During breathing activity, chest wall moves out & in, lungs expand & relax. For the smooth movement of the lungs inside the chest cavity, they are lined by pleura.

Pleura includes two thin linings, the layer lining lungs is called visceral pleura and the one lining chest wall is called parietal pleura. The cavity formed between these two layers is called Pleural cavity. It contains a small amount of lubricant called Pleural fluid which helps smooth sliding of two pleural surfaces. Any condition which results in inflammation of the pleural surfaces or accumulation of excessive fluid in the pleural cavity gives rise to symptoms attributable to pleural involvement or disease.

Pleural effusion is nothing but the collection of excess fluid in the pleural cavity. Excess fluid in the pleural space is not normal and can occur due to a variety of reasons. Depending on the chemical composition it is broadly divided into two categories, transudate and exudate. 


What Causes Pleural Effusion?

1. Transudate pleural effusions 

Transudate pleural effusion is formed when fluid leaks from blood vessels into the pleural space. Chemically, transudates contain less protein and LDH than exudates. It is generally seen in the following conditions.

Congestive heart failure

Liver failure or cirrhosis

Kidney failure or nephrotic syndrome

Peritoneal dialysis

2. Exudate pleural effusions 

Exudate pleural effusion is caused by inflammation of the pleura itself and are often due to diseases involving the lung. Following are some common illnesses giving rise to exudate pleural effusion.

Tuberculosis
Pneumonia
Lung or breast cancer
Lymphoma
Pulmonary embolism
Post chest wall trauma or surgery
Asbestosis and mesothelioma
Secondary to intra-abdominal pathology 
Pancreatic pseudocyst, etc
Symptoms of Pleural Effusion -

Chest Pain: Chest pain is mainly due to irritation of the pleural lining. The pain is sharp, localized and worsens with a deep breath, yawning, coughing which is usually described as pleuritic. If the effusion causes inflammation of the diaphragm the pain may be referred to the shoulder or the upper abdomen. As the pleural effusion increases in size, the pain may increase or disappear altogether due to the separation of inflamed pleural surfaces.

Shortness of breath: As the effusion grows larger with more fluid, the harder it is for the lung to expand and the more difficult it is for the patient to breathe resulting in shortness of breath.

Other Symptoms: Other symptoms are generally attributable to the underlying disease process.

Diagnosis of Pleural Effusion -

Patient s Detailed History and Clinical Examination are the mainstays of diagnosing pleural effusion and it s the underlying cause. Following investigative modalities are generally opted for working out the final diagnosis before instituting appropriate therapy.

Chest X-ray: X-ray will help indicate the presence of fluid. 
Chest Ultrasound(USG): will help in confirming the presence of the fluid and it s localization which in turn can guide the physician about its quantity and its capability.
CT Scan: CT scan of the chest may at times be required to ascertain the underlying cause or to know about any other co-morbid conditions.
Thoracentesis: Thoracentesis is a procedure used to sample the fluid from the pleural effusion. Using a long thin needle, fluid can be removed and sent for testing to confirm the diagnosis.
This can be just for diagnostic purposes or can even be used as a therapeutic procedure.
Chemical analysis of the fluid will help determine the type of pleural effusion.
Treatment of Pleural Effusion -

Treatment of underlying Disease: The treatment of a pleural effusion usually requires that the underlying illness or disease is treated and controlled to prevent the accumulation of the pleural fluid. Like anti-TB therapy for Tubercular etiology or treatment of Cancer in malignant pleural effusion, etc.

Thoracentesis: As discussed earlier Thoracentesis can be used as a therapeutic procedure to remove excess fluid and help lung expand and function properly.

Tube thoracostomy: Thoracostomy or chest tube insertion may be done to drain and treat fluids which cannot be removed by needle aspirations, e.g. empyemas (pus collections).

Pleurodesis: Some pleural effusions reoccur multiple times; sclerosing agents that induce scarring such as talc or tetracycline was used to prevent a recurrence.

Decortication: If sclerosing agents fail, surgery may be required, called Decortication.

Pleural Effusion - What Is It?

As you reach the age of 40, you will likely notice changes in your vision. Perhaps you have difficulty reading a book without glasses, or distinguishing between colours. These changes occur as an effect of ageing. However, nowadays people in their teens are also exposed to a host of eye disorders and vision problems, mostly resulting from eye injuries and visual stress.

The most common disorders of the eye, which affect the age group 19-40, are Refractive errors. The following signs and symptoms characterize such disorders-

  Haziness
  Double vision
  Halos or glares when you are surrounded by bright lights
  Headaches
  Squinting
  Eye strain

What are the Refractive errors?

Refractive errors develop when light cannot focus on the retina (the light-sensitive tissue situated at the rear side of the eye) directly due to the shape of the eye. The change in the cornea s shape, the ageing of the lens, or the length of your eyeball can lead to refractive errors. Most people suffer from one or more of the above conditions.

Type of Refractive Errors:

Following are the most common types of refractive errors-

  Myopia or Nearsightedness - If you have this condition, you will see nearby objects clearly but distant objects will appear blurry. This happens because the light comes to focus right in front of the retina, instead of on the retina.

