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?

Problems are pancreas are common and are treated by gastroenterologists. There are two common pancreas problems -

1. Acute Pancreatitis: Sudden Inflammation of the pancreas is known as acute pancreatitis. It is usually due to Alcohol, gall stones, trauma, metabolic causes such as hypertriglyceridemia, and congenital causes such as Pancreas divisum. The patient presents with severe upper abdominal pain and vomiting. Patients require admission for IV fluids and analgesics. Nearly all patients recover from the pain and start eating within 3 to 4 days. Few patients with severe pancreatitis may develop kidney failure, respiratory failure or GI bleeding. Such patients require longer hospitalisation stay and critical care management. Recovery is usually uneventful but few patients develop peripancreatic fluid collection known as Pseudocyst or walled-off pancreatic necrosis(WOPN). In such cases, the patient requires additional treatment of fluid collection and requires internal drainage by Cystogastrostomy which is done by Endosonography (EUS) by a gastroenterologist. Some patients require ERCP (Endoscopic retrograde cholangiopancreatography) for evaluation of pancreatic ductal leak. EUS and ERCP are advanced endoscopic procedures done by a few gastroenterologists who are specially trained in such procedures.

2. Chronic pancreatitis: Long term irreversible damage to the pancreas is called chronic pancreatitis. It is usually due to Alcohol intake. It presents with upper abdominal pain, Diabetes mellitus and fat in stools (steatorrhea). The small duct in the pancreas called main pancreatic duct can have hard calcifications also known as stones, which obstruct the flow of pancreatic juice and cause severe abdominal pain. Treatment of chronic pancreatitis includes stopping alcohol intake to prevent further damage to the pancreas, medicines for pain, Pancreatic enzyme replacement therapy (PERT) and Endoscopy for those who do not respond to medical treatment. Endoscopy includes ERCP and plastic stenting to establish a flow of obstructed pancreatic duct and Endosonography (EUS) guided Celiac plexus block for decreasing pain. Patients who develop fluid collection such as Pseudocyst require internal drainage by Cystogastrostomy which is done by Endosonography (EUS)

In Brief About Types Of Pancreatic Disorders!

If you are experiencing symptoms such as swelling, inflammation, thickening, yellowing and crumbling of your nails, toenail fungus or onychomycosis is indicated. This is a very common problem, which is usually painless, unless the infection gets spread. The fungus thrives under certain conditions like abnormal levels of pH in the skin, a weak immune system, poor hygiene, diabetes and a continuous exposure to moist or damp environment. If not treated properly, toenail fungus can lead to cracking, splitting or total loss of your toenail. There are various ways of treating fungal infections in the nails. Some of them are as follows:

Tea Tree Oil: Tea tree oil contains antiseptic and antifungal properties, which help in treating toenail fungus. You need to mix some drops of tea tree oil with coconut oil and olive oil. Using a piece of cotton, apply the mixture on your affected nail, keep it for 10 minutes and scrub off the nail with a toothbrush. For ideal results, you must repeat this process more than twice regularly.

Baking Soda: Baking soda is a commonly used remedy for fungal infections in your nails. It also helps in neutralizing foot odor. Add baking soda, hydrogen peroxide and Epsom salt in hot water, add vinegar to the mixture and soak your affected nail in the solution. After this, wash your feet with water. Repeat the procedure twice a day for several weeks.

White Vinegar: This is an ideal ingredient for the treatment of toenail fungus. It helps in restoring the pH balance of the skin and fights against infections. Add one part of white vinegar to warm water and soak your affected toenail in it for about 10 minutes. After this, you must wash it off. Carry out the process twice a day for effective results.

Oil of Pregano: Oil of oregano is considered effective because of its antibacterial, antiviral, analgesic and antiseptic properties. It is an ideal way for treating fungal infections in your nails. Mix oregano oil with olive oil, apply the solution on your nails and leave it for over 30 minutes. Repeat the process thrice a day for good results.

Listerine Mouthwash: Listerine mouthwash is another important home remedy for treating fungal infections in the nails. This mouthwash contains certain compounds along with alcohol, which have very strong antiseptic properties and help in eliminating harmful fungi and bacteria from your nails.

Best Ways To Treat Fungal Infections In Nails

There are a lot of misleading information going around, especially online. So all that you read online, may not be correct. Sex is a topic that has been much hushed about, thus leading to the birth of many baseless rumours and embarrassing myths. Don t believe in every single detail you come across online, they have got their own glitches. But hey! You do need to know the truth about it all, and this article tries to do just that.

Here are a few embarrassing myths and facts about sex which you may come across:
1. Myth: You do not get pregnant the first time you have sex
Fact: You can get pregnant anytime after you have penetrative sex. There is no such stipulated count or time as to when you get pregnant. The moment you have penetrative sex, certainly without any protective measure, the chance of pregnancy goes up.

2. Myth: Men think and want more of it as compared to women.
Fact: This is not true. The desire for intimacy and sex varies among individuals, irrespective of the gender.

3. Myth: Having sex in a pool drastically reduces the chances of contracting any STD.
Fact: Generally, maximum STDs are contracted by coming in sexual contact or through unprotected sexual intercourse. Having sex in a pool with a person already infected with any STD will automatically up your chance of contracting the STD as well. Water cannot prevent the transmission of any STD.

