Tuberculosis is an opportunistic infection caused by the bacteria Mycobacterium tuberculosis. The infections occurring in people with weak immunity as compared to the people with a healthy immune system are called as opportunistic infections. As, HIV enters the human body, it replicates and weakens the immune system which in turn increases the risk of contracting Tuberculosis in people already suffering from HIV infection.

An HIV and Tuberculosis co-infection occurs when an individual has both, the HIV infection and an either latent or active TB disease simultaneously.  Each disease acts in speeding up the progress of the other, when HIV and TB infection is present together in the body. HIV infection speeds up the progression from latent to active Tuberculosis, Mycobacterium tuberculosis also accelerates the progression of replication and spread of the HIV infection.

HIV infection and Tuberculosis are totally different type of infectious diseases. HIV is a viral infection and TB is a bacterial one. An HIV infected person will not contract TB unless a contact happens with a TB infected person. TB spreads via droplet infection and is communicable. If a person lives in a country with a high prevalence rate of TB, an HIV patient is highly susceptible to contracting the infection. In the similar manner, a person suffering from TB gets infected with the HIV infection only through the blood and bodily fluids borne route, with unprotected sexual intercourse with an HIV infected individual being the most important cause.

Amongst all the other opportunistic infections, TB occurs at an earlier stage in the course of an HIV infection than most other opportunistic infections. Mortality rate in the co-infected patients is more than twice that of HIV infected individuals without a TB infection. Even if a patient is undergoing anti-retroviral therapy, the death rates remain high in co-infected individuals.The natural history and course of TB gets altered in people with an infected immune system. The damage to immunity due to HIV infection causes a drastic reduction in the pathogen killing capacity of the body. In such patients if there is no anti-retroviral treatment prescribed, then the latency period between the infection and progression of disease gets eliminated. 

An active phase of TB is observed in such individuals progressing within a short span of time, ranging from weeks to months, rather than years as it normally should be spanning. Risk of progression from a latent stage to an active stage of TB is around 10-15 times greater in an HIV infected individual as compared to the non-infected person. Such individuals also communicate the disease more rapidly to others.Pulmonary tuberculosis in an HIV infected person can present similar symptoms like that of a classic TB disease. However, a co-infection can sometimes show less presenting TB symptoms, where even the chest X-ray scans can be observed to be normal. A  subclinical  phase of Tb in co-infected patients can cause delay in the diagnosis of the symptoms and subsequently affect the prognosis due to lack of timely treatment.

Social stigma and discrimination has caused an obstacle in provision of adequate treatment for people with HIV. Proper counseling  and initiatives taken to provide indiscriminate care can aid in identification of co-infection and earlier stages. Anti-retroviral treatment teamed up with anti-tubercular drug regimen is prescribed and a successful treatment for drug sensitive cases of TB can be provided with medications for 6-8 months.

How HIV & TB  Are Related?

Both natural and homeopathic remedies can efficiently deal with lactose intolerance and thus you should check the reports of the patient for finding the best solution. You can choose any of these remedies or else can continue with both.

List of homeopathic medicines for treating lactose intolerance

    Aethusa Cynapium: The medicine helps in the digestion of milk so that unwanted stomach aches can be easily avoided. On the other hand, health condition of the kids can also be improved to a great extent using this medicine. Loose tools or green colour diarrhea due to dairy products can be prevented with care.
    Apis Mellifica: Milk allergies can be easily cured with this medicine and thus kids are often prescribed the drug by a homeopathic expert. A few symptoms are found in kids due to lactose intolerance like breathing difficulty, body itchiness, redness, swelling, skin rashes and others. All these symptoms can be treated by this homeopathy medicine.
    China Officinalis: This medicine is mainly prescribed to those kids for whom Apis Mellifica is not the suitable one. Flatulence, belching and bloating can be properly controlled or regulated by taking this drug regularly.  Excessive mucus formation, chest's rattling sound and excessive coughing might occur with dairy intolerance and these symptoms might get severe. This is the reason the doctors often prescribe this medicine as the best option. 

