Depression is a very unfortunate state to be in, in every sense of the word. It is a sickness of the mind and can only be felt by the person experiencing it. As a matter of fact, it is even worse when depression does not occur on its own, but is rather accompanied by another condition such as fatigue.

There are many cases where depression occurs along with chronic fatigue syndrome. The irony is that when a person is depressed, he or she is unlikely to be willing to get out of bed and when this is compounded by chronic fatigue syndrome, even if the depression alleviates, it would not make much of a difference as it would be a case of  mind willing, flesh weak !

Many of the people who are diagnosed with depression have extreme patterns when it comes to sleep. Either he or she would sleep for extended periods of time and feel lethargic to do anything else. Or, the other situation is generally when he or she is more or less an insomniac and does not get sleep even if he or she would really like to grab a bit of shut-eye!

What are the Symptoms?
When a person is going through depression, it can be said to be of the highest importance to be able to judge the symptoms of the condition soon, so that the person can go and seek treatment. The symptoms, which are being talked about include extreme eating habits, that is, either eating way too much or not enough at all, along with a continuous sense of anxiety which, depending on how severe the case of depression is, can cause a person to have his or her mind clouded by the anxiety which over sweeps all other thoughts. In addition to these symptoms, there are other signs which appear with the onset and continuance of depression. These include disinterest in hobbies, which once appeared enjoyable to take part in.

Chronic fatigue syndrome kills off any urge to partake in any activity, which is voluntary in nature. With the combination of these two conditions, it can be quite possible, rather unfortunately, for a person to find himself or herself to be stuck in a vicious cycle. Sleep disorders, such as sleep apnea can really kill a person s zing and as a result of the same, make it harder for him or her to get out of depression and more likely to fall into depression if he or she has not yet. Curing depression includes changes schedules, engaging in yoga and other similar activities. Dietary changes may also be warranted. However, the recovery should take effect soon!

Depression - It Can Cause You to Feel 100 Years Old

Hiatal hernia takes place when the upper portion of the stomach pushes itself through an opening in the diaphragm, into the chest cavity. The diaphragm is a wall of thin muscles, which separates the chest cavity and the abdomen. In most cases, a small hiatal hernia doesn't cause problems and you may never know you have a hiatal hernia unless your doctor discovers it when checking for another condition.

But a large hiatal hernia can allow food and acid to back up into your oesophagus, leading to heartburn. Self-care measures or medications can usually relieve these symptoms, although a very large hiatal hernia sometimes requires surgery.

Causes

Hiatal hernia is primarily or most commonly caused due to the increase in pressure in the abdominal cavity. Sometimes, a lot of pressure may be felt around the stomach accompanied by coughing, vomiting, strain during bowel movements. For people born with an abnormal hiatus, the chance of getting hiatal hernia is more.

The two common types of hiatal hernia are:

 Sliding hiatal hernia, which occurs during the sliding out of the stomach and oesophagus into and out of the chest through the hiatus. This type of hiatal hernia is less intense and has no symptoms.
 Fixed hiatal hernia or paraoesophageal hernia is an uncommon type of hernia where a part of the stomach pushes through the diaphragm and stays there.

Symptoms

Usually, no symptoms are experienced during hiatal hernia. Some symptoms are experienced that happen due to stomach acids, bile or air, which enters the oesophagus. Some common symptoms include:

 Heartburns which become worse when a person lies down
 Chest pain, better called epigastric pain
 Problem in swallowing food
 Belching

Tests for diagnosis

Several tests can be carried out for the diagnosis of hiatal hernia. They include:

 Barium x-ray, where a person is made to drink a liquid filled with barium before the x-ray. The x-ray provides a clear image of the upper digestive tract region and the location of the stomach can be seen. If it is protruded out, hiatal hernia is signified.
 Endoscopy is another test for detection of hiatal hernia. A thin tube slides down the throat, which reaches up to the oesophagus and stomach. This will determine whether the stomach is pushing through the diaphragm or not.

Treatment

Medicines, which are used to cure a hiatal hernia may include antacids for neutralizing stomach acid, h2 receptor blockers to lower acid production and proton pump inhibitors. Sometimes fundoplication surgery is required for the treatment of hiatal hernia, although it is rare. Some common surgical techniques are rebuilding of oesophageal muscles or a surgery to put the stomach back in its actual place. Laparoscopic surgery methods are used. Hiatal hernia may reoccur even after surgery; so general precautions should be taken. You should:

 Exercise regularly and maintain a healthy weight
 Avoid lifting heavy objects and ask for help
 Avoid any kind of strain on the abdominal muscles

Hiatal hernia is a disorder, which is more common among people over the age of fifty. Necessary precautions and treatment should be adopted in case of hiatal hernia.


All About Hiatal Hernia

Pain is unpleasant suffering caused by injury or illness. Back pain may be sudden/constant, dull, severe or not responding to short rest and medication. Constant pain in back in any region of spine for more than few days to weeks needs intervention.

Pain which is intense especially at night requires urgent visit to a specialist.

Sudden onset of pain in back with or without injury needs urgent attention.

Back pain with difficulty in walking, pain while getting up from position of comfort, pain during change of posture or pain after prolonged sitting (for work) can lead to serious permanent damage, if left untreated.

Pain which travels to one or both legs may be due to pressure on the nerve/s and if left untreated for long can lead to permanent weakness or damage.

Pain associated with numbness, tingling or weakness in legs, especially below the knees, commonly called Sciatica, needs to be investigated. Various spinal ailments can lead to weakness in one or two limbs or all four limbs. There may be associated or isolated numbness (loss of sensation to touch, pain or temperature) without back pain.

