In an incredibly fast paced and unhealthy lifestyle of the modern world, irregular menses aren t exactly an unusual situation. The length of a monthly cycle may either last longer than usual or end earlier than usual, only to begin in a short while again, accompanied by greater abdominal pain and blood loss. Irregular cycles may vary from 8 to 21 days or more. The variation of 21 days or more is considered highly irregular and abnormal. A woman may face some menstrual irregularities at both ends of menstrual life, (onset- menarche and end of cycle- menopause) which is normal and in most of the cases, it is self-establishing. 

Causes of Irregular Menstrual Cycle: 

The cause of irregularities in menstrual cycle is basically hormone imbalance. The altered levels in the body lead to irregular cycles. There are many factors in routine life which affect hormonal balance. Some of them are: 

Poor diet or wrong dietary habits 
Stress and anxiety, thoughts and emotions
Lifestyle: Lack of physical activity and exercise, too much physical exertion, stress and strain during menses. 
Illness: Long-term illness like fever, tuberculosis, thyroid problem etc. 
Medication: Certain medicine if taken for a long time, like oral contraceptive pills, hormonal therapy etc., alters hormonal balance. 
Imbalance of Tridosha (vatta, pitta and kapha) in body, leads to irregularities of reproductive system. 
As per Ayurveda, Vatta is the main culprit in menstrual irregularities. 

How To Deal With Menstrual Irregularities:

With the sudden acceptance of eastern concepts of yoga and organic and indigenous medicines around the world, Ayurveda has gained importance in treating irregular menses, gynecological and obstetric problems. 

Lifestyle and Food- There is no alternative for lifestyle and food habits correction. Eating healthy and nutritious food, regular exercise, yoga, physical activity, outdoor games lead to good physical health. 
Meditation and Breathing: Exercise is good for taming hormones. It keeps a person physical and mentally healthy. 
Avoid heavy physical work during menses. 
A good oil massage over body keeps Vatta in balance (one of the important tridoshas of body: vatta, pitta and kapha). 
Ayurveda has proven to be much helpful in regulating the menstrual cycles. According to certain studies, Ayurveda came in rather handy while tackling PCOS, a disease distressing 1 in 3 women today. It is certain that Ayurveda medicines work better in certain scenarios and definitely have fewer risks in comparison to allopathic medicines and surgeries. Over a period of time, they have proven much more beneficial in overcoming the irregular menses and the irritation along with the accompanying pain and PMS symptoms. Ayurvedic medicines use herbs and roots and almost everything found in nature to discover a rather organic cure for diseases. Certain plants like Shatavari are used to reduce the much spoken about mood swings or PMS symptoms during periods which can only worsen in case of an irregularity. The bark of the Ashoka tree has proven to be quite helpful in relieving menstrual pain and excessive bleeding. Other plants and their parts like the Lodhra, Guggul, Guduchi and Amlaki, Jatamansi etc. are useful in regulating periods and reducing the stress and irritation accompanied by it. 

Panchkarma- Basti therapy (Enema- administration of medicines through rectal route). In this treatment, decoction of different herbs and medicated oils are used for giving enema. Basti has proven its efficacy since centuries, for treating Vatta. A course of 5, 8, 15, 30 or 60 basti, as per person s requirement can be given for menstrual problems. Irregular periods, although are faced by a large chunk of women, pose different symptoms for different people and hence individualized treatment is advised.

Irregular Periods - Ayurvedic Home Remedies to Treat It

The gastrointestinal tract is a large muscular tube that extends all the way from the mouth to the rectum in human beings. It is also called the digestive tract or alimentary canal. The muscles in this tube move the food, all the way to the stomach, from the mouth and then, due to the release of enzymes, the food is digested. The components of the gastrointestinal tract are the oesophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder etc. 

Symptoms of gastrointestinal tract problems include:

Pain
Abdominal distension
Heartburn
Bloating
Nausea
Vomiting
Constipation 
Diarrhea
Some of the most common gastrointestinal tract problems are:

Chest Pain: Also known as Gastro-esophageal Reflux Disease, this happens if the stomach acids travel back into one s esophagus. This phenomenon is commonly called an acid reflux. Often, it could occur after meals. It is quite common to experience this every once in a while. However, having these on a daily basis or at least thrice a week should not be ignored, as it could be a symptom of GERD.
Celiac Disease:  This refers to severe gluten sensitivity, a protein present in rye, wheat and barley. People who suffer from this disease are advised to avoid consumption of gluten in any form. The consumption of gluten sends the immune system on attack mode, damaging the villi which are found in the small intestine, that help to absorb nutrients from the food consumed. 
Irritable Bowel Syndrome: The feeling of discomfort and stomach pain, at least thrice a month for a prolonged period of time, maybe a symptom of IBS. What causes IBS  is unknown, but the treatment is to avoid foods which produce gas. A diet low in fats and high in fiber content is also advised. 
Hemorrhoids: Blood during bowel movements is a sign of hemorrhoids. It happens when the blood vessels present towards the end of one s digestive tract get inflamed. The causes may include diarrhea, chronic constipation, or a low fiber diet. OTC creams may give temporary relief. A high fiber diet, drinking a lot more water, and exercising regularly is advised. 
Crohn s Disease: This is an autoimmune disease in which the immune system mistakenly attacks cells in your own body. Crohn s disease is part of a group of digestive conditions called inflammatory bowel disease. Some symptoms include weight loss, rectal bleeding and abnormal pain.       
Gallstones: These are hard deposits that form in the gallbladder. They occur when there is a high amount of waste or cholesterol in your bile. Gallstones block the passage from the gallbladder to the intestines, which may result in a sharp pain felt in the upper right region of the abdomen. Medication to dissolve the gallstones or surgery is advised.
The gastrointestinal tract is very important and should be taken care of properly. Any discomfort shouldn t be ignored. 

