Diagnosing dementia can be more difficult than you can imagine. Medically, the patient needs to have at least two areas of mental functionality impaired to an extent where it interferes with their everyday life. However, diagnosis is just the beginning as treating dementia can be even more challenging. Here is a look at some of the treatment options available for dementia patients.

 Treatment for Dementia
There is often no cure for most forms of dementia. Treatment relies on the management of the condition, to ensure that the progression can be impeded. With proper treatment, patients can live a relatively normal life for a number of years.

Cholinesterase inhibitors- These medications are used for the treatment of Alzheimer s disease. They are chemical agents that boost the memory and judgment of the patient. The same is also an effective medication for those suffering from Parkinson s disease and Lewy body dementia.
Therapy- Making small changes to some aspects of life of the patient can often yield good results. For instance, clearing the clutter and noise in the house can be an effective way of helping dementia patients deal with their condition. Similarly, creating a safe environment at home with little chance of severe accidents, will ensure the safety of the patient.
Stress in caregivers of dementia patients
Dementia patients need to be cared for, ideally by a close family member such as a spouse. However, these caregivers undergo a lot of stress while providing support to the patient. For instance, Alzheimer s patients often do not recognize their caregiver who may also be their spouse. Here are some burdens that caregivers have to deal with.

Anger- The sense of fury towards the patient can be strong after years of providing care. They may also be frustrated with the fact that the affected person is unable to perform simple everyday jobs, such as brushing their teeth or tying their shoelaces.
Anxiety- A sense of hopelessness regarding the future is common. It is also the fear of what new challenges the next day might bring.
Depression- Seeing their loved one s mental state deteriorating with each passing day can be difficult to handle and pushes some caregivers into depression.
With such continuous emotional and physical stress, caregivers often fall sick themselves. This is why it is necessary to maintain a bright outlook and remember that a dementia patient can only get well if they have the full support of the caregiver. In case you have a concern or query you can always consult an expert & get answers to your questions!

Treating Dementia - Things You Should Know!

The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.

What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.

Symptoms of testicular torsion
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
5. Fever
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain

What causes testicular torsion?
In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.

Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.

Torsion of Testes - 5 Common Causes Behind It

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: Tension free  repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

Types of Hernia - How Laproscopy Can Help Manage?

An anal fissure or fissure-in-ano is a small, cut in the skin in anal passage which results because of trauma to skin by passing hard stool in this region. Sometimes pain is so severe that patient tends to avoid passing stool in an attempt to stay away from pain.

Symptoms of Anal Fissure: 

  Pain in anal region while passing stool; it may be burning/pricking/Itching in nature.

  Bleeding may or may not be there.

  If untreated for long time; a skin tag known as Sentinel tag or Sentinel Piles develops from the lower end of fissure.

Causes 

The causes related to the emergence of an anal fissure include:

  Passing hard stool which causes frictional injury to inner lining of anal passage.

  Repeated bowel movement or diarrhea

  Trauma to anal canal like by enema nozzle 

Why non surgical treatment is better than Surgery:

Usually surgery (Lateral sphincterotomy) is advised in a view to relieve spasm in anal region so that Fissure starts healing but there are certain complications like stool incontinence etc. associated with this procedure which makes non surgical approach better than surgical intervention. Some of the reasons which make non surgical approach better than surgery for anal fissure are as follows: 

  Acute anal fissure can be conveniently treated by Graded Kshar Karma Treatment. In this treatment a specialized Ayurvedic medicine is applied in fissure region which debrides the fissure and promotes healing. In this way fissure heals completely. So, no need for any surgery at this stage and thus no complication like bleeding, pain, stool incontinence, etc.

  When Fissure is not treated at this stage; a skin tag known as sentinel piles develops from the lower end of fissure. This condition also can be managed by Graded Ksharsutra TM Treatment. In this treatment, Graded Ksharsutra TM - a specialized medicated thread is ligated at the root of sentinel piles and sentinel tag gets detached in 3-5 days. No hospitalization or bed rest is required in this treatment. So, at this stage also fissure can be managed without surgery.

  Delayed healing and Recurrence of Anal fissure are other complications seen after Anal Fissure surgery. Such complications are not seen in Graded Kshar Karma and Ksharsutra Treatment.

  In some case stool incontinence (inability to hold stool; which is far worse than Anal fissure itself) is also seen after Anal Fissure surgery. However, there is no harm to stool control in Graded Kshar Karma and Ksharsutra Treatment.

  No hospitalization or bed rest is required in Graded Kshar Karma and Ksharsutra treatment. Hospitalization and bed rest for a considerable time period is necessary in surgery.

  Graded Kshar Karma and Ksharsutra are more economical than surgery. With this discussion; it is for sure that non surgical treatment for Anal Fissure is far better than Surgery.

Anal Fissure - Non Surgical Treatment Is Better Than Surgery!

Development disabilities can be defined as chronic conditions which develop when the brain of a child is still forming. Developmental disabilities may occur during pregnancy or early childhood or they may occur anytime till a person attains the age of twenty two. They are birth defects which may hamper the proper functioning of a body part or a body system. Most of the developmental disabilities cannot be medically treated, however with therapy their symptoms can definitely be controlled.

