Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:
1. You must take medications exactly as your doctor has prescribed.
2. Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
3. You should never stop taking the medicines.
4. In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
5. In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.

Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

When to Seek Medical Help for Epilepsy

People who suffer from arthritis are more likely to experience osteoarthritis symptoms. The intensity of the feeling of knee pain in winter is often linked to barometric pressure. In winter, there is a reduction in the pressure exerted by the air around us. This drop in pressure can cause the tissues around the joints to swell resulting in increased pain. The other possible cause of knee pain in winter can be explained from the influence of heat. Fluid in tissues becomes more viscous during winter. As a result of this increased viscosity, the elasticity of the muscles decreases, resulting in winter aches and pains. 
Some scientists believe that the higher pain intensity in winter is to be more of a psychological thing. Seasonal affective disorder is more during winter, and people suffering from mental depression seem to sense more pain during winter as the weather restricts outdoor activities. Improper intake of food also causes knee pain in winter due to undigested material. Even though winter arthritis is uncomfortable, the following tips help to make the joints work better and make you withstand the season easier.

Tips to Manage Joint Pain in Winters

Physical activity in winter can reduce winter aches and pains and enhance overall health benefits. Low impact activities like aerobics, swimming in a heated pool, weight training, and riding a stationary bicycle can reduce stiffness, increase the blood flow, and support the knees. Thus, winter arthritis can be well managed by doing exercises.
Diet also plays a vital role. Eating a balanced diet that comprised of low saturated fat, lean proteins, more fiber, and refined carbs helps to improve body functions during the winter. Drinking water throughout the day helps to reduce winter aches and pains. It is essential to consume easily digestible foods like vegetables. Consuming vegetables like carrots and cucumbers that have diuretic properties can help to eliminate waste products from the body.
Vitamin D deficiency may worsen osteoarthritis. It is necessary to take a supplement vitamin D or ensure to make your diet is vitamin-D rich. Fish oil is a potent source of omega 3 fatty acids. Increase your intake of milk, a rich source of protein and calcium that help to strengthen the bones. Exposing the body to sunlight help to obtain vitamin D.
Non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen can be used to reduce inflammation and pain. Injecting a viscous substance can decrease the friction of the bones and ease the condition.
Home Remedies for Knee Pain in Winters

Wrap the inflamed knees with blanched cabbage leaves. This can cool down inflamed knees.  Aloe vera also helps to reduce inflammation.
Comfrey (symphytum officinale) can act as an anti-inflammatory agent. Create a compress using mashed root or comfrey tea soaked bandages can also be used to reduce inflammation.
Applying an ice-pack can help to reduce swelling and alleviate winter aches and pains. While applying ice-pack, ensure to cover the entire knee. Applying a bag of frozen peas to the area also works well. While using ice or heat therapy, make sure to do them carefully as over agressive and over doing it, can cause problems. 
Steam therapy also helps to reduce pain in your knees. Soak your knee in a steaming hot water for 15 minutes. Applying hot water bag also can relieve knee pain in winter effectively.
Winter aches and pains all over the body can be relieved by administrating massage therapy by a professional.
Avoid applying strain or pressure on your knees. Take adequate amount of rest to reduce pain and swelling.
These are basic guidelines to help you. Contact your doctor for further management.

Tips For Managing Joint Pain in Winter

The most common cause of neck pain can be cervical disc disease. It is generally caused by the abnormality of the disc that is the cushion present between the vertebrae. The disc can get damaged because of arthritis or any unknown cause. When damaged, it usually leads to inflammation or spasm of the muscles leading to neck pain. There are a number of pain medications, traction exercises, and physical therapy for minimizing the neck pain. However, these home based remedies help in relieving pain along with a speedy recovery:

*  Take it easy: If you have a busy and hectic life, then take it easy. Living with cervical disc diseases can lead to an increase in the neck pain; thus cutting down on activities helps. A comfortable position should be observed while resting. If need be then a pillow can be placed under the neck.

*   Apply Cold/Heat Pack: There is always a confusion regarding whether a cold or a hot pack is to be used. The recommendation is to use ice or cold pack for the first 24 to 48 hours of the injury, so that the swelling subsides. This should then be followed by hot fermentation in order to improve the muscle stiffness and also loosen them. But in case of a cervical disc disease neither cold nor heat penetrates the tissue to relieve inflammation, so it is best to use the one which feels better. Whichever, pack is chosen it should only be used for 20 minutes and then left for 40 minutes. Take care and do not use ice or heat directly against the skin. 

*  Stretch: Stretching exercises should be done in order to improve the flexibility and relieve pain in the neck. Exercises can be performed after warming up of the muscles by a warm towel or bath. Here are a few simple stretches for cervical disc disease that you can do at home:

* Move the neck: As per the study by the American Medical Association, women who had neck pain got relief when they did exercises using light weight and resistance bands. This increased their endurance and strength of the neck muscles. Also, 30 minutes of exercise in the form of biking, walking, swimming, and biking is recommended to improve the blood flow.

