Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner s ulcers are seen only in people with intestinal cystitis, it s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the  loo  as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner s ulcers are both a diagnosis of exclusion. This means that they re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner s ulcers.

Hunner's Ulcer In Urinary Bladder - How They Can Be Treated?

Ringworm is a kind of skin infection that is brought on about due to fungal growth. Ringworms can occur on the body (tinea corporis), groin area which is sometimes referred to as the jock itch, scalp (tinea capitis) or even on the foot which is known as athlete s foot. Sometimes there can also be several outbreaks of ringworm patches on the body simultaneously.

Symptoms of Ringworm:

The most common sign of ringworms is the red patch that looks a bit scaly and constantly itches. As time goes by this scaly patch can evolve into a circular shape and multiply into more rings. The center of the patch is scaly and clear while the outer lining is slightly raised.when ringworm occurs on the scalp it initially starts out as a tiny sore or bump and then turns flaky.

Causes of Ringworm:

Ringworm is caused by the fungi dermatophytes. Ringworm is highly contagious diseases and the causes for it are:

  Ringworm spreads by contact.
  You can get infected from your pets who might be carrying the fungi.
  The fungi dermatophytes often tend to linger on clothes, towels, surfaces and within brushes or combs.
  You can get infected by the fungi by standing barefoot on the soil.

Ayurvedic Treatment for This Condition:

According to the Ayurvedic philosophy, this skin condition is referred to as dad which is the result of the Kapha-Vata dosha. When Kapha symbolizing mucus and vata symbolizing air or wind manifest and lead to the accumulation of harmful toxins it causes contamination and damage to deep tissues. The contamination of the deep tissues and the amplification of the Kapha-Vata dosha leads to the outbreak of ringworm.

If you wish to resort to natural remedies and opt for an ayurvedic treatment of ringworm then here are some dietary and lifestyle changes that you will be required to implement:

  Sour, spicy and extremely sweet foods need to be avoided. Therefore you cannot consume foods such as citrus foods, sauces, vinegar, mustard, chutney and pickled items.
  You also need to avoid eating foods that are made up of white flour such as cakes, pizza and bread
  Non-vegetarian food items are an absolute no.
  Drinks that contain caffeine such as coffee, tea and alcoholic drinks should also be avoided. Instead, you can eat foods such as rice, beans, pasta, wholegrain bread, fresh vegetables and non-citrus fruits.
  You also need to wash the affected area with water in which neem leaves have been boiled for a couple of minutes.
  You can also rub a paste of fresh papaya over the ringworm affected region.
  Another very effective home remedy includes applying on the area a paste made out of milk and turmeric. And then washing the area after an hour.

Ringworm - Symptoms, Causes & Ayurvedic Treatment Of It!

Headache is one of the most common maladies which refers to a pain sensation in the head. It may itself be an ailment or may be the symptom of any other illness. Headaches can last for a short time or may persist up to several weeks depending on its cause or type. Many reasons can trigger headache. 

The following are eight reasons why you might get that headache

Stress: Physical stress or emotional stress can be identified as one of the most common causes for your headache. Tension, anxiety and depression may trigger a headache. This is also known as tension headache. In this condition, the muscles of your scalp, neck, face and jaw tighten, thus causing pain. Fatigue may also lead to this type of headache.
Eye problems: Sometimes eye problems may be the cause of your headache. Diseases such as glaucoma can cause headache. Straining your eyes for seeing distant objects or glaring at your computer screen for long can also result in headache.
Eating and sleeping pattern: Change in eating and sleeping pattern can also cause headache. Inadequate sleep or caffeine withdrawal can give you terrible headache sometimes.
Ear, nose or throat disorders: Ear, nose or throat problems can also give rise to headache. Sinus caused by cold or infection, tonsillitis or throat infections can also prompt a headache.
Medication: Excessive use of medication can be a factor responsible for your headache. This is also known as rebound headache.
Dental problems: Jaw or dental problems sometimes may trigger a mild headache which can turn severe also. The alignment of lower and upper jaw, tooth decay may be some of the causes for headache.
Hormonal problems: Sometimes a decline of your estrogen levels can also be a reason for your headache.
Bad posture: Sometimes, poor posture may strain the muscles of your back and neck, triggering a headache.
Headache can be very annoying. Sometimes pain relief medicines help in controlling headache, but consuming them regularly may affect your health. You must consult a doctor in order to get your headache treated in a proper manner.

8 Reasons Why You Might Get that Headache

If you are having a chronic cough and often pant for breath, it is quite possible that you may be suffering from bronchitis. In addition to this, you may also experience wheezing, fatigue, and pain in the chest. It is triggered when the lining of the airways in the lungs become irritated. To determine, whether or not bronchitis is contagious, it is important to understand what caused the ailment.

