The first thing you must know about dengue is that it is a mosquito-borne tropical disease, the root cause of which is the dengue virus. This virus is usually transmitted to a person when an infected Aedes mosquito bites them. There are as many as four serotypes of the dengue virus; they are DENV-1, DENV-2, DENV-3, and DENV-4.

It must be noted that all four of them can potentially cause dengue fever. The term "dengue fever" is frequently used to distinguish clinically milder dengue virus infections. In more severe cases, however, the term "dengue hemorrhagic fever (DHF)" is used.

One of the common complications of dengue fever is a decrease in the number of platelets in the blood, which is called thrombocytopenia. The decrease in platelet count in dengue fever is believed to be due to the destruction of platelets by the dengue virus. The virus infects and damages the bone marrow, where platelets are produced, leading to a decrease in their production. Sometimes the immune system may also produce antibodies that attack and destroy platelets.

Who Can Get Affected By Dengue and How Badly?
Dengue is a disease that can indiscriminately affect people belonging to all genders as well as age groups. The disease is also referred to as "break-bone fever," mainly because of the excruciating pain it may cause. It is prevalent all over the tropical and subtropical areas of the world, with about 50 to 100 million cases of dengue fever in more than 100 countries.

Among the common symptoms of dengue are fever, severe headache, pain in the eyes and joints, muscle and bone pain, rash, and fatigue. It usually gets better on its own, but occasionally can be fatal.

It is a viral disease transmitted by day-biting mosquitoes and is a major public health problem in many tropical and subtropical countries, with India, Brazil, and the Philippines being the top three countries.

Anyone who lives in or travels to the areas where dengue is present is at risk of being infected. However, certain groups of people may be more vulnerable to severe illness, including:

Children
Older adults
People with weakened immune systems
People with underlying medical conditions, such as diabetes or heart disease
Dengue, in most cases, does not cause complications and has a self-limiting course with full recovery in two to seven days. However, it can also lead to the patient's demise in some cases.

What Does Dengue Fever Actually Do to Your Platelets?
As we already know, it is a mosquito-borne disease that may cause blood clots and impair blood coagulation. These blood clots can usually form in the patient's capillaries. However, at times, they can also form outside the blood vessels and block blood circulation to different parts of the body. These blood clots can cause the patient to feel faint and develop different grave complications.

This serious medical condition is caused by a virus that invades and damages the body's platelets, which are cell fragments that help blood clot. Dengue, or break-bone fever, causes the platelet count to decrease because the virus that causes platelet damage mainly affects the blood cells of the sufferer.

The platelet count in dengue fever is also one of the useful diagnostic tools and is usually carried out in cases in which the patient exhibits bleeding tendencies or has had recent trauma.

You should also note that the virus responsible for dengue fever is also responsible for another viral disease called yellow fever. All people affected by the dengue virus have similar symptoms and causes, but different amounts of blood damage. Blood damage is one of the causes of death in dengue fever.

A sudden dip in the platelet count is one of the primary reasons for blood loss in dengue; hence it has been given the name hemorrhagic fever. Moreover, platelets are a type of cell that allows the blood to clot when wounded and also helps in reducing bleeding.

When we get infected with a virus, the body goes into self-defense mode and starts to attack the virus. It is when the body releases white blood cells to look for the virus and destroy it. The platelets are responsible for clotting the blood, and when the platelet count decreases, then you have problems with the clotting of blood.

This is usually the reason that people get seriously injured and enfeebled by dengue fever. A severe infection can lead to bleeding from the mouth and nose, as well as internal hemorrhage.

What Else Should You Keep In Mind?
During a season of dengue fever, people usually try to increase their platelet counts so that they have a better chance of fighting the infection. To do this, it is important to increase your consumption of foods rich in omega-3, vitamins, iron, and other minerals. These foods can help fight antibodies and also increase platelet counts in dengue.

You can also add kale and other leafy greens such as mustard greens, collard greens, turnip greens, and spinach to your meals. The thing about these leafy greens is that they are low in calories and high in vitamins A, C, and K, which are essential to combating the dengue virus. Also, the pigments present in these leafy greens are known to have great anti-inflammatory effects.

Conclusion
Dengue is a disease caused by a virus. This virus is most commonly spread by mosquitoes. If you have dengue fever, you will probably develop symptoms seven to 14 days after being bitten by an infected mosquito. If you have dengue hemorrhagic fever, you will probably develop symptoms three to seven days after being bitten by an infected mosquito.

A person with dengue can have any combination of the following symptoms: mild fever, headache, joint or muscle pain, pain behind the eyes, rash, and mild bleeding. Symptoms can last for a few days to a few weeks.

Most people recover completely. But in some cases, the disease becomes life-threatening. For example, dengue hemorrhagic fever can be life-threatening. Furthermore, we hope you find this article informative and helpful. Please don't hesitate to share your views with us!

Why Platelet Count Decreases in Dengue Fever?

