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Sans Herbal

Ayurveda Clinic

O-1 Part-2 Lajpat Nagar Delhi - 110024 Delhi
1 Doctor
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Sans Herbal Ayurveda Clinic O-1 Part-2 Lajpat Nagar Delhi - 110024 Delhi
1 Doctor
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Sans Herbal
Sans Herbal is known for housing experienced Ayurvedas. Dr. Sandeep, a well-reputed Ayurveda, practices in Delhi. Visit this medical health centre for Ayurvedas recommended by 49 patients.

Timings

MON-SAT
10:00 AM - 02:00 PM

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O-1 Part-2 Lajpat Nagar Delhi - 110024
Lajpat Nagar Delhi, Delhi - 110024
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Dr. Sandeep

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
34 Years experience
Available today
10:00 AM - 02:00 PM
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Heart Attack In Young Age

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
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We are all aware that the incidence of heart disease is increasing in India. Generally, the average age of heart patients in India is a decade younger, that means there are younger patients suffering from heart disease in India.

Benign Paroxysmal Positional Vertigo (BPPV)!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Benign Paroxysmal Positional Vertigo (BPPV)!

Benign Paroxysmal Positional Vertigo (BPPV)
Benign Paroxysmal Positional Vertigo (BPPV) is the disorder that causes vertigo, which is the false sensation of head’s spinning. The patient with BPPV may feel minor to severe faintness. BPPV may be caused by the incorrect position of the patient’s head. It is most felt when the patient moves head in either direction, lays down, or gets up from the bed especially in the morning.

BPPV is the disorder of the inner ears in which the crystals of calcium carbonate (known as ear rocks or otoconia) are accumulated and turned into the gel. This gel is then migrated into the semi-circular canals, which are normally filled with fluid. This fluid is generally unaffected by the gravity because of its lightweight.

With the migration, the accumulated gel tends to move down with the effect of gravity and bounces up again with any physical movement of the head and other factors. This results in its interference with the normal fluid movement within the canals that are used for the sensation of head motion.

Because of this interference and fluid movement, the nerves at the canal of the patient’s inner ear are excited and send false signals to the brain related to head rotation. In normal cases, this fluid is rested stationary within the canals. These false signals generate information in the brain that does not match with those sent by the second ear and eyes.

This mismatch of the generated information from multiple sources confuses the brain, which may make you feel spinning. This spinning is medically termed as vertigo, which may last up to a minute from its occurrence. Note that some patients would have a normal feel between every two vertigo invocations.

However, some of them may have a constant feeling of light head spinning sensation between two major spins of vertigo. Note that the dizziness caused by BPPV would not impact the hearing ability of the patient. It would also not make the patient difficult to speak. In case you have any of such additional symptoms, you must discuss with your physician immediately.

The occurrence of BPPV is seen mainly in the adults and is very rare in the children. However, it may impact individuals of any age group. The most cases of this disease are reported in the elderly people. Most of the patients with BPPV may feel the surroundings spinning while getting up from the bed in the morning.

However, the same symptom may also be associated with other disorders such as a migraine, trauma, ear infection, diabetes, intubation caused by lying in bed for a long period, osteoporosis, reduced blood flow, and more. It may also be associated with the incorrect posture of sleep. So, you must consult your doctor immediately when such symptoms arise in your body.

 

Symptoms of BPPV
The various symptoms of BPPV may include:

-  Dizziness

-  Vertigo in which the patient may feel the surrounding moving or spinning, especially while getting up in the morning

-  Disbalancing while getting up from sitting

-  Continual nausea and vomiting for over several weeks

-  Nystagmus in which the eye movements of the patient appear abnormal

 

Note that these symptoms may appear or disappear in between. It may happen that the patient is relieved from the symptoms for several months. But those may recur with lesser to severe intensity. Along with the symptoms listed above, some patients may observe the following symptoms in the extreme conditions:

-  Severe and intolerable headache

-  Fever

-  Double vision

-  Vision loss

-  Loss of hearing

-  Difficulty in speaking

-  Weakness in the legs or arms

-  Unconsciousness

-  Difficulty in walking

-  Tingling sensations in the brain, ear or other parts of the body

-  Numbness

 

Causes of BPPV
Age is a crucial factor that increases your chances of getting BPPV. It is often seen that the individuals of age over 50 years are most likely to get BPPV since the muscles of their inner ear may become weaker at that age. There may also be other causes of BPPV. Some of those are mentioned below:

-  Keeping head in a fixed posture for a long duration either on a dentist chair, salon and more

-  Performing the exercises that require high-speed movements of the head

-  Bike riding on a rough track

-  Various types of disorders of inner ear like Meniere’s disease

-  Resting on the bed for long duration for any reason, like hospitalization, prolonged rest over the weekend, working on a laptop for long while lying on the bed

-  Due to migraine

 

Prevention from BPPV-
Since BPPV may be caused by multiple reasons including the old age, it is very hard to prevent it completely. However, there are the multiple ways through which you may prevent it from happening to a good extent. Some of those are mentioned below:

-  Avoid doing exercises that may involve frequent and severe head movements.

-  Prevent yourself from any possibility of head injury. Wear a helmet while riding a bicycle, bike, and other sports.

-  Avoid lying on the bed for long hours.

-  Avoid prolonged steady head placement when awake.

-  Meditate on a regular basis.

-  Maintain hygiene in your surroundings to avoid the chances of infection in your ears.

-  Have a balanced sleep.

-  Exercise every day.

-  Don’t tip your head back for long hours to watch TV or to talk to your correspondents.

-  Take care of your immune system and adopt the habits that would keep it strong.

-  Avoid frequent head movements in case you are already a patient of BPPV. This may worsen your symptoms.

 

How BPPV is diagnosed?
If you observe even the mild symptoms of BPPV (mentioned above) for over a week, visit your doctor immediately. The physician would ask the patient several questions related to the symptoms. For instance:

-  When is the dizziness felt most during a day?

