The chronic fatigue syndrome or CFS is a kind of debilitating disorder which causes extreme fatigue and tiredness. It is not treatable through rest and cannot be explained in the light of any underlying medical condition and hence a major problem.

Causes of chronic fatigue
It is understood what causes chronic fatigue. There are theories stating that it is triggered by psychological stress, viral infection and a combination of different factors which vary from one individual to another. Since no particular cause is still identified and many infections and diseases produce similar symptoms, it can be very difficult to diagnose. According to the reports of the Center For Disease Control and Prevention, chronic fatigue is the end stage of numerous health disorders rather than a single problem.

Diagnosing chronic fatigue
The chronic fatigue is one of the most challenging conditions to diagnose. There are no lab tests for screening the disorder and many symptoms of the chronic fatigue are similar to other conditions. The best way to be sure that an individual is suffering from fatigue is to rule out the possibilities of other disorders like major depressive disorder, hypothyroidism, multiple sclerosis, fibromyalgia, lupus, Lyme disease and mononucleosis.

Treating chronic fatigue disorder
At present, there is no particular cure for the chronic fatigue syndrome. Every person who is affected with the disease manifests different symptoms and thus, may require different treatment options which can manage the disease and relieve the symptoms. Some of the most prevalent treatment options for chronic fatigue include-

Home remedies and changes in lifestyle: Making proper lifestyle changes can bring about positive impact. One should try to limit and even eliminate the caffeine intake which can aid a better sleep and ease your insomnia. It is important to avoid sleeping during daytime. Another effective way is to go to bed at the same time and wake up at the same time each morning as a fixed routine.
Therapy: Two types of therapies can help the people suffering from the chronic fatigue disorder. The first one is psychological counseling which helps in coping with the problems and improving the mindset. Another option is physical therapy where a physical therapist can aid in creating a daily routine and carve out an exercise plan which gradually increases the intensity. This is termed as the graded exercise therapy or GET and it helps the patients suffering from chronic fatigue syndrome cope up with the difficulties.
Medications: It is important to note that no single medicine can treat all the symptoms of the chronic fatigue disorder. The symptoms can alter with the passage of time and may also trigger depression. The experts may recommend antidepressant for combatting it. In case the lifestyle changes fail to offer a restful sleep in the night, the doctor may also suggest a mild sedative. Sometimes, pain reliever is also suggested so that the affected individual can manage the joint pain caused by the chronic fatigue.
These are a few of the most common treatment options for chronic fatigue and helps in effective management of the disorder.

Chronic Fatigue - How It Can Be Treated?

Getting a good night s sleep is essential for mental and physical wellbeing. Ideally, one should get at least 8 hours of continuous sleep every night. However, some people find this hard to achieve. They may have trouble going to sleep, wake up frequently or have a very poor quality sleep. 

Here are a few tips to help you improve your sleep: 

Set a sleep schedule: Like children, adults also need to go to sleep and wake up at the same time every day. This should be followed for at least 6 days a week. Having a sleep in the day may seem like a good idea but this can affect your ability to go to sleep in time at night and make you wake up the next morning feeling tired. Hence, train your body to sleep and wake up at the same time every day.
Avoid stimulants after sunset: Nicotine and caffeine can be very detrimental to your sleep cycle. The effects of these substances can often last for hours. Caffeine not only makes it difficult to fall asleep but can also make a person wake up frequently at night. Alcohol can make a person seem sleepy initially but can make him or her wake up earlier than usual and hence, disrupt the sleep schedule. So, avoid these substances for at least a few hours before going to bed. Instead, you could drink a cup of calming chamomile tea to soothe the nerves and help you sleep well.
Create the right sleep atmosphere: Ban the television, tablet and other mobile screens from your bedroom. The light from these devices makes it difficult to fall asleep and the material being seen can play on your mind for hours and make you toss and turn. Make your room as dark as possible to make it easier to fall asleep. Using blackout curtains can be a good idea. Also, make sure the noise and temperature levels are conducive to sleep.
Exercise: Exercise has many benefits. This includes better sleep quality. A workout tires the body and reduces the chances of waking up in the middle of the night. However, timing your exercise routine is very important. The ideal time for a workout is in the early morning or early evening. Do not work out just before going to bed as this can have a stimulating effect on the mind.
Limit naps: Avoid napping through the day. While this may seem like a good way to catch up on sleep, it can have a detrimental effect on the quality of your night sleep. If you must nap in the afternoon, keep it short. Training your body to associate sleep with darkness can make it easier for you to fall asleep at night.
Hence, if you are also having any sort of troubles with your sleep, immediately apply the above discussed tips in your daily life and you will see the results within a few days.

Suffering From Sleep Problems - 5 Tips To Help You Get Over Them!

