Glaucoma is a serious eye condition in which the optic nerve gets damaged and the situation gets worse over time. If untreated, individuals may go permanently blind. Most individuals, with glaucoma, have no previous symptoms or warning signs of this disorder and this is the reason why it is important to have regular eye check-ups.

Causes of glaucoma
Eyes have a liquid called aqueous humor. This fluid flows out of the eyes through mesh like channels for proper lubrication of the eye. However, there can be situations in which these channels may get blocked. In such a case, there would be a build-up of this liquid, thereby causing an increase in fluid pressure. This is usually a major cause of glaucoma. Although there has been no elaborate evidence of what exactly causes this blockage, doctors have noticed that this can be inherited.

Other less common causes include:

Any sort of blunt injury or chemical injury to the eye
Blocking of blood vessels inside the eye
Other inflammatory conditions
Improper eye surgery
Types of glaucoma
There are mainly two kinds of glaucoma than can occur:

Open-angle glaucoma: This is the most common kind of glaucoma and is also called wide-angled glaucoma. In this kind, the tubular meshwork through which the liquid flow occurs is normal. However, the fluid flow isn t the way it should be.
Angle-closure glaucoma: This is also known as acute glaucoma or chronic angle closure. In this case, the liquid is not able to drain properly because of the angle between the iris and the cornea being too narrow, thus causing the iris to be in the way. This can cause a sudden build-up of pressure, thereby leading to chronic glaucoma.
Facts about glaucoma

This disorder usually has no previous signs or symptoms and occurs all of a sudden.
This disorder mainly affects individuals above 40 years of age.
Glaucoma can be inherited.
People with diabetes have chances of suffering from glaucoma.
If not treated early, it may lead to permanent blindness.
Symptoms of glaucoma
Usually there aren t many symptoms to warn people about this disorder. However, one of the first signs is definitely losing peripheral or side vision. Other symptoms might include

Chronic vision loss
Visibility of halo around lights
Narrowed vision
Glaucoma is treated by any of the three methods:

Prescription eye drops in order to reduce eye fluid formation, thereby resulting in outflow increase
Laser surgery
Microsurgery

Glaucoma - A Complete Guide on It!

Piles or haemorrhoids are swollen veins in the rectum or anus. They can have a lot of possible causes, but the exact reason is still unknown. The one most common reason that researchers cite is the excessive straining during bowel movement and increased pressure on the veins during pregnancy. Some of the common signs of this condition include discomfort, bleeding, and itching. A clot can be witnessed occasionally. There could be swelling around the anus as well.

How is a pile diagnosed?
Doctors often recognize this condition just by doing a physical exam of the rectum. By lubricating the glove and inserting a finger into the rectum, a doctor can gauge any unusual growth around the rectum area. A doctor might also use a sigmoidoscopy or a proctoscopy to witness the lower portion of the colon. Apart from this, a doctor might prescribe a colonoscopy, if he fathoms that there is a possibility of colorectal cancer or a disease related to the digestive system.

Treatment of piles

Medication: In case of mild discomfort, a doctor might prescribe over-the-counter pads, ointments, creams or suppositories. Products such as these contain lidocaine, witch hazel or hydrocortisone that can relieve a person from itching and pain. One should stop consuming over-the-counter medicine, if there is no change in the condition.
Haemorrhoid thrombectomy: If a clot has appeared along with a pile in the rectum, a doctor can remove it by making an incision and draining the clot. This can fetch instant relief. The best time to do this is within 72 hours of clot formation.
Minimally invasive procedures: 
Rubber band litigation: This form of surgery involves placing of a couple of rubber band at the base of the piles to cut off blood circulation. In due course, the haemorrhoids fall off. Although this form of treatment works for many people, the patient has the risk of bleeding within few days of placing the rubber band.
Sclerotherapy: This form of treatment involves injecting a chemical into the haemorrhoid. The chemical shrinks the piles within few days. There is hardly any pain involved with sclerotherapy.
Surgical procedure:
Haemorrhoidectomy: This is the process by which a surgeon eradicates the excess tissue that might be causing the piles. The patient is sedated before performing this procedure. Some amount of pain is experienced after the procedure is over. The temporary difficulty of urination can be faced by a patient after this procedure.
Stapled hemorrhoidopexy: This surgery is only performed for internal haemorrhoids. The process involves blocking the blood supply. The process of stapling has less pain compared to a Haemorrhoidectomy. On the flip side, studies have shown that this procedure has an increased chance of recurrence of haemorrhoids.