-  From how long the symptoms are observed?

-  Do you have a continual temptation of vomiting?

-  How are you normally relieved from the symptoms?

-  For how long at a stretch are the symptoms observed?

-  Do you have any other disease or disorders related to the ears or the brain?

-  Are you a patient of a migraine?

The doctor would also assess the complete medical history of the patient of the past several years. The eye movement of the patient would also be checked for the occurrence of nystagmus. The patient would also be asked to lay down on a table with the head tilted back. This test would help the physician in understanding if the patient has irregular control in eye movement.

It may also be observed if the symptoms occur most with the movement of eyes or head in a particular direction. Post collection of all this information, the physician may also prescribe the patient to undergo an infrared goggle test.

In case the doctor finds it difficult to identify the actual reason for those symptoms, the patient may be prescribed to get one of the following investigations done:

-  Video Nystagmography (VNG) or Electro Nystagmography (ENG) in which the abnormal movement of eyes is detected if any. In the ENG test, electrodes are used and in VNG, small cameras are used to assess if the dizziness is because of some inner ear disease. This is calculated by the measurement of irregular eye movement by placing the patient’s head in multiple positions.

-  Magnetic Resonance Imaging (MRI), in which magnetic fields and radio waves capture multiple images of the patient’s head or other parts of the body from different directions. Such images could be assessed to diagnose the condition of the dizziness and the possible reasons associated with it.

 

Treatment of BPPV
There are some chances that the symptoms of BPPV may disappear on their own in few weeks to months. However, to get rid of the symptoms sooner, the doctor would provide the treatment for the repositioning of the head movements. This therapy is called as canalith repositioning.

In canalith repositioning, the mispositioned canaliths due to the gel developed from the crystals of calcium carbonate that move from the fluid-filled semi-circular canals of the inner ear, are repositioned. This prevents the nerves of the canal of the patient’s inner ear by sending false signals to the brain related to head rotation. Along with this process, the doctor may also recommend the patient to avoid some particular head position for several weeks to months, which may trigger the symptoms again.

For the first few sessions of canalith repositioning, you are required to visit the therapy centre. Post then, the doctor may teach you the canalith repositioning procedure, which you could practice on your own at home if required. Post such a session, you may be required to take rest for at least 10-15 minutes so that the crystals of calcium carbonate are resettled in the canals of the inner ear.

In some rare situations where the symptoms are extreme and could not be relieved by the canalith repositioning procedure, the patient may be recommended a surgery with which the inner ear’s bone is plugged to prevent the movement of calcium carbonate crystals within the fluid-filled semi-circular canals. This effectively stops the symptoms of dizziness. Such type of surgery is effective with the success rate of around 90%. But in some rare cases, there is the risk of loss of hearing for the patient.

Other than these treatments, there are certain precautions that the patients of BPPV should take. Those are mentioned below:

-  Keep memorising your symptoms and be extra careful about balancing while getting up from your bed. The patients with BPPV are more prone to lose their balance, which may result in them to face injuries.

-  Try to be seated whenever you have a feeling of dizziness. In case you are standing and could not see some nearby seat, just take the support of some wall or any stable object.

-  Keep some lights turned on in your bedroom in the night, so that you would not face many difficulties in getting up in between if required.

-  Keep visiting your doctor periodically unless your symptoms are subsided.

-  Do not lay with the head tilted back, if you are already suffering from the symptoms of BPPV.

-  Avoid laying or sleeping towards the affected side of the head where symptoms are felt the most. Use two pillows while sleeping to ensure this.

-  Even when the symptoms are disappeared, those may recur. Prepare your mindset for that.

-  While waking up in the morning, lift the head very slowly and sit on the bed for a few minutes before standing up.

-  Avoid bending down for picking up something.

 

Complications
Although BPPV is not a fatal disease by its own, its symptoms may cause you to face complicated problems if not taken care of or treated on time. It often happens that the patients with BPPV collapse on the floor due to dizziness, which may cause them severe fatal injuries. It is very important for them to bring the practice to their habit of sitting down or holding some stationary object whenever they observe dizziness. Else than that, BPPV may cause the patient to have an uncomfortable feeling. If it lasts for long, the patient may suffer from depression.

Another related complication is associated with the surgery in which the inner ear’s bone is plugged to prevent the movement of calcium carbonate crystals within the fluid-filled semi-circular canals. This surgery is carried out with an attempt to eliminate the symptoms of dizziness caused by BPPV. However, in some rare cases, this surgery may cause loss of hearing.

 

Myths
Myth #1:
Children may not suffer from BPPV

It has been seen that elderly individuals are more likely to be affected by BPPV. However, individuals of any age (including children) may suffer from this disorder. Some children may not be able to express the problems that they would be facing. So, in case your kids collapse by their own on a frequent basis, it is must for you to take them to a paediatrician.

Myth #2: BPPV is caused only by a migraine

A migraine is one of the causes because of which BPPV may occur. However, there are multiple other factors associated with this disorder.

Myth #3: BPPV is always healed by its own

It is not necessary that BPPV is healed by its own every time. If the symptoms are severe, you must get a proper treatment before facing any injury due to the associated dizziness.

 

 

अनार के फायदे और नुकसान - Anar Ke Fayde Aur Nuksaan!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
अनार के फायदे और नुकसान - Anar Ke Fayde Aur Nuksaan!

