It is a slowly and gradually progressing disease in which healthy liver tissue is replaced with scar tissue, hence preventing the liver from proper functioning. The developed scar tissue blocks the flow of blood through the liver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins. It also slows the production of proteins and other substances made by the liver. Cirrhosis is a complication of liver disease which involves loss of liver cells and irreversible scarring of the liver. In other words, Cirrhosis is a condition in which the liver does not function properly due to long-term damage. Typically, the disease comes over months or years.

Although there are many other causes for cirrhosis, the commonest is excessive use of alcohol, viral hepatitis B and C infections and non-alcoholic fatty liver disease. Thus the scarring is most often caused by long-term exposure to toxins such as alcohol or viral infections.

According to the National Institutes of Health, it is the 12th leading cause of death. Men are more prone to develop cirrhosis than women. Globally approximately 57% of cirrhosis is attributable to either hepatitis B (30%) or hepatitis C (27%).Alcohol consumption accounting for about 20% of cirrhosis.

Persons most commonly affected: Adults of both sexes.

Unani approach to Cirrhosis of Liver (Talayyuf-e- Kabid)-

In Unani literature Cirrhosis of the liver is known as  Talayyuf-e- kabid ,  Sighr-al- kabid  or  Jigarki laghari . It is of two types.

1. AcuteType of Cirrhosis of Liver (Talayyuf-e- Kabid Hadd)-

It is rare but very dangerous. It is also called Yarqaan-e- khabees or Huzaal-e- asfar. Mainly occurs due to inflammation in hepatic cells, in which hepatic cells squeeze in few days resulting in improper functioning of liver. It is a disease in which cells throughout the liver are destroyed. Although they are replaced by areas containing normal new cells but also by much scar tissue, which alters the structure of the liver.

Causes and risk factors: Excessive use of alcohol/ chronic alcoholism, poor nutrition, highly toxic condition of the body system, viral infections caused by chronic viral hepatitis (types A, B and C), metabolic diseases such as alpha-1-antitrypsin deficiency, galactosemia and glycogen storage disorders,inherited diseases such as Wilson's disease and hemochromatosis, biliary cirrhosis, toxic hepatitis due to severe reactions to prescription drugs or prolonged exposure to environmental toxins and repeated bouts of heart failure with liver congestion etc.

Signs and Symptoms: The main signs and symptoms of this type are jaundice, pain at the site of liver, vomiting, headache, dizziness, increased body temperature, increased pulse rate, brownish coloured and dry tongue, increased thirst, initially whitish coloured diarrhoea, later on, colour becomes blackish due to contamination of blood, urine passes in less quantity and reddish in colour due to contamination of yellow bile in it,  haemorrhage from nose, stomach, intestine and uterus even abortion in women are seen. The size of the liver feels small on palpation.

2. Chronic type of Cirrhosis of Liver (Talayyuf-e- KabidMuzmin)

This type of the disease occurs due to the improper blood supply to the hepatic cells resulting in the size of liver very small in appearance but liver cells stay normal.

Causes and risk factors: The main causes of this type are the application of permanent pressure at the site of the liver such as ascites, alcohol abuse, hepatitis C virus infection, cardiomegaly, poor nutrition, highly toxic condition of the body system, peritoneal inflammation, improper diet in old age and starvation etc. Other causes which develop this disease are, obstruction of the external bile duct by stone, scar, inborn defect or tumour, use of certain medications, syphilis and passive liver congestion. Obesity has recently been recognized as a risk factor in non-alcoholic hepatitis and cirrhosis.

Signs and Symptoms: It is a slowly progressing disease. In early-stage symptoms, of indigestion like flatulence, constipation and diarrhoea may be present. General weakness, the feeling of being unwell, loss of appetite, loss of weight, and a loss of interest in sex may also be there. There may be a dull abdominal ache, nausea and vomiting. Eventually, the patient dies due to anaemia or ascites. The feeling of dullness is the peculiar sign of the disease. Other symptoms and signs include low-grade fever, bad breath, jaundiced skin and bloated and swollen abdomen.

Complications and Risks associated with Cirrhosis of Liver (Talayyuf-e-Kabid)-

Ascites (retention of fluid in the abdominal cavity) is the most common complication of cirrhosis and is associated with a poor quality of life, increased risk of infection and a poor long-term outcome. Other potentially life-threatening complications are hepatic encephalopathy (confusion and coma) and bleeding from oesophageal varices. Cirrhosis is generally irreversible, and treatment usually focuses on preventing progression and complications. In advanced stages of cirrhosis, the only option is a liver transplant.

