It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the oesophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in the stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Oesophagal causes (gastrorrhagia):

Oesophagal varices
Esophagitis
Oesophagal cancer
Oesophagal ulcers
Mallory-Weiss tear
Gastric causes: 

Gastric ulcer
Gastric cancer
Gastritis
Gastric varices
Gastric antral vascular ectasia
Dieulafoy's lesions

Duodenal causes
Duodenal ulcer
Vascular malformation, including aorto-enteric fistulae
Hematobilia or bleeding from the biliary tree
Hemosuccus pancreaticus or bleeding from the pancreatic duct
Severe superior mesenteric artery syndrome
The signs and symptoms of upper gastrointestinal bleeding are as follows:

Hematemesis - Vomiting of blood
Melena - Blood in the stool
Hematochezia - Passage of fresh blood through the anus, usually in or with stools
Syncope - Loss of consciousness (fainting)
Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
Dyspepsia   IndigestionEpigastric painHeartburnDiffuse abdominal pain
Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discolouration of the skin, mucous membranes, and sclera
The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

Orthostatic blood pressure
Complete blood count with differential counts
Hemoglobin level
Type and crossmatch blood
Basic metabolic profile, BUN,
Coagulation profile
Serum calcium
Serum gastrin
Endoscopy
Chest radiography
Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)
Upper gastrointestinal bleeding can be managed in the following ways:

Airway management and fluid resuscitation using either intravenous fluids and or blood
Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
Surgical intervention
Treating the consequences (like anaemia) that the bleeding may have caused
Precautions are taken to prevent re-bleeding

What Are The Reasons Behind Ulcer?

Blurred vision is most often a sign that you need corrective spectacles for near sightedness, far sightedness or astigmatism but it could also be a sign of a bigger problem including eye diseases or neurological problems. Blurred vision involves the loss of sharpness of vision and objects appearing hazy and out of focus. It can affect one eye or both eyes simultaneously.

Whatever be your age, it is a good idea to consult a doctor as you begin to experience a blurred vision. To measure the extent of your vision problem, a doctor will do a comprehensive eye examination including spatial contrast sensitivity and a standard eye chart test. Some of the factors that trigger blurred vision are:

1. Myopia or nearsightedness
2. Hypermetropia or farsightedness
3. Astigmatism caused by an irregularly shaped cornea
4. Presbyopia - the diminished ability to focus on objects due to the hardening of the lens in the eye
5. Dry eyes or the lack of lubrication on the surface of the eyes
6. Hormonal changes during pregnancy
7. Migraine headaches
8. Temporary floaters in the eye formed by the liquefying of the gel in the eyes
9. After effects of lasik surgery
10. Eye drops or medication
11. Overuse of contact lenses
12. Diabetes

Blurred vision can also be a symptom of a serious condition such as cataract, glaucoma, macular degeneration, diabetic retinopathy and cardiovascular diseases.

Treatment for blurred vision depends on the factors triggering it. Wearing corrective glasses can cure blurred vision caused by myopia, hypermetropia and astigmatism. These conditions can also be treated by lasik surgery. For blurred vision related to diabetes, check your blood sugar and get it into its optimal range.

Exercises for the eye muscles can also help sharpen vision and lower the rate of eye muscle degeneration. Some of these exercises are:

1. Alternately focus on an object close to you and another far from you for ten seconds each.
2. Blink your eyes and hold for two seconds
3. Roll your eyes clockwise and anticlockwise. Repeat 15-20 times.
4. Rub your palms together to generate heat and place over your eyes to relax them.

A healthy diet with plenty of vitamin a can help keep your eyes healthy and prevent blurring of vision. Wearing sunglasses can also protect your eyes from harmful uv radiation and lower their rate of wear and tear. Lastly avoid reading in moving vehicles and holding a book too close to your face.

Is Your Vision Blurry? What Should You Do?

