The appendix is a small, finger-shaped pouch attached to the large intestine in the right belly area. It is a vestigial organ as it has no specific role to play in humans, but the organ is still seen, though in a very small size compared to the earlier living beings in the evolutionary chain. Acutely inflamed appendix is the most common cause leading to it removal, often seen in the ages of 10 to 19.

Causes: the appendix gets infected by two main reasons - general infection in the abdomen that reaches the appendix or blockage of the appendix leading to inflammation and swelling within it. The appendix is a blind pouch, and there is a good chance for its blockage from food particles, lymphatic tissue, or even sometimes feces. Some of the potential risk factors for appendicitis include a diet low in fiber, high in sugar, gut flora, and family history.

Symptoms/diagnosis: in adults, the appendicitis has very characteristic symptoms including acute pain in the right upper part of the belly associated with fever and vomiting. However, in children, the pain may not be as tell-tale a sign but is still quite diagnostic of appendicitis. However, presence of the following symptoms together is surely indicative of appendicitis.
1. Right abdominal pain, especially rebound tenderness, where pressure placed in the right upper part of the belly and released leads to excruciating pain.
2. Fever, nausea, and vomiting
3. Abdominal fullness or bloating
4. Elevated white blood count (as with most infections)
Additionally, the younger the child, the symptoms are not very clear, but ultrasound will confirm the diagnosis. The inflamed, enlarged appendix will be visible on the images and could be surrounded by free fluid. Ct scan also can be considered if required to confirm the diagnosis.

Treatment: as noted above, children present with symptoms that do not pinpoint to appendicitis. Treatment usually takes two routes:

If diagnosed as appendicitis before rupture, then surgical removal is the best method to contain its symptoms. Other symptoms like fever and nausea and vomiting usually subside a couple of days after the surgery.
If the appendicitis goes unnoticed and ruptures, then the intestinal cavity can get infected, which is called peritonitis. Earlier, the preferred approach was to control the infection and then go for removal. However, lately, removing the appendix followed by antibiotics to control the infection is the preferred approach.
The prognosis and recovery from appendicitis is very good. Deaths have occurred only in very small infants, where they are not able to pinpoint the area and therefore it can go undiagnosed, leading to rupture and subsequent death.

Early identification is the key to proper identification, immediate treatment, and complete recovery from appendicitis.

Appendicitis in Children

Abdominal pain also referred to as stomach ache mainly appears in the pelvic and chest regions. The pain can be dull, crampy, sharp or recurrent. It occurs mainly due to a disease or inflammation that affects the abdominal organs. It is very important to seek the assistance of a doctor, especially if the pain is severe and is associated with pain in the chest and trauma or injury. It is not necessary that the pain in the lower abdomen be a cause of alarm, but it is essential to know the cause of the pain.

Symptoms of Abdominal Pain

Belly ache is not something one should get worried about, but if the pain radiates downwards from the chest it could be a sign of heart attack. If chest pain radiate to left arm or back then think of cardiac and rarely pancreatitis ( especially for radiation to back).
In case the symptom is accompanied by lightheadness or shortness of breath, it is very important that the doctor is contacted immediately.
To avoid serious medical conditions, it is best to avoid pain killers as the symptoms would get hidden and the cause of pain would be difficult to identify.
What are the Main Causes of Abdominal Pain?

The major organs of the abdomen include the stomach, gall bladder, small and large intestines, kidneys, liver, pancreas, appendix and spleen.
Significant abdominal pain is caused mainly due to bacterial, parasitic and viral infections that affect the abdomen.
The abdominal pain could be caused due to inflammation, intestinal disorders and blockages.
The other common reasons that can produce pain in the lower right abdomen include diarrhea, constipation, stress, vomiting, stomach flu, and acid reflux.
In the case of acid reflux the contents of the stomach go back into the esophagus and cause symptoms such as heartburn.
Common Causes of Pain in the Abdominal Region
The most common cause of abdominal pain is constipation, which is caused by difficulty in the digestive tract to push the waste out of the body. Severe pain in the lower abdominal area can rupture the organs and result in appendix. Infection in the kidney or occurrence of stones in the gallbladder can also cause pain in the abdominal region. Pain in the abdomen can also be caused by different types of cancer.