अनार, हमारे स्वास्थ्य के लिए पोषक गुणों के कारण विश्व-भर में लोकप्रिय है. अनार, में फाइबर तो होता ही है लेकिन इसके साथ ही इसमें विटामिन सी, के और बी भी प्रचुर मात्रा में मौजूद रहता है. अनार में कई तरह के पोषक तत्वों जैसे कि पोटेशियम, फोलेट, मैंगनीज, सेलेनियम, लोहा, मैग्नीशियम, फास्फोरस, ज़िंक इत्यादि की भरपूर मौजूदगी होती है. इसके साथ ही यह ओमेगा-6 फैटी एसिड का भी एक महत्वपूर्ण स्रोत है. यह पाचन शक्ति को बेहतर करता है, वीर्य गठन को बढ़ाता है, स्मृति को सक्रिय करता है, हवा, पित्त, कफ की वजह से शरीर में हुए असंतुलन को ठीक कर देता है, हीमोग्लोबिन के गठन को बेहतर बनाता है और एक बहुत अच्छा रक्त शोधक है.
आइए इस लेख के माध्यम से एचएम अनार खाने के विभिन्न फ़ायदों और नुक़सानों को जानें.

1. हृदय-स्वास्थ्य में सुधार लाने में-

अनार, आपके हृदय के स्वास्थ्य के लिए बहुत फायदेमंद होता है. यह ब्लड वेसल्स को पोषण देता है जिससे रक्त-प्रवाह में सुधार होता है. इसके अलावा यह ब्लड क्लॉट बनने से भी रोकता है. अगर आप नियमित एक ग्लास आनर के जूस पीते है तो यह ह्रदय स्वास्थ्य के लिए किसी रामबाण से कम नहीं है.

2. एनीमिया के लिए-
यह फल एनीमिया से पीड़ित रोगियों के लिए बहुत उपयोगी है. यह शरीर में बॉडी में आयरन की आपूर्ति करता है और लाल रक्त कोशिकाओं के साथ हीमोग्लोबिन की मात्रा में बढ़ोतरी कर उसके प्रवाह में भी सुधार लाता है. अनार में विटामिन सी से भी प्रचुर मात्रा में होता है जो आयरन को अवशोषित करने में मदद करता है. अनार एनीमिया के लिए एक बहुत ही सक्षम डाइटरी सप्लीमेंट है और एनीमिया के लक्षणों से लड़ने में शरीर को पूरा सहयोग देता है.

3. प्रजनन क्षमता को बढ़ावा देने में-
अनार को गर्भावस्था में बहुत उपयोगी माना जाता है. यह उन महिलाओं के लिए बहुत फायदेमंद है जो गर्भवती होना चाहती है. यह गर्भ में पल रहे बच्चे के स्वास्थ्य के लिए बहुत फायदेमंद समझा जाता है. अनार में विटामिन और मिनरल पायी जाती है जो महीअलयों में होने वाले दर्द को कम करता है. यह गर्भपात और प्रीमैच्योर बच्चे के संभावित जोखिम को भी कम करता है.

4. स्वस्थ रक्त-चाप बनाए रखने में-
अनार, एंटी-ऑक्सीडेंट, विटामिन सी एवं नाइट्रिक ऑक्साइड का एक अच्छा स्त्रोत होने के कारण उच्च रक्त-चाप के रोगियों के लिए बहुत उपयोगी सिद्ध होता है. यह है और का एक अच्छा स्रोत है. इसके पौषिक गुण रक्त प्रवाह को नियमित करने एवं रक्त-धमनियों को पोषित करने के लिए जाने जाते हैं. यह दिल के दौरे के होने की संभावना को भी बहुत हद तक कम कर देता है. अनार का रस सिस्टोलिक रक्तचाप कम करता है.

5. स्मरण-शक्ति को बढ़ाये-
अनार का सेवन करने से स्मरण-शक्ति को तो बढ़ावा मिलता ही है परंतु साथ ही में यह अल्ज़ाइमर (भूलने की बीमारी) जैसे दिमाग से सम्बंधित विकारों को भी हराने की क्षमता रखता है. एक शोध में पाया गया कि अनार दिमाग की क्रियाओं में सुधार लाता है और उम्र-सम्बंधित दिमाग की समस्याओं को भी
ठीक करता है.

6. मधुमेह को नियंत्रित करने में-
मधुमेह के मरीजों के लिए भी अनार बहुत ही फायदेमंद फल है. यह इंसुलिन के प्रति शरीर की संवेदनशीलता को कम करता है और मधुमेह से होने वाली समस्याओं से भी बचाव करता है. अनार के रस में अद्वितीय एंटीऑक्सीडेंट पॉलीफेनॉल्स (टैनिन और एंथोस्यानिंन्स) होते हैं जो टाइप 2 मधुमेह को नियंत्रित करने में मदद करते हैं.

7.त्वचा पर चमक लाने के लिए-
अनार का रस त्वचा के लिए बहुत लाभकारी होता है. यह आपके त्वचा में नमी देता है जिससे त्वचा में निखार आता है. रोजाना अनार के जूस पीने से त्वचा पर झुर्रियों को आने से रोकता है. इस फल में विटामिन सी एवं एंटी-ऑक्सीडेंट भरपूर मात्रा में होती है जो एजिंग इफेक्ट को कम करता है. तो अपने डाइट में अनार को जरूर शामिल करें.

8. जोड़ों के दर्द के लिए-
अनार को गठिया के रोगियों के लिए गुणकारी माना जाता है. यह आपके जोड़ो के दर्द और हड्डी के दर्द से राहत मिलती है. इसके अलावा यह सूजन को भी कम करता है.

9. कैंसर का उपचार करने-
अनार कैंसर का कारण बनने वाले शरीर से जहरीले पदार्थो को बाहर निकालता है. इस फल में मौजूद एंटीऑक्सीडेंट टॉक्सिक पदार्थ को बाहर निकलने में सहायक होता है. अनार का फल ब्रेस्ट कैंसर के लिए भी मददगार होती है. कैंसर जैसी घातक बिमारियों से बचने के लिए रोजाना अनार का जूस पीना चाहिए.

