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Overview

Anti Cc Plus Syrup

Anti Cc Plus Syrup

Manufacturer: Embiotic Laboratories Pvt Ltd
Medicine composition: Chlorpheniramine, Phenylephrine, Paracetamol, Sodium Citrate
Prescription vs.OTC: Prescription by Doctor required

Anti Cc Plus Syrup is an antihistamine which works by blocking the action of histamine in the body. It is used for relieving symptoms of sinus pressure, sinus congestion, runny nose, itching of the throat and nose, watery eyes, and sneezing due to upper respiratory infections, hay fever and allergies.

You are advised to not use this medicine if you are allergic to it or if you are taking or have taken sodium oxybate, furazolidone or a monoamine oxidase inhibitor within the last 14 days. Before using this drug, inform your doctor if you have breathing problems, glaucoma, heart problems, liver disease, high blood pressure, seizures, overactive thyroid, stomach problems or urination problems.

Some adverse effects include dizziness, confusion, anxiety, constipation, nausea, restlessness, blurred vision, dry mouth, decreased coordination, irritability, shallow breathing, hallucinations, tinnitus, problems with memory or concentration and trouble urinating.

You can take this drug in the form of a tablet, capsule, or liquid form by mouth with or without food. This medicine is usually recommended only for a short time until your symptoms are cleared. Do not take it for longer than 7 days in a row.

In addition to its intended effect, Anti Cc Plus Syrup may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Nausea
Vomiting
Headache
Palpitations
Increased blood pressure
Increased heart rate
Heart beat irregular.
Is It safe with alcohol?
Kufma dr syrup may cause excessive drowsiness and calmness with alcohol.
Are there any pregnancy warnings?
Kufma dr syrup may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
Caution is advised when driving or operating machinery.
Does this affect kidney function?
contraindicated in patients with moderate to severe renal impairment
Caution to be advised in patients with severe impaired renal function.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Anti Cc Plus Syrup, and hence can be used as its substitute.
Wallace Pharmaceuticals Pvt Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.

Popular Questions & Answers

Sir, I have a problem of nightfall. It occurs 2 to 3 times in a month. How can I fix this problem.

MBBS
Sexologist, Panchkula
Sir, I have a problem of nightfall. It occurs 2 to 3 times in a month. How can I fix this problem.
You have night fall problem, 2 to 3 times in a month. I advise you to take vegetarian diet. Take plenty of water daily. Do meditation for mental strength daily. Take light dinner always and don't take milk and milk products at night. Always remember, thinking about sex is anti sex and is harmful for future married life. For better guidance and natural, safe and permanent treatment of your problem, consult me.
3 people found this helpful

My mother is 43 years old and she has diabetes. Because of diabetes she has lost some weights but when she tries to gain some weight her diabetes increase. She also doesn't get enough sleep at night. She doesn't feel sleepy. Please how can she put on weight without increasing her diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is 43 years old and she has diabetes. Because of diabetes she has lost some weights but when she tries to g...
lybrate-userji, Thanks for the query. Weight loss in a diabetes patient occurs when blood glucose is uncontrolled and there is excess glucose lost through urine. Hence, primary need is to achieve a strict blood glucose control with fasting < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Once having achieved this then the efforts to add some weight can be successful. Since there are no details given like weight, height, fasting, PP glucose levels, dietary pattern and extent of daily exercise and drugs with dosage, no specific suggestions can be made. Thanks.
2 people found this helpful

I am having the problem of dandruff. Can you suggest some thing to get rid of it.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
I am having the problem of dandruff. Can you suggest some thing to get rid of it.
Hi Lybrate user you can take homoeopathic medecine &sampoo for stop dandruff, silicea 200 2 drops to be taken every morning in empty stomach with half cup water, Arnica hair anti dandruff sampoo & conditioner you use medecine report me after 15 days to take medecine then stop. If you need you can consult with me privately, Take care.

