One thing that can put away talking to someone very interesting is bad breath. And it is not an uncommon problem. While most just try to use mouth wash and chewing gums to keep it away, it is important to note that bad breath can be a sign of underlying causes, both in the mouth and the body as a whole. 

Identifying the reason can help in early diagnosis and prompt treatment of the actual disease condition.


There could be oral and general causes for bad breath or halitosis as it is medically called. Food habits and other lifestyle habits including smoking can also lead to bad breath.


Oral causes


- presence of food debris in a moist environment (saliva) is ideal for the oral bacteria to act on the food particles and break them down. This causes a bad breath, when it leads to plaque formation and it then calcifies into a hardened substance called calculus. Plaque and calculus are the main ingredients for tooth decay and periodontal disease.
- severe tooth decay leads to bad breath as does periodontal infections. In severe cases, there could even be abscess formation in the root area of the tooth with pus formation 
- unclean dentures are another source of halitosis. There could be food lodged in between teeth or the undersurface of the denture, leading to bad breath.
- dry mouth or xerostomia - certain diseases and drugs can lead to dry mouth with reduced amounts of saliva. Saliva has a natural flushing effect on the bacteria, and in its absence, the bacteria thrive, leading to a bad odour.


General health: chronic diseases like gastroesophageal reflux disease, digestive disorders, liver disorders, cancer, and diabetes can lead to bad breath. 


Others:
- long-term smoking and/or chewing tobacco and alcohol are also reasons for bad breath.
- crash diets: people on low-carb diets can have a bad breath, owing to burning of the fat and producing ketones, which have a strong smell.
- medications: nitrates to reduce angina, chemotherapy agents for cancer, phenothiazines for anxiety can all lead to bad breath. They reduce saliva and/or release chemicals causing bad breath.


Management: the first step in managing halitosis is to nail the cause down, which makes it easier to treat.
- start with oral hygiene check, and if there is decay or gum disease, consider restorations and cleaning.
- mouth rinses can be used in the maintenance phase.
- cessation of tobacco use should be considered.
- general health conditions like gerd should be managed
- artificial saliva in cases of xerostomia
- alternative medications if they are causing the bad breath


Oral breath is definitely embarrassing but can be managed very easily.

Chronic Bad Breath - Causes and Management

Diabetes might not be the end of the road for you. While it is a chronic disorder, there are a number of steps you can take to minimize its effects. Before that you should know what diabetes is and its various types.

What is diabetes?

Diabetes is a metabolic disorder where the sugar in your blood is not metabolized by the body. This leads to a situation wherein sugar accumulates in your blood; this condition is known as high blood sugar. Now, this can happen in two ways:

Type 1 Diabetes: In this type, the beta cells of the pancreas that produce insulin (the hormone that metabolizes sugar) are destroyed by the immune system of the body. This leads to a reduction in insulin levels, causing blood sugar to shoot up.

Type 2 Diabetes: Type 2 diabetes is a condition wherein the body cannot effectively utilize the insulin to metabolize sugar. This again leads to the accumulation of sugar in the blood.

Apart from these two types, there is a third type that is known as  gestational diabetes . Gestational diabetes occurs during pregnancy wherein the body produces hormones that inhibit insulin.

Now that you know the various types of diabetes, it is time to focus on preventive measures. The various tips for a high blood sugar level are:



Steer Clear of Sugar: Think of sugar as your enemy, as it is something that you have to stay away from. Sugar will only add to the high blood sugar content that you are already diagnosed with.

Welcome whole grains with open arms: Refined grains are a big no; that means no more of those delicious white bread sandwiches. Instead, opt for whole grains such as brown bread, brown rice and oats. Refined grains come under simple carbohydrates that cause your blood sugar levels to shoot up.

Avoid overconsumption of fruits: While fruits are healthy, they do contain fructose which is again, a form of sugar. So, yes eat them but limit their consumption to one serving a day.