A few natural remedies for treating lactose intolerance

    Probiotics: These are specialized bacteria that not only help in improving digestion, but proper nourishment can also be gained. 
    Coconut milk: This is now considered as one of the leading substitutes for different dairy products. 
    Apple cider vinegar: Lactose intolerance signs can be completely eradicated along with the maintenance of body balance by consuming apple cider vinegar regularly. This is a natural product, and thus you can take the same regularly without taking a doctor's permission. 
    Fermented products: Kimchi and Sauerkraut are those fermented foods that can create helpful bacteria as a result of which the gut can be re-populated and digestive system can be regulated. The symptoms will get reduced slowly with the consistent intake of these foods.
    Yogurt: This can be taken with meals as it is enriched with beneficial bacteria that can help in digesting different other dairy products. With the consumption of yoghurt, Lactose can be broken down naturally, and on the other hand, digestion can be improved.

Homeopathic and Natural Remedies for Lactose Intolerance

It is true that most people are aware of the fact that  angina  is a term which has something or the other to do with the heart. That being said, very few would be able to answer a question regarding what exactly it is, in a satisfactory manner. So would it not make sense to know more about it and become one of the few?

The term is derived from the ancient language of Latin and refers to a tightness that is felt or a squeezing of the chest. This happens when there is not enough oxygen-rich blood which is reaching the area of the heart muscle. While many people think that angina is a disease, it is actually not true to think that it is! As a matter of fact, it is a symptom of coronary artery disease. It is this disease which is the most common disease which affects the heart.

But why exactly does a person experience angina? Well, the lack of blood which is rich in oxygen occurs when it so happens that the coronary arteries become narrower than they normally should be. This generally happens due to the build-up of plaque. The condition in which this happens is known as atherosclerosis.

When it comes to the sort of people who are at a higher risk of developing angina, it can be said that those who smoke tobacco really do increase their risk, as do those who are overweight or obese and have other lifestyle diseases such as diabetes.

In order to avoid angina, the most important thing a person can possibly control is his or her lifestyle. In fact, a lot of the risk factors related to angina are attributable to the lifestyle a person chooses to lead. Cholesterol levels can be controlled if a person puts enough attention and effort in. Also, avoiding a lifestyle that is sedentary by exercise can not only help with cutting the risk of angina but also the risks of other conditions such as high blood pressure. It is ironic that high blood pressure is one of the potential signals of angina!

It is to be noted that while most people just call angina as it is, there are various types-

Stable angina is when the heart is working harder than usual and medicine helps improve this.

Unstable angina occurs even at rest and is unpredictable. It may also be a signal of a coming heart attack.

Variant and microvascular angina is relievable by medicine and is generally rare.

What Is Angina?

Ways to identify and treat Angina pain

Angina or angina pectoris is the pain, discomfort or tightness in the chest that occurs when the blood flow to the heart muscle cells is not enough to meet its energy needs. It is not a disease itself but rather a symptom of the coronary heart disease.

What are the different types of angina?

1. Stable angina: It is the commonest form of angina. It can be triggered by stress or physical activity and usually only lasts a few minutes.

2. Unstable angina: It happens when you're resting or aren't very active. The pain is strong and long lasting, and may keep recurring. It may be a signal of an impending heart attack.

3. Variant angina: This might take place when you're asleep or at rest. This sudden tightening or narrowing of the heart's arteries causes a lot of pain.

How u know what your are experiencing is an angina pain?

You might be having angina pain if you suffer from one or more of these symptoms:

- Chest pain
- Heartburn
- Breathlessness
- Nausea
- Dizziness
- Restlessness
- Fatigue
- Pain in your arm, neck, jaw and back
- Numbness or loss of feeling in your arms, shoulders or wrists

Immediate Relief from Angina

If previously advised by a certified doctor, patients can take antiplatelet medicines which are blood thinners and prevent unstable angina. Final treatments include angioplasty (repair of a blocked blood vessel through surgery), insertion of a coronary artery stent (a tube that is used to treat weakened arteries) or a heart bypass surgery for serious complications.



Ways to Identify and Treat ANGINA PAIN?