Like other knee injuries, the torn meniscus can be painful and debilitating. But unfortunately, it is quite common. In fact, a torn meniscus is one of the most frequently occurring cartilage injuries of the knee.

What is Meniscus? 

A meniscus is a C-shaped piece of cartilage present in the knee that acts as a cushion and stabilizes the joint. Its function is to protect the knee from wear and tear. Two menisci are present in each of the knee joints. They can get damaged or torn during activities, which puts pressure on the knee joint or may rotate it.

What causes a meniscus to tear? 

A quick stop or vigorous twist may force the femur to crumble into the top of the tibia. It may potentially tear out the cartilage of the meniscus. It may also occur while doing deep squats or kneeling, especially while lifting a heavyweight. Athletic activities often result in this knee injury, particularly in the sportspersons such as footballers and hockey players. Sports that involve sudden stopping and pivoting such as tennis and basketball may also result in the torn meniscus. Meniscus tears are a special risk in elder people as the cartilage weakens and wears thin over time. As the age progresses, worn tissues become more prone to tears. Just a clumsy twist while getting up from the bed or chair is sometimes enough to cause a tear in case of weakened menisci due to aging.

Symptoms of a meniscus tear: One may hear a popping sound around the knee joint when a meniscus tear occurs. Initially, the pain may not bad but once the inflammation sets in, the knee starts hurting quite a bit. The knee may get stiff or locked. It may become difficult to move the knee in a full range of motion.

Diagnosis of a Meniscus Tear: Diagnosis of a meniscus tear starts with the patient s history and a physical examination. The doctor inspects, palpates, and applies specific diagnostic maneuvers to diagnose a torn meniscus. The McMurray test is used to make the clinical diagnosis of a meniscus tear. The doctor flexes the knee, then straightens and rotates it to put tension on a torn meniscus. The movement will cause a clicking sound if a meniscus tear is present in the knee. A magnetic resonance imaging (MRI) scan is the preferred choice to diagnose the torn meniscus. This technique allows the doctor to evaluate the knee cartilage in a more detailed way.

Treatment of Torn Meniscus: The treatment of a torn meniscus depends on the severity and the location of the tear. If the size of the tear is small and the location is on the outer end of the meniscus, a surgical repair is usually not required. Give rest to your knee as much as possible. The doctor may advise using crutches to avoid putting weight on the legs. Icing the knee every three to four hours for 30 minutes is recommended for this injury. You may use compress bandage to reduce the inflammation. Try to keep the knee in an elevated position to reduce the swelling. NSAIDs may be prescribed to get relief from pain and inflammation. If the symptoms persist, the doctor may advise for an arthroscopic surgery.

Torn Meniscus - What Exactly Is It? 

Inflammation and resultant pain in the joints are usually the basic tenets of arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around herbs and other natural substances which have great medicinal value, lifestyle changes, diet, exercise and yoga, oil massages, and other methods. Arthritis is known as sandhivata in ayurvedic jargon. Read on to find out how ayurveda can help in dealing with arthritis.

Herbs: one can make use of various herbs that contain linoleic acid to help in providing lubrication to the joints so as to prevent pain and stiffness. These herbs include borage seed oil which is extracted from borage seed, evening primrose oil, blackcurrant seed oil, capsaicin, curcumin, feverfew, flaxseed oil and a standard ayurvedic concoction that combines ashwagandha, gugulla, ginger, cumin and haldi or turmeric. These substances can help in treating the joints that are suffering from the pain of arthritis.

Diet: in ayurveda, to treat ailments like arthritis, it is usually recommended that a patient should start by flushing out the body toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices, which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties that help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.

Exercise: in ayurveda, a certain amount of daily exercise, which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like arthritis. For this ailment specifically, light exercise like walking is recommended. Various yoga asanas that involve sitting, standing, balancing and lying down poses as well as restful poses will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.
These are the few ways in which ayurveda can help arthritis patients live a more normal life with minimal pain.

Ayurveda For Arthritis

The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being. 

Can you think of someone who is severely depressed or anxious all the time and have a good physical health? Chances are very bleak, and if you consider the overall health as a mix of mental and physical balance, this is not possible. Read on to understand how important mental health is and why you should start paying more attention to it.