Some of the causes of abdominal pain are life threatening and therefore it is important to consult a doctor if the pain persists or lasts for a few days. It has been observed that even a heart attack can cause pain in the upper abdominal region or even cause back pain. Immediate medical attention should be sought in cases where the patient has fever, severe pain, weight loss, persistent vomiting and nausea, swelling of the abdomen and severe tenderness on touching the abdomen..

Abdominal Pain - When Should You Not Ignore It & Visit A Doctor?

The pitta dosha can be balanced by consuming fresh and whole foods, both raw and cooked. These foods are energising, cooling, dry, and have high carbohydrate content. They can effectively deal with pitta by fighting inflammation, absorb excess oil and liquid, and reduce internal heat. Pitta is basically liquid that is light, hot, sharp, oily and tends to spread fast. In light of this, the diet should comprise food that is dense, cool, dry and mild. Due to pitta s substantive nature, a proper diet can help to strike the right balance. 

Here is an overview of achieving a pitta balance to get rid of digestive problems:

Cold food: Surprising as it may sound, food with a low temperature helps in balancing the pitta dosha compared to its hot counterparts. Raw foods tend to have a decreased temperature compared to the cooked ones. Having a good mix of raw fruits and vegetable is, therefore, part of a good a diet. Stay away from all types of caffeine and alcohol while following a pitta diet.
Dense, nourishing and grounding food: Although heavy food might sound ideal to tackle light weight pitta, Ayurveda is the view that heavy food does more harm than good. Food that fits the bill includes root vegetables, cooking oils, grains, milk, and seeds. Since these foods tend to be sweet, it is necessary to ensure that a portion size is kept in mind and one must not overindulge in order to refrain from putting on weight. Food that should be slashed from the regular diet includes processed fast foods, pastries, heavy snacks that comprise chemicals and preservatives, and sweet beverages.
Dry food instead of liquid: Between a semi-liquid and solid meal, the latter should be chosen since it helps in fighting pitta better. Some of the ideal food that fits the bill include pasta, potatoes, beans, oats, millet, corn and other leafy green vegetables. While cooking it is advised that a good quality ghee or oil is used. Some food stuff that needs to be totally slashed from the existing diet includes nuts, cheese, cream, olives eggs and nuts. Mild food:
In terms of food flavours, it makes sense to choose flavours that are gentler and milder in taste such as the ones found in apples, soft cheese, cucumbers and lime juice over sharp flavours such as vinegar, pineapple, old cheese, and pickles. Simultaneously stimulants such as hard alcohol, nicotine, drugs etc. should be completely eschewed in order to avoid indigestion. This is especially true during night-time when the level of indigestion is more due to reduced mobility of the body. 

Pitta - How It Affects Digestion?

Dysmenorrhea is a condition marked by severe menstrual cramps. This is caused due to contractions in the pelvic area during the menstrual cycle. While most women go through some degree of cramping, when the cramps become too serious and severe, it should be reported to a doctor to find out if there are any other related problems like Endometriosis, Fibroids, Adenomyosis or some infections.

Here are the ways in which this condition may be treated effectively:

Medication: One of the main ways of dealing with this condition includes taking pain relievers that must be prescribed by your doctor. Also, one can take over the counter drugs to relieve the pain. These include ibuprofen as well as aspirin and non-steroidal anti-inflammatory drugs. Acetaminophen can also help in most cases. Some women may need antibiotics to take care of pelvic infections that cause pain in the pelvic region.

Hormonal Birth Control: if your symptoms are too severe and debilitating, then the doctor can also put you on hormonal birth control treatment to bring down the pain and severity of the cramps. These are usually prescribed in the form of oral tablets which need to be consumed daily as advised by the Gynaecologist . Sometimes, some women may be unsuitable / unwilling for oral medications and in such cases, other routes for hormonal administration may be followed. This can be administered in the form of an injection. Also, you may wear the dose as a patch on the skin. A surgical procedure can also implant the same under your skin. This also comes as a flexible ring that the doctor can insert into your vagina with the help of an intrauterine device (IUD).

Surgery: In very extreme cases, the doctor may recommend surgery. This is usually conducted in case there is an underlying condition like endometriosis or fibroids, which can create severe complications for the patient as well. The doctor may also carry out surgical removal of the patient's uterus in case there are many complications.

