What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm. 
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat 
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 
- Drug therapy 
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 

Ablations using many sophisticated computer softwares 
Device Therapy like ICD (Internal cardiac defibrillator) 
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.

Palpitations - Everything You Need to Know

Erectile dysfunction refers to the situation when a man has difficulty in getting a firm erection or an erection, which is required to achieve sexual penetration. Several cases of erectile dysfunction can cause impotency in a man.

Causes
1. A problem in the blood flow, proper hormone secretion and nervous supply in the body may cause erectile dysfunction.
2. Erectile dysfunction also happens due to vascular causes along with neurological causes.
3. Arthrosclerosis is a disease which often leads to erectile dysfunction. This disease is commonly caused because of smoking and diabetes. The arteries to the penis become narrow and clogged and erectile dysfunction occurs.
4. Neuropathy caused due to diabetes, known as diabetic neuropathy, is a primary neurological cause of erectile dysfunction. Nerve damage on account of surgery around the pelvis area may also lead to erectile dysfunction.
5. High blood pressure or hypertension damages arteries all over the vascular system. Blood flow is impaired and proper erection is prohibited, which signifies erectile dysfunction.

Erectile dysfunction also happens due to physical causes such as:
1. High cholesterol and obesity
2. Parkinson's disease and multiple cases of sclerosis
3. Smoking, excessive alcohol consumption and substance abuse
4. Disorder in anatomy or structure of the penis
5. Surgical complications
6. Several prescribed medicines may also lead to erectile dysfunction because of reactions and side effects.

Erectile dysfunction may also result due to several psychological causes:
1. Depression makes a person uninterested in sex due to lower libido and may cause erectile dysfunction.
2. A large amount of stress, fear, tension or anxiety may also lead to erectile dysfunction.
3. Many men suffer from performance anxiety and feelings of sexual failure. This may result in erectile dysfunction.
4. Poor communication with a partner or pressure from partner regarding sex may also cause erectile dysfunction.

Homeopathic Remedies For Impotency (erectile dysfunction)
1. Agnus Castus: Homeopathic medicine Agnus Castus is used in cases where there is complete inability to attain penile erection during the sexual act. Homeopathic medicine Agnus Castus can be used in cases of erectile dysfunction and sexual weakness where the male has a mental aversion to indulge in sex, along with decreased physical strength.

2. Caladium: Homeopathic medicine Caladium is of great help for treatment of erectile dysfunction when the male is unable to have an erection despite having a sexual desire or urge.

3. Lycopodium: Homeopathic medicine Lycopodium is of great help for both young people and elderly people suffering from erectile dysfunction.

4. Tribulus Terrestris: The main indication for using Homeopathic medicine Tribulus Terrestris is the presence of urinary troubles along with erectile Dysfunction.

5. Nuphar Luteum: Homeopathic medicine Nuphar Luteum can be beneficial for all those males with erectile Dysfunction in whom the desire to indulge in sexual activity is totally absent. There is no sexual desire with relaxed genitalia.

Erectile dysfunction affects the self-esteem and confidence of a man as he is unable to have sex. Necessary measures should be taken to cure erectile dysfunction.

Homeopathic Treatment for Erectile Dysfunction - 5 Natural Remedies

Sciatica, which is pain along the huge sciatic nerve that runs through the lower back to the back of each leg, can bring about serious, weakening pain. The term sciatica depicts indications of leg pain along with potential shivering, weakness, or numbness that starts in the lower back and goes through the butt cheek and down the vast sciatic nerve in the back of every leg. However, here are some top ways to get pain relief from sciatica:

1. Chiropractic/manual control
Spinal adjustment and manual control performed by properly trained health experts, for example, chiropractors and osteopathic doctors, are centered around giving better spinal cord alignment. These are intended to address various basic conditions, which can bring about sciatic nerve pain.

2. Acupuncture
This practice is based on the goal of achieving or keeping up the strength through an open stream of energy by certain pathways in the body. Hair-thin needles (which are generally not felt) are embedded into the skin, close to the zone of pain.

3. Subjective behavior therapy
This treatment for taking control and evolving self-defeating behaviors can be useful in overseeing sciatica pain, especially in the short term. Sessions with an advisor might be face-to-face or on the web.

4. Massage treatment
Certain types of back rub treatments have proven to have various advantages for back pain, including expanded blood flow, muscle relaxing, and release of endorphins (the body's regular pain relievers).

5. Strengthening activities
Many activities can strengthen the spinal cord and the surrounding muscles, tendons, and ligaments. The greater part of these back exercises center around the lower back, as well as the (stomach) muscles and gluteus (butt cheek) and hip muscles.

6. Stretching
Stretching is usually prescribed to mitigate sciatic pain. Stretching for sciatica is intended to target muscles that cause pain when they are tight and unyielding. Hamstring stretch is very often an essential part of a sciatica exercise program. As part of everyday exercises, many people do not stretch these muscles, which extend out from the pelvis to the knee in the back of the thigh.

