Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner s ulcers are seen only in people with intestinal cystitis, it s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the  loo  as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner s ulcers are both a diagnosis of exclusion. This means that they re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner s ulcers.

Hunner's Ulcer In Urinary Bladder - How They Can Be Treated?

Does you back hurt only when you wake up in the morning or is it a chronic problem? If yes, then you need to take immediate steps to treat it. Back pain, being the common physical anomaly for people primarily in the age range of 35-50, is one of the top causes for office absenteeism and mid-life lethargy and fatigue. Usually back pain indicates an underlying problem that involves the nerves, bones and muscles.

Here are some risk factors for back pain:

Pregnancy
Stress related to work
Leading a sedentary lifestyle
Anxiety and depression
Being overweight
Over exercising
Strenuous physical work outs
Smoking
There are varied reasons as to why back pain may occur. Discussing the causes of back pain is beyond the purview of this article; the focus is now going to be on some of the stretches one can practice to get relief from back pain: 

Downward dog: A classic yoga pose, the downward dog stretches the entire back, hamstrings and the whole of the leg. Begin the process in a classic push up pose with the palms and toes on the floor. Keeping your back straight, lift your tailbone up and straighten your legs. Push the heels to the floor and breathe to get the most out of this stretch.
Child s pose: A simple stretch, it begins with you sitting back on your buttocks and then stretching the arms in front of you. Keep your forehead on the floor and breathe slowly.
Cat cow pose: If your common complaint is that of a sore and painful back, then this is one of the best stretches for you. A very simple pose, you begin by sitting on all fours, then transitioning into the cat pose by pushing your spine upwards. Hold the pose for one breath and then go to the cow pose wherein you lift your buttocks and the head while scooping your spine.

Back Pain - 3 Stretch Exercises You Must Follow!

Mushroom is a type of fungi that hails from the Agaricus family. It is estimated that there are close to 1,40,000 types of mushroom, out of which science has been able to classify only 100 odd mushrooms for health benefits. From cutting down cholesterols to preventing cancers, increasing the strength of the immune system to helping in weight loss, there are numerous health benefits of mushroom. This article will explore why mushrooms are regarded so highly by health practitioners across the globe:

Cholesterol levels: Mushroom does not possess any fat or cholesterol. They are rich in lean protein, fiber, and some very important enzyme. The lean protein found in mushroom helps to burn down the LDL cholesterol. Furthermore, it creates a good balance of LDL and HDL cholesterol so that the body can refrain from stroke, atherosclerosis etc.
Preventing cancer: Mushrooms are mighty effective in blocking certain cancer types such as the breast and prostate cancer. Owing to their high linoleic acid and beta-glucans, they act as a very good anti-carcinogen. While linoleic acid can successfully suppress the excess estrogen which leads to breast cancer in women, the beta glucans can suppress the growth of cancer cells in the case of a prostate cancer.
Diabetes: Mushroom is an ideal food for a diabetic patient. They do not possess cholesterol, consists of low fat, have high protein and a lot of minerals and vitamins. Apart from this, mushrooms possess a lot of fiber and water. The most critical component, however, is the natural insulin that mushroom has within itself. They help to break down the starch found in food items. Mushrooms have certain components that help in the proper functioning of the liver, endocrine gland etc. It ensures that the proper balance of insulin is maintained in the body.
Bone health: Mushroom is a very good source of calcium. They ensure that adequate strength of various bones is maintained in the body. Regular intake of mushroom can ensure safeguard an individual from conditions such as osteoporosis, joint pain, and immobility.
Blood Pressure: Mushroom variety such as the maitake and the shitake has a high amount of potassium content. The latter can successfully relax the blood vessels thereby, reducing the blood pressure. Increased potassium content also helps in knowledge retention and an improved memory. High blood pressure, on the other hand, can cause severe damage such as strokes, heart attacks etc.
Selenium content: Selenium component is mushroom is one of the key ways to receive selenium for a vegetarian. Selenium helps in strengthening the bone, nail, tooth and hair. Selenium is also considered to be a very powerful antioxidant that can successfully get rid of free radicals in the body and strengthen the immune system.

