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Overview

Decline 25Mg Injection

Decline 25Mg Injection

Manufacturer: Shrinivas Gujarat Laboratories Pvt Ltd
Medicine composition: Diclofenac
Prescription vs.OTC: Prescription by Doctor required

Decline 25Mg Injection is an anti-inflammatory painkiller. This non-steroidal drug is used to alleviate symptoms of arthritis such as inflammation, pain, fever and swollen joints. It is used in the treatment of conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylosis and severe menstrual pain. This medicine is available in both tablet as well as oral solution form.

Decline 25Mg Injection works by obstructing the production of cyclooxygenase, which synthesizes the compound called prostaglandin. This compound is responsible for symptoms of arthritis such as pain, swelling and inflammation. Therefore, Decline 25Mg Injection is effective in providing pain relief.

Decline 25Mg Injection is a non-steroidal anti-inflammatory drug (NSAID) that provides relief from pain, inflammation, stiffness, joint pain and swelling. This medicine is used in the treatment of conditions such as muscular pain due to injury, rheumatoid arthritis, painful menstrual cramps, Osteoarthritis, ankylosing splondylitis and migraines. Decline 25Mg Injection works by stopping the production of cyclooxygenase, which is responsible for synthesizing a compound called prostaglandin. The synthesis of these compounds in the body is what causes inflammation, swelling, fever and pain. It also inhibits the production of bacterial DNA.

Decline 25Mg Injection is available in the form of tablets as well as an oral solution. The effect of each tablet lasts for 11 to 12 hours. Therefore, the standard recommended dosage is twice a day. It is advisable to take this medication only under the guidance and recommendation of a medical practitioner. You should continue taking this medication until you have completed the course, and discontinue as per the instructions of your doctor. You should not skip out on a dose, and avoid doubling the dosage to make up for having skipped the dose.

In certain cases, it is imperative to inform your doctor before starting a course of this medication. People who are about to undergo a bypass heart surgery or have an allergy to other anti-inflammatory painkillers should not take Decline 25Mg Injection. It is important to notify your doctor before beginning a course of this medicine, if you suffer from disorders such as heart disease, heart attack, stroke, hypertension, high cholesterol levels, diabetes, asthma or a bleeding disorder. Pregnant women, women trying to conceive, smokers and alcoholics should avoid taking Decline 25Mg Injection, since it can have harmful effects.

The common side effects that this medicine causes include diarrhea, heartburn, dizziness, headache, stomach pain or cramps, black stool, weight loss and fatigue. Not all of these symptoms are a cause for concern. However, if any of these symptoms persist for more than two-three days, you should contact your doctor. An allergic reaction to Decline 25Mg Injection would cause itchiness, rashes, vomiting, difficulty breathing, hives and swollen tongue or face. Some of the major side effects of this medicine are an increase in blood pressure, stomach ulcers, gastrointestinal bleeding, nosebleeds, severe skin reactions and liver damage. Taking this medicine in excess can also increase your chances of developing some fatal conditions such as a heart attack, a stroke or hepatitis or kidney dysfunction. If you experience any of these harmful side effects, you should seek medical expertise immediately.