Did you know that yoga poses help you in achieving greater flexibility rather than develop it? If you are suffering from stiff hamstrings, painful lower back and locked-up hips and tried many yoga poses without any help, then you may not have tried the right poses. When the body is stiff, it feels like you are trapped within your own body. Flexibility exercises can help in alleviating joint stiffness that may have developed due to a wide array of reasons. Here are the main asanas that are great for joint flexibility.

1. Big toe pose or Padangusthasana: This yogic pose can calm the nervous system and relieve stress and anxiety and stimulate your kidney and liver to optimize their functions. With regular practice, your calf muscles and hamstrings would stretch and your thighs would become stronger. If you are suffering from indigestion and insomnia, then big toe pose is a must try and it also helps in alleviating the symptoms of menopause.

2. Bound angle pose or Baddha Konasana: This pose offers a host of benefits that include stimulating your abdominal organs, prostate glands, ovaries, kidneys and bladder. It also stimulates blood and oxygen circulation throughout the body and improves the heart condition. It is a therapeutic treatment for high blood pressure, anxiety, mild depression, fatigue flat feet, asthma and infertility. With consistent practice, you will be able to stretch your knees, groin and inner thigh.

3. Child's pose or Balasana: This resting pose calms the mind and improves digestion to a great extent. It helps in elongation of the lower back by opening up and stretching this part of the body where all the weight is dumped while you sit and work all day long. This pose is perfect for opening up the hip and reducing hip pains and improving their flexibility.

4. Cow face pose or Gomukhasana: When performed regularly, this pose helps in deep stretching the hips, thighs, ankles, armpit, shoulders, triceps, chest and deltoid. If you had been suffering from a chronic knee pain, this pose can help relieving it. It also aids in strengthening the spine and abdominals, and its folded variations are a great way of decompressing lower spine and clearing the hip joint.

Increased flexibility is one of the topmost benefits of yoga that would surely equip you with the freedom of movement and relaxation. However, it is always important to consult an expert before you try these poses, as they can evaluate your medical history and select the ideal yogic postures that would work best for you.

Improving Joint Flexibility Through Yoga

Anger is a very negative emotion and can be the underlying cause of many relationships falling apart. There are people who cannot manage their anger completely and express it by yelling, throwing things, or even physically harming others. While anger is a natural emotion, it is important to control it else it can even harm one s own health. 

Research has proven that every emotion is associated with a chemical reaction in the brain. While happiness produces certain chemicals, anger produces another set, leading to a different impact on health. Therefore, it is essential to learn to control anger, so that the negative reactions can be controlled. The following are some simple but effective ways to manage your temper:

Take a pause: It is a known fact that what is said in the heat of the moment can be very damaging. The person s response may be completely different if they speak after a while. Some people even would ask if it was indeed them who spoke or did that. Therefore, learn to count to ten or take deep breaths when you know you are angry. This can help you gather your thoughts and respond more aptly.
Be assertive: Learn to respond without sounding argumentative, at the same time being assertive. Do not try to control others when trying to make your point.
Regular timeout: For some people, there are periods of the day which prove to be more stressful than the others. Even a simple walk for 10 to 15 minutes can improve your oxygen intake and aid in anger management.
Nurture your sense of humor: While not all would have it, it is definitely possible to look at the funny side of things. This definitely helps in not just easing the stress and reducing tension for all, but also reduces the anger you feel towards a particular situation or person.
Relaxation techniques: Be it meditation or yoga, these help you relax by focusing on the breathing. Even exercise, writing poems or stories, singing songs, or listening to music can help in reducing stress and controlling anger.
Professional help: While it may sound a bit too far-fetched, it is not. If the above self-help measures do not help in managing your anger, and you realize it is taking a toll on your health and/or relationships, seek professional help. With changing life situations, anger management has become a separate area in itself, and with some help, you could greatly change your quality of life.
Rewards: Reward yourself each time you control your anger and respond in a calmer manner. Over a period of time, this induced habit will become your normal response.

7 Best Tips To Help You Manage Anger!

Asthma is something which affects quite a large number of people. As a matter of fact, up to 20 percent of the population is affected by it. Isn t it surprising that the ways to treat it are not so well known, taking into account how many people it affects? So, wouldn t it be a great idea to learn more about it and learn to treat it in a pretty unique way?