Mushrooms - 6 Reasons Why You Should Start Eating Them Today!

 Asthma  is a serious expiratory disorder, whereby, the patient faces difficulty in breathing or dyspnoea due to various factors such as allergies, bronchial infection, anxiety or stress and occupational hazards. In all the cases, it leads to excessive bronchial spasm and mucus accumulation, plugging the bronchial which leads to paroxysms and the patient starts panting heavily. But it is completely chronic without any complications. 

Although allopathic measures such as inhalers and steroids can temporarily help to control the situation, yet, homeopathy has proved even more useful for asthma as the treatment is completely natural and does not carry the uncertainty of side effects like the steroids. It not only helps to reduce the intensity of spasms, but also, tries to cure the actual cause of asthma itself. Consequently, after a complete and proper treatment of asthma with homeopathy for a couple of months, it has been found, that the patients are living a happy life without any sign of the disease. Given below are the various homeopathic medicines used for curing asthma:

Arsenic Album   This medicine comes into rescue when the patient is extremely restless, unable to sit or stand comfortably, feels extremely thirsty but is unable to drink too much water, feels suffocated with pain in upper-right chest. Arsenic Album is said to have provided great relief to such patients.

Ipecac   When a patient suffers from vomiting and nausea during these asthmatic attacks, this medicine can prove very useful, especially in children and adults who are a little fat.

Antim Tart   One of the effective medicines for asthma accompanied by rattling cough caused due to eating making the patient feel very weak and sleepy. This medicine is generally suitable for old people and children.

Nux Vomica   This medicine helps patients who suffer from gastric problems due to asthma causing headache and epigastric pain in the stomach region.

Carbo Veg   This medicine helps in cases where asthmatic attacks make the patient s face blue and also cause coldness of hands and feet.

Although above medicines are very effective, yet, they should always be taken strictly under doctor s guidance.

Homeopathy Treatment For Asthma

Easy home remedies for sore throat

An itchy, scratchy and burning throat is something we all experience, at least once a year, if not more. Depending on your body's immunity, it occurs more often. While there is good medication to cure the problem, there also exist home remedies which can cure it. Keep a note of these things also to prevent a bad throat.

Fix sore throat with:

1. Salt water gargle - this might not be new to you as it is the first remedy elders in the family advice about - to gargle with salt water. The warm water with salt in it relieves the discomfort in the swollen tissues and pulls the mucous out.

2. Over-the-counter throat lozenges: these are extremely convenient and dependable. On days when the throat won't stop itching and you have a lot of speaking to do, these lozenges help calm the itching. They contain menthol which makes the throat tissues numb. Cough drops and candies ensure constant production of saliva in the mouth. These have choking hazards though, so avoid giving to children.

3. Ginger, clove, tulsi - chewing on pieces of ginger is beneficial. Ginger juice soothes the throat and calms the itching. Especially helpful during the nights, so that one can sleep peacefully. Cloves and tulsi leaves when chewed individually also give similar soothing effects to a sore throat.

4. Drink loads of water - it is important to stay hydrated because dehydration leads to decrease in production of mucous and saliva in the mouth. More fluids in the mouth help deal with sore throat better.

5. Warmth of honey - warm tea with honey is an ideal way to soothe the irritated throat. Honey is said to be effective in suppressing coughs. 

6. Avoiding cold drinks - whatever you drink, make sure it is warm or even better, hot. Avoid drinking or eating anything cold as they will only aggravate the condition of the throat.

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Peace with Sore Throat - How Many of These Remedies Do You Already Know?

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them and possibly even prevent them. The two types of migraine are- 

Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
Motor: Usually related with the movement problems like the limb weakness
Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:

Pain on both sides or one side of the head
Pain is throbbing in nature
Vomiting and nausea
Sensitivity to smells, sound and light
Vision is blurred
Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

Onset of headaches >50 years 
Thunderclap headache - subarachnoid haemorrhage 
Neurological symptoms or signs 
Meningism 
Immunosuppression or malignancy 
Red eye and haloes around lights - acute angle closure glaucoma 
Worsening symptoms 
Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

Migraine - Identifying the Early Signs!

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