  Hyperopia or Farsightedness - This condition is just the opposite of myopia. Distant objects are clearly visible but those located close to you appear blurry. However, some people may not observe any problem with their vision at a young age. If you have significant hyperopia, objects at any distance, far or near, can appear blurry.

  Presbyopia - This age-related condition affects your ability to focus on things closely. This happens because as you age, the lens of the eye is unable to change shape to allow the eye to focus on nearby objects clearly.

  Astigmatism - In this condition, the eye cannot focus light onto the retina evenly. As a result, images appear stretched out and blurry.

  Amblyopia or Lazy eye - This vision development disorder begins during early childhood and infancy. In this condition, the eye does not achieve normal visual acuity despite using contact lenses or prescribed glasses. Usually, amblyopia affects only one eye.

Can early diagnosis help treat the problem?

Yes, it can. Your eye care specialist can diagnose refractive errors and detect what exactly is impeding your vision with a comprehensive dilated eye examination. Upon encountering the symptoms mentioned above, one should consult an ophthalmologist at the earliest and get oneself checked.

If the condition is detected early, vision problems due to refractive errors can be treated. The common treatment options include the use of contact lenses, prescription glasses, and surgery (in severe cases).
People with visual problems should also adopt some lifestyle changes to correct their vision - eat more veggies, get adequate sleep and rest, abstain from smoking etc. Additionally, you should get periodic eye check-ups to monitor the condition.

Difficulty In Vision - It Can Be Better If Treated On Time!

The brain is not a stagnant realm fed with a granted quota of intelligence and memory at birth. It is always in a state of flux. Exercising your brain in various ways accelerates its ability to perform better. It is in your hands to have a sharper take on situations and occurrences. Playing games that require brainstorming, solving quizzes, crosswords or playing chess makes you feel rejuvenated and tired at the same time; the reason being activated brain cells. A healthy brain will affect your life decisions positively and you probably will think rightly before you leap.

Tips to exercise those brain cells:

Meditate and calm your mind: Ten minutes of meditation each day can help you get over anxiety. When your mind is at peace you think out pros and cons with enhanced insight. This composure reflects in each of your actions. Meditation demands your brain to be quiet when it is accustomed to work; you therefore have greater control over it.
Music can improve your brain abilities: Music is the best antidote for a sloppy brain. Music excites the neurons healing a bruised memory. It gifts you with clarity of thought. Apart from listening to music one must try to play a musical instrument. Teaching yourself things puts your mind through a strict regimen of constructive activities.
Take out time to learn a new language: We are paralyzed the minute our brain gives up. Due to several external and internal reasons each one of us is likely to suffer from cognitive disorders on being subjected to extreme pressure or shock. Trying to learn a new language motivate your brain cells to have a wider vocabulary, which further restricts your chances of brain damage.  
Mental mathematics could better your intelligence: Calculators, computers and phones are ridding us of our ability to compute individual data. Computation and consolidation of data helps your mind to work faster with precision. So, you now know those lessons on mental mathematics in childhood were actually the key to a well rounded brain. 
Think of something novel: The more the number of neurons the merrier is your brain. Take pains to direct your mind on a novel track. Thinking beyond what is given and expected helps your brain grow new neurons. It builds up your creativity letting you discover more of your capabilities.

5 Tips To Help You Exercise Your Brain!

Your knee is guarded and cushioned by a cartilage known as meniscus. A meniscus tear, therefore, is an extremely painful and discomforting situation. It occurs very frequently and has emerged as one of the most commonly occurring cartilage injuries. What makes a meniscus tear an extremely common phenomenon is the way it can tear that is all it takes is a twist of the knee for it to happen.

People involved in sports mostly face the brunt of this form of injury. The risk of getting meniscus torn increases with age and tends to occur at the slightest change of direction of movement. 

Symptoms 
Some of the symptoms of a torn meniscus are:
1. Pain and inflammation: it goes without saying that an internal injury of the cartilage or tearing away of it would inevitably result in extreme pain and inflammation near the knee.
2. Immobility: the extreme pain and inflammation, which follows will inevitably make it difficult to move. Since the pain occurs in the joint, you will have difficulty in walking and any forceful movement will only aggravate the pain.
3. Locking of the knee: locking of the knee refers to a situation when you are unable to move your knee. This occurs most commonly after you have your meniscus torn.

Treatment
Notwithstanding its frequency of occurrence, there are several ways, by which you can treat a torn meniscus. Some of the ways are:
1. Apply ice: in order to get some relief, applying ice is a suitable option. If you apply ice every day for some time, it wonders in reducing swelling and the consequent pain.
2. Use a bandage: in order to control the swelling, it is important that you cover your knee with an elastic bandage.
3. Change the posture: it is important that you keep the affected knee in an elevated plane, in order to ensure an efficient blood supply and a consequent relief from pain.