10. मौखिक स्वास्थ्य को सुधारने में
अनार में एंटी-प्लाक एलिमेंट्स होते हैं जो समग्र मौखिक स्वास्थ्य में सुधार ला उसे तरोताज़ा कर देते हैं. अनार में मौजूद तत्व दंत पट्टिका (प्लाक) के खिलाफ संरक्षण प्रदान करने में सक्षम होते हैं. पट्टिका गठन को कम करके, यह दंत क्षय, पायरिया, मसूड़े की सूजन और कृत्रिम दांतों स्टोमेटिटिस जैसी दंत समस्याओं के जोखिम को कम कर देते हैं.

अनार के नुकसान

  • अनार में मौजूद एंज़ाइम लिवर में मौजूद कुछ एंज़ाइमों के कामकाज में बाधा कर सकते हैं.
  • लिवर विकारों के मरीज अनार या इसके रस लेने से पहले अपने चिकित्सक से परामर्श करें.
  • यदि आप डाइटिंग कर रहे है तो इसका सेवन करने से परहेज करें.
  • यह फल कैलोरी काउंट में वृद्धि करता है. जिसके कारण वजन में वृद्धि होती है. इस फल के अत्यधिक सेवन से कई डिसऑर्डर का कारण बन सकती है. इसमें मतली, उल्टी, पेट दर्द और दस्त शामिल हैं. लेकिन यह लक्षण क्षणिक होते हैं.
  • अनार की अत्यधिक सेवन जठरांत्र पथ में जलन भी पैदा कर सकती है.

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Urologist, Delhi
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Benign Prostatic Hyperplasia(BPH) is the enlargement of the prostate gland which can lead to other serious problems of the urinary tract, bladder, and kidneys. It might be the result of an infection of the urinary tract or a scar in the bladder from an earlier surgery. Prostrate inflammation or urethral narrowing can also cause an enlargement of the gland.

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Physiotherapist, Gurgaon
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Spending excessive time on computer or mobile phone often leads to neck pain which has grown to be a common problem among masses over the past few years.

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Back Pain Symptoms!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Back Pain Symptoms!

Back Pain Symptoms
Back plays a very important role in a human body. It is composed of a complex structure of muscles and ligaments that supports the body and enables us to stand, move around, and indulge in almost every physical activity. The inconveniences with any of these bodily structures can lead to back pain which might range from severe to moderate. This is very common among people from all age groups due to their sitting and standing position.

Do you think why you have a back pain every time? Well, the cause of back pain is still unknown. The back pain varies from one person to another. Some of its symptoms suggest that back pain has a more serious cause that includes fever, weight loss, and numbness.

 

Symptoms of Back Pain
In most cases, back pain gets cured and one does not go to a doctor. Back pain is accompanied by many symptoms; some of those are included below. If a person experiences any of these symptoms, it might be a sign of a back pain; the doctor should be informed about it.

-  Fibromyalgia – Fibromyalgia causes pain in the entire body. A person has painful tender joints that hurt a lot even after taking medicine. In this condition, the affected person should not indulge in any kind of exercise. The symptoms of fibromyalgia differ from one person to another, but symptoms such as stiffness, fatigue, and issues while sleeping are common. Apart from back pain, patients also experience stiffness in the shoulders and neck. Patients complain of feeling extremely tired, especially waking up and feeling pain in specific areas called tender points. Many patients complain about stiffness, which is worse in the morning and increases as the day passes. Any physical exertion increases the pain.

It can be improved by adopting lifestyle changes that include a change in diet and exercising daily.

-  Degenerative arthritis –This condition occurs due to an internal damage caused to the facet joints. The surfaces of the joints are lined with smooth cartilage that allows movement. Both sides of the joint rub against each other, thus allowing a free movement. In case of injury or internal damage, apart from back pain, patients may also experience stiffness and pain in bending over. The joints are smaller when compared to the body weight they bear. The stress and strain may cause damage to the cartilage. Injuries and other internal and external damages over a lifetime may cause the joints to degenerate. 

The spinal facet pain in the lower back pain may, later on, lead to osteoarthritis.

-  Inflammatory arthritis– It is a group of disease caused due to inflammation of joints and other tissues. In this condition, there is pain in the lower back, together with morning stiffness in the hips or both; in some cases. There is also pain, feeling of tiredness and stiffness in the neck or the chest. Other symptoms of this disease include psoriasis, eye pain, and fever; depending on the specific disorder that is causing the back pain.

-  Osteoporosis – This condition is different from rheumatoid arthritis and other forms of arthritis as it only affects joints without affecting organs or soft tissue areas of the body. It is often characterized by thinning and weakening of bones that fracture easily. It is most common in postmenopausal women. When vertebrae are compressed because of a fracture, along with a slight to moderate slouch, it may result in back pain. This condition does not cause any pain unless a bone fractures.

-  Cancer in the Spinal Column: If cancer spreads to spinal nerves that control the bladder and bowel, there may be bowel incontinence. Its symptoms depend on various factors, including the tumor type, size, age and health. Some of the common symptoms include back pain, numbness, weakness and difficulty while urinating. These symptoms even get worse with time.

Sometimes the symptoms may occur quickly and sometimes slowly and it may take hours and days. Metastatic spinal tumors, which spread to the spine from a different location in the body, progress quickly.

-  Protruding disk: A spine intervertebral disc when sustains an injury to the spine, it is commonly referred to as Protruding disk. This injury can not only occur in the lower, upper, and middle back, but also at the cervical spine. People with significant disk disease go through severe pain in the lower back. If a disk compresses a nerve, the pain may spread down to one leg. In this condition, one should avoid bending or twisting. It is mostly caused due to poor posture while sitting and standing. To lower the effect of poor posture on the spine it is necessary to continuously maintain a good posture or regularly change the posture.

-  Back sprain: A series of ligaments and muscles hold the bones of the spinal column together. A person may strain these muscles by stretching them too much. This can even tear the tissue.

