Cyclic vomiting syndrome (cvs) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: there is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to cvs. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And cvs is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce cvs. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: the syndrome (a group of symptoms) usually has 4 phases:

1. Symptom-free interval phase: the child is completely normal in this phase, which happens in between bouts.

2. Prodromal phase: prodrome is an indication that a disease or a condition is about to happen. In cvs, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

3. Vomiting phase: repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

4. Recovery phase: as the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the cvs also.

2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood csv, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

Cyclic Vomiting Syndrome in Children - Causes, Symptoms, Treatment

Acne is a condition that affects many people including teenagers and women during their menstruation period. It is characterized by red eruptions that are usually filled with oil, secreted by overactive oil glands in the hair follicles. So what else should you know about acne? 

Here are six things you probably did not know about this condition:

1. Clogged Pores - Acne signifies clogged or blocked pores that are filled with oil and dead skin cells that have not been cleaned out completely. This mixture of oil and dead skin cells blocks the pores, and ends up creating an eruption of red sores called acne and pimples. There is a chance that bacteria may have joined these two substances as well.

2. Over Treating the Skin - The worst thing that you can do is to touch, pick or even apply too many harsh chemicals to your skin during an acne breakout. These things can actually make the problem worse, and even create scars in the long run. The constant use of cleansers and moisturizers can also have a harsh effect on the skin, due to perfume and chemicals present in such products. 

3. Exfoliation - Using a salicylic acid wash or cleanser first thing in the morning will help in exfoliation, which is a good way to clear those dead skin cells from your skin. This will speed up the process of acne treatment as well, by clearing the pores. Also at night, the use of a medicated cream that contains benzoyl peroxide will help in killing the bacteria, so that there is no infection.

4. Two Weeks Notice - Trying new products to treat acne is a great idea. But give every new product at least two weeks before you write it off. Usually, any good product will take at least that much time to affect the acne, and clear the pores in an effective way. So before you start changing cleansers and creams every other day, remember to use the two week thumb rule.

5. Menstrual Cycle - Acne, more often than not, happens about five days before and a few days after the monthly menstrual cycle. So watch out for hormonal imbalances, which can cause acne and pimples. Avoid stress around this time too.

6. Dermatologist - Visit a dermatologist if regular cleaning and over the counter creams are not working. Persistent acne may turn into infection. Remember to ask your dermatologist for an oil reducing formula too. 

Acne is a skin problem that should be treated the right way.

All About Acne

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

Gluten allergy refers to the abnormal reaction of the immunity system that is caused as a result of the protein content in the wheat grain. Wheat is normally composed of the two main protein variants called glutenins and gliadins, combining together to form gluten. This gluten induces particular immunoglobulin E (IgE) mediated responses and leads to various symptoms of wheat allergy. Regardless of what your gluten intolerance reactions are, they can be easily treated with proper homoeopathic treatments and medications.

Gluten intolerance can lead to atopic dermatitis and in most cases, urticarial and asthma. In some rare instances, it leads to exercise induced anaphylaxis. It is important to note here that the gluten intolerance should never be confused with celiac disease, which can be explained as sensitivity to gluten in wheat and various other grains. People who are suffering from celiac disease must try to avoid rye, barley and oats. Wheat comprises of four allergens namely, albumin, gladian, globulin and wheat gluten.

What should you not eat?
If you are suffering from gluten intolerance, then you must stay away from breads, crackers and cookies as well as other baked foods along with certain beverages such as beer, ale and malted milk. It is advised to stay away from ice cream, batter fried items, burgers and other items containing meat loaf and follow a restrictive diet altogether. There are various other sources of gluten, and you must speak with your doctor to find out which food items are restricted for your health condition and what are the possible homoeopathic treatments for alleviating gluten allergy?