When a person has asthma, the airways of the respiratory system become narrower than they usually are and this, in turn, leads to a shortage of breath. While many people would normally go to a conventional doctor in order to treat asthma, it may come as a rude shock to know that asthma is often triggered by reactions to conventional medicines such as non-steroidal anti-inflammatory drugs, which are also known as NSAIDs. Things are not that straightforward, are they?

Ayurveda is a body of medicine which looks not at just patching up and fixing medical problems, but rather to maintain a high level of overall health. Considering this, it should not be much of a surprise to come to know that when it comes to the treatment of asthma, Ayurveda is not superficial like a lot of other methods of treatment. As a matter of fact, it not only looks at the respiratory system but also at the gastrointestinal system in order to provide a comprehensive solution for a patient who is affected by asthma.

According to Ayurveda, the body is divided into three doshas and in the case of asthma, it is the kappa dosha which is culpable. If the asthma is detected before too long, a fully effective treatment can be undertaken and the patient can be restored to his or her pre-asthma level. However, if there is a significant delay between the time that asthma sets in and its detection, only management is possible.

Foods which trigger asthma are to be avoided like the plague! Examples of these foods happen to be animal products and dairy products such as curd. In addition to this, bananas and sugary foods or sweets, including sugar, in itself, are to be avoided.

A paste of rock salt, mustard oil or clarified butter can help if it is rubbed on the chest. Medicines such as Sitopalaadi choorna are to be taken, with this specific medicine ingested with honey. Kapha kartari addresses the issues with the Kapha and with it, asthma should be on its way to becoming a minor problem pretty soon!

Asthma - Know How Ayurveda Can Help You!

Anger and temperamental issues are a very common part of a person s identity. It is there from birth and is thought to mirror the hereditary qualities. It can be permanently present or could be triggered in certain situations. Some people have a hot temperament than others. However, there are a few ways with which temperamental issues can be dealt with effectively. These are as follows:

Psychotherapy

Individual or group therapy sessions can be useful. A commonly utilised sort of treatment, psychological behavioural treatment treats people or groups with discontinuous unstable issues.
Distinguish which circumstances or practices may trigger a forceful reaction
Figure out how to overcome anger and control wrong reactions utilising procedures, for example, relaxing preparing, re-thinking circumstances (psychological rebuilding) and learning adapting attitudes.
Medicine
Distinctive types of medications may help in the treatment of temperamentally unstable issues. These medicines may incorporate certain antidepressants (particularly specific serotonin reuptake inhibitors or SSRIs), anticonvulsant mind-set stabilisers or different medications if necessary.

Controlling your outrage
Some portion of your treatment may include:

Unlearning issue conduct.
Adapting admirably to anger.
Rehearsing the systems you learn in treatment to help you perceive what triggers your fits and outrage and how to react in ways that work for you rather than against you.
Building up an arrangement. Work with your specialist to build up an arrangement of activity for when you feel yourself getting irate. For instance, in case that you think you may lose control; try to expel yourself from that circumstance. Go for a walk or call a trusted friend to attempt to quiet down.
Dodging liquor and other substance use. These substances can build forcefulness and the danger of harmful temperamental outrages.
Consider taking these actions before a crisis emerges:

Call someone at home or someone you trust for help and guidance.
Keep all guns away or covered up. Try not to give the abuser the key or use the gun.
Gather a crisis pack that includes things you will require when you leave, for example, additional garments, keys, individual papers, medicines and cash. Conceal it or leave the pack with a trusted friend or neighbour. Try to go away from the situation so hat you do not do something regrettable.
Educate a trusted neighbour or friend regarding your condition so that he or she can call for help if needed.
Know where you will go and how you will arrive back in case that you feel angry, regardless of the possibility that it implies you need to leave during the night. You might need to work on escaping your home securely.
Decide on a code word or visual flag that implies you require the police and tell it to your friends, family or your children.

Temperamental Issues - How To Deal With Them Effectively?

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