A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke

Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
Treatment of Hemorrhagic stroke

Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.

Role of Neurosurgery in Management of Stroke

Asthma is a condition characterized by wheezing and difficulty in breathing. Asthma is a common disease that affects children, teenagers and adults alike. Depending on what triggers an asthmatic attack, asthma can be categorized as four types. These are:

1. Allergic asthma: this sort of asthma usually begins in childhood and is caused by the overproduction of immunoglobulins as a reaction to the allergen. This type of asthma can also be passed on from one generation to another through genes.

2. Infective asthma: this is caused by viral bronchial or upper respiratory tract infections. It is not hereditary.

3. Emotional asthma
Some cases of asthma can be triggered by psychological factors such as stress, grief or anxiety. 
However, it is not clear if this is the sole trigger for asthma.

4. Occupational asthma: exposure to metallic dusts, biological detergents, polyurethane, etc. Can also trigger asthmatic attacks. This type of asthma is called occupational asthma.

A homeopath will not only determine the type of asthma, but will also delve into a detailed medical history of the patient before prescribing medication. Some forms of homeopathic medication that can be used to treat asthma are:

1. Lpecac: this is used to treat asthma in cases where the difficulty breathing is accompanied by a feeling of heaviness over the chest, dyspnoea, constant coughing with no expectoration and cold perspiration. It is often aggravated by motion.

2. Arsenicum: asthmatic attacks that begin in the middle of the night and are accompanied by restlessness and anguish can be treated with arsenicum. This is especially beneficial in cases of chronic asthma in elderly people and habitual dyspnoea.

3. Nux vomica: this is used mainly to treat asthmatic attacks triggered by gastric troubles or be excessive intake of coffee and alcohol. A constricted feeling around the lower part of the chest is another symptom of this type of asthma.

4. Kali bichromicum: asthmatic attacks that wake a patient up in the wee hours of the morning compelling him to sit up, in order to be able to breathe can be treated with kali bichromicum. A stringy yellow mucus expectoration is another symptom of this type of asthma. It can also be used as an effective form of treatment for asthmatic attacks caused by nervousness.

5. Natrum sulphuricum: this is used to treat asthmatic attacks caused by a change in weather. In such cases, the asthmatic attack is accompanied by diarrhea and greenish expectoration. It is usually worst in the early mornings.

Homeopathic Cure for Asthma

A respiratory disorder, the inflammation of the lining in the bronchial tubes, which are responsible for carrying air to and from your lungs is known as bronchitis. Allergic bronchitis is a disorder that develops, if you have severe allergies which result in a bronchial immune system reaction.

Allergic Bronchitis requires medical diagnosis by your healthcare provider who can differentiate the allergic form of bronchitis from the normal form of bronchitis by searching for other symptoms related to the allergy. Allergic bronchitis often occurs due to seasonal allergies, making it an acute condition. If you are suffering from lingering bronchitis issues caused due to allergies, an allergy test is recommended so that the doctor can accurately assess the condition.

The symptoms of allergic bronchitis are similar to the regular form bronchitis. Only difference is that the symptoms are triggered by allergies. Some of the symptoms are given below:

Cough which may form mucus

Body aches and breathlessness

Headaches, blocked nose and sinuses

Fever with chills

Wheezing

Over the years, Ayurvedic practitioners have prepared and prescribed a number of remedies that can address the issue of allergic bronchitis.

Some of the Ayurvedic remedies are listed below:

Below listed remedies should be taken 3 times in a day for quick relief.

2 grams of Shringyadi Churna should be taken along with 100 mg of Kaphachintamani and Kaphaketu.

Talisadi churna should be mixed with honey and ginger juice.

2 grams of Sitopaladi Churna should be mixed with 200 mg of Praval Pisthi as well as 100 mg of Rasa Sindur.

Haridra khand (one spoon) should be taken along with a cup of warm milk.

Other natural remedies, according to Ayurveda include:

Haldi (turmeric powder) mixed with a glass of milk

Juice of Vasa

Tulsi (Basil leaves ground to make a juice)

Equal quantity of black pepper, dried ginger and long pepper (piper longum) mixed with honey

Ayurvedic Treatment for Allergic Bronchitis - Ayurvedic Remedies

If you are finding certain symptoms like stomach pain, cramping, frequent diarrhoea, weight loss of your child or fever, then there are chances that he is suffering from crohn's disease. Crohn's disease is a bowel disease that causes swelling and inflammation along the digestive tract of your child. Mostly, it affects the end of the small intestine, but it can occur anywhere from the mouth to the anus.

Causes behind the disease
It is not common in children, but if your child is showing symptoms, then one of the following may be the reason:
1. Immunity system of the child,
2. Genetics, and
3. Environment.
The main cause behind such a disease can be any of the above. However, it has been found that if you have someone suffering from this disease in the family, then your child has more chances of getting affected by it.

Diagnosing crohn's disease
If you find the above-mentioned symptoms in your child, then it is better to take him or her to a doctor. Mostly, this disease is chronic in nature, meaning that it will continue even if it is treated. However, with proper treatment the symptoms can be reduced.
For diagnosing this disease the following tests may be done
1. Different lab tests that include a blood test for blood count and white blood cell count, and stool test to look for the bacteria that cause the inflammation and urine.
2. X-ray for detecting whether your child is suffering from crohn's disease and what is the exact position of it in the digestive tract.
3. If further required, they may do an endoscopy to find out the exact location and get more details.