The muscles get weak due to which it cannot be held at one place. Because of this, the spine gets a little unstable and causes back pain.

Back pain usually occurs after heavy exertion in which muscles in the back, buttocks and thighs get stiff.

One can avoid back pain by improving one’s physical condition by adopting certain changes in lifestyle.

-  Exercise: One should start their day with light aerobic activities that do not strain the back. This can increase the strength of the back by allowing the muscles to function better. Walking and swimming are the most recommended form of exercise. Alternatively, people can talk to a doctor about which activities they should indulge in.

-  Build muscular strength: One should practice abdominal crunches and back muscle exercises that strengthen muscles so that they can work together. Communicating with the therapist to know the right exercises is important.

-  Watch your weight: Being overweight strains the muscles of the back. Overweight people should cut down on their weight in order to avoid back pain.

-  Quit smoking: Smoking is definitely injurious to health. It is difficult to quit it at once; therefore, one should talk to their doctor about ways to quit it.

People suffering from back pain should bring about some changes in their normal routine and temporarily avoid lifting heavy items and sitting for long hours. If a patient is recovering from back pain, they can ask the doctors to follow up regularly to know whether the symptoms have been cured or not. Once the symptoms have relieved and the patient feels decrease in the intensity of the back pain, they should go back to their normal routine.

 

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Cough - Symptoms, Causes And Treatment!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Cough - Symptoms, Causes And Treatment!

 

Cough
A cough is a reflex action to clear the throat from mucus and the external irritants such as the dust particles, smoke, microbes, and fluids etc. In short, the cough is a quick eviction of air from the lungs, which passes through the mouth. It is a common reflex that helps remove the obstruction of breathing and does not need immediate medical attention at the initial stage. However, if a cough lasts longer, it may possibly a sign of the serious disease as well.

A cough can be divided into two parts viz. an Acute Cough and Chronic Cough. Coughs that last not more than 2 to 3 weeks are called Acute Cough while Chronic Coughs last longer than 3 weeks and can be dangerous for health. These kinds of coughs are known as Persistent Coughs as well.

Causes of Acute Coughs (Short-Term Coughs)
A quite common infection that causes the Acute Coughs is called the Upper Respiratory Tract Infection, which is also known as the URI or URTI. This infection affects the throat, trachea and sinuses, which triggers flu, common cold, and Laryngitis.

Another reason that causes Acute Coughs is called the Lower Respiratory Tract Infection (LRTI), which affects the lungs and lower airways. This infection causes Pneumonia and Bronchitis. Besides, Acute Coughs can cause Hay Fever as well.

Causes of Chronic or Persistent Coughs (Long-Term Coughs)
There can be a number of reasons that cause Chronic Coughs such as smokingAsthma, Bronchitis, post-nasal drip, Gastro-Oesophageal Reflux Disease (GORD) or Gastro-Esophageal Reflux Disease (GERD) etc.

1. Smoking:
A cough caused by the smoking is often called the ‘Smoker’s Cough’. It usually lasts longer and may lead to loads of complications in the respiratory system of the body including the Chronic Obstructive Pulmonary Disease (COPD), which obstructs the lung and creates several breathing problems and poor airflow for a long-term.

2. Asthma: 
Asthmatic Coughs include symptoms such as wheezing, chest tightness, shortness of breath, and tiredness etc. This type of coughs increases during the nights and cause difficulty sleeping.

3. Bronchitis:
 Bronchitis is a type of inflammation that damages the bronchial tubes, which carries the air to the lungs. It produces thick mucus that can further result in bronchial tubes to be swelled and/ or blocked.

4. Post-Nasal Drip: 
The body produces mucus, a thick, wet and stingy fluid substance, on a regular basis to help gets rid of the external dust particles and virus. Usually, it is not noticeable and drips down the throat from the back of the nose. However, when the body produces an excessive amount of mucus, it comes out of the nostrils and mouth and causes running nose.

5. Gastro-Oesophageal Reflux Disease (GORD) or Gastro-Esophageal Reflux Disease (GERD): 
The Acute Coughs often cause stomach acid to leak up into the tube that joints mouth and stomach, which is called oesophagus/ esophageal or gullet. The tube is also known as the food pipe. GORD usually leads to the heartburn and affects the taste buds as well.

Types of Coughs
Coughs can further be divided into four distinct categories namely Croup Coughs, Dry Coughs, Wet Coughs and Whooping Coughs. Let us know about these four types of coughs first.

1. Croup Coughs: 
Croup is an infection that is caused by the viruses and bacteria, and affects the Larynx, also called the voice box, trachea, known as the windpipe and the bronchial tubes that supply air to the lungs. Croup Coughs are usually contagious, especially at the initial stages. It irritates the Upper Respiratory Tract and makes it swelled that causes complications while breathing.

2. Dry Coughs: 
Dry Coughs are often caused by several factors such as the infection in the nose and throat, allergies air pollution, change in the temperature, dry atmosphere and acid reflux etc. It produces very less or no mucus during the infection and is also known as the Tickly Coughs and Non-Productive Coughs.

3. Wet Coughs: 
Wet Coughs are also known as the Chesty Coughs and Productive Coughs. This type of coughs produces a large amount of mucus and phlegm, which is stored in the Lower Respiratory Tract due to the infection and/ or asthma. Wet Cough occurs to remove the additional mucus through the nostrils and mouth.

4. Whooping Coughs: 
Whooping Coughs are also known as the Pertussis. This type of coughs is caused by the bacterial infection into the Upper Respiratory Tract and is highly contagious. Some of the symptoms the Whooping Coughs cause include the running nose, fever, nasal blockage, watery eyes, and extreme fatigue in some cases.