I am loosing my hair please help me about this I tried all types shampoos but no response.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am loosing my hair please help me about this
I tried all types shampoos but no response.
Hi lybrate-user, Thanku for writing into Lybrate. The exact cause of hair loss may not be fully understood, but it's usually related to one or more of the following factors: 1.Family history (heredity) 2.Hormonal changes 3.Medical conditions 4.Medications 5.Life style Medication:- 1.Regukar oiling with sukesham oil, Guduchi pharmacy helps a lot to reduce hairfall within 21 days. 2.Preferably use guduchi anti hairfall shampoo, blot you hair with towel n donot rub. 3.Apply hairmask Sanjanana powder mixed with buttermilk weekly once helps a lot. 4.Cap Keshya, 1 cap twice a day after food for 1 month. Tips:- 1.Wash hair regularly with lukewarm to cold water to keep the scalp clean and healthy 2. Avoid combing hair when wet since it is prone to breakage at such time.

Whst to do if hair is nourishing? And my hair is always fall whenever I wash my hair.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Whst to do if hair is nourishing? And my hair is always fall whenever I wash my hair.
Hi lybrate-user, Thanku for choosing Lybrate. Thanku for choosing Lybrate. The exact cause of hair loss may not be fully understood, but it's usually related to one or more of the following factors: 1.Family history (heredity) 2.Hormonal changes 3.Medical conditions 4.Medications 5.Life style Medication:- 1.Regukar oiling with sukesham oil, Guduchi pharmacy helps a lot to reduce hairfall within 21 days. 2.Preferably use guduchi anti hairfall shampoo, blot you hair with towel n donot rub. 3.Apply hairmask Sanjanana powder mixed with buttermilk weekly once helps a lot. 4.Cap Keshya, 1 cap twice a day after food for 1 month. Tips:- 1.Wash hair regularly with lukewarm to cold water to keep the scalp clean and healthy 2. Avoid combing hair when wet since it is prone to breakage at such time.
1 person found this helpful

Popular Health Tips

Health Benefits Of Bitter Gourd (Kerala)

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Health Benefits Of Bitter Gourd (Kerala)

Bitter gourd juice contains a train of important nutrients ranging from iron, magnesium and vitamin to potassium and vitamin C. An excellent source of dietary fiber, it also contains twice the calcium of spinach, beta-carotene of broccoli, and the potassium of a banana. to reduce the bitterness of the drink iadd some honey or jaggery to it or pair it with sweet fruits like apple or pears. You can even add lemon juice to lessen the harsh taste of bitter melon juice. A pinch of black pepper and ginger can also decrease the tartness.

  1. Karela Helps in Maintaining Blood Sugar Levels-Bitter gourd contains an insulin-like compound called Polypeptide-p or p-insulin which has been shown to control diabetes naturally. if you  consume bitter melon juice daily , consult a doctor before doing so.

2. Karela Lowers Bad Cholesterol Levels-“Bitter gourd juice is anti-inflammatory and also helps in lowering the bad cholesterol levels in the body. Thereby, it significantly reduces the risk of heart attack and stroke.” It also maintains the blood pressure of the body as it is rich in potassium, which absorbs excessive sodium in the body. It is rich in iron and folic acid which are known to decrease the risk of stroke and keep your heart healthy.

3.Karela is Good for Glowing Skin and Lustrous Hair-It is powerful anti-oxidants along with vitamin A and C which prevent premature skin ageing and diminishes wrinkles. Furthermore, it reduces acne, aids in treating eczema and psoriasis, as well as protects the skin from the harmful UV rays.The nutrients vitamin A, vitamin C, Biotin and Zinc impart shine and lustre to your hair . Applying bitter gourd juice regularly to your scalp can decrease hair loss and greying of hair, treat split-ends and rough hair, shrug off dandruff, and combat itchiness. You can apply bitter gourd juice directly to stop hair fall or mix it with some curd and massage on your scalp and hair for conditioning.

4. Karela Cures Hangovers and Cleanses the Liver-Bitter gourd juice swiftly wipes out alcoholic intoxication settled in your liver.

5. Karela Helps in Weight Loss-Bitter gourd is low in calories, fat and carbohydrates. It keeps you full for longer and hence, it can easily fit in your weight loss plan.

6. Karela Boosts Your Immune System-Bitter gourd fights viruses and bacteria and strengthens your immunity. It prevents allergies and indigestion. The antioxidants work as powerful defense mechanisms against illness and also help fight free-radical damage .

7. Good  for Eyes-it helps in preventing vision-related problems such as cataract since it has compounds like beta-carotene.

