Dengue fever is a disease caused by mosquitoes which mostly occurs in tropical climates. Dengue hemorrhagic fever is a type of dengue fever that may lead to decrease in blood pressure and severe bleeding. Dengue may lead to death if the symptoms of this disease are not treated at the right time. The symptoms of this disease are high fever, muscle ache, pain in the eyes, pain in the abdomen and nausea. It may also lead to respiratory problems such as breathing difficulties. Presence of blood in the stool and blood spots around the skin are some other symptoms of dengue.

The symptoms of this disease start after 5 - 9 days after being bitten by the mosquito. The disease usually lasts about 7-8 days. In case the symptoms worsen, the disease may become life threatening. The various methods you can employ to protect yourself from dengue are:

Maintain cleanliness around your surroundings: Make sure you keep your surroundings clean so that mosquito infestations do not occur. Keep your surroundings clean and dry as mosquitoes thrive in moist and humid surroundings.
Mosquito repellants: Spray mosquito repellants to keep your home free from mosquitoes. Spray them keeping the room locked to make it more effective. There are multiple types of repellents available such as liquid or gas repellents.
Clothes: You should preferably wear full sleeved clothes so that your skin is not exposed. It provides additional protection from mosquito bites.
Mosquito nets: Use mosquito nets to protect yourself from mosquitoes when you go to sleep at night. They also provide protection from other insects that may cause infections. 
Don't store waste: Don't store your waste products for long durations as they may turn into a breeding ground for mosquitoes. Clean it regularly and make sure to keep the area dry.
Using natural remedies: You may use natural remedies such as burning camphor as it repels mosquitoes. Take camphor and burn it for 20 minutes in a closed room to get rid of the mosquitoes.

Dengue Fever - 6 Ways You Can Protect Yourself Against it

Spread of HIV infection from a woman who has transmits HIV to her child during pregnancy, childbirth (labor and delivery), or breastfeeding (breast milk) is called as  Mother to child  transmission (MTCT) of HIV. It is also termed as the perinatal transmission of the HIV infection or  vertical  transmission. In the absence of medical intervention, perinatal transmission rates are very high, between 20-45% in different parts of the world. In various regions of the African subcontinent a large number of HIV infected children are present. It is a major cause of deaths in teens and adolescents in that region. 

Almost 90% of all HIV infected children live in the sub-Saharan Africa. In some districts of AP, Karnataka, Maharashtra and TN that were highly HIV-prone, we have several HIV infected children and adolescents. The virus replicates in the body and affects the immune system. Due to decreased immunity, various opportunistic infections enter the body and cause AIDS related symptoms. Prevention of HIV infection in infants and young children is now a high priority and has been the rallying point for enhanced prevention efforts. MTCT HIV infection can be prevented with adequate measures by way of Anti-retroviral treatment (ART). All expecting mothers who are HIV infected should have access to the preventive medical services throughout the gestation period, during labor and also during breastfeeding. 



Proper provision of resources with skilled staff and awareness programs can help in avoiding new infection cases. Breastfeeding is the primary source of transmission of infection from mother to child. Basically, once ART is started in an HIV infected pregnant woman that should continue forever. With proper ART course, chances of MTCT are near Zero. At the Unison Medicare & Research Centre; which is India s first fully comprehensive clinic for HIV Care and infectious Diseases, during last decade, not a single MTCT has occurred after treating more than 160 such HIV infected mothers. Even prior to that MTCT rate was lower than 1%. Our motto has been making the mothers virally suppressed commensurate with the global principle of  Undetectable = Untransmittable ! In fact now more and more HIV infected couples have been coming forward for an elective pregnancy. Even HIV un-infected children orphaned by AIDS or living with sick caregivers are at the great risk of emotional and physical abuse, which in turn increases the child s vulnerability to HIV infection. 

Reduction of risks to these vulnerable children is of great importance and various programs are being implemented for the welfare of orphans and vulnerable children. Various risk factors that are implicated in the transmission of HIV infection from mother to child are as follows: 

Increased viral load 
Genital tract viral load 
Reduced CD4 cell count 
Unprotected sexual intercourse with infected partner 
Smoking, Substance and drug abuse 
Deficiency of Vitamin A and other essential nutrients 
Presence of other Sexually transmitted diseases (STDs) 
Pre-term delivery 
Placental disruption 
Invasive monitoring of the fetus 
Breast feeding In most cases, HIV will not cross through the placenta from mother to baby. 
In an otherwise healthy mother, risk of child getting infected is low. Prenatal visits shouldn t be increased until a complication arises. The physician should observe symptoms of AIDS and pregnancy-related complications on a regular basis. HIV may be the direct cause or a marker of a complex interaction of related medical and social conditions that affect pregnancy. Most HIV positive women are usually asymptomatic and have no major obstetrical problems during their gestation period. They should receive similar obstetric antenatal care as the HIV-negative women, unless indicated by the need to provide specific treatment for HIV related conditions. There is no evidence of a need to increase the number of antenatal visits, provided there are no complications of the HIV infection, although additional counseling sessions may be required to reassure the mother and family. 

