Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.

Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.

Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.

Prepare for blood loss: Most people experience some blood loss, but not excessive.

Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.

Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).

Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.

Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.

Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.

Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.

After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.

Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail

Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.

Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.

Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.

Smoking and alcohol should be completely stopped, as healing can be hampered.

With some preparation, spinal surgery can be sailed through smoothly.

What To Expect Before and After Spine Surgery?

Risk factors and complication of scabies

Scabies is a type of skin conditions that causes itching and rashes. This dermatological condition is caused by Sarcoptes scabiei, a microscopic mite. It is a contagious condition, which can spread through physical contact. An estimate shows that scabies infects over 300 million people worldwide per year.

This eight-legged microscopic mite creates a tunnel in the human skin and lays eggs in it. These larvae move under the surface of the skin and spread across the whole body, once hatched. Dogs, cats, and mice can also be affected by this disease. It usually takes 2-6 weeks for the symptoms to develop. Signs and symptoms of scabies involve itching, rashes, sores and thick crusts on the surface of the skin.

Some of the risk factors of scabies are:

- Scabies spreads through direct, prolonged skin-to-skin contact with a person who has mites.
- An infected person can easily pass scabies to his/her household or sexual partners. Scabies in adults is usually sexually acquired.
- The likelihood of scabies increases easily under crowded conditions, which involve close body and skin contact. Nursing homes, prisons, and several types of care facilities are sites of scabies outbreaks.
- Immunocompromised, elderly and disabled people also suffer from an increased likelihood of contracting this skin condition.

Complications of scabies include:

- Persistent and vigorous scratching can break the surface of your skin, which can lead to secondary bacterial infections. Impetigo, a superficial infection, is a quite common occurrence in such cases.
- Crusted scabies, the most severe form of scabies, can be common in certain groups. People suffering from diseases such as HIV or leukemia who have weakened immune systems as well as severely ill people have high risks of contracting this condition. This condition, also known as Norwegian scabies, is very contagious and also hard to cure.



Must Know Risk Factors and Complication of Scabies

During summer you try to take special care about the overall health of your body, particularly, your eyes. Eyes are one of the most important organs of the body, and the scorching summer heat can cause serious eye problems like conjunctivitis, infections, red eye, migraines etc., which is why it's important to take proper care of eyes during the summer season.

Here are some tips to keep your eyes cool and protected during the summer:

- Wearing sunglasses is very important when you are outdoors as it protects your eyes from the harmful UVA and UVB light. This will help in avoiding migraines and even serious conditions like cataract.
- Avoid midday sunshine. Stay indoors as much as possible during the middle of the day to avoid the sunshine then when the effect of the sun and ultraviolet radiation exposure are at their peak.
- When you plan to go for a swim, make sure you wear your swimming goggles. Otherwise you might catch conjunctivitis.
- You should not splash water into the eyes directly unless any foreign particles such as dust enter your eyes. This might damage the tear film of the eye, which protects your eyes.
- You need to maintain proper hygiene by washing your hands and face properly as soon as you reach home so that dust or grime does not enter the eyes as their entry can result in allergies and infections.
- You can keep a slice of cucumber on each of your eyes to relax and cool them down.
- 6 to 8 hours of sleep are a must as they help in revitalizing your eyes.
- Adding green vegetables, carrots, nuts, liver and fruits to your diet would be very beneficial for the health of your eyes.



8 Tips to Keep Your Eyes Cool in Summers

The presence of red blood cells in the urine is called hematuria. If there are sufficient red cells, the urine turns to a bright red, pink or cola shade. Frequently, the urine looks totally ordinary because there is insufficient blood to change the colour. In this situation, the condition is called 'microscopic' hematuria.

The most common causes of hematuria are given below:

    Urinary tract infection (UTI)
    Kidney stones
    Tumours in the kidney or bladder
    Exercise: In this case, the blood is produced in the urine after strenuous activity. It is more commonly experienced by male patients.
    Injury: Traumatic damage to any part of the urinary tract, from the kidneys to the urethral opening, can cause hematuria.

The symptoms of hematuria vary depending upon the condition. These are as follows:

    Glomerulonephritis: If the glomerulonephritis is not serious, it may not show any signs. If the symptoms do show up, they can cause swelling, particularly in the lower furthest points(the thighs, legs, feet, and toes), decreased urine, and hypertension.
    Kidney or bladder infection: Symptoms rely on the site of the diseaseand can even cause extreme pain on one side of the lower back, fever, chills, nausea with vomiting, and pain in the bladder.
    Prostate infection: There can be pain in the lower back or in the region between the scrotum and rearend. Pain with discharge, blood in the semen, andfever and chills can also occuronce in a while.
    Tumour in the kidney or bladder: Most kidney and bladder problems develop without bringing about any pain or uneasiness. At the point when side effects build up, abdomen pain may be persistent.
    Kidney stones: When a kidney stone gets attached to the ureters, it can bring about extreme pain in the back, side or crotch, with nausea and difficulties in urination.