1 person found this helpful

Know About Tuberculosis

MD(Am)
General Physician, Secunderabad

Definition

Tb is a disease which in humans is usually caused by bacteria called mycobacterium tuberculosis (m. Tuberculosis). Tb is an abbreviation of the word tuberculosis and is how people often refer to the disease.

Bovine tb is a disease caused by similar bacteria called mycobacterium bovis (m. Bovis). Bovine tb mainly affects cattle but can also affect humans.

Just a few years ago it was believed that tb was an old disease, and that it was no longer a problem in humans. But now because of such issues as drug resistance and hiv, it has become a major problem again.

?History

  • On march 24, 1882, Dr. Robert koch announced the discovery of mycobacterium tuberculosis, the bacteria that cause tuberculosis (tb). During this time, tb killed one out of every seven people living in the united states and europe. Dr. Koch’s discovery was the most important step taken toward the control and elimination of this deadly disease.
  • In 1982, a century after Dr. Koch’s announcement, the first world tb day was sponsored by the world health organization (who) and the international union against tuberculosis and lung disease (iuatld). The event was intended to educate the public about the devastating health and economic consequences of tb, its effect on developing countries, and its continued tragic impact on global health.
  • Today, world tb day is commemorated across the globe with activities as diverse as the locations in which they are held. But more can be done to raise awareness about the effects of tb. Among infectious diseases, tb is now the leading killer of adults in the world, with 1.8 million tb-related deaths in 2015. In the united states, the overall number of tb cases increased over the previous year in 2015 after having declined yearly during 1993–2014.
  • Until tb is eliminated, world tb day won’t be a celebration. But it is a valuable opportunity to educate the public about the devastation tb can spread and how it can be stopped.

Epidemiology

Globally, more than 1 in 3 individuals is infected with tb. According to the who, there were 8.8 million incident cases of tb worldwide in 2010, with 1.1 million deaths from tb among hiv-negative persons and an additional 0.35 million deaths from hiv-associated tb. In 2009, almost 10 million children were orphaned as a result of parental deaths caused by tb.

Overall, the who noted the following:

  • The absolute number of tb cases has been falling since 2006 (rather than rising slowly, as indicated in previous global reports)
  • Tb incidence rates have been falling since 2002 (2 years earlier than previously suggested)
  • Estimates of the number of deaths from tb each year have been revised downwards
  • The 5 countries with the highest number of incident cases in 2010 were india, china, south africa, indonesia, and pakistan. India alone accounted for an estimated 26% of all tb cases worldwide, and china and india together accounted for 38%.

Types

1. Active tb

Active tb is an illness in which the tb bacteria are rapidly multiplying and invading different organs of the body. The typical symptoms of active tb variably include cough, phlegm, chest pain, weakness, weight loss, fever, chills and sweating at night. A person with active pulmonary tb disease may spread tb to others by airborne transmission of infectious particles coughed into the air.

If you are diagnosed with an active tb disease, be prepared to give a careful, detailed history of every person with whom you have had contact. Since the active form may be contagious, these people will need to be tested, as well.

Multi-drug treatment is employed to treat active tb disease. Depending on state or local public health regulations, you may be asked to take your antibiotics under the supervision of your physician or other healthcare professional. This program is called “directly observed therapy” and is designed to prevent abandonment or erratic treatment, which may result in “failure” with continued risk of transmission or acquired resistance of the bacteria to the medications, including the infamous multi-drug resistant tb (mdr-tb).

2. Miliary tb

Miliary tb is a rare form of active disease that occurs when tb bacteria find their way into the bloodstream. In this form, the bacteria quickly spread all over the body in tiny nodules and affect multiple organs at once. This form of tb can be rapidly fatal.

?Types of tb

1. Cavitary tb

Cavitary tb involves the upper lobes of the lung. The bacteria cause progressive lung destruction by forming cavities, or enlarged air spaces. This type of tb occurs in reactivation disease. The upper lobes of the lung are affected because they are highly oxygenated (an environment in which m. Tuberculosis thrives). Cavitary tb can, rarely, occur soon after primary infection.

Symptoms include productive cough, night sweats, fever, weight loss, and weakness. There may be hemoptysis (coughing up blood). Patients with cavitary tb are highly contagious. Occasionally, disease spreads into the pleural space and causes tb empyema (pus in the pleural fluid).

