World Hepatitis Day or WHD takes place every year on 28 July and it is designed to raise awareness about viral hepatitis and to influence real change. WHD, endorsed by the World Health Organization, unites patient organisations, governments, medical professionals, and civil society, as well as the public, to boost prevention measures for fighting viral hepatitis like vaccination.

In the simple terms, hepatitis means injury to your liver due to inflammation. There are five main types of hepatitis and the type that you are suffering from is determined by a laboratory test. All the five main types of hepatitis are caused by viruses. Out of the five, Hepatitis C and B are quite big. Globally, around 250 million people are affected by hepatitis C and 300 million people are estimated to be hepatitis B carriers.

Fact sheet on hepatitis

Hepatitis A & E is caused by consuming contaminated water.
Hepatitis B, C and D is transmitted through infected blood to blood contact.
Hepatitis C is usually spread via direct contact with the blood of an infected person.
The initial symptoms of hepatitis are the same as those of flu.
Hepatitis can heal on its own causing no significant liver damage; however, if it progresses, it can cause extensive liver scarring and extensive damage of your liver.
Most liver damage is caused by 3 hepatitis viruses, and these are hepatitis A, B and C. 

How do you safeguard yourself against infection from these three dangerous hepatitis viruses?

The most common cause of concer is that a lot of us who are infected with hepatitis, especially hepatitis B don t know that we are. The biggest bulwark against hepatitis is periodic testing and vaccination. Vaccination is available for most hepatitis viruses including A and B, which tend to be extra virulent.

So, do take care and go for periodic testing. We are reiterating this because if you are infected with hepatitis B and are not treated you can develop serious problems of the liver, including liver cancer. In fact, nearly 1 in 4 people living with hepatitis B develop serious liver problems including liver cancer. Hepatitis B related liver cancer is a leading cause of fatality and getting tested for hepatitis can help you access life-saving treatments that can prevent serious liver damage.

Other ways to prevent hepatitis are
Hepatitis A

Wash your hands with soap after using the toilet
Only consume freshly-cooked food
Only drink bottled or boiled water
Only eat fruits that can be peeled. Don t eat fruit that has been cut and kept
Avoid eating raw vegetables
Vaccinate yourself against hepatitis A if you travel a lot.
Hepatitis B

Practice safe sex by using condoms
Only use new syringes for injections
Do not share toothbrushes, razors, or manicure instruments with others
Vaccinate yourself against hepatitis B
Take care while getting tattooed. Only use brand new tattoo needles. Also, ask for new needles during acupuncture treatments.
Hepatitis C

Avoid sharing toothbrushes, razors, and manicure equipment
Cover open wounds if you are infected
Don t share needles. Always ask for fresh needles.
Use only well-sterilized equipment for acupuncture, piercing, and tattooing etc.
Cut down on alcohol
Do not share drug needles

World Hepatitis Day - Tips To Help You Prevent Yourself!

The kidneys are the main excretory organs and remove all toxins and wastes from the body in a liquid medium, the urine. The urine is normally straw coloured as there are filters which do not allow blood to enter the kidneys. However, due to various reasons, when there is a disease in the urinary tract, red blood cells can escape into the urine. The urine then assumes a pinkish tinge; the exact colour would depend on the amount of blood leaked. While the thought of pinkish urine is scary, it becomes a bigger concern when seen in children. Read on to know a little more about the types, causes, and ways to manage this condition. 

Types: 

Microscopic: When there is blood visible only through a microscope. This is quite common in children, and unless there is no accompanying kidney disease, it does not pose a problem when found occasionally. 
Gross: It is when the color of the urine changes to a pinkish tinge. This is of concern and requires immediate attention. 
Causes: 

There are various reasons and some of them are listed below 

Inherited causes: Conditions like sickle cell disease, polycystic kidney disease, Kidney stones and inherited nephritis. 
Structural causes: Cysts in the kidneys can cause hematuria 
Trauma: An injury (to the abdominal area) during sports should be ruled out, which could have damaged the problem 
Infections: Infections along the entire urinary tract right from glomerulonephritis to kidneys to bladder can cause blood in the urine 5.   Imbalances in minerals: High levels of serum calcium, which puts them at a higher risk of developing kidney stones later. Dietary calcium should be reduced. These children also could have a history of stones in the family. 
Idiopathic: When the cause of the hematuria is not known, it is termed idiopathic. 
Associated issues/Diagnosis: 

Hematuria is an indication or a symptom of an underlying medical condition (be it infection or trauma) and the underlying cause always needs complete evaluation. Accompanying symptoms can help narrow down the diagnosis. If any inherited cause is suspected, presence of hematuria should always be assessed in parents and grandparents. 