The inflammatory condition of your sinuses (marked by inflammation of your nasal cavities) caused due to viral, bacterial or fungal infection; any autoimmune disorders or allergic reaction is known as sinusitis. This condition is also referred to as 'rhinosinusitis' as nose inflammation occurs. Sinusitis can be either acute, sub-acute or chronic in nature. Acute sinusitis is generally caused due to the common cold and lasts not more than four weeks. Sub-acute sinusitis is more prolonged in nature and lasts for about eight weeks. Chronic sinusitis is more severe in nature and can last for up to twelve weeks or even more.

The most common symptoms of sinusitis are as follows: 

Severe headache
Nose blockage
Release of yellowish green fluids from your nose.
Fever
Difficulty in breathing
Painful sensation in your eyes, ears and forehead.
Post nasal discharge
Frequent cough
A sore throat
Nausea
Body fatigue
Neck stiffness
Tastelessness and anosmia (loss of smell)
The treatment methods available for sinusitis are as follows:

Intake of painkillers like paracetamol can give you temporary relief from your aches. But consuming too much of these can cause side effects such as loss of appetite and drowsiness.
Keep yourself hydrated by drinking about 2 to 3 liters of water every day and take proper rest.
Steam inhalation can give you relief from nasal congestion.
Using nasal sprays like Oxymetazoline can also give you temporary relief.
Your doctor may advise you antibiotics like Amoxicillin in your sinusitis is chronic in nature.
Immunotherapy helps to treat sinusitis if your sinusitis is caused due to allergic reactions.
Your doctor may also recommend an endoscopic surgery of the sinus if your condition is found to be very severe.

Symptoms and Treatment of Sinusitis

Chronic Obstructive Pulmonary Disease or COPD for short is a respiratory disease that makes it increasingly difficult to breathe; the lungs stop functioning properly. There are mainly two categories of COPD which are emphysema and chronic bronchitis. The primary reason for COPD is longstanding exposure to substances such as cigarette smoke, chemical fumes and air pollutants that damage the lungs gradually.

Initially, the symptoms of COPD may be really mild but over time it may become extremely severe. These include symptoms such as:

Shortness of breath
Coughing with mucous formation
Wheezing or gasping
Tightness in the chest
Feeling tired constantly after doing normal daily activities or after exercising.
In the long run, the damages can prove to be permanent.

Of the two subtypes mentioned, bronchitis is when the airways become inflamed as well as narrowed. People suffering from bronchitis tend to produce sputum which is basically a combination of mucus and saliva.
And the other subtype, Emphysema is the condition when the air sacs in the lungs become affected. The air sacs degenerate and become baggy with lots of holes in it. This, in turn, traps air. This narrows the airways making it difficult to breathe. In COPD, there is a narrowing of the lungs because:

The lining of the airway becomes inflamed
The lining of the airways which is elastic flops
The tissues of the lungs become damaged so there is an exertion on the airway.
COPD, in the long run, can lead to a number of health complications such as heart disorders, lung cancer, respiratory infections, depression and high blood pressure. COPD is treatable but not curable because it is a life-long condition. The following are some of the treatment methods for COPD:

Oxygen Therapy- If you are experiencing low levels of oxygen then opting for a portable oxygen unit will be extremely beneficial.
Medication- Bronchodilators help in relaxing the airway muscles for comfortable breathing. These medications are usually taken via an inhaler. Other medications include corticosteroids, theophylline, vaccines and antibiotics/antivirals.
Surgery- Surgery is usually advised as the last step when the COPD condition has become so severe that all other methods of treatment have failed. This is, more possible, in the case of emphysema. There are mainly two surgical methods: one is bullectomy when the surgeons remove the damaged air sacs. The other method is lung volume reduction which removes the lung tissues that have become damaged.
Adopting certain lifestyle changes can provide relief for the time being. Such alterations include:

Quit smoking immediately, if you haven t already.
Try to avoid passive smoking as much as possible. Passive smoking is as damaging as firsthand smoking.
Give your body the daily dose of nutrition so that the immune system doesn t falter as well.

Better Living with COPD - A Patient Guide!

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