Rheumatoid Arthritis
Decline 25Mg Injection is used to treat symptoms like swelling, pain, and stiffness of joints associated with Rheumatoid Arthritis.
Osteoarthritis
Decline 25Mg Injection is used to treat symptoms like tender and painful joints associated with Osteoarthritis.
Ankylosing Spondylitis
Decline 25Mg Injection is used to treat symptoms like stiffness and pain associated with Ankylosing Spondylitis.
Dysmenorrhea
Decline 25Mg Injection is used to relieve excessive pain and cramps during menstruation.
Mild to moderate pain
Decline 25Mg Injection is used to relieve pain of sprains, strains, sports injuries etc.
Migraine
Decline 25Mg Injection is used to relieve acute pain in migraine.
Bursitis
Decline 25Mg Injection is used to relieve swelling and pain in joints.
Tendinitis
Decline 25Mg Injection is used to relieve pain and swelling associated with the tissue connecting the muscle and bones.
Allergy
Decline 25Mg Injection is not recommended if you have a known history of allergy to medicines belonging to NSAIDs. Severe allergic conditions like Asthma and Urticaria can be triggered in such cases.
Peptic Ulcer
3Decline 25Mg Injection is not recommended if you have peptic ulcer or are suspected of having it. It could cause severe swelling and bleeding in the stomach, colon and anus.
Coronary Artery Bypass Surgery (CABG)
Decline 25Mg Injection is not recommended for relieving pain after you have undergone CABG.
In addition to its intended effect, Decline 25Mg Injection 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.
Abdominal Pain Major Common
Constipation Major Common
Diarrhea Major Common
Nausea and vomiting Major Common
Skin Rash Moderate Common
Tinnitus Moderate Less Common
How long the duration of effect?
The effect typically lasts for an average of 1-2 hours. However, the time might vary depending upon the dosage form administered.
what is the onset of action?
The effect can be observed within 10-30 minutes of consumption. Note: Potassium salts of Diclofenac act faster than the Sodium salts as they are absorbed faster from the Gastro-Intestinal Tract.
Are there any pregnancy warnings?
This medicine is not considered safe during pregnancy especially after 30 weeks of gestation. You should consult a doctor before using this medicine. Potential benefits and risks involved should be given due consideration before administration.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine is not likely to pass into milk and cause any severe effect. But it is not recommended to use since there is a lack of conclusive evidence. A doctor must be consulted before taking the medicine.
Below is the list of medicines, which have the same composition, strength and form as Decline 25Mg Injection, and hence can be used as its substitute.
Missed Dose instructions
The missed dose can be taken as soon as you remember. However, the missed dose should be skipped if it is almost time for the next dose.
Overdose instructions
A doctor should be contacted immediately if an overdose of Decline 25Mg Injection is suspected. Signs and symptoms of overdose include rashes on the skin, confusion, pain in the chest, blurred vision etc. Immediate medical attention is needed if an overdose is confirmed.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Asthma Major
3Decline 25Mg Injection should not be taken if you have NSAID-sensitive asthma. Any such history should be reported to the doctor so that appropriate substitution can be done.
Fluid retention and Edema Major
Decline 25Mg Injection should be taken only after consulting a doctor. Monitoring of blood pressure and heart conditions is necessary on a regular level during the course of therapy.
Gastro-Intestinal toxicity Major
Decline 25Mg Injection and other NSAIDs should be taken after consulting a doctor especially if the intended duration is longer than a month. Any symptom indicating ulceration and bleeding like chronic indigestion, appearance of coffee colored dry blood in stools or vomiting of blood should be reported immediately.
Skin rash Major
Decline 25Mg Injection can cause these fatal skin allergies without any warnings. Signs and symptoms like rashes, hives, fever or other allergic symptoms should be reported without any delay. This condition requires immediate medical intervention.
Impaired kidney function Major
Decline 25Mg Injection should be taken after consulting a doctor if you are having a kidney disease. Suitable adjustment in dosage and monitoring of kidney functions is required in such situations.
Heart attack and stroke Major
Decline 25Mg Injection should be taken only after consulting a doctor. The dose needs to be optimized based on the severity of the heart condition. Additional medicines are to be taken to minimize the risk. Symptoms indicating heart attack like chest pain, shallow breathing, speech slurring, and weakness should be immediately reported to the doctor.
Interaction with Alcohol
Moderate
This medicine should not be consumed with alcohol. Symptoms of stomach bleeding (such as the presence of dried and coffee colored blood in cough or stools) should be reported to the doctor immediately.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Adefovir Major
Decline 25Mg Injection should be taken with Adefovir only after consulting a doctor. Usage of either of the drugs should be reported so that suitable substitutes can be prescribed.
Apixaban Major
Decline 25Mg Injection can be taken with Apixaban only under the supervision of a doctor. Any signs and symptoms like dizziness, black and tarry stools, presence of dried and coffee grounds like blood in cough or vomit should be attended to immediately.
Methotrexate Major
Decline 25Mg Injection should be taken with Methotrexate only after consulting a doctor. The doctor needs to make suitable adjustments so that unwanted effects and toxicity can be prevented.
Ramipril Moderate
Decline 25Mg Injection should be taken with Ramipril only after consulting a doctor since dosage adjustment is required to minimize the harmful effect. Signs and symptoms like swelling, nausea, vomiting, muscle cramps, confusion, and weakness should be reported to the doctor.
Ketorolac Major
Decline 25Mg Injection should not be taken along with ketorolac. You should read the instructions before taking any over the counter medication. A doctor should be consulted before taking medicines containing these components.

Popular Questions & Answers

Please help me. Im a food addict and I can't stop eating im 20 years old now and I almost weight 75 kg please help me how can I reduce my weight.