Preventive measures for cirrhotic patients (Talayyuf-e- Kabid ke Mareezon ke liye Ehtiyaati Tadaabir):

Cirrhotic patients must completely avoid alcohol. Alcohol accelerates liver failure and hastens death in cirrhotic patients.
Avoid liver toxins. Acetaminophen (Tylenol), should be avoided because they can be toxic in cirrhotic patients.
Juice therapy helps the liver to detoxify toxins from the body. Cirrhotic patients should mix one part of pure juice with one part of water before drinking.
Cirrhotic patients are strongly advised to eat smaller meals. To avoid overworking the liver, five or six smaller, lighter meals per day are recommended.
Avoid fatty foods and processed foods, especially foods prepared with animal fats or hydrogenated oils. These types of foods put additional load on the liver.
Cirrhotic patients are also advised to eat only lean proteins (containing no fats) and in limited amounts.
Vegetable proteins are very beneficial in Cirrhotic patients. High protein intake causes increases of ammonia levels in the blood, possibly resulting in mental confusion, and in severe cases, coma. However, do not severely limit protein intake, as this may cause protein deficiency and impair the healing process.
Routinely increase consumption of fruits and steamed vegetables as fruits and vegetables are easy to digest, thus less work for the liver. In addition, they are good sources of vitamins, minerals, and antioxidants that help the liver detoxify and heal.
Cirrhotic patients are advised to practice intermittent fasting.
They are also advised to protect against hepatitis B, C and E.
Fundamentals of Management in Unani Medicine-

Identify the cause of the disease and treat it accordingly
Correct the digestive processes
Use hot dresses
Use mild and early digestible diet
In case of ascites treat it
Management/ Treatment-

In Unani medicine, very effective treatment is available for the Cirrhosis of Liver by strengthening the Liver cells and restoring normal size and functions of the Liver. In Unani medicine, there is a number of hepatoprotective drugs that protect the Liver either acute or chronic type.

SootshekharRas Swarna yukta 125 Mg twice a day
PittariAvleh 10 gm twice a Day
Duration of the treatment: 3 to 6 months or it depends upon the condition of the patients. If the patients with cirrhosis have diabetes, then the treatment may take long time for curing the disease. Diet plays a key role along with Unani Medicines. Hence, it is strictly advised to follow a proper diet plan.

Talayyuf - E - Kabid Or Cirrhosis Of The Liver - Know More About It!

What are the Different Kinds of Arthritis and How to Treat Them?

Arthritis is a very common medical condition that affects a lot of adults as they age. It occurs due to inflammation of the joints, which can be caused by a number of factors such as aging, injury or infection.

There are over a hundred different kinds of arthritis that cause various sorts of problems to those affected. However this condition can be broadly classified into two major types, which include the following:

1.Osteoarthritis

Also known as degenerative joint disease, osteoarthritis is the most common kind of chronic condition to affect the joints. This occurs when the cartilage that surrounds the joint wears away and allows the ends of bones to rub against each other causing immense pain and is often accompanied by inflammation and swelling. The primary cause of osteoarthritis is aging and occurs mainly due to pressure on the joints from lifting heavy weights.

2.Rheumatoid Arthritis

This is the most common type of arthritis that occurs due to joint inflammation. It is an autoimmune condition, which means that it is caused by a dysfunction of the immune system that leads to inflammation of the joints. Chronic inflammation causes joint deformities and even the development of rheumatoid nodules on the skin around the joint. Two-thirds of patients affected by rheumatoid arthritis are women.

Depending on the nature of the condition and the age and medical history of the patient, diagnosis, and treatment of arthritis varies. Although there is no permanent cure for arthritis, especially the type caused by aging, a number of remedies exist that provide relief from pain.

Some of the common methods of treatment for arthritis are:

Medication

Some medicines provide relief from the pain of arthritis if it is not too severe. These include painkillers, anti-inflammatory pills, sprays, and ointments, etc. In case of high-intensity pain, codeine is often prescribed.

Stem Cell Therapy

This method involves drawing platelets from the patient's own blood and injecting it into the inflamed parts of the joint in order to repair damaged muscles and alleviate pain.

Injections

A number of anti-inflammatory substances and lubricants can be injected into the affected joints to decrease pain. Ozone gas injections are an example of this.

Surgery

In extreme cases, surgical procedures are resorted to for treating arthritis. However, successful surgery cannot always be guaranteed and it comes with its own set of risks.



