Menopause brings about a lot of changes in a woman's body. It not only signifies the end of her fertility and child bearing days, but it is a sign of growing age and the body progressing in a new direction of aches, pains and vulnerability. While some of these are natural, others can prove to be dangerous as it significantly increases the risk of heart disease (unlike common myths, women do get heart attacks). The risk factor is also goes up if the woman suffers from diabetes, obesity and high blood pressure. One of the widely known, but well ignored fact remains that women with a sedentary lifestyle increase their risk and vulnerability to all of these diseases. A family history in heart disease can also turn into a risk factor when menopause sets in.

The natural age of menopause is considered to be around 50 and when a woman reaches this age, the estrogen levels in her body experience a sharp drop. This hormone is partly responsible in maintaining heart health in women. Other factors that are triggered during menopause include changes in body fat distribution from a gynoid to an android pattern, reduced glucose tolerance, abnormal plasma lipids, increased blood pressure, increased sympathetic tone, endothelial dysfunction and vascular inflammation. 

Experiencing menopause? Here's how you can lower your risk of heart disease

A healthy lifestyle never comes by accident, only by choice. And this is an essential key in controlling diseases that come as a side effect of menopause too. Here are some thing you can do:

    Walk / Exercise: This isn't a 5-day week practice. You need to exercise throughout the week in order to maintain heart health. It helps your heart to pump blood through your body and also reduces risks to other diseases like high blood pressure and cholesterol. One key benefit is that it helps keeps the weight off - that should be good reason to walk an extra mile.
    Choose a healthy diet: Most people mistake a diet to be about not eating the things you really like. A good diet can be made very tasty and can also be portioned in such a way that it leaves less room for craving. As always avoid the junk, deep fries and extra helping of cheese.
    Hormonal therapy: There has been contradicting evidence on hormonal replacement therapy for estrogen can lower the risk of heart disease. Some women continue to be advised this treatment based on their particular case history, especially for women who undergo surgical menopause (when the uterus and other reproductive organs many have to be removed due to life threatening conditions like cancer).

Why Women Are More Vulnerable to Heart Diseases Post Menopause

Problems are pancreas are common and are treated by gastroenterologists. There are two common pancreas problems -

1. Acute Pancreatitis: Sudden Inflammation of the pancreas is known as acute pancreatitis. It is usually due to Alcohol, gall stones, trauma, metabolic causes such as hypertriglyceridemia, and congenital causes such as Pancreas divisum. The patient presents with severe upper abdominal pain and vomiting. Patients require admission for IV fluids and analgesics. Nearly all patients recover from the pain and start eating within 3 to 4 days. Few patients with severe pancreatitis may develop kidney failure, respiratory failure or GI bleeding. Such patients require longer hospitalisation stay and critical care management. Recovery is usually uneventful but few patients develop peripancreatic fluid collection known as Pseudocyst or walled-off pancreatic necrosis(WOPN). In such cases, the patient requires additional treatment of fluid collection and requires internal drainage by Cystogastrostomy which is done by Endosonography (EUS) by a gastroenterologist. Some patients require ERCP (Endoscopic retrograde cholangiopancreatography) for evaluation of pancreatic ductal leak. EUS and ERCP are advanced endoscopic procedures done by a few gastroenterologists who are specially trained in such procedures.

2. Chronic pancreatitis: Long term irreversible damage to the pancreas is called chronic pancreatitis. It is usually due to Alcohol intake. It presents with upper abdominal pain, Diabetes mellitus and fat in stools (steatorrhea). The small duct in the pancreas called main pancreatic duct can have hard calcifications also known as stones, which obstruct the flow of pancreatic juice and cause severe abdominal pain. Treatment of chronic pancreatitis includes stopping alcohol intake to prevent further damage to the pancreas, medicines for pain, Pancreatic enzyme replacement therapy (PERT) and Endoscopy for those who do not respond to medical treatment. Endoscopy includes ERCP and plastic stenting to establish a flow of obstructed pancreatic duct and Endosonography (EUS) guided Celiac plexus block for decreasing pain. Patients who develop fluid collection such as Pseudocyst require internal drainage by Cystogastrostomy which is done by Endosonography (EUS)

In Brief About Types Of Pancreatic Disorders!

In reality, dust allergy is precipitated by dust mites, a kind of microorganisms that thrive in dust. They acquire their food from dead skin cells and absorb water from the environment and thrive. Moist and warm environments are ideal for them to thrive. However, they themselves don t cause allergic symptoms. 

It is the response of the immune system to them that precipitates the symptoms. Once they are inside the human respiratory system, the immune system responds to them in a negative way. This leads to the production of histamines, a kind of protein that abates swelling, cough, mucous production, runny nose, sneezing, etc.

Symptoms of Dust Allergy:

Dust allergies may lead to various symptoms, some of which may be short lived, while others may be chronic. Some of these symptoms may also be life threatening. While in general people may suffer from running nose, stuffy nose, sneezing, coughing, itchy eyes, postnasal drip, swollen skin under the eyes, etc., in severe cases, people may also suffer from asthma, chest pain and tightness, trouble in sleeping due to shortness of breath, bouts of severe cough, sinus infection, etc.

Risk Factors:

Some of the common risk factors are: 

Family History: People who have a family history of dust allergy are most susceptible to this problem. These people develop a sensitivity to dust mites.