2. Latent tb infection

Latent tb occurs when a person has the tb bacteria within their body, but the bacteria are present in very small numbers. They are kept under control by the body’s immune system and do not cause any symptoms.

People with latent tb do not feel sick and are not infectious. They cannot pass the bacteria on to other people. In addition they will usually have a normal chest x-ray and a negative sputum test. It is often only known that someone has latent tb because they have had a test, such as the tb skin test.

Risk factors

You are at risk of tb infection if you are around people with active tb disease who are coughing, which releases bacteria into the air. The risk of infection increases for intravenous drug users, healthcare workers, and people who live or work in a homeless shelter, migrant farm camp, prison or jail, or nursing home.

Most people who are infected with the bacteria that cause tb do not develop active disease. The following factors increase the risk that latent disease will develop into active disease:

  • Infection with hiv, the virus that causes aids and weakens the immune system
  • Diabetes mellitus
  • Low body weight
  • Head or neck cancer, leukemia, or hodgkin’s disease
  • Some medical treatments, including corticosteroids or certain medications used for autoimmune or vasculitic diseases such as rheumatoid arthritis or lupus, which suppress the immune system.
  • Silicosis, a respiratory condition caused by inhaling silica dust.

Causes

The mycobacterium tuberculosis bacterium causes tb. It is spread through the air when a person with tb (whose lungs are affected) coughs, sneezes, spits, laughs, or talks.

?Causes of tuberculosis

  • Tb is contagious, but it is not easy to catch. The chances of catching tb from someone you live or work with are much higher than from a stranger. Most people with active tb who have received appropriate treatment for at least 2 weeks are no longer contagious.
  • Since antibiotics began to be used to fight tb, some strains have become resistant to drugs. Multidrug-resistant tb (mdr-tb) arises when an antibiotic fails to kill all of the bacteria, with the surviving bacteria developing resistance to that antibiotic and often others at the same time.
  • Mdr-tb is treatable and curable only with the use of very specific anti-tb drugs, which are often limited or not readily available. In 2012, around 450, 000 people developed mdr-tb.

Symptoms

Although tuberculosis (tb) is most frequently associated with symptoms involving the lungs—because the disease most often affects the lungs—it can affect any organ of the body. The disease can cause a variety of symptoms. If you have symptoms, your doctor will want to know when they began.

People with latent tb infection (an infection without active disease) have no symptoms.

The usual symptoms of tb include:

  • Fever
  • Chills
  • Night sweats
  • Cough
  • Loss of appetite
  • Weight loss
  • Blood in the sputum (phlegm)
  • Loss of energy

The symptoms may be mild and may not seem particularly worrisome to the patient. In other people, the symptoms become chronic and severe.

Other symptoms of active tb disease depend on where in the body the bacteria are growing. If active tb disease is in the lungs (pulmonary tb), the symptoms may include a bad cough, pain in the chest, and coughing up blood. If active tb is outside the lungs (for example, the kidney, spine, brain, or lymph nodes), it is called extrapulmonary tb and has other symptoms, depending on which organs are affected. For example, tuberculosis in the spine may cause back pain or stiffness.

Diagnosis and test

  • During the physical exam, your doctor will check your lymph nodes for swelling and use a stethoscope to listen carefully to the sounds your lungs make while you breathe.
  • The most commonly used diagnostic tool for tuberculosis is a simple skin test, though blood tests are becoming more commonplace. A small amount of a substance called ppd tuberculin is injected just below the skin of your inside forearm. You should feel only a slight needle prick.
  • Within 48 to 72 hours, a health care professional will check your arm for swelling at the injection site. A hard, raised red bump means you’re likely to have tb infection. The size of the bump determines whether the test results are significant.
  • If your gp suspects you may have tb, they will send you for testing. If you do have tb, it’s best to know as soon as possible. Delaying treatment makes it more likely you may develop long-term health problems and could put people close to you at risk.

Types of tb test

There are a range of tests to show if you have tb, such as a sputum test, a culture test and x-rays.

Chest x-ray

A chest x-ray can show damage in your lungs, but you might need further tests to prove you have tb, such as sputum and culture tests or scans.

Testing sputum

A lab will use a microscope to look at any sputum (phlegm) that you cough up. If there are tb germs in your sputum, you have tuberculosis of the lungs or throat (pulmonary tb). This test also helps doctors to understand how infectious you may be.