The carpal tunnel is the passageway for the median nerve to pass through on the inner side of your hand, when your palms are facing down. For example, while typing, there is a lot of movement of the fingers and this puts a lot of pressure on this tunnel. In fact, people who are involved in a lot of typing are one of the most prone people for carpal tunnel syndrome (CTS). Other causes would include trauma, fractures, etc., where the tunnel is injured.

Conventional measures to treat CTS included a combination of exercise and pain killers in mild to moderate cases. In moderate (sometimes) to severe cases, surgery was also done. However, with advancements in medical technology, endoscopic surgical procedure is gaining popularity.

What is done?
In endoscopic surgery, a small incision is made in the wrist or one each in the palm and the wrist. Through this, a flexible tube with a camera and minute cutting tools are inserted into the wrist. Another ligament known as transverse carpal ligament is cut. This reduces the pressure on the median nerve, which provides relief from the CTS symptoms.

What to expect as benefits?
The intention behind the surgery remains the same in both traditional and endoscopic procedures. The pressure on the median nerve is released, restoring movement and reducing pain in the joints. In addition, the endoscopic procedure has the following benefits.

Less invasive: Needless to say, there are only one or two small incisions done for this procedure, so less surrounding tissue is damaged.
Same day surgery: No hospitalization is required, and unless required, the patient can return home on the same day of surgery.
Reduced recovery time: The recovery period is usually substantially less compared to the traditional surgical approach.
Back to work: Depending on which is your dominant hand, you would be able to return to your regular work earlier than with regular surgery. If your non-dominant hand is involved, a day or two of rest is required. If your dominant hand was involved, give it up to four weeks for complete recovery.
Reduced chances of nerve injury: The area of operation has many nerves and blood vessels, and endoscopic surgery reduces the chances of damaging adjacent nerves.
Anesthesia: This is done under local anesthesia. Therefore, complications arising out of general anesthesia are completely avoided.
Indications
While these sound promising, your doctor will decide if you are a candidate for endoscopic procedure depending on the following:

Nonsurgical treatment including exercise and pain killers have not provided relief, even after several months.
Severe symptoms including those of nerve damage, like loss of sensation, altered coordination, etc., is affecting your normal daily routine.
Person requiring bilateral surgery like severe trauma, wheelchair dependent, etc.

Carpal Tunnel - How Endoscopic Surgery is Beneficial?

Shingles is a type of skin infection that results in rashes on certain parts of the body. It is characterized by a single stripe of blisters that may occur on either side of the body. The varicella-zoster virus that causes chickenpox is also responsible for causing shingles. Once you have had chickenpox, the virus remains in a dormant state in the body. If the virus gets reactivated, it might cause shingles.

The symptoms of shingles are:

1. You may experience sensations of numbness and burning on the affected area
2. The affected area may be sensitive to touch
3. Symptoms of red rashes on the body
4. Blisters that are filled with fluid
5. Bursting of blisters and crusting
6. You may experience fever and headaches
7. You may have difficulties in vision

The first symptom of shingles is the pain that results from the rash. In some cases, rashes may occur around the eyes.

Causes

Shingles is caused by the virus that is responsible for chickenpox. After lying dormant for certain period of time, the virus may get reactivated and travel through the nerve pathways on the skin. This is more likely to happen if your immunity level is somehow affected, which makes it easier for the body to get infected.
The disease is contagious in nature, so it is advised to stay away from people who have shingles. Remember that if you are not immune to chickenpox, then coming in contact with a person who has shingles, might result in you developing chickenpox.

Shingles may result in certain complications in the body such as:

1. Vision loss: shingles, if present around the eyes, may lead to infections in the eye causing vision problems.
2. Post herpetic neuralgia: in some cases, the pain that occurs from shingles may continue well after the infection has subsided.
3. Neurological complications: shingles may cause inflammation in various nerves, resulting in neurological disorders such as facial paralysis and balance problems.
4. Infections in the skin: shingles may also cause infections on the skin.

All About Shingles

An eardrum rupture or perforation is a little gap or tear in your eardrum and the tympanic membrane. The tympanic membrane is a thin tissue that partitions the canal of the middle ear and outer ear. This layer vibrates when sound waves enter your ear. The vibration proceeds through the bones of the center ear. Since this vibration allows you to listen, your hearing can be affected if your eardrum is harmed. A ruptured eardrum is additionally called a perforated eardrum. Permanent hearing loss could be an end result in some cases.

A ruptured eardrum, similar to thunder; can happen all of a sudden. You may feel a sharp pain in your ear, or an ear infection that you've had for some time all of a sudden leaves. In some cases, the person may not feel any signs of the rupture.

