Doctors keep learning from research conducted on different types of diseases and their treatments. In the case of lactose tolerance, the conventional wisdom has been that the condition may actually start setting in by the time the baby turns 2 years, but it may not manifest itself till the child reaches adulthood. However, later research has revealed that not only does lactose intolerance occur as one ages, but there are other considerations besides the age of the person, which determine lactose intolerance and its intensity.

Production of Lactase: There is no difference of opinion that the basic cause of this condition is directly related to the production of an enzyme, lactase within the body. This enzyme is produced in the small intestine, and once its production tapers off or stops completely, lactose intolerance surfaces. Lactose intolerance refers to the manner in which the body reacts to the consumption of milk and some foods made with milk. Chemically, milk is described as a combination of one portion galactose and one portion glucose. When milk is consumed, these two are broken down with the help of the lactase enzyme.

Age Does Matter: When researchers started studying cases of lactose intolerance reported at different locations or parts of the world, the patterns that emerged showed a slightly different picture. It is true that the age of the person diagnosed with lactose intolerance does matter. As mentioned, it can start in kids as young as 2 years, but definitely, many symptoms may appear only later in the adolescence period. But some people may develop the condition much later. This means, they might not have faced lactose intolerance to begin with, but as they grow older, their body s ability to produce lactase may dwindle and even disappear and that is when the condition could be noticed and if left untreated, it can become serious too.

Other Factors Relating to Lactose Intolerance: While remaining with the same conviction that age is in important factor in the onset of lactose intolerance, there are other significant indicators which have relation to the genetic composition of the person. For example, in a mixed race population or country such as the US, among whites, the condition may not occur before 5 years of age, while among African-Americans, it occurs by the age of 2 years. Among the Asian population also the occurrence of lactose intolerance is very common, whereas in some European races, the condition is rarely noticed.

How to Manage with the Condition?
It can be easily diagnosed by Lactose Hydrogen breath test (LHBT). If you have already been diagnosed with lactose intolerance, there is not much you can do to improve or induce lactase secretion. The only way is to avoid milk. But there are some products such as butter and some specific types of cheese that can be consumed. Many manufacturers mark the packaging of their products to indicate if they can be consumed by people who are lactose intolerant.

Lactose Intolerance & Age - Understanding The Relation!

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

Carotid artery disease occurs when an oily, waxy substance called plaque builds up inside the carotid arteries. These are arteries that supply oxygenated blood to your brain, face, scalp, and neck.
Carotid artery disease is very serious as it can cause a brain stroke. It, in fact, starts with damage to the inner layer of the carotid artery. To stem this damage your body starts a healing process and this leads to a build up of plaque at the point where the artery is damaged.

When this plaque ruptures, platelets are rushed in and these create an obstruction to the flow of blood to the brain. When the blood supply to the brain is cut off, which happens in carotid disease, the brain cells begin to die causing a stroke. This neural death impairs the parts of the body that these brain cells control. So, you can get paralyzed, become speech or vision impaired, have long  term effects like paralysis or even die due to a stroke.

Causes of carotid disease

Smoking
High cholesterol levels
High blood pressure
High levels of sugar in the blood due to diabetes
What s even more worrisome is that carotid artery disease may not cause any signs or symptoms until the carotid arteries are severely narrowed or blocked. And what usually happens is that a stroke becomes the first sign of the disease.

How scary is that?
So, the next question that comes to the mind is - Can this condition be cured? Let s learn more about management and prevention of the same-

Prevention
Lifestyle changes are key. Since hypertension, uncontrolled diabetes, sedentary lifestyles and imbibing too much fat are all risk factors, taking care of them minimizes the risk of carotid disease and strokes. Heart healthy lifestyle changes that include moderate exercise are a great way to prevent carotid disease.

Treatments
Treatments for carotid artery disease include:

Medicines: Sometimes lifestyle changes do not stem the rot. You need medicinal help. Doctors usually prescribe statin medications to control your cholesterol levels. These lower the bad cholesterol that can narrow your carotid arteries and cause brain strokes and damage. Statins are usually prescribed for people who have:

Heart disease
Those who ve had a stroke
Diabetes
High LDL or bad cholesterol levels
Medicines like Aspirin and Clopidogrel to prevent blood clots are the mainstay treatment if you suffer from carotid disease. They prevent platelets from clumping together inside your carotid arteries and forming blood clots. Apart from these, your doctor may also medicate you for conditions that can damage your carotid arteries and cause strokes. These medicines are for lowering your BP, blood sugar levels, preventing the formation of blood clots anywhere in your body including inside your heart, and preventing and reducing inflammation.

Medical Procedures
These are used to open narrowed or blocked carotid arteries.
The two common procedures are:
Carotid endarterectomy: It s mainly for people whose carotid arteries are blocked 50 percent or more. In this, the inner lining of the carotid artery that is blocking blood flow is removed.
Carotid artery angioplasty and stenting: Here, doctors use a procedure called angioplasty to widen the blocked carotid arteries and restore blood flow to the brain. A stent is inserted into your carotid artery to broaden the lumen. 

High Cholesterol Level - Can It Cause Carotid Disease?