BHMS
Homeopath, Chennai
Please help me. Im a food addict and I can't stop eating im 20 years old now and I almost weight 75 kg please help me...
Diet and lack of exercise are the two most important factors that contribute to obesity. While the modern day diet is becoming more and more full of fats, sweets and empty calories, it is becoming devoid of nutritious vitamins and minerals. The fibre content is also decreasing. One tends to stack up on junk food in an effort to take a quick bite while on the go. At the same time, physical activity is on the decline. One has increased access to vehicles and the need to walk or cycle is almost not present. Even for commuting short distances, one uses cars or two wheelers. All these things are readily contributing to this epidemic of obesity. When it comes to getting rid of the excess fat, one needs to work conscientiously and consistently on both the counts mentioned above. One?s diet has to be altered so as to include more and more natural fruits and vegetables. Processed food and junk food should be cut down to the minimum. A daily exercise regimen needs to be adopted. Exercising for 30-40 minutes for a minimum of 5 days a week is necessary. Homeopathy helps by regulating the metabolic system of the individual. There are more than 100 medicines listed in the Homeopathic literature for obesity. It is a tough job selecting the right medicine for a particular patient. One needs to take into account a lot of things before selecting the right course of treatment. These things relate to other symptoms or conditions that may be present or the person may be suffering from. A lot of importance is given to the reason, if any can be found that stimulated weight gain. This reason could be a particular illness or an event or some psychological setback in life. The general reaction of the person to extremes of temperature, his or heating habits also need to be taken into account. A homeopathic constitutional treatment will give you best results naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects Medicines will reach you via courier services.
2 people found this helpful

My platelets count is 86 will I die now. What should I do know I am totally scared.

MD(Am)
General Physician, Secunderabad
My platelets count is 86 will I die now. What should I do know I am totally scared.
Platelets count increase Platelets -- a vital component of blood -- help the body form clots to stop bleeding in the event of an injury. In their inactive stage, platelets resemble plates (the reason behind their name). However, when active, platelets have several tiny tentacles that give them an octopus-like appearance. Since platelets play such an important role in the functioning of the human body, a low platelet count (a condition known as thrombocytopenia) should never be ignored. Slow blood clotting (resulting in bleeding that is excessive or cannot be controlled), bleeding gums and nose, bruising and appearance of petechiae (red or purple spots in the skin), and longer and heavier menstrual cycles for women are some of the main symptoms of this condition. Medication for normalising blood platelet count is expensive, and treatment usually requires the patient to be hospitalised. Fortunately, consumption of some foods also help treat as well as prevent this condition. These foods are not only easily accessible, but also relatively inexpensive. Ensuring that they are part of your daily diet helps prevent thrombocytopenia and the symptoms associated with the condition. Here's the list of these foods. Fresh Milk It's no secret that fresh milk contains calcium, which is an essential mineral for strengthening and developing bones. But did you know that fresh milk also helps regenerate blood platelets. Moreover, milk contains Vitamin K, which is absolutely essential for proper blood clotting. Foods that contain Vitamin K Besides milk, other great sources of Vitamin K are foods such as parsley, kale, basil, mustard greens, spinach, Swiss chards, watercress, broccoli, celery, asparagus, okra, and cabbage. Carrots Across the globe, carrots are popularly consumed to help to maintain and improve vision. But the lesser known fact is that they also serve as an excellent remedy for maintaining a normal blood platelet count. Raisins Raisins are packed with iron and help strengthen the body while normalising blood platelet count. Raisins can be eaten as a delicious snack on their own, in oatmeal, or even sprinkled on yogurt. Pomegranate The brilliant red colour of the pomegranate serves an excellent reminder that the delicious fruit is good for the blood. Besides helping to maintain a normal blood platelet count, the nutrients and minerals found in pomegranates also serve as an energy boost. Lean Meats Lean meats such as fish, chicken and turkey are rich in protein, zinc and Vitamin B12, all of which help increase the blood platelet count. Beans Beans contain Vitamin B9 or folate which greatly helps boost the blood platelet count. Some other foods rich in B9 are spinach, asparagus, and oranges. Garlic Not only is garlic an excellent blood purifier, it also helps to naturally increase the blood platelet count. Papaya Leaves Another home remedy to increase platelet count quickly is to boil papaya leaves in water and drink the resulting solution. This method is especially effective when there is a sharp decline in platelet count, such as in cases of dengue fever and malaria. T) caripaya. Twice a day for 10 days.
1 person found this helpful

Can pregnancy happen on 25-28th day .for example period comes on 1 Jan and have sex on 25 Jan, then what are the chance of pregnancy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Can pregnancy happen on 25-28th day .for example period comes on 1 Jan and have sex on 25 Jan, then what are the chan...
Hello, chances of pregnancy are low but in case of irregular menses and delayed ovulation, pregnancy can occur.