Chronic bronchitis: This type of bronchitis happens when the airways get continuously irritated. It may last for months or even years and tend to come back. It is caused by irritants that affect the lungs such as dust, chemicals, smoke, fire, and smoking cigarettes. Even though chronic bronchitis is not considered contagious, it is a serious health issue that requires medical attention.
Acute bronchitis: It generally lasts for about 1 to 3 weeks and stems from cold or flu virus. As these infections are contagious, so is acute bronchitis.
Whether a person having bronchitis can spread the disease depends on the virus that is causing the ailment. In most instances, it is seen that the disease is contagious for a first few weeks of infection. Since there are hundreds of viruses causing bronchitis, it is best to assume that a person is bound to spread the disease when he has symptoms of cold and flu.

What causes transmission of bronchitis?
Acute bronchitis owing to infection is generally transmitted via an airborne droplet containing germs. It is transmitted when someone having infection shakes hand or sneezes or coughs or has any other physical contact. Some virus and bacteria have the power to live outside the body for a prolonged span of time, and therefore, you can get infected by touching any object that is harboring the germs.

It is often seen that acute bronchitis begins as flu and therefore, the best way to prevent it is to get an annual shot of flu. When you come in contact with an infected person, the chances of being affected is high if you have chronic infections or weak immune system. Aged people and young children are most vulnerable to this disease.

How can acute bronchitis be prevented?
Even though acute bronchitis is extremely common and can occur at any time, winter is the most vulnerable season for bronchitis. But there are ways in which you can prevent bronchitis effortlessly. You should avoid close contact and sharing of utensils with an infected person who has flu, cold or bronchitis. You should not touch a used tissue since the virus of bronchitis can easily spread through mucus. Make sure that you get the annual flu shot and wash your hands in warm water.

The disease is very common, and it can make you feel very uncomfortable at times. But there are times when the symptoms subside on their own without any sort of medical attention.

Is Bronchitis Contagious?


5 Ways To Remove Stress Instantly

Feeling the blues once in a while is natural for the kind of hectic lives we lead. But feeling stressed and burned out deeply affects on our body, mind and soul. When you feel stressed, you need to take measures that can help you cope up. Something as simple as saying ‘I love you’ in the mirror once in a morning turns around the way you approach your day.

Try these stress reducing tips to rejuvenate yourselves immediately.

1) Meditate- Its the best way out. It eases anxiety, which is the culprit behind those stressed out moments. All you have to do is just close your eyes, focus your attention on positive thoughts or repeatedly chanting 'Om' which has a vibrational impact. Don’t let negative thoughts distract you.
2) Inhale Deeply- There are several occasions when you might not be able to mediate. In such a case, simply start to inhale through your nose, bring it to your abdomen and let it make way through your body slowly. Deep breathing can also reduce the instances of blood pressure.
3) Laugh Out Loud- Laughing can reduce cortisol, a hormone  responsible for stress. You can watch your favourite comedy show, a sitcom or simply look for a few videos online.
4) Listen To Music- Simple but effective. Listening to music can lower your blood pressure, heart rate as well as anxiety. Go ahead and create a playlist of your favourite songs or music. And if you fancy, try to sing on the top of your lungs too!
5) Exercise- Exercising has too many incredible benefits. One of them is easing depression and anxiety. Deal with stress by exercising a few minutes every day. Ideally, 30 minutes a day is what you should aim for.



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5 Ways To Remove Stress Instantly

What does neck and shoulder pain indicate?

The stabbing pain that you experience around the neck and shoulder region should never be ignored as they may indicate health problems that require medical attention. There are certain points that you need to keep in mind the if you experience prolonged pain in these areas of the body.

1. Neck injury? your neck and shoulder pain should be seen as a warning sign that you need to take a look at the neck injury you may have sustained during a rear-end automobile accident. More specifically, whiplash injuries that happen when the head experiences a sudden backward and forward jerk, straining the tissues of the neck. 

2. Pain in these areas of the body could indicate abnormalities in the vertebrae of your neck such as herniated disc, causing added pressure on the nerves of the spinal cord.

3. Your neck and shoulder pain complaint may also point towards muscle strains. Lifestyle factors like working long hours in front of laptops or desktops leave you with no time and zero energy to exercise, resulting in serious neck and shoulder pains.

4. Your neck and shoulder pain may also indicate the problem of cervical spondylosis. This is a degenerative disc disease, which is characterised by severe pain that originates from the neck and radiates till the shoulders.

5. Even heart problems, such as a heart attack can cause pain in the shoulder and the neck. When this happens, the condition is known as referred pain.

6. Adopting an improper body posture during lifting of heavy materials can induce pain in your body parts, with neck and shoulders being the most vulnerable areas.

7. You may be suffering from a condition known as rotator cuff injury in which the group of ligaments and muscles that support the shoulder get injured during lifting or playing any sport.

To avoid aggravating the pain from becoming more severe, you shouldn't ignore any ache that arises from these areas.

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

Related Tip: 6 Effective Ways to Keep Away Body Pains, esp. When Temperatures Dip

What Does Neck and Shoulder Pain Indicate?

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