So your folks have always been advising, Early to bed, early to rise, makes a person healthy, wealthy and wise? But, it is so not you. You realise that waking up early has its perks but cannot bring yourself to do it? You must have categorised yourself as nocturnal and left things at that.

Fact is, getting up early morning not only makes you more productive it also makes you less stressful. It is better to start your day on a calm note than rushing to get ready and leave for work. Give your body time to get out of sleep before you begin your daily grind. 

1) Sleep is first: Deadline is an excuse. Make it a point to sleep at an assigned hour and waking up at a particular time.
2) Break the cycle: You sleep late, you wake up late and the cycle continues. Break this by forcing yourself to sleep at a particular time. Use simple ways such as having a warm glass of milk before bed, exercising, etc to make yourself fall asleep.
3) Be patient: It is ok to fail. The trick is to keep trying. Your body is used to a certain sleeping pattern and it will take a few days before it can accept a new one.
4) Start small: Take baby steps. On the first day, sleep 15 minutes earlier than your regular time and wake up 15 minutes earlier. Increment it till you reach your goal time. 

Struggling to become a morning person?   Here are 4 tips to ditch your  Snooze  button.

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!

When there is excessive acid build-up in your body, you experience a burning sensation in your chest. This condition is called acidity.  


You feel a burning sensation in your chest, your mouth tastes sour and your throat may feel sore during bouts of acidity.  An antacid can give you quick relief, but sometimes, you might feel like it isn t working very well for you. Ayurveda may help you in this case.
Ayurveda is safe, and it provides a natural way to heal acidity.


Here are some Ayurvedic remedies for acidity:
1. Bananas: The potassium in bananas is an excellent antidote to acidity. Eating a ripe banana can provide you relief from the discomforting symptoms of acidity.


2. Milk: The calcium in milk bars acid build-up and absorbs the extra acid produced. For best results, drink cold milk to ease your discomfort.


3. Mint leaves: Mint reduces acid production and cools the burning sensation in your stomach. Chop and boil some mint leaves; then drink the cooled solution for relief.


4. Tulsi: Tulsi boosts mucus production in the stomach and has antiulcer properties. To ease your discomfort, chew on 5-6 tulsi leaves.


5. Cardamom: Elaichi, or cardamom, is a multi-purpose remedy. It stimulates digestion, reduces stomach spasms, soothes the stomach lining and prevents excessive acid production. Just crush two pods of elaichi in boiling water and drink it for quick results.


6.  Cloves: Cloves boost saliva production, which helps in digestion and reducing the symptoms of acidity. For relieving acidity, just bite a piece of clove and keep it in your mouth. The oils released from the clove will reduce acidity within no time.


7. Aniseed: Aniseed cools the stomach lining, which reduces the burning sensation. Simply chewing a few aniseeds or saunf seeds, can bring about instant relief.


8. Cumin: Cumin stimulates saliva production, which aids in improving digestion and metabolism. You can eat cumin seeds, or boil them in water and then drink the solution for relief.


9. Ginger: Ginger improves digestion and helps absorb and assimilate essential nutrients better. It also protects your stomach from ulcers by boosting mucus secretion, which reduces the damage to the stomach lining caused by acid.


10. Amla: Also called the Indian gooseberry, amla has high amounts of vitamin C in it, which helps in healing the agitated lining of the stomach and oesophagus. You can consume one teaspoon of gooseberry powder to prevent acidity.

Acidity - 10 Ayurvedic Remedies Can Help You Treat it

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.
Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in   Acute radicular pain due to irritation or inflammation.

Symptomatic herniated disc with failed conservative therapy
Acute exacerbation of discogenic pain or pain of spinal stenosis
Neoplastic infiltration of roots
Epidural fibrosis
Chronic LBP with acute radicular symptoms
Epidural- lumbar injection
ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

There is minimal or no radiological finding.
Multilevel imaging abnormalities
Equivocal neurological examination finding or discrepancy between clinical & radiological signs
Postop patient with unexplainable or recurrent pain
Combined canal & lateral recess stenosis.
To find out the pathological dermatome for more invasive procedures, if needed
Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

Procedures That Can Help Treat Slip Disc & Sciatica!

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

Arthritis pain may occur all of a sudden but develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.
Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
Corticosteroids are used for reducing inflammation.
Certain DMARDs or disease-modifying antirheumatic drugs are used.
Certain injections that are used for helping with knee arthritis. They include:

Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
Corticosteroid injections also soothe inflammation and pain.
You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
Arthroscopy, where an incision is made in the knee for removing damaged parts.
It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

Know if You Have Arthritis in the Knee

Stuttering is a type of speech disorder wherein, a person speaks slower than normal. It is quite  common in the age group of 3 to 8. The relationship between stress and stuttering has been pondered over for decades now. A lot of people seem to believe that stress and stuttering are co-related. On the contrary, recent studies show that stress is more of a consequence rather than a cause of stuttering. If you take the first theory into consideration, then according to that, children would be the greatest victims of anxiety and stress. But it is seen that the level of stress increases proportionately with the increase in age.

Social anxiety in teenagers increases due to stuttering, when they come across individuals who can speak in a normal pace. This in turn can crush their self confidence and lead them to isolate themselves from social groups and people in general. Hence, it is important to deal with stuttering in the early ages or as and when it occurs. 

Sometimes stuttering can develop due to physical or mental trauma.  Most people with stuttering do not seek therapy for it because they might not think of it to be too severe. Little do they realise that a simple process of speech therapy can help them overcome this disability and rejuvenate their level of self-confidence.

It has also come to light, that people with relapse in stuttering post therapy has shown a three-fold increase in anxiety levels than normal. Hence we cannot ignore the strong relationship between stress and stuttering. So from the above evidence, it is safe to conclude that social anxiety or stress develops as a result of chronic stuttering.

How to deal with stress related to stuttering?

Seeking help is a great start to tackle your disability. If your stuttering is prominent enough to warrant therapy, you must seek professional help for the same. You must also learn to control your anxiety by dismissing any anxious thought or make sincere efforts in controlling physical anxiety.

You can also try to increase your social skills by participating in events, such as public speaking that can reduce your stress levels and make yourself more confident about yourself. One must also remember that a person is defined by what he does rather than what he says. So never let a minor disability come in the way of your self worth!

Stress and Stuttering - How to Deal with It?

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