Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem. 

People with dysphagia might witness the following issues:

Difficulty in swallowing solids and liquids.
Gaging, choking or coughing usually occurs when trying to swallow.
Experience pain when trying to swallow and also heartburn.
Swallowed food might come back up either through mouth or nose.
A chronic problem might result in weight loss.
Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
The esophagus is blocked by something.
There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson s disease.

A brain stroke, spinal cord injury or brain injury can also affect swallowing.
Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
Scleroderma causes the esophagus to become thin and weak.
The esophagus might be blocked because of these reasons:

Esophagus might have malignant or non-malignant tumours.
Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.

Difficulty in Swallowing - Are You at Risk of Dysphagia?

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

    Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
    Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

    Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
    Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

    Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
    Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
    Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
    Bromocriptine: Used when the infertility is caused due to excess prolactin production.
    Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

    Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
    Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
    Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

    Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
    Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

Treatments of Infertility

Are you looking for a treatment measure for infertility in females? You can go for an Ayurvedic treatment, which is completely natural and does not involve the use of any chemical. Infertility refers to the inability of a woman to conceive after having unprotected sex. The principles of Ayurveda states that infertility occurs when a woman s Shukra dhatu, or the reproductive tissue does not get proper nutrition. This may happen because of improper digestion, and also because of some toxins in the body. Anxiety, insomnia, depression, and spicy food are other causes of infertility in females according to Ayurveda.

Ayurvedic treatment
Ayurveda has a holistic approach towards health and treats the body as a whole, instead of treating a specific ailment. An Ayurvedic doctor needs to be certain about your body type before making a treatment suggestion. Ayurvedic treatment for infertility in women aims at ensuring the proper transformation of food into nutrients, which will move to your shukra dhatu.


The most important Ayurvedic remedies for treating female infertility are as follows:

Swedanam: This method is used by Ayurvedic physicians for inducing sweating in patients who suffer from infertility. This is done with the help of exercises or blankets. It is meant for flushing out toxins from your body.
Vamanam: This is a detoxing Ayurvedic therapy in which vomiting is induced for getting rid of undigested food from the body. In spite of being uncomfortable, this is an ideal detox therapy for infertility management.
Banyan tree bark: The use of dried banyan tree bark powder is recommended by several Ayurvedic physicians for treating infertility problems in females. Remember to add sugar to the banyan bark powder before consuming it.
Ashwagandha churna and kapikacchu: These are popular Ayurvedic medicines, which are used for treating infertility issues in women.
Phala gritam: Consume phala gritam in the form of buttermilk mixed with milk. This medicine effectively treats several functional problems related to female infertility.
Guduchi, triphala churna, and gokshura: These Ayurvedic medicines are used for clearing blockages in your body. This prevents the production of shukra dhatu and helps in the management of female infertility.
Shatavari: This Ayurvedic medicine is designed only for women for the treatment of infertility.
Dietary changes: Ayurveda states that a woman suffering from infertility must follow a strict diet plan. Spicy, oily, and extra salt foods should be strictly avoided. It is recommended for you to consume food items such as almonds, whole grains, fresh vegetables, fresh fruits, and dried fruits.
If you are suffering from infertility and seek Ayurvedic treatment, visit an experienced Ayurvedic practitioner for timely advise. He will be able to diagnose your cause and prescribe remedies based on the diagnosis.

Infertility - 8 Ways Ayurveda Can Help You!

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

Cerebral palsy and occupational therapy

In order to recover the skills that are required for leading an independent and a satisfying life after any injury or disease, an occupational therapist is required. The word occupation refers to the tasks which one has to perform everyday not to one s profession. Muscle and joint coordination issues can be fixed with the help of occupational therapy in case if kids .These include the daily activities like eating, brushing using the toilet. With the help of OT your cognitive and social abilities and even your motor skills will improve at a very good rate.

How is this beneficial for children with cerebral palsy?

Occupational therapy will be helpful to the children who are specially suffering from cerebral palsy. These benefits includes:

- It will increase the chances of making your child more independent.
- It will boost their ability to play as well as to learn.
- The self esteem and the confidence of your child will readily increase.
- They ll have a sense of accomplishment.
- Their quality of life will improve as well.
- This is also beneficial for the parents as well. It will reduce your stress and will provide you with a sense of security.

What to expect?

Occupational therapy is different for different children who have cerebral palsy. It depends on one s physical, intellectual and social emotional abilities .The first session is basically done for evaluation where your child s fine motor and will be observed how your child responds to touch or any kind of movement. The parents are also interviewed in order to find out about the strengths and the weaknesses of your child. For children with cerebral palsy, a revaluation should be done in every 7-8 months in order to see the progress and change the treatment plan accordingly as per the improvement .The operational therapist will use some specific techniques which will help your child to improve very quickly and reach their destination.

These techniques are :

Paediatric constraint induced Movement therapy: This therapy helps your child to move the weaker parts of the body by restraining the stronger counterpart. If you child has a difficulty in moving one of the arms then the stronger arm will be restrained and the weaker arm will be trained in order to gain the strength.

Sensory integration therapy: This type of therapy will help your child to improve the ability bro receive , interpret and act on the information and situations that comes in your child s brain with the help of sensory receptors .

Occupational therapy has been a very important part in improving the physical and the mental discomfort faced by your child when he or she is suffering from cerebral palsy. The therapist may even provide your child with some gadgets in order to make his /her daily life easier and more independent. This helps your child to improve and gradually get better at it without any sort of negativity. While you re looking for a OT make sure the person has enough experience and knowledge, just to ensure that your child gets the right treatment.



Cerebral Palsy And Occupational Therapy

Rheumatoid arthritis is a disorder of the joints characterized by swelling, inflammation and pain in the joints. This disorder is an autoimmune disorder, wherein the immune cells of the body start to view the tissues of the body as a potential threat.

Homeopathy treats this condition very effectively as it focuses on treating the cause of the disorder. The remedies in homeopathy moderate the overactive immune system and thus help in reducing inflammation in the bones. The homeopathic practitioner starts the diagnosis by enquiring about your medical history, symptoms, working environment and provides treatment accordingly.

The various homeopathic remedies that are used to treat rheumatoid arthritis are: 
1. Calcarea carbonica: arthritis that leads to formation of nodes in the affected joint, accompanied by symptoms, which aggravate during damp weather, is very effectively remedied by this particular homeopathic medicine.
2. Arnica: arnica is a homeopathic remedy that is used to treat symptoms of chronic arthritis where you experience a sore feeling on a regular basis. The symptoms tend to worsen if you touch the affected area.
3. Bryonia: f you have a throbbing pain in your joints, then bryonia is recommended. The symptoms tend to worsen in cold weather.
4. Calcarea fluorica: this remedy is recommended if the pain tends to improve with the application of heat. The symptoms include swelling of the joints and formation of nodes. It is especially used if the arthritis develops after an injury.
5. Kali carbonicum: if the joints are extremely stiff with the pain aggravating during the early morning hours, then this remedy is prescribed. It also helps if the symptoms tends to worsen in damp and cold weather.
6. Pulsatilla: this remedy is prescribed in cases where the intensity of the pain keeps on fluctuating and also if the pain is not localized. The symptoms tend to worsen in warm conditions and improve in cold conditions.
7. Rhododendron: rhododendron is recommended if the symptoms of arthritis tend to flare up and aggravate in cold conditions. Generally the pain increases during the early morning hours or if you stay stationary for a long time.

Homeopathic Medicines for Rheumatoid Arthritis Pain Treatment

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