High time you realize nothing substitutes exercise: Regular exercise can help you burn calories and also keep your blood sugar levels low. It allows you to maintain healthy weight levels and improves your overall wellbeing.

Take no stress: Stress has been shown to increase blood sugar, so if you are feeling stressed and can t seem to get out of with, take steps to deal with it. Practice relaxation techniques such as meditation that can help you reduce stress and improve focus.

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Diabetes - Types and Tips to Control Your Blood Sugar Level

Facing a major crisis in life? Here are 5 ways to deal with one

Life is a mixture of good and bad times and everyone experiences a crisis at some point in their lives. A life crisis is a situation when everything in your life seems to fall apart, followed by a major event or a series of events such as the loss of a job, death of a family member, a relationship break-up, divorce, to name a few. Whatever the reason may be, each crisis tests your ability to cope with grief. 

Here are some tips on how to face a life crisis bravely and bring your life back on track.

1. Don't run away from the problem
It's very common for people to want to run away from problems when situations are not in their favour. Instead, face the difficulties bravely and try to find ways to deal with it. Accept that it has happened and focus on the next logical course of action.

2. Rule out the negative self-assumptions with logical reasons
After experiencing a major loss in life, it's not uncommon to have negative self-assumptions or feelings of guilt. You may feel traumatised due to the happenings in your life and may start believing that the world is no longer a safe place. This can lead to frustration and sense of futility. In such a situation, don't panic unnecessarily, and give yourself logical reasons instead to prove that most of your negative assumptions are not true.

3. Seek the help of your family and friends
Spend more time with your family and friends, but do not always discuss the negativities you are facing in life. Instead of always telling them how terrible you feel, enjoy some light moments with them. This will help you cultivate a feeling of having a strong and secure support network.

4. Take a short vacation
Take a break from work and spend few days out of your town. It will help rejuvenate your soul and re-energise you to deal with the crisis situation. Vacations prove to work wonders to your physical and mental health, reducing depression and the stress you face to a considerable extents. 

5. Keep a record of your progress
Record whatever positive happens to you each day, even if it's a small thing. Write about how you feel while experiencing and recovering from this crisis. This not only helps in bringing about a positive mind-frame, but also keeps your mind away from the painful events, speeding the healing process.




Facing a Major Crisis in Life? Here are 5 Ways to Win Over It.

Smelly feet - the medical name is bromodosis - can affect anyone. It can be embarrassing and uncomfortable. The main cause is sweaty feet and there are simple steps you can take to help prevent this.

What causes sweaty and smelly feet?

The function of sweat glands is to keep the skin moist and therefore supple, and to regulate temperature when the weather is hot or while you are exercising. There are more sweat glands in our feet than anywhere else in the body. However, unlike sweat glands elsewhere in the body, the sweat glands in the feet secrete all the time, not just in response to heat or exercise.

Feet smell when bacteria on the skin break down sweat as it comes from the pores. A cheesy smell is released as the sweat decomposes.

The main causes of sweaty and smelly feet are:

Wearing the same shoes every day. Feet become smelly if sweat soaks into the shoes and you wear them again before they are dry.
Poor personal hygiene.
Hormonal changes can cause feet to sweat more, so teenagers and pregnant women are especially prone.
If you are stressed.
A condition called hyperhidrosis, which causes you to sweat more than usual.
Not letting sweat accumulate inside your shoes is the most logical way of preventing smelly feet.

Preventing smelly feet

The best way to prevent smelly feet is good personal hygiene and not wearing the same shoes 2 days in a row. It's important to wash your feet every day and dry them thoroughly, especially between the toes. Teenagers especially should be discouraged from wearing the same pair of trainers all the time. You should also wear clean socks every day. Cotton or wool socks are much better than nylon.