Is using mobile harm my baby? I am 4 months pregnant. .what should I do to protect my baby from mobile radiation.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Is using mobile harm my baby? I am 4 months pregnant. .what should I do to protect my baby from mobile radiation.
yes it can as it emits radiations.old saying excess of everything is bad so only way is to avoid use when not urgent.it can lead to behavioural and adjustment problems in babies with difficulty on attention.can lead to degeneration of brain neurons as per some studies it can have long and short term side effects both even in kids who use mobile before 7 years age and are likely to suffer from disruption of memory, decline of attention, diminishing learning and cognitive abilities, increased irritability in the short term, and that longer-term hazards include depressive syndrome and degeneration of the nervous structures of the brain

I am 16 years old. Am a busy girl. Am always busy in my studies therefore I can not do exercises. So getting fat day by day. Call you please tell me the acupuncture points for getting slim?

Masters
Dietitian/Nutritionist,
I am 16 years old. Am a busy girl. Am always busy in my studies therefore I can not do exercises. So getting fat day ...
Ok If you can not do exercises cause of busy schedule start walking and take a book and start learning with walking and also stop munching of any junks or candies which is naturally done cause of stress when you feel hungry you can take some fruit or fruit chaat with sprinkle some cinnamon powder, black pepper and with low or without salt also with lemon juice. You can take these on fruits, fruit chat or fruit salad, veg. Salad. You can also include curd and rest is please come online i will explain.
1 person found this helpful

Popular Health Tips

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 & 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.

Gall Bladder Stones and Benefits Of Its Surgery

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
Gall Bladder Stones and Benefits Of Its Surgery

The gallbladder is a small organ found beneath the right side of the liver and it works by collecting and concentrating BILE, a digestive fluid produced by the liver. The bile helps in digesting fats in the small intestine.

Gallbladder problems are usually caused due to the presence of gallstones in the gall bladder. These are small and hard stones made up of cholesterol and bile salts. You are more prone to get gallstones if you are-

  • Female
  • Over 40
  • Are pregnant
  • Have a family history of gallstones

The gallbladder is not an essential organ, and its removal is one of the most common surgical procedures performed on patients today. This is a low risk surgery and can even be performed on pregnant women.
In short, the primary advantages of surgically removing the gallbladder over nonsurgical treatment are that it can rule out gallstones and prevent gallbladder cancer in the future. And the removal of this organ is not associated with any impairment of digestion in people.

Benefits of Gallstone surgery
There are no known means through which you can prevent gallstones. And once you get gallstones, you will suffer from:

  1. Sharp abdominal pain
  2. Vomiting
  3. Indigestion
  4. Fever

These symptoms present themselves as the gallstones block the flow of bile out of the gallbladder, causing it to swell. You may also become more prone to jaundice.

Disadvantages of non-surgical treatments-
Non-surgical treatments are available for gallstones, but these are temporary. They include dietary adjustments and reduction of fat intake.
These treatments have a low success rate and symptoms usually continue unless the gallbladder is removed. Hence, surgical removal of the gallbladder is the time-honoured and safest treatment of gallbladder disease.

Types of Gallstone surgery

  • Open procedures- Until the early 1990s, gallstone removal was done through open cholecystectomy, in which the gallbladder was removed through a wide incision in the abdomen.
  • Nowadays, laparoscopic cholecystectomy is the standard procedure. In this, small incisions are made to remove the gall bladder.
  • This type of surgery is done in patients who have inflammation in the gallbladder, but they have no gallstones. It is also being done in those who have gallstones, but no symptoms.Laparoscopy has replaced open cholecystectomy as it offers some significant advantages: shhort down time- You can leave the hospital and resume normal life much earlier, compared to open surgery.
    • Smaller incisions and less postoperative pain and disability.
    • Fewer complications.
    • Less expensive in the long term.

However, a few experts believe that the open procedure has a number of advantages over laparoscopy, like:

  • Faster to perform.
  • Less of a risk for bile duct injury compared with laparoscopy.