Cough Symptoms and Signs-
-  Sore throat

-  Heartburn

-  Excessive production of the mucus and phlegm

-  Blocked nasal

-  Running nose

-  Post-nasal drips

-  Unpleasant and sore taste

-  Hoarseness

These are the common symptoms, in case of multiple symptoms, ask your doctor to consult the patient.

Complications of Cough
While Acute Cough is a protective function that removes the blockage in the airways and fights the external bacteria and germs, Chronic Cough can sometimes be quite dangerous and can lead to many other serious diseases. Some of the common and major complications that cough causes include:

1. Fainting and Dizziness
The severe coughs sometimes cause fainting and dizziness and are often known as the Cough Syncope. It affects the sensory organs and reduces the blood flow to the brain while coughing, which can lead to major damages. Usually, Asthma, Gastro-Oesophageal Reflux Disease (GORD), Chronic Obstructive Pulmonary Disease (COPD), Whooping Coughs, and some kinds of heart diseases cause fainting during the coughs.

2. Insomnia-
Insomnia is a sleep disorder, which is among the common complications caused by the coughs. Regular production of mucus makes the body release it through the coughs and makes it difficult to sleep at nights. The post-nasal drips and symptoms of GERD are the two main causes that increase the chances of having insomnia.

3. Abdominal Hernia-
Chronic Coughs often cause throat infection, which can spread throughout the body and can affect other parts as well; and can lead to tearing the abdominal wall. This condition is however quite rare. Usually, the abdominal hernia caused by other infections or diseases is hard to identify, however, the hernia caused by the coughs are easily identified.

4. Fractured Ribs-
As per the article published by the World Journal of Emergency Surgery in 2006, fractured ribs caused by the Chronic Coughs are among the quite common complications occurred by the coughs. It mainly occurs in the old adults and has an effect on women for the most part. Chronic Coughs majorly affect the middle ribs and increased the chances of attacking the people having low bone density.

5. Hypoxia-
The severe Persistent Coughs affect the gas exchange in the lungs and blocks the necessary amount of oxygen required by the body tissues. This condition is called the Hypoxia. Hypoxia caused by the Persistent Coughs commonly attacks infants and babies as compared to the adults. Furthermore, Whooping Coughs develop the bacteria in the body that cause the Pneumonia, which may increase the risks of getting Brain Hypoxia.

 

Other Complications of Cough
-  Headache

-  Physical exhaustion

-  Cough-induced urine leakage

-  Hoarse voice

-  Muscle uneasiness 

-  Small blood vessel injury

-  Inflammation in the throat tissues

-  Coughing up blood

How to Prevent Coughing?
-  Avoid the extreme change in the temperature, such as the sudden exposure to the Sun or moving to the air-conditioned rooms from the heat outside.

-  Avoid taking warm bath late at nights or early in the morning.

-  Avoid consuming pickles and fried foods as sour food items increase the chances of getting a cough

-  Avoid extremely cold food items, especially the cold drinks and ice creams

-  Keep the hands and body clean to get rid of the germs

-  Keep the house clean and make sure bathroom and kitchen are hygienic and germ-free

-  Avoid getting in touch with dust

-  Keep the rooms ventilated with filtered air-conditioning system

-  Keep the body hydrated and consume enough water or any other beverages

-  Avoid being in contact with infected people. Many types of coughs are contagious and transmit the bacteria very quickly.

-  Have proper sleep

-  Avoid consuming alcohol and smoking

Cough Diagnosis-
The doctor starts the diagnosis procedure with examining the throat and test out if the infection persists. Further analysis includes listening to the sound of coughs and enquiring about the symptoms the patient is having. If the patient has a bacterial infection that causes coughs, the doctor will recommend some oral antibiotics.

Cough Treatment-
Generally, there is no need to have intense treatment for mild and Acute Coughs as it usually does not harm the body severely at the initial stages. Such mild coughs can be treated at some by consuming fluids and keeping the body hydrated. Taking painkillers such as Paracetamol or Ibuprofen will also work. However, if the coughs persist for weeks and becoming rigorous day by day, a medical care is required immediately.

 

Home Remedies for Cough-

1.Treatment of Cough by Honey-
Honey is being used to cure the coughs since the centuries now and is considered as one of the most effective remedies for coughs. Having honey with warm tea, warm lemon water or even with the grape juice helps soothe a sore throat. Drinking honey alone is also quite effective as it coats the throat and lessens the irritation caused by the infection.

(Note: Do not give honey to infants and babies under the age of one year as it contains the bacterium called Clostridium Botulinum, which may increase the risks of infant botulism).

2. Treatment of Cough by Herbal Tea-
Drinking a couple of cups tea helps tame coughs as fluids soothe the throat and reduces the infection. One of the best parts of having tea is one can experiment the drink with several herbs and spices such as gingercardamomcinnamon, honey, and clove etc. Further, adding turmeric, marshmallow root, or liquorice root is a scientifically proven treatment to cure coughs.

3. Treatment of Cough by Steam Inhalation-
One of the great ways to treat Chronic Coughs includes inhaling the steam. It helps reduce the amount of mucus and phlegm stored in the lungs and helps hydrate the airways, thus, providing relief in a cough and cold. Using eucalyptus oil while inhaling steam proves to be quite helpful in reducing the mucus.

4. Treatment of Cough by Warm Water-
Water, as always, is the best remedy to cure both Acute and Chronic Coughs. While gargling with salted water helps cure the swollen throat tissues, adding lemon, honey and eucalyptus leaves in the warm water helps reduce the soreness in the throat.

5. Treatment of Cough by Peppermint Leaves-
Peppermint has the menthol possessions that reduce the congestion produced by the mucus and helps soothe the throat from infection. Peppermint’s antibacterial properties help relax the muscles that cause fever and sore throat. Drinking peppermint tea with honey is also a proven remedy that is often used to cure Wet Cough.

(Note: Avoid giving peppermint to infants as it can cause burning mouth and tongue.)