Some of the causes for such a perforation are:

Infection: Ear infections are a major reason for eardrum rupture, particularly in children. Liquids tend to deposit behind the eardrum in such cases.
Exercises: Exercising can bring about pressure changes in the ear and lead to a punctured eardrum. This is known as barotrauma, and takes place when the pressure outside the ear is not the same as the pressure inside the ear. Activities that can bring about barotrauma include scuba diving or flying on plane.
Other activities: Wounds can likewise burst your eardrum. Any injury to the ear or side of the head can bring about a crack.
Diagnosis: Your specialist can use a few approaches to find out whether you have a ruptured eardrum:

A liquid test in which your specialist tests liquids that might spill from your ear from infection.
An otoscope exam in which a specific gadget with a light is used to investigate your ear channel
An audiology exam, in which your specialist tests your listening to range and eardrum limit
Tympanometry, in which your specialist uses a tympanometer to test the pressure changes in your ear.
Treatment: The treatments are as follows:

Patching: In the event that your ear does not recuperate by itself, your specialist may fix the eardrum. Fixing includes setting a sedated paper patch over the tear in the film.
Antibiotics: Anti-toxins can clear up contaminations that may have prompted your eardrum break. They additionally shield you from growing new diseases from the aperture. Your specialist may endorse oral antibiotics or eardrops.
Surgery: In uncommon cases, surgery might be required to fix the gap in the eardrum. A surgical repair of a punctured eardrum is called tympanoplasty.
A cracked eardrum generally recuperates without any invasive measures. Many patients with cracked eardrums encounter just transitory listening problems.

Eardrum Rupture - Causes, Symptoms & Treatments

A peptic ulcer is usually found in the duodenum, or the first part of the small intestine. These ulcers can also be found in the delicate stomach lining near this region. These are usually painful sores that are caused due to too much acid production in the stomach, as well as excessive smoking and alcohol consumption. The symptoms generally include heartburn, bloating, nausea, vomiting, and even blood discharge in stool and vomiting. So how can you treat these ulcers? Here's a short list of ways to do so.

- Medication: The most common way of treating peptic ulcers is to ingest proton pump inhibitors which can be prescribed by a general physician. These medicines will effectively stop the production of acid and reflux in the gastroesophageal band, so as to prevent the growth and production of such ulcers. Antibiotics can also help, especially in severe cases where there is a risk of infection due to the presence of these ulcers.

- Upper Endoscopy and Surgery: For severe cases where there is bleeding in the peptic ulcers, an upper endoscopy may also be conducted. This quick procedure can give relief from the bleeding. Also, many specialists might recommend surgery so as to treat an ulcer that has punched a hole in the stomach's wall, in which case the persistent bleeding cannot be stemmed even with an upper endoscopy.

- Lifestyle Choices: The presence of a peptic ulcer usually points to tobacco and alcohol abuse. If you happen to be over 50 years of age and are busy drinking copious amounts of alcohol every day and even chain smoking, then you may be at risk. It is best to stop such abuse by giving up smoking and drinking so as to ensure that the peptic ulcer can be treated and does not become a fatality. Also, drinking plenty of water and eating a proper balanced diet along with exercise are some of the best ways of treating these ulcers.

- Side Effects: Peptic ulcers may also arise as a side effect of having pain killers too frequently. So it is important to stay away from medication that gives rise to this kind of reaction in the body.

Managing and treating peptic ulcers is a matter of getting the right tests done for diagnosis before discussing further medication or surgery based treatment for the ulcer so that it does not pose any grave danger to the patient's body.

Coping with Peptic Ulcers

The neurones in the brain are constantly reorganising their connections both functionally and physically according to the environment, your thinking and behaviour. This ability is known as neuroplasticity. Through neuroplasticity the nerve cells of brain can compensate for injury to some parts of the brain and enable a person to recover from stroke, birth abnormalities. It is also beneficial in treating autism, ADD, learning disabilities and helps manage obsessive compulsive disorders.

Here are seven things you should know about neuroplasticity.

Change depends on the attentiveness of the brain: Neuroplasticity changes can only happen if the brain is alert and active. When the brain is active it releases neurochemicals that are necessary for the neurone connections to change. If a person is distracted to inattentive, these changes cannot happen.
The more the effort; the bigger the change: Neuroplasticity changes depend on how motivated the person is to change or learn new tasks. For this reason, when it comes to using neuroplasticity for physiotherapy, it is essential to first deal with any depression or anxiety issues the patient might be having before attempting to rehabilitate them.
It helps strengthen neural connections: Repetition of actions is one of the key elements of neuroplasticity in physiotherapy. Through this, the strength of neurone connections is strengthened to include sensory information, movement and cognitive patterns.
It improves cell to cell connections: This is crucial to a patient s rehabilitation as it increases reliability and makes a person more independent. In turn, this makes behaviour patterns more reliable.
It helps predict actions: A task can usually be broken down into a series of smaller tasks. For example, feeding oneself can be broken down into steps that begin with lifting a spoon and filling it with food to finally putting the spoon into your mouth. Hence, along with completing an action, the brain must also know what to do next. Neuroplasticity helps improve this associative flow and allows the brain to predict the next step.
Changes can be temporary or permanent: Initial changes due to neuroplasticity are temporary ad only if the brain determines the experience to be desired is this change made permanent. This is why when treating mobility issues, patients are not always able to repeat tasks in the same way.
Memory guides the learning: When making new neural connections through neuroplasticity, the brain is taught to discard unsuccessful attempts and only remember the experience of the successful attempts. From here, adjustments are made to improve the connection.

Neuroplasticity - 7 Things You Must Know About it!

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