But all said and done, open surgery has more overall complications than laparoscopy. Another point to note, is that bile-duct injury rates with laparoscopy are declining steeply.
 

Renal Cell Carcinoma - How It Can Be Managed?

MD, MBBS
Oncologist, Ernakulam
Renal Cell Carcinoma - How It Can Be Managed?

Patients with metastatic renal cell carcinoma (RCC) to the brain have a very poor prognosis of three months if left untreated. SRS is an effective treatment modality in numerous patients. This case exemplifies the utility of stereotactic radiosurgery (SRS) in prolonging survival and maintaining quality of life in a patient with RCC. 

  • This 64-year-old female patient initially presented to her primary care physician 22 months after a left nephrectomy for RCC with complaints of mild, intermittent headaches and difficulty with balance. An MRI revealed five cerebellar lesions suspicious for intracranial metastasis. The patient's first GKRS treatment targeted four lesions with 22 Gy at the 50% isodose line. She underwent a total of seven GKRS treatments over the next 60 months for recurrent metastases to the brain. 
  • 72 months and 12 months have now passed since her brain metastases were first discovered and since her last GKRS treatment, respectively, and this woman is alive with considerable quality of life and no evidence of metastatic reoccurrence. This case shows that repeated GKRS treatments, with minimal surgical intervention, can effectively treat multiple intracranial lesions in select patients, prolonging survival and avoiding iatrogenic neurocognitive decline while maintaining a high quality of life.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Which Toothpaste Should I Use?

BDS
Dentist, Pune
Which Toothpaste Should I Use?

Which toothpaste should I use?” 

You want to take care of your teeth, just like anyone. Keeping them clean and healthy enhances your smile while saving you money, because when your teeth are in bad shape, you’ll have to spend more correcting them. One of the basic decisions you’ll face in safeguarding your teeth is which toothpaste to use. Each day, the toothpaste you pick will clean your teeth and will have ramifications for years to come. Here’s a guide on what toothpaste you should use.

The Basics

Toothpaste is only a means to an end. If you buy it and then are lazy about brushing your teeth, it won’t help. Indian Dental Association (IDA) recommends brushing your teeth after each meal (and at least once a day). Brushing your teeth removes all the harmful bacteria and plaque that build up when you eat. No matter which toothpaste you choose, it won’t help unless you’re serious about brushing your teeth.

The Science of Brushing Your Teeth

When you’re ready to decide on a brand, you should understand the basic components of each product. Most major brands of toothpaste include abrasive agents. Don’t worry about that label, though. Abrasive agents are usually helpful.

Abrasive agents are the ingredients that cause the scratchy sensation when you brush your teeth. They’re silicates like hydrated silica, calcium carbonate, and hydrated alumina. Some of these materials are the same as sand, which sounds weird, but the ingredients have a purpose. In combination with the brushing movement of your wrist, they’ll scrub away the bacteria and plaque. Conversely, the brushing motion wouldn’t sanitize your teeth without the silicates. Their purpose is to act as a cleaning agent.

The foam on your toothbrush comes from the detergent in the toothpaste. It works similarly to the products you use to clean your dishes and laundry. A detergent breaks down any undesirable substances. With your teeth, it’s loosening materials that aren’t soluble. The liquid in your mouth will dissolve any that is soluble, but you need help with anything that doesn’t respond to liquids.

The Importance of Fluoride

Any good toothpaste will include other components to make it more effective. Fluoride is the most important one. In fact, it’s the primary reason tooth decay and cavities have declined dramatically over the past 50 years. This naturally occurring mineral protects your teeth when you eat. Every food you consume leaves trace elements of sugar and starch on your teeth.

Fluoride counters this problem in two ways. It strengthens tooth enamel, the protective layer on the outside of your teeth, and that added strength makes your teeth less susceptible to chipping and cracking.

When you consume items that stain your teeth such as coffee, cigarettes, wine, tea, and sugary drinks, the enamel weakens. Fluoride counters this issue, although you should still brush your teeth more often if you smoke or consume any of those products. Fluoride also fights off previous damage by reversing the process of tooth decay. For these two reasons, when you shop for toothpaste, you should pick one with fluoride.

Other Toothpaste Components

Many toothpastes will also include artificial sweeteners. The minty taste that you associate with toothpaste isn’t a natural flavor. Manufacturers add saccharin and other ingredients to make the taste of toothpaste better. Without it, the process of brushing your teeth wouldn’t feel as pleasant. If brushing your teeth left you with a bad taste in your mouth, it might reduce your desire to brush regularly. Toothpaste now comes in flavors as diverse as lemon, grape, and bubblegum to make them more appealing – not just for adults, but for children too.