Complications arising out of crohn's disease
If your child is suffering from this disease and is left without treatment for long, he or she may suffer from the following complications.
1. When the disease thickens, it may obstruct the intestinal walls by swelling of the intestine. Thus, the space from where the digestive matter passes becomes less and may lead to bowel obstruction.
2. Fissures may develop at the mucus membrane of the anus.
3. Fistulas or ulcers can occur as they tunnel through the affected area to the nearby tissues. All these are painful for your child to bear.
4. Your child cannot absorb the nutrients of the food like any other child and hence there are chances that they suffer from nutritional deficiencies.

With such problems that may not seem very huge in the beginning, your child may lose his appetite and forget about normal living. Thus, the moment you find any such symptoms, discuss them with your doctor.

What You Must Know About It if Your Child Suffers From Crohn's Disease

How Smoking Impacts Your Organs

As you inhale cigarette smoke, about 7000 carcinogens stir the crevices of your body. In India, about 3,00,000 people die every year due to smoking-related issues.

Here's a list of 5 such organs, which are the most affected by cigarette smoke.

1. Your lungs - Your lungs are probably the first organs to bear the wrath of cigarette smoke. Majority of the lung cancer cases are due to smoking. Other diseases include bronchitis and emphysema. This smoke paralyzes the cilia lining the inner walls so much so that it overproduces mucous. When the mucous builds, respiration suffers. Asthma and cancer follow.

2. Your Skin - Your skin also gets affected up to a huge extent if you smoke. You could have deep circles under your eyes, wrinkles on your skin, and stretch marks, if you continue smoking over time. Also, there lies the risk of major health issues like skin warts, psoriasis, skin cancer, and wounds, which may take longer to heal.

3. Your Penis - Studies revealed that you can take longer for an erection and find it difficult to maintain it if you are a heavy smoker. Studies have also revealed that men who quit smoking had longer and firmer erections.

4. Your Liver - Smoking increases the chances of you suffering from liver cancer dramatically. According to studies, half of the liver cancer cases are due to smoking. Obesity can also take place if you're a heavy smoker.

5. Your Eyes - Smoking affects your eyes to the extent of making you blind. Partial vision loss, glaucoma, cataracts, dry eye syndrome, and diabetic retinopathy are some of the other diseases you are susceptible to if you smoke.

Despite the negative effects, quitting smoking can save you from all of these potential health hazards.

Here are some ways to help you quit smoking.

1. Nicotine Replacement Therapy - There are a few nicotine replacement tools in the form of nicotine nasal sprays and nicotine inhaler, which you can use to quit smoking.

2. Chew on something - You should try to chew on some candy, or a gum, or anything crunchy and satisfying once you start getting restless for a cigarette or any other form of nicotine. That usually helps.

3. Relaxation techniques - If you are resisting tobacco strongly, it can be very stressful indeed. Take a break from whatever you are doing and go out for a walk, practice muscle relaxation, yoga or deep breathing to keep the craving out of the way.

4. Get involved in some physical work - Getting involved in some work will surely go a long way in reducing your craving. You can also try out physical exercises like squats, running, or jogging. Otherwise, you can also indulge in some needlework, or anything, which involves concentration or physical work.



Why Smoking Impacts Your Crucial Organs the Most?

Life can be tough when living with Crohn s disease as it is a chronic condition. Especially with the disease is marked by phases of relapse and remission, it requires a long-term management to keep the symptoms in check. Though the flare-ups can be typically contained using medications, some of the patients with severe symptoms or complications arising from the illness would require surgery.

Before we proceed with the surgical management of the disease, it is essential to understand what Crohn s disease is in case you are not aware of it. It is a chronic illness in which the intestine or the bowel have become inflamed or marked with ulcers and sores and is a part of disorders collectively known as inflammatory bowel disease(IBD).

When does Crohn s disease require surgery?
Typically, patients who are suffering from complications of Crohn s Disease may require surgery. This may include the formation of a scar that is causing the bowel to narrow down and leading to obstructions, extensive bleeding from the intestine, perforation in the bowel wall or the formation of fistula or abscess. The fistula may be formed in the connecting area between two body parts that do not meet. Also, a condition known as toxic megacolon where the large intestine or the colon becomes severely stretched out causing the toxins to spread all through the blood requires surgical intervention.

What are the different surgical options available for Crohn s disease?

The surgery chosen for Crohn s disease is dependent on various factors such as where the disease has affected, how severe the disease is and most importantly what complication will be treated by the surgery. Here are some of the types of surgeries done for treating Crohn s disease:

Strictureplasty: If the small intestine is affected by the disease, it may show up in the alternating areas of the bowel. Strictureplasty is a surgical way of widening the narrow area of the small intestine into a portion which has been affected by the disease. It doesn t involve removal of the intestine.
Resection: This is yet another surgical process where the affected part of the intestine is removed. It may be required when the stricture has become elongated. The removal of the diseased portion of the intestine may be able to offer some relief from the symptoms.
Colectomy: This surgery refers to the removal of the entire colon, and it is done when the disease is severe and extensive.
Proctocolectomy: When both rectum and colon are affected, both these parts are removed by a process called proctocolectomy. When this process becomes necessary, the waste materials drain into the bag which is emptied every day.
Since, the surgical intervention aims to manage the disease, your doctor would be able to recommend the most suitable option as per your condition.

Crohn's Disease - How Surgical Management Can Help?

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