7. Low-impact aerobic activity
Some types of low-impact cardiovascular workout, for example, walking, swimming, or pool therapy, are generally parts of the recovery, as high-impact action increases the exchange of liquids and nutrients to make a better environment for healing.

8. Micro-disectomy
In situations where the sciatica pain is because of a lumbar disk herniation, a microdiscectomy is the most widely recognized surgical approach. It is an open surgery done using magnification techniques. In this surgery, just the bit of the herniated disk that is squeezing the nerve is evacuated. Whatever is left of the plate is left in place.

Top Eight Ways To Get Pain Relief From Sciatica!

Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
Bacterial Infection: There could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
Diabetes: If you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.
There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

Strong Smelling Urine - 5 Common Reasons Behind it!

Vitamin C is a water soluble vitamin, which is essential for various functions and it is not produced or stored by the body, so it is important that the food contains adequate amount of it. It plays a vital role in heart, eyes, skin, and prenatal health and immunity. Long-term non-availability of vitamin C can lead to various symptoms, which though are not immediately threatening, can turn dangerous in the long run.

Bruised skin: Easy bruising is one of the early symptoms of vitamin C deficiency. There could be capillaries which appear superficial and have an increased tendency to bruise and bleed. There could also be unexplained reddish purple marks on the skin in people who have low levels of vitamin C.
Bleeding gums: Another major indicator of vitamin C deficiency is swollen gums that tend to bleed easily. This again is related to their role in collagen formation and if not identified and treated in the early phases, it can lead to severe gum inflammation, periodontal disease, and even loss of teeth.
Slow wound healing: Vitamin C has an important role to play in connective tissue formation, and if there is less of vitamin C in the body, collagen formation is delayed. This can lead to prolonged and delayed healing of wounds, even simple ones like cuts and bruises. The added role of vitamin C as an immune booster also leads to reduced healing when there is vitamin C deficiency.
Nosebleeds: Frequent unexplained nosebleeds is another sign of vitamin C deficiency. Reduced amounts of vitamin C make the capillaries fragile causing them to bleed easily.
Dry skin: While weather does determine if the skin is dry or normal, vitamin C also does. The decreased levels of collagen can lead to an unhealthy skin which can turn red and can be dry and can also lead to keratosis pilaris, which is an accumulation of melanin pigments in the skin. Good amounts of vitamin D helps as a good anti-ageing agent and reduces wrinkles and retains moisture. It also has sun protective effects and antioxidant properties.
Unexplained weight gain: Vitamin C plays a vital role in fat metabolism and therefore deficiency leads to weight accumulation, especially around the waist. It helps oxidise fat and so helps in weight regulation.
Lowered immunity: Vitamin C deficiency affects the body s susceptibility to infections, making it prone to more severe and frequent infections. People catching a common cold very frequently could be suffering from vitamin C deficiency.
Emotional health: Vitamin C is also a mood regulator, so inadequate amount can lead to depression. Try eating a juicy orange and see yourself feeling better!

Vitamin C - 8 Reasons Why Your Body Needs It!

Mind your headaches (All about headaches)

Headaches and migraines are one of the most common types of pains that patients can face. There are many types of headaches that may afflict people and there are a number of reasons that can be attributed as their cause.

Let's look at some of the types of headaches and their causes:

Facial headaches

This is an ache, which is usually centered on the face, the crown, and the forehead. In this headache, movements of the head and face may also cause problems.

Causes: The main cause for facial headaches tends to be sinusitis, a condition in which the cavities in the skull get blocked. Sinusitis may also happen due to a cold as this has often been accompanied by a runny nose as well.

Treatments: The best treatment for this issue would be to treat the underlying condition, i.e. the cold or the blockages. Using the prescribed variety of decongestants and inhalers can vastly improve the situation.

Migraines

This is an intense pain on one side of the head that can last for a few hours to a few days. Most of the pain is sometimes centered behind the eye, and many people report extreme sensitivity to light as well as sound. It can be debilitating to some people who suffer from a severe form of it.

Causes: Migraines are one of the most complicated problems to diagnose and there can be a variety of reasons for it. Triggers may include food or lack of it and also be caused by other underlying physiological reasons.

Treatments: Although there are certain painkillers, which are available, it is best to consult a doctor to know the root cause and thus, avoid the triggers or take appropriate medicines if necessary.

Tension Headaches

These headaches are induced by periods of stress, anxiety, anger and other mental distresses.

Causes: These headaches are a result of stress, which may result in the decrease of the blood flow to the brain due to the stiffening of the head and neck muscles.

Treatments: Over the counter drugs such as paracetamol or ibuprofen can help improve them, but it is better to consult a physician before undertaking self-medication.

Cluster Headaches

These are the most potent form of headaches that can be very painful. They usually originate as a piercing pain in the head with pressure on the eye and can even lead eye inflammation, and watery and droopy eyes.

Causes: Certain neural functions originating from the hypothalamus can cause this issue and this type of headache may be triggered by alcohol, smoking or other forms of strong smells.

Treatments: Generic painkillers may not be able to correct the issue quickly enough and this may require the administering of special injections or nasal sprays.



All You Need To Know About Headaches

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