Some medical treatments
There are many things to consider when deciding how to treat your torn meniscus, including the extent and location of the tear, your pain level, your age and activity level, your doctor's preference, and when the injury occurred. Your medical treatment choices are:
1. Nonsurgical treatment with compression, elevation, and physical therapy. This may include wearing a temporary shoulder brace.
2. Surgical repair to sew the tear together.
3. Partial meniscectomy, which is surgery to remove the torn section.
4. Total meniscectomy, which is surgery to remove the entire meniscus. This is generally avoided, because this option increases the risk for osteoarthritis in the shoulder.
5. Whenever possible, meniscus surgery is done using arthroscopy, rather than through a large cut in the shoulder.

Symptoms and Treatment of Torn Meniscus

Importance of avoiding carbs in dinner for weight loss

Ideal dinner should not be rich in carbs but fibers. If you intend to lose weight, avoid carbs in dinner. 

There are many reasons of avoiding carbs in dinner.

1. Gets Converted to Fat: Carbohydrates should only be taken during daytime as muscles require fuel to do different activities and utilize carbs to convert in energy. During night we don’t do as intense workouts as the daytime like in office or household work. If carbohydrates are taken in dinner, muscles absorb carbohydrates and store them in form of fat tissues due to lack of any activities except sleep and inner organs’ functioning.

2. Increases Your Sugar Levels: Including carbohydrates in your dinner also increases blood sugar level which is harmful for diabetes patients.

3. Makes Your Digestion Difficult: Avoiding carbs also improves your digestion. Replace it with more fiber foods instead.

If you would like to consult with me privately, please click on 'Consult'.

Why It’s an Absolute Sin To Have Carbs in Dinner if You Want to Lose Weight 

Mommy Makeover

Pregnancy can take a toll on your body. If you had a nice figure, you might find yourself having a flabby tummy after your child is born. Even if you lose the pregnancy weight, certain areas of your body may still have excess fat.

Mommy makeover is a process that rids you of those worries. The process is aimed at reshaping the body and reducing the excess fat that has accumulated post-pregnancy. This process has gained popularity among women in recent years.

However, the traditional methods of a mommy makeover are time-consuming and include many processes like liposuction, tummy tucking, breast augmentation, and labiaplasty. That is why moms today are opting for nonsurgical mommy makeover methods.

Nonsurgical mommy makeover

A nonsurgical makeover is vastly different from the traditional methods as there are no surgeries. The treatments involved in the process may vary from one woman to another. The common makeover treatments include the following  

  Cool sculpting   This process aims to remove the excess fat from the body, especially the abdomen region. It takes around an hour to treat a particular area of the body. Here two sculpting paddles are placed on the area and gently pulled upwards using light suction. The fat cells are frozen and then destroyed.

  Thermage   This is a laser-based treatment that helps to tighten the undesired loose, sagging skin. This process boosts the production of collagen in the body that tightens your skin.

  Fraxel   This process is used to minimize the stretch marks on the abdomen. A non-ablative laser called Fraxel is used for the process.

  Hair removal   Many women find hair growth in unusual areas of their body that did not occur before pregnancy. As taking care of their little ones takes time, they might not have enough time to wax and shave. Laser hair removal can permanently remove unwanted hair from the body.

  Spider vein removal   During pregnancy, many women develop spider veins or varicose veins. Spider vein removal therapy reduces the appearance of these spider veins. Depending on the type of veins and the location in the body, processes like Sclerotherapy are commonly used.

  Stretch marks removal   Stretch marks appear in the abdomen, breasts, thighs, arms and buttocks and slowly fade to grey or white. During the latter half of the pregnancy, these usually appear. They can be removed by many methods such as Tretinoin cream   it helps to build collagen and tone the marks to look like normal skin. Laser therapy is also used to develop more collagen or enhance melanin production, which helps in fading the marks over time. Other methods like Microdermabrasion and Micro needling are also used.

  Scar correction   C-section scars that are observed among women after pregnancy can be removed through a topical gel called Mederma. Curad Scar Therapy Cosmetic Pads are also
used to lighten the redness of the scars.

  Breast sagging correction   After pregnancy, your breasts might sag and lose volume. Enhancement techniques like augmentation or breast lifts will help in restoring size and
shape to the breasts making them look fuller.

  Localised fat correction   Excess fat can be removed using Carboxytherapy where carbon dioxide is injected into the fat area through a very small needle. As a result, the fat cells burst and the liquefied fat is removed naturally from the body. Carbon dioxide stimulates collagen production and increases blood flow.

  Radiofrequency   This is used to break down a part of fat cells and stimulate collagen formation. This helps in making the skin look smoother, reduces stretch marks and fat, and
helps with skin tightening.

  Mesotherapy   This method is performed by injecting small quantities of vitamins, pharmaceuticals, and natural extracts in the skin. This is used for improving sagging skin,
rejuvenating the skin, and reducing fat or cellulite.

Things to keep in mind
Usually, the nonsurgical treatments do not require much recovery time and you can get back to your usual routine quickly. However, the Fraxel laser treatment takes about a week to recover. If you are seriously opting for this procedure, make sure you know all the details beforehand. Talk to your doctor and get to know all the steps you need to take before and after the makeover. It is advised that you go for this procedure after you have decided not to have kids anymore.

Post Delivery Non Surgical Mommy's Makeover!

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