Biopsy

If it is thought that you have tb, but not in your lungs or throat, the doctor may take a biopsy to test for tb. This is a small sample of tissue or fluid taken from the area where the tb is thought to be.

Culture test

This test uses your sputum or tissue sample to grow any tb bacteria that may be there. It tells doctors how infectious you are and also whether your tb is resistant to any antibiotics. This helps ensure they put you on a combination of drugs that will cure you. As tb culture grows slowly, it may take up to eight weeks to get some of the results.

Treatment and medications

Treatment for active tb

If you have this form of the disease, you’ll need to take a number of antibiotics for 6 to 9 months. These four medications are most commonly used to treat it:

  • Ethambutol
  • Isoniazid
  • Pyrazinamide
  • Rifampin

Your doctor may order a test that shows which antibiotics will kill the tb strain. Based on the results, you’ll take three or four medications for 2 months. Afterward, you’ll take two medications for 4 to 7 months.

You’ll probably start to feel better after a few weeks of treatment. But only a doctor can tell you if you’re still contagious. If you’re not, you may be able to go back to your daily routine.

Treatment of latent tb

The treatment of latent tb is considered by many people to be an important part of tb prevention.

It is not recommended that everyone with latent tb infection (ltbi) should have tb treatment. Rather it is recommended that certain “target” groups should receive treatment. The main “target” groups considered by the world health organisation (who) to be most at risk from progressing from latent to active tb include people in low tb burden countries:

  • Who have had recent contact with an infectious patient;
  • With silicosis (there is more about tb &amp; mining);
  • Infected with both tb and hiv;
  • Who have been or who are in prison;
  • Who are immigrants to a low burden country from a high burden country;
  • Who are homeless;
  • Who are an illicit drug user;

Who have certain clinical conditions, or conditions which compromise their immune system, such as people with diabetes, and people with chronic renal failure.

In high tb burden countries the populations that are most strongly recommended for the treatment of latent tb infection are people living with hiv, and children under five who are household contacts of pulmonary tb cases.

Treatment for miliary tb

  • Antibiotics
  • Corticosteroids
  • Sometimes surgery
  • Generally, treatment of miliary tuberculosis is similar to thetreatment of pulmonary tuberculosis.
  • Antibiotics are given usually given for 6 to 9 months, unless the meninges are affected. Then antibiotics are given for 9 to 12 months.
  • Corticosteroids may help if the pericardium or meninges are affected.
  • Tuberculosis bacteria can easily develop resistance to antibiotics, particularly when people do not take the drugs regularly or for as long as they are supposed to.
  • Surgery is needed for some complications of military tuberculosis.

Prevention

If you test positive for latent tb infection, your doctor may advise you to take medications to reduce your risk of developing active tuberculosis. The only type of tuberculosis that is contagious is the active variety, when it affects the lungs. So if you can prevent your latent tuberculosis from becoming active, you won’t transmit tuberculosis to anyone else.

Protect your family and friends

  • If you have active tb, keep your germs to yourself. It generally takes a few weeks of treatment with tb medications before you’re not contagious anymore. Follow these tips to help keep your friends and family from getting sick:
  • Stay home. Don’t go to work or school or sleep in a room with other people during the first few weeks of treatment for active tuberculosis.
  • Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn’t move. If it’s not too cold outdoors, open the windows and use a fan to blow indoor air outside.
  • Cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.
  • Wear a mask. Wearing a surgical mask when you’re around other people during the first three weeks of treatment may help lessen the risk of transmission.
  • Finish your entire course of medication
  • This is the most important step you can take to protect yourself and others from tuberculosis. When you stop treatment early or skip doses, tb bacteria have a chance to develop mutations that allow them to survive the most potent tb drugs. The resulting drug-resistant strains are much more deadly and difficult to treat.

Vaccinations

In countries where tuberculosis is more common, infants often are vaccinated with bacillus calmette-guerin (bcg) vaccine because it can prevent severe tuberculosis in children. The bcg vaccine isn’t recommended for general use in the united states because it isn’t very effective in adults. Dozens of new tb vaccines are in various stages of development and testing.