6. Treatment of Cough by Lemon-
Lemon is also an effective remedy to calm the soaring throat caused by the infection. Lemon has the Antioxidants and Vitamin C that helps stimulate saliva and reduce the throat irritation. Cut a lemon in half and sprinkle black pepper and salt on it. Squeeze it in the mouth and slurp it to get an instant relief. Drinking lemon juice with added honey in it is also quite helpful to cure coughs.

7. Treatment of Cough by Garlic
Garlic possesses antibacterial and antimicrobial properties that help restore the Upper Respiratory Tract from throat infections. Boil a cup of water and add garlic, two to three cloves and one teaspoon honey and mix in properly. Wait for 5 to 10 minutes and let it cool to a room temperature. Once its temperature gets down, drink it.

8. Treatment of Cough by Almonds
Almond is believed to have the nutritional properties that help relieve bronchial problems. Soak few almonds in the water at night and make a smooth paste of it in the morning. Add teaspoon butter or sip it with the orange juice. Repeat this activity for a couple of days to remove the symptoms of coughs.

Sesame Seeds - Be Hearty Healthy!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Sesame Seeds - Be Hearty Healthy!

Sesame Seeds - Be Hearty Healthy!

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Asthma - All About It!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Asthma - All About It!

Asthma
The word "asthma" originates from the Greek word, ásthma that means, "panting.” Asthma is a medical condition in which the airways swells and produces extra mucus that can make breathing difficult. Because of the inflammation and the extra mucus, it can trigger shortness of breath and wheeze or coughing.

Documented as early as Ancient Egypt, Asthma can be either a minor nuisance or life-threatening. In asthma, the inside walls of the airways get inflamed so that lesser air can pass through them from and to the lungs making breathing a difficult exercise. This swelling can also make the airways really sensitive and increase a person’s susceptibility to allergic reactions.

Asthma has been on the rise significantly since the 1960s and now according to WHO estimate, around 300 million people suffer from asthma worldwide. In fact Asthma is one of the most common chronic childhood illness.

Symptoms of Asthma-
The symptoms of asthma vary. But what most people with asthma have in common is the extreme airway sensitivity because of triggered airway inflammation. Some people have frequent asthma attacks, some people experience asthma only during certain times, some people have it all the time and some people only experience it infrequently.

Common asthma signs and symptoms include:
-  Wheezing or coughing

-  Shallow breathing

-  Breathlessness

-  Chest pain

-  Throat infection

-  Faster heart rate

-  Trouble in sleeping

-  Difficulty in speaking

Types of Asthma-
Normally people suffering from an asthma attack tend to have a whistling or wheezing sound when exhaling. There are different types of asthma. Some of the most common types of asthma are: 

1. Exercise-induced asthma 
Also called exercise-induced bronchoconstriction, this type of asthma is induced by strenuous exercises and can cause symptoms like coughing, wheezing, shortness or breath and other symptoms. These symptoms may worsen when the air is dry and cold and usually get triggered during or after an exercise.

2. Occupational asthma 
As the name suggests, occupational asthma is triggered by breathing in certain chemical fumes, dust, gases, or other kinds of exposure to allergens at the workplace.

3. Allergy-induced asthma 
Allergy-induced asthma is the most common type of asthma, which is triggered by common airborne allergens like pollen, mold spores, dust mites, or particles of skin.

What Are Causes of Asthma?
Although the causes are not particularly clear and anyone can get asthma at any age, it is more common childhood ailment. The studies are still underway to prove a clear asthma cause but according to the researches this disease is believed to be caused by a blend of genetic and environmental factors. Genomics, which is the study of how a person’s genes interrelate with environmental factors, may be the key to understanding why certain people are more prone to asthma than others.

Asthma Triggers-
Asthma triggers can differ from person to person and the key is to know what irritants trigger your asthma to ensure minimized exposure to it. Some generic asthma signs and symptoms can include:

-  Cold air

-  Exercise and other physical activities

-  Common cold and other respiratory infections

-  Stress

-  Airborne substances like pollen, mold spores, pet dander, cockroach waste, dust mites, etc.

-  Airborne substances, such as pollen, dust mites, mold spores, pet dander

-  Certain chemicals and air pollutants (smoke)

-  Certain preservatives (added to food and beverages)

-  Gastroesophageal reflux disease (GERD)

-  Certain medicines like aspirin, ibuprofen, etc.

Risk factors-
There are several risk factors that can increase your chances of developing asthma including:

-  Genetics. Having a family especially a blood relative suffering from asthma

-  Having other allergic condition (hay fever)

-  Smoking

-  Exposure to secondary smoking

-  Obesity (people who are overweight are at a greater risk of developing asthma)

-  Exposure to increasing amount of smoke or other pollutants

-  Occupational triggers

-  Stress and anxiety

Diagnosis of Asthma-
Even though it is a common childhood disease, it doesn’t mean, as an adult one cannot develop it. If a person is feeling any of the symptoms whether a child or an adult, it is always a good idea to get checked to know for sure if you have asthma. Asthma symptoms can come and go since it is a ‘variable’ disease.

It is also important to not do self-diagnosis, as some symptoms, which may look like asthma triggers, may not be actually asthma-like persistent cough caused by other diseases like certain heart diseases and chronic obstructive pulmonary disease (COPD).

Effective diagnosis of Asthma depends upon its classification. There are four different classifications of Asthma:

Classification of Asthma
-  Mild intermittent – It is a mild case of asthma if the symptoms last only for up to two days a week, symptoms flaring up mainly at night and asthma lasting not more than two nights in a month.

-  Mild persistent – Mild persistent asthma is when the symptoms can occur twice in a week but not more than one episode per day.

-  Moderate persistent – This happens when a person experiences symptoms once a day and in excess of one night a week.

-  Severe persistent - Symptoms can last throughout the day and frequently at night on most days.

