A heart attack makes you rethink and get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:

1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come in the form of your medication routine. Your existing dosage may be adjusted and you'll possibly be prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines, but when you have to take them. It's best you know exactly why you are taking each one of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.

2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.

3. Go to a cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also get benefit from exercises that'll be taught by a certified exercise specialist.

4. Make a change in your lifestyle: Quit smoking that is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioral scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit.

How To Live After A Heart Attack

Biliary stricture or a bile duct stricture is a condition where the bile duct narrows due to the presence of scar tissues in the body. There are many reasons for scar tissue formation   bile duct surgery, stone in the bile duct or exposure of the abdominal area to radiation. 

This condition can be either malignant or benign. In some cases, the presence of a tumour in the gallbladder can narrow the bile ducts. 

Signs of biliary stricture  

Bile ducts are very small. Because their diameter ranges from 4-10 millimetres, they can easily be blocked by scar tissue. The symptoms are similar to other disorders of the bile duct, where the bile duct is blocked. This stops it from releasing bile into the intestine. 

The symptoms may take a while before they become obvious. In fact, they may take several years as scar tissue takes time to develop.

The common signs are  

Stomach pain, especially on the right side

Fever

Itching

Your skin and eyes turn yellow 

The stools are light coloured

Fatigue

No appetite

Besides this, the biliary stricture can also cause organ inflammation. Liver, gallbladder, and pancreas are the most vulnerable ones in this regard. It can also lead to low blood pressure and sepsis (infection of the blood). 

The link between jaundice and biliary stricture

Because biliary stricture blocks bile ducts, the level of bile in the blood can increase. This may happen because the bile won t follow its normal route   from the liver to the intestine. Hence jaundice might occur.

To treat jaundice resulting from biliary stricture, the first line of treatment involves IV fluids, antibiotics, and antiviral medications. If that doesn t work, then surgery may be necessary to get rid of the bile duct obstructions.

Apart from this, you will also need to adopt certain self-care practices such as alcohol avoidance, proper hydration, and adhering to strict dietary guidelines.



Biliary Stricture & Jaundice - Know The Link!

Our survival is solely reliant on the working of the heart. It is this that makes the prospect of a heart failure so fatal and so terrifying. Notwithstanding what the heart evokes, a heart failure is not indicative of a defunct heart; but only a situation when the heart pumps weaker than what is generally deemed as natural. Consequently, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. The oxygen that is produced by the heart in such a scenario is scanty and insufficient for the body. 

body responds with its own defense mechanism, as the heart, in an attempt to hold more blood, stretches its chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This very condition in medical terminology is referred to as congestive heart failure. 

Different causes can contribute to the onset of such a fatal condition. Some of them are

Coronary artery disease: In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.
Heart attack: The sudden, unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning.
Diseases: Though the term may be generic and over expansive, most of the ailments which people suffer from tend to manifest themselves by posing a potential threat to the functioning of the heart. A high blood pressure, kidney disease, even a thyroid disease can cause congestive heart failure.
Every disorder is preceded by certain symptoms, and congestive heart failure is no different. Some of them are

Fatigue: This is one of the most perceptible symptoms of congestive heart failure. One of the earliest premonitions of an impending heart failure is a nagging sense of weariness and lethargy.
Swelling: As the condition is characterized by accumulation and build-up of fluids in various part of the body, swelling is an inevitable symptom of this condition and a clear indication of the ailment.

Congestive Heart Failure - Factors that Make it Fatal

For most us tattoos are a form of expressing their personalities. However, the things you identify with, in your teens may not be something you want to be associated with as you grow older. In some cases, a tattoo may not come out as you imagined it to be and this may leave you with a permanent adornment that you don t like. Thankfully, though tattoos are permanent, it is possible to remove them. As with getting a tattoo in the first place, removing it is not as simple as it sounds and can be quite painful. 

Here are a few things to keep in mind before opting to remove a tattoo.