Exposure: Exposure to dust mites is the main cause of dust allergy. If someone is exposed to dust mites for a long time, it enhances the risk of allergy symptoms.

Being a Child: Children are more susceptible to it than adults. They are more likely to develop allergies during childhood and early adulthood compared to adults.

Diagnosis:

Most dust allergy symptoms are similar to common cough and cold symptoms. This is why it is necessary to confirm that the symptoms owe their origin to dust allergy. As a primary physical examination, the doctor may examine the lining of nasal passage to see if it is swollen.

In case the person is allergic to dust or pollen, the lining of the nasal passage is likely to become inflamed. However, the doctor also needs to conduct some tests. He may conduct skin tests and blood tests to confirm the allergy. If the allergy is confirmed, the doctor goes for treatment.

Treatment:

There are a number of treatment options for dust allergy. Some of these may act as over-the-counter to counter the effects of dust allergy, while others may act as modulators to modulate the immune response.

Antihistamines: These are medicines that counter histamines responsible for allergic reactions like itching, runny nose, sneezing, etc.

Corticosteroids: Corticosteroids are usually delivered through nasal sprays to bring down inflammation and control the allergic response of the immune system.

Decongestants: They help to decongest nasal airways which get inflamed and swell up due to allergic reactions.

Leukotriene Modifiers: These medicines block certain immune system chemicals responsible for allergic reactions and prevent allergic reactions.

Immunotherapy: The doctor may go for immunotherapy if no other effort is yielding any results. This therapy trains the immune system so that it does not become sensitive to dust mites. It is delivered via injections.

Conclusion:

The primary defense against dust allergy is avoiding breathing in dust. However, if a person is already exposed to them, there are a number of medicines and treatment options to prevent a flare up.

Dust Allergy - Risks, Diagnosis & Treatment Of It!

What you should know about urinary incontinence.

Urinary incontinence is the inability to hold urine in the bladder because of loss of control of the bladder. The severity may range from temporary to chronic, depending on the cause of this disease. Urinary incontinence is more common in women than men and can be categorized into three types.

Types and symptoms of urinary incontinence

Stress incontinence: this incontinence may occur while participating in any physical activity such as a sudden cough, laugh, sneezing or exercising. The stress here refers to the sudden physical pressure that a person experiences, leading him/her to urinate involuntarily.

Urge incontinence: a sudden, involuntary contraction of the muscular wall of the bladder causes an urgency to urinate. This urgency can be formed by a sudden change in position or sex.

Overflow incontinence: this is more common in men with prostate gland problems, damaged bladder or blocked urethra. The person has an urge to urinate frequently but in small amounts.

Causes of urinary incontinence

There are a number of causes of urinary incontinence ranging from aging to cancer and physical damage to the neurological disorder.

1. Aging: with age, the bladder muscle weakens and the chances of incontinence increases.

Damage: since the pelvic muscles support the bladder any damage to it (surgery or any procedure to remove the uterus) can lead to urinary incontinence.

2. Enlarged prostate: enlargement of the prostate gland in older men may give rise to this condition.

Cancer: urinary incontinence may be associated with untreated prostate cancer, which is a side effect of treatments for it.

3. Menopause: estrogen is a hormone that keeps the lining of bladder and urethra healthy. After menopause the production of estrogen is decreased, increasing the chances of urinary incontinence.

4. Prevention: urinary incontinence is not preventable but some steps can be taken to reduce the risk of it. Maintaining a healthy lifestyle, avoiding smoking, practicing pelvic floor exercises, avoiding caffeine and acidic foods and eating more fiber to prevent constipation can help decreasing the risk of it.


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Related Tip: Common Symptoms of Urinary Tract Infections Every Woman Should Know

What Makes One Lose Control of the Urinary Bladder?

Food allergies have been on the rise and many food items have been identified as potential allergens. Common items like citrus fruits, coconut, peanuts, tree nuts, gluten can cause allergies. You don't need to stay away from your favorite dish just because it contains one of the allergy-causing ingredients. You can customize your dish with suitable substitutions and enjoy your food without worrying.

Peanut

Peanut is one of the most common allergy-causing items. It has severe effects on people who are allergic to it. On its consumption, the throat of allergic person swells up, blocking the airways which can lead to anaphylaxis. So, for people who are allergic to this grain legume, peanut -laden cuisines like Thai food, peanut butter, and jelly are all prohibited. But you can replace peanut with sesame seeds, pumpkin seeds, and hemp which are available in butter form as well.

Citrus fruits

Lime, orange, lemon, and grapefruit have been seen to cause discomfort in both adolescents and adults. There are so many citrus-flavored drinks that it becomes difficult to find a nice harmless drink. But, if you are allergic to these fruits you can go for strawberry, raspberry, and apple-flavored drinks, which are easily available.

Coconut

Coconut is used in place of milk in vegan recipes; it can replace milk in food items like ice cream, sweet drinks, and curries. If you are allergic to coconut, substitute it with rice, soy, oats milk and even soaked cashews.

Wheat

Wheat is not only off limits to people with celiac disease who have to lead a gluten free life but for some who are allergic to wheat specifically. Pasta, bread and many other kinds of foods are made up of wheat, but you can opt for tapioca or rice flour which is also used to make such items.

Best Substitutes for Common Food Allergens

One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

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