Care of the HIV positive woman during pregnancy should include ongoing counseling and support as an integral part of the management. Invasive diagnostic procedures, such as chorionic villus sampling, amniocentesis or cordo-centesis should be avoided wherever possible, due to a possible risk of infection of the fetus. In case you have a concern or query you can always consult an expert & get answers to your questions!

How Can We Achieve HIV-Free Generation?

Tonsillitis is a disorder of the tonsils present on the back of your throat. The tonsils acts as a defensive mechanism in the body as they prevent the body from infections. This is a contagious condition and can occur at any age. It is widely prevalent among school going kids.

Tonsillitis may be classified into two types:
1. Chronic tonsillitis: this type of tonsillitis tends to last for an extended duration with symptoms of bad breath and tenderness in the lymph nodes.
2. Recurrent tonsillitis: this is a form of acute tonsillitis which repeats itself over a year.

Causes
Tonsils prevent various virus and bacteria from entering the body through the mouth by producing antibodies. The tonsils, however, may become vulnerable to these infections. A virus that causes common cold or the bacteria that causes strep throat may result in tonsillitis. The most common cause of this disorder is the strep bacteria. School going children are especially vulnerable to this disorder because they are most prone to various infections.

The various viruses that may cause tonsillitis are:
1. Enterovirus
2. Herpes simplex virus
3. Epstein-barr virus
4. Influenza virus
5. Adenovirus
6. Parainfluenza virus

Common symptoms
The various symptoms of tonsillitis are
1. Swallowing difficulties
2. A sore throat
3. The sore throat may result in bad breath
4. You may experience fever and chills
5. Pain in the head, ear and stomach
6. You may experience stiffness in the neck and the jaw
7. Swollen tonsils with possible redness
8. Changes in voice
9. Symptoms of cold

Treatment
The treatment for tonsillitis is usually antibiotics and in some cases, tonsillectomy. The antibiotics help in getting rid of the bacterial infection. Surgery is only done in cases where tonsillitis is chronic in nature. It is important that you drink fluids and restrict smoking to prevent tonsillitis.

Causes and Symptoms of Tonsillitis

Benign prostatic hyperplasia or BPH is a condition where the prostate gland gets enlarged. This is mostly common in men who are ageing. When the prostate gland gets enlarged, the flow of urine through the urethra gets blocked, and hence, several problems related to urination may occur. BPH occurs as a result of hormonal imbalance. If untreated, BPH can lead to severe bladder and urinary health conditions.
There are several symptoms and signs of benign prostatic hyperplasia. Here are 7 common symptoms:

1. A frequent need for urination: Men affected by BPH feel an increased need to urinate frequently. This gets enhanced during the night and is called nocturia. The patient may even need to urinate more than eight times a day. Due to the enlarged prostate gland, more pressure is put on the urethra, which leads to uncontrollable urination.
2. Urinating difficulties: The act of urination becomes difficult. Because of enhanced pressure on the urethra, the flow of urine to the penis from the bladder gets blocked. This makes a urine stream hard to start. The urine stream gets weak and interrupted, and more difficulty may be experienced during the end of urination.
3. Pain during urination and ejaculation: Due to pressure on the urinary tract and reproductive system, pain can accompany urination and ejaculation. Some patients tend to push urine out, which results in pain. The pain may also occur because of infection during BPH.
4. Blood in urine and an unusual color/smell: Urine may take a dark color and have an unusual smell due to urinary retention. Unpleasant urine smell signifies urinary tract infection. Blood in the urine may also result because of dilated veins present on the surface of the enlarged prostate.
5. Urinary retention: When a patient is unable to pass any urine, it is called urinary retention. Such a condition requires immediate treatment, and you need to consult a doctor immediately.
6. Urinary tract infections: Bacteria may start growing in the bladder when the bladder is not fully emptied of urine. This bacterial infection causes darkening of the urine, and emission of a foul odor.
7. Bladder stones: Bladder stones may develop because of the inability of the bladder to empty itself completely. This is a major symptom of BPH. Hard lumps of minerals or bladder stones are formed when the urine present in the bladder gets highly concentrated, which causes the crystallization of minerals. Bladder stones may cause infections, result in blood in urine, cause bladder irritation and may also block urine flow.

So you see that benign prostatic hyperplasia involves the enlargement of the prostate gland, and results in several problems related to urination and different symptoms. Hence, immediate treatment is advisable.