1 person found this helpful

Spondyloarthritis

MD(Am)
General Physician, Secunderabad
Spondyloarthritis

Spondyloarthritis (also known as spondyloarthropathy) is the term which describes the connective tissue diseases. It is the group of inflammatory diseases, including arthritis of the peripheral joints and spine (sacroiliitis or spondylitis); including the area where ligaments and tendons attach to bones (enthesitis or enthesopathy). These diseases cause pain or stiffness in the leg or arm joints, spine, ligaments and tendons become inflamed. Skin rashes, eye, and intestinal problems may also be able to occur.?

Epidemiology

  • Spondyloarthritis is a pathology that specifically strikes young people. The symptoms most frequently start before the age of 45. It affects more males than females.
  • Predisposition to spondyloarthritis, especially spa, is determined largely by genetic factors.
  • The incidence rate is higher in populations with a higher prevalence of hla-b27.
  • Psoriatic skin lesions and colitis due to inflammatory bowel disease (ibd) have been considered as both basic, subtype-defining entities with their own genetic background (distinct from hla-b27 genotype), and as manifestations of spondyloarthritis.
  • There is a strong need to diagnose patients with spa in an earlier stage; currently, there is a delay of 5–10 years between onset of the first symptoms and diagnosis.

Types

There are five types of spondyloarthritis

Ankylosing spondylitis or bechterew disease: it is the type of arthritis that affects the spine. Symptoms include pain and stiffness in the lower back and in the neck. Spine bones fuse together and it will become rigid spine and it leads to stoope over posture.

?Psoriatic arthritis: psoriatic arthritis is the form of arthritis that affects the people who have psoriasis. Most people diagnosed with psoriasis and later diagnosed with psoriatic arthritis. It may affect any part of the body such as fingertips and spine. The main symptoms are joint pain, stiffness, and swelling.

?Psoriatic arthritis

Reactive arthritis: it occurs due to the infection by certain bacteria. Often the bacteria’s from genitals (chlamydia trachomatis) or bowel (campylobacter, salmonella, shigella, and yersinia). It usually targets your knees and joints of ankles or feet.

?Reactive arthritis

Undifferentiated arthritis: undifferentiated inflammatory arthritis does not conform to any of the recognized inflammatory arthritis types. It may include monoarthritis of a single joint; oligoarthritis, which is usually when four or fewer joints are involved; or polyarthritis, which usually involves many small joints.

Risk factors

Risk factors may be higher due to following reasons:

  • Family member having the gene which causes spondyloarthritis
  • Positive results for the hla-b27 gene
  • Recurring bacterial infection in your gut
  • Have other inflammatory conditions such as psoriasis or inflammatory bowel disease

Causes

  • The main cause is not known, but researchers pointed out that the hereditary genetics playing an important role in this disease. Since this disease occurs often in family members of patients who have spondyloarthritis.
  • Many genes cause it. Up to 30 genes have been found. But the major gene that causes spondyloarthritis is hla-b27.
  • Bacterial infections can also cause reactive spondyloarthritis known to be triggered by a bacteria chlamydia or food borne infections.

Symptoms and complications of spondyloarthritis

The first and major symptoms of all types of spondyloarthritis are severe low back pain, swelling of arms, stiffness, and fatigue. The different types of spondyloarthritis can be manifested by the following signs and symptoms.

  • Alternative or unilateral buttock pain
  • Arthritis in small joints
  • Arthritis in large joints such as knee joint, ankle joint and elbow joint (peripheral arthritis)
  • Numbness and tingling sensation in arms and legs
  • Spinal fusion may occur in ankylosing spondylitis
  • Inflammation at the interfaces between bone and tendon or ligament of limbs (enthesitis)
  • Inflammation of intestine, urinary tract and aortic heart valves. These can lead to spinal joints inflammation.
  • Inflammation of joints in pelvis and spine (sacroiliitis)
  • Enteropathic arthritis shows symptoms such as diarrhea and abdominal pain
  • Digestive problems
  • Skin disease like psoriasis
  • Osteoporosis
  • Redness of eye (iritis)
  • Swollen fingers and
  • Pain in the heels cause difficult to walk, stand even for small duration

Diagnosis and testing

First a doctor may ask for patient’s medical history, physical exam and may suspects for symptoms of spondyloarthritis. To confirm doctor may perform the following diagnosis and tests.

