Treatment of Migraine Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Treatment of H.I.V
Treatment of Joint And Muscle Problems
Liver Problems Treatment
Hiv Prophylaxis Post Exposure
Irritable Bowel Syndrome (Ibs) Treatment
Viral Fever Treatment
Management of Surrogacy
Treatment for Constipation Treatment
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Stress is the reaction people have to excessive pressures or other types of demand placed upon them. It arises when they worry and can no more cope up. Stress is the “wear and tear” our minds and bodies experience as we attempt to cope with our continually changing environment.
How do you know you are stressed?
Physical symptoms: Fatigue, headache, insomnia, muscle ache, stiffness (especially neck, shoulders.
Rekha is 32 years old, she has a succesful career, a lovable husband and two wonderful kids. She has a few helpful friends and a supportive family. She also got promoted at work 6 months ago. Yet for the past few months she has been finding it a little difficult to fall asleep at night, she dreads daybreak and wished she could sleep for a bit more time. She fights through the tiredness as everything she once enjoyed seems grey and non rewarding. She stopped following her favorite tv show and hasn’t been talking to her friends as much. She has been unable to focus on work and it takes her longer than usual to complete her tasks. The food she once loved seems drab and unappealing. There is no more color to festivals and functions, and smiling becomes an effort. She worried about the future and feels helpless as her life spirals down a eternal dark staircase.
Rekhas husband has noticed this and is supportive as he can be, telling her that she needs to snap out of whatever that she is going through. Not that she wouldnt want to snap out of it. People around her have been trying to cheer her up, suggesting everything that they feel would make her feel better! But no, the shadow of depression follows her around and makes her feel that her life is not worth living anymore.
What are the numbers ?
Depression is difficult, depression is dark and depression is dangerous. Studies have reported numbers ranging from 1 in 10 to 1 in 30. An article in the Indian express on feb 15,2016 was titled “with 36% of India depressed, we must end the taboo around mental health”
Depression was reported to be higher in females, in the age-group of 40-49 years and among those residing in urban metros. Equally high rates were reported among the elderly.Depression and suicides are closely linked, with upto 15% of depressed individuals attempting suicide. With around a lakh and 30000 people ending their lives by suicide every year, and atleast 10 times as much attempting suicide, this 15 percent starts looking like a very large number.
What causes depression
Contrary to popular belief, depression does not necessarily stem from a weakness in one's "mind" or from ones poor ability to cope with the stressors of life. This Depression like every other illness stems from complex interactions between biological, psychological and social factors. Like one cannot "think away" a fever, it is impossible to "think away" depression.
Genetic studies have demonstrated a concordance rate for mood disorders in identical twins of 70 to 90 percent. Implying a strong role of inherited factors in depressive illness. Alterations in hormonal regulation and sleep architecture can also lead to depression.
At the base of the illness there are abnormalities at the synaptic level in the neuronal networks in the pre-frontal cortex (a region in the brain). The pre-frontal cortex holds and processes information in regard to ones personality, memory, decision making, motivation and complex cognitive tasks. These processes are encoded in the form of synapses or interneuronal connections. The neurons communicate via electrochemical processes called neurotransmission. Current knowledge implicates a imbalance in serotonin, dopamine and noradrenaline (neurotransmitters) and or an abnormal number of their receptors in the synapses in causing depression. Most anti depressants increase serotonin concentrations at the synaptic level so as to improve mood and cognition.
Low levels of serotonin have also been observed in those who attempt suicide.
What are the symptoms of depression? How is it diagnosed ?
Symptoms of depression include persistent low mood, easy fatiguability and a lack of interest in things that were previously pleasurable. Physical symptoms such as changes in sleep patterns, changes in appetite and weight and decreased interest in sex may also occur. Further a loss of self confidence, undue feelings of guilt, emotional lability and thoughts about self harm are also common.
The safest thing to do, if one is experiencing such symtoms is to seek professional help.