*  Maintain the posture of the neck: A bad posture can cause a neck pain. Every time while standing, sitting, walking, lifting the posture should be kept in mind. The head and neck should be kept straight and the back should be supported in order to avoid neck pains.

Neck Pain and How To Deal With It

The common reason why most of us get throat infections is because they are viral in nature. This means that if one person gets a throat infection then he transmits it to others by touching, coughing and sneezing etc.
Viral throat infections can be managed easily. There are several home remedies that can alleviate your viral infection. However, it is suggested to consult an ENT specialist if the home remedy is not providing any relief to you.

Gargling: It is one of the most popular methods of treating viral throat infection. All you need to do is mix one tablespoon of salt in 200 ml of water and warm the solution. When the water becomes lukewarm, take a small portion of it and rinse your throat with the solution. Take care that the solution remains within your throat and does not reach your stomach. Rinse your throat for 5 minutes and repeat the procedure after a rest of 2 minutes. Ensure that the water remains lukewarm for effectiveness.
Inhalation: Another common method of ridding yourself of viral throat infections is to inhale steam. Boil some water mixed with eucalyptus oil. When the water starts developing bubbles, take your face near it, cover it and the pot containing water with a dry towel and inhale the steam. This procedure is inconvenient for many people because inhalation results in sweating, but the result is perceptible. You must inhale steam for at least five minutes. Once you are done with inhalation, avoid taking cool fluids like cold water etc., else the effect would be reversed and your infection might get more severe.
Take lots of fluids: Strange as it may sound, viral throat infection can also be treated by taking lots of hot fluids. The warm temperature helps in neutralising the viruses, while the fluids prevent the dehydration of the body. Take hot tea, coffee etc. when you have an infected throat.
Drink hot milk and turmeric: Many mothers administer this solution to their kids to treat throat infections caused by viruses. This concoction is best taken before sleeping in the night. Turmeric has been found to carry several anti-microbial properties.
Avoid smoking: If you are a smoker, you must avoid smoking to alleviate your viral throat infection.
Use decongestants and nasal sprays: These substances make breathing easier by contracting the swollen mucous membranes. Nasal sprays also help relieve runny noses and post-nasal drips, which are so irritating and inconvenient to many. However, avoid administering this remedy to small children. Since these sprays contain synthetic drugs, it is advisable to stick to prescribed dosages for different age groups. Please also consult your ENT doctor before administering the nasal sprays to yourself or anybody else.

Viral Throat Infection - 6 Ways They Can Be Managed!

It is not uncommon for us to feel sleepy at work every once in a while. You need to get an important assignment done, but all that you want to do is curl up and take a nap. We all have our days of drowsiness. But when it becomes a daily habit and begins to interfere with productivity, it is a cause for concern. Chronic fatigue and drowsiness can almost always be traced back to underlying medical conditions, such as low blood sugar levels or depression. There are many simple remedies for this issue that you can resort to, if you wish to kick off your work days with a bang.

Here are a few tips for those days when you just can t seem to make it through work:

Meditate: A few minutes of meditation before work in the morning can effectively make you more alert and engaged for the rest of the day. The point of meditation is not only to bring calmness and relaxation into your life but also to make you more mindful and active. Be sure to be sitting upright and breathing properly while you meditate.
Eat right: Having poor eating habits could be making you drowsy at work. It is important that you eat just the right quantity of food for every meal because overeating will surely make you sleepy and lethargic. Avoid oily and rich foods and eat just as much as you need.
Sleep well: Your night time sleeping habits are probably at the root of your day time drowsiness. Staying up late or not getting undisturbed sleep can leave you feeling agonizingly exhausted at work. It is of utmost importance that you get enough sleep every night.
Peppermint it: Peppermint is a natural stimulant and will surely leave you feeling fresh in the morning. Brush your teeth with peppermint toothpaste and sip on a cup of peppermint tea in the morning to knock the drowsiness right out of yourself.
Move around: When you feel sleepy, your first impulse is to take a nap. But often the solution to that problem is to engage in physical activity. Pace around and do some stretching exercises in the morning to get your blood circulating and you will be amazed at how refreshed you feel.
Follow these simple methods and in no time, your productivity levels at work will shoot right up.

Feeling Sleepy at Work - 5 Ways to Combat It!

Types of abdominal and pelvic surgical incision

At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as 

Midline Incision: It s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and caesarean section.
Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
Gridiron s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
Kocher s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher s incision. This however is different from the same named incision used for the thyroid gland surgery.
Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision.

8 Types Abdominal and Pelvic Surgical Incisions

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