Piles - Diagnosis and Treatment

Lupus, romantically named after the wolf, is a very dangerous disease that can often be fatal, and when it isn t, it makes the sufferers  life pretty much unlivable. Lupus is an autoimmune disease wherein the body s immune system becomes hyperactive and attacks normal, healthy tissues, thereby causing symptoms like inflammation, swelling, and damage to the joints, skin, kidneys, blood, the heart and lungs.

Signs you are suffering from lupus!

Out of proportion and persistent fatigue: This is the most common sign of lupus. Almost 90% of patients experience it, according to a research.
Slight to high fever: Low grade fever due to no justifiable cause can be another sign of lupus. The fever usually comes and goes. Talk to your doctor if you experience this symptom as this could be a sign of inflammation, infection, or imminent flare-up of the disease.
Thinning of hair: Thinning of the hair is often one of the first signs of lupus due to inflammation of the skin and scalp. Some people have hair coming out in clumps while others just have a less alarming thinning of the hair symptoms. Lupus can make hair feel dry and brittle. Doctors call this  lupus hair .
Unexplained skin rash called malar rash: Also called the butterfly rash, it appears on the cheek and the bridge of the nose. 50% of patients get this rash. It can appear suddenly or after exposure to the sun. Usually it appears just before a flare-up of lupus.
Chest pain which increases with breathing: The lungs and the blood vessels in them become inflamed. This makes breathing difficult and can also cause chest pains when you breathe. The lung size can also shrink due to lupus, causing shortness of breath.
Painful, stiff or swollen joints: Inflammation due to lupus can cause pain, stiffness, and swelling in your joints, particularly in the morning.
Blood in urine: This happens due to inflammation of the kidneys or nephritis, which causes swelling in legs and feet and high blood pressure (BP). If lupus is not treated, you can also die of end stage renal disease.
Persistent loss of appetite: Lupus causes acidity and indigestion and loss of appetite.
Thyroid problems: Patients develop an autoimmune thyroid disease which can cause both weight loss and gain. The thyroid helps control your body s metabolism and if it doesn t function properly, it can affect vital organs like your brain and heart.
Dry eyes and dry mouth: Some lupus patients develop Sjogren s syndrome, another autoimmune disorder. This causes malfunctioning of glands responsible for tears and saliva in our body, hence your eyes may feel dry and your mouth will also remain dry.
Lupus is unpredictable and patients often suffer flares, or active symptoms of the disease, followed by periods of normalcy. Because the signs of this disease are so general, it s easy to miss them; so, if you have been getting even three symptoms of lupus, it s time to see a doctor.

Lupus (Skin Disease) - 10 Signs You Are Suffering From It!

A fistula is an abnormal, tube-like connection, a passage or hole that forms between two organs or an organ in your body and your skin. There are various types of fistulas that can develop in different parts of your body but the most common types are-

1. Obstetric Fistulas: This is the name given to a hole between the vagina and rectum or bladder. A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula and one that opens into the rectum is called a rectovaginal fistula. 

A woman with obstructed labour or labour that is not attended by a doctor or a midwife, can suffer labour pain for up to six or seven days. And as the labour produces contractions that push the baby s head against the mother s pelvic, the soft tissues between the baby s head and the pelvic bone are compressed and do not receive adequate blood flow between the mother s bladder and vagina and/or between the rectum and vagina.
This means that a hole forms on the vaginal wall between the urinary tract and her rectum. The urine and faeces thus start to leak from the vaginal opening causing soiling and foul smell.

Apart from labour, hysterectomies that damage the vaginal wall can also cause such types of fistulas.

Enterovaginal   A woman may have gas and foul smelling fluids leaking out of her vagina due to an enterovaginal fistula which is a hole between the vagina and the digestive tract. It s usually caused due to inflammatory bowel disease or IBD and ulcerative colitis.

2. Anal fistula

These are fistulas that form between the end of the bowel and skin near the anus.

An anal fistula usually develops due to a previous or current anal abscess. An anal abscess is an infected cavity filled with pus found near the anus due to an acute infection in the internal glands of the anus.

Common symptoms are:

Pain in the anorectal area
Swelling
Redness
Fever
Rectal bleeding
Urinary symptoms, such as trouble initiating urination or painful urination
Causes:

Inflammatory bowel disease   a chronic condition of the GI track which causes inflammation
Diverticulitis   An infection in the large intestine
Tuberculosis, HIV
Surgery near the anus
Anal abscess and likewise anal fistula are treated by surgical drainage in which an incision is made in the skin near the anus to drain the infection causing an anal abscess. Hospitalization may be required for patients who have impaired immunity like diabetics.

Anal fistula though has no medical treatment and surgery is almost always necessary to cure it.

If the fistula is straightforward which means one that involves minimal sphincter muscle, a fistulotomy may be performed. This involves cutting open the whole length of the fistula so it heals.
Seton is another procedure in which a surgical thread called a seton is placed in the fistula and left there to help it heal.