The Psychiatrist or Psychologist will be able to make a diagnosis based of Criteria set forth by the world health organization. They may suggest laboratory investigations to rule out physical illnesses such as anemia and thyroid dysfunction that mimic depression and will offer appropriate treatment measures.
Depression tends to occur in episodes with each episode lasting from 6 months to two years with an average of 8 months. Untreated depression tends to leave behind residual symptoms that include fatigue, anhedonia, long lasting sleep disturbances, poor productivity and a propensity to recur. 60% of those who develop a depressive episode, develop another Thus earlier and effective treatment will improve prognosis and will decrease the long term morbidity.
Effective treatment strategies are available for the management of depression. Based on the severity of illness and the nature of symptoms, you health care provider may prescribe either behavioral changes, psychotherapy or biological therapy. You do not have to go at it alone. Help is available for all those who seek it !
Depression is nothing to be afraid of, and certainly nothing to be guilty or ashamed of. With the right intervention from qualified experts, depression can be managed effectively.
You can find a lot more information about mental health and mental illness at our stigma breaking.
Talking about the pros first:
1) Ketogenic diet known to control seizures:
From biblical times, it was known that fasting controls seizures. In a study conducted, it was found that 54% of the patients had complete control over seizures and 26% showed a marked decrease in seizures while on a ketogenic diet.
2) Ketosis helps in weight loss:
In one study of over 400 individuals over a period of a year, it was found that low-carbs diet was as effective as low-fat diets in weight loss. In the short term of six months, the individuals on a low carb diet had even lost on a average of 3.3 kgs greater than those on a low fat diet.
Thus, the low carb diet seems to be a good option for weight loss in the short term.
3) For the diabetes and prediabetes treatment:
As discussed before, the ketogenic diet reduces the blood sugar and thus it is an effective option in treatment and control of diabetes.
From one study on type 2 diabetes patients, after following a low-carbs diet, it was found that the insulin sensitivity improved by about 75%.
In another study the patients even reduced or discontinued their diabetes medication. They found that their glucose came under control after following the low carb ketogenic diet.
4) The ketogenic diet protects the brain:
Most of our brain can use ketones as fuel in times of starvation or low carb diet. This can take place as early as after 3 days of a starvation state.
Also, as discussed before, some children can have a condition where the glucose receptors in the brain are disrupted. Thus, getting energy from glucose might become an issue. Here they might go into seizures. Ketogenic diets bypass this mechanism and prevent this condition.
A lot of research also has given rise to possibility of treatment of alzheimer’s and dementia, by inculcating a ketogenic diet.
5) Protecting the heart, to an extent:
As seen earlier, on a high carb diet, excess glucose is stored in the muscles and liver. Additional glucose is stored in the blood. High blood glucose along with inflammation has also been known to damage proteins in arterial cell walls and cause thickening. This escalates plague build up.
Low carb diet like keto diets have been known to reduce the blood glucose levels and thus protect the heart, to a certain extent. This being said, please read the cons part of this article for the full picture on this subject.
6) Prevention of certain types of cancer:
The ketogenic diet has been used in the treatment of certain types of cancer.
Ketocal, which is a new nutritionally balanced high fat/low carbohydrate ketogenic diet was used to study malignant brain tumors. It was found that, in the experimental mouse and human brain tumors, ketocal was effective against the tumors.
7) Help treat acne:
As per one study a ketose diet might even help treat acne.
Where there is good there has to be evil:
So, lets look at the cons:
1) Heart failure is severe ketogenic state:
There are two cases of sudden death due to heart failure, in children on ketogenic diets for the control of seizures. Both cases showed selenium deficiency. Thus, the hearts condition on prolonged keto diet needs to be monitored closely.
In another study, thirteen patients with congestive heart failure (chf) and cardiac patients without chf took part in a study. It was found that in a ketosis-prone state severe chf occurs.
So, basically in patients with a heart condition, the ketogenic diet should be undertaken after consultation with your doctor. Thus, it can be monitored for adverse symptoms.