Numbness, tingling or weakness may be the only symptoms without any complaint or without history of back pain.

Problems related to bladder control which may be difficulty to control, hesitancy in passing or dribbling of urine. There may be associated constipation. Loss of bowel/bladder control is caused by pressure on spinal cord &/or nerves which may be due to injury, infection, disc prolapse or tumor.

Sudden swelling and redness in back usually happens after an injury or accident but sometimes are signs of underlying severe illness.

Loss of normal shape/curvatures of spine can present with or without pain. It can lead to forward, sideways or rarely backward bending.

Unintentional weight loss, loss of appetite, evening rise of fever or disturbed sleep with associated back pain/weakness/numbness needs visit to a specialist.

When Should You See Your Doctor in Back Pain?

Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

Osteoarthritis 

The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

Severe pain in the knee joints
Pain after walking up the stairs and it subsiding once you are on rest
Severe pain after the movement of joints for a long time
Pain that becomes worse in rainy days
Joints becoming stiff after waking up in the morning but they improve in the latter part of the day
Pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.
Rheumatoid arthritis

Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

Severe pain in the morning
Mild fever accompanying the pain
Joints suddenly becoming swollen, red and warm causing, immense pain
Sudden stiffness of the joints
Pain that increases in cold weather
Mild fever, extreme tiredness and weakening of the muscles
Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.
Muscle-stretching exercises are effective in keeping the knee joints flexible.
Dry needling, cupping, taping can help to control the pain and keep the joint supported.
Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.
If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.

Physiotherapy for knee arthritis

Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions. The main goals of physiotherapy for your knee arthritis are:

Reduce your knee pain and inflammation.
Normalise your knee joint range of motion.
Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
Strengthen your lower limb: calves, hip and pelvis muscles.
Improve your patellofemoral (knee cap) alignment and function.
Normalise your muscle lengths.
Improve your proprioception, agility and balance.
Improve your technique and function eg walking, squatting.

How Physiotherapy Helps To Manage Arthritis?

If you are looking to lose weight, it is of utmost importance to focus on your diet. Eating a balanced diet along with regular exercise is your key to losing weight. You need to focus on picking the right foods to lose weight.

Carbohydrates are classified into three types - simple carbohydrates, complex carbohydrates and fiber.

Simple carbohydrates consist of foods such as fruits and sugar. These foods should be consumed in limited amounts as they tend to spike your blood sugar levels. Excessive consumption of simple sugar ups your risk of diabetes and leads you to gain weight.

Complex carbohydrates are foods like whole grains, oats and millets that have a different digestive mechanism compared to simple carbohydrates. These foods are digested slowly and thus, the energy is released slowly into the bloodstream. This means that there is no blood sugar spike during the process of digestion. However, it is important that you should not consume these foods in excess. Overconsumption of these foods may lead to weight gain.

Fiber is a type of nutrient that is also known as roughage and it is present in vegetables and fruits. Fiber rich foods are cabbage, broccoli and carrots. Fiber helps in improving digestion as it adds bulk to your stool. The other important benefit of fiber is that it enhances your heart health by reducing bad cholesterol levels in the body. Fiber is helpful in weight loss as it improves satiety and promotes digestion.

Protein is another component that is emphasized on when you try losing weight. Good sources of protein are eggs, chicken, turkey and lentils. It helps in building muscle in the body, which in turn increases your metabolism rate, so that your overall calorie burn increases. It is recommended that you consume 1 g of protein per pound of body weight. Protein lets you hold on to your muscle mass which increases your lean muscle mass that burns fat.

Can Specific Proteins and Carbs Keep Weight Off?

You are sitting in an office meeting and it has been a couple of hours since you have had your breakfast. Lunch looks like a long time away and you are trying hard to concentrate. But all of a sudden your stomach starts distracting you and makes noises calling out to you. Does this sound familiar to you?

The rumbling of our stomach has been a constant subject of studies for several scientists. In fact, 2,000 years ago, the Greeks coined a special name for it called Borborygmi. So, what s with all the growling and rumbling. 

What causes stomach rumbling?
The rumbling that you hear is related to the movement of food, liquid, digestive juices and air through your intestines. When your intestine is processing the food, your stomach may grumble and growl. When it is hungry and your stomach is empty, the rumbling noise is more audible and can be heard clearly.

The stomach digests the food through a process called peristalsis. The walls of the gastrointestinal tract that are made of muscles contract and move the food down the intestines. Peristalsis is responsible for the rumbling sound that you tend to ear when you are hungry.

Here is the exact process that occurs in your stomach:

During the digestion process, the food along with the digestive juices, gas and air bubbles are pushed down through the digestive system.
If you have food in your system that needs to be broken down, then the muscle contractions aids its movement. The presence of food can muffle the sound of movement and rumbling.
But when it is empty, all you have in there is air or gas. The movement of air bubbles and gas is not absorbed and your stomach grumbles clearly.
Five ways to deal with it
So now that we know why our stomach growls, is there a way to control it? Here are five effective tips to keep the rumbling of your stomach under check.

Mute the rumbling noise by eating small meals at regular intervals instead of a few large meals. Your digestive system will then have a lesser opportunity to create those loud noises of rumbling.
Eat slowly and swallow less air.
Stay away from high-fructose or high-sugar foods that tend to cause a lot of intestinal noise when it gets broken down in the system.
Eat food that produces less gas.
Try to take a small walk after heavy meals in order to aid digestion and keep your bowels moving, without excessive build-up of gas in your digestive system.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Rumbling Of Stomach - Why It Happens? + How To Manage It?

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