Improved physical health: If someone is in a stressed state, it is obvious that they would not be able to do the activities they enjoy. Being affected mentally also leads to reduced immunity and sleep disturbances, making the person prone to infections and other disorders. Stress is one of the main risk factors for chronic medical conditions like heart disease and diabetes.
Improved prognosis: Most often, doctors focus on treating the physical aspects of a person s health. However, with recent emphasis on mental health, more and more doctors are looking at wholesome measures to improve a person s health. Results show that when a person s mental health is also addressed, the physical ailments respond very well.
Improved productivity: People with unattended mental health disorders often resort to absence from work and/or school, can have financial instability, be homeless and can fall repeatedly. Being mentally healthy provides overall changed perspective of life and therefore improves productivity.
Improved personal relationships: Children of people affected with mental illness are prone to neglect, abuse, rejection, and behavioural issues. There is also social isolation, which may lead into adulthood, and these children may also have emotional health problems. Others in the close circle including spouses, siblings, parents, close friends and colleagues would be clearly affected by a person who is mentally unhealthy.
Social effects: These people are highly prone to social crimes like rape, murder, theft, violence, etc. They may not be able to afford their treatment and/or resort to these crimes to assert themselves.
Improved quality of life: Life expectancy is higher in people who are mentally healthy. Even with mild symptoms of anxiety and depression, this is reduced, and the chances of a happier, healthier life are reduced.
Whatever the effect, mental health needs to be addressed as equally as we do physical problems, using medications, counselling, or lifestyle changes.

Mental Health - 6 Reasons Why You Should Take it Seriously!

Miscarriage is the early loss of foetus within 20 weeks of pregnancy. It is also known as  spontaneous abortion . According to research, about 8-20% of the pregnancies end in miscarriage. Out of the total number of miscarriages, 80% of them end within 12 weeks of pregnancy.

Types of Miscarriages and their Symptoms 

Threatened Miscarriage   As the term suggests, in this condition the process of miscarriage might have begun. This is the initial stage of the process. In threatened miscarriage, there is slight bleeding accompanied by cramps and pain in the lower back, which is usually mild. The cervix (the lower part of the uterus) remains closed. 
Inevitable and Incomplete Miscarriage   In these conditions, there is bleeding along with an open cervix. When there is dilatation and thinning of the cervix, miscarriage is inevitable. In incomplete miscarriage, part of the tissue comes out and a part remains inside the uterus. In inevitable and incomplete abortions, the bleeding and cramps are more severe. 
Complete Miscarriage   Complete miscarriage is when the embryo has completely emptied from the uterus. The pain and bleeding reduce once the foetus is expelled. This can be confirmed through ultrasound. 
Missed Miscarriage   In Missed miscarriage, there is no sign of the life of the embryo and there is no expulsion of the embryo. It can be detected from the absence of heartbeat of the embryo found on ultrasound. 
Recurrent Miscarriage   It happens when there are two or three miscarriages one after the other. It affects about 1% of the pregnancies. 
Risk Factors 

Increased maternal age i.e., women above 35 years. 
Excess or insufficient chromosome in embryo. 
Placenta is the organ which links mother and the baby for blood supply. Problem in the development of placenta can cause miscarriage. 
Excessive smoking and drinking during pregnancy. 
Obese women have higher risk of miscarriage. 
Long-term health conditions like high blood sugar, high blood pressure, liver disease etc.
Infections like rubella, malaria etc. 
Weakened cervix, which is the result of previous injury or surgery, can also result in miscarriage. 
What are the symptoms of a miscarriage? 

Bleeding or spotting can be one of the symptoms of miscarriage. It should be kept in mind that not all pregnant women who suffer from spotting or bleeding, end in miscarriage. 
Lower backache starts before or right after bleeding, which can be persistent or you could have cramps which may be mild or sharp and can feel like more of pelvic pressure. 
Missed miscarriages are detected through ultrasound when the doctor finds that there is no heartbeat of the embryo or when the uterus is not growing. 
What are the treatment options in miscarriage? 

Medical   In most of the cases, there are no specific drugs to stop a miscarriage from occurring. In some cases, certain hormonal preparations help. There is no point in prescribing medicines for prevention of miscarriage if there is heavy bleeding. 
Surgery   Dilatation and evacuation (D&E) is a simple operation which is done under general/local anaesthesia. In this operation, the cervical canal is dilated and contents present in the uterus are evacuated. There is no cutting involved as it happens through the vagina. The process needs only five to ten minutes, but the patient has to stay in the hospital for about 3-4 hours. 
This process is opted when: 

There is heavy bleeding. 
The patient suffers from missed miscarriage. 
What can you do to prevent miscarriage? 

Nothing much can be done to prevent miscarriage in most of the cases. However, following supportive measures may help: 

There should not be overexertion during pregnancy. Moderate amount of physical activity is permissible. 
One should have a well-balanced diet. Studies have shown that a diet loaded with fruits and veggies helps in overall well-being during pregnancy. One should limit the consumption of caffeine. 
Avoid smoking, alcohol and certain drugs to prevent miscarriage. 
Avoid stress and anxiety. 
Report to Doctor (preferably Obstetrician) as soon as any symptom related to miscarriage appears.

Miscarriage - Symptoms, Treatment and Prevention

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