2) Deficiency in macronutrients:
Now, ketosis can cause macronutrients deficiency if not monitored properly.
3) Various side effects:
When used in the treatment of children with epilepsy, it was found that the side effects include “dehydration, kidney stones and constipation”.
Other side effects that might be apparent with the ketogenic diet are too much water intake, dizziness, nausea, headaches, etc.
- The medicine cultivated in your area is always best for you.
- There are several medicine and food behaved is any disease but one should always try to use those medicines and foods which are according to their local place for suitable results.
- Like now a days people are attracted to frozen food and supplements with pesticides like in olive oil, broccoli and spirulina, ginseng etc. In places where it is not according to their climate and in this process local cultivation which is fresh and pesticides free is not used. It provides loss of time, finance and health as well.
- Search whatever you see around you explore about it and use it, for this one doesn't need to be an expert but yes suggestions online or in person can be used.
A stroke or paralysis can occur when the blood supply to that part of your brain is curtailed or drastically reduced. Due to this, the brain is deprived of the essential oxygen and the nutrients, and within a few minutes the brain cells can undergo severe damage and die. It is often treated as a medical emergency and can cause complications for life if left unattended.
With regards to a stroke, a quick and an immediate treatment can be the difference between life and death. It is very much mandatory to note the symptoms of stroke and to impart the treatment accordingly. Some of them can include:
- Trouble with speaking: Your speech pattern gets affected, and you may have trouble talking.
- Paralysis: When the oxygen is cut off, a part of the body can become numb thus rendering it lifeless.
- Headache: A severe headache may occur that can make the body go into spasm. Dizziness and unconsciousness can follow it.
- Walking and mobility: You would be unable to walk on your own, or there can be a huge difference in your walk pattern. Most of the times, you might not be having any control over your legs.
There are many risk factors associated with stroke and paralysis. The most common one is undoubtedly overweight. Physical inactivity, alcohol abuse, and drug abuse can contribute equally to the occurrence of stroke. Cholesterol levels, high blood pressure and old age may also be risk factors. Paralysis can be the biggest drawback of stroke where one part of your body can be lost to movements. You might also lose control of your face or arm, and this can affect your walking steps. This can be a life changing factor and more than medication sometimes physical therapy heals the person to an extent.
Physiotherapy for Paralysis:
You can feel helpless and frustrated, and this can lead to depression. There are many ways by which physiotherapy can help you. The therapies are made in such a way that you can try to lead a normal life without any hindrance, and this depends on the nature of the paralysis you are undergoing. In most of the cases, a person can get back at least 60% to 70% of his/her mobility back though not completely. Also, current medicines have advanced that there is a possibility to get back the movement in the paralyzed areas.
One of the major challenges you will face is to relax as the physical feeling of helplessness can hamper your thoughts in the long run. Stay relaxed and always remember that you are not alone. Take the help of a family member or a friend. Be relaxed all the time and make a determined effort with physiotherapy exercises. Avoid the lifestyle which you had before and embark on a healthier lifestyle and make sure you watch your diet at all times. Try to indulge in your favorite pass time and over a period start your daily chores without the help of an aid. You can undergo the physiotherapy exercises for life as they can be positive even after the condition subsidies.
How to prepare for an appendectomy
Appendectomy is the medical term for the surgery that is performed to remove the inflamed appendix (a condition that is known as appendicitis). This surgical treatment is mostly performed on an emergency basis.
But before you move on to know how to prepare for the surgery, it's important why it is important to get a surgery for appendicitis done?
What exactly is appendicitis?
Appendicitis is a medical condition in which the appendix (that is the worm-shaped projection which arises out of the beginning of the colon) gets inflamed.
The major cause of appendicitis is that the tissues of the appendix become infected with bacterial action that results in the formation of pus in the lumen (opening) of the appendix. Factors that can trigger bacterial infection are a hard stool, attack by a foreign body, and accumulation of thick mucus in the appendix tissues among others.
