes treatment.

    Bitter gourd (Momordica charantia): It has 3 components that give it strong antidiabetic properties. The charantin reduces blood sugar levels; the polypeptide has insulin-like effects; and lectin that again has hypoglycemic effects.

    Bel (Aegle marmelos): Also known as wood apple, leaves of the plant are shown to have antidiabetic properties. 5 to 10 leaves can be chewed on a daily basis to help control blood sugar levels.

    Fenugreek (Trigonella foenum graecum): Consuming 10 g of fenugreek seeds soaked in water increases the amount of insulin produced, thereby increasing sugar breakdown.

    Neem: Chewing about 4 to 5 leaves in the morning on an empty stomach helps to control blood sugar levels. Alternately, neem leaves powder is available which can be dissolved in water and consumed.


Diabetes - 6 Natural Remedies that Will Help You Manage it

Dental care is of utmost importance. Poor dental health can cause you several problems, from a mild toothache to severe pain. Here are 10 foods which will help you maintain your healthy teeth. Read on to find out more about it:

1.  Cheese: Cheese, particularly aged cheese like Cheddar, Swiss and such are beneficial for your teeth. They increase the pH scale in your mouth and effectively prevent tooth decay. It also consists of protein and calcium, nutrients required for strengthening your tooth enamel.

2.  Yogurt: Like cheese, yogurt also contains calcium and protein for tooth enamel. Probiotics or the beneficial bacteria present in yogurt are good for the gums as well.

3.  Leafy Vegetables:  Spinach and kale promote oral health. They contain calcium, which is good for your tooth enamel. They contain folic acid, a B vitamin which has a lot of health benefits and also helps to prevent gum disease.

4.  Apples: Apples contain high fiber and water, which are beneficial for your teeth. While eating an apple, a lot of saliva is produced which washes away the bacteria present in the mouth.

5.  Carrots: Carrots are also crunchy like apples and also contain high fiber which is beneficial for teeth. They also contain vitamin A which is also highly beneficial.

6.  Celery: Celery contains vitamins A and C which are very beneficial for the gums. They are also crunchy and hence help scraping away bacteria and food particles from your teeth.

7.  Almonds: Almonds are a great choice as they are low on sugar and have high content of calcium and protein.

8.  Strawberries: Strawberries are very beneficial for your teeth. Strawberries consist of vitamin C, different antioxidants and malic acid, which help in naturally whitening your teeth.

9.  Garlic: Garlic contains a substance called 'Allicin' which has strong anti-mycobacterial properties, and is thus beneficial for your teeth. It helps to prevent periodontal disease and fight tooth decay.

10.  Meat: Meat in general is beneficial for maintaining healthy teeth. Meats consist of a lot of protein, vitamins, minerals and other nutrients which are important for healthier teeth.

10 Foods for Healthy Teeth

The inflammations of the lining in the bronchial tubes, which are responsible for carrying air from and to your lungs are known as bronchitis. It is a respiratory disease and more than a million cases are reported each year. Bronchitis requires medical diagnosis by your healthcare provider and can be chronic or acute. Cold or other respiratory infections can cause acute bronchitis whereas smoking leads to chronic bronchitis. Acute bronchitis usually lasts for few days but with persistent cough. Whereas, chronic bronchitis can be responsible for chronic obstructive pulmonary disease.

Symptoms of bronchitis:
The symptoms common to both acute and chronic bronchitis are given below:
1. Cough which may form mucus
2. Body aches and breathlessness
3. Headaches, blocked nose and sinuses
4. Fever with chills
5. Wheezing

The diagnosis of bronchitis is done by your doctor who will ask you about your cough. Some other questions may include your medical history, about smoking or whether you have had cases of flu or cold recently.