If you're particularly prone to sweaty feet, you could:

Use a spray deodorant or antiperspirant on your feet. A normal underarm one will work just as well as a specialist foot product.
When you have dried your feet with a towel after a shower or bath, dab between your toes with cotton wool dipped in surgical spirit.
Put detachable medicated insoles in your shoes. These have a deodorizing effect.
Try foot-fresh socks. These are impregnated with chemicals to discourage the bacteria that break down the sweat and cause a smell. Some sports socks have ventilating panels to help keep feet dry.
Wear leather or canvas shoes. In the summer, wear open-toed sandals. Go barefoot at home if you can safely.
Sweaty feet can be treated with an antibacterial foot scrub, but avoid using these scrubs if you have broken skin or eczema.
These steps to prevent sweaty and smelly feet will usually help. If they don't, or you are worried about how much you sweat, seek medical advice.

Athlete's foot can also cause your feet to smell. You can treat this yourself with antifungal treatment available from a pharmacy. Seek medical advice if you're concerned or if the problem is not clearing up.

Causes and Prevention of Smelly Feet

Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

Osteoarthritis 

The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

Severe pain in the knee joints
Pain after walking up the stairs and it subsiding once you are on rest
Severe pain after the movement of joints for a long time
Pain that becomes worse in rainy days
Joints becoming stiff after waking up in the morning but they improve in the latter part of the day
Pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.
Rheumatoid arthritis

Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

Severe pain in the morning
Mild fever accompanying the pain
Joints suddenly becoming swollen, red and warm causing, immense pain
Sudden stiffness of the joints
Pain that increases in cold weather
Mild fever, extreme tiredness and weakening of the muscles
Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.
Muscle-stretching exercises are effective in keeping the knee joints flexible.
Dry needling, cupping, taping can help to control the pain and keep the joint supported.
Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.
If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.

Physiotherapy for knee arthritis

Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions. The main goals of physiotherapy for your knee arthritis are:

Reduce your knee pain and inflammation.
Normalise your knee joint range of motion.
Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
Strengthen your lower limb: calves, hip and pelvis muscles.
Improve your patellofemoral (knee cap) alignment and function.
Normalise your muscle lengths.
Improve your proprioception, agility and balance.
Improve your technique and function eg walking, squatting.

How Physiotherapy Helps To Manage Arthritis?

How to brush off stress from your life

Current lifestyle is such that stress becomes inevitable. But you might be aware how disastrous stress can be, it does take control of our lives. What one needs to consciously do is, take steps to address the stress that they are under. 
Here are simple and effective ways to do it.

1) indulge in physical activities - most of us have sedentary lifestyles which add to stress. While indulging in workouts won't take away your stress, what will happen is that there will be clarity in your thoughts, and your emotional intensity will come down, calming you.
2) believe every problem has a solution - it is easy to be scared of the problem and let it take control of your mind &amp; your life. Take control of them. Try to actively address your problem and look for solutions. When you act towards solving your problem, irrespective of the solution, your mind has more positive in it than stress.
3) give it away - meet people, socialize, and connect with other lives. This is actually going to solve half your problem. Not only will more things occupy your mind, and you will know of other people's problems too, but at times, sharing your stress problem warranties a quick solution!
4) treasure yourself - take some time for yourself and do what you love to do the most. Go to the spa, go shopping, read or just sleep. But make sure you have time away from work and daily chores, where you can rejuvenate your sense by doing what makes you the happiest. If nothing, meet up with friends.
5) indulge in volunteering work - helping others not only preoccupies your mind with problems of others rather than staying immersed in your own, but also helps you be more resilient. You will come out stronger and with more will to address your own issues.
6) try to stay positive all the time - appreciate what you have rather than concentrate on what you don't. Be thankful.
7) accept what you cannot change - however much we try to solve our problems, some things we cannot resolve right at the time. And there is no point in pondering over them. Accept that this is how things will be, and move on.

If you would like to consult with me privately, please click on'consult.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.

How To Brush Off Stress From Your Life

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