How can homoeopathy help in treating gluten intolerance?
Homoeopathy is regarded as a popular system of medicine where the selection of medicines is done by assessing the individual health condition and medical history of the patient. As far as therapeutic medication is taken into consideration, there is a wide array of medications available for treating wheat allergy, and you must consult a doctor before administering any medication. The best part of the homoeopathic treatment is that it doesn t cause any side effects, and you will be able to get rid of your problem of gluten intolerance entirely with homoeopathic medications.

Homeopathy is normally termed to be organic and natural treatment, which has been going on for a very long time and is gaining popularity across the globe today. However, it is very important for you to understand how the treatment works and what are the restrictions imposed for helping in the eradication of the gluten intolerance.

Homeopathic Treatment For Gluten Intolerance (Wheat allergy)

Commonly people believe that you can understand your blood pressure is high if you are feeling dizzy suddenly or you are not able to sleep at night. Also sweating profusely is often related to having hypertension. But, to be honest, hypertension usually does not have any symptoms, which might help you get alert and take action to control it. This actually imposes a great threat to your well-being as you do not understand if you have hypertension. It is extremely important for you to keep checking your blood pressure level in order to avoid developing hypertension and hence developing a risk to your heart.

Although there aren't any major or very noticeable symptoms, here is a list of some rare symptoms which you can follow:

1. Headaches: If you are suffering from dull headaches almost regularly, it might be because you blood pressure has increased. The headaches can be a dull buzz or a severe migraine like ache. Keep monitoring your headaches and consult your doctor as soon as possible.

2. Dizziness: You might suddenly feel dizzy or you might feel you are about to pass out if your blood pressure increases. Make sure you refer to a doctor as soon as something like this happens.

3. Nosebleeds: A sudden occurrence of nosebleed might also be a symptom of a sudden increase in your blood pressure.

4. Severe anxiety: Severe anxiety or a panic attack is often referred to as a symptom of hypertension. If you have a sudden panic attack with no apparent reason, it may be because your blood pressure has suddenly risen.

5. Shortness of breath: High blood pressure may often cause a shortness of breath. You might experience it during various every day activity like walking, climbing stairs, etc.

6. Nausea: A sudden increase in blood pressure might make you feel nauseous. You might even vomit when this happens. Make sure you consult your doctor if this happens.

Hypertension: Symptoms that Can Control it on Time

Viral fever refers to a wide range of conditions caused by viral infections of the body. These infections lead to an elevation of body temperature, along with a variety of other symptoms such as headaches, body aches, chills and skin rashes. Viral fever can affect people of all age groups and may even be highly contagious if it is not contained and treated.


What causes viral fever?
Viral fever is caused by the infestation of viruses that spread through various avenues. These viruses enter the body and multiply at a specific site, leading to an infection that manifests itself as the symptoms of fever. This fever may be chronic or acute, depending on the nature of the infection and can easily spread from one person to another.


Some of the ways in which viral fever spreads are as follows:
Aerial transmission (coughing and sneezing).
Sexual transmission.
Consumption of contaminated food and water.
Contact with contaminated surfaces.
Contact with infected animals.


The symptoms of viral fever begin to show after an incubation period during which the virus multiplies within the body. The nature and duration of the illness varies from case to case. The most common symptoms of viral fever that accompany high body temperatures include the following:
Muscle soreness
Fatigue
Nasal congestion
Running nose
Redness of the eyes
Headaches
Coughs
Inflammation of the throat
Skin rashes
Vomiting
Diarrhoea


How is viral fever treated?
A case of viral fever can be quite easily treated if there is an absence of complications. For this, the illness simply needs to be diagnosed early. The use of antibiotics and steroids for treatment is advised against unless the infections have escalated beyond a certain extent. Some of the ways to treat viral fever are:
Prescription of antiviral medication
Adequate bed rest
Ample fluid intake
Administration of nasal decongestants


In most cases, the illness gets treated within the span of a few days. However, if the symptoms persist any longer, it is advisable to consult a specialist to check for underlying problems or complications.

Have Viral Fever? Know the Reasons Behind It!

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