Treatment for bronchitis:
Your doctor will mainly recommend pain relievers and cough syrup along with warm air to breathe mainly at indoors. However your doctor may prescribe the following medications in cases of severe bronchitis:

1. Cough medicine: These medicines will help to remove mucus and irritants from your lungs. Medicines may not be able to suppress the symptoms completely but will give you relief from pain.
2. Bronchodilators: Which clears out the mucus by opening your bronchial tubes.
3. Mucolytics: These helps loosen mucus in the airways and help to cough up sputum.
4. Oxygen therapy: It will help to improve the oxygen intake when you face difficulty in breathing.
5. Therapy: Pulmonary program will include a therapist who would work to improve your breathing.
6. Medicines: Using anti inflammatory medicines to reduce damage to your lungs tissue and to also avoid chronic inflammation.

Prevention of bronchitis:

Acute and chronic bronchitis can be reduced by the following measures; however, they cannot be completely prevented:
1. Avoiding dust, smoke, and air pollution. You can always wear a mask when you are on the road or in traffic.
2. Washing your hands often to avoid germs and infections.
3. Avoiding smoking as it can cause harmful damage to your lungs.

All About Bronchitis

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

The child's gender: Bedwetting is more common in boys.
The child's development and maturity
The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.
Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
Urinary tract infection: This infection can make it difficult for your child to control urination.
Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

Wetting during the day
Frequency, urgency, or burning on urination
Straining, dribbling, or other unusual symptoms with urination
Cloudy or pinkish urine, or blood stains on underpants or pajamas
Soiling, being unable to control bowel movements
Constipation
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

Your child still wets the bed after age 7
Your child starts to wet the bed after a few months or more of being dry at night
Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
Self-Care at Home-
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

Reduce evening fluid intake.
The child should urinate in the toilet before bedtime.
A system of sticker charts and rewards works for some children.
Make sure the child has safe and easy access to the toilet.
Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet.

Bedwetting - 7 Possible Reasons Behind It

The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: the appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/diagnosis: in adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
2. Fever, nausea, and vomiting
3. Abdominal fullness or bloating
4. Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. Ct scan also can be considered if required to confirm the diagnosis.

Treatment: as noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

Appendicitis in Children

If you are experiencing a whizzing sound while you breathe or having difficulty in breathing, you are suffering from asthma. It is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. There is no definite way to prevent asthma, but by following a step-by-step daily plan, you can prevent asthma attacks or keep them in check. Here are some important measures to follow to prevent asthma:

You need to strictly follow your asthma action plan. The plan should be laid down after a detailed discussion with your doctor or healthcare team. All the medicines you require to prevent the asthma attacks will be written down for you.
You should get vaccinated for pneumonia and influenza. This will prevent these conditions from triggering asthma attacks or flare-ups.
You need to identify the asthma triggers and stay away from them. Several outdoors irritants and allergens from pollen to cold air can trigger asthma attacks.
You have to monitor your breathing. By recognising the warning signs of an attack like wheezing, slight coughing or shortness of breath, you can prevent an asthma attack. You need to measure and record your peak airflow regularly using a home peak flow meter.
By acting quickly, you can identify a fatal attack and prevent it from occurring. When the peak flow measurement decreases, you need to take your medicines immediately and abstain from any activity which may have triggered the attack.
You need to keep taking your prescribed medicines, even if your asthma symptoms have improved. You should not change your medication schedule without consulting a doctor. It is recommended that you to bring along the medicines you take at your doctor s appointment as he will be able to tell whether you are taking them right.
If you use your quick relief inhaler a lot, the asthma is not under control. You need to visit your doctor as soon as possible and he/she will make some modifications to your treatment.
For prevention of asthma, you should use allergy proof pillow covers and mattresses. You must wash your bedding every week in hot water to eliminate dust mites. You may use a dehumidifier for reducing excess moisture to prevent mold.
Do not allow your pets in the bedroom and on the furniture. Pet dander is a common trigger of asthma and it cannot be avoided by people who own pets.
You can also fit an air filtration system in your home. It will help in the elimination of asthma triggers such as pollen, dust mites and other allergens.
Many doctors suggest immunotherapy for asthma prevention in the form of allergy shots. Immunotherapy aims at altering a person s immune response by making it less sensitive to asthma triggers.

Asthma - 10 Ways to Keep it Under Control

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