7 Symptoms of Benign Prostatic Hyperplasia

Glaucoma is a group of eye diseases characterised by damage to optic nerve usually due to excessively high intra ocular pressure (eye pressure). If left untreated can lead to optic nerve damage resulting in progressive, permanent vision loss. Glaucoma usually affects people above the age of 40, but can affect younger people as well. This condition causes fluid to build up in the eye, which puts pressure on the optic nerve. 

There are broadly two types of glaucoma - Open angle glaucoma ( more common in elderly) and angle closure glaucoma.
Women are more likely to suffer from glaucoma than men are. Ethnicity also plays an important role in determining the risk of suffering from this condition. East Asian and African Americans have a high risk of glaucoma, as they have a shallow, anterior chamber depth. Some of the other conditions that can increase a person s risk of glaucoma are:

Diabetes
Hypothyroidism
Myopia
An earlier eye surgery
Retinal detachment
Tumours
Injury to the eye
Long term corticosteroid medication
If diagnosed early enough, glaucoma can be treated and its effects can be reduced. However, the damage already caused by glaucoma cannot be reversed. The aim of glaucoma treatment is to either reduce the production of fluid in the eye or improve its flow. This helps slow down the progression of this disease and prevents any further loss of vision. Glaucoma treatment usually takes the form of eye drops or surgery.

Eye drops are the first step towards treating glaucoma. There are many different types of eye drops. Prostaglandin analogues aim at increasing the flow of fluid out of the eye and are usually prescribed in cases of swelling around the rim of the eyes, darkening of the iris and blurred vision. Beta-blockers can also help lower the secretion of fluids in the eye.

Patients who are also suffering from diabetes or lung conditions such as bronchitis may be prescribed cholinergic agents, carbonic anhydrase inhibitors or sympathomimetic drugs. Cholinergic agents help improve the outward flow of fluid in the eyes while Carbonic anhydrase inhibitors reduce fluid production in the eyes. Sympathomimetic drugs do both reduce the production of fluids and improve outflow.

If the eye drops are not effective, surgery may be advised to lower the pressure built up in the eye. Some of the common types of surgery for glaucoma are:

Trabeculoplasty: This procedure involves directing a high-energy laser beam into the eye to open clogged drainage canals. The surgery has high success rates but the problem may recur after surgery.
Filtering surgery: This involves creating an opening in the eye and removing a part of the trabecular meshwork, thus allowing fluid to flow outwards.
Drainage implants: Children or patients with secondary glaucoma may be treated with this surgery where a small silicone tube is placed in the eye to aid in fluid drainage.

Glaucoma - Factors That Put You Risk!

Sweating during warm weather is very common, but if a person wakes up from bed soaked in sweat, it is not a pleasant feeling. It does not allow for a sound sleep, and may not always be related to warm weather.
There is no serious underlying medical issue, but it is always advisable to see a doctor to get this corrected. The following are some common reasons that could lead to night sweats.

Menopause: The hot flashes that are so popularly associated with menopause is one of the main reasons for night sweats. The presenting factors (woman, age, and other symptoms) should help arrive at this diagnosis. Hormonal levels can be checked to confirm if required. Even puberty and pregnancy can cause night sweats, due to hormonal level alterations.
Infections: Most infections present with fever and night sweats are very common. Tuberculosis, osteomyelitis, endocarditis, influenza and even HIV can cause night sweats and hamper a person s sleep. Most infections cause an increase in temperature, which is worse at night.
Obstructive sleep apnea: The walls of the windpipe get narrowed, and the person might have short periods where the breathing just stops. These people are three times more likely to develop night sweats.
Hypoglycemia: One of the most common symptoms of low blood sugar is night sweat. When the sugar drop happens during the time the person is sleeping, it is very common for the person to wake up soaked in sweat.
Cancer: For some cancers, night sweats are one of the first warning signs. These cancers include lymphoma, and presence of symptoms like unexplained weight loss, fatigue, etc. should be addressed to rule out the possibility of cancer.
Side effect of medications: Antidepressants, psychiatric drugs, anti-pyretic drugs, anti-virals, steroids, anti-diabetic medications, hormones, etc. can lead to night sweats. Suspected cases of night sweats should have their medications reviewed to see if any drug is causing the night sweats.
Gastro-esophageal reflux disease: GERD, as it is popularly known, can cause night sweats in addition to heartburn. They would also have other symptoms of indigestion, which will help in identifying the problem.
Neurologic disorders: Stroke, neuropathy and anxiety disorders can cause night sweats and would require psychotherapy in addition to medications.
Idiopathic: And despite all these possible reasons, if there is no identifiable reason, it is known as idiopathic hyperhidrosis (increased sweating). The person produces too much sweat without any known underlying cause and can even wake up at night soaked in sweat.
Management: Identifying the underlying cause is the first step in treatment. It may require hormonal corrections, changing or withdrawing the causative medications, treating associated conditions, etc., as the case may be.

Sweating While Sleeping - 9 Reasons Behind It?

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