  • X-rays: x-ray images shows the change of the sacroiliac joints in the pelvis and fusion of spine. If these changes not observed, but symptoms shows spondyloarthritis doctor will suggest mri scan. Mri shows these changes more promptly than the x-ray.
  • Mri scans: it can show a very clear image of enthesitis and also the changes of sacroiliac joints.
  • Ct scans: ct also used for the imaging of bone joints.
  • Hla-b27: most patients with spondyloarthritis have hla-b27 gene, but some people don’t have this gene. So it is necessary to go for a hla-b27 test if the symptoms suspects spondyloarthritis.
  • Complete blood count (cbc): cbc can be useful to find the inflammation.
  • Musculoskeletal ultrasound scanning: ultrasound imaging uses sound waves to produce the images of inflammatory conditions of muscles, ligaments, and tendons.
  • Dual-energy x-ray absorptiometry (dexa) scans: used for measuring the bone mineral density usually the bones of the lower spine and hips. Bone loss is measured through this technique.

Treatment of spondyloarthritis.

  • There is no way to cure this disease condition, but there are treatments to counterparts the symptoms.
  • Nonsteroidal anti-inflammatory drugs: certain nsaid’s like naproxen, ibuprofen, meloxicam, or indomethacin are prescribed by doctors to relief from the pain due to symptoms.
  • Corticosteroid medication: inflammation around the tendons and in the joints can be overcome by taking some corticosteroid drugs. This helps to reduce the swelling in the joints.
  • Antibiotics: antibiotics can be used in the case of reactive spondyloarthritis in which bacteria cause the major problems.
  • Disease-modifying antirheumatic drugs (dmard’s): sulfasalazine (azulfidine) and methotrexate are the best dmard’s to be used for the joint damages in limbs affected by arthritis.
  • Tumor necrosis alpha (tnf-alpha) blockers: fda approved tnab are adalimumab (humira), adalimumab-atto (amjevita), a biosimilar to humira, certolizumab pegol (cimzia), etanercept (enbrel), etanercept-szzs (ereizi), a biosimilar to enbrel, golimumab (simponi), infliximab (remicade), infliximab-dyyb (inflectra), a biosimilar to remicade, and secukinimab (cosentyx). These are biosimilars used to treat arthritis in spine joints.
  • Surgery: patients with over inflammation of pelvis joints needs hip replacement. In the case of heavy damage in the cartilage of joints needs surgery to repair. In some rare cases, spinal surgery also needed.

Prevention and control measures

  • Prevention from spondyloarthritis needed some lifestyle changes as follows.
  • Quit smoking: smoking speeds up the spinal fusion in addition to other bad health effects.
  • Follow good posture: practicing a proper sitting and posture makes your spine to escape from growing into slumped-over position and strain.
  • Daily physical exercise: frequent home exercise and physiotherapy is essential to reduce the stiffening of spine and other joint problems. It also helps to have your heart healthy.
  • Good diet: follow the diets that are rich in calcium. Dairy products are preferred foe calcium rich foods.

Frozen Shoulder

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
Frozen Shoulder

Frozen shoulder is painful inflammatory condition associated with stiffness and loss of motion in shoulder. The pain gradually grows and becomes chronic leading to restricted movement. Due to inflammatory conditions the muscles surrounding the shoulder becomes stiff. Frozen shoulder has vague triggers, which usually surfaces as a complication commonly in people with diabetes, thyroid disorders, heart disease, and Parkinson's disease and people with chronic rheumatism or arthritis. The general approach towards frozen shoulder is prescription of painkillers, anti-inflammatory and physical therapy to restore the ROM.

What is the suffering 
As the chronicity advances the movement of the shoulder is severely restricted, with progressive loss of both active and passive range of motion. The condition is sometimes caused by injury, leading to lack of use due to pain, but can also arise spontaneously with no obvious trigger (idiopathic frozen shoulder). Rheumatic disease progression and recent shoulder surgery can also cause a pattern of pain and limitation similar to frozen shoulder. Intermittent periods of use may cause inflammation.

In frozen shoulder, the synovial fluid becomes scarce resulting in diminished joint lubrication between the head of humerus (Upper arm bone) and the socket of the scapula. Due to friction as precipitating factor, the shoulder capsule swells, thickens and tightens due to stiffness of ligamentous bands of scar tissue. As a result, the joint movement becomes stiff.