Appendicitis results in aching and acute pain in the abdominal region of the affected person. In many people, it is accompanied by complications like vomiting, nausea, fever, loss of appetite, constipation, abdominal swelling etc. In more severe cases, it is accompanied by diarrhoea.
Appendicitis usually requires an emergency surgery. However, there are some things you need to do before going for the surgery.
Preparations to undertake before surgery
In most cases, appendectomy is an emergency surgery so there are hardly any preparations that a patient can make. The most common preparatory measure that your surgeon may prescribe includes not eating anything up till a few hours before the surgery. Apart from that, certain medications may be prescribed to eliminate or at best reduce the symptoms of nausea and vomiting. There are no other preparations as such that you can undertake before appendectomy.
The recovery time is subjective as it depends on the type of procedure used for the surgery, the type of anaesthesia and the various complications associated with your condition. In general cases, the patients can recover within 12 hours of the surgery. However, it takes approximately 4-6 weeks for a person to resume a normal lifestyle after an appendectomy.
Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.
Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.
Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.
Prepare for blood loss: Most people experience some blood loss, but not excessive.
Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.
Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).
Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.
Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.
Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.
After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.
Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail
Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.
Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.
Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.
Smoking and alcohol should be completely stopped, as healing can be hampered.
With some preparation, spinal surgery can be sailed through smoothly.
A heart transplant is an operation in which a failing, diseased heart is replaced with a healthier, donor heart. Heart transplant is a treatment that's usually reserved for people who have tried medications or other surgeries, but their conditions haven't sufficiently improved.
While a heart transplant is a major operation, your chance of survival is good, with appropriate follow-up care.
When faced with a decision about having a heart transplant, know what to expect of the heart transplant process, the surgery itself, potential risks and follow-up care.
Why it's done
Heart transplants are performed when other treatments for heart problems haven't worked, leading to heart failure. In adults, heart failure can be caused by several conditions, including:
- A weakening of the heart muscle (cardiomyopathy)
- Coronary artery disease
- Heart valve disease
- A heart problem you're born with (congenital heart defect)
- Dangerous recurring abnormal heart rhythms (ventricular arrhythmias) not controlled by other treatments
- Failure of a previous heart transplant
- In children, heart failure is most often caused by either a congenital heart defect or a cardiomyopathy.
Another organ transplant may be performed at the same time as a heart transplant (multiorgan transplant) in people with certain conditions at select medical centers. Multiorgan transplants include:
- Heart-kidney transplant. This procedure may be an option for some people with kidney failure in addition to heart failure.
- Heart-liver transplant. This procedure may be an option for people with certain liver and heart conditions.
- Heart-lung transplant. Rarely, doctors may suggest this procedure for some people with severe lung and heart diseases, if the conditions aren't able to be treated by only a heart transplant or lung transplant.
Factors that may affect your eligibility for a heart transplant
A heart transplant isn't the right treatment for everyone. Certain factors may mean you're not a good candidate for a heart transplant. While each case is considered individually by a transplant center, a heart transplant may not be appropriate if you:
- Are an advanced age that would interfere with the ability to recover from transplant surgery
- Have another medical condition that could shorten your life, regardless of receiving a donor heart, such as a serious kidney, liver or lung disease
- Have an active infection
- Have a recent personal medical history of cancer
- Are unwilling or unable to make lifestyle changes necessary to keep your donor heart healthy, such as not drinking alcohol or not smoking
What happens after the transplant?
Most people leave hospital within about four weeks of the operation, but depending on your condition, you may need to stay in hospital for longer.
In the first few months after your surgery you will need to spend a lot of time visiting the hospital – you might even need to stay near the transplant centre. Your transplant team will talk to you about practical arrangements for after your surgery.
Although you will be weak after the operation, recovery can be very quick. It is important to build up your level of activity gradually. You should avoid activities involving lifting and pushing until your breastbone is fully healed, which can take up to three or four months.
Once you feel fit and able, you can start doing things like light vacuuming or light gardening.