Check for history of trauma 
Known prior kidney disease 
Symptoms of infection 

Family medical history 
Urine tests to analyse its composition 
Urine culture, MRI, CT scanning, or biopsy may be required in more serious cases. 
When to worry? 

Associated proteinuria 
Microscopic hematuria which is persistent 
Kids with high blood pressure 
Kids with other existing kidney diseases 
Management: 

In most cases, no specific treatment for hematuria is required as the condition subsides after the underlying problem is addressed. For instance, once the infection clears, the hematuria also clears. Follow-up urine tests may be required to confirm that it is cleared. Blood in urine must always be evaluated by pediatric nephrologist as its causes range from very mild disease to rapidly evolving kidney failure, which may occur over days to weeks.

Blood In Urine In Kids - Know The Reasons Behind It!

Pneumonia is a type of lung infection that may affect one or both lungs. In this condition the air sacs, also known as alveoli, fill with pus or fluid, which makes it difficult to breathe. Moreover, pneumonia is known to cause inflammation in the air sacs. This disease may range from mild to life threatening and the severity depends on cause of inflammation, the organism fostering your infection, your age and general health. 

Symptoms:
Most common symptoms associated with the condition are:
1. Chest pain
2. Difficulty in breathing
3. Shaking chills
4. Rapid heartbeat
5. Fever
6. Rapid breathing
7. Dry cough
8. Vomiting
9. Wheezing
10. Nausea 
11. Muscle aches
12. Bluish skin tone due to oxygen deficiency 
13. Blood in sputum that is coughed up mucus
14. Labored breathing
15. Confusion 
16. High fever

Causes: 
1. Bacteria- one of the most common causes of pneumonia is the bacteria named as streptococcus pneumoniae. This type of pneumonia may occur after you have had flu or a cold or maybe even on its own. Moreover, it may affect only one part of the lung i. E. The lobe and is also known as lobar pneumonia. 
2. Viruses- viruses are one of the main reasons why children below 5 years of age suffer from pneumonia. Viruses that cause pneumonia may also cause cold or flu. Viral pneumonia is usually mild and may be treated at home itself. However, in some cases, it may be very severe and life-threatening. 
3. Mycoplasmas- mycoplasma is a type of bacteria that doesn't have a cell wall around the cell membrane which is why they are usually unaffected by most antibiotics which target cell wall synthesis. The symptoms of pneumonia caused by mycoplasmas are mild and the patient does not require bed rest. This type of pneumonia is known as'walking pneumonia. 
4. Fungi- people with weakened immune systems or chronic health problems usually develop pneumonia due to fungi. You may also develop fungal pneumonia by inhaling large doses of it mainly found in soil or bird droppings.

Causes And Symptoms of Pneumonia!

Catching a cold once in a while is nothing to worry about, but needing to take sick leave every few weeks is a sign of low immunity. Immunity can be defined as our ability to fight infections. By eating right and making a few lifestyle changes, you can easily strengthen your immune system and lower your risk of catching infections. On that note, here are 10 ways to strengthen your immune system.