Different Types of Fistula and Treatments!

Sweating is a normal function of the body, but some people sweat so much that their clothes are often drenched in sweat. Hyperhidrosis is a condition where the amount of sweat produced by the sweat glands cannot be regulated. It is characterized by excessive sweating commonly seen in the underarms, palms and soles. This disorder can affect a person at any age and if left untreated, can become a lifelong condition. Though this condition is not a serious threat to your health, it can be quite embarrassing and can hamper your lifestyle.

In many cases, there is no obvious trigger for Hyperhidrosis, and it is caused by the malfunctioning of the nervous system. This is known as primary Hyperhidrosis. Sweat is a function which helps the body cool itself. In cases of primary Hyperhidrosis, the brain sends a message to the sweat glands to produce sweat even though the body does not need to be cooled. A genetic mutation may also be the cause for some cases of Hyperhidrosis.

Hyperhidrosis with obvious trigger factors is known as secondary Hyperhidrosis. While primary Hyperhidrosis mostly affects the underarms, groin, palms and soles, secondary Hyperhidrosis can affect all parts of the body. Some of the common triggers for this condition are:

Pregnancy
Menopause
Anxiety
Low blood sugar
Hyperthyroidism
Medication side effects
Alcohol or drug withdrawal
Parkinson's disease
Hyperhidrosis can be challenging to diagnose and treat. Lifestyle changes are the easiest way to address this disorder. Some changes that can help you fight Hyperhidrosis are:

Avoid spicy food and alcohol
Replace deodorants with antiperspirants
Choose cotton fabrics over synthetic fabrics
Wear loose fitting clothes.
Try using armpit shields and wearing absorbent socks.
Anticholinergic or antimuscarinic medicines can also help treat Hyperhidrosis. This keeps the nervous system from activating the sweat glands. Dry mouth, blurred vision, constipation, abdominal cramps and difficulty in passing urine are some of the side effects associated with this medication. Iontophoresis is a more aggressive form of Hyperhidrosis treatment. This involves passing a weak electric current through a wet pad to the affected area to block the sweat glands. It is usually used to treat excessive sweating in the palms and soles. 

Botox injections can also help treat Hyperhidrosis by blocking the brain signals to the sweat glands. However this is not a permanent cure and may need to be repeated after a year or so. Endoscopic thoracic sympathectomy or a surgery to remove the sweat glands may also be recommended in extreme cases of Hyperhidrosis. This is usually seen as a permanent solution for excessive sweating, but are relatively new procedures and hence not very common.

Hyperhidrosis - Making Summer Miserable

When there are vibrations in the top airways of the respiratory system because of obstruction to the air movement during the time of sleep, it leads to the sound of snoring. When a child gently squeaks or snores at night, it could be a warning sign of an underlying sleep disorder. 

Common Reasons for Snoring in Children 

  Infection in the Respiratory System- If the child suffers from a stuffy nose or from chronic allergies or cold then there is a chance that the snoring is brought on about by a blockage to the sinuses. The blockage to the nasal canal makes it difficult for the child to breathe normally and instead has to breathe through the mouth leading to the sound of snoring. 

  Inflamed Tonsils- Enlarged adenoids, as well as tonsils, are the primary reasons for snoring in children. It is also a strong indicator of sleep apnea. The inflamed glands block the airways and the child finds it difficult to breathe during the night. 

  Diverged Septum- When the airway of the nostrils is offset, it leads to the condition of a diverged or deviated septum. This again makes breathing through the nose quite a difficult job. This is because the passage is smaller as compared to others, lowering the quantity of airflow. 

  Obstructive Sleep Apnea- Obstructive sleep apnea is a severe condition where the airflow becomes obstructed completely via the respiratory system. This makes breathing difficult through the nose and can lead to other associated health issues. 

Symptoms of Various Snoring Problems in Children 

Each of the disorders stated above is characterized by a number of symptoms that lead to the problem of snoring in children. These may include-

  The child continues to snore almost regularly 

  The breathing is brought to a halt by snorts, gasps or pauses that extend longer than ten seconds 

  The child suffers from restless sleep or tends to sleep in awkward positions especially with the head tipped backwards. Remedies After observing your child s symptoms there are a few remedies you can try on the recommendation of your paediatrician. 

  Give the child some medications for allergy or congestion 

  You can put your child s head up with the help of a pillow. 

This can clear up the blocked nasal passage and bring the child some relief. Aside from these, your paediatrician might feel that you take your child and go see either an ENT specialist or a sleep specialist to figure out if the child suffers from obstructive sleep apnea. 

Snoring Problem In Children - What Causes It?

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