Home remedies: One can exercise on a regular basis in a moderate manner so as to ensure that the cramps are not too severe. Also, you can use heat therapy in order to bring down the pain. This can be done by taking a hot bath and soaking in a tub of hot water. Also, you can use a heat compress so as to relieve the pain. Other dietary supplements can also be taken in order to reduce the cramps. For this purpose, one should regularly indulge in fish and flax seeds as well as other ingredients that are rich in omega three fatty acids. Also, vitamin B1 is an important ingredient that can be found in leafy green vegetables. Magnesium supplements can also be taken by the patient for such cramps.

Stress: one will need to take care of the stress levels by staying away from stressful situations and also cutting back on the consumption of alcohol. One should also avoid smoking completely. Meditation & Yoga have been known to help in relieving stress and you can practise a little bit of these on a daily basis. Also, devoting time to your hobbies and listening to good music can be a stress-buster when incorporated in your daily routine.

So eat right, exercise right, think right and have a positive attitude- That helps take care of most non-pathological cases of dysmenorrhoea.

Ways to Treat Dysmenorrhea Effectively

In most cases, pain anywhere in the body can be explained as a symptom of some other problem, but sometimes, there is no reason for abdominal pain. This type of pain is known as chronic functional abdominal pain. This is a gastrointestinal disorder that cannot be explained through X-ray or laboratory findings. It can be triggered by altered sensitivity to nerve impulses in the brain and gut. People suffering from this condition are often so debilitated by the pain that it becomes the central focus of their life.

This condition cannot be cured, but with proper treatment, it can be managed so that it does not affect the quality of your life. The aim of treatment for this condition is to control the symptoms and improve functioning. When it comes to treating this condition, the patient s relationship with his or her doctor plays an important role as the condition cannot be proven through any form of testing and it has a great psychological effect on the person. Regular checkups are also a key to managing this condition effectively.

The first step towards achieving this is to identify possible emotional and situational triggers. Maintaining a journal that records these experiences can help with this. Further treatment is usually either through psychological treatment or antidepressants.

Psychological treatment is based on the understanding that the brain can block pain by diverting attention elsewhere. Nerve impulses that travel from the abdomen to the brain must pass through a type of  gate  that is controlled by nerve impulses generated by the brain. When these impulses close the gates, pain is blocked while when these gates are open, the pain can be magnified. Psychological treatment for chronic functional abdominal pain can be in the form of relaxation techniques, imagery, hypnosis and cognitive behavioral therapy. While relaxation techniques such as meditation and hypnosis help a person shift focus from the pain, cognitive behavioral therapy teaches a person how to change thoughts and perceptions in order to control the pain.

Antidepressants can also act as pain relievers. This form of medication stimulates the production of brain signals that close the  gates  of nerve transmissions. This blocks the pain but can take several weeks to be effective. Some people may experience side effects such as drowsiness and nausea and hence should never be taken without a doctor s supervision. In some cases, antidepressants may also be combined with cognitive behavioral therapy or medication to regulate bowels.

Ways to Treat Chronic Functional Abdominal Pain!

Vulvodynia is a condition which causes severe pain in the opening (vulva) of the vagina without any apparent reason. The pain might be chronic in nature and can go on for years. Vulvodynia might affect your emotional health in the long-term and cause anxiety, depression and disrupted sleep patterns, if not treated immediately.

Doctors are still unsure regarding the exact causes of Vulvodynia. But there are few factors, which can increase your risks of suffering from this disorder:

    If you have a sensitive skin or have any past history of previous vaginal infections, you might be susceptible to vulvodynia.
    Vulvodynia might also be caused due to past injuries around the vulva.
    Sometimes, hormonal changes might also cause Vulvodynia.
    This disorder can also occur in women who have previously suffered from recurrent instances of sexual abuse.

The symptoms of Vulvodynia can be acute or chronic in nature with the pain being confined to one particular area or around the entire region.
The treatments for Vulvodynia aim at regulation of the symptoms. The most common treatments for Vulvodynia are:

    Your doctor might prescribe a specific dosage of steroids or antidepressants to get rid of the pain. Prescribed dosage of antihistamines might help to cure the itching sensation.
    You can apply a regulated amount of  Lidocaine  ointment around the vulvar regions thirty minutes before sexual intercourse.
    You can also opt for pelvic floor therapies as they might provide relief from significant pain in the pelvic floor muscles resulting from vulvodynia.
    If the pain is centralized around a particular area, you might opt for vestibulectomy to remove the affected tissues and get rid of the pain.

Can Sensitive Skin Be the Reason Behind Pain in the Opening of Vagina

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