Nervous System Disabilities:-

As the name suggests, nervous system disabilities affect the functioning of the nervous system, spinal cord as well as the brain. A child with nervous system disabilities is most likely to suffer from speech disorders, behavioral disorders, movement disorders and may experience convulsions. His learning, understanding and intelligence, might all be affected due to nervous system disabilities.

Attention Deficit Hyperactivity Disorder (ADHD):-

Attention Deficit Hyperactivity Disorder can be identified in children by their inability to concentrate, being forgetful and feeling hyperactive all the time. There are a number of ADHD causes such as changes or malfunctioning of certain brain structures, parents suffering from hypertension or a psychiatric disturbance, chemical poisoning, alcoholism, smoking or drug abuse by the woman when she is pregnant and lastly, exposure of the child to certain environmental toxins like lead, polychlorinated biphenyls, etc.

Autism:-

Another example of nervous system disabilities is autism. Various behavioral and speech disorders may be caused in a child due to autism. Although exact cause of autism is not known, still some researchers are of the opinion that it may be caused due to certain genetic, environmental and neural development factors. Differences in the brain chemicals, known as neurotransmitters are the main cause behind autism. Environmental factors such as exposure to certain chemicals, exposure to drugs, eating certain kind of foods can exacerbate this condition.

Cerebral Palsy:-

Most cases of cerebral palsy develop even before the child is born. Very rarely does it occur during childbirth, although if the baby is premature or is under weight and suffers from intraventricular hemorrhages, it can lead to development of this condition in him. But mostly this condition develops when the brain development of the unborn child is affected when the mother is alcoholic, smokes, takes drugs, is malnourished, is exposed to certain chemicals or suffers any mental of physical trauma when she is pregnant. Some other reasons for a child to develop cerebral palsy are any injury to the brain due to accident, asphyxia, bacterial infections such as encephalitis or exposure to certain chemicals and allergies.

Bipolar Disorder:-

The reason why this disorder develops in a person is not known, still studies have shown that it is hereditary and runs in families. A person suffering from bipolar disorder experiences four kinds of mood cycles - mania, hypomania, depression and a mixed episode. Typical symptoms range from a person feeling highly energetic to falling into deep depression, leading to development of suicidal thoughts.

Dyslexia:-

Dyslexia is a neurological disorder that makes a child incapable to understand language, differentiate between right and left, solve mathematical problems and lastly, organize and plan anything. This condition is caused when the brain is unable to transfer images it receives from the eyes and ears into comprehensible language.

Dyscalculia:-

This is another disability that is closely associated with dyslexia. In this condition, a child is unable to recognize numbers and thus can't solve mathematical problems. This condition is caused due to an injury to the brain or a deficit in the working memory. Inability to read maps and follow directions are some other consequences of dyscalculia. 

Dysgraphia:-

A child suffering from Dysgraphia is unable to write alphabets or sentences in order. Dysgraphia symptoms develop in a child when his motor development does not take place properly.

Fragile X Syndrome:-

Fragile X syndrome occurs when FMR-1 gene/protein is unable to participate as required for the healthy and normal development of the offspring, resulting in numerous changes in his emotional, mental, physical and behavioral features.

Down Syndrome:-

Down syndrome is a chromosomal disorder caused due to an extra 21st chromosome, resulting in mental retardation as well as malformation in a newly born child.

Metabolic Disorders:-

These birth defects affect the body's metabolism i.e. the processes involved in building up, breaking and assimilating the materials required by the body to function properly. Phenylketonuria and hypothyroidism are examples of a metabolic disorder which can cause intellectual and developmental disabilities.

Phenylketonuria:-

Phenylketonuria, a genetic disorder, occurs when the body is unable to process the phenylalanine (Phe) protein found in almost all kinds of foods. If the Phe level becomes very high, the brain of the child can get damaged and he may even suffer from mental retardation.

Hypothyroidism:-

Another example of metabolic disorders is a hormonal condition known as Hypothyroidism. In this condition, the thyroid gland is unable to produce some very important hormones. If this disorder is not treated in time, it can lead to obesity, infertility, joint pain and even heart disease.

Sensory-related Disabilities:-

Sensory-related disabilities, a major part of the development disabilities list, are those which can cause problems related to sight and hearing. Some examples of sensory related disabilities are Williams syndrome and congenital rubella syndrome.

Congenital Rubella Syndrome:-

Congenital rubella syndrome is caused when the rubella virus negatively affects the fetus, mostly during the first trimester of pregnancy. A child who has congenital rubella might be deaf and may even have cataracts in the eye.

Williams Syndrome:-

Williams syndrome is a condition which occurs when some of the genes might be missing in a newborn child. Some of the symptoms of this rare condition are learning disorders, sensitivity to loud music, attention deficit disorder, sunken chest and feeding problems such as vomiting or reflux.

Degenerative Disorders:-

Degenerative disorders usually develop at an older age and the newborns who suffer from such disorders may show no signs at all. Degenerative disorders are known to cause physical, sensory and mental defects in a person. An example of degenerative disorder is Rett syndrome.

Rett Syndrome:-

Mostly girls suffer from this disorder. In the initial stages, the sufferer displays normal growth patterns but later there will be slowing down of brain growth, inability to use hands properly, problems in walking, slow mental growth and the sufferer may experience seizures.

Developmental Disabilities In Children - What Should You Know?

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