Based upon the suspected cause of hematuria, some of the treatments may include the following:

    Urine culture: In this test, a urine sample is extracted and examined to check whether bacteria has developed. This test is used to find a case of a kidney or bladder disease.
    Computed tomography (CT) of the kidneys, ureters and bladder: For most cases,a CT scan is conducted. This helps in viewing the internal organs and finding the areas that may have been affected by the condition. It also shows the extent of the damage and the spread of the disease so that a proper treatment plan may be laid out.
    Ultrasound: This test uses sound waves to create images that can show whether or not a kidney mass is a non cancerous. This method can also be used to find out whether or not there are any kidney stones, which may be causing hematuria.
    Cystoscopy: In this test, the specialist embeds an adaptable telescope into the urethra and passes it into the bladder to investigate the bladder lining for tumours or different issues.

Can Hematuria Be Treated?

Opting for an abortion can often be immensely emotionally exhausting on your part. The emotional stress, guilt and confusion might become over bearing. To make this decision something you don t regret, equip yourself with all the knowledge and help available. 


Here are 5 of the top tips before choosing to terminate the life growing inside you:
Being certain of your pregnancy: It is critical to know that you are actually pregnant before proceeding with a surgical or medical abortion. Getting a test done from a reputed hospital is way more accurate than home tests which might not always be able to give you a correct reading. A sonogram is the best way to confirm your pregnancy.


Get an accurate idea: 1 out of every 5 pregnancies results in a miscarriage. Thus, getting all the information possible from a doctor helps you make an informed choice. You should be aware of all the consequences. At the same time, get facts, such as whether the foetus has a heartbeat, right. An ultrasound helps in determining this as well as whether the foetus is located in the uterus.


Know about your health: You should get yourself checked up thoroughly, primarily for any STD s. Knowing whether or not you have an STD is important as abortion in a person with an STD increases the likelihood of complications and infection.


Legality: In India, abortion is illegal, as one of the main reasons for doing so is sex selective abortion wherein, the male child is preferred over the female. Certain provisions however, allow the termination of a foetus. If the pregnancy is up to 20 weeks and the birth would result in serious mental trauma or health complications for either mother or the unborn child, then an abortion is permissible. A trained government professional will be able to answer all your questions in regard to your choice of terminating the foetus. Sex determination of the foetus is illegal in India.


Get informed about the risks involved: Getting an abortion can be quite strenuous both physically and emotionally. It is a medical procedure that is irreversible in nature. There are multiple abortion options based on how far your pregnancy has progressed. Each of these procedures has side effects and medical risks involved. Often a counsellor or a psychologist is needed to provide support as women might become fragile or emotionally unstable after opting for an abortion.


Getting an Abortion Done - Is It Right or Wrong?

The prostate gland in a man begins to grow in size on reaching 25 years of age quite naturally, and this is known as benign prostatic hyperplasia abbreviated as BPH. Now the problem arises when the enlargement of the prostate is more than normal.

In men, the urine flows through the urethra from the bladder. An abnormally enlarged prostate blocks the flow of urine through the urethra. The cells of the prostate slowly multiply to cause it to enlarge. This puts pressure on the urethra thereby giving rise to a number of problems, most of which manifest as symptoms.

Common Symptoms of an Enlarged Prostate Gland
The condition of enlarged prostate gives rise to some noticeable symptoms which provide the signs that you need to visit a doctor to get it treated. A weak or slow urinary system is one of the most common symptoms of being affected with an enlarged prostate. This includes urinating more often, an increase in the urgency to urinate, difficulty in starting urination and a feeling of incomplete bladder emptying immediately after urinating. At times, it is seen that passing urine becomes very strenuous. All these above symptoms indicate that there is an enlargement of the prostate gland and medical help should be sought immediately to prevent the condition from worsening.

Steps to Manage an Enlarged Prostrate

Effective medication is usually the first step in the management of an enlarged prostate gland. Alpha blockers are the drugs that are most commonly used in this situation. These drugs do not reduce the size of the prostate, but they are great in relieving the symptoms to allow free and painless passage of urine. Another group of drugs known as 5-alpha reductase inhibitors can help in shrinking an enlarged prostate. The drugs work by the reducing the levels of the male hormone called dihydrotestosterone.
In some advanced stages of prostate enlargement, minimally invasive treatments are used for the effective management of the condition. Transurethral Microwave Thermotherapy or TUMT is used to treat mild blockages that reduce the frequency of urination, the urgency, and straining. However, it is not able to correct the bladder emptying issues. Transurethral Radio Frequency Needle Ablation or TUNA helps in the destruction of the prostate tissues resulting in an improvement in the flow of urine.
Prostatic stents are also sometimes used for the management of the condition of an enlarged prostate. In this treatment procedure, a small metal coil is inserted into the urethra for widening it and keeping it open. In most severe case of prostate enlargement, only surgical methods remain as the opted method of treatment. Laser surgeries are performed to destroy the tissues of the prostate for easing of the condition. Ultimately, an open prostate surgery is performed when the transurethral procedure cannot be used. In this surgery, the tissues of the prostate are removed by the surgeon in case of great enlargement.
The condition of an enlarged prostate gland requires medical attention and treatment for the most effective management, and it is best that a medical professional is consulted as soon as any of the symptoms surface.
Enlargement starts usually after 50 years. Surgery 'Transurethral resection of prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of prostate by laser is also an option.

Enlarged Prostate - How Can It Be Managed?

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