How to know 
First sign of a frozen shoulder is that the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. The movement that is most severely inhibited is abduction and external rotation of the shoulder. Lots of tests are done clinically to assess the frozen shoulder. One of the best test is “Scratch Test” and 2nd is the Lateral external rotation.

People complain that the stiffness and pain worsen at night or the pain is worse during morning. Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. A therapist or practitioner may suspect the patient has a frozen shoulder if a physical examination reveals limited shoulder movement. XRay of rhe shoulder or an MRI scan may confirm the diagnosis, though its mostly diagnosed clinically.

The frozen shoulder, according to the chronicity is categorised into stages.

Stage one:  "freezing" or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses range of motion.
Stage two: "frozen" or adhesive stage is marked by a slow improvement in pain but the stiffness increases. This stage generally lasts from four to nine months.
Stage three: "thawing" or recovery, when shoulder motion slowly returns toward normal. This generally lasts from 5 to 26 months.

What to Do

Frozen shoulder makes the person so disable that he cannot work without pain. Management of the frozen shoulder is focused on restoring joint movement and reducing shoulder pain, involving medications, physical therapy and /or surgical intervention. Treatment may continue for months, there is no strong evidence to favour any particular approach. Medications frequently used include NSAIDs and corticosteroids. Alternative medicines like homeopathy, ayurveda also gives great results. Alternative measures like physical therapy, exercise therapy, yoga have good impact in increasing the range of motion.

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How To Get Rid Of Ache And Pain With Help Of Ayurveda?

Diploma in Hospital Administration, Post Graduate Diploma in Healthcare Management (P.G.D.H.M), Diploma in Herbal Beauty Therapy & Cosmotology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
How To Get Rid Of Ache And Pain With Help Of Ayurveda?

It’s not just painful but also very irritating to have that odd neck, back, knee or any other muscular pain. Just sitting and waiting for the pain to go is something that we just cannot do. We want instant relief! Some of us wonder how we even got this pain. Asking around we find answers such as an incorrect posture of the body, too much of physical stress on a particular muscle or staying still in one position for a long time. Right, long working hours sitting in front of a computer.

  • Ayurveda dives a bit deeper to find out the cause of muscular pain. According to Ayurveda, the muscle pain is caused by collection of harmful toxins in a particular area of the body which blocks the smooth transportation of essential nutrients, which leads to the aggravation of the “Vata” element in the body and causing muscular pain. There is no exception to any age group from this pain.
  • Once again, body, diet and health, are all inter- linked. Ayurveda says a prominent way to avoid muscular pain is our diet. Cheese, cakes, meat, processed food, caffeine are strictly to be avoided by Ayurveda. This is because these kinds of foods dry up the muscles making them stiff and causing pain.
  • If a person experiences muscular pain, Ayurveda has natural and chemical free methods to manage the pain. The main method is the practice of Abhyanga. It includes the application of oil all over the body, and massaging the areas where pain is experienced gently. This improves blood circulation with the nutrients needed all over the body. The heating properties of the oil stimulate the same.
  • At Dr. Vaidya’s, we have innovative products which help in prevention and management of muscular pain. One of them is the evergreen super popular, Rumox Balm. Rumox balm is a special Ayurvedic formulation that has an anti-inflammatory properties and an analgesic effect. Apart from treating swelling and muscular pain, it also provides relief from all types of arthritic pain.
  • Another product tried by thousands of our loyal customers is Sandhivati, which is a strong formulation for treatment of arthritis. Composed of Maharasnadi Quath Ghan powder and Mahayograj Guggul powder, this product is used for effective treatment of muscular, joint and arthritic pain.
  • We also have special herbal massage oil called Nirgundi Oil, a formulation of Til Oil, Castor Oil, Sarsav Oil and Nirgundi Extract. It is to be gently applied over the pain affected area.
  • We have a range over thirty products that include your daily use products such as Herbodanty, medicine for cold, cough, shampoo etc. Our in-house doctor, Dr. (Mrs.) Surya Bhagwati (BAMS, DHA, DHHCM, and DHBTC) can help you build your Ayurveda knowledge and help diagnose any medical issues you may be suffering from. Following our founder, Dr.Natoobhai Vaidya. Legacy we continue to offer free consultation to all our patients. We strive to be one of the best Ayurvedic Clinics in Mumbai while following his beliefs of providing high quality medicine, superior customer care and to be dedicated to our patients welfare.