Constipation is a condition characterized by extreme difficulty in emptying the bowels. It is characterized by hardening of the feces. Ayurvedic remedies have been considered since a long time to support healthy bowel movements. Acute constipation can also be a sign of Crohn s disease or irritable bowel syndrome.

Symptoms of constipation:
1. Immense strain during bowel movements
2. Inability to have proper bowel movements
3. A feeling of being blocked up from within
4. Hard and dry feces

How can you get rid of constipation with Ayurvedic remedies?

Increase fluid intake: If you are suffering from constipation, it is vital to drink about 80 ounces of herbal tea or water per day. Warm fluids are the best way to keep your body hydrated. These fluids should be consumed at least 20 minutes before a meal or 1 hour after a meal.
Increase organic oils in your diet: High quality oil helps lubricate your body tissues, so that appropriate amount of fat or oil can remain in the stool. Most oils are healthy, but the healthiest oils include olive oil, ghee and sesame oil.
Eat plenty of healthy fruits: Fruits are fibrous, hydrating and generally pacifying to your body. Fruits such as peaches, soaked prunes, soaked raisins, peeled apples and bananas should be consumed. It is vital to eat the fruits about an hour before your meals. While consuming these fruits, you should chew on them properly to attain maximum benefit. Pineapple juice is also very effective in facilitating bowel movements.
Consume soaked flax seeds or milk with ghee: Before going to bed, you should drink a cup of boiled milk with ghee or a tablespoon of flaxseeds soaked in a glass of water. This is an ideal remedy for constipation.
Herbs:  Triphala  herb (a traditional Ayurvedic herb) are generally prescribed by the Ayurvedic practitioners. It can be taken either in the tablet form or powdered form with a glass of warm water. Psyllium husk is also a natural source of insoluble and soluble fiber. It serves as a bulking agent and a demulcent in the colon. This facilitates the regular passing of feces.

Ayurvedic Ways To Help You Get Rid Of Constipation!

The fever itself isn t a disease but a symptom of a disease. It is generally caused when the immune system heats itself to fight the infections that enter our body. One of the most common reasons a person catches a fever is due to Influenza or the common cold.

Though fever is a common symptom, it can aggravate very quickly if not taken care of properly. This article will educate patients how to take care of themselves if they have a fever. The first and foremost step of taking care is to go to a doctor and get a proper diagnosis.

Upon a proper diagnosis, one can determine the kind of fever they are having. If someone has a fever due to diseases like Malaria then the course of action will be quite different. However, following are the common steps for most of the fevers:

Do s: While Having a Fever

  The first step is to keep a proper check of the temperature every 2 hours. For that, it is advisable to keep a thermometer handy. For better accuracy, it is better to carry a digital one.
  The next step is to keep the patient hydrated as fever usually leads to loss of appetite. This can cause dehydration and loss of nutrients.
  Drinking water isn t enough to battle dehydration, which is why the patient will need to take the ORS solution every 15 minutes.
  If the temperature rises, one should soak a cloth in cool water and put it on the forehead for a few minutes.
  If the temperature keeps rising, the patient should take Paracetamol only.
  Get a blood check by calling a local pathology technician and subsequently send the report to the doctor to get a proper diagnosis.

Don'ts: While Having a Fever

  Don t take an Antibiotic unless the doctor prescribes it.
  The fever may cause temporary body pain and stiffness; don t take Ibuprofen and other painkillers to get rid of it.
  Don t take any kind of NSAIDS without doctor s supervision.
  Don t take any kind of dairy products or junk food.
  Don t starve because of the loss of appetite.
  Don t agitate by doing any kind of household work or exercise.
  Don t sleep with the air conditioning on.
  Avoid drinking and smoking while having a fever.
  If the doctor prescribed antibiotics, don t quit halfway. It is important that one must complete the course of antibiotics.
  Don t take a bath while having a fever; it is better to clean the body with a soaked cloth or sponge.

Conclusion:

Though fever is a fairly common disease, the treatment can go haywire if the usage of certain medicines isn t done properly. Following the above instructions will help to take care of when someone has a fever and will help to get better. However, if the fever isn t going down after 2-3 days, one should see a doctor immediately.

What To Do When You Get A Fever?

Virus is the most common cause of pain in the throat or sore throat and it is often accompanied by cold symptoms like running nose, red watery eyes, cough and sneezing. Smoking, irritants in the air and pollution are the main causes of sore throat. It becomes very difficult to swallow food in such a condition when an individual experiences pain, itchiness or irritation in their throat.

Causes
The main causes of occurrence of sore throat include:
-leukemia in exceptional cases
-measles
-sinusitis
-diphtheria
-mumps
-bacterial as well as viral infection as in common cold
-influenza
-smoking

Symptoms of sore throat
The nasal passages get blocked
-inability to gulp down food
-severe pain in the throat which is followed by coughing
-lymph glands get swollen
-fever is followed by chills

When to visit the doctor
It is very important to visit your doctor, if the pain in the throat lasts for longer time and it is accompanied by symptoms like joint pain, difficulty in breathing and fever. The primary symptom of sore throat is pain in the throat and other symptoms like hoarseness and white patches on the tonsils also occur under this condition. People of all age groups can get affected with this condition, but it affects mostly children and smokers. People with weak immune system and suffering from allergies are also prone to pain in the throat.

Main Reasons of Throat Pain and How Can It Be Healed

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