Complete removal is not guaranteed: Not all tattoos are the same, the deeper tattoo ink is injected into the skin, the harder it is to remove. In many cases, tattoo removal may leave behind a faint shadow of the tattoo or cause permanent scarring.
How you got your tattoo made affects its removal: Professional tattoo artists have a steady hand and inject ink at the same depth, unlike amateurs who inject ink at varying depths. Thus removing a professional tattoo is easier than removing one made by an amateur.
It is painful: As when getting a tattoo made, removing it is also painful. The amount of pain felt depends largely on the location of the tattoo. In the case of laser treatment, this can be described as the feeling of having an elastic band repeatedly strike the skin. You could ask for local anesthesia or a numbing cream to be applied before starting the procedure to reduce the pain.
Multiple sessions are required: On an average 6-10 sessions are required to remove a tattoo. However, the actual number of sessions depends on a number of factors including the location of your tattoo, the number of colors in it etc. you will also need to wait at least 6 weeks between sessions to reduce the risk of side effects.
There are side effects: Some of the side effects you may notice after a tattoo removal session are blistering of the skin, bleeding, redness or darkening of the skin and inflammation of the tattooed area. These are temporary and should subside in a few weeks. However, darkening or lightening of the skin can last for up to a year. Scarring, burns and textural changes to the skin are other potential side effects. These can often be permanent.

Tattoo Removal - 5 Things You Need To Know Before You Go For It!

Stress fractures are small cracks that may appear in a bone. It occurs due to repetitive application of force in the same area. It is very common among various sports such as running, tennis and football. It may also occur due to osteoporosis as this disorder weakens the bones and allows stress fractures to occur easily.


The majority of stress fractures occur due to overuse of a specific muscle. The bones and the muscles used in a specific movement do not get time to recover, thus leading to stress fracture.


Causes
The major cause of stress fracture is change in physical activity, such as a sudden increase in exercise. The other factors that may lead to stress fracture are -


1. Poor conditioning: if you are starting an exercise regimen without proper preparation, then it may cause stress on the muscles. It is important that you condition your body before doing any intense activity to prevent injuries.


2. Bone insufficiency: various disorders such as osteoporosis reduces bone strength and increases the likelihood of a stress fracture. If you have low bone density then you are at a higher risk of having stress fractures.


3. Change in surface: change in surface like shifting from running on grass to road tends to cause more stress on the legs, thus increasing the likelihood of a fracture.


4. Improper form: performing any exercise with improper form may lead to a number of injuries. It is recommended to learn the correct technique before exercising, so you may use a spotter or a trainer to guide you.


Symptoms
The symptoms of a stress fracture are: 


1. Pain: you may experience dull to severe pain if you have stress fractures. The severity of pain will depend on the severity of the fracture.


2. Swelling: pain may be accompanied by swelling on the sides and the top of the foot.


3. Tenderness: stress fractures may cause tenderness in the muscles around the affected area.

Causes and Symptoms of Stress Fracture

One of the most common personality disorders, BPD or borderline personality disorder often remains undiagnosed or repressed and gets passed off as mood swings or a volatile disposition. However this disorder is much more than just mood swings as it can seriously affect the quality of a person s life. The primary manifestation of this disorder is in the way you think about yourself and others which result in the work that you need to do on a daily basis.

How does BPD manifest in your life?
The most common ways Borderline personality disorder can manifest in your life is with extreme mood swings or emotions, a discernable pattern in relationships becoming unstable after sometime, impulsive behavior, and a self image which is distorted. BPD thus affects how you view yourself, how you feel about others and you resultant behavior in general. Some of the typical signs and symptoms of borderline personality disorder are mentioned below.

Persistent feelings of emptiness

Anger in inappropriate or unnecessary places, losing your temper very frequently, resulting in physical fights
Fearing abandonment intensely, whether it is real or imagined and thus going huge lengths to stop it from happening
Extreme instability in relationships which may cause a partner to be liked one moment and then hated the next
People with BPD also tend to be suicidal which is often caused by the fear of rejection or separation
Engaging in risky and impulsive behaviors such as
Engaging in unsafe sex despite being aware of the implications
Splurging money on gambling
Leaving a good job suddenly
A tendency to indulge in drugs
Binge eating
Reckless driving
Suddenly terminating a healthy and positive relationship
Sudden changes in values and self-identity and goals and feeling low about yourself as a result
Causes of Borderline personality disorder
In most cases borderline personality disorder can t be exactly attributed to a single cause and in most cases, is a combination of factors. While genetic or hereditary predisposition can cause BPD it may also be triggered by other factors. Also, not curbing mal-traits in young children or encouraging such behaviors may lead to BPD as they grow up. Some of the factors that contribute to BPD are

Genetics
Abnormalities in the brain
Childhood incidents which were stressful
Personality traits which have worsened
If you think you have been displaying some of the symptoms for a fairly prolonged period, it is advisable that you visit a mental health professional for counseling and start with therapy as advised by them.

Borderline Personality Disorder - How It Manifests In Your Life?

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