Toothpaste also includes ingredients to keep the tube from drying out. Without the moisture retention of humectants, your mouth would dry too soon. These are the same ingredients that keep you from having dry skin. Finally, toothpaste uses thickeners to make sure that the actual substance maintains a gooey form.

Which Toothpaste Is Best?

Now that you know the key components of toothpaste, you can pick the brand that’s right for you. If you’re a smoker or coffee drinker, you should choose a product with the highest amount of fluoride. Without a prescription, you’re looking for a brand that’s at least 1,000 parts per million (PPM). A product with the IDA Seal has received independent review and validation of its product claims.

If you’re someone with yellow teeth, you’ll want a brand with a higher number of silicates. A product that includes whitening will gradually alter the shade from yellow back to white. If cavities are a big issue, you want a product with special cavity-fighting power.  If you have a plaque problem, you can prevent tartar buildup with toothpastes that are specifically formulated to fight tartar. Finally, if you have sensitive gums and/or teeth, the best product is one that treats the underlying problem of sensitivity.

As you can see, toothpaste includes a lot of components specifically designed to protect and improve your teeth. No matter the problem you worry about with your teeth, a product exists that can help you overcome the issue. Simply consider your needs and then mix and match from the options above.

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Best Ways To Boost Sexual Stamina

Sexologist Clinic
Sexologist, Faridabad

Every man wants to be a better lover.

For many men, the thought of being unable to provide a lasting and deeply fulfilling sexual experience for his partner is something that causes stress and anxiety.

You want to give the kind of sexual performance that has you hoping she’ll brag about it to her friends (instead of worrying she’ll be complaining to them).

Avoid unnecessary pressure

performing under pressure will only ruin your moment. Let your mind be free from sexual expectations as unnecessary pressure on your performance will affect your sexual stamina.

Foreplay is important

Jumping directly into intercourse is not only painful for your partner but can lead to decreased sexual stamina. Begin with foreplay, passionate kissing and indulge in oral sex. Starting slowly will help you end up in lasting longer.

Know your pleasurable points

Knowing your pleasurable points is important for your sexual performance. This way you will also learn to indulge in sexual intimacy for a longer duration.

Strengthen your pelvis muscles

Pelvic muscles play a significant role in your sexual life. Hence, it is important to strengthen them as it will increase your sexual endurance and enhanced performance.

Squats are helpful!

Trying body-weight squats can help in strengthening pelvic muscles. If you want to further increase your stamina, you can also try full squats or one-leg squats.

All you have to do is:

- Lie down on a flat bench and make sure that you are not arching your back. Grip the barbell with your hands shoulder-width apart and palms facing your feet. Press the barbell straight up and back down.

- Doing the presses on an incline, will place more emphasis on your upper chest, whereas a decline will place more emphasis on your lower body.

Kegel exercises

This is the best and easiest way to strengthen your pelvic muscles. The stronger your pelvic muscles are, the more are chances of increases sexual stamina. This also ensures that you have a stronger erection.

Limit your alcohol intake

If you are under the impression that alcohol helps you in performing better in bed, then get your facts clear. Alcohol makes you lazy and men may face problems with erection. So, avoid drinking alcohol if you want to make your partner happy and willing to enjoy sexual pleasure for a longer duration.

Eat protein enriched foods

Make sure you eat food loaded with protein. Protein contains essential amino acids that our body need in order to function properly. Include protein rich foods such as egg whites, low fat milk, fish and chicken in your diet.

Maintain a healthy weight

Maintaining healthy weight is important for your overall wellness. Know what should be your ideal weight according to your height and body structure. And if you are underweight, consult a health expert to maintain perfect weight. This can also help you in boosting your sexual stamina.

Before sex, do not over eat!

Stuffing yourself right before sexual session can lead to drowsiness. So, for a great sex, do not over feed yourself.

Maintain a balanced diet

To build your sexual stamina, watch what you eat. A well-balanced diet is important for your sexual health too. Eat low-fat products, plenty of fruits and vegetables and lean meat. This way you will stay healthy and will have improved physical and mental stamina.

Improve blood circulation

It is important to have good blood circulation for a longer and stronger erection. You can get a nice massage from your partner and those sensual touches will help you in getting improved blood flow and will release sex hormones.
 

9 people found this helpful