4. Myth: Douching after indulging in sexual intercourse can prevent a pregnancy.
Fact: Douching is definitely not a method to prevent pregnancy. And it s about time this myth gets busted. Douching with soda, water or any other fluid can only guarantee infections in the genitals and nothing more. This is because douching disrupts the natural balance of the vaginal bacteria, thus also disturbing the pH balance of the vagina. The only way you can prevent a pregnancy is by using protection or taking birth control pills if you ve had unprotected sexual intercourse.

5. Myth: It isn t possible to contract STDs if you just have oral sex.
Fact: While it is true that maximum STDs are spread through unprotected vaginal intercourse, there are certain STDs, the transmission of which might not be only dependant on vaginal penetration. STDs such as HPV, Herpes and Syphilis can spread even if you just have unprotected oral sex. So, even if it is oral sex that you want to enjoy, do not give the protection a miss. Dental dams are always available at your disposal; using which might curb risks of such STDs.

5 Myths and Facts About Sex!

Yearly flu vaccination is the best tool currently available to protect against influenza (flu).

While how well the flu vaccine works can vary, the Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccination as the first and most important step in protecting against flu and its potentially serious complications. Millions of people have safely received flu vaccines for decades. Flu vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations.

A flu vaccination does not guarantee protection against the flu. Some people who get vaccinated might still get sick. However, people who get a flu vaccine are less likely to get sick with flu or hospitalized from flu than someone who does not get vaccinated.

Why do I need to get vaccinated every year?

New flu vaccines are released every year to keep up with rapidly adapting flu viruses. Because flu viruses evolve so quickly, last year's vaccine may not protect you from this year's viruses.

After vaccination, your immune system produces antibodies that will protect you from the vaccine viruses. In general, though, antibody levels start to decline over time   another reason to get a flu shot every year.

Flu vaccines bring down the risks of suffering from flu. However, its effectiveness is based on different factors.

Age: Usually, the flu vaccine happens to work the best for healthy adults. However, these vaccines cannot work as well with children, especially infants (below the age of 2-3 years). Nevertheless, the efficacy improves with age. Since older people are more prone to contracting the flu virus, it is essential that they get themselves vaccinated. Even if the vaccine is not able to ward off the flu entirely, it can still help reduce the risks to some extent.

General Health: Vaccine spurs immunity into action. It helps your body in identifying and fighting the virus. The efficacy of the flu vaccine solely depends on the capability of your body s immunity system and how well it responds to the virus. Chronic illnesses weaken your body s defense mechanism and with a poor immunity system, the vaccine may not work properly.

The time of the vaccination: For optimal protection, it is advised to go for the vaccination every year right before the  flu  season starts. This is because after the flu season gets done with, old vaccines may not work as effectively.

The flu vaccine needs to be updated every season to guard you against the kind of flu dominant in that particular year. Getting yourself vaccinated is also not a guaranteed foolproof protection, however, it does render partial immunity and helps reduce the severity of the symptoms. However, it should be noted that flu vaccine cannot shield one from cold viruses.

Flu Vaccine Effectiveness: How Well Does It Work?

It is no longer so surprising to read about alarming air pollution levels in our cities. On more than one occasion, these levels have risen above the danger levels. For some people, this may simply create an annoying fog that makes it difficult to see. For others, it can cause serious health issues. Air pollution is one of the most common reasons for the growing instances of asthma and allergies. Children are most susceptible to such diseases caused by air pollution.

Asthma and Allergies
Asthma can affect children even before their fifth birthday and the condition is characterized by breathlessness caused by a constriction of the airways. While the root cause of asthma is unknown, it is usually seen that asthmatic patients are more sensitive to others to particles in the air such as pollutants, dander, dust, smoke etc. Thus, the airways construct as a reaction to these allergens. Changes in the weather, a sudden cold draft or the flu can also aggravate asthma.

Can you Protect Your Children from Asthma?
Wheezing, panting, finding it difficult to breathe and a persistent cough are some of the signs of asthma. If you notice these symptoms, you must consult a doctor immediately. At home, here are a few things you could do.

Avoid exposing your children to smoke: Do not smoke around your children or allow others to smoke around them. If you cannot give up the habit, wear a smoking jacket when you smoke and take this off before you play with your children. When you ll go out, drive with the windows up so that your child does not inhale exhaust smoke. Set your air conditioner to circulate air within the car itself.
Dust often: Try and keep your home as dust free as possible. Use a wet cloth to clean so that the dust does not fly in the air. Wash all your bed linen once a week. Carpets and rugs should be vacuumed regularly or dusted outside. It may also be a good idea to invest in dust mite impermeable covers for your child s mattress and pillows.
Keep your Pets clean: If you share your home with pets, bathe them once a week and brush them daily. Do not let them climb on to the furniture or your beds. Also, avoid having their toys lie on your beds.
Wear a face mask: Try and time your child s outdoor activities when the pollution levels are low. Buy yourself and your child a face mask that will filter the air they breathe in. These should be worn whenever they play outdoors.
These simple steps could help your child be healthier and can prevent asthma and other such allergic reactions.

Increasing Asthma & Allergy In Children - What Should You Do?

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