Diagnosis of Asthma
1. Physical test

The doctor would want to rule out other possible condition through a physical exam to get to know the signs and symptoms.

Some lung function tests can help in determining how the lung in functioning in a person.

2. Spirometry
One of the most common pulmonary function tests, spirometry measures lung function by checking the amount of air a person can inhale and exhale after deep breaths.

3. Peak flow
The peak expiratory flow is a pulmonary device that can measure the maximum speed one can breathe out. If the readings are low, it may be a sign that the person’s lungs are not working properly and could be a potential sign of asthma.

These tests can be done with a medicine called as bronchodilator (albuterol) to check if the lung functions better with the medication. If the test gets better after the use of bronchodilator, then it is highly likely for a person to suffer from asthma

Additional tests and Diagnosis For Asthma
Other tests that may be required to diagnose asthma include:

1. Methacholine challenge-
Methacholine is considered an asthma trigger and so when it is inhaled it can cause mild constriction of the airways. Most people who have asthma are likely to react to methacholine. Doctor could use this test to determine whether you have asthma.

2. Imaging tests-
Certain imaging tests like x-rays and CT scan can help in identifying certain abnormalities that might be causing breathing issues.

3. Allergy testing-
Most allergy tests can help in identifying allergy to triggers like pollen, dust, etc.

4. Sputum eosinophils-
This test can help in identifying the while blood cells in the mucus to see if asthma is present or not.

5. Nitric oxide test-
For people whose airways are inflamed, they may have higher nitric oxide level than normal which may be able to help in identifying whether the person is suffering from asthma or not.

7. Provocative testing for exercise and cold-induced asthma-
As the name suggests, in this a person is made to perform vigorous physical activities in a controlled environment to check for the triggers.

Treatment of Asthma-
Although there is no known cure available for asthma and it is generally a life-long condition, treatment can control asthma symptoms so a person can lead a normal life. Also when it comes to asthma, there is no one-size fit all treatment methodology. The idea is to understand the triggers that worsen your symptoms, taking steps to avoid them and taking the medication on time to keep asthma in check.

1. Inhalers 
Inhalers are medical devices, which are used for supplying medication into the body through the lungs. There are three types of inhalers. These are:

-  Reliever Inhalers: These inhalers are used for the purpose of relieving symptoms at the time of asthma attack. Normally reliever inhalers don’t have many side effects, in some people they may increase heart beat and induce shaking. 

-  Preventive Inhalers: True to their name, this types of inhalers are used to stop the symptoms from developing.

-  Combination Inhalers: If either of these kinds of inhalers doesn’t work for a person, they would need an inhaler that would both relieve the attack and prevent it from happening again.

2. Tablets -
If inhalers don’t work to control the symptoms, one may also use tablets.

Leukotriene receptor antagonists (LTRAs) 
LTRAs are the oral tablets prescribed for asthma and are also available in syrup and powder forms. It can be taken every day without many side effects. However, some people may experience some side effects including headaches and stomach pain.

  • Theophylline

If LTRAs tablets cannot be prescribed for some reasons or is not working, doctors may also prescribe Theophylline. It should be taken every day.

  • Steroid tablets-

Steroid tablets are given to give relief from an asthma attack. Long-term usage of steroid tablets for is not recommended unless a person is suffering from severe asthma and if inhalers aren’t handy controlling the symptoms. Some possible side effects of using steroid tablets for long-term are mood swings, fragile bones, high blood pressure, etc.

 

Other treatments for Asthma
Other treatments like surgery or injections may be required in case other treatments don’t work for a person.

Injections 
For certain people with severe asthma, some injections like omalizumab, mepolizumab, or reslizumab may be able control the symptoms. For some severe asthma patients, injections are prescribed every few weeks in order to control the symptoms. However, these injections should be taken only under the prescription from an asthma specialist, as these injections may are not advisable for every asthma patient.

Surgery 
For some people for whom treatments like inhalers, tablets, and injections don’t work or in certain cases cannot be administered, a surgical procedure called bronchial thermoplasty can be used. In this treatment, a flexible thin tube is passed down the throat into the lungs and heat is used to warm up muscles surrounding the air controlling nerves to stop causing asthma-like symptoms.

However, this process is fairly new and so much research has not been done on its long-term relief.

Complementary therapies 
There are many complementary therapies that can help ease the symptoms, prevent asthma from happening, and help strengthen the lungs and the airway muscles. However, before incorporating any of these therapies in your lifestyle, it is always best to check with your asthma specialist first. These therapies include

Certain breathing exercises including yoga
-  Alternative medicines like homeopathy, chiropractic, and Ayurveda

-  Dietary supplements

-  Acupuncture

-  Certain traditional Chinese medicine

-  Ionizers

Common Myths About Asthma
Myth #1:
 Asthma is a psychological disease

One of the biggest beliefs that many people have is that asthma is psychological and thus they don’t believe in getting medical help. Since asthma affects the airways it is to be noted that is not psychological as it causes the immune system and the lungs to behave erratically when it comes to certain triggers.

Myth #2: Asthma medications lose their effectiveness over time

Asthma meds don’t lose their effectiveness over time and can be used for long-term if the right doses are taken as directed.

Myth #3: People with asthma should avoid physical activity

Although strenuous exercises can sometimes induce asthma, simple exercises can keep a person fit and healthy and help them lead a normal life.

Myth #4: You can outgrow asthma

Some asthma symptoms may improve over time. People also learn how to deal with asthma better as they age since they know what triggers it and what doesn’t. However, there is no outgrowing asthma because it is a lifelong condition.

Myth #5: Asthma Is Easy to Control

Asthma can be easy or difficult to control depends on the kind of asthma a person is suffering from and the triggers. Although even in mild form of asthma, the treatment is required to give the necessary relief to a person to reduce flares and maintain proper lung functions.

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