All You Need to Know about Arthritis - Types and Treatment

6 Tips for helping you sleep better

Resting at night plays an important role in regulating your daily health and your level of energy throughout a day. Also, not only the quantity but the quality of sleep is also important for a healthy lifestyle. Bedtime habits do play a vital role in shaping up your lifestyle and personality as a whole. Here are 6 lifestyle habits that can help you to get sound sleep on a daily basis.

1. Having a fixed sleep pattern: Going to sleep and waking up approximately during the same time every day helps to maintain an equilibrium in the sleep-wake cycle. If this balance is maintained then your body will be accustomed to this pattern and as a result, you will feel less tired and sleepy during the daytime.

2. Maintaining certain dietary regulations: You should also maintain a proper diet plan and examine the consequences of the foods that you are eating and the fluids that you are drinking. Taking a proper and nutritious diet on a daily basis will help you to stay healthy by not disrupting your natural sleep-wake cycle.

3. Ensuring that your room has appropriate lighting: The level of light also matters at the time of your sleep. You should definitely make sure that there is a very minimal level of light around you during bed time. This should be done because the lesser is the light, the more comfortable you are while sleeping. Additionally, the sleep that you will get into a dark room will also be sound and undistorted as it helps keep all the sensory organs calm.

4. Regular exercise: Exercising regularly helps to improve the overall quality of sleep by making you tired at night and sending you to bed more efficiently. Light to mild exercises also helps cure sleep disorders like insomnia.

5. Opting for some relaxing activities before bed: Depending on your personality, you should follow simple techniques of relaxation in order to calm down the brain before sleep. Some of the most common relaxation techniques include- deep breathing exercise, muscle relaxing activity, visualizing a peaceful setting/ scenario and a light before-bed snack. The above-mentioned activities are just suggestive and you should do anything that helps you to get a sound sleep.

6. Having daytime naps: Having short naps of less than one hour is absolutely okay if you are excessively tired during the day or you did not have a sound sleep the previous night. But, if you are consistently having long naps during the day then you are bound to have sleep issues during the night. So it is advisable to sleep early and wake up early for a healthy schedule.



6 Tips for helping you sleep better

The pitta dosha can be balanced by consuming fresh and whole foods, both raw and cooked. These foods are energising, cooling, dry, and have high carbohydrate content. They can effectively deal with pitta by fighting inflammation, absorb excess oil and liquid, and reduce internal heat. Pitta is basically liquid that is light, hot, sharp, oily and tends to spread fast. In light of this, the diet should comprise food that is dense, cool, dry and mild. Due to pitta s substantive nature, a proper diet can help to strike the right balance. 

Here is an overview of achieving a pitta balance to get rid of digestive problems:

Cold food: Surprising as it may sound, food with a low temperature helps in balancing the pitta dosha compared to its hot counterparts. Raw foods tend to have a decreased temperature compared to the cooked ones. Having a good mix of raw fruits and vegetable is, therefore, part of a good a diet. Stay away from all types of caffeine and alcohol while following a pitta diet.
Dense, nourishing and grounding food: Although heavy food might sound ideal to tackle light weight pitta, Ayurveda is the view that heavy food does more harm than good. Food that fits the bill includes root vegetables, cooking oils, grains, milk, and seeds. Since these foods tend to be sweet, it is necessary to ensure that a portion size is kept in mind and one must not overindulge in order to refrain from putting on weight. Food that should be slashed from the regular diet includes processed fast foods, pastries, heavy snacks that comprise chemicals and preservatives, and sweet beverages.
Dry food instead of liquid: Between a semi-liquid and solid meal, the latter should be chosen since it helps in fighting pitta better. Some of the ideal food that fits the bill include pasta, potatoes, beans, oats, millet, corn and other leafy green vegetables. While cooking it is advised that a good quality ghee or oil is used. Some food stuff that needs to be totally slashed from the existing diet includes nuts, cheese, cream, olives eggs and nuts. Mild food:
In terms of food flavours, it makes sense to choose flavours that are gentler and milder in taste such as the ones found in apples, soft cheese, cucumbers and lime juice over sharp flavours such as vinegar, pineapple, old cheese, and pickles. Simultaneously stimulants such as hard alcohol, nicotine, drugs etc. should be completely eschewed in order to avoid indigestion. This is especially true during night-time when the level of indigestion is more due to reduced mobility of the body. 

Pitta - How It Affects Digestion?

A runny nose, Itchy rash, red eyes and shortness in breath are the most common allergic phenomenon which annoys you in frequent intervals, generally driven by several conditions due to hypersensitivity of the immune system towards something usual prevailing in the environment which may not cause any threat to others. It is why you may find different person allergic to different foods or different conditions. 