Eat a balanced meal: Along with fruits and vegetables, your body also requires carbohydrates and proteins. Eating a balanced diet helps keep your blood sugar levels stable and allows your body to prioritize building your immune system over generating energy to perform normal tasks.
Drink plenty of water: When you re ill, fluids help transport nutrients to the infected area and flush out toxins from the same. Hence, it is important to stay hydrated in order to recover faster from an illness and to build your immune system.
Probiotics: 80% of your immune system is located in the gut. Probiotics help the body produce more healthy gut bacteria. Thus, probiotics directly boost the immune system.
A good night s sleep: Ideally, a person should get 8 to 10 hours of sleep on a daily basis. While we are asleep, the body produces cytokines ad antibodies that are vital to a strong immune system. Depriving the body of this sleep can thus make us more susceptible to infections.
Get some sun: While we put a lot of effort into protecting ourselves from the harmful UV rays of the sun, sunlight is also a rich source of vitamin D. Vitamin D helps protect us from a number of serious illnesses. Apart from sunlight we can also get vitamin D by adding cod liver oil, egg yolks and fatty fish to our diet.
Quit sugar: Sugar is an immunosuppressant and hence cutting out added sugar from your diet can have a drastic effect on your immunity. Added sugar refers only to refined sugar in cubed, crystal or powdered form and not the natural sweetners in fruits.
Exercise: Regular exercise improves blood circulation and boosts the production of antibodies. A healthy circulatory system combined with antibodies enables your body to fight infections in any part of your body.
Avoid tobacco and alcohol: Alcohol impairs the immune system and tobacco smoke weakens the body s basic immune system. This holds true for both first hand and second hand smoke.
Reduce stress: Stress increases the production of a hormone called cortisol. Cortisol suppresses the immune system and thus makes us more susceptible to illnesses.
Prevent germs from spreading: Lastly, make simple things like washing your hands before eating and after coming home or using the toilet a habit. This prevents germs from spreading and entering our bodies.

10 Ways You Can Strengthen Your Immune System

Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
Bacterial Infection: There could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
Diabetes: If you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.
There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

Strong Smelling Urine - 5 Common Reasons Behind it!

Autoimmune disorders are one of the least understood disorders in the whole of medical science. Systemic Sclerosis is also an autoimmune disorder in which the skin undergoes changes in texture and characteristics. 

However, the changes are not confined to the skin alone. It can affect blood vessels, muscles, digestive system, heart, kidneys, as well as the lungs. It typically affects people in the age group of 30 to 50 years, but the good thing is that doctors can diagnose this at any age. 

It has been observed that more women fall prey to this disorder than men. The severity of symptoms may also vary from person to person. Nevertheless, the real cause of worry is the progressive nature of the disease. Due to this, it is, in fact, sometimes referred to as Progressive Systemic Sclerosis. 

Causes of Systemic Sclerosis 

It is an autoimmune disorder in which the immune system attacks the skin and precipitates the problem. The attack by Immune System precipitates increased collagen production in the body, which accumulates in the skin tissue. This leads to changes in characteristics and the appearance of the skin. 

Symptoms of Systemic Sclerosis 

Systemic Sclerosis affects only the skin in the early stages. It may lead to thickening of skin and development of shiny areas around bony areas, such as nose, mouth, fingers etc. However, as the disease progresses, it may limit movement of these affected areas. So one may have a problem in opening the mouth, parting fingers etc. 

Other symptoms are: 

  Loss of hair 

  Deposit of lumps under the skin 

  Blood vessels under the skin getting dilated 

  Pain in the joints 

  Breathing difficulties 

  Dry cough 

  Constipation 

  Diarrhea 

  Swallowing difficulty 

  Reflux of food from esophagus 

  Feeling of bloating after taking meals 

In addition to the above, one may also sometimes experience spasms in the blood vessels of fingers and toes. Legs and hands may turn blue or white if a person is undergoing emotional stress or is in extreme cold. This is also known as Raynaud s phenomenon. 

Risk Factors

Though the causes of the disease are not yet known, there are some risk factors which can make a person susceptible to this disease: 

  If a person is undergoing chemotherapy with certain drugs like Bleomycin or are exposed to stuff like silica dust, organic solvents etc., one may become susceptible to this disease. 

  Women are more prone to acquiring this disease than men. 

  If a person is a Native American or an African-American then too he/she is more susceptible to this problem. 

Treatment of Systemic Sclerosis 

Systemic Sclerosis can t be cured, but its symptoms can certainly be reduced to some extent. So, treatment is specific to symptoms one is experiencing, and may include using the following: 

  corticosteroids 

  immunosuppressants 

  nonsteroidal anti-inflammatory drugs 

  blood pressure medication 

  aid to resolve breathing difficulty 

  physical therapy, light therapy etc. 

The fact that this disease really can t be fully cured makes this a pretty scare disease. Silver lining is that medication and other treatment options are able to suppress most of the symptoms.

Systemic Sclerosis - What Causes It?

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