6 Most Common Gastrointestinal Problems!

Being a victim or witnessing a horrific accident or personal assault can leave you shocked and scarred. Sometimes, these conditions last for months and years with memories of the traumatic incident triggering intense emotional and physical responses. This is known as post traumatic stress disorder or PTSD. It is a fairly common anxiety syndrome and can be treated in a number of ways including drugs, exercise and psychotherapy. However, this treatment aims only to control the disorder and there is no known cure for PTSD as yet.

Exercise not only keeps the body fit, but also helps the body release endorphins. Endorphins help fight stress, fear and pain. Thus, exercising helps focus on the body and its movements instead of your fears. It can also help elevate the mood of a person. Low to moderate intensity exercising is ideal for a PTSD patient. Aerobics, pilates, yoga or martial arts like tai chi are known to be effective ways of reducing stress and anxiety in PTSD patients. Breathing exercises like pranayama can also help calm and relax the mind.

Exercise for a PTSD patient should be planned in repetitive sets. This enables the person to slowly master the type of exercise being done and regain control and confidence in himself. It also needs to be predictable so as to avoid triggering a PTSD emotional or physical response. Non competitive exercises are better than competitive exercises as it does not create an opportunity for the person to feel stressed. Exercising and practicing breathing techniques can also help a person analyze himself and his response to stressful situations. By understanding their reactions, a person can slowly bring about changes to handle stress in a better way.

For a PTSD patient, exercise should not be seen as a group activity but as an individual effort to increase self control. Patience is key here both for the patient and the therapist. It is also necessary for the person to have realistic goals from his exercise regimen. An exercise program for PTSD patients also needs to be flexible. In order to meet the needs of a patient, it may need to be changed in accordance to the medication he is under. Small incidents like having a flat tire when cycling can trigger anxiety in a person suffering from PTSD. However, if dealt with correctly, it can bolster confidence in the long run.

Lastly, exercising also helps improve self-image and build confidence which helps a PTSD patient break out of his protective shell and socialize with others.

Post Traumatic Stress Disorder - How Exercising Can Help You Overcome?

If people understood the benefits of laughter and it could be packaged and sold in bottles, then it would sell the most. Laughter and humour is contagious and easy to  make and use. It has many therapeutic benefits besides just enjoying a good joke. When laughter is shared, it binds people together and increases happiness and intimacy. Laughter also triggers healthy physical changes in the body. Humor and laughter strengthen your immune system, boost your energy, diminish pain, and protect you from the damaging effects of stress. 

A. Laughter is good for your health:
1.Laughter relaxes the whole body. A good, hearty laugh relieves physical tension and stress, leaving your muscles relaxed for up to 45 minutes after.
2.Laughter boosts the immune system. Laughter decreases stress hormones and increases immune cells and infection-fighting antibodies, thus improving your resistance to disease.
3.Laughter triggers the release of endorphins, the body’s natural feel-good chemicals. Endorphins promote an overall sense of well-being and can even temporarily relieve pain.
4.Laughter protects the heart. Laughter improves the function of blood vessels and increases blood flow, which can help protect you against a heart attack and other cardiovascular problems. 

B. The link between laughter and mental health:
1.Laughter dissolves distressing emotions. You can’t feel anxious, angry, or sad when you’re laughing. You will feel lighter, happier and confident.
2.Laughter helps you relax and recharge. It reduces stress and increases energy, enabling you to stay focused and accomplish more. It has the capacity for a person to be in touch with the present and bounce back faster from problematic situations.
3.Humor shifts the perspective, allowing you to see situations in a less serious light. You will be able to see your own mistakes as errors of judgement, learn from them and move on. You will feel less anxiety and panic reducing your heart rate and muscle tensions.

Shared laughter is one of the most effective tools for keeping relationships fresh and exciting. All emotional sharing builds strong and lasting relationship bonds, but sharing laughter and play also adds joy, vitality, and resilience. And humor is a powerful and effective way to heal resentments, disagreements, and hurts. Laughter unites people during difficult times.

C. Humour improves your Social Relationships
Incorporating more humor and play into your daily interactions can improve the quality of your love relationships— as well as your connections with co-workers, family members, and friends. Using humor and laughter in relationships allows you to:
1.Be more spontaneous. Humor gets you out of your head and away from your troubles.
2.Let go of defensiveness. Laughter helps you forget judgments, criticisms, and doubts.
3.Release inhibitions. Your fear of holding back and holding on are set aside.
4.Express your true feelings. Deeply felt emotions are allowed to rise to the surface. Its easier for others to take constructive feedback when sandwiched between something light and positive. 

D. Making opportunities to laugh together:
1.Watch a funny movie or TV show.
2.Go to a comedy club.
3.Read the funny pages.
4.Seek out funny people.
5.Share a good joke or a funny story.
6.Check out your bookstore’s humor section.
7.Host game night with friends.
8.Play with a pet.
9.Go to a “laughter yoga” class.
10.Fool around with children.
11.Do something silly.
12.Make time for fun activities (e.g. bowling, picnics, games) 

However, it is important to keep in mind that you don’t laugh at someone or in their absence. Don’t resort to sarcasm and witticism, which is not clean humor and showing sensitivity towards other people’s sentiments. So take out your laughter arsenal and get ready to shoot.








LAUGHTER: THE BEST MEDICINE

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: Tension free  repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

Types of Hernia - How Laproscopy Can Help Manage?

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