Diseases such as asthma, anaphylaxis, atopic dermatitis and so on are commonly considered as predominant allergic diseases. But most of the marketed drugs you take are as exasperating as the allergy itself, firstly due to its expensiveness and secondly, it droops you out. Though you may not be able to diminish the pollen in the air, but you can restrict the number of drugs you take by choosing natural remedies as it has been propounded by the medical editor of WebMD Dr Brunilda Nazario. He has also stated that the biggest trend we observe in allergies in these days is not found in any technological innovation or development rather it is the tendency of the common people to go for natural treatment to cure allergy.

 Prevention is better than cure - Cleanse your nose daily before the allergy strikes
According to most of the doctors, nowadays you are commonly encountered by seasonal allergies. It is mainly due to the fact that allergy season seems to appear earlier every year than the previous one. So as Nathanael Horne, MD of New York Medical College advises that you should begin treating allergies before it starts to pose threat. One such step is to spritz a saline cleanse into your nose on a daily basis in order to wash away pollen. Obviously, this particular method would not replace your need for medication but it would certainly minimise your dependence on drugs. In one survey, those who clean their nose twice a day with saline water are reported less nasal congestion than others.

About some of the seful natural herbs which fight allergy
Famous allergist from New York, Dr Tim Mainardi is of opinion that natural herbs are comparatively more effective than any other drugs and among them, one of the scientifically proven fighters of allergy you have, is Green tea because it is a natural antihistamine. According to his suggestion, if anybody starts to take two cups of green tea a day about two weeks before the arrival of the allergy season, it is likely to resist allergic infection. Mainardi also says that there is an another natural herb called butterbur, which effectively fights allergy as well as antihistamines. Apart from this Liquorice root is also a good choice because it helps to helps to raise the level of naturally produced steroid in your body and ameliorate immunity system.

Cook with turmeric to get rid of allergy:
If you taste every Indian dishe, you would get one spice common in all of them and that is Turmeric. Bharat Aggarwal, an Indian allergist expert from Houston considers Turmeric more efficacious than any other drugs in certain conditions as it contains Curcumin. It is why Turmeric may act as a decongestant. Though in the end, it should be mention that before you go with the natural treatment you should consult your doctor because these natural treatments would incorporate various alterations in your diet and medication.

Allergy - Top Natural Cures You Can Opt For!

Dengue is caused from the bite of the  Aedes Aegypti  mosquito. This mosquito has been known to breed and survive in tropical and subtropical regions. A waterborne disease, it causes extreme discomfort and pain, even death is a possibility. Statistics suggest that each year, the number of people afflicted with dengue is around 390 million. Out of this huge number, 96 million tend to develop severe illnesses wherein hospitalization becomes mandatory. 


Causes
It is primarily caused due to the bite of the  Aedes aegypti  mosquito.
A mosquito becomes infected with dengue if it bites an already infected person. The disease can be transmitted to any healthy person that this infected mosquito bites next.
Living near a stagnant water body or an open drain makes you the most vulnerable to this disease. Letting water accumulate in open containers or spaces over a period of time makes it the perfect breeding ground for all types of mosquitoes. 


Symptoms
On being infected, the symptoms generally last for around 10 days. Some of the common symptoms are:
Excruciating pain behind the eyes
Severe headache
Sudden high fever with chills
Vomiting
Fatigue
Skin rash which generally appears two to five days after you get infected
Nose bleeding, easy bruising and bleeding gums
Severe muscle and joint pain


It should be noted that these symptoms can be easily mistaken for high fever or any other viral infection. Therefore, getting tested as soon as these symptoms start appearing is very important.


If the dengue is left untreated or not treated on time, it can result in dengue haemorrhagic fever. This condition causes nose bleeding (due to damage to the blood vessels), high fever and failure of the circulatory system as well as the enlargement of liver.


Ways to prevent dengue include
Avoid storing water in containers
Wear clothes that cover your whole body, if possible
Maintain hygiene and clean your immediate surrounding frequently
Use mosquito repellent
Use a mosquito net around your bed 


In worst case scenarios, death is a possibility as a result of dengue haemorrhagic fever or dengue shock. Many countries consider dengue to be an epidemic. You need to be on complete bed rest while drinking adequate amounts of fluids if you need to recuperate from dengue.


Treatment
There is no specific antiviral medication that is available for the treatment of dengue. In general, Acetaminophen (paracetamol) is usually recommended for treating fever and pain associated with dengue. Medications such as Aspirin, other salicylates, and nonsteroidal anti-inflammatory drugs (NSAIDs) must be avoided.

Dengue - Can You Prevent Yourself from it?

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